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The attitudes of Korean cancer patients, family caregivers, oncologists, and members of the general public toward advance directives

Authors
 Bhumsuk Keam  ;  Young Ho Yun  ;  Dae Seog Heo  ;  Byeong Woo Park  ;  Chi-Heum Cho  ;  Sung Kim  ;  Dae Ho Lee  ;  Soon Nam Lee  ;  Eun Sook Lee  ;  Jung Hun Kang  ;  Si-Young Kim  ;  Jung Lim Lee  ;  Chang Geol Lee  ;  Yeun Keun Lim  ;  Sam Yong Kim  ;  Jong Soo Choi  ;  Hyun Sik Jeong  ;  Mison Chun 
Citation
 SUPPORTIVE CARE IN CANCER, Vol.21(5) : 1437-1444, 2013 
Journal Title
 SUPPORTIVE CARE IN CANCER 
ISSN
 0941-4355 
Issue Date
2013
MeSH
Adult ; Advance Directives/psychology* ; Attitude to Health* ; Caregivers/psychology* ; Female ; Hospice Care/methods ; Hospice Care/psychology ; Humans ; Male ; Medical Oncology/statistics & numerical data ; Middle Aged ; Multivariate Analysis ; Neoplasms/psychology* ; Palliative Care/methods ; Palliative Care/psychology ; Pilot Projects ; Republic of Korea ; Surveys and Questionnaires ; Young Adult
Keywords
Advance directives ; Attitude ; Hospice–palliative care
Abstract
The purpose of this study was to investigate Korean attitudes toward advance directives (ADs) among cancer patients, family caregivers, oncologists, and the general public. METHODS: A multicenter survey study explored the attitudes of participants to ADs, and hospice-palliative care (HPC) was conducted. A total of 1,242 cancer patients, 1,289 family caregivers, 303 oncologists, and 1,006 members of the general public participated in the survey. RESULTS: The majority of patients, family caregivers, oncologists, and general public agreed with the necessity of ADs. However, oncologists regard "when became terminal status" as an optimal timing for completion of ADs (52.2 %), while other groups regard earlier periods as it. More than 95 % oncologist answered that cardiopulmonary resuscitation and mechanical ventilator are necessity items for ADs form, while around 70 % of other groups answered so. Multivariate analysis revealed that several factors including agreement with terminal disclosures and a positive attitude toward HPC were independently associated with necessity of ADs. CONCLUSIONS: We found that attitudes toward ADs among cancer patients, family caregivers, oncologists, and the general public were significantly different. Our study also suggests that favorable attitudes toward comfort end-of-life care and HPC are keys that influence the perceived need for ADs.
Full Text
http://link.springer.com/article/10.1007%2Fs00520-012-1689-z
DOI
10.1007/s00520-012-1689-z
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Radiation Oncology (방사선종양학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Park, Byeong Woo(박병우) ORCID logo https://orcid.org/0000-0003-1353-2607
Lee, Chang Geol(이창걸) ORCID logo https://orcid.org/0000-0002-8702-881X
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/87068
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