지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
이용수
초록· 키워드
오류제보하기
Purpose: As advanced medical care has resulted in the unintended consequence of prolonging deaths, there is a growing interest in the decision to withhold life-sustaining treatments. The purpose of this study was to determine factors associated with the decision to withhold life-sustaining treatments in middle-aged and older adults who die in hospital in the United States. Methods: This cross-sectional correlational study conducted secondary analysis of 2000-2012 exit interview data from the Health and Retirement Study. Adults aged 50 and older who died in hospital and who had made a decision regarding life-sustaining treatments were included. Multivariable logistic regression was used to identify factors related to the decision to withhold life-sustaining treatments. Results: Among 1,412 adults, the prevalence of the decision to withhold life-sustaining treatments was 61.1%. Significant factors associated with the decision to withhold life-sustaining treatments were being African American (Adjusted Odds Ratio [AOR]=0.50, 95% Confidential Interval [CI]=0.30~0.86), Catholic (AOR=0.5, 95% CI=0.32~0.93), having at least one private insurance policy (AOR=1.40, 95% CI=1.02~1.92), having a living will (AOR=1.71, 95% CI=1.04~2.83), and having discussed end-of-life care with someone (AOR=1.810, 95% CI=1.25~2.62). Conclusion: Differences in race and religious affiliation should be considered when older adults, family members, and health care providers make decisions regarding life-sustaining treatments at the end-of-life. Also, health insurance coverage for advance care planning makes it easier for people to discuss life-sustaining treatments with health care providers.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
CONCLUSION
REFERENCES
참고문헌 (33)
참고문헌 신청
[학술지(정기간행물)] - McMahan R / 2013 / Advance care planning beyond advance directives: perspectives from patients and surrogates / Journal of Pain and Symptom Management 46 (3) : 355 ~ 365
[학술지(정기간행물)] - Silveira MJ / 2010 / Advance directives and outcomes of surrogate decision making before death / The New England Journal of Medicine 362 (13) : 1211 ~ 1218
[학술지(정기간행물)] - Prendergast TJ / 1998 / A national survey of end-of-life care for critically ill patients / American Journal of Respiratory and Critical Care Medicine 158 (4) : 1163 ~ 1167
[학술지(정기간행물)] - Sprung CL / 2014 / The durban world congress ethics round table conference report: I. differences between withholding and withdrawing life-sustaining treatments / Journal of Critical Care 29 (6) : 890 ~ 895
[학술지(정기간행물)] - Heyland DK / 2013 / Failure to engage hospitalized elderly patients and their families in advance care planning / JAMA Internal Medicine 173 (9) : 778 ~ 787
[학술지(정기간행물)] - Silveira MJ / 2010 / Advance directives and outcomes of surrogate decision making before death / The New England Journal of Medicine 362 (13) : 1211 ~ 1218
[학술지(정기간행물)] - Prendergast TJ / 1998 / A national survey of end-of-life care for critically ill patients / American Journal of Respiratory and Critical Care Medicine 158 (4) : 1163 ~ 1167
[학술지(정기간행물)] - Sprung CL / 2014 / The durban world congress ethics round table conference report: I. differences between withholding and withdrawing life-sustaining treatments / Journal of Critical Care 29 (6) : 890 ~ 895
[학술지(정기간행물)] - Heyland DK / 2013 / Failure to engage hospitalized elderly patients and their families in advance care planning / JAMA Internal Medicine 173 (9) : 778 ~ 787
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UCI(KEPA) : I410-ECN-0101-2018-512-003548650