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Relationship of social support and decisional conflict to advance directives attitude in Korean older adults: A community-based cross-sectional study

Title
Relationship of social support and decisional conflict to advance directives attitude in Korean older adults: A community-based cross-sectional study
Authors
Lee, JuHeeJung, DukyooChoi, MoonKi
Ewha Authors
정덕유
SCOPUS Author ID
정덕유scopus
Issue Date
2016
Journal Title
JAPAN JOURNAL OF NURSING SCIENCE
ISSN
1742-7932JCR Link1742-7924JCR Link
Citation
vol. 13, no. 1, pp. 29 - 37
Keywords
advance directivesconflictelderlyend of life caresocial support
Publisher
WILEY-BLACKWELL
Indexed
SCIE; SSCI; SCOPUS WOS scopus
Abstract
AimThe aim of this study was to clarify the relationship between social support, decisional conflict, and attitude towards advance directives, and determine whether decisional conflict mediates the relation between social support and advance directives attitude among older adults in South Korea. MethodsIn total, 209 community-based older adults (mean age, 74.82 years) participated in this cross-sectional study. Demographic characteristics, self-perceived health status, social support, decisional conflict, and advance directives attitude were investigated via a structured questionnaire. Data analysis was carried out using Pearson's correlation and path analyses. ResultsThe mean score of advance directives attitude was 48.01 (range, 35-61). Decisional conflict and social support were both significantly related to advance directives attitude (P<0.001). Additionally, decisional conflict was a mediator between social support and advance directives attitudes. ConclusionThe results confirmed the importance of social support for reducing decisional conflict and encouraging positive attitudes toward advance directives. Future studies are needed to support the development of culturally sensitive educational approaches regarding advance directives for older adults in Korea.
DOI
10.1111/jjns.12081
Appears in Collections:
간호대학 > 간호학전공 > Journal papers
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