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

Title
The attitudes of Korean cancer patients, family caregivers, oncologists, and members of the general public toward advance directives
Authors
Keam B.Yun Y.H.Heo D.S.Park B.W.Cho C.-H.Kim S.Lee D.H.Lee S.N.Lee E.S.Kang J.H.Kim S.-Y.Lee J.L.Lee C.G.Lim Y.K.Kim S.Y.Choi J.S.Jeong H.S.Chun M.
Ewha Authors
이순남
SCOPUS Author ID
이순남scopus
Issue Date
2013
Journal Title
Supportive Care in Cancer
ISSN
0941-4355JCR Link
Citation
vol. 21, no. 5, pp. 1437 - 1444
Indexed
SCI; SCIE; SCOPUS WOS scopus
Abstract
Purpose: 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. © 2012 Springer-Verlag Berlin Heidelberg.
DOI
10.1007/s00520-012-1689-z
Appears in Collections:
의과대학 > 의학과 > Journal papers
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