J Korean Clin Nurs Res.  2020 Apr;26(1):86-96. 10.22650/JKCNR.2020.26.1.86.

Middle-Aged Adults' Attitudes toward Dignified Death and Advance Directives, and Knowledge of Advance Directives

Affiliations
  • 1Advanced Practice Nurse, Hallym University Chuncheon Sacred Heart Hospital, Korea
  • 2Professor, Graduate School of Clinical Nursing Science, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea

Abstract

Purpose
The purpose of study was to provide basic data for developing interventions that could help middle-aged adults prepare for dignified death in the future by examining their attitudes toward death and advance directives (AD), and knowledge of AD.
Methods
Data were collected through a survey of 211 middle-aged adults from January 28 to February 28, 2019, in a city located in Gangwon Province. To analyze the data, descriptive statistics, t-test, one-way ANOVA, Scheffé test, Pearson’s correlation coefficient and stepwise linear regression were utilized using SPSS/WINdows 21.0.
Results
The average score of the participants’ attitudes toward death and AD, and knowledge of AD was 91.82±10.89, 15.53±4.27, 46.00± 9.45, respectively. There were positive correlations between attitudes toward dignified death and attitudes toward AD, and knowledge of AD. Factors that influence attitudes toward AD were shown in the order of attitudes toward dignified death, knowledge of AD, and intentions to write AD (Adjusted R2=.24).
Conclusion
For the dignified death in the future, it is necessary to provide middle-aged adults with an opportunity to think about the need of AD. In addition, extensive education and promotion of AD are required to correct the misunderstanding of AD.

Keyword

Middle Aged; Death; Advance Directives; Attitude; Knowledge
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