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제목
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Do Advance Directive Attitudes and Perceived Susceptibility and End-of-Life Life-Sustaining Treatment Preferences Between Patients with Heart Failure and Cancer Differ?
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주저자
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김진실, 최지인
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교신저자
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안민정
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공동저자
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신미승, 김미영, 서은수, 심재란, 허성금
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DOI
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doi.org/10.1371/journal.pone.0238567
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학술기관
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PLOS ONE
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발행기관
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PUBLIC LIBRARY SCIENCE
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논문 요약
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There is limited evidence on the relationships of preference for end-of-life life-sustaining treatments [LSTs] and diagnostic contexts like heart failure [HF] or cancer, and patient attitudes toward and perceived susceptibility to use advance directives [ADs]. Thus, this study aimed to compare attitudes and perceived susceptibility between HF patients and community-dwelling patients with cancer, and examine the associations of these variables with their preference for each LST (cardiopulmonary resuscitation [CPR], ventilation support, hemodialysis, and hospice care). Secondary data were obtained from 36 outpatients with HF (mean age, 65.44 years; male, 69.4%) and 107 cancer patients (mean age, 67.39 years; male, 32.7%). More patients with HF preferred CPR than cancer patients (41.7% and 15.9%, χ2 = 8.88, P = 0.003). Attitudes and perceived susceptibility were similar between the two diagnostic cohorts. HF patients and those with more positive attitudes had greater odds of preferring CPR (odds ratio [OR] = 3.02, confidence interval [CI] = 1.19, 7.70) and hospice care (OR = 1.14, CI = 1.06, 1.23), respectively. HF diagnosis and AD attitudes increased the preference for CPR and hospice care, respectively. This suggests that it is important to gain positive attitudes toward ADs and consider diagnostic context to facilitate informed decision-making for LSTs.
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게재일자
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2020년 09월 08일
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조회수
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1198
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교육연구 활동 > 논문 게재
