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

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• 作者：Bhumsuk Keam (1)
  Young Ho Yun (2)
  Dae Seog Heo (1)
  Byeong Woo Park (3)
  Chi-Heum Cho (4)
  Sung Kim (5)
  Dae Ho Lee (6)
  Soon Nam Lee (7)
  Eun Sook Lee (8)
  Jung Hun Kang (9)
  Si-Young Kim (10)
  Jung Lim Lee (11)
  Chang Geol Lee (12)
  Yeun Keun Lim (13)
  Sam Yong Kim (14)
  Jong Soo Choi (15)
  Hyun Sik Jeong (16)
  Mison Chun (17)
  
• 关键词：Advance directives ; Attitude ; Hospice–palliative care
• 刊名：Supportive Care in Cancer
• 出版年：2013
• 出版时间：May 2013
• 年：2013
• 卷：21
• 期：5
• 页码：1437-1444
• 全文大小：146KB
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• 作者单位：Bhumsuk Keam (1)
  Young Ho Yun (2)
  Dae Seog Heo (1)
  Byeong Woo Park (3)
  Chi-Heum Cho (4)
  Sung Kim (5)
  Dae Ho Lee (6)
  Soon Nam Lee (7)
  Eun Sook Lee (8)
  Jung Hun Kang (9)
  Si-Young Kim (10)
  Jung Lim Lee (11)
  Chang Geol Lee (12)
  Yeun Keun Lim (13)
  Sam Yong Kim (14)
  Jong Soo Choi (15)
  Hyun Sik Jeong (16)
  Mison Chun (17)
  
  1. Department of Internal Medicine and Cancer Research Institute, Seoul National University Hospital, 101 Daehak-ro, Jongno-gu, Seoul, 110-744, Republic of Korea
  2. Seoul National University College of Medicine, 103 Daehak-ro, Jongno-gu, Seoul, 110-799, Republic of Korea
  3. Department of Surgery, Yonsei University Medical Center, Yonsei University College of Medicine, Seoul, South Korea
  4. Department of Obstetrics and Gynecology, School of Medicine, Keimyung University, Daegu, South Korea
  5. Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea
  6. Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea
  7. Department of Internal Medicine, Ewha Womans University School of Medicine, Seoul, South Korea
  8. Division of Convergence Technology, Center for Breast Cancer, Research Institute and Hospital, National Cancer Center, Goyang, South Korea
  9. Departments of Internal Medicine, Post-Graduate Medical School, Gyeongsang National University, Jinju, South Korea
  10. Department of Medical Oncology/Hematology, Kyung Hee University Hospital, Seoul, South Korea
  11. Department of Hematooncology, Fatima Hospital, Daegu, South Korea
  12. Department of Radiation Oncology, Yonsei Cancer Center, Yonsei University College of Medicine, Seoul, South Korea
  13. Department of Internal Medicine, Kwangju Christian Hospital, Kwangju, South Korea
  14. Department of Internal Medicine, Chungnam National University College of Medicine, Daejeon, South Korea
  15. Department of Hematooncology, Gangneung Asan Hospital, Asan University School of Medicine, Gangneung, South Korea
  16. Departments of Internal Medicine, Pohang Sunlin Hospital, Pohang, South Korea
  17. Department of Radiation Oncology, Ajou University School of Medicine, Suwon, South Korea
  
• ISSN：1433-7339

文摘

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.