고령 암환자의 치료의사결정관련 인식도 및 갈등 예측요인

• 영문명: Elder Voices in Oncology: Awareness of Cancer Treatment Choices and Conflicts in Decision Making
• 발행기관: 대한임상노인의학회
• 저자명: 류승은(Seungeun Ryoo) 박동아(Dong Ah Park) 박정은(Jung Eun Park) 최기홍(Gi Hong Choi)
• 간행물 정보: 『대한임상노인의학회지』제25권 제1호, 39~48쪽, 전체 10쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2024.04.30

영문 초록

Background: The disease burden of elderly patients with cancer is rapidly increasing, yet there is limited information on the values and preferences of elderly Korean patients with cancer regarding their treatment choices. This study aims to investigate the awareness of elderly patients with cancer and identify predictors of decision conflict regarding cancer treatment decisions. Methods: The study participants included 200 elderly patients with cancer who were treated for lung, colon, and liver cancer. Data were collected through face-to-face interviews from August to October 2021. The data were analyzed using descriptive statistics, t-test, Fisher’s exact test, and stepwise multiple regression. Results: The survey found that “doctor’s recommendation” (64.8%) was the most common reason for patients’ cancer treatment decisions. Most respondents (75.0%) preferred quality of life over length of life (25.0%) as a cancer treatment goal. Predictors of decision conflict included the self-care dimension of the EuroQol 5-dimension (EQ-5D) questionnaire, being the primary decision- maker for cancer treatment decisions, marital status, desire for end-of-life care, and visual analog scale scores. Lower treatment decision conflict scores were associated with having no problem with self-care, being the primary decision maker for cancer treatment, being unmarried, having a desire for end-of-life care, and having a higher quality of life. Conclusion: This study found that older patients with cancer are most influenced by their doctor’s recommendations when making decisions and prefer improving quality of life as a cancer treatment goal. The most influential factor in treatment decision conflict was whether it interfered with self-care.

목차

서 론

대상 및 방법

결 과

고 찰

FUNDING

CONFLICT OF INTEREST

REFERENCES

키워드

Aged Decision making Neoplasms Surveys and questionnaires