중년기 급성심근경색증 환자의 죽음불안과 사전연명의료의향서에 대한 지식 및 태도 간의 관계

• 영문명: The Relationship among Death Anxiety, Knowledge and Attitudes toward Advance Directives in Middle-Aged Patients with Acute Myocardial Infarction
• 발행기관: 한국노인간호학회
• 저자명: 서미영(Suh, Mi Young) 김정선(Kim, Jeong Sun)
• 간행물 정보: 『노인간호학회지』제23권 제3호, 226~238쪽, 전체 13쪽
• 주제분류: 의약학 > 의학일반
• 파일형태: PDF
• 발행일자: 2021.08.31

영문 초록

Purpose: This study aimed to identify the relationship between death anxiety, knowledge, and attitudes toward advance directives in middle-aged patients with acute myocardial infarction. Methods: Data were collected through a survey of 142 middle-aged adults from August 27th to October 4th, 2019 in G city. Data analysis was performed using descriptive statistics, t-test, one-way ANOVA, Scheffé test, and Pearson correlation coefficient. Results: The average score of participants’ death anxiety and attitudes toward advance directives was 44.14±6.71 and 43.61±3.53, respectively, and the average correct rate in knowledge of advance directives was 57.1%. Participants showed significant differences in death anxiety (F=3.75, p=.013), knowledge of advance directives (F=3.02, p=.033), and attitudes toward advance directives (t=2.31, p=.022) depending on the presence or absence of an object to discuss their health status. Also, there were significant differences in knowledge of advance directives (t=3.43, p=.001) and attitude toward advance directives (t=2.23, p=.027) depending on whether participants perceived the meaning of advance directives. There were positive correlations (r=.38, p=<.001) between knowledge of advance directives and attitudes toward advance directives in middle-aged patients with acute myocardial infarction. Conclusion: Active information-provision and promotional strategies are needed to enhance a correct understanding of advance directives for middle-aged acute myocardial infarction patients with a high probability of sudden death to recognize the need for an advance directive and reinforce a positive attitude.

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키워드

심근경색증 죽음 산전연명의료의향서 지식 태도 Myocardial infarcion Death Advance directives Knowledge Attitude