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Preferences for life-sustaining treatment in Korean adults: a cross-sectional study

OBJECTIVES: Life-sustaining treatment is any treatment that serves to prolong life without reversing the underlying medical conditions, and includes cardiopulmonary resuscitation, mechanical ventilation, haemodialysis and left ventricular assist devices. This study aimed to investigate the thoughts...

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Autores principales: Youn, HyunChul, Lee, Suk-young, Jung, Han-yong, Kim, Shin-Gyeom, Kim, Seung‑Hyun, Jeong, Hyun-Ghang
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7831737/
https://www.ncbi.nlm.nih.gov/pubmed/33483437
http://dx.doi.org/10.1136/bmjopen-2020-039470
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author Youn, HyunChul
Lee, Suk-young
Jung, Han-yong
Kim, Shin-Gyeom
Kim, Seung‑Hyun
Jeong, Hyun-Ghang
author_facet Youn, HyunChul
Lee, Suk-young
Jung, Han-yong
Kim, Shin-Gyeom
Kim, Seung‑Hyun
Jeong, Hyun-Ghang
author_sort Youn, HyunChul
collection PubMed
description OBJECTIVES: Life-sustaining treatment is any treatment that serves to prolong life without reversing the underlying medical conditions, and includes cardiopulmonary resuscitation, mechanical ventilation, haemodialysis and left ventricular assist devices. This study aimed to investigate the thoughts on life-sustaining treatment of Koreans and to assess the factors associated with deciding to not receive life-sustaining treatment if they develop a terminal disease. DESIGN: Cross-sectional study. SETTING: Guro-gu centre for dementia from 1 May 2018 to 31 December 2019. PARTICIPANTS: In total, 150 individuals participated in this study. OUTCOME MEASURES: The questionnaire consisted of self-report items with some instructions, demographic characteristics, thoughts on life-sustaining treatment and psychosocial scales. The preferences of the participants were investigated on the assumption that they develop terminal cancer. The psychosocial scales included the Generalised Anxiety Disorder-7 (GAD-7), Patient Health Questionnaire-9 (PHQ-9), Connor–Davidson Resilience Scale and Multidimensional Scale of Perceived Social Support (MSPSS). RESULTS: We classified our participants into two groups: individuals who wanted to receive life-sustaining treatment (IRLT) and individuals who wanted to not receive life-sustaining treatment (INLT). There were twice as many participants in the INLT group than there were in the IRLT. In making this decision, the INLT group focused more on physical and mental distress. Additionally, 32.7% of participants responded that terminal status was an optimal time for this decision, but more participants want to decide it earlier. The GAD-7 and PHQ-9 scores were significantly higher in the INLT group than in the IRLT group. However, the INLT group had significantly lower MSPSS family scores. CONCLUSION: Our findings can help assess issues regarding advance directives and life-sustaining treatment, and will be a reference for designing future studies on this issue.
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spelling pubmed-78317372021-02-01 Preferences for life-sustaining treatment in Korean adults: a cross-sectional study Youn, HyunChul Lee, Suk-young Jung, Han-yong Kim, Shin-Gyeom Kim, Seung‑Hyun Jeong, Hyun-Ghang BMJ Open Mental Health OBJECTIVES: Life-sustaining treatment is any treatment that serves to prolong life without reversing the underlying medical conditions, and includes cardiopulmonary resuscitation, mechanical ventilation, haemodialysis and left ventricular assist devices. This study aimed to investigate the thoughts on life-sustaining treatment of Koreans and to assess the factors associated with deciding to not receive life-sustaining treatment if they develop a terminal disease. DESIGN: Cross-sectional study. SETTING: Guro-gu centre for dementia from 1 May 2018 to 31 December 2019. PARTICIPANTS: In total, 150 individuals participated in this study. OUTCOME MEASURES: The questionnaire consisted of self-report items with some instructions, demographic characteristics, thoughts on life-sustaining treatment and psychosocial scales. The preferences of the participants were investigated on the assumption that they develop terminal cancer. The psychosocial scales included the Generalised Anxiety Disorder-7 (GAD-7), Patient Health Questionnaire-9 (PHQ-9), Connor–Davidson Resilience Scale and Multidimensional Scale of Perceived Social Support (MSPSS). RESULTS: We classified our participants into two groups: individuals who wanted to receive life-sustaining treatment (IRLT) and individuals who wanted to not receive life-sustaining treatment (INLT). There were twice as many participants in the INLT group than there were in the IRLT. In making this decision, the INLT group focused more on physical and mental distress. Additionally, 32.7% of participants responded that terminal status was an optimal time for this decision, but more participants want to decide it earlier. The GAD-7 and PHQ-9 scores were significantly higher in the INLT group than in the IRLT group. However, the INLT group had significantly lower MSPSS family scores. CONCLUSION: Our findings can help assess issues regarding advance directives and life-sustaining treatment, and will be a reference for designing future studies on this issue. BMJ Publishing Group 2021-01-22 /pmc/articles/PMC7831737/ /pubmed/33483437 http://dx.doi.org/10.1136/bmjopen-2020-039470 Text en © Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. http://creativecommons.org/licenses/by-nc/4.0/ http://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.
spellingShingle Mental Health
Youn, HyunChul
Lee, Suk-young
Jung, Han-yong
Kim, Shin-Gyeom
Kim, Seung‑Hyun
Jeong, Hyun-Ghang
Preferences for life-sustaining treatment in Korean adults: a cross-sectional study
title Preferences for life-sustaining treatment in Korean adults: a cross-sectional study
title_full Preferences for life-sustaining treatment in Korean adults: a cross-sectional study
title_fullStr Preferences for life-sustaining treatment in Korean adults: a cross-sectional study
title_full_unstemmed Preferences for life-sustaining treatment in Korean adults: a cross-sectional study
title_short Preferences for life-sustaining treatment in Korean adults: a cross-sectional study
title_sort preferences for life-sustaining treatment in korean adults: a cross-sectional study
topic Mental Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7831737/
https://www.ncbi.nlm.nih.gov/pubmed/33483437
http://dx.doi.org/10.1136/bmjopen-2020-039470
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