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Preferences for advance directives in Korea
So-Sun Kim1, Won-Hee Lee, Jooyoung Cheon
1Nursing Policy Research Institute, College of Nursing, Yonsei University, Seoul 120-752, Republic of Korea.
Many Koreans are interested in advance directives, preferring pain management over life support when recovery is unlikely. This highlights a growing emphasis on patient autonomy and dignity in end-of-life care decisions.
Area of Science:
- Medical Ethics
- Public Health
- Gerontology
Background:
- Advance directives aim to preserve patient dignity and autonomy in end-of-life medical treatment decisions.
- Understanding public preferences is crucial for effective implementation of these directives.
Purpose of the Study:
- To investigate the preferences of the general population in Korea regarding advance directives.
- To assess the importance placed on patient autonomy and dignity in end-of-life care.
Main Methods:
- A descriptive, cross-sectional survey was conducted in Seoul, Korea.
- 336 adult participants completed self-administered questionnaires.
- Data were analyzed using SPSS 17.0.
Main Results:
- Participants desired detailed explanations and recommendations from healthcare providers on end-of-life care.
- Most preferred foregoing cardiopulmonary resuscitation and artificial nutrition/hydration when death was imminent.
- Pain management was a high priority for most subjects.
Conclusions:
- A significant interest in advance directives exists among the Korean population.
- Patient autonomy and dignity are increasingly valued in end-of-life care.
- Education on advance directives and proactive patient-provider communication is recommended for healthcare professionals.
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