Preferences for life-sustaining treatment in Korean adults: a cross-sectional study
Open Access
- 22 January 2021
- Vol. 11 (1), e039470
- https://doi.org/10.1136/bmjopen-2020-039470
Abstract
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.Funding Information
- This work was supported by the Choi Shin-Hai Neuropsychiatric Research Fund (N/A)
This publication has 33 references indexed in Scilit:
- The attitudes of Korean cancer patients, family caregivers, oncologists, and members of the general public toward advance directivesSupportive Care in Cancer, 2012
- The Korean Version of the Connor–Davidson Resilience Scale: An Extended ValidationStress & Health, 2012
- Attitudes of cancer patients, family caregivers, oncologists and members of the general public toward critical interventions at the end of life of terminally ill patientsCMAJ : Canadian Medical Association Journal, 2011
- The association of depression and anxiety with medical symptom burden in patients with chronic medical illnessGeneral Hospital Psychiatry, 2007
- Advance directives and cancer decision making near the end of life.Health Psychology, 2005
- Development of a new resilience scale: The Connor-Davidson Resilience Scale (CD-RISC)Depression and Anxiety, 2003
- Attitudes and Desires Related to Euthanasia and Physician-Assisted Suicide Among Terminally Ill Patients and Their CaregiversJAMA, 2000
- Validation and Utility of a Self-report Version of PRIME-MDThe PHQ Primary Care StudyJAMA, 1999
- Cerebrovascular Disease and Depression Symptoms in the Cardiovascular Health StudyStroke, 1999