일 대학병원종사자의 생애말기 치료 선호도

• Published in: 근관절건강학회지 Vol. 20; no. 3; pp. 197 - 206
• Main Authors: 강지연(Kang, Jiyeon), 윤선영(Yun, Seonyoung), 김수정(Kim, Soo Jeong), 안소라(An, So Ra), 이명희(Lee, Myeong Hee), 김신미(Kim, Shinmi)
• Format: Journal Article
• Language: Korean
• Published: 대한근관절건강학회 2013
• Subjects: 간호학; Decision making; 연명의료; 병원종사자; Terminal care; Advance care planning; Health personnel; 생애말기 치료; 의사결정
• ISSN: 1975-9398; 2288-789X
• DOI: 10.5953/JMJH.2013.20.3.197

Purpose: The purpose of this study was to investigate end-of-life care preferences of employees working in a university hospital. Methods: Of 650 eligible employees that were approached, 607 employees (386 nurses, 93 physicians, and 128 general staff) completed the Korean version of Preferences for Care Near the End of Life (PCEOL-K). Results: Among 5 dimensions of the PECOL-K, "Pain" was the most preferred care dimension and "Decision making by health care professional" was the least preferred care dimension. The item that received the highest mean score was "I want to let nature guide my dying and I do not want my life to be artificially prolonged in any way", and the lowest item was "I want health care providers to make all decisions about my care". As preferred care near the end of life, nurses gave lower scores to the life sustaining treatment and decision making by health care profession than physicians and general staff. Compared to physicians and nurses, general staff preferred the decision making by health care professional and by family. Conclusion: The results show that adequate pain relief is the most preferred care at the end of life among hospital employees and non-medical personnel preferred decision making by others.