S-Space College of Medicine/School of Medicine (의과대학/대학원) Dept. of Medicine (의학과) Journal Papers (저널논문_의학과)
Understanding disparities in aggressive care preferences between patients with terminal illness and their family members
- Yun, Young Ho; You, Chang Hoon; Lee, Jung Suk; Park, Sang Min; Lee, Kyung Sik; Lee, Chang Geol; Kim, Susie
- Issue Date
- JOURNAL OF PAIN AND SYMPTOM MANAGEMENT Vol.31 No.6, pp. 513-521
- We examined the factors associated with the disparity in aggressive care preferences between patients with terminal cancer and their family members. Two hundred forty-four consecutive pairs recruited from three university hospitals participated in this study. Each pair completed questionnaires that measured two major aggressive care preferences-admission to the intensive care unit (ICU) and the use of cardiopulmonary resuscitation (CPR). Sixty-eight percent of patients and their family members were in agreement regarding admission to the ICU and 71% agreed regarding CPR. Regarding admission to the ICU, younger, unmarried patients and patients who preferred to die in an institution were more likely to have a different preference from their family caregivers. Regarding CPA younger patients and patients from severely dysfunctional families were more likely to have a different preference from their family caregivers. Elucidation of the factors associated with such disparities should help reduce them.
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