
http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
고령 암환자의 치료의사결정관련 인식도 및 갈등 예측요인
류승은(Seungeun Ryoo),박동아(Dong Ah Park),박정은(Jung Eun Park),최기홍(Gi Hong Choi) 대한임상노인학회 2024 대한임상노인의학회지 Vol.25 No.1
Background: The disease burden of elderly patients with cancer is rapidly increasing, yet there is limited information on the values and preferences of elderly Korean patients with cancer regarding their treatment choices. This study aims to investigate the awareness of elderly patients with cancer and identify predictors of decision conflict regarding cancer treatment decisions. Methods: The study participants included 200 elderly patients with cancer who were treated for lung, colon, and liver cancer. Data were collected through face-to-face interviews from August to October 2021. The data were analyzed using descriptive statistics, t-test, Fisher’s exact test, and stepwise multiple regression. Results: The survey found that “doctor’s recommendation” (64.8%) was the most common reason for patients’ cancer treatment decisions. Most respondents (75.0%) preferred quality of life over length of life (25.0%) as a cancer treatment goal. Predictors of decision conflict included the self-care dimension of the EuroQol 5-dimension (EQ-5D) questionnaire, being the primary decision- maker for cancer treatment decisions, marital status, desire for end-of-life care, and visual analog scale scores. Lower treatment decision conflict scores were associated with having no problem with self-care, being the primary decision maker for cancer treatment, being unmarried, having a desire for end-of-life care, and having a higher quality of life. Conclusion: This study found that older patients with cancer are most influenced by their doctor’s recommendations when making decisions and prefer improving quality of life as a cancer treatment goal. The most influential factor in treatment decision conflict was whether it interfered with self-care.