The Evaluation of the Korean Advance Directives (K-AD).
10.14475/kjhpc.2016.19.2.109
- Author:
Kisook KIM
1
;
Shinmi KIM
;
Sunwoo HONG
;
Jinshil KIM
Author Information
1. Department of Nursing, Changwon National University, Changwon, Korea. ddoriru@gmail.com
- Publication Type:Original Article
- Keywords:
Advance directives;
Terminal care;
Feasibility studies
- MeSH:
Adult;
Advance Directives*;
Feasibility Studies;
Humans;
Proxy;
Reproducibility of Results;
Terminal Care
- From:Korean Journal of Hospice and Palliative Care
2016;19(2):109-118
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: The purpose of this study was to evaluate Korean advance directives (K-AD) by examining the degree of adults' acceptance and reliability of the directive itself. METHODS: Survey was performed with 181 adults aged 20 or older who were recruited from three regions. A questionnaire used to examine the participants' acceptance of their K-AD in terms of visual analogue scale score of complexity, difficulty, necessity, satisfaction, recommendation. Then, a retest was carried out by asking participants to write up a K-AD again to confirm the reliability of the directives. RESULTS: On a scale of 100, the average acceptance score was 70 or above, which represents rather high level of acceptance in all five categories. The test-retest reliability kappa values ranged from 0.592 to 0.950, and the conformity degree was moderate or high. Regarding K-AD components such as values, treatment preference, proxy appointment, differences among age groups were observed in each component. CONCLUSION: The results of this study suggest that K-AD is a feasible instrument to analyze its acceptability and reliability for adult population. K-AD could be utilized to help people make their own decision on their end-of-life care. Further studies are needed to confirm this study results and promote widespread use of K-AD.
