일반 성인의 심폐소생술금지(DNR) 결정 태도에 영향을 미치는 요인

Abstract

Objectives The purpose of this study was to well-dying awareness, life satisfaction, and Do Not Resuscitate (DNR) decision attitude in general adults, and to identify factors affecting DNR decision attitude.
 Methods The subjects of the study were adults aged 40-64 living in the Daegu region. After explaining the purpose and method of the study, data collection was conducted to the subjects who agreed th the study, and the final 189 people were analyzed. The collected data were analyzed by descriptive statistics, t-test, one-way ANOVA, scheffé test, Pearson correlation coefficients, and hierarchical regression analysis using the SPSS/WIN 21.0 statistical program.
 Results Out of 5 points, Well-dying awareness was 3.73 points, life satisfaction was 3.56 points, and DNR decision attitude was 3.81 points. Awareness of well-dying had a significant positive correlation with life satisfaction (r=.231, p<.01) and DNR decision attitude (r=.509, p<.001), and life satisfaction had a positive correlation with DNR decision attitude (r=.358, p<.001). As a result of hierarchical regression analysis, the factors influencing DNR decision attitude were awareness of well-dying (β=.463, p<.001), life satisfaction (β=.253, p<.001), and production jobs (β=- .258, p<.001), and office work (β=-.247, p<.001) were significant, and the explanatory power was 37.6% (F=19.888, p<.001).
 Conclusions In general adults, the higher the awareness of well-dying and the higher the life satisfaction, the higher the DNR decision attitude, whereas the DNR decision attitude was lower in the production and office workers than unemployed/housewives. Therefore, it is suggested that a study to confirm the effect of developing various programs such as information provision and education to increase well-dying awareness and life satisfaction is needed to improve the DNR decision attitude.