노인의 사전연명의료의향서 작성 관련 요인: 건강상태, 죽음에 대한 태도, 죽음 준비를 중심으로

초록

The purpose of this study was to identify factors associated with advance directive completion among older adults, focusing on health status, attitudes toward death, and preparation for death. A total of 9,951 samples from the 2023 Survey of the Elderly were subjected to secondary data analysis. Data were analyzed using descriptive statistics, chi-square analysis, the independent sample t-test, and weighted binary logistic regression analysis in IBM SPSS/WIN 23.0. Key findings revealed that completing an advance directive was significantly associated with multimorbidity (OR=1.62, 95% CI: 1.385-1.903), depression risk (OR=1.39, 95% CI: 1.183-1.637), putting one's affairs in order before death (OR=1.34, 95% CI: 1.193-1.505), participating in death preparation education (OR=1.93, 95% CI: 1.412-2.632), writing a will (OR=2.19, 95% CI: 1.626-4.41), and pledging organ donation (OR=4.17, 95% CI: 3.222-5.396). These results show that advance directive completion by older adults is strongly related to death preparation education, organ donation pledge, or writing a will. On the other hand, the increase in odds for other factors was either negligible or statistically insignificant. Since these three factors are primarily considered when cognitive function and health are intact, information about advance directives should be provided at that time.

키워드