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Relationship of social support and decisional conflict to advance directives attitude in Korean older adults: A community‐based cross‐sectional study
Open accessAbstract
Aim: The aim of this study was to clarify the relationship between social support, decisional conflict, and attitude towards advance directives, and determine whether decisional conflict mediates the relation between social support and advance directives attitude among older adults in S outh K orea. Methods: In total, 209 community‐based older adults (mean age, 74.82 years) participated in this cross‐sectional study. Demographic characteristics, self‐perceived health status, social support, decisional conflict, and advance directives attitude were investigated via a structured questionnaire. Data analysis was carried out using P earson's correlation and path analyses. Results: The mean score of advance directives attitude was 48.01 (range, 35–61). Decisional conflict and social support were both significantly related to advance directives attitude (P < 0.001). Additionally, decisional conflict was a mediator between social support and advance directives attitudes. Conclusion: The results confirmed the importance of social support for reducing decisional conflict and encouraging positive attitudes toward advance directives. Future studies are needed to support the development of culturally sensitive educational approaches regarding advance directives for older adults in K orea.
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“Higher social support was associated with lower decisional conflict, in line with Lee et al.37.”
From Decisional conflict among Chinese family caregivers prior to ECMO initiation: a cross-sectional study (2025) · cites this paper as Lee et al.37
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Metadata
- Authors
- Lee, J., Jung, D., & Choi, M.
- Affiliations
- Yonsei University (KR)
- Ewha Womans University (KR)
- Corresponding author
- Jung, Dukyoo
- Venue
- Japan Journal of Nursing Science
- Publisher
- Wiley
- Published
- 2015-05-28
- Volume
- 13
- Issue
- 1
- Pages
- 29-37
- ISSN
- 1742-7924 (ISSN-L)
- 1742-7932
- OpenAlex
- W1530970857
- Cited by
- 13
- References
- 41
- Citations by year
- 2026: 1 · 2025: 4 · 2024: 2 · 2023: 1 · 2022: 1 · 2021: 1 · 2020: 1 · 2019: 1 · 2018: 1
- FWCI
- 0.36
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Japan Journal of Nursing Science (publishedVersion)
- PubMed (publishedVersion)
- YUHSpace (Yonsei University Medical Library) (submittedVersion, cc-by-nc-nd)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative Care and End-of-Life Issues
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Ethics and bioethics in healthcare
- Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
- Keywords
- advance directives, social support, decisional conflict, attitudes toward advance directives, older adults, mediation, end-of-life decisions, South Korea
- MeSH terms
- Aged, Attitude to Health, Conflict, Psychological, Cross-Sectional Studies, Decision Making, Female, Humans, Male, Advance Directives, Republic of Korea
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