Exploring the Issues of Advance Directives in Patients with Mild Dementia in Taiwan

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Please use this identifier to cite or link to this item: https://ir.csmu.edu.tw:8080/ir/handle/310902500/24323

Title:	Exploring the Issues of Advance Directives in Patients with Mild Dementia in Taiwan
Authors:	Chou, HH
Keywords:	advance directive;dementia;patient autonomy;quality of life;culture
Date:	2020
Issue Date:	2022-08-09T08:00:25Z (UTC)
Publisher:	OKAYAMA UNIV MED SCHOOL
ISSN:	0386-300X
Abstract:	Due to cultural traditions, most Taiwanese do not have an advance directive or healthcare proxy. We explored how patients with mild dementia in Taiwan may still make self-determined decisions concerning advance directives for their healthcare and end-of-life care choices as the disease progresses. We examined 260 respondents with mild dementia at a Taiwan medical center: 199 patients who agreed (and 61 patients who disagreed) with the concept of advance directives completed a structured questionnaire. Multiple logistic regression models to determine the between-group differences revealed that the following were positively associated with approval of end-of-life directives: maintaining one's quality of life (adjusted odds ratio [AOR], 2.44; 95% CI: 1.07-5.53), discussion with family members (AOR, 3.50; 95% CI: 1.49-8.26), and friend support networks (AOR, 3.36; 95% CI: 1.34-8.43). Cardiopulmonary resuscitation (AOR, 0.27; 95% CI: 0.09-0.79) was negatively associated with approval. There was also a positive association between the support of the legal validity of end-of-life directives (OR, 1.93; 95% CI: 1.07-3.48), without other confounding factors. In Taiwanese society, we remain mindful of cultural influences that may impact patients, including maintaining one's quality of life, discussion with family members, and friend/support networks. These influences may help dementia patients complete their advance directives.
URI:	https://www.webofscience.com/wos/woscc/full-record/WOS:000543363400005 https://ir.csmu.edu.tw:8080/handle/310902500/24323
Relation:	ACTA MEDICA OKAYAMA ,2020 ,v74 ,issue 3 ,p215-220
Appears in Collections:	[中山醫學大學研究成果] 期刊論文

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