전 세계적으로 전체 인구 중 노년층이 차지하는 비율은 점 점 증가하는 추세이며 우리나라 65세 고령인구 비율은 2010 년 현재 전체인구의 11.0%로, 지속적으로 증가하여 2018년 에 14.3%로 고령사회에, 2026년에 20.8%로 초고령사회에 진입할 것으로 전망하고 있다(Statistics Korea, 2011). 이러 한 노인인구의 증가와 더불어 생기는 건강 문제는 다양하며 특히, 암 환자는 지속적으로 증가하여 65세 이상 인구의 사 망원인 중 암으로 인한 사망이 가장 많은 것으로 나타났다 (Statistics Korea, 2011).
There has been much debate over the participation of patients in decision making regarding treatment, and an increasing emphasis has been placed on patient autonomy. This study was done to identify factors associated with older patients' participation in cancer surgery decision making. Methods: The research was a cross-sectional, descriptive design using questionnaires. The participants were 150 patients with cancer who had embarked on surgical treatment in two tertiary hospitals. Data were analyzed using descriptive statistics, t-test, ANOVA and multiple regression with the SPSS statistics 19.0 program. Results: There were statistically significant differences in participation in decision making regarding surgery by gender, age, and spouse. Stepwise multiple regression analysis for participation in decision making regarding surgery revealed that the most powerful predictor was intelligibility about the surgery. Intelligibility about the surgery and gender explained 33.0% of the variance. Conclusion: The results indicate a need to improve intelligibility about the surgery with these participants. The findings also suggest that consideration be given to characteristics of gender, age, and spouse in developing strategies for enhancing intelligibility about the surgery and developing programs to promote participation in decision making regarding surgery among older patients with cancer.
서 론 연 구 방 법 연 구 결 과 논 의 결 론 및 제 언
