The relationship between perceived quality of life and attitudes toward advance directive decisions in older adult nursing home residents
Pence, Patricia L.
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The purpose of this study was to examine the relationship between the perceived quality of life and attitudes toward advance directive decisions based on the resuscitation status of older adults who resided in nursing homes. The sample (n=76) consisted of adult residents, aged 64 and older (mean 85 years), from eight nursing homes in Illinois. The Perceived Quality of Life Scale (developed in 1992 by Donald Patrick) and the Advance Directive Patient Attitude Scale (devised in 1997 by Marie Nolan and Mark Bruder) were used for data collection in this comparative, descriptive study. Data were analyzed using the SPSS statistical package. The demographic characteristics of the sample were summarized with appropriate descriptive statistics. The research questions were tested by calculating the Pearson’s product moment correlation coefficient quotient, the Spearman rho correlations, and regression analysis. There were no significant simple or complex relationships found between the attitudes toward advance directives, perceived quality of life, and resuscitation status. However, a statistically significant positive relationship existed between the total advance directive score and executing a living will at the .05 level (Spearman’s rho = .276). Results of this study suggest that older adults are relatively satisfied with their quality of life (mean score 129.89, SD = 37.52) and have a positive attitude toward advance directives (mean score 47.01, SD = 9.70). Further research examining the perceived quality of life and the decision-making process for advance directives among older adults in nursing homes is recommended.