A study on the attitude toward dying and hospice

임종태도와 HOSPICE에 관한 연구

This research is focused on the attitudes toward dying and hospice. 4subjects groups are Ca. patient, Ca. patien's family, elderly, medical personnel. A 40 questionare was filled out by each participant. For this study chi-square and T-test was done. The result were as follows : 1. Telling the truth 61.2% of all subject groups agreed upon telling the impending death. About 40% of elderly groups and cancer patient group were disagreed which is the highest percentage in all groups. Particularly medical personnel group were remarkably high in telling the truth. 2. Attitudes of medical personnels 43.3% of all groups agreed upon medical personnels prefer to avoid dying patient. In medical personnel group. 44% of respondents disagred comparably higher than other group. But 37.7% of medical personnel agreed. It showed that medical personnels admitted their negative feelings toward dying patient in considerable degree. 3. Attitudes toward mechanical assistance for life-expanding or hopeless patient. 44.8% of all groups disagreed upon mechanical assistance for hopeless case. Elderly (54.9%) and medical personnels (50%) disagreed, which is higher than cancer patient (33.3%) and (22.8%) of cancer patient's family. 4. Special facility and educational preperation for dying patient. 67.4% of all groups agreed upon the needs of special facility for dying, 81.3% of medical personnels agreed which is highest percentage in all group. 5. Attitudes of family members of dying patient. 82.3% of all groups agreed upon the family members feel annoyed at dying patient. 34% of cancer patient's family member and 48% of cancer patients group agreed, but elderly group showed highest percentage(84%). 6. Perception of dying patient about imminent death. 58.3% of all group thought dying patients are aware of their impanding death even though they had not beent told. 77.3% of medical personnel agreed which is highest percentage in all group.

1. 임종통고에 대한 반대는 노인군과 환자가족군이 40.2%, 40.9%로 환자군과 의료인군의 23.%, 13.3%보다 유의하게 높았다(p<0.001). 2. 임종환자에 대한 의료인의 회피적 태도에서는 의료인군의 44%가 반대하여 전체평균 28.5%보다 유의하게 높았다(p<0.001). 3. 불치병 환자의 생명 연장에 대한 태도에서는 환자군과 보호자군의 반대율이 33.3%, 22.5%로 노인군과 의료인군의 54.5%, 56.0%보다 유의하게 낮았다(p<0.001). 4. 임종환자를 위한 특수시설 및 교육문제에 있어서는 의료인군의 찬성율이 81.3%로 가장 높았고 환자군이 56.8%로 가장 낮았다. 5. 임종환자에 대한 가족의 회피적 태도에 대해서는 노인군의 찬성율이 81.3%로 가장 높았고 가족군이 34%로 가장 낮았다. 6. 임종에 대한 지각문제에 있어서는 의료인군의 찬성율이 77.3%로 전체평균 58.8%보다 높았다.