한국산학기술학회논문지 (Journal of the Korea Academia-Industrial cooperation Society)

  • 제21권1호
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  • Pages.732-738
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  • 2020
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  • 1975-4701(pISSN)
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  • 2288-4688(eISSN)
한국산학기술학회 (The Korea Academia-Industrial cooperation Society)
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호스피스·완화의료 교육프로그램이 간호대학생의 영적안녕감 및 사전의료의향서 지식에 미치는 효과

The Effects of Hospice & Palliative Care Education Program on Spiritual Well-Being and Knowledge Regarding Advance Directives of Nursing Students

  • 투고 : 2019.08.23
  • 심사 : 2020.01.03
  • 발행 : 2020.01.31
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초록

본 연구는 간호대학생을 대상으로 호스피스완화의료 교육이 영적 안녕감과 사전의료의향서 지식에 미치는 효과를 규명하기 위하여 실시되었으며, 비동등성 대조군 전후 설계의 유사실험 연구이다. 자료수집은 2018년 09월에서 12월까지 C시에 소재한 일개대학의 간호대학생 3학년을 대상으로 실시되었고, 실험군은 22명, 대조군은 27명이었다. 실험군은 호스피스 총론 교과목을 수강 신청한 3학년 학생 중에서 연구 참여에 동의한 대상자로 선정하였고, 대조군은 수강 신청하지 않은 대상자 중에서 참여의사를 밝힌 학생으로 구성되었다. 실험군은 주 1회 120분씩 7주 동안 총 14시간의 정규 교과목을 통하여 호스피스완화의료 교육을 제공받았다. 자료분석은 SPSS/WIN 21.0 Program을 이용하였으며 Chi-square test, Fisher's exact test, independent t-test, paired t-test로 분석하였다. 연구결과 영적 안녕감은 유의한 증가를 보였고(t=2.80, p=.009), 사전의료의향서 지식은 유의한 차이가 없었다(t=1.33, p=.190). 이상의 결과를 토대로 본 연구에서 적용한 호스피스완화의료 교육은 간호대학생의 영적 안녕감을 증진시킬 수 있는 구체적인 중재 방안을 모색했다는 점에서 연구의 의의가 있다.

This study examined the effects of hospice & palliative care education programs for nursing students, in terms of spiritual well-being and knowledge concerning advance directives. This is a quasi-experimental study of non-equivalent control groups, and includes a pre-test and post-test design. Data was collected between September to December 2018, enrolling third grade nursing college students attending a university in C city: 22 subjects in the experimental group and 27 subjects in the control group. The experimental group was provided the education as a regular subject, 2 hours a week for 7 weeks, for a total of 14 hours. Ed. Notes: I suggest you maintain any one unit for mentioning time. Hence, I changed 120 mins to 2 hours. Data were analyzed by X2 test, Fisher's exact, t-test, independent t-test, and paired t-test, using the SPSS 21.0 program. After attending the program, spiritual well-being showed a significant increase (t=2.80, p=0.009). However, there was no significant difference between groups in knowledge regarding advance directives (t=1.33, p=0.190). Our results indicate that the hospice & palliative care education program helps nursing students improve their score of spiritual well-being. We believe that these results contribute basic data for the future development of hospice-palliative care curriculum.

키워드

참고문헌

  1. K. H. Kim, K. D. Kim, H. S. Byun, B. Y. Chung, "Spiritual Well-Being, Self Esteem, and Attitude to Death among Nursing Students", J Korean Oncol Nurs, Vol.10, No.1, pp.1-9, 2010.
  2. M. H. Kim, "The Problems and the Improvement Plan of the Hospice/Palliative Care and Dying Patient's Decisions on Life-Sustaining Treatment Act", Korean J Hosp Palliat Care, Vol.21, No.1, pp.1-8, Mar. 2018. DOI: https://doi.org/10.14475/kjhpc.2018.21.1.1
  3. Korean Society for Hospice and Palliative care, Textbook of Hospice & Palliative care. p.32-47, Koonja, 2018.
  4. G. D. Kim, "The Effects of Hospice Unit Practice Education on Spiritual Well-being, Attitude to Death, and Hospice Awareness of Nursing Students", J Korean Oncol Nurs, Vol.16, No.4, pp.176-184, 2016. DOI: https://doi.org/10.5388/aon.2016.16.4.176
  5. M. Y. Chung, "A Study of relationships among self-esteem, spiritual well-being and mental health to establish spirituality courses for nursing students", Korean J Intern Med, Vol.6, No.3, pp.721-741, 2012.
  6. O. H. Cho, J. S. Han, K. H. Hwang, "Subjective Health Status, Attitude toward Death and Spiritual Well-being of Nurses", J. of Korea Contents Association, Vol.13, No.10, pp.375-384, 2013. DOI: https://doi.org/10.5392/JKCA.2013.13.10.375
  7. S. H. Jang, A Structural Analysis on Middle-aged Adult's Meaning in Life and It's Related Variables, Ph.D dissertation, Catholic Univ. of Pusan, Busan, Korea, pp.68-69, 2015.
  8. H. S. Kim, "Effect on Influence the Attitude of Death of the Old Ages for Afterlife View and Death Preparation and Spiritual Wellbeing", J. of Korea Contents Association, Vol.16, No.7, pp.492-503, 2016. DOI: https://doi.org/10.5392/JKCA.2016.16.07.492
  9. S. I. Ji, H. S. You, "The impact of clinical nurses' terminal care attitude and spiritual health on their terminal care stress", Korean J Hosp and Palliat Care, Vol.17, No.4, pp.232-240, 2014. DOI: https://doi.org/10.14475/kjhpc.2014.17.4.232
  10. M. J. Kim, S. M. Noh, E. J. Ryu, S. M. Shin, "Research Trend Analysis of Do-Not-Resuscitate Decision: Based on Text Network Analysis", J Korean Oncol Nurs, Vol.14, No.4, pp.254-264, 2014. DOI: https://doi.org/10.5388/aon.2014.14.4.254
  11. H. J. Kim, M. S. Son, I. S. Kang, "Nurses' Knowledge, Attitudes, Experience, and Confidence toward Advance Directives", Global Health Nurs, Vol.9, No.1, pp.19-27, 2019. DOI: http://dx.doi.org/10.35144/ghn.2019.9.1.19
  12. B. R. Kang, M. Y. Hyun, "Effects of the Advance Directives Education Program for Community Dwelling Elderly", Journal of Learner-Centered Curriculum and Instruction, Vol.19, No.4, pp.1153-1172, 2019. DOI: https://doi.org/10.22251/jlcci.2019.19.4.1153
  13. B. R. Kim, C. H. Oh, H. K. Kang, "Effect of Death Education Program on Self-Esteem, Spiritual Well-Being, and Pain of Adults", Journal of the Korea Academia-Industrial cooperation Society, Vol.17, No.9, pp.156-162, 2016. DOI: https://doi.org/10.5762/KAIS.2016.17.9.156
  14. Y. M. Song, K. Yoo, "A study on effects of death education on death anxiety and Life satisfaction, psychological well-being in older adults", Korean Journal of Gerontological Social Welfare, Vol.54, pp.111-134, 2011. DOI: http://dx.doi.org/10.21194/kjgsw..54.201112.111
  15. H. D. Song, S. Y. Ahn, Y. H. Kim, H. J. Hwang, S. H. Lee, K. H. Kim, "A Study on the Well-Dying Recognition and Decision of Death before and after Education Among University Students", Journal of the Korea Academia-Industrial cooperation Society, Vol.19, No.1, pp.300-310, 2018. DOI: https://doi.org/10.5762/KAIS.2018.19.1.300
  16. S. N. Kim, H. J. Kim, S. O. Choi, "Effects of a Hospice and Palliative Care Education Program Including Meaning in Life on Attitudes Toward End-of-Life Care and Meaning in Life Among Nursing College Students", J Korean Acad Soc Nurs Educ, Vol.17, No.3, pp.454-463, 2011. DOI: http://dx.doi.org/10.5977/jkasne.2012.18.1.071
  17. M. Y. Ham, S. H. Lim, S. J. Ko, "The Effect of Hospice Education Including a Death Preparing Education Program on Perception of Death, Attitude of Death and Terminal Care Attitude among Nursing Students", Journal of Learner-Centered Curriculum and Instruction, Vol.17, No.9, pp.361-380, 2017. DOI: https://doi.org/10.22251/jlcci.2017.17.9.361
  18. M. O. Yoon, K. H. Yang, "The Effects of Well-dying Education Program-based Hospice Care Education for Nursing Students", Theology and Society, Vol.31, No.4, pp.171-198, 2017. DOI: https://doi.org/10.14400/JDC.2019.17.7.255
  19. Korean Hospice & Palliative Nurses Association, Hospice & Palliative care, Hyunmoonsa, 2015, [527].
  20. R. F. Paloutzion, C. W. Ellison. Loneliness, spiritual well-being and the quality of life. Loneliness; a source-book of current theory, research and therapy. p.224-236, John Wiley & Sones, 1982.
  21. S. S. Choi, A correlational study on spiritual wellness, hope and perceived health status of urban adults, Ph.D dissertation, Yonsei University, Seoul, Korea, 1990.
  22. J. H. Kang, A Investigation Study on the Spiritual Health Status of Cancer Patients, Master's thesis, Pusan National University, Busan, Korea, 1996.
  23. S. W. Hong, S. M. Kim, "Knowledge regarding Advance Directives among Community-dwelling Elderly", J Korean Acad Soc Nurs Educ, Vol.19, No.3, pp.330-340, 2013. DOI: https://doi.org/10.5977/jkasne.2013.19.3.330
  24. S. Y. Kwak, B. S. Lee, "Role Adaptation Process of Hospice Nurses", J Korean Acad Nurs Adm, Vol.24, No.2, pp.149-160, 2018. DOI: http://dx.doi.org/10.11111/jkana.2018.24.2.149
  25. S. N. Kim, S. O. Choi, J. J. Lee, K. I. Shin, "Effects of death education program on attitude to death and meaning in life among university students", J Korean Soc Health Educ Promot, Vol.22, pp.141-53, 2005.