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Convergence Study of the Factors Affecting on Death Anxiety in Rural Elderly: Focused on gender and self esteem

농촌거주 노인들의 죽음불안에 영향을 미치는 요인에 대한 융합적 연구: 성별과 자존감을 중심으로

  • Kang, Young-Sil (College of Nursing & Institute of Health Science, Gyeongsang National University) ;
  • Hong, Eun-Young (Department of Nursing, Gyeongnam National University of Science and Technology)
  • 강영실 (경상대학교 간호대학 건강과학연구원) ;
  • 홍은영 (경남과학기술대학교 간호학과)
  • Received : 2020.01.21
  • Accepted : 2020.04.20
  • Published : 2020.04.28

Abstract

The Purpose of this study was to exam the factors influence death anxiety in rural elderly. A convenience sample of 170 subjects were recruited from 12 local public helath clinic's jurisduction in J city. The data analysis was done by t-test, pearson correlation coefficient and regression analysis using SPSS/WIN 21.0. The average of age was 80.0±6.42. The average of self esteem and death anxiety were 3.3±0.58 and 2.5±0.32. Self esteem and death anxiety showed a significant negative correlation(r=-.173, p=.024). Gender(male) was the most significant predictor of death anxiety(β =.199, p=.009) and self esteem was the second predictor of death anxiety(β =-.171, p=.023). Gender(male) and self esteem explained total 5.8%(F=6.238, p=.002) of death anxiety. We demonstrated that gender(male) plays an important role in death anxiety in rural elderly. The finding of this study indicate a need to design and implement gender-specific interventions to reduce death anxiety through increasing self esteem in rural elderly.

본 연구는 농촌거주 노인들의 죽음불안을 파악하고 이에 영향을 주는 요인을 융합적으로 확인하기 위해 수행되었다. J시에 소재한 12개 보건진료소의 관할구역인 농촌지역 읍·면에 거주하는 노인 총 170명을 편의추출하였다. 자료분석은 SPSS/WIN 21.0 프로그램을 이용하여 t-test, pearson correlation coefficient, 회귀분석을 하였다. 전체 대상자의 평균연령은 80.0±6.42세였고, 자존감은 평균 3.3±0.58, 죽음불안은 평균 2.5±0.32였다. 자존감과 죽음불안은 유의한 부적 상관관계(r=-.173, p=.024)가 있는 것으로 나타났다. 죽음불안에 영향을 주는 요인을 확인하기 위해 성별(남성)과 자존감을 투입하여 회귀분석한 결과 성별(남성)이 죽음 불안에 가장 큰 영향을 주었으며(β =.199, p=.009), 다음으로 자존감이 죽음불안에 영향을 주었고(β =-.171, p=.023), 이들 두 변수는 죽음불안을 총 5.8%(F=6.238, p=.002) 설명하였다. 추후 보건진료소 단위의 관할구역 거주 노인을 위한 지역단위의 건강증진사업 수행시 남성노인을 우선적으로 포함하여 자존감 증진 중재를 통해 죽음불안을 낮출 수 있는 프로그램이 필요할 것으로 생각된다.

Keywords

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