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Effects of Death Education Programs among Korean Aged in the Convergence Era: A Systematic Review and Meta-Analysis

융복합 시대 한국 노인의 죽음교육 프로그램 효과: 체계적 문헌고찰 및 메타분석

  • Kim, Hyunsim (Department of Nursing, Kyungwoon University) ;
  • Park, Seurk (College of Nursing, Kyungpook National University)
  • 김현심 (경운대학교 간호학과) ;
  • 박슭 (경북대학교 간호학과)
  • Received : 2022.03.20
  • Accepted : 2022.05.20
  • Published : 2022.05.28

Abstract

This study aimed to identify the effects of death education programs among Korean aged on death anxiety and attitudes toward death in the convergence era. The searched kew words were included aged, death education program, death anxiety, and attitudes to death in the research papers published in Korea. Finally, 11 studies were selected and the effect size was calculated. Death anxiety and death attitude were selected as dependent variables, and publication type, total duration of intervention, and frequency of intervention were selected as moderator variables. The total of 11 papers were selected to estimate the effect sizes of interventions. As a result, the overall effect size of the death education program for the aged was 1.07. The overall effect size showed death education program was able to lower death anxiety (Hedges' g=1.30, 95% Cl=0.80~1.80, p<.01) and improve attitudes to death (Hedges' g=0.93, 95% Cl=0.49~1.37, p<.01) compared with the no intervention group. In the moderator analysis to identify the cause of heterogeneity, significant results were found in the frequency of intervention. We propose a study that repeatedly verifies the effect of related studies in the future by providing the theoretical basis and basic data for the development of the death education program.

본 연구는 융복합 시대 한국 노인을 대상으로 한 죽음교육 프로그램이 죽음불안과 죽음에 대한 태도에 미치는 효과를 파악하고자 하는데 그 목적이 있다. 국내에서 발표된 논문 중 '노인', '죽음교육 프로그램', '죽음불안', '죽음태도' 등 주요어들을 병합하여 검색을 진행하였으며 최종적으로 11편의 논문을 선정하여 효과크기를 산출하였다. 종속변인으로는 죽음불안, 죽음태도를, 조절변인으로는 출판유형, 총 중재기간, 중재빈도를 선정하였다. 연구결과, 노인에 대한 죽음교육 프로그램의 전체 효과크기는 1.07로 나타났다. 그리고 죽음교육 프로그램은 죽음불안(Hedges' g=1.30)은 낮추고, 죽음에 대한 태도(Hedges'g=0.93)를 향상시키는 것으로 나타났다. 종속변인에 대한 효과크기의 동질성 검증 결과, 모두에서 이질성이 높게 나타났다. 이질성의 원인을 파악하기 위한 조절효과분석에서는 중재빈도에서 유의미한 결과가 나타났다. 이에 본 연구결과를 바탕으로 죽음교육 프로그램 개발에 이론적 근거와 기초자료를 제공하여, 추후 관련 연구의 효과를 반복적으로 검증하는 연구를 제언한다.

Keywords

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