• Journal of Hospice and Palliative Care
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• v.13 no.3
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• pp.169-180
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• 2010

Purpose: This study was to identify the death recognition, meaning in life, and death attitude of participants in the death education program. Methods: A survey was conducted, and 205 data were collected. Descriptive statistics, ${\chi}^2$-test, ANOVA, and Duncan test were used. Results: 1) The followings were the characteristics of death recognition shown by the participants. Over half of the participants said that they had given some thoughts on their deaths, that they had agreeable view on death acceptance, and that diseases and volunteer works made them think about their deaths. Moreover, suffering, parting with family and concerns for them, etc. were the most common reasons for the difficulty of accepting death. As for 'the person whom I discuss my death with', spouse, friend, and son/daughter were the most chosen in this order. Lastly, the funeral type that most of the participants desired was cremation. 2) The means of meaning in life and death attitude were $2.92{\pm}0.29$ and $2.47{\pm}0.25$, respectively. There were significant differences between health status, meaning in life and death attitude. 3) A significant positive corelationship was found between meaning in life and death attitude (r=0.190, P=0.001). Conclusion: For an effective death education program that would fit each individual's situation, an educational content that can make a person understand the meaning of his or her life and death, includes knowledge to lessen the fear and anxiety of death, and helps a person heal from the loss of a family member is absolutely necessary.

• Journal of Korean Public Health Nursing
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• v.34 no.2
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• pp.251-262
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• 2020

Purpose: This study attempts to provide basic data for establishing and implementing an advanced directive (AD) system that helps identify dignified death attitudes and reduces death anxiety of the preliminary, through preparation of an AD. Methods: Data were collected from 135 preliminary elderly aged 55 to 64 years, recruited from health centers and welfare facilities. All data were analyzed using SPSS 22.0. Results: Overall scores of the participants were 2.26±0.64 for death anxiety scale, and 3.16±0.44 for dignified death attitude. Scores of individuals who prepared an AD were determined to be 2.19±0.64 for death anxiety, and 3.34±0.44 for dignity of death. The difference in scores obtained for dignified death attitude was significantly higher for the group that signed an AD, as compared to the group with no AD (F=14.81, p<0.001). Conclusions: Results of this study reveal that preliminary elderly who sign an AD have a higher dignified death attitude score as compared to subjects who do not sign an AD. Additionally, the former group of participants desire a dignified end to their life. This indicates a necessity to promote public campaigns for ADs, and to develop educational programs that assist the elderly to prepare for a dignified death and make autonomous decisions.

• Journal of Korean Public Health Nursing
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• v.26 no.3
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• pp.572-580
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• 2012

Purpose: This study examined factors influencing death anxiety in the middle aged. Method: This was a descriptive survey study. Data were collected from September to October, 2011, from 410 middle- aged adults. The questionnaires solicited information on death anxiety, health behavior, depression, life satisfaction, and family function. Analysis of data was performed using descriptive statistics, Pearson's correlation, and stepwise multiple regression. Results: Average scores were 2.53 for death anxiety, 3.02 for health behavior, 4.44 for depression, 10.13 for life satisfaction, and 3.77 for family function. Statistically significant negative correlations were observed between health behavior and death anxiety, life satisfaction and death anxiety, and family function and death anxiety. However, from the statistical point of view the correlation between depression and death anxiety was a significantly positive. In addition, statistically significant positive correlations were observed between depression and death anxiety. Depression, life satisfaction, and family function were significant predictors of death anxiety. Conclusion: Multilateral nursing intervention is needed for maintenance of the health of middle aged adults.

• Journal of Korean Public Health Nursing
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• v.25 no.1
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• pp.28-37
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• 2011

Purpose: The study examined influencing factors on death anxiety in the aged. Method: This was a descriptive survey study. Data were collected from March to June, 2010, from357 older home-dwelling adults. The questionnaires solicited information on death anxiety, family function, morale, health behavior and ego-integrity. Data was analyzed using descriptive statistics, Pearson's correlation, and stepwise multiple regression. Results: Average scores were 2.50 for death anxiety, 3.80 for family function, 9.0 for morale, 3.12 for health behavior and 2.84 for ego-integrity. There were statistically significant negative correlations between family function and death anxiety, morale and death anxiety, health behavior and death anxiety, and ego-integrity and death anxiety Morale, ego-integrity, and economic status were a significant predictor of death anxiety. Conclusion: Multilateral efforts are needed to assist the aged in successful aging through continuous body activities and active participation in society.

• Journal of the Korean Home Economics Association
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• v.43 no.3 s.205
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• pp.105-118
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• 2005

The purposes or this study were to compare and analyze the differences between the elderly in their own home and those in facilities in terms of their self-esteem, death anxiety, depression level and psychological characteristics. The subjects were the 386 elderly over 55 living in home and in facilities, free or paid. They had no physical or cognitive disabilities and were living in Daegu city, Kyungbuk and Kyungnam province. There were significant differences in self-esteem, death anxiety, depression level and the path to depression between the two elderly groups with the elderly in facilities showing negative aspects of psychological characteristics. The problems of caregiving for the elderly should be covered by social welfare.

• Korean Journal of Human Ecology
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• v.20 no.5
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• pp.917-926
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• 2011

The purpose of this study is to identify the influence of ego integrity on death anxiety of the elderly, mediated by depression based on Erikson theory(1963). For this study, 313 elderly over 60 years old in Daegu city participated in a survey. The data of the survey was analyzed using SPSS 15.0 and Structural Equation Modeling(SEM) with AMOS 7.0. The results of the study are as follows: ego integrity of the elderly does not influence death anxiety due to the suppressing effect of depression. However, depression does mediate the relation between ego integrity and death anxiety fully. Such findings suggest that the Erikson theory can also be applied to elderly Korean citizens. A practical benefit derived from the study's results is the proposition to implement a reminiscence program, reinforce depression treatment and prevention systems, and augment a death awareness movement for elderly.

• 한국생활과학회:학술대회논문집
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• 2008.05a
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• pp.198-199
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• 2008

• Asia-Pacific Journal of Business Venturing and Entrepreneurship
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• v.7 no.2
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• pp.189-194
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• 2012

The purpose of this study was to examine the impact of a welldying program on elderly people by analyzing whether it would bring any changes to the selected elderly people. The subjects in this study were 30 senior citizens who were users of A senior fitness center in the city of Gwangju. An experimental group and a control group were organized with 15 senior citizens each, and a welldying program was conducted in eight sessions, once a week. The major findings of the study were as follows: First, the elderly people who participated in the welldying program felt less death anxiety. Second, the elderly people who participated in the welldying program expressed better life satisfaction. Third, the elderly people who participated in the welldying program showed improvement in ego-integration.

• The Journal of the Korea Contents Association
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• v.19 no.9
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• pp.338-347
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• 2019

The purpose of this study is to provide policy and adaptive interventions for quality of life of the elderly and evidence-based data. For this, meta-analysis was performed using CMA program, and the final 65 researches were used for analysis. The results, (1)The risk factors(depression, solitude, anxiety, suicidal Ideation, stress) showed the effect size which is suitable for quality of life. The effect size of depression was the highest. (2)The protective factors(self-esteem, self-efficacy) showed medium effect size and large effect size. Among them, self-esteem showed the greatest effect size of quality of life. However, self - control appeared to have a low effect size.

• Journal of Home Health Care Nursing
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• v.29 no.3
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• pp.251-262
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• 2022

Purpose: The purpose of this study was to identify the extent to which in-hospital-based home health nurses' perceptions and anxiety about death following terminal care, affects their attitudes toward terminal care. Methods: The subjects were 128 advanced practice nurses working in hospital-based facilities for home health care, located in Seoul, Gyeonggi-do, and Incheon Metropolitan City. Data were collected from May 3, 2019, to June 3, 2019, using structured questionnaires, on terminal care and related variables based on the literature. Data were analyzed by performing the Student's t-test, one-way ANOVA, Pearson's correlation, and multivariable stepwise regression using the SPSS Version 25.0 program. Results: The scores of the attitudes toward terminal care of home health care nurses was 3.25 points out of a possible 4 points. Factors affecting nurses' attitudes toward terminal care were their concern about death(β=0.45, p<0.001), religion(β=-0.26, p=0.001) and the anxiety of others about dying(β=-0.23, p=0.003), which explained 32.0% of the observed variance concerning the factors affecting nurses' attitudes toward terminal care. Conclusion: Through this study, concern about death, anxiety about how other people process dying, and religion, were found to be associated factors. The more concerned the nurses were about death and the less their anxiety about how others process dying, the better the home health care nurses' attitude toward implementing terminal care.