• Asian Journal for Public Opinion Research
• /
• v.6 no.1
• /
• pp.18-30
• /
• 2018

Patients with advanced cancer cope with various issues, especially psychological symptoms, such as anxiety about death. Previous research from various countries indicates that most advanced cancer patients perceive distress before death, which means they cannot accept death peacefully. The purpose of this study was to examine the factors associated with death acceptance of Thai patients with advanced cancer. The participants were 242 adult patients with advanced cancer from three tertiary hospitals in Bangkok, Thailand. The research instruments consisted of 7 questionnaires: a personal information questionnaire, the death anxiety questionnaire, Buddhist beliefs about death questionnaire, the unfinished task questionnaire, general self-efficacy scale, family relationship questionnaire, and death acceptance scale. These instruments were tested for their content validity by a panel of experts. All instruments except the first one were tested for reliability, and their Cronbach's alpha coefficient were .86, .72, .74, .74, .89, and .70, respectively. Descriptive statistics, Pearson's correlation, Point-biserial correlation coefficient, and stepwise multiple regression were used to analyze the data. The results revealed that a total of 42% of variance of death acceptance among Thai patients with advanced cancer was explained by death anxiety, Buddhist beliefs about death, and self-efficacy. Knowing these factors provides further information for nurses to help patients to cope with their death. From this crucial knowledge, nurses can develop interventions in decreasing or controlling anxiety about death, promoting Buddhist beliefs about death, and enhancing self-efficacy of advanced cancer patients. Therefore, a better quality of life and good death can be achieved.

• Cross-Cultural Studies
• /
• v.30
• /
• pp.73-95
• /
• 2013

The purpose of this paper look at the basis of the cultural differences of Korea and Japan by comparing the view about the death. Firstly, in terms of language to express the death, Korea can be summarized 'doragada (go back) Japan can be summarized sayonara(goodbye). Koreans' view about the death is that life and death are not separated and death is the start of another life not the end of existence through 'doragada' Japanese accept death as the order of the universe and the order of nature with resignation. At this time resignation means that Japanese accept the sad feeling to sublimate aesthetically while mourning the death Secondly The view about the death of Sunbee in the Joseon era and Japanese Samurai who were the traditional ideal figures is compared. The Sunbee dies from a justification and the Samurai die from the honor on the other hand. Unconditionally, the sunbee was not loyal to an individual but they thought significantly of the fidelity about the joint value. Unlike this, Japanese Samurai laid stress on the loyalty toward their lord and sacrifice. They selected the death conclusively when this fidelity was suspected. Thirdly the view about the death of Korea and Japan is summarized to the aesthetics of the survival and the aesthetics of the death. Korean saw the death negatively and regard exceedingly the extension of life, they preceded to survive in all kinds of difficulties. On the contrary, Japanese see it positively. They beautified the death and sublimated with the aesthetics. they pursue the nature of the life through the death. Finally, the basic difference of the korean and Japanese culture originate from the view about the death that is, the difference of the values about the life and death.

• The Journal of Korean Academic Society of Nursing Education
• /
• v.17 no.3
• /
• pp.405-413
• /
• 2011

Purpose: This study was to investigate nursing students' attitude to death, death-related education experience and educational needs. Methods: The participants of this study were 1,134 nursing students' studying in three universities in Gyeonsangnam-do. Data collection was carried out from October 1st to November 31st, 2010. The collected data was analyzed for descriptive statistics, t-test, ANOVA and Sheffe test using PASW Statistics 18.0. Results: The level of attitude to death of the subjects averaged 2.60. The item receiving the lowest score was 'I am not afraid of a long, slow death'. Approximately 62.0% of the nursing students' had no death-related education experience and 89.8% of those answered that death-related education was necessary. For attitude to death followed by general characteristics, death-related education experience and educational needs, there were significant differences in attitude to death according to gender, religion, perceived health status, worrying about problems, motivation of nursing, and an experience with death. Conclusion: As nursing students' have a high educational need university curriculum development and educational programs addressing death should be developed and applied to nursing students.

• Journal of Chest Surgery
• /
• v.28 no.5
• /
• pp.437-442
• /
• 1995

We developed an experimental model of brain death using dogs. Brain death was caused by increasing the intracranial pressure[ICP suddenly by injecting saline to an epidural Foley catheter in five female mongrel dogs[weight, 20-25Kg .Hemodynamic and electrocardiographic changes were evaluated continuously during the process of brain death. 1. Abrupt rise of ICP after each injection of saline followed by a rapid decline to a new steady-state level within 15 minutes and the average volume required to induce brain death was 7.6$\pm$0.8ml.2. Body temperature, heart rate, mean pulmonary arterial pressure, left ventricular[LV enddiastolic pressure and cardiac output was not changed significantly during the process of brain death, but there was an increasing tendency.3. Mean arterial pressure and LV maximum +dP/dt increased significantly at the time of brain death.4. Hemodynamic collapse was developed within 140 minutes after brain death.5. Marked sinus bradycardia followed by junctional rhythm was seen in two dogs and frequent VPB`s with ventricular tachycardia was observed in one dog at the time of brain death. Hyperdynamic state develops and arrhythmia appears frequently at the time of brain death. Studies on the effects of brain death on myocardium and its pathophysiologic mechanism should be followed in the near future.

• English Language & Literature Teaching
• /
• v.12 no.4
• /
• pp.277-290
• /
• 2006

This study is to find out the meaning of the death in Donne's "Holy Sonnets" and divine poems. Death issue is the important theme and is used frequently in his poems. He expresses an assertion of faith about the defeat of death and wishes to gain new birth and eternal life through death. Ironically death must be died for rebirth and an inevitable death. Death is another way to get new life and return to Christ. Many readers think that "Hymn to God my god, in my sickness" is Donne's most distinguished achievement in his divine poems. The poem shows that death must be accepted willingly because it is only through death that man can reach heavenly bliss and gain new life. He develops an antithetic parallel between two hills and two trees. Paradise and Adam's tree which brought death into the world are related analogically to Calvary and the Cross, which brought resurrection and eternal life. Death and resurrection are shown to be conjoined in the poem. To sum up, Donne tried to pursuit death for rebirth and modeled after Christ's death and Resurrection.

• Korean Journal of Adult Nursing
• /
• v.23 no.5
• /
• pp.482-493
• /
• 2011

Purpose: This study was conducted to compare and identify the mediating effect of family communication in the impact of death anxiety and personal meanings of death on the attitude of dignified death near the end-of-life among Korean mid-life and old people. Methods: A cross-sectional study was conducted with 287 mid-life and old people in Seoul, Busan, and Daegu City. Data were collected through self-report questionnaires which were standardized instruments from November 2010 to March 2011. Data were analyzed by using SPSS/WIN 14. Results: The results of the study indicated that there were statistically significant differences in level of death anxiety, personal meaning of death, and the dignified death between mid-age and old-age people. In addition, family communication had full mediating effects among the mid-age, while it had partial mediating effects among the old-age in the relationships between death anxiety, personal meaning of death, and the attitude of dignified death. Conclusion: Based on the findings of the study, implications for the intervention of the dignified death and preferences for care near the end-of-life among mid-life and old people and recommendations of further study were provided.

• Journal of Hospice and Palliative Care
• /
• v.24 no.3
• /
• pp.154-164
• /
• 2021

Purpose: The purpose of this study was to examine the effects of a death preparation education program for nurses working in convalescent hospitals on death anxiety, death attitudes, and attitudes toward end-of-life care. Methods: This was a quasi-experimental study with a non-equivalent control group, pre-test and post-test design. Among 53 participants, 26 were assigned to the non-equivalent experimental group and 27 to the control group. The program was performed in the formats of lectures, video-watching, group discussions, and sharing, and consisted of 10 sessions held twice a week, for 5 weeks (90 minutes per session). Data were analyzed using descriptive statistics, the t-test, and the chisquare test in SPSS version 21.0. Results: Significant differences between the experimental and control groups were observed in death anxiety (t=7.62, P<0.001), death attitudes (t=-7.58, P<0.001), and attitudes to end-of-life care (t=-10.30, P<0.001). Conclusion: It was confirmed that the death preparation education program reduced death anxiety and had a positive effect on death attitudes and attitudes toward end-of-life care. Based on the results of this study, it is expected that specialized and systematic education that can increase the implementation and stability of death preparation education in various fields, including nursing, will have a positive effect on both hospice patients and members of society more broadly.

• Journal of Korean Academy of Nursing
• /
• v.38 no.2
• /
• pp.229-237
• /
• 2008

Purpose: The purpose of this study was to identify the relationship among self-efficacy, depression, life satisfaction and death attitude of college students. Methods: The subjects consisted of 232 college students. Data were collected by self-reported questionnaires, which were constructed to include self-efficacy, depression, satisfaction with life, and death attitude. Data were analyzed by the SPSS/PC WIN. 12.0 program. Results: Death attitude and life satisfaction of college students were significantly different according to frequency of death ideation. Death attitude for college students correlated with self-efficacy, depression, and life satisfaction. The most significant predictor of death attitude for college students was life satisfaction. Conclusion: The above findings indicate that death attitude for college students is influenced by self-efficacy, depression, and life satisfaction. These findings suggest that a death education program to improve life satisfaction and to give a positive attitude toward death is needed for college students.

• Korean Journal of Child Studies
• /
• v.20 no.3
• /
• pp.217-230
• /
• 1999

This study examined children's death anxiety by religion, previous death experience and the effectiveness of a death education program. Half of the subjects 60 nine-year-old elementary school subjects were assigned to the experimental group and half were assigned to the control group. The 6-week death education program for the experimental group included literature, role play, and discussion. A questionnaire and death anxiety scale for children were administered to all subjects. After the educational program, there was a significant difference in death anxiety scores, between the experimental and control groups. However, children's religion and previous experience with death had no significant relationship to their death anxiety or effectiveness of the death education program.

• Korean Journal of Child Studies
• /
• v.30 no.4
• /
• pp.241-256
• /
• 2009

This survey of children's perceptions and experiences of death was conducted with 118 6th-grade elementary school children in Seoul. Data consisted of responses to questionnaires in three categories : (1) perceptions of death, (2) views of afterlife, and (3) death-related experiences (life, education, and media). Results showed that children had negative emotions (61.8%) such as fear and anxiety about death. Children's attitudes about suicide were sympathetic (34.5%) as well as critical (53.7%). There was no relation between religion and view of afterlife. Finally, children experienced death more through mass media (TV, internet, etc.) than through life experience or death education. This study suggests the necessity for death education and warns of negative effects of media and games.