• 사회복지연구
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• 제48권2호
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• pp.267-301
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• 2017

본 연구는 국내 사회복지 분야의 죽음준비교육 관련 연구동향을 분류하여 보다 체계적이고 발전적인 연구방향을 제시하기 위한 목적으로 실시되었다. 분석대상 논문은 사회복지실천 가치에서 매우 중요한 역할로 요구되는 죽음준비교육의 필요성을 전제로 지난 25년간 6개 학술지에 게재된 논문 9편과 석 박사 학위논문 25편, 총 34편의 국내 죽음준비교육 관련 연구동향을 분석하였다. 이를 위해 1992년부터 2017년까지 사회복지분야에서 실행된 죽음준비교육 관련 연구의 출처 및 연도별, 연구방법별, 연구대상별, 연구 주제어와 프로그램 내용이 적용된 중재 특성을 살펴보았다. 분석결과, 출처 및 연도별에서 석사학위 논문이 20편(58.8%)으로 가장 많이 연구한 것으로 나타났으며, 연도별 동향은 1900년대 후반에는 2편에 불과했으나, 2006년~2010년에 들어와서 14편(41.2%), 2011년~2017년까지 15편(44.1%)으로 매우 높은 연구 성장을 보였다. 연구방법별 동향은 조사연구가 13편으로 가장 높은 빈도를 보였으며, 연구대상별 동향은 노인을 대상으로 한 연구가 21편으로 가장 많았다. 연구주제어 동향은 죽음불안(25)을 가장 많이 연구한 것으로 나타났으며, 프로그램 내용에 적용된 중재 특성 연구동향 분석에서 구조화분류 중 죽음에 대한 정서적 불안(20)이 가장 많이 활용된 변수였다. 또한 측정된 중재 효과도 죽음에 대한 정서적 불안(20)이 가장 많은 효과 검증이 된 것으로 나타났다.

• 대한간호학회지
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• 제36권1호
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• pp.74-83
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• 2006

Purpose: The purpose of this study was to develop an evaluation instrument integrated and interdisciplinary death education for the human service areas such as nursing, social welfare, and education and to test the reliability and validity of it. Method: The subjects used to verify the instrument's reliability and validity were 407 students who were enrolled in the departments of nursing, social welfare, and education in universities located in Seoul, Pusan, Daegu, and Daejeon. The data was collected from April to May, 2005, and was analyzed by SPSS/WIN 12. Result: A factor analysis was conducted. Items with over a .40 factor loading and over a 1.0 eigen value were selected. Nine identified factors were learning about death, role of professionals, personal attitudes, hospice care, ethics and legal issues, death and dying, spiritual aspect of' death, transcultural aspect of death, and multidisciplinary theory of death. The instrument consisted of 44 items and the reliability was a cronbach's of .953 Conclusion: Based on the study results, the content scale developed in this study was identified as a tool with a high degree of reliability and validity.

• 보건교육건강증진학회지
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• 제7권2호
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• pp.89-102
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• 1990

The research is a comparative study of death attitudes between male and female elderly people. There is no doubt as to the inevitability of death. And yet, there is a vast conspiracy involved in the word of dead or death. The aged are considered to be nearer death than are people in other age groups. Kalish(1976) emphasized that for the aged two meanings of death have significance for evaluating their life ; first, that older people are known to have a limited life time and face death ; second that older people are known to have suffered many death-imposed losses that are often associated with the dying process. In considering these implications, the level of anxiety regarding death and dying is a crucial factor in determining mental health. In the study, 152 male elderly and 145 female elderly residing in Seoul, Korea was compared on the four dimensions of death anxiety and assigned personal variables. Therefore, the purpose the research was (1) to examine the characteristics of subjects on the independent variables(age, marital status, family relationship, social activities, religiousity etc.) ; (2) to examine the relationship between the independent variables and each dimension of death axniety ; (3) to determine the proportion of variance in the respective of death anxiety which is accounted for by the respective independent variables ; (4) to examine whether a significant difference between the respective independent variables and each dimension of death anxiety has ; (5) to determine the combination of variables which is the most successful in explaining the variance in death anxiety. Finding from this study support the following conclusions; 1. There was a significant differences between the male and female subjects in the level of death anxiety. In turn, the male older adults had lower death anxiety than did the female elderly. This implies that male tend to look forward to death rather than deny it. 2. As there was evidences from several studies, this research found that fear of death decreases as age increases. 3. The following two variables that correlate best with dying anxiety of others in both male and female older adults : 'marriage life', 'social interaction'. 4. The variables 'age' and 'children' for both female and male elderly accounted for the most variance in death anxiety of self. The findings of the study lend this investigator several suggestions, implications and recommendations for future research. There can be no death without life, and conversely, no life without death. Psychologists and health-related professionals may be learn as much about death as they can in order to develop more healthy attitudes and in order to be able to better aid and comfort dying people and their familities. Perhaps most importantly, professionals may be help those who are not faced with death at present to develop an understanding of it and healthy attitudes toward it. The programs of death education are needed for dedication to the evitability of death and the preparation of life for the older adults. More seminars, symposiums and research on death attitudes are needed. Finally, study for female older adults has been negelected topic in the areas of women's study and health education. Future study, for female elderly, have to deeply investigate where those problems come from and how to cope with in order to the female elderly segment can live the rest of their lives in satisfaction with well-being.

• 한국학교보건학회지
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• 제29권3호
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• pp.310-317
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• 2016

Purpose: This descriptive research was carried out to identify how high school students' attitude to death and their meaning of life were affected by hospice volunteering and death education. Methods: This study is based on a structured questionnaire designed for 180 high school students who were given death education while doing volunteer work at non-profit hospice hospitals and another 288 high school students not doing any hospice volunteer work. The collected data was processed by the SPSS 20.0 program and then analyzed by $x^2$ test, t-test and ANOVA test. Results: High school students' attitude to death and their meaning of life showed significant differences depending on whether or not they had volunteered at hospice hospitals. The group with hospice volunteering experience tended to be more negative about death and have a higher meaning of life compared to those without hospice volunteering experience. Students with proper hospice recognition made up 52.4%, those who expressed hopes to receive hospice-care themselves if necessary accounted for 70.5%, and those who said they would like to take care of their family members either at home or at a hospice center if any of them got incurably sick comprised 59.0%. Those who thought dignified death is to be with one's family or any other meaningful person were 47.6% and 18.5% of the students thought that 'thinking they had led a meaningful life' was the core of a dignified death. Conclusion: Given the above results, it became clear that hospice volunteering and death education can affect high school students' meaning of life and their attitudes toward death.

• 호스피스학술지
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• 제5권1호
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• pp.33-41
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• 2005

Purpose: The purpose of this study was to identify the effects of education of hospice for nurses on concern and coping about death and dying. Methods: The subjects of this study were 33 Korean nurses who participated in the education of hospice which consisted of lectures and practices for 5 months. Data were collected using questionnaire of concern and coping about Death and Dying. Data were analyzed with the mean, SDs and Wilcoxen test. Results: The mean score of concern about death and dying was 7.03. The highest items of concern about death and dying were 'thoughts of physical pain and being, 'thoughts of suffocating and choking, 'fear of darkness', The lowest items of concern about death and dying were. 'thoughts of burglars invading my possessions', 'rejection by God', thoughts of no one attending funeral', 'thoughts of no one paying respect or tribute', The mean score of coping about death and dying was 11.37. The highest items of coping about death and dying were 'call family member(s) into room and ask them ti sit close by, reminisce on happy events of the past, tell myself that there is nothing to be afraid of, look at family picture albums'. The lowest items of coping about death and dying were 'stay up stay up late till ready to fall asleep', 'look at family heirlooms', 'phone a prayer line', 'ask for a snack or something to drink'. In concern and coping about death and dying, significant differences were not found between pre and post test. But there was a tendency to decrease concern and increase coping about death and dying after education of hospice. Conclusion: According to these results, it is needed for nurses not only to do research for concern and coping about death and dying but also to develop an education program.

• 디지털융복합연구
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• 제12권8호
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• pp.369-376
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• 2014

죽음교육의 주체이자 대상인 의료진의 죽음에 대한 스트레스 정도와 수용방식을'병원 공간을 중심으로'분석하여 죽음교육에 활용하고자, 2014년 4월부터 동년 4월30일까지 대전지역 일반인 281명을 대상으로 조사했다. 분석 결과 죽음교육의 필요성에 대해, 죽음교육을 받은 경우 더 중요하다고 생각하였다. 환자가 회불 불가상태인 경우 의료진은 누구에게 알리는가의 물음에 전체적으로는 보호자가 가장 높았으며, 임종하기 적합한 장소로는 살던집이 가장 많았고, 의료기관, 사회복지시설 순으로 나타났다. 이상과 같은 결과를 활용하면 죽음이라는 현상을 이해하고 다룸에 있어 보건의료적 시각과 인문학적 시각, 사회적 시각을 동시에 수용하여 일반인에게 적용할 수 있는 죽음 교육 프로그램 개발을 위한 연구로 죽음준비프로그램을 대중화 일반화를 위한 기초자료로써 의의가 있다고 할 수 있다.

• 보건교육건강증진학회지
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• 제24권1호
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• pp.109-125
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• 2007

How an elderly people meets death is the matter of how he has lived his life. It is very important for an elderly people at the last step of his life to re-light up life and to meet death with dignity. The purpose of this study is to investigate where fear or anxiety of death come from among the four dimensins of death anxiety and to compare the differenced between the elderly group and non-elderly group, For this research, the 473 of the subjects from 20 to 80 years old attending social welfare center and community areas in Seoul have been questionned. The summary for the study mentioned the following: First, the overall scores of death anxiety, in the non-aged group, gender and religiosity are important factors affecting the decrease of death anxiety, On the other hand, in the aged group, self-respect, death readiness and number of friends are significant factors. Secondly, for death anxiety of self, age and spouse are significant relationships among non-aged group and gender, death readiness and number of friends for aged-group. In the dying of self, the following each three significant variables: gender, self-respect and spouse among non-aged group and gender, self-respect and number of friends among aged group. In death anxiety of others, age, view on next world and spouse are best predictor for non-aged group. Finally, family-relationship, self-respect and spouse are significant factors for aged group. In dying of others, only one factors are influenced for non-aged group, on the other hand, gender, self-respect and death readiness are important factors for aged group. There remains the need for more detailed examination into the nature of this relationship and the extent to which core components strongly affecting the above subscales.

• 임상간호연구
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• 제15권2호
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• pp.57-65
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• 2009

Purpose: This study was conducted to examine the effects of Brain Death Organ Donation Education on nurses' knowledge and attitudes. Methods: It is a quasi-experimental study using the non-equivalent control group. A total of 100 nurses participated in the study; 50 in the experimental group, and the rest in control group. Collected data were analyzed using ${\chi}^2-test$, t-test and ANCOVA by SPSS 12.0 program Results: There was a statistically significant difference in knowledge (F=13.29, p<.001), and attitude (F=4.35, p=.040) after the experimental group received Brain Death Organ Donation Education. Conclusion: The Brain Death Organ Donation Education was revealed as an effective tool in improving nurses' knowledge and attitudes toward organ donation.

• 기본간호학회지
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• 제22권3호
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• pp.277-286
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• 2015

Purpose: This study was done to develop a death education program for nursing students and evaluate the effects of the program. Methods: The education program was developed based on ADDIE model. The death education program was developed on the base of educational needs, a comprehensive review of the literature and focus group interviews and then evaluated with 53 nursing students, 27 in the experimental and 26 in the control group. Measurement was done for the meaning of life using the tool by Choi et al (2005) for attitudes concerning death, the tool Thorson and Powell (1998) revised by Kim (2006) and for attitude to end-of-life patient care, the Attitudes toward Nursing Care of the Dying Scale by Frommelt (1991) translated by Cho and Kim (2005). Results: The program consisted of five sessions: Understanding of death, Family bereavement care, Communication and End-of-life patient care, Professional role, and Ethics and legal issues There was a statistically significant difference between pretest and posttest for the meaning of life in the experimental group compared to the control group. About 82% of students in the experimental group were satisfied with the program. Conclusion: The results indicate that this program can be used to educate nursing students.

• 한국간호교육학회지
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• 제23권1호
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• pp.37-47
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• 2017

Purpose: This study aimed to explore the influences of attitude to death and resilience on terminal care attitude among Korean nursing students. Methods: Participants were 230 nursing undergraduates from two nursing schools in Korea. The students responded to a self-report questionnaire that included demographics, attitude to death, resilience, and terminal care attitude. Results: The majority of the participants who had undertaken a clinical practicum had experienced the death of a patient during their clinical placements but had not yet received any support from their instructors or professionals, but also academic training on patients' death or terminal care. The mean score of terminal care of the students who had death-related education was significantly higher than among those who had not. Regression analysis indicated that attitude to death, grade, and resilience were the most significant predictors of terminal care attitude. These explained 30.3% of their terminal care attitude. Conclusion: Death-related education is needed throughout the curriculum including not only death but also resilience to develop emotional competences. In this way, nursing undergraduates will be better prepared to cope positively and constructively with the suffering and death they encounter, and thus may minimize the distress they experience in the patients' dying process. It may also create a significant positive increase in their terminal care attitude.