• 한국노년학
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• v.29 no.1
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• pp.275-289
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• 2009

The purpose of this study is to explore effective factors of elderly people's overall death anxiety and sub-dimensions of death anxiety. The subjects were 156 elderly people in S City, Gyeonggi-Do gathered by convenience sampling. This study collected data by interviewing the elderly who agreed to participate in the study and then analyzed it using SPSS 12.0 through descriptive statistics, the t-test, F-test, Sheffe-test, correlation analysis, and multiple regression. The respondents' overall death anxiety score was 2.61(±.47), and 'anxiety in the dying process'(2.94) had the highest points among sub-dimensions. Effective factors of overall level of death anxiety among the elderly were 'age' (β=-.18, p=.015), 'education' (β=-.16, p=.045), and 'economic status' (β=-.26, p=.003). In sub-dimensions, the elderly who were female, relatively young, and had low economic status showed high 'anxiety in the dying process'. As for 'anxiety over what will happen after one's death', the elderly who were relatively young, and had low economic status had high scores. Finally, on 'the loss of existence', the elderly who had poor relationships with their families had high scores.

• 한국노년학
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• v.28 no.4
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• pp.1227-1248
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• 2008

In this study, death preparation was used as an independent variable, with ego integrity as successful aging used as a dependent variable while depression and death anxiety were used as mediate variables. The purpose of this study is to investigate the differences of the study variables according to the demographic characteristics of the research subjects, and to create a database for developing and improving current educational programs and welfare services to help the elderly achieve successful aging. Two hundred and eighty three elderly people above the age of sixty in Cheongju city were given standardized questionnaires, and the collected data were analyzed. The results of this study are the following. First, the differences of the study variables according to the level of education, health, economy, and social involvement of the elderly are statistically significant. Second, there exists a positive relationship between mental preparation for death and ego integrity (successful aging) while there is no such relation in case of formal preparation for death and ego integrity. Third, depression and death anxiety of the elderly partially mediate ego integrity, which leads to successful aging.

• Journal of Hospice and Palliative Care
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• v.23 no.3
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• pp.114-125
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• 2020

Purpose: This descriptive study investigated the effects of nurses' knowledge of withdrawal of life-sustaining treatment, death anxiety, and perceptions of hospice care on their attitudes toward withdrawal of life-sustaining treatment. Methods: Data were collected from 262 nurses at tertiary hospitals, general hospitals, or primary hospitals in Busan, Korea, and statistically analyzed using the t-test, analysis of variance, the Scheffé test, Pearson correlation coefficients, and hierarchical regression analysis. Results: The participants' scores were 3.68±0.45 (out of 5) for attitudes toward withdrawal of life-sustaining treatment, 0.65±0.15 (out of 1) for knowledge of withdrawal of life-sustaining treatment, 2.61±0.26 (out of 4) for death anxiety, and 4.06±0.43 (out of 5) for perceptions of hospice care. Furthermore, knowledge of withdrawal of life-sustaining treatment and perceptions of hospice care showed positive correlations with attitudes toward withdrawal of life-sustaining treatment, while death anxiety showed a negative correlation. The most significant factors influencing attitudes toward withdrawal of life-sustaining treatment were perceptions of hospice care, followed by having experienced caring for patients who withdrew life-sustaining treatment, death anxiety, having a spouse, and ethical values, and the overall explanatory power was 43.0%. Conclusion: This study showed that perceptions of hospice were an important factor influencing nurses' attitudes toward withdrawal of life-sustaining treatment. Therefore, it is necessary to develop and validate educational intervention programs that can improve perceptions of hospice care.

• Journal of Hospice and Palliative Care
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• v.19 no.2
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• pp.154-162
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• 2016

Purpose: This descriptive study was aimed at identifying the relations among geriatric nurses' terminal care performance, death anxiety and self-esteem and the factors that affect nurses' terminal care stress. Methods: Data were collected using a self-reported questionnaire completed by 212 geriatric hospital nurses working in 10 hospitals in K city and B metropolitan city. Results: The survey results showed that the stress factors were terminal care performance and death anxiety. Significant predictors for terminal care stress were death anxiety and terminal care performance. (And the higher the level of death anxiety and terminal care performance were, the heavier the stress was.) These factors explained 32.5% of the variance in terminal care stress. Conclusion: The results of the study suggested that terminal care performance was an important factor of terminal care stress for geriatric nurses. Therefore, it seems that it is necessary to develop an educational intervention program to improve nurses' terminal care performance to reduce their terminal care stress.

• Journal of Hospice and Palliative Care
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• v.20 no.1
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• pp.37-45
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• 2017

Purpose: The purpose of this study was to identify the relationships between death anxiety and terminal care performance of nurses at long term care hospitals. Methods: Data were collected from 148 nurses working at 12 long term care hospitals in Busan from March 16, 2016 through May 16, 2016. Data were analyzed using descriptive statistics, t-test, one-way ANOVA, $Scheff{\acute{e}}$ test and Pearson's correlation coefficient with SPSS 18.0 for Windows. Results: Terminal care performance was positively correlated with anxiety about other people's death (r=0.310, $P{\leq}0.001$) and that of their own death (r=0.250, P=0.002). Conclusion: It appears necessary to develop a systematical educational program for terminal care nurses of to reduce their death anxiety and improve their terminal care performance.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.20 no.8
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• pp.514-522
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• 2019

This study, two-group pretest-posttest design was to provide the well-dying program for aged and college students and to determine the effects on death anxiety, perception of good death, and readiness for death. The subjects were 14 aged and 9 college students by providing a 12 hour well-dying program, verified its effectiveness. Data collection was from October 1 to December 31, 2018 and were analyzed using IBM SPSS 24.0. To verify the normality of the research variable in two groups, Shapiro-Wilk was used. Tested by Fisher's exact probability test, independent sample t-test, and Mann-Whitney test to verify the homogeneity of general characteristics of the subjects. Repeated Measure ANOVA, Friedman test to verify the continuity of the program effects on two group respectively. Results, death anxiety and perception of good death among the aged and college students showed no significant interaction between time and group, but there was a significant difference according to time((p<.030). Readiness for death was significant interaction between time and group((p=.030), a significant difference between the groups(p=.003). The well-dying program of this study is helps raise the death anxiety and perception of good death of the subject, especially the program which helps the readiness for death of the aged.

• 한국노년학
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• v.39 no.1
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• pp.127-144
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• 2019

The purpose of this study is to compare the perceptions of loneliness, death anxiety, and social capital among older adults living in urban and rural communities and to examine the moderating effects of social capital on the relationship between loneliness and death anxiety. Utilizing the survey data collected by the Aging Society and Social Capital Research Center in 2018, we analyzed 839 older adults living in urban areas and 322 rural older adults living in rural areas. We used descriptive statistics, results from t-tests, and χ² tests to compare the rates of loneliness, social capital, and death anxiety perceived by older adults across urban and rural areas. The moderating effects of social capital on the relationship between loneliness and death anxiety were tested by logistic regression analyses for each group of urban and rural older adults. Compared to older adults living in rural areas, a greater number of older adults in urban areas reported death anxiety and higher levels of loneliness. However, the perceived levels of social capital were higher among rural older adults. The moderating effects of social capital on the relationship between loneliness and death anxiety were not found among older adults living in urban area, but, for older adults living in rural areas, social capital including social cohesion and social support moderated the relationship between loneliness and death anxiety. The results of this study suggest that regional differences shown in the perceptions of loneliness, death anxiety, and social capital should be addressed, when considering extensions of social capital and related interventions to deal with loneliness and death anxiety among older adults.

• Journal of the Korea Convergence Society
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• v.7 no.4
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• pp.141-154
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• 2016

Objectives: The purpose of the study was to identify factors influencing on nursing students' end-of-life care attitude. Methods: A sample of convenience of 147 nursing students, Instrument included death anxiety, death attitude, Self-esteem, Life satisfaction, end-of-life care attitude. Results: A significant negative correlation was found among end-of-life care attitude, death anxiety, death attitude. Death anxiety(${\beta}$=-.392), self-esteem(${\beta}$=.179) & experience of learning(${\beta}$=-.227) about death were significant predictive variables. This variables accounted for 18.7% of the variance in end-of-life care attitude. Conclusions: Based on the Findings of this study, it can be used to develop educational programs for end-of-life care.

• 한국노년학
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• v.37 no.3
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• pp.527-547
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• 2017

The purpose of this study is to investigate how depression, death anxiety, and social support can exert influence on the psychological well-being of elderly living alone through a parameter of resilience. A survey was conducted involving 988 elderly over the age of 65 living alone in the Daejeon metropolitan area and Chungcheongnam-do and the data were analyzed using structure equation model. The results were as follows. First, in the measurement of variables according to demographic characteristics, depression showed significant differences depending on gender, level of education, health, and financial condition, while death anxiety differed depending on gender, and level of education. Social support was significantly different by gender, age, level of education, region, health, and financial condition. The level of resilience was significantly different by gender, age, level of education, health, and financial condition. Psychological well-being varied according to gender, level of education, health, and financial condition. Second, the effects of depression, death anxiety and social support on psychological well-being were examined. It was found that depression had a negative influence and social support had a positive impact while death anxiety showed no influence. Third, with regard to the effects of depression, death anxiety, social support on resilience, depression was found having negative influence, whereas social support having positive influence. Forth, psychological well-being was positively affected by resilience. Also, through the mediated pathway of resilience, their psychological well-being seemed to totally improve when the negative factors were reduced and the positive ones promoted. This study may have some significance in reference to examine the factors affecting the psychological well-being of elderly living alone and to develop social welfare service programs and policies in the field.

• Korean Journal of Health Education and Promotion
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• v.16 no.2
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• pp.81-92
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• 1999

This study attempt to analyze the influence of the preliminary education on the Elderly's attitude for death and to present basic data for the death-preliminary education. The data were collected by administerial the Questionnaire interview with 169 the elderly who was 200 the elderly over 60 year old in silver colleges. The Questions was consists the awareness recognition of death, character, attitudes toward for death. The statistical methods used for the analysis were t-test, factor analysis. The results were the follows. There was no statistically significant relations between the fear of death and the general characteristics the elderly, but the old women felt more anxiety than old men. Especially, more aged, unhealthy the elderly felt it more and the lower educated or the single felt it more severely. The change in the attitude for death: They attitude for death was considerably changed after the preliminary education. Fears and anxiety about death were more reduced and the inevitability of death was accepted positively. This result showed the influence of the preliminary death education had positive affliction of the elderly's attitude for death. Accordingly, with the practice of the preliminary education we can release the elderly from the fear for death and guide them to live meaningly.