• Title/Summary/Keyword: death

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Death anxiety and Needs of Interpersonal Caring Behaviors of Nurses in Hospice Wards: Focused on Types of Personality (호스피스 병동 간호사의 죽음 불안 및 돌봄 요구: 성격유형을 중심으로)

  • Shim, Ji-Yeun;Lee, Sook
    • The Journal of the Korea Contents Association
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    • v.21 no.5
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    • pp.737-745
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    • 2021
  • Purpose: The purpose of this study is to investigate Death anxiety and Needs of Interpersonal caring behaviors of nurses in hospice wards focused on types of personality. Methods: The data were collected from 118 nurses working in hospice wards and analyzed SPSS Statistics 26. Results: Death anxeity was 2.41±0.27, and the highest subscale was Dying of Self(2.60±0.38). Needs of Interpersonal caring behaviors was 3.58±0.60, and the highest subscale was forgiving(3.74±0.64). significant static correlation between death anxeity and Needs of Interpersonal caring behaviors was confirmed(r=.265, p=.004). The affect of Death anxiety by personality type on Needs of Interpersonal caring behaviors was confirmed as a factor in which 'fear of others' dying' influences Needs of Interpersonal caring behaviors in Emotion centered type. Conclusion: Death anxiety and Needs of Interpersonal caring behaviors have significant static correlation, Death anxiety influenced Needs of Interpersonal caring behaviors in Emotion centered type.

『The Death of a Salesman』 reinterpreted by Media Transformation: Focusing on (2017) by Asghar Farhadi (매체 변환을 통해 재해석된 『세일즈맨의 죽음』: 아쉬가르 파라디 감독의 영화 <세일즈맨>(2017))

  • Choi, Young-hee;Lee, Hyun-Kyung
    • The Journal of the Convergence on Culture Technology
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    • v.8 no.4
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    • pp.193-198
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    • 2022
  • Arthur Miller's play has been reproduced for a long time, and has been made into a film several times. Director Asghar Farhadi made a film set in Iran in the 21st century, showing the film (2017), which excludes "Death" from the original title. is not just a movie of . In , the play is summoned in the form of performing a play. There are many movies in this form, but is an exquisite fabrication so that the reality outside the play and the content in the play harmonize with each other. The play depicts the tragedy of the head of the family who falls at the end of the American dream. The movie transforms this tragedy into a conflict between a young couple living in Iran in the 21st century. In addition, is completed as an independent work that not only rearranged the space and characters of the original work, but also reinterpreted the meaning of death, creating the effect of media conversion such as theater and film.

The mediating Effect of Psychological Well-being on the Effects of anxiety over Death on Self-Integration (노인의 죽음불안이 자아통합감에 미치는 영향에서 심리적 안녕감의 매개효과)

  • Cho, Seonghoon
    • 한국노년학
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    • v.41 no.4
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    • pp.491-504
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    • 2021
  • This study investigated the effect of death anxiety on the sense of self-integration in the elderly and verified the mediating effect of psychological well-being in the relationship between death anxiety and self-integration. For this study, a questionnaire was conducted from September 1, 2020 to November 30, 2020, targeting 254 elderly people aged 65 to 94 who live in elderly-related facilities in Seoul and Gyeonggi-do. As measurement tools, the death anxiety scale, psychological well-being scale, and self-integration scale were used, and Baron·Kenny (1986)'s three-step mediating effect analysis method was used. The results of the study first, The influence of death anxiety on self-integration was statistically significant. Second, the results of using the three-stage mediating effect analysis method proposed by Baron and Kenny (1986), In the relationship between death anxiety and self-integration, psychological well-being was found to have a mediating effect. In conclusion, the results of this study suggest that in order to effectively and positively deal with the elderly's self-integration problem, the elderly's psychological well-being as well as the elderly's death anxiety must not be overlooked.

Factors Affecting the attitude to death of Social Welfare Students (사회복지전공 대학생의 죽음에 대한 태도의 영향요인)

  • Kim, Bo-Mi
    • Journal of Digital Convergence
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    • v.19 no.11
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    • pp.545-553
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    • 2021
  • This research was conducted to examine the attitude to death, and identify factors influencing attitude to death, in social welfare students. Data were collected from 179 social welfare students. in two universities. Data were collected from April to June 2021 using structured questionnaires. Data collected were analyzed by descriptive statistics, t-test, ANOVA, Pearson correlations, and multiple regression analysis. The results indicated that meaning in life(r=.34, p=.001) had a significant positive association with attitude to death. And life satisfaction(r=.61, p<.001) and resilience(r=.65, p<.001) were positively correlated with attitude to death, The significant predictors of attitude to death, were grade(β=.21, p=.002) and life satisfaction(β=.22, p=.013), explaining 20.2% of the variance. Based on the study results, we suggest that it is necessary to develop counseling and attitude to death programs that can positively change the attitude of social welfare students

Effects of Death Anxiety and Perceived End-of-Life Care Competencies on Fear of Terminal Care among Clinical Nurses

  • Heewon Kim;So-Hi Kwon
    • Journal of Hospice and Palliative Care
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    • v.26 no.4
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    • pp.160-170
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    • 2023
  • Purpose: The aim of this study was to examine the effects of death anxiety and perceived end-of-life care competencies on the fear of terminal care among clinical nurses. Methods: This correlational study was conducted from June to July 2021. The study included 149 clinical nurses employed at a tertiary hospital and seven other hospitals. The measurement tools used in this study were the Thanatophobia Scale (Cronbach's α=0.87), the Death Anxiety Scale (Cronbach's α=0.80), and the Scale of End-of-life Care Competencies (Cronbach's α=0.94). These instruments were chosen to assess the levels of fear of terminal care, death-related anxiety, and competencies in end-of-life care. Results: The mean score for fear of terminal care was 3.32±1.32. Differences in fear of terminal care were observed based on the working unit, position, number of patients requiring terminal care, and experience with end-of-life care education. Fear of terminal care was significantly positively correlated with death anxiety and significantly negatively correlated with end-of-life care competencies. In multiple regression analysis, the factors influencing fear of terminal care were attitudes toward end-of-life care competencies (𝛽=-0.39, P<0.001), death anxiety (𝛽=0.24, P<0.001), knowledge of end-of-life care competencies (𝛽=-0.22, P=0.005), and behaviors related to end-of-life care competencies (𝛽=-0.16, P=0.021). These factors explained 64.6% of the total variance (F=25.54, P<0.001). Conclusion: This study suggests that developing nurses' end-of-life care competencies and reducing death anxiety are crucial for managing the fear of terminal care. Therefore, providing end-of-life care education and psychological support programs is important.

Excess Deaths During the COVID-19 Pandemic in Southern Iran: Estimating the Absolute Count and Relative Risk Using Ecological Data

  • Mohammadreza Zakeri;Alireza Mirahmadizadeh;Habibollah Azarbakhsh;Seyed Sina Dehghani;Maryam Janfada;Mohammad Javad Moradian;Leila Moftakhar;Mehdi Sharafi;Alireza Heiran
    • Journal of Preventive Medicine and Public Health
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    • v.57 no.2
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    • pp.120-127
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    • 2024
  • Objectives: The coronavirus disease 2019 (COVID-19) pandemic led to increased mortality rates. To assess this impact, this ecological study aimed to estimate the excess death counts in southern Iran. Methods: The study obtained weekly death counts by linking the National Death Registry and Medical Care Monitoring Center repositories. The P-score was initially estimated using a simple method that involved calculating the difference between the observed and expected death counts. The interrupted time series analysis was then used to calculate the mean relative risk (RR) of death during the first year of the pandemic. Results: Our study found that there were 5571 excess deaths from all causes (P-score=33.29%) during the first year of the COVID-19 pandemic, with 48.03% of these deaths directly related to COVID-19. The pandemic was found to increase the risk of death from all causes (RR, 1.26; 95% confidence interval [CI], 1.19 to 1.33), as well as in specific age groups such as those aged 35-49 (RR, 1.21; 95% CI, 1.12 to 1.32), 50-64 (RR, 1.38; 95% CI, 1.28 to 1.49), and ≥65 (RR, 1.29; 95% CI, 1.12 to 1.32) years old. Furthermore, there was an increased risk of death from cardiovascular diseases (RR, 1.17; 95% CI, 1.11 to 1.22). Conclusions: There was a 26% increase in the death count in southern Iran during the COVID-19 pandemic. More than half of these excess deaths were not directly related to COVID-19, but rather other causes, with cardiovascular diseases being a major contributor.

Birth and Infant Death Reporting System via Computer Network (출생 및 영아사망 신고체계 및 전산정보체계 개발)

  • Park, Jung-Han;Lee, Young-Sook;Rhee, Jung-Ae;Cho, Hyun;Chung, Young-Hae;Park, Soon-Woo;Jun, Hae-Ri
    • Health Policy and Management
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    • v.8 no.2
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    • pp.125-148
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    • 1998
  • Accurate vital statistics are essential for a national health planning and evaluation. Among various vital statistics, birth and death rates, and infant and matemal mortality rates together with the causes of death are the very basic ones for above purposes as well as for the maternal and child health management. These statistics are based on the birth and death reports. It is required by law to report every birth and death within one month after its occurrence. However, in case of a neonatal death occurring prior to the birth report, most of the birth and death are not reported. Thus accurate infant and maternal mortality rates are not available yet in Korea. The main objective of this study is to develop a birth and infant death reporting system via computer network. We designed a new birth report form based on the current form and data from the analysis of medical record forms of 14 hospitals. A new form is basically addition of essential medical information to the current birth report form. Since a revision of the rules and regulations related wtih the birth report is necessary to use a new form, we kept the current from intact to make it acceptable to the government office for a field trial. We also developed computer programs for data input for birth and death reports at a medical faciltiy, data processing for production of maternal and child health indices at a health center, and management of maternal and child health services including immunization and postantal care at health center. The birth certificate and birth report can be printed out at a medical facility. The computer packages were programmed by Borland Delphi 3.0 and can be run under Windows 95 system. We proposed a new birth and death reporting system via computer network after a field trial for data input, transmission, and processing. The medical and demographic data o birth and death at medical facilities will be sent to health centers directly via computer network. The health center will retain the medical data for analysis and forward only the data for birth and death reports required by current regulations to the Dong, Up, or Myun Office. Once the birth or death is reported via computer network to the Dong Office, then the Dong Office will notify the baby's mother of the birth report and request to submit the baby's name by mail. When the baby's name its submitted. the Dong Office will forward the birth reports to the Common Court and Statistics Agency in the same way as the current system, Upon the completion of birth registration of the Common Court, the court will issue the birth certificate to mother which will be used in lieu of the family record. The advantages of proposed birth and death reporting system via computer network ar as follows ; I) The accuracy, timing, and completeness of reporting will be improved and more accurate maternal and child health indices can be obtained, ii) The maternal and child health services of health center will be obtained, iii) Epidemiologic data for pregnancy and birth can be obtained, iv) Manpower for birth and death reporting will be saved.

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Accuracy of the Registered Cause of Death in a County and its Related Factors (일개 군 사망신고자료에 기재된 사인의 정확성과 관련요인)

  • Shin, Hee-Young;Shin, Jun-Ho;Nam, Hae-Sung;Ryu, So-Yeon;Im, Jeong-Soo;Rhee, Jung-Ae;Chung, Eun-Kyung
    • Journal of Preventive Medicine and Public Health
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    • v.35 no.2
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    • pp.153-159
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    • 2002
  • Objectives : To evaluate the accuracy of the registered cause of death in a county and its related factors. Methods : The data used in this study was based on 504 cases, in a county of Chonnam province, registered between January and December 1998. Study subjects consisted of 388 of the 504 cases, and their causes of death were established by an interview survey of the next of kin or neighbor and medical record surveys. We compared the registered cause of death with the confirmed cause of death, determined by surveys and medical records, and evaluated the factors associated with the accuracy of the registered cause of death. Results : 62.6% of the deaths were concordant with 19 Chapters classification of cause of death. external causes of mortality, endocrine, nutritional and metabolic diseases, neoplasms and diseases of the circulatory system showed the good agreement between the registered cause of death and the confirmed cause of death. The factors relating to the accuracy of the registered cause of death were the doctors' diagnosis for the cause of death (adjusted Odds Ratio: 2.67, 95% Confidence Interval: 1.21-5.89) and the grade of the public officials in charge of the death registry (adjusted Odds Ratio: 0.30, 95% CI=0.12-0.78). Conclusions : The accuracy of the registered cause of death was not high. It could be improved by using the doctors' diagnosis for death and improving the job specification for public officials who deal with death registration.

Taiwan's Palliative and Hospice Care Act - Legislative Background and Controversial Issues - (중화민국(타이완) "안녕완화의료조례(安寧緩和醫療條例)"의 연혁과 내용)

  • Suk, Hee-Tae
    • The Korean Society of Law and Medicine
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    • v.9 no.2
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    • pp.77-107
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    • 2008
  • In Republic of Chaina (Taiwan), Natural Death Act named "Anning Huauhe Yiliao Tiaoli" which means palliative and hospice care act was enacted in year of 2000. And enforced in the same year. Many scholars say that Taiwan's Act took Many U.S.A.'s acts such as 'Federal Patient Self-Determination Act 1990', 'California Natural Death Act 1976' and 'Washington Natural Death Act 1979' for a model. Taiwan's Act adopts a few outstanding systems - 'advance declarations' including 'living will' and 'durable power of attorney for health care', 'family-determination system' for a patient who is in a persistent unconscious state. This paper disusses this Act. 'The content is as follow: 1. A background of legislation. 2. The purpose of legislation. 3. The concept of terms. 4. Patient's self-determination. 5. Subrogated determination by family. 6. Keeping documents. 7. Punitive provision. 8. The relationship with euthanasia. 9. Controversial issues.

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