Journal of Hospice and Palliative Care

  • 제12권4호
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  • Pages.199-208
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  • 2009
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  • 2765-3072(pISSN)
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  • 2765-3080(eISSN)
한국호스피스완화의료학회 (Korean Society for Hospice and Palliative Care)
권호 표지

죽음준비교육 프로그램이 자원봉사자의 죽음불안과 삶의 의미에 미치는 효과

Effect of a Death Preparing Education Program on Death Anxiety and Meaning of Life in Volunteers

  • Yoon, Me-Ok (Department of Nursing, Woosuk University)
  • 발행 : 2009.12.01
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초록

목적: 본 연구는 자원봉사자에게 죽음준비교육 프로그램을 제공하여 죽음불안과 삶의 의미에 미치는 효과를 검증하기 위하여 시도하였다. 방법: 자료수집기간은 2009년 1월 11일부터 25일까지 이루어졌다. 연구대상자는 전주시에 거주하는 자원봉사자로서 죽음준비의 목적과 내용을 소개하고 연구에 참여하고자 동의한 자로 실험군 30명, 대조군 30명으로 총 60명이었다. 죽음준비교육 프로그램은 총 5단계로, 도입단계에서 삶과 죽음의 이해, 수용단계에서 유서쓰기, 체험단계에서 입관, 나눔 단계에서 느낌 공유하기, 마무리단계에서 결단과 축복하기의 주제로 구성되어 있으며, 각 단계별 60분씩 실시하였다. 수집된 자료는 SPSS version 12.0을 사용하여 빈도, 백분율, 평균, 표준편차 등의 서술통계와 사전 동질성검증은 t-test, chi-square test를 실시하였고 가설검증을 위해 ANCOVA로 분석하였다. 결과: 죽음준비교육 프로그램을 제공받은 실험군은 제공받지 않은 대조군보다 죽음불안 정도가 통계적으로 유의하게 낮았다(F=4.01, P=0.046). 죽음준비교육 프로그램을 제공받은 실험군은 제공받지 않은 대조군보다 삶의 의미 정도가 통계적으로 유의하게 높았다(F=6.32, P=0.015). 결론: 죽음준비교육 프로그램은 죽음불안을 감소시키고 삶의 의미를 향상시키는데 효과적인 것으로 확인되었다. 따라서 죽음준비교육 프로그램은 자원봉사자의 죽음에 대한 불안을 감소시키고 삶의 의미 향상을 위해 활용될 수 있다고 사료되며, 좀 더 다양한 자원봉사자에게 확대 적용될 수 있기를 기대한다.

Purpose: The purpose of this study was to analyze the effect of death preparing education on death anxiety and meaning of life for volunteers. Methods: Data collection and intervention were carried out from January 11 to 25, 2009. The subjects included 60 volunteers in Jeonju city, and they were divided into two groups; 30 each of experimental group and control group. Death preparing education program contained 5 steps. Data were analyzed with t-test, $x^2$-test, and ANCOVA test with SPSS version 12.0. Results: The death anxiety scores in the experimental group were significantly lower than in the control group (F=4.01, P=0.046). The meaning of life scores in the experimental group were significantly higher than in the control group (F=6.32, P=0.015). Conclusion: The death preparing education program for volunteers was confirmed to be an effective intervention to lessen death anxiety and to improve the meaning of life. Therefore, I strongly recommend that this program should generously be applied to volunteers.

키워드

참고문헌

  1. Kim SN, Choi SO, Lee JJ, Sin KI. Effects of death education program on attitude to death and meaning in life among university students. J Korean Society Health Educ Promot 2005; 22(2):141-53.
  2. Lee YH. Death-preparing education model development based on the study about attitude toward death and death-preparing education desire (Unpublished master's thesis). Seoul: Ewha Woman's Univ.; 1998. Korean.
  3. Warren WG. Death education and research: critical perspectives. New York, NY:The Hawarth Press;1989.
  4. Jang OH. Study about death of the aged: Focusing on the attitude of death (Unpublished master's thesis). Seoul: Seo Gang Univ.; 2004. Korean.
  5. Feifel H. The meaning of death. Princeton:McGraw-Hill;1959.
  6. Kubler-Ross E. On death and dying. New York:Macmillan Co.;1969.
  7. Whittle M. Death education: what should student children's nurses be taught- J Child Health Care 2002;6(3):189-201. https://doi.org/10.1177/136749350200600305
  8. Nam HS. Attitudes to the death of adults and the analysis of death preparing education needs (Unpublished master's thesis). Seoul: ChungAng Univ.; 1999. Korean.
  9. Ko SD, Kim EJ, Kim YK. Study about analyzing elements of preparatory education of death affecting uneasiness of death to the aged. J Korean Society Health Educ Promot 1999;16(2): 81-92.
  10. An CO. Study on the necessity of death education (Unpublished master's thesis). Seoul: Myon Ggi Univ.; 2001. Korean.
  11. Jang SH. A study on the adult education for death preparation (Unpublished master's thesis). Seoul: Hanyang Univ.; 2009. Korean.
  12. Kim SH. The effect of a death-preparing education on the life of the elderly (Unpublished master's thesis). Seoul: Dankook Univ.; 2003. Korean.
  13. Kim HC. The influence of how to die education on the elderly anxiety, attitude and life satisfaction towards death (Unpublished master's thesis). Gwangju: Chosun Univ.; 2004. Korean.
  14. Jo HJ. Effect of the death education program on the death anxiety and attitudes toward nursing care of the dying patients of nursing student (Unpublished master's thesis). Jinju: Gyeong Sang Univ.; 2004. Korean.
  15. Kim EH. The effect of death education program on college students life satisfaction and attitude toward death (Unpublished master's thesis). Daegu: Kyungpook National Univ.; 2007. Korean.
  16. Park EK. Development of an instrument for the measurement of concern (unpublished master's thesis). Seoul: Korea Univ.; 1995. Korean.
  17. Frankl VE. Man's search for meaning. New York:Washington Square Press;1963.
  18. Crombaugh JC. Cross validation of purpose in-life test based on Frankl's concepts. J Individ Psychol 1968;24(1):74-81.
  19. Kim KO. A study on the level of meaning of life and spiritual distress of patients with diabetes mellitus (Unpublished master's thesis). Seoul: Korea Univ.; 1990. Korean.
  20. Kim MH. Death anxiety and attitude on death of hospice volunteers (Unpublished master's thesis). Daegu: Keimyung Univ.; 2008. Korean.
  21. Scherwitz L, Pullman M, McHenry P, Gao B, Ostasesky F. A contemplative care approach to training and supporting hospice volunteers: a prospective study of spiritual practice, well-being, and fear of death. Explore 2006;2(4):304-13. https://doi.org/10.1016/j.explore.2006.04.001
  22. Nam EY. Effectiveness of death education on the reduction of children's death anxiety (Unpublished master's thesis). Seoul: Seoul Women's Univ.; 1998. Korean.
  23. Ju RA. The effects of hospice training on the volunteers attitudes toward death (Unpublished master's thesis). Gwangju: Kwangju Univ.; 1999. Korean.
  24. Baek SH, Lee MA, Kim IH. A study on change in death orientation of college student nurses-comparison of pre and post hospice care class. J Korean Acad Fundam Nurs 2001;8(3): 357-65.
  25. Smith Cumberland T. The evaluation of two death education programs for EMTS using theory of planned behavior. Death Stud 2006;30(7):637-47. https://doi.org/10.1080/07481180600776028
  26. Park GJ. Satisfaction for voluntary activity and the meaning of life in hospice volunteers. J Korean Oncol Nurs 2006;6(2):104-10.
  27. Kim JH. A study on relationship between the satisfaction of elderly voluntary activity's and the meaning of life-based on hospital voluntary activity (Unpublished master's thesis). Busan: Dong-A Univ.; 2005. Korean.
  28. Kim MS, Lee CS, Kim HC. The effects of hospice volunteer education program on perceptions about hospice and the meaning of life. J Korean Oncol Nurs 2007;7(2):131-39.
  29. Lee JY. Juveniles' awareness about and death religious education. Korean J Relig Educ 2004;19:39-56.
  30. Bowie L. Is there a place for death education in the primary curriculum- Pastoral Care Educ 2000;18(1):22-6. https://doi.org/10.1111/1468-0122.00150