Journal of Hospice and Palliative Care

Korean Society for Hospice and Palliative Care (한국호스피스완화의료학회)
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Factors Influencing Middle-Aged Men's Attitude towards Death

중년 남성의 죽음에 대한 태도에 영향을 미치는 요인

  • 정영미 (대구한의대학교 간호학과)
  • Received : 2013.03.22
  • Accepted : 2013.07.18
  • Published : 2013.09.01
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Abstract

Purpose: This study aims to identify factors that influence middle-aged men's attitude towards death. Methods: The study enrolled 204 middle-aged (range=40~59 years) male residents of Daegu in Korea. Using a structured questionnaire, data were collected in October 4~30, 2010. For data analysis, we used descriptive statistics, t-test, one-way ANOVA, Scheff$\grave{e}$'s test, Pearson correlation coefficient, and stepwise multiple regression with SPSS WIN 14.0. Results: Participants' attitude towards death significantly differed according to educational level, religion, volunteer activities, and perceived health status. Moreover, their attitude towards death was negatively correlated with life stress and depression and positively correlated with self-esteem, life satisfaction, and coping behavior. The factors influencing the attitude towards death were life satisfaction, daily stress, religion, and depression, which explained approximately 25.7% of the total variance. Conclusion: Middle-aged men perform a crucial role in our society, and their attitude toward death affects how they cope with a situational crisis such as a terminal cancer or withdrawal of life sustaining treatment. Therefore, it is necessary to develop and implement a support program for middle-aged men, which offers them with various strategies to better manage their daily stress and improve their life satisfaction and coping skills.

목적: 본 연구는 우리나라 중년 남성의 죽음에 대한 태도를 살펴보고 이에 대한 영향요인을 파악하여 올바른 자아성찰이 포함된 건강증진 프로그램 개발을 위해 시도되었다. 방법: 대구광역시에 거주하는 만 40~59세 중년 남성을 편의 표출하였다. 구조화된 설문지 문항에는 일반적 특성, 생활스트레스, 자아존중감, 생활만족도, 우울, 대처행동, 죽음에 대한 태도 등을 포함시켰다. 자료는 기술통계, 피어슨 상관계수 및 단계적 다중회귀 분석을 이용하였다. 결과: 중년 남성의 죽음에 대한 태도는 교육 정도, 종교, 자원봉사활동, 인지된 건강상태에 따라 유의한 차이가 있었으며, 죽음에 대한 태도는 생활스트레스, 우울과는 음의 상관관계를, 자아존중감, 생활만족도, 대처행동과는 양의 상관관계를 나타내었다. 또한 단계적 다중회귀분석을 통한 죽음에 대한 태도 영향요인은 생활만족도, 생활스트레스, 종교, 대처행동이 유의한 영향요인으로 나타났으며, 이들 변수의 죽음에 대한 태도 설명력은 25.7%였다. 결론: 중년 남성이 죽음을 올바로 이해하고 긍정적이면서 수용적인 태도를 지니기 위해서는 대상자가 가지고 있는 교육수준이나 경제수준과 같이 당장 변경이 어려운 요인보다는 보다 접근이 용이한 심리적인 요인에 초점을 두고 개입이 시행되어야 할 것이다. 또한 이런 중재는 일반 중년 남성뿐만 아니라 말기 암이나 호스피스 치료를 받고 있는 중년 남성, 더 나아가 중년 여성이나 다른 연령층에게 본 연구결과가 적용될 수 있을 것이다.

Keywords

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