Journal of Hospice and Palliative Care

  • 제18권3호
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  • Pages.227-234
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  • 2015
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  • 2765-3072(pISSN)
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  • 2765-3080(eISSN)
한국호스피스완화의료학회 (Korean Society for Hospice and Palliative Care)
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죽음준비교육이 일반인의 연명치료중단 및 호스피스·완화의료에 대한 인식에 미치는 효과

Effects of Death Preparation Education on Awareness of Hospice Palliative Care and Withdrawing Life Sustaining Treatment in City Dwellers

  • 투고 : 2015.04.28
  • 심사 : 2015.07.13
  • 발행 : 2015.09.01
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초록

목적: 본 연구에서는 일반인을 대상으로 죽음준비교육 프로그램이 연명치료중단 및 호스피스 완화의료에 대한 인식에 미치는 효과를 규명하기 위해 수행되었다. 방법: 본 연구의 죽음준비교육 프로그램은 총 5주에 걸쳐 진행되었으며 연구 대상자는 서울시 소재 일개구청과 대학교의 협력사업으로 진행한 죽음준비교육 참여자로 실험군 35명, 대조군 40명으로 총 75명이었고 사전 사후 측정은 자가 보고식 설문지를 이용하여 자료를 수집하였다. 결과: 죽음준비교육 후 호스피스 완화의료에 대한 인식은 실험군과 대조군에서 유의한 차이를 보이지 않았으나 연명치료중단 인식정도는 실험군이 대조군보다 유의하게 높은 결과를 보였다. 결론: 인간은 의미를 추구하는 존재로서 늘어나는 기대수명에 맞춰 삶의 질을 높이려는 욕구 또한 증가하고 있으며 자신의 삶의 마지막을 결정할 권리가 있는데, 본 연구결과는 인생의 마지막 순간에 자신의 삶을 결정하는 것에 대한 이론적 근거가 되었다고 본다. 또한, 일반인들에게 호스피스 완화의료에 대한 인식에 긍정적으로 영향을 줄 수 있는 죽음준비교육 프로그램 개발과 적절한 교육과정과 기간 및 교육방법에 대한 평가연구가 계속되어야겠다.

Purpose: This study was done to analyze how a death preparation education program have the effects on awareness of hospice palliative care and withdrawing life sustaining treatment in older adults. Methods: This study employed a non-equivalent control group design among quasi-experimental designs. The experimental group was comprised with 35 adults and the control group with 40 adults. The death preparation program consisted of five two-hour sessions and was administered once a week for five straight weeks. Data were analyzed by descriptive statistics, t-test, ${\chi}^2$ test, Fisher's exact test, and ANCOVA using SPSS version 18.0. Results: The mean age of the participants was 66.2 years. A significant difference between the experimental and control groups was observed in withdrawing life sustaining treatment (F=3.380, P=0.040). However, no significant difference was found in awareness of hospice palliative care (F=0.163, P=0.850). Conclusion: The study results indicate that death preparation training could positively affect people's awareness of withdrawing life sustaining treatment. More studies should be conducted to explore effects of death preparation education for all ages and help people better understand hospice palliative care.

키워드

참고문헌

  1. Statistics Korea: Death rates by neoplasms [Internet]. Daejeon: Statistics Korea; 2014. [cited 2014 Sep 20]. Available from: http://kosis.kr/wnsearch/totalSearch.jsp.
  2. Kang YS. A study of pastoral care for the elderly anxiety and death education [master's thesis]. Yangpyung: Asian United Theological Univ.; 2008. Korean.
  3. Oh JT, Kim CG. Effects of death education on attitude toward death and depression in older adults. J Korean Gerontol Soc 2009;29:51-69.
  4. Oh JT. The last present. Seoul:Sejongbooks;2007.
  5. Koh YS, Kang JM, Armstrong JD. Role of hospital ethics committee on the consultation of near the end-of-life care in a Korean university hospital. Korean J Med Ethics 2005;8:182-6.
  6. Kim ES. Perception and ethical attitude about withdrawing of life : sustaining treatments for the elderly between elderly patients and their family [master's thesis]. Jeonju: Chonbuk National Univ.; 2012. Korean.
  7. Kim HS. The effect of educational program on withdrawing life-sustaining treatment for elderly [master's thesis]. Seoul: Sahmyook Univ.; 2014. Korean.
  8. Yu HJ. The basis and conditions of justified withdrawing or withholding of persistence-treatment. Korean J Med Ethics 2002; 5:151-67.
  9. Shin YT, Lee IH, Kim HS, Lee HI. An analysis of attitudes toward advance directives among judicial apprentices and medical trainees. Korean J Med Ethics 2008;11:23-36.
  10. Kim YS. The differences of attitude to death and perception on hospice-palliative care between nursing and medical students in an area. Korean J Health Serv Manag 2013;7:37-52. https://doi.org/10.12811/kshsm.2013.7.2.037
  11. Glass E, Cluxton D, Rancour P. Principles of patient and family assessment. In: Ferrell B, Coyle N. Oxford textbook of palliative nursing. 3rd ed. New York:Oxford University Press;2010. p. 87-105.
  12. Park GS. The study of consciousness of euthanasia among health professionals: Q-methodological approach [master's thesis]. Seoul: Dankook Univ.; 2000. Korean.
  13. Byun EK, Choi HR, Choi AL, Hong KH, Kim NM, Kim HS. An investigative research on the attitudes of intensive care unit nurses and families on terminating life support. J Korean Clin Nurs Res 2003;9:112-24.
  14. Han SY. A study on the recognition of well-dying, change to attitude toward the old and meaning of life through hospice education program of care worker trainees. J Korea Acad Ind Coop Soc 2012;13:4471-7.
  15. Kim JH. A study on attitude toward death and hospice of medical professionals [master's thesis]. Seoul: Hanyang Univ.; 1990. Korean.
  16. Lee EJ. A study of spot-survey towards the attitude of hospice [master's thesis]. Iksan: Wonkwang Univ.; 1998. Korean.
  17. 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;7:131-9.
  18. Hong EM, Jun MD, Park ES, Ryu EJ. Death perceptions, death anxiety, and attitudes to death in oncology nurses. J Korean Oncol Nurs 2013;13:265-72.
  19. Kim SN, Choi SO, Lee JJ, Shin KI. Effects of death education program on attitude to death and meaning in life among university students. J Korean Soc Health Educ Promot 2005;22: 141-53.
  20. Kim EH, Lee EJ. Effects of a death education program on life satisfaction and attitude toward death in college students. J Korean Acad Nurs 2009;39:1-9. https://doi.org/10.4040/jkan.2009.39.1.1
  21. Kang KA. Comparison of meaning in life and death attitude between participants and non-participants in well-dying education. J Korean Oncol Nurs 2010;10:156-62. https://doi.org/10.5388/jkon.2010.10.2.156
  22. Jo KH, An GJ, Kim GM, Kim YJ. Predictive factors for city dwellers' attitude toward death with dignity. Korean J Hosp Palliat care 2012;15:193-204.
  23. Shin EJ. Influence of the death education program on meaning in life, death anxiety and attitude toward nursing care of the dying patients among nursing students. J Orient Neuropsychiatry 2011;22:65-74. https://doi.org/10.7231/JON.2011.22.3.065
  24. Yoon MO. Effect of a death preparing education program on death anxiety and meaning of life in volunteers. Korean J Hosp Palliat Care 2009;12:199-208.
  25. Han EK. Attitudes and perceptions on DNR among older adults and the caregivers [master's thesis]. Seoul: Hanyang Univ.; 2010.
  26. Lee YE, Choi EJ, Park JS. Effects of hospice and palliative care education on knowledge of hospice and palliative care and attitude toward death in nursing students. J Korean Public Health Nurs 2012;26:280-8. https://doi.org/10.5932/JKPHN.2012.26.2.280
  27. Yang MS. A study on education of hospice for meaningful death [master's thesis]. Seoul: Presbyterian Univ. & Theological Seminary; 2013. Korean.

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  3. Evaluation of Outcomes of the Busan Community-based Palliative Care Project in Korea vol.12, pp.4, 2015, https://doi.org/10.1016/j.anr.2018.11.001
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