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Spiritual Welling-Being, Attitude to Death and Perception of Hospice Care in College Students

대학생의 영적안녕과 죽음에 대한 태도 및 호스피스 인식

  • Received : 2015.08.13
  • Accepted : 2015.11.13
  • Published : 2015.12.01

Abstract

Purpose: The purpose of this study is to provide baseline data for the development of an educational program for hospice care for college students. Methods: A survey was conducted at three universities in B city with 143 students from September 5, 2014 through September 26, 2014. The data were analyzed by the SPSS 18 program. This study was approved by IRB. Results: The college students' spiritual well-being was at a medium level. Their attitudes to death were neutral, and perception of hospice care was at a medium level. Most of the participants (93.0%) had no training in hospice care. The participants' awareness of the purpose of hospice care was at a relatively high level. Their awareness of the need for hospice care was at a moderate level. The participants' spiritual well-being and their attitudes to death showed a weak but positive correlation (r=0.179, P=0.030). The relationship between their spiritual well-being and awareness of hospice care were positively correlated (r=0.203, P=0.015). Conclusion: The participants' perception of hospice care was low. Most of them had no experience of hospice care education. Also, the higher the spiritual stability was, the higher the participants' perception of the purpose and the necessity of hospice care was. And their perception of the hospice care varied depending on their family relationship, satisfaction with school life, and cognition of hospice care. Therefore, we need consider these variables to develop a hospice education program to enhance college students' attitudes to death and their perception of hospice care.

목적: 본 연구는 대학생을 대상으로 영적안녕, 죽음에 대한 태도 및 호스피스에 대한 인식 정도와 그 관계를 규명하기 위한 것이다. 방법: 대상자는 B 광역시에 소재한 3개 종합대학교에 재학 중인 간호학과를 제외한 대학생 143명이었고, 자료수집 기간은 2014년 9월 1일부터 동년 9월 0일까지였다. 결과: 대학생의 영적안녕 정도는 평균 2.63(척도범위 1~4)으로 중간 정도였고, 죽음에 대한 태도는 2.74(척도범위 1~4)로 중간보다 약간 높은 것으로 나타나 약간 긍정적인 것을 알 수 있었다. 대학생의 호스피스의 인식 정도는 일반적 인식에서 '알고 있다'라고 대답한 학생이 54.5%로 절반수준이었고, 호스피스 관련 교육을 '받은 적 없다'가 93.0%으로 대부분을 차지하였으며, '호스피스를 알고 있다'고 응답한 경우 호스피스를 듣게 된 경로는 '종교기관'이 30명(38.5%)으로 가장 많았다. 호스피스의 목적에 대한 인식 정도는 3.90(척도범위 1~5)로 비교적 높았고, 호스피스의 필요성에 대한 인식 정도는 3.48(척도범위 1~5)로 중간보다 높은 것으로 나타났다. 대학생의 일반적 특성에 따른 호스피스의 목적에 대한 인식 정도는 호스피스인지, 추후 호스피스 수강 의향, 추후 호스피스 자원봉사 의향에 따라 유의한 차이가 있었고, 대학생의 일반적 특성에 따른 호스피스의 필요성에 대한 인식 정도는 부모 생존 여부, 학교생활 만족도, 부모와의 관계, 호스피스 인지, 호스피스 관련교육 수강 유무, 추후 호스피스 수강 의향, 추후 호스피스 자원봉사 의향에 따라 유의한 차이가 있었다. 대학생의 영적안녕과 죽음에 대한 태도(r=0.175, P=0.037), 영적안녕과 호스피스에 대한 인식(r=0.203, P=0.015)은 각각 양의 상관관계였고, 죽음에 대한 태도와 호스피스 인식은 상관관계가 없었다. 결론: 일반대학생의 죽음에 대한 태도와 호스피스에 대한 인식을 증진시키기 위한 죽음 및 호스피스 교육프로그램 개발을 제안한다.

Keywords

References

  1. Ministry of Health & Welfare, National Cancer Center. 2008 annual report of the central cancer registry in Korea. Seoul, Goyang; Ministry of Health & Welfare, National Cancer Center: 2008.
  2. Ministry of Health & Welfare, National Cancer Center. 2012 Hospice & palliative care guideline for palliative care team member. Seoul, Goyang; Ministry of Health & Welfare, National Cancer Center: 2012.
  3. Paloutzian RF, Ellison CW. Loneliness, spiritual well-being and the quality of life. In: Peplau LA, Perman D, eds. Loneliness: a sourcebook of current theory, research, and therapy. New York: Wiley;1982. p. 224-36.
  4. Kim SN, Lee SB. Spiritual well-being, social support, life satisfaction and depression in the community dwelling elderly. J East-West Nurs Res 2013;19:186-94. https://doi.org/10.14370/jewnr.2013.19.2.186
  5. So HY, Min HS. Spiritual wellbeing and life attitude of breast cancer patients. Korean J Rehabil Nurs 2006;9:5-14.
  6. Suh KH, Chung SJ, Koo JH. Spiritual well-being, life stress, depression, and self-esteem among college students. Korean J Couns Psychother 2005;17:1077-95.
  7. Kim JH, Min KH. Predictors of death attitude and death competency among the elders. Korean J Soc Personal Psychol 2010; 24:11-27.
  8. Kim MS. Philosophical studies on cognition and attitude of Koreans towards death. Chungnam National University Confucianism Research Institute 2010;22:73-108.
  9. WHO Expert Committee on Comprehensive School Health Education and Promotion. Promoting health through schools. Geneva:WHO;1997.
  10. Jung HO, Chung KT, Hwang WD, Kim YS, An JH, Kim DH, et al. A study on university students' orientation and attitudes on hospice-to develop homo humanitas thanatology. J North-East Asian Cultures 2010;22:153-68.
  11. Min HJ. A study on osteoporosis knowledge, health beliefs and health promoting behaviors among female college students [master's thesis]. Daejeon: Eulji Univ.; 2011. Korean.
  12. Lee YE, Choi EJ, Park JS, Shin SH. Perception and knowledge of hospice care and attitude toward death held by medical professionals from the same region in Korea. Korean J Hosp Palliat Care 2013;16:242-52. https://doi.org/10.14475/kjhpc.2013.16.4.242
  13. Lee YE, Park HS, Son SK. The relationship between spiritual well-being and attitude toward death in nursing students. Faith & Scholarship 2007;12:195-232.
  14. Jun JS. Spiritual well-being, attitude towards death and perception of hospice among nurses [master's thesis]. Busan: Catholic Univ. of Busan; 2014. Korean.
  15. LEE HJ. Spiritual well-being and perception of death in nursing students. Korean J Hosp Palliat Care 2004;7:29-36.
  16. Lee YJ. A study on nurse's perception and attitude toward death and hospice [master's thesis]. Daejeon: Daejeon Univ.; 2004. Korean.
  17. Lee HJ. A study on the nursing student's attitude toward death and perception on hospice care. J East-West Nurs Res 2013; 19:88-95. https://doi.org/10.14370/jewnr.2013.19.2.88
  18. Kim JH, Min KH. The influence of gender and personality on fear of death and death acceptance among young adults. Korean J Psychol 2005;24:11-36.
  19. Keon BK. Study on the attitude to death and the hospice care perceive by medical students [master's thesis]. Seoul: Kyung Hee Univ.; 2007. Korean.
  20. Kim JH, Lee YE. Relationship between spiritual well-being and attitudes toward death in volunteers for hospice care. J Wholistic Nurs Sci 2011;5:84-98.
  21. Chung YJ. Influencing factors to attitude, preparation about death and hospice perception in elderly home residents [master's thesis]. Seoul: Korea National Open Univ.; 2010. Korean.
  22. Han YR, Kim IH. Attitude toward death and recognition of hospice of community dwellers. J Korea Community Health Nurs Acad Soc 2008;22:49-61.
  23. Choi SS. Correlational study on spiritual wellness, hope and perceived health status of urban adults [dissertation]. Seoul: Yonsei Univ.; 1990. Korean.
  24. Kang JH. A study on the spiritual wellbeing of the cancer patients [master's thesis]. Busan: Pusan National Univ.; 1996. Korean.
  25. Thorson JA, Powell FC. Elements of death anxiety and meanings of death. J Clin Psychol 1988;44:691-701. https://doi.org/10.1002/1097-4679(198809)44:5<691::AID-JCLP2270440505>3.0.CO;2-D
  26. Park SC. A study on the death orientation of hospice volunteers. J Korean Acad Nurs 1992;22:68-80.
  27. Han JY, Lee NY. Nursing students' attitude toward death and perception on hospice care. J Korean Oncol Nurs 2009;9:95-103.
  28. Kim KH, Kim KD, Byun HS, Chung BY. Spiritual well-being, self esteem, and attitude to death among nursing students. J Korean Oncol Nurs 2010;10:1-9.
  29. Kwon BK. A study on the attitude toward death and hospice are perceived by medical students [master's thesis]. Seoul: Kyung Hee Univ.; 2007. Korean.
  30. Cho HJ, Kim ES. The effect of the death education program on the death anxiety and attitudes toward nursing care of the dying patients of nursing student. Korean J Hosp Palliat Care 2005;8:163-72.
  31. Lee YE, Choi EJ, Park JS. Effect 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
  32. 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.

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  11. 간호학과 1학년의 도덕적 행동, 생명의료윤리 의식, 죽음 태도가 호스피스 인식에 미치는 영향 vol.19, pp.1, 2015, https://doi.org/10.14400/jdc.2021.19.1.275