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응급구조과 대학생의 죽음불안, 호스피스 지식과 임종돌봄 태도에 영향을 미치는 요인

Factors influencing death anxiety, hospices knowledge, and attitude towards end-of-life care among paramedic students

  • 강경아 (국립군산대학교 간호학과) ;
  • 조혜영 (국립군산대학교 간호학과)
  • 투고 : 2016.09.29
  • 심사 : 2016.12.19
  • 발행 : 2016.12.31

초록

Purpose: The purpose of this study was to investigate the factors influencing death anxiety, hospices knowledge, and attitude towards end-of-life care among paramedic students. Methods: A self-reported questionnaire was completed by 196 paramedic students in D university college in J city from November 2011 to November 2014. The study instruments included death anxiety, hospices knowledge, and attitude towards end-of-life care. Data were analyzed by t test, ANOVA, post hoc $Scheff{\acute{e}}$ test, Pearson's correlation test, and stepwise multiple regression analysis using SPSS v. 20.0. Results: According to a stepwise regression on the factors influencing attitudes towards end-of-life care, 80.4% of variance (F=161.360, p<.001) was explained by experience of death, hospices knowledge, disappearance of death anxiety, satisfaction with relationships (${\geq}2$) and student attitude toward end-of-life care. In addition, 44.1% of the variance (F=39.434, p<.001) was explained by experience of death, satisfaction with relationship(${\leq}4$), warning of others about death anxiety, and family attitude towards end-of-life care. Conclusion: The attitude towards end-of-life care was influenced by hospices knowledge and death anxiety in paramedic students. It is necessary to provide training in understanding attitudes towards death anxiety and end-of-life care. An effective educational program should be developed and implemented among paramedic students to improve their awareness of death and anxiety hospices knowledge.

키워드

참고문헌

  1. Jung MS. Research on the actual conditions of cancer patients in the emergency room in a university hospital in Seoul. Unpublished master's thesis, Hanyang University 2009, Seoul, Korea.
  2. Song JW. Characteristics of frequent users in an emergency department. Unpublished master's thesis, Sungkyunkwan University 2010, Seoul, Korea.
  3. Jeon MH. Recognition among nurses and doctors about the death in ER & ICU. Unpublished master's thesis, Hanyang University 2008, Seoul, Korea.
  4. Hogan KA. Caring for adult patients who die in the emergency department : reflections of emergency room nurses. Unpublished master's thesis, University of Ottawa 2008, Ottawa, Canada.
  5. Choi EH, Lee EN. Importance of nurses' caring behaviors as perceived by nurses and patients at emergency departments. J Korean Acad Soc Nurs Educ 2014;20:402-12. https://doi.org/10.5977/jkasne.2014.20.3.402
  6. Statistic Korea, 2014 Death Statistics, 2016. Available at: http://kostat.go.kr/portal/korea/kor_ko/5/2/index.board?bmode=read&aSeq=351953
  7. Jung, SW, A Study on increasing paramedics' role in hospitals- Focusing on paramedics and nurses in the emergency room -. Unpublished master's thesis, Gachon University 2016, Inchon, Korea.
  8. Cho YC, Emergency nurses' perception of death and terminal care attitude. Unpublished master's thesis, Ajou University 2011, Suwon, Korea.
  9. Shin EJ. Influence of the death education program on meaning in life, death anxiety. J of Oriental Neuropsychiatry 2011;22(3): 65-74. https://doi.org/10.7231/JON.2011.22.3.065
  10. Hong EM, Jun MD, park ES, Ryu EJ. Death perceptions, death anxiety, and attitudes to death in oncology nurses. Asian Oncology Nursing 2013;13(4):265-72. https://doi.org/10.5388/aon.2013.13.4.265
  11. Lee YE, Choi EJ, park J S, Shin SH. Perception and knowledge of hospices care and attitude toward death held by medical professionals from the same region in Korea. Korean J Hospices Palliat Care 2013;16(4) :242-52. https://doi.org/10.14475/kjhpc.2013.16.4.242
  12. Korean Catholic Hospices Association. Understanding of hospices. Seoul: Hyunmoonsa, 2005.
  13. Yu, MR. Perception of death in nursing students. Unpublished master's thesis, Chonbuk National University 2014, Jeonju, Korea.
  14. Jung SY, Lee EK, Kim BH, park JH, Han MJ, Kim IK. Attitude toward death in nursing student. J Korean Acad Soc Nurs Educ 2011;17(2):168-77. https://doi.org/10.5977/JKASNE.2011.17.2.168
  15. Chi KA, Kim, EJ. Factors influencing nurse's attitude toward hospices. J Korean Acad Psych Mental Health Nurs 2005;14 (3):285-91.
  16. Kim YH. A study of nurses burden and attitude on terminal cancer patients. Asian Oncology Nurs 2001;1(1):65-74.
  17. Cho HJ, Kim ES. The effect of the death education program on the death anxiety and attitude toward nursing care of the dying patients of nursing student. Korean J Hospices Palliat Care 2005;8(2):163-72.
  18. Yang SA. Convergence analysis of the factors influencing terminal care attitude. Korea Convergence Society 2015; 6(4):73-88. https://doi.org/10.15207/JKCS.2015.6.4.073
  19. Thompson E H. Palliative and curative care nurses' attitudes toward dying and death in the hospital setting. OMEGA J of Death and Dying 1985;16(3):233-75. https://doi.org/10.2190/4YHB-GC2P-D1GC-ER0P
  20. Kim SJ. Death anxiety and terminal care, attitudes of nurses in hospices palliative units. Nursing Science 2015;27(1):23-34.
  21. Lee KJ, Park YS. Nurses' spirituality and attitude toward terminal care in geriatric hospital. J of Digital Convergence 2015;13 (12):347-57. https://doi.org/10.14400/JDC.2015.13.12.347
  22. Park EK. Development of an instrument for the measurement of concern. Unpublished master's thesis, Korea University 1995, Seoul, Korea.
  23. Ross MM, McDonald B, McGuinness J. The palliative care quiz for nursing(pCQN): the development of an instrument to measure nurse's knowledge of palliative care. J of Advanced Nurs 1996;23(1):126-37. https://doi.org/10.1111/j.1365-2648.1996.tb03106.x
  24. Korean Council of Professors for Emergency Medical Service. Emergency care. 11th ed. Seoul: Daehak seorim, 2010.
  25. Frommelt KH. The effects of death education on nurses' attitudes toward caring for terminally ill persons and their families. Am J of Hospices and Palliative Care 1991; 8(5):37-43.
  26. Nam KH, Lee JH, Cho EH, Kim CO. Factors related to emergency department health care providers' attitudes towards end-oflife care. Korean J Hosp Palliat Care 2016;19(1):11-25. https://doi.org/10.14475/kjhpc.2016.19.1.11
  27. Lee YE, Choi EJ, park JS. Effects of hospices and palliative care education on knowledge of hospices and palliative care and attitude toward death in nursing students. J of Korean Public Health Nurs 2012;26(2):280-8. https://doi.org/10.5932/JKPHN.2012.26.2.280
  28. Yoon MO. Effect of a Death preparing education program on death anxiety and meaning of life in volunteers. Korean J hospices and Palliat Care 2009;12(4):199-208.
  29. Eo DY. Nurses' death anxiety and attitude concerining hospices care. Unpublished master's thesis, The Catholic University of Busan 2013, Busan, Korea.
  30. Jo MJ. Factors affecting attitudes toward terminal care in nursing students. Korean J Hospices Palliat Care 2015;18(4):306-13. https://doi.org/10.14475/kjhpc.2015.18.4.306
  31. Bradley EH, Cramer LD, Bogardus ST Jr., Kasl SV, Johnson-Hurzeler R, Horwitz SM. Physicians' ratings of their knowledge, attitudes, and end-of-life-care practices. Acad Med 2002;77:305-11. https://doi.org/10.1097/00001888-200204000-00009
  32. Noh SS. A study on death perception, terminal care attitude, and terminal care performance of clinical nurses caring for cancer patients. Unpublished master's thesis, Sungkyunkwan University 2010, Seoul, Korea.
  33. Hong EM, Jun MD, Park ES, Ryu EJ. Death perceptions, death anxiety, and attitudes to death in oncology nurses. Asian Oncol Nurs 2013;13:265-72. https://doi.org/10.5388/aon.2013.13.4.265
  34. Mallory JI. The impact of a palliative care educational component on attitudes toward care of the dying in undergraduate nursing students. North Carolina State University 2003, North Carolina, USA.
  35. Kim SE. Knowledge of hospices and attitude toward care of the dying in university students. Unpublished master's thesis, Catholic University of Busan 2014, Busan, Korea.