Journal of the Korea Convergence Society (한국융합학회논문지)

Korea Convergence Society (한국융합학회)
권호 표지
DOI QR코드

DOI QR Code

Convergence Research on Relationships among the inhibiting factors of Dying Well

웰다잉 저해 요인의 관련성에 관한 융합 연구

  • 이종형 (건양대학교 병원경영학과) ;
  • 안상윤 (건양대학교 병원경영학과) ;
  • 김용하 (건양대학교 병원경영학과) ;
  • 김광환 (건양대학교 병원경영학과)
  • Received : 2019.06.11
  • Accepted : 2019.08.20
  • Published : 2019.08.28
Download PDF
⟨ Previous Next ⟩

Abstract

The purpose of this study is to determine the inhibiting factors of dying well for people who want to have a good death. The final respondents in this study were sampled using stratified proportional allocation using a stratified random sampling method, and 1,000 adults aged between 19 and 75 years were selected. The questionnaire used consisted of four items on general characteristics and 20 items related to the inhibiting factors of dying well scored on a 7-point Likert scale. Analysis was conducted using descriptive statistics, correlation analysis, and decision tree analysis. Results showed that, among the inhibiting factors of dying well, "degenerative diseases (such as dementia)" and "loss of control (mental / physical)" scored 5.502 and 5.268 points, respectively; the highest significant positive correlation was found between "bad marital relationship" and "bad relationship with children," followed by "did not receive death education" and "lack of medical policy promotion (dying well)" and "bad relationship with children" and "indifference of others." Considering these findings, it appears that the whole society will make efforts to improve the perception and practice of good death, and life and death education will be expanded if death education for dying well is organized and implemented.

본 연구는 좋은 죽음을 맞이하고 싶어 하는 사람에게 웰다잉을 하지 못하도록 저해하는 요인이 무엇인지 파악하고자 한다. 연구대상은 전국 17개 시와 도의 만 19세 이상 만 75세 미만의 성인 1,000명을 대상으로 선정하였다. 설문구성은 일반적 특성 4문항과 리커트의 7점 척도를 활용한 웰다잉의 저해요인과 관련된 20문항으로 구성하였다. 분석은 기술통계, 상관분석, 의사결정나무 분석을 수행하였다. 연구결과는 웰다잉을 저해하는 요인들에 관한 문항 중 '퇴행성 질병(치매 등)'은 5.502점, '통제력 상실(정신/신체)'는 5.268점 등으로 나타났다. 웰다잉 저해요인들 간의 상관성 분석에 있어서는 '안 좋은 부부관계와 안 좋은 자녀관계', '죽음교육을 받지 못함과 의료정책 홍보부족(웰다잉)', '안 좋은 자녀관계와 사람들의 무관심'의 순서로 유의한 양의 상관관계가 높게 나타났다. 이러한 연구결과를 고려하여 좋은 죽음을 맞이하기 위한 죽음교육을 구성 및 실시한다면 사회전체가 좋은 죽음을 위한 인식과 실천적 삶을 위해 노력하고 삶과 죽음 교육의 확대가 이루어 질 것으로 사료된다.

Keywords

References

  1. G. J. Lee, K. H. Hwang, J. R. Ra, J. A. Hong & C. S. Park. (2006). Concept Analysis of Good Death. The Research Institute for Hospice & Pallative Care Newsletter, 10(0), 23-39.
  2. S. M. Kim, Y. J. Lee & S. Y. Kim. (2003). Attributes considered important for a good death among elderly and adults. Journal of the Korea Gerontological Society, 23(3), 95-110.
  3. J. T. Oh. (2005). If you know death, you can see life. today's Oriental thought, 12(0), 258-273.
  4. D. L. Min & E. H. Cho. (2017). Concept Analysis of Good Death in the Korean Community. Korea Gerontological Nursing Society, 19(1), 28-38. https://doi.org/10.17079/jkgn.2017.19.1.28
  5. N. Y. Han, E. W. Park, Y. S. Cheong, S. M. Yoo & H. J. Yoon. (2002). Perception of a Good Death in the Elderly. Korean Academy of Family Medicine, 23(2), 769-777.
  6. M. S. An & K. J. Lee (2014). Awareness of Good Death and Attitudes toward Terminal Care among Geriatric Hospital Nurses. The Korean journal of hospice and palliative care, 17(3), 122-133. https://doi.org/10.14475/kjhpc.2014.17.3.122
  7. M. H. Kim, K. J. Kwon & Y. O. Lim, (2004). Study on 'Good Death' that Korean Aged People Recognize-Blessed Death, Korean Journal of Social Welfare, 56(2), 195-213.
  8. C. E. Schwartz, K. Major, J. Rogers, M. A. Yunshen & G. Reed. (2003). Validation of a new measure of concept of a good death. Journal of palliative medicine, 6(4), 575-584. https://doi.org/10.1089/109662103768253687
  9. C. G. Kim. (2014). Factors Influencing Perception of Good Death among the Community-dwelling Elderly. Korean Society For Hospice and Pallative Care, 17(3), 151-160. https://doi.org/10.14475/kjhpc.2014.17.3.151
  10. Y. J. Lee, S. M. Kim & S. Y. Kim. (2002). Nursing Students′ Attitudes Toward End-of-Life and Life-Sustaining-Treatment. The Journal of Korean academic society of nursing education, 8(2), 251-260.
  11. M. S. Kwon & J. Y. Hong. (2019). Perception of Good Death and Knowledge, Attitude for Advanced Directives of Nursing Students. Journal of Learner-Centered Curriculum and Instruction, 19(3), 825-843. https://doi.org/10.22251/jlcci.2019.19.3.825
  12. M. Y. Kim. (2014). Narrative Study on Learning Experience of Attendees in Dying well Class, Master's dissertation. Kongju National University, Kongju.
  13. S. H. Shin. (2017). A study Integrated characters of Dying well. Association of Korean Buddhist Professors, 23(1), 1-30.
  14. Y. H. Yun. (2014). The study on the view of death in the Buddhism for well dying's culture formation. Korea Philosophical Society, 130(0), 161-186.
  15. S. T. Jung. (2014). A Study on the Improvement and Efficient Utilization of the Life-Sustaining Treatment Decision System. Doctoral dissertation, Daegu Hanny University, Daegu.
  16. H. S. Jeong. (2010). Recognition towards Good death among Physicians and Nurses in an area. Master's dissertation. Catholic University of Pusan, Pusan.
  17. J. Y. Kwon. (2008). Conditions and Direction of Dying well from the viewpoint standing on the Contemporary Cultural Context of Korean's, The Society of Eastern Philosophy, 55(0), 7-43.
  18. L. J. Lee. (2004). A study on the program development of death education for the aged. Master's dissertation. Yonsei University, Seoul.