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대학생의 호스피스 인식과 죽음 태도

Perception on Hospice and Attitude to Death for University Students

  • 투고 : 2019.09.03
  • 심사 : 2019.10.16
  • 발행 : 2019.11.30

초록

본 연구의 목적은 대학생의 호스피스 인식과 죽음 태도를 확인하고 대학생을 위한 호스피스 및 죽음 관련 교육 프로그램 개발을 위한 기초 자료를 제공하는 것이다. 자료수집은 B 광역시 소재 4년제 대학교 재학생 150명을 대상으로 2019년 7월 30일부터 8월 13일까지 인터넷 설문지를 SNS를 통해 배포하고 회수하였다. 수집된 자료는 SPSS 26.0 프로그램을 사용하여 기술통계, t-test, ANOVA, Pearson's correlation coefficient로 분석하였다. 대상자의 호스피스 인식 평점 평균은 $3.06{\pm}0.28$이며, 죽음 태도는 중립적 수용 $5.31{\pm}1.23$, 죽음공포 $3.77{\pm}1.39$, 죽음회피 $3.56{\pm}1.51$, 접근적 수용 $3.15{\pm}1.30$, 탈출적 수용 $3.06{\pm}1.43$ 순으로 나타났다. 호스피스 인식은 성별(t=-2.46, p=.015), 전공(t=7.97, p<.001), 호스피스 학습경험(t=5.58, p<.001)에서, 죽음 태도 중 '죽음공포'는 호스피스 학습경험(t=-2.51, p=.013)에서, '죽음회피'는 성별(t=3.77, p<.001)에서, '중립적수용'은 전공(t=2.52, p=.013), 주관적 건강수준(F=5.42, p=.005)에서, '접근적수용'은 종교(t=4.12, p<.001)에서 유의한 차이가 나타났다. 호스피스 인식은 죽음공포(r=-.25, p=.002), 죽음회피(r=-.30, p<.001)와 음의 상관관계를, 중립적수용(r=.24, p=.003)과 양의 상관관계를 나타냈다. 그러므로, 이러한 변수들을 고려하여 대학생을 위한 긍정적인 죽음 태도를 강화하고 호스피스 인식을 높이기 위한 교육프로 그램 개발이 필요하다.

The purpose of this study was to examine relation between perception on hospice and attitude toward death to provide baseline data for the development of programs for hospice or death-related education for university students. The survey was performed on 150 students in four universities in B metropolitan city. The data was collected from July 30 to August 13, 2019. Data were analyzed using descriptive analysis, t-test, ANOVA Pearson's correlation coefficient with the SPSS/WIN 26.0 program. The mean of perception on hospice score was 3.06 out of 4, of the attitude toward death, 'neutral acceptance', 'fear of death', 'death avoidance', 'approach acceptance', and 'escape acceptance' had average scores of 5.31, 3.77, 3.56, 3.15, and 3.06, respectively. There were significant differences in perception on hospice according to gender, major, and experience of hospice-related education and in attitude toward death according to gender, major, religion, subjective health status, experience of hospice-related education. The relationship between perception on hospice and neutral acceptance showed a significant positive correlation, and fear of death and death avoidance showed a significant negative correlation. Therefore, we need consider these variables to develop a hospice or death-related education program to enhance university students' attitudes to death and their perception of hospice.

키워드

참고문헌

  1. Well-dying Convergence Research Society in Konyang university, Understanding and practice of well dying. Paju: Soomoonsa; 2018.
  2. Kwon SH, A justification on the evil of death. The Journal of the Convergence on Culture Technology, 3(4), pp. 27-33, 2017. https://doi.org/10.17703/JCCT.2017.3.4.2
  3. Kim H, Attitudes toward death and end-of-life care among nurses in nursing homes. [master's thesis]. [Seoul] : Seoul National University; 2013.
  4. Nam HS, The differential effects of death fear on the meaning perceptions in life by death acceptance levels. [master's thesis]. [Seoul] : Catholic University; 2012.
  5. Lee YE, Choi EA, Lee KE, Spiritual welling-being, attitude to death and perception of hospice care in college students. Korean Journal of Hospice and Palliative Care, 18(4), pp. 294-305, 2015. http://dx.doi.org/10.14475/kjhpc.2015.18.4.294
  6. Cho OH, Han JS, Hwang KH, Subjective health status, attitude toward death and spiritual well-being of nurses. Journal of Contents Association. 13(10), pp. 375-384, 2013. http://dx.doi.org/10.5392/JKCA.2013.13.10.375
  7. Kim SO, Attitude to death and hospice perception in nursing students. Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology, 8(4), pp. 691-700. 2018. http://dx.doi.org/10.21742/AJMAHS.2018.04.11
  8. Kang JH, A study on intensive care unit nurses' recognition of death. [master's thesis]. [Seoul] : Sahmyook University; 2011.
  9. Dezutter J, Soenens B, Luyckx K, Bruyneel S, Vansteenkiste M, Duriez, B. et al. The role of religion in death attitudes: distinguishing between religious belief and style of processing religious contents. Death Studies, 33(1), pp. 73-92, 2009. https://doi.org/10.1080/07481180802494289
  10. Park YE. Correlation between spiritual well-being and attitude to death in hospice nurses. [master's thesis]. [Busan] : Busan catholic University; 2011.
  11. Kim MS. Perception and attitude of Koreans towards death and it's philosophical implications. Journal of the New Korean Philosophical Association, 22, pp. 73-108, 2010.
  12. Yoon YJ. Relationship between the Attitude to Death and Burnout of Hospice staff. [master's thesis]. [Seoul] : Hanyang University; 2009.
  13. Eo DY. Nurses' death anxiety and attitude concerning hospice care. [master's thesis]. [Busan] : Busan catholic University; 2010.
  14. Cho HJ, Effect of the death education program on the death anxiety and attitudes toward nursing care of the dying patients of nursing student. [master's thesis]. [Jinju] : Gyeong-Sang National University; 2004.
  15. Min HJ, A study on osteoporosis knowledge, health beliefs and health promoting behaviors among female college students [master's thesis]. Daejion: Eulji Univiersity: 2011.
  16. Byeon DH, Park MH, Effects of death preparation education on nursing students' perceptions about the meaning of Life, death and well-dying and hospice. Journal of the Korea Academia-Industrial cooperation Society, 18(5), pp. 169-176, 2017. https://doi.org/10.5762/KAIS.2017.18.5.169
  17. Korean Hospice & Palliative Nurse Association, Study guides for hospice and palliative care. Paju: Soomoonsa; 2006.
  18. 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. Journal of Korean Public Health Nursing, 26(2), pp. 280-288, 2012. http://dx.doi.org/10.5932/JKPHN.2012.26.2.280
  19. Jung HO, Chung KT, Hwang WD, Kim YS, An JH, Kim DH, et al., A study on university student's orientation and attitudes on hospice-To develop homo humanitas thanatology -. Journal of North-East Asian Cultures, 1(22), pp. 153-168, 2010. http://dx.doi.org/10.17949/jneac.1.22.201003.009
  20. Kim JH, The attitude of medical personnel about death and hospice research. [master's thesis]. Seoul: Hanyang University; 1990.
  21. Lee EJ, A study of spot-survey towards the attitude of hospice. [master's thesis]. Iksan: Wonkwang University; 1998.
  22. Kim MS, Comparison on the perception about hospice and the meaning of life of participants and non-participants of the hospice volunteer education program. [master's thesis]. Kwangju: Chonnam National University; 2007.
  23. Wong PTP, Reker GT, Gesser G, Death Attitude Profile-Revised (DAP-R): A multidimensional measure or attitudes toward death. In R.A. Neimeyer(Ed.), Death anxiety handbook: Research, instrumentation, and application., pp. 121-148. Washington, DC: Taylor & Francis, 1994.
  24. Choi KA, Perception of hospice and attitude to death of the adults in a local area. [master's thesis]. [Busan] : Kosin University; 2011.
  25. Choi GH, Kwon SH, The effects of a hospice palliative education program on perception of hospice, attitude to death, and meaning of life in adults. orean Journal of Hospice and Palliative Care, 21(1), pp. 14-22, 2018. https://doi.org/10.14475/kjhpc.2018.21.1.14
  26. Kim EH, Lee EJ, Effect of death education program on life satisfaction and attitude toward death in college students'. Journal of Korean Academic of Nursing, 39(1), pp. 1-9, 2009. https://doi.org/10.4040/jkan.2009.39.1.1
  27. Asadpour M, Sabzevari L, Ekramifar A, Bidaki R, The attitude of medical students toward death: A cross-sectional study in Rafsanjan. Indian Journal Palliative Care, 22(3), pp. 354-361, 2016. https://doi.org/10.4103/0973-1075.185084.