가정∙방문간호학회지 (Journal of Home Health Care Nursing)

한국가정∙방문간호학회 (Korean Academic Society of Home Health Care Nursing)
권호 표지
DOI QR코드

DOI QR Code

가정전문간호사의 죽음인식과 죽음 불안이 임종간호태도에 미치는 영향

Association of Perceptions and Anxiety of Home Health Nurses about Death, on their Attitudes to Terminal Care

  • 투고 : 2022.07.15
  • 심사 : 2022.11.04
  • 발행 : 2022.12.31
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Purpose: The purpose of this study was to identify the extent to which in-hospital-based home health nurses' perceptions and anxiety about death following terminal care, affects their attitudes toward terminal care. Methods: The subjects were 128 advanced practice nurses working in hospital-based facilities for home health care, located in Seoul, Gyeonggi-do, and Incheon Metropolitan City. Data were collected from May 3, 2019, to June 3, 2019, using structured questionnaires, on terminal care and related variables based on the literature. Data were analyzed by performing the Student's t-test, one-way ANOVA, Pearson's correlation, and multivariable stepwise regression using the SPSS Version 25.0 program. Results: The scores of the attitudes toward terminal care of home health care nurses was 3.25 points out of a possible 4 points. Factors affecting nurses' attitudes toward terminal care were their concern about death(β=0.45, p<0.001), religion(β=-0.26, p=0.001) and the anxiety of others about dying(β=-0.23, p=0.003), which explained 32.0% of the observed variance concerning the factors affecting nurses' attitudes toward terminal care. Conclusion: Through this study, concern about death, anxiety about how other people process dying, and religion, were found to be associated factors. The more concerned the nurses were about death and the less their anxiety about how others process dying, the better the home health care nurses' attitude toward implementing terminal care.

키워드

과제정보

이 결과물은 2022년도 남서울대학교의 교내연구비 지원에 의한 것임.

참고문헌

  1. Jung KH, Oh YH, Lee YH, Oh MA, Kang EN, Kim KR et al. 2017 Senior Report. Policy Report. Korea institute for health and Social Affaires: Ministry of Health and welfare. 2017 November. Report No.:11-1352000-000672-12. http://www.mohw.go.kr/react/jb/sjb030301vw.jsp?PAR_MENU_ID=03&MENU_ID=032901&page=1&CONT_SEQ=344953 
  2. Statistics Korea. 2021 Census Birth and death statistics [internet]. Seoul: Statistics Korea; 2021 [cited 2022 February 23]. Available from: https://kostat.go.kr/portal/korea/kor_nw/1/2/3/index.board?bmode=read&bSeq=&aSeq=416897&pageNo=1&rowNum=10&navCount=10&currPg=&searchInfo=&sTarget=title&sTxt 
  3. Kim CJ. Japan, 'death at home' increased by 43% after applying for medical visits. Chosun media. 2018. Aug 8;sect. 03. 
  4. Home Care History Compilation Committee, 20- Year history and perspectives on home health care, HN Science press; 2014. p. 75-76. 
  5. Yong JS, No YZ, Han SS, Kim MJ. Comparison between Home Care Nursing Interventions for Hospice and General Patients. Journal of & Palliative Care. 2002;6:15-38.  https://doi.org/10.1177/082585979000600204
  6. No YZ, Han SS, Ahn SH, Kim ChG. Hospice and Death: hyunmunsa press; 1994. p.502. 
  7. Kim BH, Jung Y, Park KB. The Analysis of activities and satisfaction of Volunteer for hospice care. The Korean Journal of Hospice and Palliative Care. 2002;5(2):163-171. 
  8. Carney K, Burns N. Economics of Hospice Care. Oncol Nurs Forum. 1991;18(4):761- 768. 
  9. Kim SR., No MJ, Moon KE, Cho HJ, Park Y, Lee NJ, et al. Intensive care unit nurses' death perception, end of life stress and end of life nursing attitudes. Journal of Korean Clinical Nursing Research. 2018;24(2):255-262. https://doi.org/10.22650/JKCNR.2018.24.2.255 
  10. Ali, WGM, Ayou NS. Nurses'attitudes toward caring for dying patient in Mansoura university hospital. Journal of Medicine and Biomedical Sciences. 2010;1(1):16-23. 
  11. 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):265-272.  https://doi.org/10.5388/aon.2013.13.4.265
  12. Yang SA. Convergence analysis of the factors influencing terminal care attitude. Journal of the Korea Convergence Society. 2015;6(4):73-88.  https://doi.org/10.15207/JKCS.2015.6.4.073
  13. Kim EH, Lim YM, The Mediating Effect of Compassionate Competence on the Relationship between Nurses' Spirituality and Attitude toward Care of Dying Patients, Journal of East-West Nursing Research. 2019;25(2):166-173. https://doi.org/10.14370/jewnr.2019.25.2.166 
  14. Kang JH, Lee YM, Lee HJ. Effect of the Awareness of a Good Death and Perceptions of Life-sustaining Treatment Decisions on Attitudes of Intensive Care Nurses toward Terminal Care. Journal of Korean Critical Care Nursing. 2019;12(2):39-49. https://doi.org/10.34250/jkccn.2019.12.2.39 
  15. AN MS, Lee KJ. Awareness of good death and attitudes toward terminal care among geriatric hospital nurses. The Korean Journal of Hospice and Palliative Care. 2014;17(3):122-133. http://dx.doi.org/10.14475/kjhpc.2014.17.3.122 
  16. Lee KJ, Park Y.S. Nurses' Spirituality and Attitude toward Terminal Care in Geriatric Hospital Journal of digital convergence. 2015;13(12):347-57. http://dx.doi.org/10.14400/JDC.2015.13.12.347 
  17. Jang MY, Kim JY, Yang SK. Factors Affecting on Terminal Care Attitudes in Nursing Students. Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology. 2016;6(11):269-281. http://dx.doi.org/10.14257/AJMAHS.2016.11.07 
  18. 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. The Korean journal of hospice and palliative care. 2005;8(2):163-172. 
  19. Park HJ, Kang EH. Factors Influencing Nurses' Attitudes Toward Terminal Care. Journal of Korean Critical Care Nursing. 2020;13(1):76-86. https://doi.org/10.34250/jkccn.2020.13.1.76 
  20. Inumiya YA, A study on development of a view of life and death scale and relationships among its elements. [dissertation], Seoul: Korea University; 2002. p.1-97. 
  21. Collett L, Lester D. The fear of death and the fear of dying. The Journal of Psychology. 1969;72(2):179-81.  https://doi.org/10.1080/00223980.1969.10543496
  22. Suh HK. The relationships among life satisfaction. locus of control, death anxiety as perceived by Korean and American all the adults using selected personal demographic variables. The Journal of Korea Society for Health Education. 1987;4(2):1-41. 
  23. Frommelt M, Katherine H. The effects of death education on nurses' attitudes toward caring for terminally ill persons and their families. American Journal of Hospice & Palliative Care. 1991;8(5):37-43.  https://doi.org/10.1177/104990919100800509
  24. Park EJ, Seo MJ. The influence of death anxiety and terminal care stress on job satisfaction of new nurses. Korean Journal of Occupational Health Nursing. 2019;28(4):230-241. https://doi.org/10.5807/kjohn.2019.28.4.230 
  25. Lee LJ, Park HS. Death Anxiety and Terminal Care Performance of Nurses at Long Term Care Hospitals. The Korean Journal of Hospice and Palliative Care. 2017;20(1):37-45. https://doi.org/10.14475/kjhpc. 
  26. Seo HK, Attitudes of male and female older adults concerning death. Journal of Korean Society for Health Education. 1990;7(2):89-102. 
  27. Hwang JO, Kim SH, Influence of Death Perception, Attitude Toward Terminal Care, Mental Health on the Terminal Care Stress of Intensive Care Unit Nurses. Journal of Korean Clinical Nursing Research. 2019;25(3):323-332. https://doi.org/10.22650/JKCNR.2019.25.3.323 
  28. Kim MH, Lee ES, Nurses' stress, attitude and performance during terminal care towards do-not resuscitate patients. Chonnam Journal of Nursing Science. 2015;20(1):25-41. 
  29. Noh SS, Lee CK, Sung YH. Predictors of terminal care performance of clinical nurses for cancer patients. The Journal of Korea Critical Care Nursing. 2016;19(2):61-70. 
  30. Kim WS, Cho HH, Kwon SH. The influence of terminal care performance, death anxiety and self-esteem on terminal care stress of geriatric hospital nurses. Korean J Hosp Palliat Care. 2016;19:154-62. http://dx.doi.org/10.14475/kjhpc.2016.19.2.154