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http://dx.doi.org/10.5932/JKPHN.2020.34.2.251

Death Anxiety and Dignified Death Attitudes of Pre-Elderly Who Opt for Signing Advance Directives  

Yang, So Myung (Wonkwang University Hospital)
Hwang, Eun Hee (Department of Nursing, Wonkwang University)
Publication Information
Journal of Korean Public Health Nursing / v.34, no.2, 2020 , pp. 251-262 More about this Journal
Abstract
Purpose: This study attempts to provide basic data for establishing and implementing an advanced directive (AD) system that helps identify dignified death attitudes and reduces death anxiety of the preliminary, through preparation of an AD. Methods: Data were collected from 135 preliminary elderly aged 55 to 64 years, recruited from health centers and welfare facilities. All data were analyzed using SPSS 22.0. Results: Overall scores of the participants were 2.26±0.64 for death anxiety scale, and 3.16±0.44 for dignified death attitude. Scores of individuals who prepared an AD were determined to be 2.19±0.64 for death anxiety, and 3.34±0.44 for dignity of death. The difference in scores obtained for dignified death attitude was significantly higher for the group that signed an AD, as compared to the group with no AD (F=14.81, p<0.001). Conclusions: Results of this study reveal that preliminary elderly who sign an AD have a higher dignified death attitude score as compared to subjects who do not sign an AD. Additionally, the former group of participants desire a dignified end to their life. This indicates a necessity to promote public campaigns for ADs, and to develop educational programs that assist the elderly to prepare for a dignified death and make autonomous decisions.
Keywords
Advance Directives; Anxiety; Attitude to Death;
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Times Cited By KSCI : 13  (Citation Analysis)
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1 Jo, K. H., An, G. J., Kim, G. M., Kim, Y. J. (2012). Predictive factors for city dwellers' attitudes toward death with dignity. The Korean Journal of Hospice and Palliative Care, 15(4), 193-204. https://doi.org/10.14475/kjhpc.2012.15.4.193   DOI
2 Park, E. K. (1995). Development of death anxiety measurement tool. Unpublished master's thesis, Korea University, Seoul.
3 Bae, Y. J. (2018). Death acceptance attitude and life satisfaction of older adults participating in sports activities. The Korean Journal of Sport, 16(3), 399-407.
4 Collett, L. J., Lester, D. (1969). The fear of death and the fear of dying. The Journal of Psychology, 72(2), 179-181. https://doi.org/10.1080/00223980.1969.10543496   DOI
5 Doorenbos, A. Z., Wilson, S. A., Coenen, A., Borse, N. N. (2006). Dignified dying:Phenomenon and actions among nurse in India. International Nursing Review, 53(1), 28-33. https://doi.org/10.1111/j.1466-7657.2006.00458.x   DOI
6 Han, Y. R., Kim, I. H. (2008). Attitude toward death and recognition on hospice of community dwellers. Journal of Korean Public Health Nursing, 22(1), 49-61.
7 Hong, S. A. (2010). An empirical study for model development concerning advance directives. Journal of the Korean Gerontological Society, 30(4), 1197-1211.
8 Jeon, H. O., Kim, A., Chae, M. O. (2018). A meta-analysis of the variables related to psychological crisis in Korean middle aged adults. Journal of Korean Public Health Nursing, 32(3), 451-467. https://doi.org/10.5932/JKPHN.2018.32.3.451   DOI
9 Jo, K. H. (2011). Development and evaluation of a dignified dying scale for Korean adults. Journal of Korean Academy of Nursing, 41(3), 313-324. https://doi.org/10.4040/jkan.2011.41.3.313   DOI
10 Jo, K. H., Kim, Y. J. (2013). The impact of nurses’ attitude toward dignified death and moral sensitivity on their end-of-life care performance. The Korean Journal of Hospice and Palliative Care, 16(4), 223-231. http://doi.org/10.14475/kjhpc.2013.16.4.223   DOI
11 Jung, S. Y., Lee, H. J., Lee, S. H. (2014). Characteristics of end of life sustaining treatment and attitudes towards advance directives among geriatric patients. Journal of East-West Nursing Research, 20(2), 103-111. https://doi.org/10.14370/jewnr.2014.20.2.103   DOI
12 Kang, J. H., Han, S. J. (2013). A study of intensive care unit nurses' understanding of the meaning of death, death anxiety, death concern and respect for life. The Korean Journal of Hospice and Palliative Care, 16(2), 80-89. http://doi.org/10.14475/kjhpc.2013.16.2.080   DOI
13 Kang, K. J., Ju, S. J. (2014). Ethical attitudes, perceptions of DNR and advance directives of general population. Journal of Korean Academy of Psychiatric and Mental Health Nursing, 23(2), 113-123. http://doi.org/10.12934/jkpmhn.2014.23.2.113   DOI
14 Kang, S. O., Ha, K. S. (2013). Relations between the middle aged’s perception of successful aging and their preparations for the old age. Journal of Digital Convergence, 11(12), 121-144. https://doi.org/10.14400/JDPM.2013.11.12.121   DOI
15 Kim, E. H., Lee, E. (2009). Effects of a death education program on life satisfaction and attitude toward death in college students. Journal of Korean Academy of Nursing, 39(1), 1-9. https://doi.org/10.4040/jkan.2009.39.1.1   DOI
16 Kim, J. E. (2011). Measuring the level of health literacy and influence factors: Targeting the visitors of a university hospital s outpatient clinic. Journal of Korean Clinical Nursing Research, 17(1), 27-34.
17 Kim, M. S., Gang, M., Kim, Y. O. (2018). Completion and related factors of advance directives in old adults. The Journal of the Korea Contents Association, 18(2), 240-247. https://doi.org/10.5392/JKCA.2018.18.02.240   DOI
18 Kim, S. Y., Lee J. In. (2013). Self-transcendence, spiritual well-being, and death anxiety of the elderly. Journal of Korean Public Health Nursing, 27(3), 480-489. https://doi.org/10.5932/JKPHN.2013.27.3.480   DOI
19 Kim, Y. S., Kim, J. M. (2009). Death anxiety and quality of life among the elderly. Korean Society of Living Environmental System, 16(5), 475-485.
20 Lee, M. S. (2017). Attitude toward death with dignity and intention to use advance directives of the elderly patients in a long-term care hospital. Unpublished master's thesis, Hanyang University, Seoul.
21 Lim, H. N., Lee, S. H., Kim, K. H. (2019). Correlation between the components of dying with dignity and quality of life. Journal of the Korea Academia-Industrial cooperation Society, 20(5), 137-144. https://doi.org/10.5762/KAIS.2019.20.5.137   DOI
22 Nam, K. M., Jung, E. K. (2011). The influence of social activity and social support perceived by elderly women living alone on their quality of life: Focusing on the mediating effect of depression and death-anxiety. Korean Journal of Gerontological Social Welfare, 52, 325-348.   DOI
23 Kim, M. S., Ha, C. K., Kim, H. S. (2011). A study on life satisfaction, the view of the afterlife and readiness for death. Korean Journal of Family Welfare, 16(1), 111-136.
24 National Agency for Management of Life-Sustaining Treatment. (2020, Jan). Monthly Statistics. Retrieved January 2, 2020, from:https://www.lst.go.kr/comm/monthlyStatistics.do
25 Sahm, S., Will, R., Hommel, G. (2005). Attitudes towards and barriers to writing advance directives amongst cancer patients, healthy controls, and medical staff. Journal of Medical Ethics, 31(8), 437-440. https://doi.org/10.1136/jme.2004.009605   DOI
26 Sohn, M. S., Yu, H. J. (2001). Ethical review on the "advanced directives" in medical field. Korean Journal of Medical Ethics Education, 4(1), 51-68.
27 Sun, D. S., Chun, Y. J., Lee, J. H., Gil, S. H., Shim, B. Y., Lee, O. K., Jung, I. S., Kim, H. Y. (2009). Recognition of advance directives by advanced cancer patients and medical doctors in hospice care ward. The Korean Journal of Hospice and Palliative Care, 12(1), 20-26. https://doi.org/10.14475/kjhpc.2009.12.1.20   DOI
28 Templer, D. I. (1970). The construction and validation of a death anxiety scale. The Journal of General Psychology, 82(2), 165-177. https://doi.org/10.1080/00221309.1970.9920634   DOI
29 Thorson, J. A., Powell, F. C. (1992). A revised death anxiety scale. Death Studies, 16(6), 507-521. https://doi.org/10.1080/07481189208252595   DOI
30 Yeom, E. Y., Seo, K. S. (2019). Influence of older person's ego integrity and knowledge of advance directives on their attitude toward withdrawal from life-sustaining treatment. Journal of Korean Gerontological Nursing, 21(3), 173-82. https://doi.org/10.17079/jkgn.2019.21.3.173   DOI