Browse > Article
http://dx.doi.org/10.14475/kjhpc.2015.18.3.227

Effects of Death Preparation Education on Awareness of Hospice Palliative Care and Withdrawing Life Sustaining Treatment in City Dwellers  

Tsung, Pei-Ling (Department of Nursing, Sahmyook University)
Lee, Yoon Joo (Department of Nursing, Sahmyook University)
Kim, Su Yeon (Department of Nursing, Sahmyook University)
Kim, Seul Ki (Department of Nursing, Sahmyook University)
Kim, Si Ae (Department of Nursing, Sahmyook University)
Kim, Hyeon Ji (Department of Nursing, Sahmyook University)
Nam, Yi (Department of Nursing, Sahmyook University)
Ham, Suk Young (Department of Nursing, Sahmyook University)
Kang, Kyung Ah (Department of Nursing, Sahmyook University)
Publication Information
Journal of Hospice and Palliative Care / v.18, no.3, 2015 , pp. 227-234 More about this Journal
Abstract
Purpose: This study was done to analyze how a death preparation education program have the effects on awareness of hospice palliative care and withdrawing life sustaining treatment in older adults. Methods: This study employed a non-equivalent control group design among quasi-experimental designs. The experimental group was comprised with 35 adults and the control group with 40 adults. The death preparation program consisted of five two-hour sessions and was administered once a week for five straight weeks. Data were analyzed by descriptive statistics, t-test, ${\chi}^2$ test, Fisher's exact test, and ANCOVA using SPSS version 18.0. Results: The mean age of the participants was 66.2 years. A significant difference between the experimental and control groups was observed in withdrawing life sustaining treatment (F=3.380, P=0.040). However, no significant difference was found in awareness of hospice palliative care (F=0.163, P=0.850). Conclusion: The study results indicate that death preparation training could positively affect people's awareness of withdrawing life sustaining treatment. More studies should be conducted to explore effects of death preparation education for all ages and help people better understand hospice palliative care.
Keywords
Death; Education; Palliative care; Life support care;
Citations & Related Records
Times Cited By KSCI : 11  (Citation Analysis)
연도 인용수 순위
1 Statistics Korea: Death rates by neoplasms [Internet]. Daejeon: Statistics Korea; 2014. [cited 2014 Sep 20]. Available from: http://kosis.kr/wnsearch/totalSearch.jsp.
2 Kang YS. A study of pastoral care for the elderly anxiety and death education [master's thesis]. Yangpyung: Asian United Theological Univ.; 2008. Korean.
3 Oh JT, Kim CG. Effects of death education on attitude toward death and depression in older adults. J Korean Gerontol Soc 2009;29:51-69.
4 Oh JT. The last present. Seoul:Sejongbooks;2007.
5 Koh YS, Kang JM, Armstrong JD. Role of hospital ethics committee on the consultation of near the end-of-life care in a Korean university hospital. Korean J Med Ethics 2005;8:182-6.
6 Kim ES. Perception and ethical attitude about withdrawing of life : sustaining treatments for the elderly between elderly patients and their family [master's thesis]. Jeonju: Chonbuk National Univ.; 2012. Korean.
7 Kim HS. The effect of educational program on withdrawing life-sustaining treatment for elderly [master's thesis]. Seoul: Sahmyook Univ.; 2014. Korean.
8 Yu HJ. The basis and conditions of justified withdrawing or withholding of persistence-treatment. Korean J Med Ethics 2002; 5:151-67.
9 Shin YT, Lee IH, Kim HS, Lee HI. An analysis of attitudes toward advance directives among judicial apprentices and medical trainees. Korean J Med Ethics 2008;11:23-36.
10 Kim YS. The differences of attitude to death and perception on hospice-palliative care between nursing and medical students in an area. Korean J Health Serv Manag 2013;7:37-52.   DOI
11 Glass E, Cluxton D, Rancour P. Principles of patient and family assessment. In: Ferrell B, Coyle N. Oxford textbook of palliative nursing. 3rd ed. New York:Oxford University Press;2010. p. 87-105.
12 Park GS. The study of consciousness of euthanasia among health professionals: Q-methodological approach [master's thesis]. Seoul: Dankook Univ.; 2000. Korean.
13 Byun EK, Choi HR, Choi AL, Hong KH, Kim NM, Kim HS. An investigative research on the attitudes of intensive care unit nurses and families on terminating life support. J Korean Clin Nurs Res 2003;9:112-24.
14 Han SY. A study on the recognition of well-dying, change to attitude toward the old and meaning of life through hospice education program of care worker trainees. J Korea Acad Ind Coop Soc 2012;13:4471-7.
15 Kim JH. A study on attitude toward death and hospice of medical professionals [master's thesis]. Seoul: Hanyang Univ.; 1990. Korean.
16 Lee EJ. A study of spot-survey towards the attitude of hospice [master's thesis]. Iksan: Wonkwang Univ.; 1998. Korean.
17 Kim MS, Lee CS, Kim HC. The effects of hospice volunteer education program on perceptions about hospice and the meaning of life. J Korean Oncol Nurs 2007;7:131-9.
18 Kim EH, Lee EJ. Effects of a death education program on life satisfaction and attitude toward death in college students. J Korean Acad Nurs 2009;39:1-9.   DOI
19 Hong EM, Jun MD, Park ES, Ryu EJ. Death perceptions, death anxiety, and attitudes to death in oncology nurses. J Korean Oncol Nurs 2013;13:265-72.
20 Kim SN, Choi SO, Lee JJ, Shin KI. Effects of death education program on attitude to death and meaning in life among university students. J Korean Soc Health Educ Promot 2005;22: 141-53.
21 Kang KA. Comparison of meaning in life and death attitude between participants and non-participants in well-dying education. J Korean Oncol Nurs 2010;10:156-62.   DOI
22 Jo KH, An GJ, Kim GM, Kim YJ. Predictive factors for city dwellers' attitude toward death with dignity. Korean J Hosp Palliat care 2012;15:193-204.
23 Shin EJ. Influence of the death education program on meaning in life, death anxiety and attitude toward nursing care of the dying patients among nursing students. J Orient Neuropsychiatry 2011;22:65-74.   DOI
24 Yoon MO. Effect of a death preparing education program on death anxiety and meaning of life in volunteers. Korean J Hosp Palliat Care 2009;12:199-208.
25 Han EK. Attitudes and perceptions on DNR among older adults and the caregivers [master's thesis]. Seoul: Hanyang Univ.; 2010.
26 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. J Korean Public Health Nurs 2012;26:280-8.   DOI
27 Yang MS. A study on education of hospice for meaningful death [master's thesis]. Seoul: Presbyterian Univ. & Theological Seminary; 2013. Korean.