Browse > Article
http://dx.doi.org/10.5762/KAIS.2020.21.1.197

Factors Affecting on Death Anxiety in Elderly Cancer Survivors : Focusing on Ego Integrity, Depression and Awareness of Good Death  

Lim, Heon Suk (Gongbuk Public Health Post)
Yoo, Jae Soon (Department of Nursing, Chungbuk National University)
Publication Information
Journal of the Korea Academia-Industrial cooperation Society / v.21, no.1, 2020 , pp. 197-207 More about this Journal
Abstract
The purpose of this study was to identify the predictors of death anxiety among community-dwelling elderly cancer survivors in Korea. This study was a descriptive correlation study with 216 elderly cancer survivors who live in the jurisdiction of community health centers in Chugbuk province. Data of this study were collected from February 27 to March 15 2019 by a structured questionnaire. The data were analyzed using independent t-test, one-way ANOVA, Pearson's correlation coefficient, and hierarchical multiple regression. In the results, the mean score of death anxiety was 2.47±0.39 out of 4.0, while that of ego integrity was 2.60±0.29, depression 6.35±4.0, and awareness of a good death 2.97±0.35. Based on the hierarchical multiple regression analysis, subjects' awareness of a good death had the greatest impact on death anxiety (β = 0.255, p < .001), followed by depression (β = 0.185, p = .020) and religion (no= 1; β= 0.148, p = .021). These factors explained 16.4% of death anxiety (F=8.04, p<.001). Therefore, the results of this study are expected to be utilized as basic data for developing an intervention program that will be designed to reduce the death anxiety in elderly cancer survivors.
Keywords
Death Anxiety; Ego Integrity; Depression; Awareness of Good Death; Elderly; Cancer Survivor;
Citations & Related Records
Times Cited By KSCI : 8  (Citation Analysis)
연도 인용수 순위
1 S. J. Kim. "Development on Nursing practice guidelines for the Nursing Home Residents' Well-dyin", Ph.D dissertation, College of Nursing The Graduate School of Korea University, Seoul, Korea, 2016.
2 M. S. Lee, "Effects of Participation in Dance sports Program on Well Dying; Focused on Death Awareness and Subjective Well-Being of the Elderly", Journal of Sport and Leisure Studies, Vol.0, No.71, pp.475-488, 2018.   DOI
3 J. A. Thoson, F. C. Powell, "A Revised Death Anxiety Scale", Death Studies, Vol.16, No.6, pp.507-521, 1992. DOI: https://doi.org/10.1080/07481189208252595   DOI
4 E. K. Park, "Development of an Instrument for the Measurement of Death Concern", Master's thesis, Department of Nursing Graduate School Korea University, Seoul, korea, 1995.
5 M. N. Oh, "A Study On Self-Esteem, Death Anxiety And Depression Of The Elderly In Home And Facilities", Ph.D dissertation, The Graduate School Yeungnam University, Gyeongsan, korea, pp.39-40, 2003.
6 J. Y. Hong, "Reminiscence Functions Predictors in the Elderly", Ph.D dissertation, Department of Psychology Grauate School of Ewha Womans's University, Seoul, korea, pp.106-108, 2000.
7 B. S. Kee, "A Preliminary Study for the Standardization of Geriatric Depression Scale Short Form-Korean Verson", Journal of the Korean Neuropsychiatric Association, Vol.35, No.2, pp.298-307, 1996.
8 C. E. Schwartz, K. Mazor, J. Rogers, Y. Ma, G. Reed, "Validation of a New Measure of Cencept of a Good Death.", Journal Palliative Medicine, Vol.6, No.4, pp.575-584, 2003. DOI: https://doi.org/10.1089/109662103768253687   DOI
9 H. S. Jeong, "Recognition towards Good Death among Physicians and Nurses in an Area", Master's thesis, Graduate School of Life Science Catholic University of Pusan, korea, pp.16-17, 2010.
10 E. K. Im, T. Y. Jung, "Development of a Happiness scale for Korean Old People", Journal of the Korean Gerontological Society, Vol.29, No.3, pp.1141-1158, 2009.
11 J. S. Yoo, J. H. Kim, J. E. Kim, H. J. Kim, S. Y. Oh, D. U. Jeong, "Factors Influencing on the Happiness in Community-dwelling Older Adults in Korea", The Korean Journal of Rehabilitation Nursing, Vol.21, No.1, pp.12-21, 2018. DOI: https://doi.org/10.7587/kjrehn.2018.12   DOI
12 G. T. Deilming, K. F. Bowman, S. Sterns, L. J. Wagner, B. Kahana, "Cancer-Related Health Worries and Psychological Distress Among Older Adult, Long Term Cancer Survivors", Psycho-Oncology, Vol.15, No.4, pp. 306-320, 2006. DOI: https://doi.org/10.1002/pon.955   DOI
13 J. H. Cho E. K. Choi, S. Y. Kim, D. W. Shin, B. L. Cho, C. H. .Kim, J. H. Park, "Association between cancer stigma and depression among cancer survivors: a Nationwide survey in Korea", Psycho-Oncology, Vol.22, No.10, pp.2372-2378, 2013. DOI: https://doi.org/10.1002/pon.3302   DOI
14 E. J. Jeong, "The meaning of Life, Perception of Well Dying, and Attitudes toward Advance Directives among Older Cancer Patients",. Master's thesis, Department of Nursing The Graduate School Pusan National University, Pusan, korea, pp.30-31, 2018.
15 S. H. Yoo, "Good Death Concept and Death Education in Doctors in Korea ", Ph.D dissertation, College of Medicine The Graduate School Seoul National University, Seoul, korea, pp.103-105, 2014.
16 K. H. Kim, H. J. Kwon, M. H. Choi, Y. J. Park, S. K. Kim, "Psychological and Spiritual Factors Associated with Death Anxiety of Elderly People Living at Home", Journal of Korean Academy of Psychiatric and Mental Health Nursing, Vol.19, No.1, pp.96-105, 2010. DOI: https://doi.org/10.12934/jkpmhn.2010.19.1.96   DOI
17 I. S. Jeong, H. O. Ju, S. K. Hwang, J. M. Seo, Y. H. Jeong, "Data analysis & statistics for nursing research", p.353, Pusan National University, pp.215-216, 2004.
18 National Cancer Information Center. Retrived from, 2019. http://www.cancer.go
19 L. Sharpe, L. Curran, P. Butow, B. Thewes, "Fear of Cancer Recurrence and Death Anxiety", Psycho-Oncology, Vol.27, No.11, pp.2228-2565, November. 2018. DOI: http://dx.doi.org/10.1002/pon.4783
20 G. Gonen, S. U. Kaymak, E. S. Cankurtaran, E. H. Karslioglu, E. Ozalp, H. Soygur, "The Factors Contributing to Death Anxiety in Cancer Patients" Journal of Psychosocial Oncology, Vol.30, No.3, pp.347-358, Mar, 2012. DOI: http://dx.doi.org/10.1080/07347332.2012.664260   DOI
21 M. S. Lee, "A Study on the Effects of Depression on Death Anxiety and the Moderating Effect of Life Satisfaction of Elders", Journal of Welfare for the Aged. No.49, pp.241-266, 2010.
22 F. Mullan, "Seasons of Survival : Reflections of a Physician with Cancer", The New England Journal of Medicine, Vol.313, No.4, pp.270-273. July, 1985. DOI: http://dx.doi.org/10.1056/NEJM198507253130421   DOI
23 H. S. Kwen, I. S. Suh, H. K. Kim, "Readiness for Death and Death Anxiety among Hospitalized Cancer Patients", The Journal of Korea Contents Association, Vol.13, No.9, pp.334-343, 2013. DOI: https://doi.org/10.5392/JKCA.2013.13.09.334   DOI
24 H. K. Suh, "The Relationship between Selected Personal Demographic Variables and the Four Dimension of Death Anxiety -difference between elderly group and non-elderly group-", Korean Journal of Health Education and Promotion, Vol.24, No.1, pp.109-125, 2007. DOI: http://www.dbpia.co.kr/Article/NODE00956088
25 K. H. Jo, B. S. Song, "Effect of Family Cohesion, Subjective Happiness and other Factors on Death Anxiety in Korean Elders", Journal of Korean Academy of Nursing, Vol.42, No.5, pp. 680-688, 2012. DOI: https://doi.org/10.4040/jkan.2012.42.5.680   DOI
26 K. E. Chang, "The Effects of Ego Integrity on Death Anxiety of the Elderly: Focusing on the Mediating Effect of Depression", Korean Journal of Human Ecology, Vol.20, No.5, pp.917-926, 2011. DOI: https://doi.org/10.5934/KJHE.2011.20.5.917   DOI
27 W. S. Choi, "A Study on the Elderly's Ego Integrity and Death Anxiety", Journal of the Korean Gerontological Society, Vol.27, No.4, pp.755-773, 2007.
28 H. S. Jang, "A Structural Equation Model for Successful Aging in Cancer Survivors ", Master's thesis, Department of Nursing Graduate School Dankook University, Cheonan, korea, pp.1, 2016.
29 S. H. Kim, K. S. Park, "A Meta Analysis on Variables Related to Death Anxiety of Elderly in Korea", Korean Journal of Adult Nursing, Vol.28 No.2, pp.156-168, 2016.   DOI
30 S. Y. Lee, L. H. Kim, S. Y. Kim, S. Kim, H. J. Yang, "Comparison of Depression and Quality of Life according to Nutritional Status in Elderly Cancer Patients Receiving Chemotherapy", Asian Oncology Nursing, Vol.18, No.2, pp.55-65, 2018. DOI: https://doi.org/10.5388/aon.2018.18.2.55   DOI
31 Y. E. Kwon, S. Y. Kim, "Factors Influencing the Death Anxiety of the Elderly Living Alone", Journal of the Korea Academia-Industrial cooperation Society, Vol.17, No.3, pp.262-269, 2016. DOI: https://doi.org/10.5762/KAIS.2016.17.3.262   DOI
32 C. C. Reyes-Gibby, L. A. Aday, K. O. Anderson, T. R. Mendoza, C. S. Cleeland, "Pain, Depression, and Fatigue in Community-Dwelling Adults With and Without a History of Cancer", Journal of Pain and Symptom Management, Vol.32, No.2, pp.118-128, 2006. DOI: http://dx.doi.org/10.1016/j.jpainsymman.2006.01.008   DOI