• 제목/요약/키워드: 죽음준비

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간호학생의 카데바 실습 경험에 대한 융합적 연구 (A Convergence Study of Nursing Students' Experience of Cadaver Practice)

  • 이현정;이상복
    • 융합정보논문지
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    • 제10권8호
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    • pp.60-67
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    • 2020
  • 본 연구는 간호학생의 카데바 실습 경험을 확인하여 간호학과 맞춤형 카데바 실습 프로그램 개발 및 생명·간호 윤리 교육을 위한 기초자료를 제공하고자 40명을 대상으로 4팀의 포커스 그룹 인터뷰 통해 도출된 자료를, Colaizzi 분석방법으로 인체 해부 관찰 경험의 의미와 본질을 파악하고자 하였다. 간호학생의 인체 해부 관찰 경험에 대한 분석결과는 3개 범주와 6개의 주제모음 및 12개의 주제가 도출되었다. 각 범주별 주제모음은 다음과 같다: 불안(걱정, 직면), 성찰(삶과 죽음의 경계선, 시신스승의 가르침), 성장(전진, 다시없을 값진 경험). 간호학생은 카데바 실습 경험으로 인체의 신비와 생명의 소중함을 깨닫고, 죽음 또한 넓은 의미에서 생명의 한 과정임을 인식하며 기증을 통한 이타적인 삶도 고민해보는 기회였다. 이상의 연구결과를 바탕으로 효과적인 카데바 실습 오리엔테이션과 감정 대처법 제시, 가상 죽음체험과 같은 죽음준비 프로그램을 통해 생명과 죽음, 인간의 존엄성에 고민해볼 수 있는 기회를 간호학생들에게 제공할 필요가 있다.

일반인 대상 웰 다잉 교육프로그램 개발을 위한 모델링에 관한 연구 (The Journal of Targeted at the general public for the Modeling of Well-dying Program Development)

  • 김광환;김용하;안상윤;이종형;이무식;김문준;박아르마;황혜정;심문숙;송현동
    • 디지털융복합연구
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    • 제12권8호
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    • pp.369-376
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    • 2014
  • 죽음교육의 주체이자 대상인 의료진의 죽음에 대한 스트레스 정도와 수용방식을'병원 공간을 중심으로'분석하여 죽음교육에 활용하고자, 2014년 4월부터 동년 4월30일까지 대전지역 일반인 281명을 대상으로 조사했다. 분석 결과 죽음교육의 필요성에 대해, 죽음교육을 받은 경우 더 중요하다고 생각하였다. 환자가 회불 불가상태인 경우 의료진은 누구에게 알리는가의 물음에 전체적으로는 보호자가 가장 높았으며, 임종하기 적합한 장소로는 살던집이 가장 많았고, 의료기관, 사회복지시설 순으로 나타났다. 이상과 같은 결과를 활용하면 죽음이라는 현상을 이해하고 다룸에 있어 보건의료적 시각과 인문학적 시각, 사회적 시각을 동시에 수용하여 일반인에게 적용할 수 있는 죽음 교육 프로그램 개발을 위한 연구로 죽음준비프로그램을 대중화 일반화를 위한 기초자료로써 의의가 있다고 할 수 있다.

죽음준비교육 프로그램 효과성에 대한 메타분석 (A meta-analysis of effectiveness of death education program)

  • 김일식;김계령;신혜숙;서호찬
    • 한국가족관계학회지
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    • 제21권2호
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    • pp.3-23
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    • 2016
  • Objectives: The purpose of this study is to conduct a meta-analysis of results of death education program implemented with a wide range of learners from preschoolers to the elderly and use the findings to suggest effect sizes of the intervention program, variables, and measurement tools and activity elements of the variables. Method: Among preceding studies conducted domestically until 2015, 21 studies that meet the meta-analysis criteria were selected and analyzed using CMA(Comprehensive Meta-Analysis 3.0 version). Results: The findings are as follows. The overall average effect size was rather large at 0.997. Reviewing by research subject group, victims of domestic violence indicated the largest effect size(2.381). As for variables, death awareness showed the largest effect size(2.908). In terms of activity elements, the largest effect size for total number of sessions was 16 sessions (4.972), while that for per week sessions was 2 sessions/week (2.327). With effect size for activity hours largest at 30 minutes(5.365) followed by 108 minutes(2.381) and 360 minutes(1.607), it was found that there is no positive relationship between activity time and effect size. In terms of publication type, effect size of academic journal paper was 1.107 while that of thesis or dissertation was 0.894, indicating that academic journal papers are relatively highly effective. Conclusions: The present study is meaningful in that it provides baseline data applicable to program development and implementation by verifying the effectiveness of domestically implemented death education programs and variables relevant to such programs.

일 농촌지역 노인의 죽음준비도와 우울이 삶의 질에 미치는 영향 (Effects of Preparation for Death and Depression in Elders on Geriatric Quality of Life in Rural Communities)

  • 정미경
    • 한국농촌간호학회지
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    • 제13권1호
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    • pp.3-19
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    • 2018
  • Purpose: This study was done to identify effects of preparation for death and depression on geriatric quality of life in rural communities and to identify whether preparation for death has a moderating effect on the relationship between depression and geriatric quality of life. Methods: Data from 210 rural elders over 65 years of age were obtained through face-to-face interviews with the elders and were analyzed using SPSS 22.0 program. Results: Quality of life of elders who had prepared for death was lower than for elders who had not prepared for death. Elders with higher psychological preparation for death had a higher quality of life. Ritual preparation for death had negative effects but they were not statistically significant. Psychological preparation for death had a moderating effect on depression and quality of life for elders in the rural community. The explanation power was 36.1% while ritual preparation for death had no moderating effect on either depression or quality of life. Conclusions: It is necessary to provide rural elders with intervention programs designed to improve positive thinking and attitudes to living considering religion in the process. Intervention programs to improve psychological preparation for death are also required to alleviate depression.

죽음준비교육 프로그램이 대학생의 삶의 만족도와 죽음에 대한 태도에 미치는 영향 (Effects of a Death Education Program on life Satisfaction and Attitude toward Death in College Students)

  • 김은희;이은주
    • 대한간호학회지
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    • 제39권1호
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    • pp.1-9
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    • 2009
  • Purpose: The purpose of this experimental study was to examine the values of a death education program developed to improve life satisfaction and attitude toward death in college students. Methods: The death education program was developed and then used with 22 college students for 5 weeks, once a week for 150 min. Before and after the intervention, students responded a questionnaire developed to measure life satisfaction and attitude toward death. t-test, $X^2$-test, and paired t-test with the SPSS program were used to analyze the data. Results: The death education program significantly improved life satisfaction but had no statistically significant effect on attitude toward death. There was a significant difference in life satisfaction between the experimental and control groups but not in attitude toward death. Conclusion: Based on the above results, it is apparent that the death education program has an affirmative effect on life satisfaction in college students and some impact on attitude toward death. We suggest, therefore, that the death education program should be used with all human beings to help them recognize the values of themselves and their current lives and improve their satisfaction with life.

가정형 호스피스 환자의 가족지지와 죽음준비가 삶의 질에 미치는 영향 (Influence of Family Support and Death Preparation on the Quality of Life in Home Care Hospice Patients)

  • 김경은;유명숙
    • 가정간호학회지
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    • 제28권3호
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    • pp.307-316
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    • 2021
  • Purpose: This study aimed to examine the influence of family support and death preparation on the quality of life in home care hospice patients. Methods: The study recruited 117 patients in home care hospice in four general tertiary hospitals and three general hospitals in three cities. Data were collected using self-reported questionnaires from September 1, 2019 to March 31, 2020 and analyzed using the statistical package IBM SPSS software version 22.0. Results: The quality of life according to the participants' general characteristics of the subjects shows a statistically significant difference between patients who live with supporters and those who do not(Z=2.96, p=.003). A statistically significant correlation was found between predictors such as family support, death preparation, and quality of life. Family support and death preparation affect the quality of life in home care hospice patients and these variables could explain 33.7% of it. Conclusion: To improve the quality of life in home care hospice patients, we should develop an intervention to enhance family support and death preparation.

노년층을 위한 마을단위 죽음준비 교육 프로그램 개발 및 효과 (Development and Effects of a Community-Based Death Education Program for Older Adults)

  • 김숙남;김소영
    • 지역사회간호학회지
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    • 제32권4호
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    • pp.445-456
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    • 2021
  • Purpose: This study was conducted to investigate the effects of a community-based death education program for older adults. Methods: The study was conducted as a quasi-experimental study with a non-equivalent control group and pretest-posttest design. The subjects were community elders aged over 65 registered at a community health center and were convenience sampled. The experimental group consisted of 33 participants and the control group consisted of 32 participants. Experiments are conducted from June 18 to July 24, 2020. We tested our hypothesis using an independent t-test, and paired t-test. Results: The experimental group had significantly higher scores for psychological well-being than the control group after treatment (t=2.24, p=.028). In general attitude toward the use of life-sustaining technology, however, only the experimental group had a significant difference before and after the experiment with lower scores compared to the control group (t=-5.41, p<.001). Conclusion: We found that the community-based death education program developed in this study was partially effective in improving older adults' psychological well-being and general attitude toward the use of life-sustaining technology.

의료진 대상 웰 다잉 교육프로그램 개발을 위한 모델링에 관한 연구 (Modeling Study of Development of Dying Well Education Program for the Medical Personnel in Korea)

  • 김광환;김용하;안상윤;이종형;황혜정;이무식;김문준;박아르마;심문숙;송현동
    • 한국산학기술학회논문지
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    • 제15권10호
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    • pp.6234-6241
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    • 2014
  • 이 연구의 목적은 의료진의 죽음에 대한 스트레스 정도와 수용 방식을 병원 중심으로 조사하여 의료인 대상 죽음교육프로그램 개발의 기초자료로 활용하는 것이다. 연구기간은 2014년 4월부터 동년 4월30일까지이며, 대전지역 K 대학병원 의료진 353명을 대상으로 조사했다. 분석방법은 빈도분석과 카이스퀘어 검정이며, 연속변수는 독립표본 t-검정을 실시하였다. 분석결과 죽음교육의 내용 중 중요하게 다뤄야 할 것은 시간의 소중함 및 의미 있는 미래 삶 준비였으며(p<0.05), 죽음교육 필요 이유는 죽음에 대한 인식과 태도를 바꿔보기 위해서였다(p<0.05). 죽음교육 방법은 사례연구 문제 기반학습이었으며(p<0.05), 죽음 목격 후 가장 큰 스트레스는 보호자의 의료진에 대한 부정적 반응(p<0.05)으로 나타났다. 이상과 같은 결과를 볼 때 의료진의 죽음에 대한 이해와 죽음교육 필요성 제고는 의료진 자신은 물론 환자에 대한 이해와 감수성 향상에도 기여할 것으로 판단되었다. 죽음에 대한 의료 인문적 시각을 동시에 포함한 본 조사는 병원 공간과 의료진 대상의 특성화된 '죽음교육프로그램 개발'에 기여할 것이다.

고령사회를 대비한 노년준비교육 프로그램에 관한 연구 (Life Stage Preparation Program in an Aged Society)

  • 김병숙;양옥남;강인;한은주;원미희
    • 한국노년학
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    • 제25권2호
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    • pp.229-244
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    • 2005
  • 본 연구는 노년준비교육 프로그램에 대한 요구도 조사, 프로그램의 개발 및 실시 그리고 프로그램의 효과 검증을 통한 평가를 목적으로 수행하였다. 이를 위해 사회복지학, 가족학, 직업학 등의 노인 관련 전문가를 중심으로 연구진을 구성하였다. 요구도 조사는 20대 이상 남녀 560명을 대상으로 실시하였으며, 이를 바탕으로 본 연구에서는 20대와 60대 이상 두 집단을 대상으로 프로그램의 개발, 실행 및 평가가 이루어졌다. 그 결과 노년준비교육 프로그램은 생애단계와 노인의 전반적 이해, 경제적 준비, 직업, 건강증진 및 유지, 죽음과 사별대비, 심리적 관점, 자기완성의 추구, 노년기의 사회참여, 원만한 가족관계, 노인주거의 10개 영역으로 분류되었으며, 각 영역별로 교육의 효과가 유의미한 것으로 나타났다.

노인의 죽음 준비교육이 죽음의 불안도에 미치는 요인분석 연구 (A study on the influence of the preparative education on the Elderly's attitude for death)

  • 고승덕;김은주;김영규
    • 보건교육건강증진학회지
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    • 제16권2호
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    • pp.81-92
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    • 1999
  • This study attempt to analyze the influence of the preliminary education on the Elderly's attitude for death and to present basic data for the death-preliminary education. The data were collected by administerial the Questionnaire interview with 169 the elderly who was 200 the elderly over 60 year old in silver colleges. The Questions was consists the awareness recognition of death, character, attitudes toward for death. The statistical methods used for the analysis were t-test, factor analysis. The results were the follows. There was no statistically significant relations between the fear of death and the general characteristics the elderly, but the old women felt more anxiety than old men. Especially, more aged, unhealthy the elderly felt it more and the lower educated or the single felt it more severely. The change in the attitude for death: They attitude for death was considerably changed after the preliminary education. Fears and anxiety about death were more reduced and the inevitability of death was accepted positively. This result showed the influence of the preliminary death education had positive affliction of the elderly's attitude for death. Accordingly, with the practice of the preliminary education we can release the elderly from the fear for death and guide them to live meaningly.

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