• Title/Summary/Keyword: Quality of death

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

  • Jeong, Migyung
    • Journal of Korean Academy of Rural Health Nursing
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    • v.13 no.1
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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.

The Effects of Death Anxiety on Quality of Life in Rural Elderly -Focusing on the Mediating Effects of Self-Integration- (농촌거주 노인의 죽음불안이 삶의 질에 미치는 영향 -자아통합감의 매개효과를 중심으로-)

  • Nam, Hee-Soo;Jin, Bong-Hee;Lee, Eong-Im
    • Journal of Agricultural Extension & Community Development
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    • v.29 no.2
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    • pp.81-98
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    • 2022
  • The purpose of this study is to examine the mediating effect of a sense of self-integration in the relationship between death anxiety and death anxiety on the quality of life for the elderly living in rural areas. First, death anxiety among the elderly living in rural areas was found to have a negative effect on the quality of life, and among the sub-elements of death anxiety, the anxiety of loss of existence and the anxiety of the death process were negative on the quality of life. Second, it was found that there is a positive effect on the sense of self-integration, which is a parameter such as anxiety about loss of existence, anxiety about the death process, and anxiety about post-mortem outcomes. Third, it was confirmed that the sense of self-integration mediates between death anxiety and quality of life. Based on the results of this study, several discussions and suggestions were made to improve the quality of life of the elderly living in rural areas by improving the sense of self-integration and reducing death anxiety.

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

  • Kim, Kyung Eun;Yoo, Myung Sook
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.28 no.3
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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.

Correlation among Depression, Death Anxiety, and Quality of Life of Aged Women (여성노인의 우울, 죽음불안, 삶의 질의 관계)

  • Park, Kyung-Eun;Kwon, Mi-Hyoung;Kwon, Young-Eun
    • Journal of Korean Public Health Nursing
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    • v.27 no.3
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    • pp.527-538
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    • 2013
  • Purpose: This study was conducted in order to provide basic data for development of a nursing intervention program needed in living successfully in elderly women's later years by examining the relationship among depression, death anxiety, and quality of life of elderly women. Methods: Subjects were 115 elderly women over 65 years old who were capable of verbal/nonverbal communication and could understand/answer the questionnaire in H region. Data collection was conducted after receiving written consent using a structured questionnaire. The data analysis was performed using descriptive statistics, t-test, ANOVA, Duncan's multiple range test and Pearson's Correlation Coefficient using the SPSS 12.0/WIN program. Results: Results of this study showed that the degree of depression in elderly women was $4.14{\pm}3.22$ on average and the degrees of death anxiety and quality of life were $2.41{\pm}0.55$ and $3.72{\pm}0.59$ on average, respectively. No significant correlation was observed between depression and death anxiety however, depression showed negative correlation (r=-.448, p<.001) with quality of life and death anxiety also showed negative correlation (r=-.219, p<.05) with quality of life. Conclusion: We can predict that depression and death anxiety negatively affect quality of life of elderly women.

The Effect of Family Resilience, Social Support and Death Recognition on Quality of Death on the Adaptation of Bereavement Family (사별가족의 가족 탄력성, 사회적지지, 죽음인식, 죽음의 질이 사별 적응에 미치는 영향)

  • Heo, Hyeon-Jeom;Kwon, Young-Chae
    • Journal of Digital Convergence
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    • v.17 no.12
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    • pp.271-280
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    • 2019
  • The purpose of this study was to examine how resilience, social support, perception of death and quality of death affect the bereavement adaptation. Data collection was collected from 2 April to 30 May 2018 by distributing self-reporting questionnaires to 236 people using the eyeball presentation method to those who experienced family history in B city and K area Data were analyzed with descriptive statistics and, t-test, ANOVA, and Pearson's correlations that used SPSS WIN 22.0 program and the analysis of control effect was made by using Hierarchical Multiple Regression Analysis. The result of degree of adaptation of the subject was 3.5, family resilience was 3.8 and 3.9 in the lower part. Social support was not significant. But family resilience, belief system, death perception and quality of death influenced bereavement. Based on the results of this study, it is necessary to bulid a social support network for bereavement families, to prepare for death, and to develop and program a systematic program for well-being to become a beautiful and dignified death.

A Study about the Model of Subjective Quality of Life for the Elderly: Focused on the Mediating Effects of Death Anxiety (노인의 주관적 삶의 질 모형 연구: 죽음불안의 매개효과를 중심으로)

  • Lim, Seung Hee;Roh, Seung-Hyun
    • 한국노년학
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    • v.31 no.1
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    • pp.1-14
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    • 2011
  • The purpose of this study is to develop a research model and to verify the effects death anxiety has on subjective health status, economic status, depression and social support for the elders and their quality of life. The survey targeting 330 elders from the 17 senior citizen centers in Dong-do-chun and Nam-yang-ju city was carried out from 2008.8.1 to 2008.9.31. To summarise the research result, 6 hypotheses among 9 hypotheses concerning the direct effects were supported. In another words, health status, depression and social support are valid and the direct effect of depression, social support and death anxiety are valid as subjective quality of life as an endogenous variable. In the case of indirect effects, 2 indirect effects among all 4 indirect effect hypotheses are valid. In another words, the effect the subjective health status has on the subjective quality of life is valid as the mediating effects of death anxiety and the effect depression has on the subjective quality of life is also valid as the mediating effects of death anxiety. Based on the results of this study, a proposal to reduce death anxiety among the elderly is suggested.

Associations of Spiritual Well-being, Attitude toward Death and Quality of Life among Alcoholics Anonymous (익명의 알코올 중독자의 영적 안녕, 죽음에 대한 태도와 삶의 질의 관련성)

  • Lee, Sangmin;Gang, Moonhee
    • Journal of Korean Academy of Psychiatric and Mental Health Nursing
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    • v.28 no.2
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    • pp.114-123
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    • 2019
  • Purpose: The aim of the study was to investigate associations of spiritual well-being, attitude toward death, and quality of life among Alcoholics Anonymous (AA). Methods: This study was cross-sectional and descriptive in design. The data was collected from August to September 2018 with 133 AA members drawn from two provinces of South Korea. The data were analyzed using descriptive statistics, independent t-tests, one-way ANOVA with Turkey tests, Pearson's correlation coefficients, and hierarchical multiple linear regression analyses using SPSS/WIN 20.0 program. Results: The existential spiritual well-being (β=.52, p<.001), attitude toward death (β=.24, p<.001), dual diagnosis (β=-.17, p=.003), occupation (β=.12, p=.035) of the participants were significant factors, which explained 63.7% of the variance of quality of life. Conclusion: The study findings highlight the need to develop psychological nursing strategies to enhance the spiritual well-being and improve a positive attitude toward death based on the job and dual diagnosis among AA members to improve their better quality of life.

Monitoring of Water Quality in Agricultural Reservoirs According to Trapa japonica Death Effect (농업용저수지에서 마름의 사멸에 따른 수질변화 관찰)

  • Choi, Eunhee;Yoo, Suna;Kim, Hyungjoon
    • Korean Journal of Environmental Agriculture
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    • v.35 no.2
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    • pp.148-151
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    • 2016
  • BACKGROUND: There are few studies on the impacts of hydrophytes on water quality, so there is a need to research the effects of death of hydrophytes on the worsening of water quality. This study aimed to monitor the effects of Trapa japonica death on reservoir water quality.METHODS AND RESULTS: T.japonica shows the life cycle that highest growth in summer and rapid death in fall decomposing their body in general. T.japonica contains comparatively large portion of nutrients and minerals. Through the field survey using Mesocosm to identify the effects of excessive population of T.japonica on water quality, the water quality of plots planted T.japonica is gradually worse compared with the control plot. And the result of Wilcoxon-test also shows that the negative effect of T.japonica on water quality with significant (p<0.05).CONCLUSION: It is necessary to control the population growth of T.japonica in order to prevention of water pollution in fall.

Correlation between the components of dying with dignity and quality of life (웰다잉의 구성요소와 삶의 질 간의 상관관계)

  • Lim, HyoNam;Lee, Seo-Hui;Kim, Kwang-Hwan
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.5
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    • pp.137-144
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    • 2019
  • The purpose of this study is to investigate the relationship between the perception of dying with dignity and the quality of life based on the opinions of the Korean populations. The participants were selected using a stratified proportional allocation method and 1,000 adults aged between 19 and 74 years from 17 municipalities and provinces in Korea. The questionnaire consisted of 2 demographic items; 26 items on the quality of life scale; and 57 items on the perception of dying with dignity. The statistical methods used included frequency analyses, independent sample t-tests, and correlation analyses. The results showed that the quality of life was highest for the social life quality item, and that the participants who had experienced a death in the family were more likely to have statistically lower quality of life in physical, psychological, environmental, and social areas. In terms of the participants' perception on dying with dignity, the score for death preparation was the highest; specifically, the score for psychological/economic burden reduction was the highest. The quality of life of the participants showed a positive correlation in all aspects of the perception of dying with dignity: physical symptoms and control, death preparation, death environment, family and social relations, hospital treatment, psychological dignity, and spirituality. Other studies conducted with middle-aged populations showed that their quality of life was higher when they perceived the acceptance of death is important and were willing to participate in death preparation education. Therefore, in order to improve the quality of life and have a positive influence on the participants, educational programs on death preparation and dying with dignity considering all the areas of the perception of dying with dignity should be provided.

Relationship Between Death Orientation of First Care Giver and Quality of Life of Hospice Patients (호스피스환자 주 수발자의 죽음에 대한 인식과 호스피스 환자의 삶과 질과의 관계)

  • Choe, Yeong-Sun
    • Korean Journal of Hospice Care
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    • v.6 no.2
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    • pp.55-68
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    • 2006
  • In Korea, there are constantly increasing number of cancer patients with reaching 65,000 deaths and it was 26.3% of the total number of death in 2004. Many cancer patients suffer from surgery, chemotherapy, and radiotherapy after being diagnosed as cancer. And many of them are facing fear of death because they can't be perfectly cured. Due to patients' physical, psychological, and spiritual pain, quality of life drops dramatically. Patients' families also suffer from huge medical expenses while they have to take care of patients's suffering from pain. At the same time, family's attitude can influence on the quality of patients' life. The purpose of this study is to investigate the relationship between the death orientation of first care giver and the quality of life of hospice patient. The subjects of the study were 80 hospice patients registered at ten hospice institutions with hospice team and medical practitioners in six cities including Seoul as well as their first care givers. This study used 13 questions for the hospice patients and nine questions for the first care givers to recognize general characteristic. To measure death orientation of the first care giver the tool developed by Noh, Soon-hee (2003) was used. And to measure quality of life of the hospice patients Yoo, Seung-yeon's structured tool was used. The data were collected for a month through interview method. SPSS win 12.0 was used to analyze the data by using frequency, percentage, t-test, Pearson correlation. The study result is as follows. In relationship between general characteristic of hospice patient and quality of life, the highest suffering was pain (60%) and the second suffering was anorexia (23.8%). There was no significant relationship between physical pain and general characteristics of hospice patient. In psychological aspects, religion (p=.044) showed significant difference (p<.05). In existential aspects, age (p=.035) showed significant difference (p<.05). There was no significant difference variable in support aspects. And religion (p=.000) was statistically significant variable in spiritual aspects (p<.001). Age (p=0.025) and religion (p=.050) were the variable showed significant difference according to general characteristics of first care giver's death orientation. Although the relation between death orientation of first care giver and quality of life of hospice patient was not statistically significant correlation. In conclusion, while death orientation of first care giver and hospice patient's quality of life are not statistically significant in correlation analysis.

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