• Title/Summary/Keyword: Recognition of well-dying

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A Study on Importance Evaluation on Planning Factors of Well-dying Space and Recognition Attitude of Well-dying in College Students (대학생들의 웰다잉에 대한 인식 태도 및 공간 계획요소 중요도 연구)

  • Yoo, Bok-Hee;Lee, Min-Ah
    • Journal of the Korean housing association
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    • v.28 no.1
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    • pp.63-72
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    • 2017
  • The purpose of this study is to investigate the overall recognition on attitudes of well-dying and evaluation the importance of planning factors of well-dying space in college students. This will serve as a basis to accumulate materials on the recognition of well-dying and well-dying spaces of various generations of South Korea. This study conducted a survey from October 4th to 8th, 2016 with 119 college students from U University and K University. As the contents of the survey, were comprised of general socio-demographic elements, subjective recognition and attitudes toward well-dying, and the importance of the planning factors of the physical, emotional, social and spiritual environments of the well-dying space. The main results are as follows. (1) The interest of university students on death education is high, and there was a preference for 'home' where they could be comfortable and be with loved ones as the space for dying. Also, in case of events of bereaving them after death, formal grieving ceremonies were undesired. The funeral was desired to be simple, serene, and not too sad. (2) In evaluation of the importance of physical, emotional, and spiritual environmental planning factors, physical environmental factors were considered to be the most important overall, and the recognition of importance of the planning factors of spiritual environment was low.

The Effect of Health Behavior, Resilience, and Recognition of Well-dying on the Depression of Elderly with Chronic Disease (건강행위, 회복탄력성, 웰다잉 인식이 노인 만성질환자의 우울에 미치는 영향)

  • Kong, Jeong-Hyeon;Hong, Hyeon-Hwa;Jung, Eun-Young
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.10
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    • pp.7146-7156
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    • 2015
  • The purpose of this study was to investigate the effect of health behavior, resilience an recognition of well-dying on the depression of elderly with chronic disease. It was the survey period was from February 13 to March 20, 2015 with 185 people. For data analysis, SPSS 20.0 program was used. As a result, the mean level of health behavior was 2.60, the mean level of resilience was 3.14, recognition of well-dying was 3.41, the mean level of depression was 3.29. Depression was showed a negative corelation with health behavior and recognition of well-dying. Factors that affect depression was health behavior, subjective health status, recognition of well-dying, live with and sex. Also, strange cause of these was 44.8% of depression. Results suggest that, to mediate melancholy elderly, it is necessary to develop a program in consideration of various factors.

Recognition of Well-dying, Health-related Quality of Life and Repulsion-related Nursing Home of Community-dwelling Older Adults (지역사회 거주 노인의 웰다잉 인식, 건강 관련 삶의 질 및 노인시설 관련 거부감)

  • Kim, So-Young;Lee, Hyun-Ju;Kim, Sook-Nam
    • Journal of muscle and joint health
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    • v.31 no.1
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    • pp.31-41
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    • 2024
  • Purpose: This study aimed to measure the relationship between the recognition of well-dying, health-related quality of life (HRQoL), and repulsion-related nursing homes and community-dwelling older adults. Method: A descriptive survey was conducted among 505 community-dwelling older adults aged over 65 years. Data were collected from October 25 to November 30, 2023, and analyzed using a t-test, one-way ANOVA, and Pearson's correlation coefficients with SPSS/WIN 26.0. Results: The results reveal that the subjects' recognition of well-dying was 2.30, HRQoL was 0.84, and repulsion-related nursing home was 3.31 points. Recognition of well-dying was significantly correlated with HRQoL (r=.10, p=.024). Conclusion: The results indicate that consumer-centered, well-dying education programs for community-dwelling older adults should be developed and applied continuously through effectiveness verification.

Effects of a Well-dying Program on Nursing Students (간호대학생에 대한 웰다잉 교육프로그램의 효과)

  • Moon, Hyunjung;Cha, Sunkyung;Jung, Sungwon
    • Journal of Hospice and Palliative Care
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    • v.18 no.3
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    • pp.188-195
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    • 2015
  • Purpose: We examined the effects of a well-dying program on nursing students in terms of death preparation, death recognition and perception of well-dying perception. Methods: The design of this study was quasi-experimental and non-synchronized with a non-equivalent control group. The study was conducted with nursing students: 32 in the experimental group and 36 in the control group. The well-dying program was consisted of five sessions: introduction, thinking about meaning of death, organizing things to do before dying, looking back on my life, and leaving a trail of my life. Descriptive analysis, t-test, ${\chi}^2$ test and ANCOVA were used with SPSS 18.0 program to analyze the data. Results: After attending the program, a difference was observed in death preparation of the experimental group (t=2.61, P=0.014). The death recognition (F=154.15, P<0.001) score of the experimental group was significantly higher than the control group. There was no significant difference between the groups in perception of well-dying (F=0.11, P=0.747). Conclusions: The well-dying program helped nursing students build positive death recognition. Therefore, this study is expected to contribute to development of a death education program for nursing students.

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 (요양보호사 교육생들의 호스피스 교육프로그램을 통한 웰다잉 인식, 노인에 대한 태도변화 및 삶의 의미에 관한 연구)

  • Han, Sang-Young
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.10
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    • pp.4471-4477
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    • 2012
  • The purpose of this study was to evaluate the recognition of well-dying, change to attitude toward the old and meaning of life through pre/post hospice education program of care worker trainees. This study is a quasi-experimental research using one group pretest-posttest design. The subjects of the study were 80 care worker trainees in T city and S city. The data were analyzed by SPSS/WIN 17.0 program. considering these results, The recognition of well-dying, The attitude toward the old and meaning of life were significantly different between pre/post program. This study is need systematic and continuousness of hospice education program for curriculum change to attitude toward the old and improvement of care worker.

A Study of Perceptions among Middle-aged and Older Koreans about Dying Well: Focusing on Typology (중노년층의 좋은 죽음에 대한 인식: 유형화를 중심으로)

  • Lee, Sunhee;Chung, Kyunghee
    • 한국노년학
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    • v.39 no.2
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    • pp.305-323
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    • 2019
  • In recognition of the increasing social attention paid to the notion of how to die well, this study explored what it is that middle-aged and older Koreans think of as "dying well." Specifically, it was aimed at classifying the perceptions people middle-aged and older have regarding dying well. To this end, we used data from the National Survey on Well-Dying, which was conducted in 2018 by the Korea Institute for Health and Social Affairs, and employed Latent Class Analysis. The demographic characteristics of each of the classified subgroups were identified through technical statistics. The types identified were multilayered depending on the imminence of death, perspectives of the last stages before dying, and the meaning of death in the context of social relationships. These types differed according to gender and subjective health conditions. Based on our findings in this study, we put forward policy suggestions about awareness improvement of personal and social levels, promoting on comprehensive death preparation, providing a system to reduce the cost of medical and nursing expense at the end of one's life, promoting of the right to self-determination regarding death, raising social attention to groups that are least prepared for dying well.

A Study on the Well-Dying Recognition and Decision of Death before and after Education Among University Students (대학생들의 죽음 교육 전과 후의 웰다잉 인식과 결정에 관한 연구)

  • Song, Hyeon-Dong;Ahn, Sang-Yoon;Kim, Yong-Ha;Hwang, Hye-Jeong;Lee, Seo-Hui;Kim, Kwang-Hwan
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.1
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    • pp.300-310
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    • 2018
  • The purpose of this study is to compare the change of Well-Dying awareness and decision of university student before and after taking the course of death study. A questionnaire survey was conducted for university students 93 before education, 117 after education who participated in the Death Studies related lectures at Daejeon Metropolitan City for 15 weeks from August to December 2016. The general characteristics of survey are gender, age. grade, major, marriage condition, religion, family member living together and health status. Four items on the perception aspect of death, five items on the aspect of acceptance of death, seven items of death decision and twelve items for death education's interest and importance were configured as a reference scale. The statistical method carried out the chi-square test, the independent sample t-test, and the decision tree analysis. Based on the decision tree, At the time of preparation for death(cancer patient, terminal patient, etc.) and the elderly(65 years old or older), the education transition rate was 66.7%. But After education, 65.3% of the respondents were in adult, middle and high school, under elementary school, university, and graduate school, which showed a significant difference. Therefore we are looking for death education's effectiveness and setting directions for education's period and contents. the negative viewpoints and worries about the implementation of death education at elementary, middle and high schools and universities are resolved and the death education will positively affect the change of attitude of students.

Delirium Management: Diagnosis, Assessment, and Treatment in Palliative Care (섬망의 돌봄: 완화의료 영역에서의 진단, 평가 및 치료)

  • Seo, Min Seok;Lee, Yong Joo
    • Journal of Hospice and Palliative Care
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    • v.19 no.3
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    • pp.201-210
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    • 2016
  • Delirium is a common symptom in patients with terminal cancer. The prevalence increases in the dying phase. Delirium causes negative effects on quality of life for both patients and their families, and is associated with higher mortality. However, some studies reported that it tends to remain unrecognized in palliative care setting. That may be related with difficulties to distinguish the symptom from others with overlapping characteristics such as depression and dementia, and a lack of knowledge regarding assessment and diagnostic tools. We suggest that accurate recognition with validated tools and early diagnosis of the symptom should be highly prioritized in delirium management in palliative care setting. After diagnosing delirium, it is important to identify and address reversible precipitants such as medication, dehydration, and infection. Non-pharmacological interventions including comfortable environment for the patient and family education are also essential in the management strategy. If such interventions prove ineffective or insufficient to control hyperactive symptoms, pharmacologic interventions with antipsychotics and benzodiazepine can be considered. Until now, low levels of haloperidol remains the standard treatment despite a lack of evidence. Atypical antipsychotics such as olanzapine, quetiapine and risperidone reportedly have similar efficacy with a stronger sedating property and less adverse effect compared to haloperidol. Currently, delirium medications that can be used in palliative care setting require more clinical trials, and thus, clinical guidelines are not sufficiently available. We suggest that it is warranted to develop clinical guidelines based on well-designed clinical studies for palliative care patients.

Study on the Adolescent′s Attitude Patterns toward the Meaning of Aging and the Elderly - Q-Methodology - (노인의 의미에 관한 청소년의 태도 유형 연구 - Q 방법론 적용 -)

  • Park In Sook;Lee Keum Jae
    • Child Health Nursing Research
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    • v.5 no.3
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    • pp.292-304
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    • 1999
  • The lengthened average span of human life by virtue of recent developments in medicine has caused the Population of elders to increase. The development of modern industrial society has transformed family structure from the large family system to that of a nuclear family. Due to the shift in family structure, the problem of support for the aged has surfaced as a nursing problem as well as a social problem. With regard to this problem, this study aims to investigate the adolescent's understanding of elders and aging. By identifying their understanding and classifying their attitude patterns, this study will help the nursing assessment of the support of elders in the family. This study employed Q-methodology and the research was conducted from December 1998 to May 1999. One method of the research included deep interviews with elders, those who are in their 50's. 40's or 30's. and the adolescent. 183 Q-Populations taken from literary works such as poems or novels were also formed as another method. Finally. 36 Q-cards were made after consultation with Professors of the nursing department. The subjects of the P- sample were 30 high sohoolboys/girls - who were in first, second, and third years. The result showed that 3 factors provided an explanation for 59.14% of the whole variables: the first factor, 41.37%; the second factor. 11.49%, and the third factor. 6.28%. These three factors were analyzed and categorized as three types. Twenty subjects out of the 30 were included in Type 1: Respecting Elders. The statements which showed the most positive consent were as follows: 'The declining age is a perfect time to prosper completing a worthy life' ; 'Getting old. one needs financial stability' and 'Elders wish the best for their children' The statements showing the most negative response were as follows: 'It is better to die than to live as an older person' ; 'Elders are insignificant' ; and 'Getting old is the worst unhappiness that tortures human.' Four subjects were included in Type 2. Resenting Elders. The statements which showed the most positive consent were as follows: 'Aging is a process of dying that nobody can escape from'. 'Elders should be concerned about his health and try to maintain their health' ; and 'When you set older. you regret about the life in the Past.' The statements showing the most negative response were as follows: 'When You get older. You should stand aloof greed and worldly things' 'When You got older, You become generous and gentle' ; and 'When You set he gets old. You change to become a comfortable and warm person.' Six out of 30 subject were included in Type 3 Caring Elders. The statements which showed the most positive consent were as follows: 'Elders should be concerned about his health and try to maintain their health' ; 'Elders wish the best for their children' ; and 'Elders deserve to be treated with filial respects.' The statements showing the most negative response were as follows 'Elders are insignificant' ; 'Elders have freedom and plenty of free time.' and 'Elders are alienated form and drove out of the society.' The above-mentioned results show that most adolescents in Korea recognize aging as the time of fruition and development: it is a time of benefiting and giving back to society. Aging can also be seen as a time of generosity and magnanimity and the time of respect and favorable treatment from society. despite the change of modern society and the ostensible transformation of a family system. Their recognition seems deeply rooted in the traditional confucian values and the dual family system which is Peculiar especially to the Korea - one which maintains both the superficial form of nuclear family and the substantial mode of the enlarged family system. In sum, many Korean adolescents attribute the meaning of the elderly and aging to the type of the respect with the elderly and the type of the elderly's caretaking.

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