• Journal of Korean Academy of Rural Health Nursing
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• v.15 no.1
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• pp.30-40
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• 2020

Purpose: This study was done to describe a community health practitioner's nursing case management for a terminal cancer patient registered in the public health post. Methods: For this purpose, data were collected through the patient and family through home visits, health clinic offices, and phone calls. The nursing process was carried out from August to November 2019. Results: The patient suffered the most from anorexia and lack of energy. Also he expressed psychologically uncertainty about disease and death anxiety caused by long-term treatment. In order to reduce the death anxiety, Community Health Practitioner (CHP) asked him to express his life stories and listened to him. CHP provided information of appropriate medications and alternative foods for symptoms such as gastrointestinal disorders and anorexia to the patient and family. Observing the situation of the patient and family, CHP guided the patient and family to prepare for death and has confirmed to them that the process was not with the patient alone. Conclusion: CHP's this experience has shown the possibility for CHP to help the terminal cancer patient and family to prepare peaceful death in their communities.

• Journal of Hospice and Palliative Care
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• v.8 no.2
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• pp.163-172
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• 2005

Purpose: This study is to identify the effect of a death education program to the nursing students on their anxiety of death and attitudes toward nursing care of the dying. Methods: The design of this study is nonequivalent control group pretest-posttest design. The subjects of experimental group 20 and control group 16 in senior grade of department of Nursing G university in J city. The experimental group had Death education Program, which was a three days per week program, for 2 weeks. And post-test was carried out in the same way as the pre-test. Data analysis was done using frequency, percentage, mean, standard deviation, Chi-square test, t-test, paired Sample t-test using with SPSS win 10.0. Results: the experimental group was decreased in degree of anxiety of death and was improved in degree of positive attitudes toward nursing care of the dying. Conclusion: The death Education Program can be an effective nursing education program for their Nursing students to decrease their death anxiety and to prepare care of the dying.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.12 no.6
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• pp.2616-2623
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• 2011

The purpose of this study is investigate the sociology population variable and social support system(emotional, financial, informal and evaluative support) with regards to the death anxiety and provide a basic data to relieve the fear of death in the elderly special nursing service. 300 old people who are living in Daeg-gu city and Kyong-buk province were selected and interviewed under their agreement which they are fully aware of the purpose and the intention of this study. Interviews for study were performed by structured questionnaire which consists of general area(11-question), social support area(emotional support 7-question, financial support 6-question, informal support 6-question and evaluative support 6-question) and death-anxiety(20-question). Statistical analysis was carried out with SPSS 12.0 program, which was applied to descriptive statistics and regression analysis to analyze the questionnaire.

• Journal of Korean Academy of Nursing
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• v.47 no.1
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• pp.98-109
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• 2017

Purpose: This aim of this phenomenological study was to describe and understand the experience of spiritual conflict in hospice nurses by identifying the meanings and structures of the experience. Methods: Participants were 12 nurses working for one year or more at hospice units of general hospitals in a metropolitan city and experiencing of spiritual conflict as hospice nurses. Over six months data were collected using individual in-depth interviews and analyzed with the method suggested by Colaizzi. Results: The experience of spiritual conflict in participants was organized into three categories, six theme-clusters, and 13 themes. The participants felt existential anxiety on death and a fear of death which is out of human control and skepticism for real facts of human beings facing death. They also experienced agitation of fundamental beliefs about life with agitation of the philosophy of life guiding themselves and mental distress due to fundamental questions that are difficult to answer. Also they had distress about poor spiritual care with guilty feelings from neglecting patients' spiritual needs and difficulties in spiritual care due to lack of practical competencies. Conclusion: Findings indicate the experience of spiritual conflict in hospice nurses is mainly associated with frequent experience of death in hospice patients. The experience of spiritual conflict consisted of existential anxiety, agitation of fundamental beliefs and distress over poor spiritual care. So, programs to help relieve anxiety, agitation and distress are necessary to prevent spiritual conflict and then spiritual burnout in hospice nurses.

• Korean Journal of Hospice Care
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• v.8 no.1
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• pp.1-12
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• 2008

Perpose: The purpose of this study was to investigate the perception of death between Korean and Chinese nursing students. And it will help develop curriculum for preparing death, the quality of hospice care, as well as nursing education and practice. Methods: Data was collected from 492 nursing students participated(248 Korean and 244 Chinese) by questionnaire designed for examining Death Orientation (Thorson & Powell, 1988). They were analyzed using Cronbach's Alpha coefficients, factor analysis, t-test, ANOVA and regression analysis (SPSS; win 12.0 version) Results: More than half of the Korean nursing students followed a religion (58.5%) while the majority of Chinese nursing students did not follow a religion (93.9%). In the view of the afterlife, nursing students in China had two views. 'I really don't know what happens after a person dies (30.3%)' and ‘There is no afterlife and death is the end (29.5%)’. On the other hand the Korean nursing students’ answer were, 'After dying, a person goes to heaven or hell (27.3%)' and 'I really don't know what happens after a person dies. (22.9%)' The study also found that the average of 25 items in Death Orientation is 2.36points of nursing students in Korea and 2.50points of nursing students in China. This means that the concern, anxiety and fear were of the middle level for the Chinese Students and were higher than Korean students (t=3.51, p=.000). In the low factor of death orientation, those in Korea had higher 'anxiety of burden to family' than those in China (t=-3.50, p=.001). The nursing students in China had higher 'anxiety of the unknown (t=4.96, p=.000)', 'fear of suffering (t=6.88, p=.000), 'fear of extinction body and life (t=5.20, p=.000), 'fear of lost self-control(t=2.12, p=.034)', and 'anxiety of future existence and nonexistence (t=2.33, p=.020)' than those in Korea. There was no statistically significant difference for the 'concern of body and fear of identity lost' category. The death orientation of Korean nursing students had statistically significant differences according to age (t=3.20, p=.002), religion (t=2.56, p=.011), and afterlife (F=4.64, p=.000). The contribution of Death Orientation had a statistically significant difference, the afterlife variable (0.735, p=0.001). The death orientation of Chinese nursing students did not have any statistically significant differences. Conclusion: In conclusion, there were differences in death orientation between Korean and Chinese nursing students. In particular, those who believed in afterlife showed acceptance of death. The results of this study suggest that nursing curricula should include education program on death and spiritual nursing. Additional studies are needed to establish death education in China with careful considerations on Chinese policies, cultures and social systems.

• Journal of Hospice and Palliative Care
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• v.21 no.2
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• pp.58-64
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• 2018

Purpose: This study was conducted to evaluate the impact of a two-week palliative care education program on Korean Hospice volunteers. Methods: A total of 71 volunteers were assigned to two groups: Group A (intervention, n=34) and Group B (usual care, n=37). Group A received six sessions of palliative care education for two weeks. The level of volunteers' motivation, death anxiety, and communication with the dying were measured at baseline and after the program ended. Results: The palliative care education program had positive influence on the volunteers' motivation (t=2.341, P=0.022), death anxiety (t=-2.166, P=0.034), and communication with the dying (t=-2.808, P=0.006). Conclusion: The findings of this study suggest that a palliative care education program may be an effective way to boost hospice volunteers' motivation, ease their death anxiety and improve their communication with the dying.

• Journal of Korean Philosophical Society
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• v.105
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• pp.351-372
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• 2008

This Thesis is the study on the corresponding relations between Kierkegaard's existential stages and the forms of despair. the subjects of Kierkegaard's philosophical psychology are despair and anxiety. He studies the forms of despair in Sickness Unto Death, and anxiety in The Concept of Anxiety. He seeks to elucidate the human existence by way of the psychological inquiry on despair and anxiety. I will primarily study Kierkegaard's concept of despair in order to make out his understanding of human existence and, then, inquire into his concept of anxiety supplementarily. Until now, many studies on Kierkegaard's concept of despair have been carried out mainly focusing on his Sickness Unto Death. Of course, those studies focusing on his Sickness Unto Death are meaningful in a sense, but have a limit of abstract understanding, since Kierkegaard argues many forms of despair abstractly through the ontological form of the self which is constituted by the opposing constituents such as necessity and possibility. In order to understand his abstract explanation about despair, I think, we have to compare various modes of existence and the forms of despair which are portrayed in Either/Or and Fear and Trembling. Therefore, I will enquire into his seemingly unrelated works synthetically and elucidate his understanding on the relation of the forms of despair and the stages of existence.

• 한국생활과학회:학술대회논문집
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• 2008.05a
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• pp.198-199
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• 2008

• The Journal of Korean society of community based occupational therapy
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• v.5 no.1
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• pp.35-43
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• 2015

Objective : The purpose of the study is to find the factors affecting a social phenomena of the elderly and suggest a basic data for efficiency of a senior policy and type of the life in Korea. Methods : We refereed to sources from the Korean Statistical Information, the National Pension Service, and the Ministry of Health and Welfare. We also surveyed and analysed the depression and death anxiety among the elderly in 2014. Results : First, most of them were low educated people and family composing a couple. An annual income were average. Second, medical costs were increasing constantly in proportion to the increase of aging population. Third, they had high depression index resulting from negative thinking of the future and themselves. Fourth, the death anxiety level of them were more than moderate and that was about the death of themselves and the process of the death. Conclusion : It is needed to help physical, mental, and social health and improve the quality of the life in the elderly through social program established a variety of special fields like occupational therapy and family support program belonging to the government.

• Asia-Pacific Journal of Business Venturing and Entrepreneurship
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• v.7 no.3
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• pp.115-120
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• 2012

The purpose of this study is to examine the impacts of religious activities on the death anxiety and self appearance, life quilty of senior citizens in a bid to give some suggestions on how the elderly could lead a successful life. The subjects in this study carried out face-to-face interview targeting and convenience sampling 300 elderly people who were aged 65 and over and resided in the city of Gwangju. SPSS 17.0 and AMOS 7.0 programs were used to analyze the collected data. The findings of the study were as follows: First, whether there were any gaps in death anxiety and self appearance, life quality according to the type of religious life was examined, and that made significant differences to life satisfaction(F=9.498, p<.001) and self- esteem(F=9.370, p<.001). But that produced no statistically significant results in association with depression. Second, a confirmatory factor analysis was made to find out the relationship of religion to depression and psychological well-being, and most of their indexes were positive, which proved that the variables had something to do with each other. Last, a path model was analyzed to verify the relationship of the participation of the elderly people in religious activities to their depression and psychological well-being, and the GFI, AGFI, and CFI of the variables were above .80, which lent credibility to the validity of the study.