• 한국심리학회지 : 문화 및 사회문제
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• 제19권3호
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• pp.435-456
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• 2013

본 연구에서는 대학생들의 노화불안에 영향을 미치는 요인들의 영향력을 조사하였다. 서울과 경기 지역 소재 대학의 학부생 336명을 대상으로 설문조사를 실시한 결과, 노화불안의 하위 차원 중 노인에 대한 두려움 차원에 영향을 주는 요인은 노인접촉 질과 노인에 대한 태도였으며 심리적 불안정 차원에 영향을 주는 요인은 노인접촉 질, 노인에 대한 태도, 죽음불안이었다. 신체/외모에 대한 걱정 차원의 경우, 노인접촉 질, 죽음불안, 성별이 영향을 주었고 상실의 공포 차원에는 노인에 대한 태도와 죽음불안이 유의미한 영향을 미치는 요인이었다. 전반적으로 죽음불안이 낮을수록, 접촉의 질이 긍정적일수록, 노인에 대한 태도가 긍정적일수록 노화불안이 낮았으며 여성이 남성에 비해 노화에 따른 신체/외모에 대한 걱정이 큰 것으로 나타났다. 반면 노인접촉 빈도와 노화에 대한 지식은 노화불안에 유의미한 영향을 미치지 못하는 것으로 확인되었다. 마지막으로 본 연구의 제한점, 의의, 후속연구 방향에 대해 논의하였다.

• 성인간호학회지
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• 제27권3호
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• pp.367-374
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• 2015

Purpose: This study aimed at understanding the correlation between self-esteem, death anxiety, and spiritual wellbeing in university students. Methods: Cross-sectional method was used 671 students in South Korea. This study used the Self-esteem developed by Rosenberg, the Fear of Death Scale revised by Lester and Abdel-Khalek, and Spiritual wellbeing developed by Paloutzian and Ellison. Results: Relationships between self-esteem, death anxiety, and spiritual wellbeing revealed an inverse correlation between self-esteem and death anxiety, and a direct correlation between self-esteem and spiritual wellbeing. Conclusion: In order for students of establishing identity to lead a healthy life, there is a need for studies aiming at developing, implementing, and evaluating the results of consultation and education programs for maintaining spiritual wellbeing such as psychological counseling and logotherapy at the university or regional community level.

• 한국생활과학회지
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• 제20권5호
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• pp.917-926
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• 2011

The purpose of this study is to identify the influence of ego integrity on death anxiety of the elderly, mediated by depression based on Erikson theory(1963). For this study, 313 elderly over 60 years old in Daegu city participated in a survey. The data of the survey was analyzed using SPSS 15.0 and Structural Equation Modeling(SEM) with AMOS 7.0. The results of the study are as follows: ego integrity of the elderly does not influence death anxiety due to the suppressing effect of depression. However, depression does mediate the relation between ego integrity and death anxiety fully. Such findings suggest that the Erikson theory can also be applied to elderly Korean citizens. A practical benefit derived from the study's results is the proposition to implement a reminiscence program, reinforce depression treatment and prevention systems, and augment a death awareness movement for elderly.

• 가정과삶의질연구
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• 제24권5호
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• pp.113-128
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• 2006

This study was to verify the effectiveness of the Life Review-Narrative group therapy program on decreasing depression and death anxiety in the elderly. The program was organized according to a course of life from childhood to old age. The objectives were for the elderly to enhance self-worth, to become aware of their solitary existence, to accept aging and death, to accept the life: both past and present, and to make the most of experiences in overcoming difficulties. For the most part, the program used reminiscence and re-authoring of the narrative therapy as counseling techniques. Thirty-two elderly people(16 in the experimental group, 16 in the control group) aged 60 years and over were randomly selected from patients at the Daegu Metropolitan City General Welfare Center. Two groups were identified as equivalents for the study in the pre-test. The program for the experimental group was implemented twice a week for 90 minutes per session over a 6-week period(Sep. 8-Oct.14. 2005). The pre-test(Sep. 8 2005), the post-test(Oct. 14. 2005) and the follow-up test(Nov. 14. 2005) were implemented in order to verify the effectiveness of the programs. The instruments used in the study were the Geriatric Depression Scale Short Form(Korean Version) and the Death Anxiety Scale. The data were analyzed using t-testing and One-Factor Repeated Measures ANOVA. This study supplemented other qualitative research methods in order to verify the variation in the depression and death anxiety in the elderly. The findings of the study were as follows: Significant decrease in the depression and death anxiety were reported in the experimental group. The control group however did not show any significant changes in the depression and death anxiety rates. The result of the post hoc multiple comparisons showed that the effects of the life review-narrative group therapy program has lasted effects on decreasing of the death anxiety. Nevertheless, the effects of the life review-narrative group therapy program on decreasing depression are not lasting. The study has limitations so further research is suggested.

• 한국보건간호학회지
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• 제27권3호
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• pp.480-489
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• 2013

Purpose: The purpose of this study was to examine self-transcendence, spiritual well-being, and death anxiety of elderly. Method: This was a descriptive survey study. Data were collected from March to June, 2013, from 243 elderly persons. Questionnaires were used in order to solicit information on self-transcendence, spiritual well-being, and death anxiety. Descriptive statistics, Pearson's correlation, and stepwise multiple regression were used in analysis of data. Results: Average scores were 2.96 for self-transcendence, 4.19 for spiritual well-being, and 3.08 for death anxiety. Statistically significant negative correlations were observed between self-transcendence and death anxiety, spiritual well-being and death anxiety. However, from the statistical point of view, significantly positive correlation was observed between self-transcendence and spiritual well-being.. Spiritual well-being, health status, and gender were significant predictors of self-transcendence. Conclusion: This study will provide basic information for use in development of a program to encourage a healthy lifestyle for elderly persons.

• 동서간호학연구지
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• 제25권1호
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• pp.26-32
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• 2019

Purpose: The purpose of this methodological study was to examine the validity and reliability of a translated Korean version of Templer's death anxiety scale among older adults. Methods: The translated Korean scale was administered to 203 older people who aged over 65 years. Exploratory factor analysis was utilized to assess the factor structure of the scale. Internal consistency of the scale was determined using Cronbach's ${\alpha}$ and Guttman's split-half coefficient. Results: Factor loadings of the scale ranged from .43 to .86. The scale showed good internal consistencies of both total scale (13 items, ${\alpha}=.83$) and three sub-scales: meaning of death (6 items, ${\alpha}=.77$), death-related event (5 items, ${\alpha}=.72$), and time of death (2 items, ${\alpha}=.80$). The concurrent validity compare with Fear of Death Scale was significant. The Cronbach's alpha and Guttman's split-half coefficient were .83 and .80, respectively. Conclusion: The findings of this study demonstrate that the Korean version of Templer's death anxiety scale had satisfactory validity and reliability to measure death anxiety among Korean older people.

• Asian Journal for Public Opinion Research
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• 제6권1호
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• pp.18-30
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• 2018

Patients with advanced cancer cope with various issues, especially psychological symptoms, such as anxiety about death. Previous research from various countries indicates that most advanced cancer patients perceive distress before death, which means they cannot accept death peacefully. The purpose of this study was to examine the factors associated with death acceptance of Thai patients with advanced cancer. The participants were 242 adult patients with advanced cancer from three tertiary hospitals in Bangkok, Thailand. The research instruments consisted of 7 questionnaires: a personal information questionnaire, the death anxiety questionnaire, Buddhist beliefs about death questionnaire, the unfinished task questionnaire, general self-efficacy scale, family relationship questionnaire, and death acceptance scale. These instruments were tested for their content validity by a panel of experts. All instruments except the first one were tested for reliability, and their Cronbach's alpha coefficient were .86, .72, .74, .74, .89, and .70, respectively. Descriptive statistics, Pearson's correlation, Point-biserial correlation coefficient, and stepwise multiple regression were used to analyze the data. The results revealed that a total of 42% of variance of death acceptance among Thai patients with advanced cancer was explained by death anxiety, Buddhist beliefs about death, and self-efficacy. Knowing these factors provides further information for nurses to help patients to cope with their death. From this crucial knowledge, nurses can develop interventions in decreasing or controlling anxiety about death, promoting Buddhist beliefs about death, and enhancing self-efficacy of advanced cancer patients. Therefore, a better quality of life and good death can be achieved.

• 지역사회간호학회지
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• 제18권3호
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• pp.400-409
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• 2007

Purpose: This study was performed to investigate the level of subjective health status, religiosity and the fear of death of the elderly and to identify the relationships among them. Methods: This study was a cross-sectional descriptive study using a questionnaire. Fear of Death Scale that was made by Loo & Shea (1996) and translated and revised by Kim(2003) was used to measure the fear of death. The data was analyzed using SPSS. Results: The subject was 128 community dwelling elders who had a religion. Of the respondents, 50% felt 'not healthy', and 69.5% was moderately religious. The mean score of FODS was 3.18 (out of 5). The mean score of each subcategory of FODS was as follows: Death anxiety about the death of self was 3.00. Death anxiety about the dying of self was 3.18. Death anxiety about the death of others was 3.31 and death anxiety about the dying of others was 3.23. There was a statistically significance correlation between the level of religiosity and FODS (F=3.29, p= .040). Conclusion: Health professionals may make efforts to learn about healthy attitudes toward death and aid for the elderly and to comfort them. Death education programs are needed for the elderly.

• 한국노년학
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• 제41권4호
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• pp.491-504
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• 2021

본 연구는 노인의 죽음불안이 자아통합감에 미치는 영향을 알아보고, 죽음불안과 자아통합감의 관계에서 심리적 안녕감의 매개효과를 검증하였다. 이를 위해 서울 및 경기 지역 노인 관련 시설에 거주하는 65세부터 94세까지의 노인 254명을 대상으로 2020년 9월 1일부터 같은 해 11월 30일까지 설문을 시행하였고, 측정도구로는 죽음불안 척도, 심리적 안녕감 척도, 자아통합감 척도를 사용하였고, Baron·Kenny(1986)의 3단계 매개효과 분석 방법을 활용하였다. 연구의 결과는 첫째, 죽음불안이 자아통합감에 미치는 영향력은 통계적으로 유의하였다. 둘째, 적용한 결과, 죽음불안과 자아통합감 간의 관계에서 심리적 안녕감이 완전매개 효과를 갖는 것으로 연구 결과가 나타났다. 이 연구에서는 노인의 자아통합감 문제를 효과적이고 긍정적으로 다루기 위해서는 노인의 죽음불안과 함께 노인의 심리적 안녕감 역시 간과하지 않아야 한다는 것을 밝혔다.

• Journal of Hospice and Palliative Care
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• 제26권4호
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• pp.160-170
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• 2023

Purpose: The aim of this study was to examine the effects of death anxiety and perceived end-of-life care competencies on the fear of terminal care among clinical nurses. Methods: This correlational study was conducted from June to July 2021. The study included 149 clinical nurses employed at a tertiary hospital and seven other hospitals. The measurement tools used in this study were the Thanatophobia Scale (Cronbach's α=0.87), the Death Anxiety Scale (Cronbach's α=0.80), and the Scale of End-of-life Care Competencies (Cronbach's α=0.94). These instruments were chosen to assess the levels of fear of terminal care, death-related anxiety, and competencies in end-of-life care. Results: The mean score for fear of terminal care was 3.32±1.32. Differences in fear of terminal care were observed based on the working unit, position, number of patients requiring terminal care, and experience with end-of-life care education. Fear of terminal care was significantly positively correlated with death anxiety and significantly negatively correlated with end-of-life care competencies. In multiple regression analysis, the factors influencing fear of terminal care were attitudes toward end-of-life care competencies (𝛽=-0.39, P<0.001), death anxiety (𝛽=0.24, P<0.001), knowledge of end-of-life care competencies (𝛽=-0.22, P=0.005), and behaviors related to end-of-life care competencies (𝛽=-0.16, P=0.021). These factors explained 64.6% of the total variance (F=25.54, P<0.001). Conclusion: This study suggests that developing nurses' end-of-life care competencies and reducing death anxiety are crucial for managing the fear of terminal care. Therefore, providing end-of-life care education and psychological support programs is important.