• Journal of Hospice and Palliative Care
• /
• v.17 no.3
• /
• pp.122-133
• /
• 2014

Purpose: We conducted a descriptive correlational study to determine a relationship between nurses' awareness of good death and attitudes toward terminal care, which in turn could be used as basic data for improvement of the quality of terminal care at geriatric hospitals. Methods: From April 3, 2013 through April 22, 2013, data were collected from 230 nurses working at geriatric hospitals. Results: Nurses' attitudes toward terminal care showed no significant correlation with awareness of good death, but it was positively correlated with a sense of closeness, a subfactor of awareness of good death. There was negative correlation between emotions regarding a deathbed, a subfactor of attitudes of nurses in charge of terminal patients, and awareness of good death. We found positive correlation between terminal care performance and awareness of good death. Conclusion: This study warrants the need for nursing education catered to characteristics of geriatric hospitals and development of diverse intervention strategies to help them to attain a positive attitude toward death by familiarizing themselves with the concept of good death and enhancing job satisfaction.

• Journal of Hospice and Palliative Care
• /
• v.17 no.3
• /
• pp.151-160
• /
• 2014

Purpose: This study was conducted to investigate perception of good death among the community-dwelling elderly and identify factors related to the perception. Methods: A questionnaire survey was carried out using a convenient sampling method (N=317). Data were analyzed by applying descriptive statistics, t-test, ANOVA, Scheffe's test, Pearson's correlation coefficient, and stepwise multiple regression. Results: Participants scored an average of 3.35 on a 4-point scale for the perception level of good death. They scored higher on the factor of personal control that other factors affecting the perception. Good death was positively correlated with family support (r=0.252). Family support (${\beta}$=0.287) and gender (${\beta}$=0.197) significantly influenced the elderly's perception of good death. These variables accounted for 10.2% of the total variance. Conclusion: The results show that family support is an important factor for the perception of good death among the elderly. Therefore, family support should be carefully considered to ensure good death for more senior citizens. Our findings can be utilized to support programs such as death education for the elderly.

• Journal of Korea Entertainment Industry Association
• /
• v.13 no.2
• /
• pp.279-287
• /
• 2019

This study is a descriptive study to dentify gerotranscendence, family support, social support, self-esteem, and degree of fear of death and the relationship between old age. Through this study, it provide basic data that can help target elderly people do better in their later years. From June 2018 to October 2018, residents' self-governing centers, senior citizens' centers, and life-long education centers were visited to explain the purpose of the research, and those who voluntarily agreed to the research were selected. The following results were obtained by surveying 50 adults aged 60 or older in Seoul using structured questionnaire. The difference in the level of gerotranscendence, family support, social support, self-esteem, and fear of death according to the general characteristics of the target was analyzed as t-test and ANOVA. The correlation of gerotranscendence, family support, social support, self-esteem, and fear of death in early years of life was analyzed as Pearson correlation coefficient. Among the common traits, age was related to social support and death anxiety, marital status was related to family support, and life satisfaction was related to family support. There was a correlation between old age and fear of death, a correlation between family support and self-esteem, and social support related to self-esteem and fear of death. In conclusion, this study found that early retirement in the old age was associated with fear of death, and it was found that family support in the old age affected self-esteem and satisfaction in life. Future studies need to be conducted on groups of adults in the later years, including the degree of elderly age, satisfaction with living, and relationship between the elderly and the elderly.

• Asian Pacific Journal of Cancer Prevention
• /
• v.15 no.1
• /
• pp.349-353
• /
• 2014

Background: Although previously studies have reported that most patients with malignancy prefer to die at home, this is not the real situation in clinical practice. Aim: In this study, we aimed to determine the characteristics of Turkish cancer patients admitted to the emergency department (ED) within one month before death. Materials and Method: This descriptive retrospective study focused on questions about how often and why patients with cancer visited the ED before death. A total of 107 individuals with cancer were divided into 2 groups: Group 1, patients with at least one visit in the final 4 weeks; and Group 2, patients with no visit to ED. Demographic and clinical features were compared between the two groups. Statistical analyses: Descriptive statistical methods, statistical analysis for correlation, Student's t-test, chi-square tests and logistic regression were used. Results: At least one visit to ED within one month before death was reported for 64 (60%) of the 107 cases. Of these 64 (Group 1), 38% (n=24) were discharged and 9% (n=6) died in the ED. The most common site of the primary tumor was the lung (n=24, 38%) and the most common symptom was dyspnea (92%). With the other 43 (40%) cancer patients not presenting to the ED within one month before death, they were more likely to be female with another type of cancer. Conclusions: Guidelines are needed for better management of cancer patients benefiting from visits to ED within the last month of life.

• Journal of Korean Critical Care Nursing
• /
• v.14 no.1
• /
• pp.1-13
• /
• 2021

Purpose : Based on Quint's theory and the relevant literature, this study constructed a structural equation model for explaining and predicting end-of-life care performance in clinical nurses. Methods : A self-administered questionnaire was used to collect data from 265 nurses between September 1 and September 30, 2016. The data were analyzed using SPSS ver. 21 and AMOS ver. 21. Results : The goodness of fit of the modified model was found to be relatively satisfactory (χ2=114.82, Nomed χ2(χ2/df)=2.44, SRMR=.06, GFI=.94, AGFI=.89, CFI=.95, TLI=.91, RMSEA=.07). End-of-life care performance was affected by the attitudes toward nursing care of the dying, working unit, and death anxiety. The attitudes toward such care had the highest effect on end-of-life care performance. Conclusion : The results suggest that end-of-life care performance is directly and indirectly affected by attitudes toward nursing care of the dying, participation in end-of-life care education, working unit, death perception, and death anxiety. To improve clinical nurses' end-of-life care performance, effective programs to promote death anxiety and attitudes toward nursing care of the dying need to be developed. In addition, hospital nursing organizations should attempt to produce concrete measures for death anxiety and terminal care attitudes in clinical nurses.

• The Journal of Korean Society for School & Community Health Education
• /
• v.24 no.1
• /
• pp.1-15
• /
• 2023

Objectives: The purpose of this study was to identify the major influencing factors of breast cancer death and to suggest policy measures to promote the health of breast cancer patients. Methods: The method of this study performed statistical analysis by applying weights to 2,300 cases of breast cancer registration statistics in Korea collected in 2018 due to the relatively small number of mortality data compared to survival. Statistical processing of the collected data was analyzed using SPSS 26.0. Results: The epidemiologic characteristics of death in breast cancer patients were 31.8% in those aged 70 years or older, and the mortality rate was 5.25 times higher in patients aged 70 years or older than those aged 39 years or younger. The anatomical site code was 36.4% in C50.4~C50.6, and the mortality rate was 1.82 times higher in C50.4~C50.6 than in C50.0~C50.1. The tumor size was 40.4% and larger than 4cm, and the mortality rate was 4.53 times higher in tumors larger than 4cm than those smaller than 1cm. The degree of differentiation was 13.9% in the poorly differentiated group, and the mortality rate was 4.38 times higher in the poorly differentiated group than in the highly differentiated group. In the hormone receptor test, non-triple negative cases were 59.6%, and the mortality rate was 0.57 times lower in non-triple negative cases than in triple negative cases. As for lymph node involvement, the presence or absence of lymph node involvement was 78.8%, and the mortality rate with lymph node involvement was 1.36 times higher than that without lymph node involvement. The survival period of 13 to 24 months was the highest at 26.5%, and the average survival period was 25.68 months (±14.830). Conclusion: A policy to advance the timing of national health examinations for early detection of breast cancer is necessary. In addition, a bill for the mandatory placement of health educators in medical institutions for patients with special diseases such as breast cancer should be prepared.

• Journal of Hospice and Palliative Care
• /
• v.19 no.3
• /
• pp.240-248
• /
• 2016

Purpose: Patients and their caretakers need to understand various problems and requirements in the dying process so that they may prepare for death for the rest of their remaining life. Accordingly, a systematic audio-visual resource was developed to educate hospice patients and their families at the palliative care ward about the process of dying. Methods: For the development of an audio-visual resource, a initial education material was produced in the form of simple and accessible Power Point handouts based on literature study. Then, the program was completed through five rounds of a process, including expert advice, revision, update and evaluation. Results: The final version of the program was filmed with cooperation of the medical literature information division. Using the program, patients and families were educated through five phases over three sessions for a total 26 minutes and 34 seconds. Conclusion: The significance of this study lies in the fact that it was conducted after the establishment of the palliative care ward, which made it easier for nurses provide the education. It is expected that the program may be used by hospice specialists as well as nurses as an education resource for hospice patients and their families.

• (The)Korea Educational Review
• /
• v.23 no.1
• /
• pp.261-285
• /
• 2017

In this study, we examined the direction of the elderly education to improve the quality of life in the intelligence information society on the basis of the wisdom shown in the "Pan-jo wu-chih lun" of Seng-Zhao. The characteristics of the elderly in the intelligence information society are four-fold. First, the elderly show no deterioration in wisdom. Second, they have a lot of leisure time. Third, they are likely not to adapt in a rapidly changing society. Fourth, they are exposed to an economically vulnerable environment. But in the intelligence information society, the elderly cannot avoid death, and it is difficult for them to have insight into their existence due to the egotism, they take the attitude of attaching themselves only to exiting things. The direction of the Elderly Education to solve the problem is as follows: First, "Learning to know that Life-and-Death-and-suffering is temporary" is to make the elderly aware that the coming mind and the disappearing mind for a specific object are temporary and S?nya. Second, "Learning to be while eliminating the egotism" is set them free from the dogmatism that there is the attan. Third, "Learning to do to break the attachment" is to disabuse them of the idea that things will turn out according to their expectation through an awakening and to transforming their behavior.

• Journal of Korean Academy of Nursing
• /
• v.29 no.5
• /
• pp.1011-1020
• /
• 1999

This study was conducted to develop an education program of hospice care for the professional in order to care for nurses for terminally ill patients facing death and their families. The Modified Tyler-Type Ends-Means model was used to guide the curriculum development of the study The curriculum include a philosophical conception of hospice education, fundamental concepts, purpose, objective and the educational contents. The content was developed based upon a 70% or more demand in educational demand analysis. The education program has a total of 360 hours consisting of 172 hours of theoretical study and 188 hours of practice including fundamental nursing care for hospice.

• Journal of the Korea Academia-Industrial cooperation Society
• /
• v.19 no.8
• /
• pp.167-175
• /
• 2018

The purpose of this study was to investigate the status and the factors associated with death preparation of in Community-Dwelling Elderlys. This study was secondary analysis using with 2014 National Survey on the Elderly in Korea. The number of respondents were 10,281. Data were analyzed with the x2 test, t-test and multiple logistic regression using the SPSS/WIN 23.0 program. 37.7% of respondents had done death preparation. The factors associated with death preparation were sex(CI=1.02-1.25), age(CI=1.90-2.28), living area(CI=1.21-1.45), education level(CI=1.16-1.42), spouse status(CI=1.50-3.22), economic level(CI=1.13-1.36), limit of activity(CI=1.11-1.40), life satisfaction(economic satisfaction(CI=1.17-1.35), children relationship satisfaction(CI=1.25-1.43), friends and neighborhood relationship satisfaction(CI=1.10-1.28)). Based on these results, it is necessary to develop programs for reinforcing elder's psychological death preparation for elders in community organization. To consider elder's characteristics like gender and living area.