• 보건의료산업학회지
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• 제6권1호
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• pp.129-140
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• 2012

The purpose of this study was to identify attitude of hospital nurse's on death with dignity. The subjects of the study were 516 nurses. The data was analyzed by SPSS PC 19.0 program. 1) 82.8% participants agree to death with dignity, and they and their family will ask death with dignity in actual situations. 2) The average score of overall attitude on death with dignity was $3.13{\pm}0.52$. 3) With respect to the general characteristics of participants there were statistically significant difference in total score according to age, Marital Status, education level, religion, career, position, and existence of patients with incurable disease around. 4) With respect to the death with dignity related characteristics of participants there were statistically significant difference in total score according to agreement to death with dignity, request to my death with dignity, in case my family member requests death with dignity. Although many nurses had a positive concept of death with dignity, they still have ethical dilemmas in life-sustaining care. Therefore training programs on moral rights are necessary to provide guidelines foe end-of-life care.

• Journal of Hospice and Palliative Care
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• 제26권3호
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• pp.145-148
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• 2023

Preserving dignity is a significant concern for individuals approaching the end of their lives, as they face an increasing number of conditions that can potentially compromise their dignity. This article discusses dignity therapy as one intervention method aimed at enhancing the psychological and spiritual well-being of patients with terminal illnesses. Dignity therapy is an empirically supported therapeutic intervention that interviews patients with nine questions about what is important to them and what they want to remember, culminating in the production of a document based on these conversations. This intervention serves as a valuable tool and framework, enabling clinical professionals to reflect on dignity. It also provides clinicians with a medium to connect with patients on a deeply human level.

• 간호행정학회지
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• 제15권1호
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• pp.81-90
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• 2009

Purpose: The purpose of this study was to identify nurses' perceptions on the older adult's dignity, and identify the risk factors that threaten older adult dignity and nurses' experiences of ethically difficult care in nursing homes. Method: Qualitative content analysis was done using an analysis scheme developed by the investigators. The data were collected from 51 nurses in 10 different nursing homes, who have agreed this study. Using a self-completion questionnaire was developed by the authors. The questionnaire which consisted of 3 items about dignity definitions, risk factors, and experiences on ethical dilemma. Results: The scheme consisted of 14 categories and 33 subcategories of the 261 significant statements. The categories of the dignity perception analyzed were respect, social right and equality. The categories of risk factors analyzed were loss of control, abuse, physical restraint, invasion of privacy, decision limitation and staff qualification. The categories of dignity experiences were abuse, physical restraint, invasion of privacy, staff qualification and decision limitation. Conclusions: This study may suggests interpretation for compromised older adult's dignity and provides data to use in the development of the useful guidelines and educational programs for the nurses in nursing homes.

• 한국콘텐츠학회논문지
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• 제10권10호
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• pp.304-317
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• 2010

본 연구는 일반성인의 존엄사의 법제화에 대한 의견을 살펴보고자 서울 경기지역에 거주하는 20세이상 남녀 561명을 대상으로 설문조사를 실시하였다. 응답자의 개인적 특성과 죽음과 관련한 개인적 경험, 죽음에 대한 생각, 존엄사 및 법제화에 대한 찬반여부, 법제화 요건에 대한 의견 등의 총 28개 항목에 대해 백분율, 평균분석 및 교차분석을 실시하였다. 조사결과 응답자의 87.3%가 존엄사법제화에 찬성하였으며, 연령이 높아질수록, 기혼인 경우, 부부가구의 경우, 불교를 믿는 경우, 자영업자나 생산직 종사자의 경우, 가족 친지의 투병 및 임종경험, 간병경험이 있는 경우, 사후세계에 대한 믿음이 강한 경우, 유언의 필요성을 느끼고 있는 경우 존엄사의 법제화 찬성율이 더 높은 것으로 조사되었다. 법제화를 위한 요건으로 '본인의사 판단의 근거'를 가장 중요시하였으며, '존엄사의 결정자'에 대해 본인 다음으로 가족의 의견을 중요시하는 것으로 나타났다. 필요서비스로 존엄사 결정시 '본인, 가족과 의사와의 의견조율'에 대한 도움과 '질병경과나 연명치료 과정에 대한 의학적 정보'와 '우울 등 심리상담'을 필요로 하는 것으로 나타났다.

• Journal of Hospice and Palliative Care
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• 제19권3호
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• pp.211-221
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• 2016

목적: 본 연구의 목적은 말기 환자에게 이루어지는 존엄요법의 의미와 속성을 파악함으로써 말기 환자 간호의 질적인 향상에 기여할 수 있도록 하기 위함이다. 방법: 개념의 모든 사용을 확인하기 위하여 2014년 8월에서 2014년 12월까지 한국교육학술정보원(http://www.riss.net), 학술연구정보서비스(http://kiss.kstudy.com), 디비피아(http://www.dbpia.co.kr)에서 '존엄', '존엄요법'을 검색어로 국내문헌을 검색하였고, 국외 문헌의 경우 PubMed와 National Digital Science Links (NDSL)에서 'dignity', 'dignity therapy'를 검색어로 문헌을 검색하였다. 총 51개의 문헌을 Walker와 Avant(2005)의 개념분석 방법을 적용하여 분석하였다. 결과: 존엄요법의 선행요인은 말기 환자, 다양한 고통과 괴로움, 존엄한 죽음에 대한 바램이었다. 속성으로는 삶과 죽음의 질 향상, 치료적 대화, 인간의 존엄과 가치존중, 삶과 죽음에 대한 생각 표현, 체계적 과정으로 나타났고, 결과는 자신의 삶에 대한 반추 기회, 고통과 괴로움 감소, 가치와 존엄감 상승, 자신의 삶에 대한 가족과의 공유, 삶과 죽음의 질 향상, 환자와 가족에게 편안함 제공으로 나타났다. 결론: 존엄요법은 삶의 마지막을 경험하는 환자들이 좀 더 편안함을 느낄 수 있게 해 준다. 따라서 호스피스환자 간호 시 그들의 삶과 죽음의 질을 향상시키기 위해 존엄요법의 속성을 활용할 수 있을 것이다.

• 대한간호학회지
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• 제44권5호
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• pp.471-483
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• 2014

Purpose: This study was done to evaluate the effects of dignity interventions on depression, anxiety and meaning of life in terminally ill patients. Methods: PubMed, Cochrane Library CENTRAL, EMBASE, CINAHL and several Korean databases were searched. The main search strategy combined terms indicating dignity intervention, presence of terminal illness and study design. Methodological quality was assessed using Cochrane's Risk of Bias for randomized studies and Risk of Bias Assessment tool for non randomized studies. Data were analyzed by the RevMan 5.2.11 program of Cochrane Library. Results: Twelve clinical trials met the inclusion criteria with a total of 878 participants. Dignity intervention was conducted for a mean of 2.2 weeks, 2.8 sessions and an average of 48.7 minutes per session. Effect sizes were heterogeneous and subgroup analysis was done. Dignity interventions had a significant effect on depression (ES= -1.05, p<.001, $I^2$=15%) and anxiety (ES= -1.01, p<.001, $I^2$=0). For meaning of life, dignity interventions were effective (ES= -1.64, p=.005) and effect sizes were still heterogeneous. Conclusion: Results support findings that dignity interventions can assist terminal ill patients in reducing emotional distress and improving meaning of life. Further well-designed dignity studies will lead to better understanding of the effects of treatments on spiritual well-being.

• Asian Pacific Journal of Cancer Prevention
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• 제16권13호
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• pp.5453-5458
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• 2015

Background: There are several factors that threaten the dignity of cancer patients in hospital settings. However, there is limited literature regarding the degree to which dignity of cancer patients is actually respected in daily clinical practice. The aims of this study were therefore to explore cancer patient perceptions of respecting their dignity and related variables in an Iranian cancer specific center. Materials and Methods: This descriptive-correlational study was carried out among 250 cancer patients admitted to a cancer specific center in East Azerbaijan Province, Iran. These patients were selected using a convenience sampling method. The Patient Dignity Inventory (PDI) was used for data collection. Descriptive and inferential statistics were used for data analysis. Results: The patients' scores in 18 out of 25 items of PDI were 3 or greater which indicate the importance of considering these items in clinical settings. Also, the score of patients in three sub-scales of PDI including illness-related concerns, personal dignity, and social dignity were 74, 65 and 57, respectively (based on a total 100). The overall score of PDI was statistically associated with age, history of disease recurrence, education, employment and economic status of participants. Conclusions: According to the study findings the dignity of Iranian cancer patients is not completely respected in clinical settings which require special considerations. As nurses spend more time at patients' bedsides, they have an important role in maintaining and promoting dignified care.

• 보건의료산업학회지
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• 제5권2호
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• pp.1-14
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• 2011

The purpose of this study was analyzed the factors of influencing toward attitude to death with dignity to hospice volunteers. The data was collected for 21 days from 14 March to 3 April 2010. Among a total of 220 cases of the questionaries, only 195 cases were used. To data were analyzed by factor analysis, independent t-test, one-way anova and logistic regression using PASW statistics 18.0. The results were as follows; The attitudes towards death with dignity according to general characteristics was high in those with will to agreed to the passive euthanasia than those opposite to the attitude factors, namely, acceptive, the right to decide, negative, and dereliction of duty attitude factors. Significant variables for effects of death with dignity were gender, acceptive attitude factor and dereliction of duty attitude factors. Given that main provider of human organs is the brain-dead and we don't have enough organ donation, death with dignity should be linked with activating policy of organ donation, while solving donation shortage problem. This way, constructing social implementation and sharing consciousness on organ donation, would be diluting the bio-ethic controversies.

• 한국산학기술학회논문지
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• 제20권5호
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• pp.137-144
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• 2019

본 연구는 한국인이 생각하는 웰다잉 인식의 구성요소와 삶의 질 간의 상관관계를 알아보고자 한다. 연구대상은 층화 비례배분 방식으로 추출하였고, 전국 17개 시와 도의 만 19세 이상 만 75세 미만의 성인 1,000명으로 선정하였다. 설문구성은 일반적 특성 2문항, 삶의 질 척도 26문항, 웰다잉 인식 척도 57문항이었다. 통계 검정법으로는 빈도 분석, 독립표본 t-검정, 상관분석을 실시하였다. 연구결과는 삶의 질은 사회적인 삶의 질이 가장 높았으며, 가족 죽음의 경험 유무에 따라 가족의 죽음 경험이 있는 대상자가 가족의 죽음 경험이 없는 대상자에 비해, 신체적, 심리적, 환경적, 사회적 영역의 삶의 질이 모두 통계적으로 낮은 것으로 나타났다. 연구대상자의 웰다잉 인식 중에서는 죽음 준비의 점수가 가장 높았으며, 그 중에서도 심리 경제적 부담 경감의 점수가 가장 높았다. 연구대상자의 삶의 질은 웰다잉 인식의 모든 영역인 신체적 증상과 통제, 죽음준비, 죽음환경, 가족 및 사회관계, 병원치료, 심리 존엄 영성 부분에서 양의 상관관계를 보였다. 중년층을 대상으로 한 다른 연구에서는 노후를 위해 죽음을 받아들이는 자세가 우선적으로 중요하다고 인식한 경우와, 죽음준비교육에 참여할 의향이 있다고 응답한 경우가 삶의 질이 높은 것으로 나타났다. 따라서 대상자의 삶의 질을 향상시키기 위해서는 죽음준비 및 웰다잉 교육에 웰다잉 인식의 각 영역을 프로그램으로 계획하여 교육한다면 삶의 질을 높이는 데에 긍정적인 영향을 미칠 것으로 사료된다.

• 복식문화연구
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• 제15권1호
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• pp.113-126
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• 2007

Since the ancient times, black has been the most valuable color. Also, it has played a more important role in a history of fashion than other colors. In general, black was regarded as a color of negative images. However, as people have recognized the aesthetic value of black color, they have expressed unique and various images of black through the medium of clothes. This studies on images of black dress for woman was based on reference to literatures and valid investigations. The images toward black clothing are categorized by study participants' perceptions according to age, marital status and education. The result was as followed. Dignity and modernity were the most frequently cited image of black dress among women followed by feminine, sorrow, sensuality, and abstinence. Age significantly affected the recognition of black dress images. Woman showed significant difference in recognizing dignity, modernity, sensuality, and sorrow in black dress according to their age. Woman more strongly recognize dignity and modernity in black dress when they are younger, while increasingly recognizing abstinence and sensuality in black dress as they become older. Marital status significantly affected woman's recognition of black dress. They showed meaningful difference in recognizing dignity, modernity, and abstinence in black color. In sum, single women recognized more easily dignity and modernity in black dress and less easily abstinence than married women. Women also showed the trend with relation to education level. In general, as women got higher education, they also increasingly recognized dignity and modernity in black dress.