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Original Articles
Development and Effects of a Community-Based Death Education Program for Older Adults
Sook Nam Kim, So Young Kim
J Korean Acad Community Health Nurs. 2021;32(4):445-456.   Published online December 31, 2021
DOI: https://doi.org/10.12799/jkachn.2021.32.4.445
  • 829 View
  • 36 Download
AbstractAbstract PDF
Purpose
This study was conducted to investigate the effects of a community-based death education program for older adults.
Methods
The study was conducted as a quasi-experimental study with a non-equivalent control group and pretest-posttest design. The subjects were community elders aged over 65 registered at a community health center and were convenience sampled. The experimental group consisted of 33 participants and the control group consisted of 32 participants. Experiments are conducted from June 18 to July 24, 2020. We tested our hypothesis using an independent t-test, and paired t-test.
Results
The experimental group had significantly higher scores for psychological well-being than the control group after treatment (t=2.24, p=.028). In general attitude toward the use of life-sustaining technology, however, only the experimental group had a significant difference before and after the experiment with lower scores compared to the control group (t=-5.41, p<.001).
Conclusion
We found that the community-based death education program developed in this study was partially effective in improving older adults’ psychological well-being and general attitude toward the use of life-sustaining technology.
The Death Anxiety and Depressive Symptoms among Poor Older Women in Rural Areas: The Moderating Effect of Social Support
Seung Joo Lim, Young Ko, Chun Mi Kim, Hung Sa Lee
J Korean Acad Community Health Nurs. 2017;28(4):440-449.   Published online December 31, 2017
DOI: https://doi.org/10.12799/jkachn.2017.28.4.440
  • 1,444 View
  • 8 Download
  • 4 Citations
AbstractAbstract PDF
PURPOSE
This study was conducted to identify the moderate effect of social support on the relationship between death anxiety and depressive symptoms among poor older women in rural areas.
METHODS
This was a secondary analysis of the data from 209 women who were participated in the intervention study to evaluate the effectiveness of depression prevention program. Data were collected between April and September 2012. The data were analyzed using moderate multiple regressions.
RESULTS
Among these poor older women, depressive symptoms were associated with death anxiety and social support. Self-esteem support had a moderating effect on the relationship between death anxiety and depressive symptoms.
CONCLUSION
The results indicate that the self-esteem support was effective in decreasing depressive symptoms and death anxiety in poor older women. In order to reduce their depression and make positive changes in their lives, self-esteem improvement programs are needed.

Citations

Citations to this article as recorded by  
  • The influence of tai chi on the death anxiety of elderly people living alone: the chain mediating effect of social support and psychological capital
    Jiali Zhou, Baoyuan Wu, Lining Su, Xiujie Ma
    Frontiers in Psychology.2024;[Epub]     CrossRef
  • Death anxiety, self‐esteem, and health‐related quality of life among geriatric caregivers during the COVID‐19 pandemic
    Xia Zhao, Weihua Zhang, Yonggang Su, Yanping Song, Huaxin Si, Lifeng Zhu
    Psychogeriatrics.2022; 22(2): 236.     CrossRef
  • Death Depression Among Older Adults: A Concept Analysis Utilizing An Evolutionary Approach
    Ameneh Yaghoobzadeh, Rebecca H. Lehto, Leila Mardanian Dehkordi, Mohammad Ali Cheraghi, Shahzad Pashaeipour
    Research and Theory for Nursing Practice.2022; 36(3): 265.     CrossRef
  • Cohort profile: Korean Urban Rural Elderly (KURE) study, a prospective cohort on ageing and health in Korea
    Namki Hong, Kwang-Joon Kim, Su Jin Lee, Chang Oh Kim, Hyeon Chang Kim, Yumie Rhee, Yoosik Youm, Jin-Young Choi, Hyun-Young Park
    BMJ Open.2019; 9(10): e031018.     CrossRef
The Effects of a Positive Psychology Improvement Program on Elders' Depression and Death Anxiety
Seung Joo Lim, Hung Sa Lee, Chun Mi Kim, Young Go
J Korean Acad Community Health Nurs. 2015;26(3):238-247.   Published online September 30, 2015
DOI: https://doi.org/10.12799/jkachn.2015.26.3.238
  • 1,154 View
  • 21 Download
  • 5 Citations
AbstractAbstract PDF
PURPOSE
This study was conducted to investigate the effects of a positive psychology improvement program on elders' depression and death anxiety.
METHODS
This was conducted as a quasi-experimental study with non-equivalent control group pretest-posttest design. The participants were community elders aged over 65 recruited by convenient sampling. A total of 94 elders (32 in the individual experimental group, 32 in the collective experimental group, and 30 in the control group) participated. Data were collected between April and September, 2012 and analyzed by using SPSS/WIN 21.
RESULTS
The individual and group approach experimental groups had significantly lower scores of depression than the control group after the treatment (F=7.50, p=.001). For death anxiety, however, only the individual experimental group had a significantly lower score compared to the control group (F=4.56, p=.013).
CONCLUSION
These results indicate that the positive psychology improvement program was effective in decreasing depression and death anxiety in the elderly. Therefore, the program needs to be applied in a customized way fittingly to the characteristics of the elderly in community, and individually and/or collectively according to its purposes.

Citations

Citations to this article as recorded by  
  • Impact study on the Livelihood and Health Program at Workability Skills Training Foundation, Inc.
    Sevillia S Felicen, Leonila M Adarlo
    International Journal of Research Studies in Management.2022;[Epub]     CrossRef
  • Aging and Positive Psychology
    Ray Marks
    Journal of Aging Research and Healthcare.2021; 4(1): 43.     CrossRef
  • Effects of Positive Psychology-Based Program for the Depressed Pregnant Women
    Hyeon Hee Shin, Yeong Hee Shin
    Journal of The Korean Society of Maternal and Child Health.2021; 25(2): 109.     CrossRef
  • Influence of Positive Psychological Capital and Death Awareness on Terminal Care Performance of Hematooncology Unit Nurses
    Seo Yeon Jung, Jeong Hye Kim
    The Korean Journal of Hospice and Palliative Care.2019; 22(2): 77.     CrossRef
  • The Death Anxiety and Depressive Symptoms among Poor Older Women in Rural Areas: The Moderating Effect of Social Support
    Seung Joo Lim, Young Ko, Chunmi Kim, Hung Sa Lee
    Journal of Korean Academy of Community Health Nursing.2017; 28(4): 440.     CrossRef
The Effects of a Death Preparing Education Program on Death Anxiety, Spiritual Well-being, and Meaning of Life in Adults
Me Ok Yoon
J Korean Acad Community Health Nurs. 2009;20(4):513-521.   Published online December 31, 2009
  • 295 View
  • 2 Download
AbstractAbstract PDF
PURPOSE
The purpose of this study was to analysis the effect of death preparing education on death anxiety, spiritual well-being and meaning of life in adults.
METHODS
This study adopted the one group pre-posttest design. Data collection and intervention were performed from January 19 to 25, 2009. The participants were 30 adults (aged 20 or older) in Jeonju City. The death preparing education program consisted of five steps. Data were analyzed through paired t-test with the SPSS/WIN 12.0 program.
RESULTS
There were significant differences in death anxiety, spiritual well-being and meaning of life between before and after the death preparing education program.
CONCLUSION
The death preparing education program for adults was confirmed to be an effective intervention to lower death anxiety and to improve spiritual well-being and the meaning of life. Therefore, we look forward to the broad application of this program to adults.
Subjective Health Status, Religiosity and Fear of Death of the Elderly in Rural Communities
Young Ran Han
J Korean Acad Community Health Nurs. 2007;18(3):400-409.   Published online September 30, 2007
  • 331 View
  • 0 Download
AbstractAbstract PDF
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.

RCPHN : Research in Community and Public Health Nursing
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