Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
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The Effect of Nursing Students' Consciousness of Biomedical Ethics, Good Death Recognition, and Self-Esteem on the Attitude toward Withdrawal of Life-Sustaining Treatment

간호대학생의 생명의료윤리 의식, 좋은 죽음 인식, 자아존중감이 연명치료 중단에 대한 태도에 미치는 영향

  • 최은정 (충남대학교 간호대학) ;
  • 정혜선 (국립공주대학교 간호학과)
  • Received : 2018.02.21
  • Accepted : 2018.05.04
  • Published : 2018.05.31
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Abstract

This study was a descriptive study to investigate the effects of nursing students' consciousness of biomedical ethics, good death recognition, and self-esteem on attitudes toward withdrawal of life-sustaining treatment. The subjects of this study were 204 nursing students attending university. The data were collected from October 24 to October 31, 2017 and analyzed using the SPSS Win. 22.0 program. Attitudes toward withdrawal of life-sustaining treatment scored $2.97{\pm}0.29$ out of 4, $3.01{\pm}0.31$ for biomedical ethics, $3.24{\pm}0.38$ for good death recognition and $3.23{\pm}0.41$ for self-esteem. There was a significant positive correlation between attitudes toward withdrawal of life-sustaining treatment and good death recognition, and there was a significant positive correlation between attitudes toward withdrawal of life-sustaining treatment and self-esteem. As a result of multiple regression analysis, it was found that good death perception affected nursing students' attitudes toward the withdrawal of life-sustaining treatment. In other words, elevated perception of good death was associated with more positives attitudes toward withdrawal of life-sustaining treatment. Based on the above results, it is necessary to develop a systematic education program for nursing college students. In addition, this researcher proposes an in-depth study to explore the variables that influence nursing students' attitudes toward withdrawal of life-sustaining treatment.

본 연구는 간호대학생의 생명의료윤리 의식, 좋은 죽음 인식, 자아존중감이 연명치료 중단에 대한 태도에 미치는 영향을 파악하기 위한 서술적 조사연구이다. 연구대상은 일개 대학에 재학 중인 간호학과 학생 204명으로, 자료 수집은 2017년 10월 24일부터 10월 31일까지 설문조사를 통해 실시하였다. 자료 분석은 SPSS Win. 22.0 프로그램을 이용하였다. 간호대학생의 연명치료 중단에 대한 태도는 4점 만점에 $2.97{\pm}0.29$점, 생명의료윤리 의식은 $3.01{\pm}0.31$점, 좋은 죽음 인식은 $3.24{\pm}0.38$점, 자아존중감은 4점 만점에 $3.23{\pm}0.41$점이었다. 대상자의 일반적 특성에 따른 연명치료 중단에 대한 태도에서 유의미한 차이를 보인 항목은 없었다. 연명치료 중단에 대한 태도와 좋은 죽음 인식 및 자아존중감은 유의미한 정적 상관관계가 있었고, 다중회귀분석을 실시한 결과 연명치료 중단에 대한 태도에 영향을 미치는 요인은 좋은 죽음 인식인 것으로 나타났다. 즉, 좋은 죽음 인식이 높을수록 연명치료 중단에 대한 태도가 더 긍정적임을 알 수 있었다. 이상의 결과를 바탕으로 간호 대학생의 연명치료 중단에 대한 긍정적 태도 형성을 위해 좋은 죽음 인식을 높일 수 있는 체계적인 교육프로그램 개발이 필요할 것으로 판단되고, 추후 간호대학생의 연명치료 중단에 대한 태도의 영향요인을 탐색하는 심도 있는 연구를 제언한다.

Keywords

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