지역사회 노인에게 적용한 사전의료의향서 교육 프로그램의 효과

Abstract

The purpose of this study was to evaluate the effects on advance directive knowledge, advance directive efficacy, advance directive intention and good death concept after implementing the advance directive education program to elerly people. A non-equivalent control group pretest-posttest design was utilized, and the subjects for this study were healthy elders over 65 year-old at the J city. The data were collected from November 9, 2015 to April 30, 2016. The advance directive education program was developed by a researcher and verified content validity by nursing professors. The program was implemented once a week for 4 weeks by researcher and each session consisted of 60 minutes. To determine the effect of the advance directive education program, the questionnaire was conducted before and after implementation of the program in experimental group, consisting of advance directive knowledge, advance directive efficacy, advance directive intention and good death concept. The same questionnaire was conducted in control group as the experimental group after 2 weeks at a pretest was carried out. The collected data on Cronbach's alpha coefficient, real member and percentage were obtained and analyzed by the statistical package SPSS 20.0. Descriptive statistics was utilized to obtain another statistical data on mean, standard deviation. The  2-test, Fisher's exact test, t-test were carried out. An independent t-test were used to verify the effect of the advance directive education program before between and after program was carried out. The findings of the study were as follows : 1. The elderly who participated in the advance directive education program showed a more significant increase in advance directive knowledge than their counterparts(t=6.87, p<.001). 2. The elderly who participated in the advance directive education program showed a more significant increase in advance directive efficacy than their counterparts(t=4.14, p<.001). 3. The elderly who participated in the advance directive education program showed a no significant difference in advance directive intention than their counterparts(t=1.72 p=.094). 4. The elderly who participated in the advance directive education program showed a no significant difference in good death concept than their counterparts(t=-0.39, p=.696). The advance directive education program based on self efficacy theory improved the advance directive knowledge and advance directive efficacy in elderlies. This study may suggest the way for future research on advance directive education program, and it seems that this program can widely be utilized as one of nursing intervention programs for the elderlies.