[Development of hospice care service program about advanced cancer patient. I--The effect of hospice education programs on the death orientation].

The purpose of this study was to investigate what effect providing the hospice care team with hospice education programs had on the death orientation. The subjects of study were 28 volunteers, 14 nurses, 30 clergies who registered on hospice education programs from Aug. 6th, 1996 to May 20th, 1997. The data were analysed by descriptive analysis, ANOVA, Duncan test, paired t-test. The results of the study can be summarized as follows: 1. The degrees of death orientation were 85.70 in volunteers group, 84.31 in nurses group, and 73.00 in clergies group. So, clergies group has more positive death orientation than others (F = 6.33, p = .000). The degree of death orientation showed significant differences between age groups (F = 5.78, p = .002), and religiosity (t = 3.92, p = .000). There were no significant differences between the degree of death orientation and the others general characteristics of subjects. 2. The mean of death orientation was 80.04 before hospice education programs, but was 75.56 after hospice education programs (t = 3.92, p = .000). In conclusion, the subjects who received the hospice education programs showed the positive change in the degree of the death orientation. Therefore, it has been judged that education programs has been prerequisite in positive death orientation for hospice care. Furthermore, all of the hospice care members those who complete the hospice education program, will be performed efficient hospice care intervention for dying patients and their families.