Journal List > J Korean Acad Nurs > v.39(1) > 1002507

J Korean Acad Nurs. 2009 Feb;39(1):1-9. Korean.
Published online February 28, 2009.
Copyright © 2009 Korean Society of Nursing Science
Effects of a Death Education Program on Life Satisfaction and Attitude toward Death in College Students
Eun Hee Kim,1 and Eunjoo Lee2
1Doctoral Student, College of Nursing Kyungpook National University, Daegu, Korea.
2Associate Professor, College of Nursing Kyungpook National University, Daegu, Korea.

Address reprint requests to: Lee, Eunjoo. Department of Nursing, College of Nursing, Kyungpook National University, 101 Dongin-dong, Jung-gu, Daegu 700-422, Korea. Tel: 82-53-420-4934, Fax: 82-53-421-2758, Email:
Received August 06, 2008; Accepted January 12, 2009.



The purpose of this experimental study was to examine the values of a death education program developed to improve life satisfaction and attitude toward death in college students.


The death education program was developed and then used with 22 college students for 5 weeks, once a week for 150 min. Before and after the intervention, students responded a questionnaire developed to measure life satisfaction and attitude toward death. t-test, χ2-test, and paired t-test with the SPSS program were used to analyze the data.


The death education program significantly improved life satisfaction but had no statistically significant effect on attitude toward death. There was a significant difference in life satisfaction between the experimental and control groups but not in attitude toward death.


Based on the above results, it is apparent that the death education program has an affirmative effect on life satisfaction in college students and some impact on attitude toward death. We suggest, therefore, that the death education program should be used with all human beings to help them recognize the values of themselves and their current lives and improve their satisfaction with life.

Keywords: Death; Education; Attitude; Life; Students


Table 1
Overview of the Death Education Program
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Table 2
Homogeneity Test for General Characteristics between the Experimental and Control Group
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Table 3
Homogeneity Test for Life Satisfaction and Attitude toward Death between Experimental and Control Group
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Table 4
Effects of Death Education on Life Satisfaction and Attitude toward Death
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Table 5
Life Satisfaction and Attitude toward Death before and after Death Education by Groups
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1. Aday R. Elderly reactions to a death education program in a nursing home setting. Gerontology & Geriatric Education 1998;15:3–9.
2. An CO. In: Study on the necessity of death education. Seoul: Myon Ggi University; 2001.
Unpublished master's thesis.
3. Chung SK. In: A relational study on attitudes toward death between life satisfaction and values of juveniles. Seoul: Ewha Womens University; 1992.
Unpublished master's thesis.
4. Cohen J. In: Statistical power analysis for the behavioral sciences. 2nd ed. New Jersey: Lawrence Erlbaum Associates; 1988.
5. Coleman WT. In: The effect of an instructional module on death and dying on the death anxiety of emergency medical technician trainees. Indianapolis, IN, USA: Purdue University; 1983.
Unpublished doctoral dissertation.
6. Collett L, Lester D. Fear of death and the fear of dying. Journal of Psychology 1969;72:179–181.
7. Donald M, Dower J, Correa-Velez I, Jones M. Risk and protective factors for medically serious suicide attempts: A comparison of hospital-based with population-based samples of young adults. The Australian and New Zealand Journal of Psychiatry 2006;40:87–96.
8. Educational Research Institution of Hospice. Hospice and palliative care. Seoul: Gun Ja Publishing Company; 2006.
9. Go SD, Kim EJ, Kim YK. Study about analyzing elements of preparatory education of death affecting uneasiness of death to the aged. Journal of Korean Society for Health Education and Promotion 1999;16:81–92.
10. Higgins S. Death education in primary school. International Journal of Children's spirituality 1999;4:77–99.
11. Jang OH. In: Study about death of the aged: Focusing on the attitude of death. Seoul: Seo Gang University; 2004.
Unpublished master's thesis.
12. Jo HJ. In: Effect of the death education program on the death anxiety and attitudes toward nursing care of the dying patients of nursing student. Jinju: Gyeong Sang University; 2004.
Unpublished master's thesis.
13. Jo KH, Lee HJ, Lee YJ. The development and application of cyber lectures about death. Journal of Korean Academy of Nursing 2007;37:442–452.
14. Jo KH, Lee HJ. Relationship between self-efficacy, depression, level of satisfaction and death attitude of college students. Journal of Korean Academy of Nursing 2008;38:229–237.
15. Jung BR. The meaning and direction of preparatory education of death. Kyungpook Journal of Nursing Science 2006;10:49–60.
16. Jung JG. A study of death education-Focused on a world of Shih Shih Wu Ai in Hua-yen philosophy. Journal of East Asian Social Thoughts 2006;13:205–230.
17. Kang KA, Kim SJ, Song MK, Sim S. Reliability and validity of an instrument for adolescents meaning in life scale. Journal of Korean Academy of Nursing 2007;37:625–634.
18. Kao SF, Lusk B. Attitudes of Asian and American graduate nursing students towards death and dying. International Journal of Nursing Studies 1997;34:438–443.
19. Kawagoe H, Kawagoe K. Death education in home hospice care in Japan. Journal of Palliative Care 2000;16:37–45.
20. Kim SN, Choi SO, Lee JJ, Sin KI. Effects of death education program on attitude to death and meaning in life among university students. Journal of Korean Society for Health Education and Promotion 2005;22:141–153.
21. Kim SY, Lee EG. Study of university students' satisfaction of their life. Haksang Sangwhal Yeongu 1996;32:74–93.
22. Lally MT. In: Death anxiety and fear of death attitudes: A death education program for student nurses. Chicago, IL, USA: Loyola University of Chicago; 1983.
Unpublished doctoral dissertation.
23. Lee HJ, Kim MH. A path model for self-identity and hopelessness to suicidal ideation of college students. Korean Journal of Youth Studies 2007;14:243–264.
24. Lee JY. Juveniles' awareness about death and religious education. Korean Journal of Religious Education 2004;19:39–56.
25. Mogi N, Masuda Y, Hattori A, Naito M, Iguchi A, Uemura K. Effects of death education on self-determination in medical treatment in university students. Geriartrics and Gerontology International 2003;3:200–207.
26. Nunnally JC. In: Psychometric theory. New York: McGrow-Hill; 1978.
27. Oh KH. In: A study on the influence factor on the attitude toward death in the elderly: Focused on the elderly in Mapo-Gu, Seoul. Seoul: Yonsei University; 2007.
Unpublishedmaster's thesis.
28. Park HS, Kwon BS. The satisfaction measurement of the undergraduate students and related elements. Journal of Korean Academy of Psychiatric and Mental Health Nursing 2006;15:48–56.
29. Smith-Cumberland T. The evaluation of two death education programs for EMTs using the theory of planned behavior. Death Studies 2006;30:637–647.
30. Warren WG. In: Death education and research: Critical perspectives. New York, NY: The Haworth Press; 1989.