여성암 환자의 죽음불안과 자기초월이 웰다잉인식에 미치는 영향 = The Effect of Death Anxiety and Self-Transcendence on Well-Dying Awareness Among Women with Cancer

다국어 초록 (Multilingual Abstract)

Purpose: This study aimed to identify how death anxiety and self-transcendence influence well-dying awareness among women with cancer.
Methods: From October 15, 2024, to August 11, 2025, a total of 105 women diagnosed with breast and gynecologic cancers were recruited from two hospitals located in City J. The instruments were the Death Anxiety Scale, the Self-Transcendence Scale, and the Well-Dying Awareness Scale. Data were analyzed using descriptive statistics, Pearson correlation, and multiple regression analysis.
Results: The mean scores of the participants were 2.43 for death anxiety, 2.97 for self-transcendence, and 4.50 for well-dying awareness. Breast cancer patients showed significantly higher well-dying awareness than those with gynecologic cancers (t=2.14, p= .035). In addition, patients diagnosed at stage I reported significantly higher levels of well-dying awareness compared with those at stages II and III (F=6.56, p=.002). Well-dying awareness demonstrated significant negative correlations with the death anxiety subdimensions of loss of existence (r=–.41, p<.001), and consequences after death (r= –.23, p=.020), while showing a strong positive correlation with self-transcendence (r=.61, p<.001). Multiple regression analysis indicated that loss of existence (β=–.37, p=.007) and self-transcendence (β=.43, p<.001) were significant predictors of well-dying awareness. The final regression model accounted for 41% of the total variance.
Conclusion: The analysis revealed that well-dying awareness among women with cancer is influenced by self-transcendence and anxiety related to the loss of existence. These findings suggest the importance of nursing interventions aimed at reducing this existential anxiety and enhancing self-transcendence, which may ultimately contribute to improving well-dying awareness in this population.

목차 (Table of Contents)

• Ⅰ. 서론 1
• 1. 연구의 필요성 1
• 2. 연구 목적 4
• 3. 용어 정의 5
• Ⅱ. 문헌고찰 7
• 1. 여성암 환자 7
• 2. 암 환자의 웰다잉인식 8
• 3. 암 환자의 죽음불안 11
• 4. 암 환자의 자기초월 13
• 5. 이론적 기틀 16
• Ⅲ. 연구방법 18
• 1. 연구 설계 18
• 2. 연구 대상자 18
• 3. 연구 도구 20
• 4. 자료 수집 방법 및 절차 22
• 5. 자료 분석 방법 23
• 6. 윤리적 고려 24
• Ⅳ. 연구 결과 25
• 1. 연구 대상자의 일반적 특성과 질병 관련 특성 25
• 2. 연구 대상자의 일반적, 질병 관련 특성에 따른 웰다잉인식 27
• 3. 연구 대상자의 웰다잉인식, 죽음불안, 자기초월 수준 29
• 4. 연구 대상자의 죽음불안, 자기초월, 웰다잉인식 간의 상관관계 29
• 5. 연구 대상자의 죽음불안과 자기초월이 웰다잉인식에 미치는 영향 32
• Ⅴ. 논의 35
• Ⅵ. 결론 및 제언 40
• 1. 결론 40
• 2. 제언 41
• 참고문헌 42
• 부 록 54