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Current Research Trends in Hospice-Related Domestic Nursing Research Theses (1998~2017)

호스피스 관련 국내 간호연구 논문 동향(1998~2017)

  • Received : 2018.07.20
  • Accepted : 2019.02.07
  • Published : 2019.03.01

Abstract

Purpose: In this study, the hospice nursing research trend in 1998~2017 was investigated by analyzing research articles on hospice nursing. Methods: Literature search was performed with keywords of 'nursing' and 'hospice on an academic research information service. Also reviewed were all articles published in the Korean Journal of Nursing Science and its 8 subcategory journals, the Korean Journal of Hospice and Palliative Care and the Korean Hospice Association from 1998 through 2017, except thesis papers. Results: In 2013~2017, 79 articles (31.0%) were relevant, up over 7% from 61 articles (23.9%) in 2008~2012. The most studied field was psychology (92 papers, 36.2%) in the Korean Journal of Hospice and Palliative Care. Enrolled in most papers were patients with end-stage cancer (75, 29.5%), which is overwhelmingly high. Most studies used quantitative methods (183, 72.0%). Recognition was the most studied theme (62, 24.4%), and 16 of them focused on recognition of death (6.3%). Intervention studies totaled 34 (13.4%), and most of them (7, 2.8%) were conducted for palliative education. Conclusion: Most hospice nursing studies were quantitative studies, conducted with patients, and hospice nursing intervention programs were similar to each other. Thus, more studies with hospice patients and their families are needed. And more experimental and qualitative studies are needed to build an evidence-based nursing study environment. Considering how most studies examined psychological factors, physiological factors such as pain, a major issue in hospice care, should be analyzed in experimental studies to construct a pain intervention program for hospice patients.

목적: 본 연구는 1998년부터 2017년까지 수행된 호스피스 간호연구 논문을 분석한 서술적 조사연구이다. 방법: 주요 검색어는 '호스피스', '간호'였으며(마지막 검색일: 2018년 3월 30일) 검색은 학술연구정보서비스(www.riss4u.net)를 통해 선정되었으며, 더불어 한국간호과학회지 및 8개 분과 학회지와 한국 호스피스 완화의료학회지와 한국호스피스협회지에 1998년부터 2017년까지 게재된 논문 모두를 검토하였으며, 학위논문은 제외하여 자료를 수집하였다. 결과: 1998년부터 2002년에 51편(20.0%)이었던 논문이 2013년부터 2017년에는 79편(31.0%)으로 약 11% 이상 급증하였으며 호스피스간호 학문분야별로 심리학 분야가 92편(36.2%)으로 가장 많았으며 다음으로 간호학 분야가 46편(18.1%)로 나타났다. 연구 대상자별로 분석한 결과 말기암환자가 72편(28.3%)으로 압도적으로 많았다. 이외에 1편(0.4%)은 HIV 바이러스, AIDS 환자였으며 아동 말기암환자도 2편(0.8%)으로 나타났다. 연구 방법은 양적 연구는 183편(72.0%)으로 가장 많았으며 다음으로 질적 연구 22편(8.7%)으로 많았다. 실험 중재는 총 34편(13.5%)으로 호스피스교육프로그램이 7편(2.8%) 가장 많이 진행되었다. 결론: 호스피스 간호연구의 대상자는 대부분 환자에 치중되어있었으며 소수 호스피스대상자와 가족대상자의 연구가 적어 소수의 호스피스대상자와 가족대상의 연구가 활발히 진행될 필요가 있다. 연구 방법은 양적 연구가 대부분으로 나타나 향후 근거기반의 간호연구 환경의 조성을 위하여 순수 실험연구와 질적 연구의 활성화가 필요하다. 더불어 연구주제가 심리적 변수가 대부분으로 나타나 호스피스대상자의 주요 간호문제인 통증 등의 생리적 변수를 적용한 실험 연구가 활성화되어 대상자의 통증중재프로그램방안의 모색이 필요하다.

Keywords

References

  1. 2015 Cause of death statistics [Internet]. Daejeon: Statistics Korea; 2016 [cited 2016 Sep 26]. Available from: https://kostat.go.kr/wnsearch/search.jsp.
  2. 2014 Cause of death statistics [Internet]. Daejeon: Statistics Korea; 2015 [cited 2015 Sep 23]. Available from: http://kostat.go.kr/portal/eng/pressReleases/8/10/index.board.
  3. Details on criteria for calculating long-term care benefit costs [Internet]. Wonju: Health Insurance Review & Assessment Agency; 2016 [cited 2016 Dec 30]. Available from: http://www.hira.or.kr/cms/policy/03/01/01/01/1352600_27426.html.
  4. Future Population Estimation [Internet]. Daejeon: Statistics Korea; 2010 [cited 2011 Dec 7]. Available from: http://kosis.kr/search/search.do.
  5. Kim WS, Cho HH, Kwon S. The influence of terminal care performance, death anxiety and self-esteem on terminal care stress of geriatric hospital nurses. Korean J Hosp Palliat Care 2016;19:154-62. https://doi.org/10.14475/kjhpc.2016.19.2.154
  6. Bioethics Policy Division; Health Care Decision in 2017 [Internet]. Seoul: Ministry of Health and Welfare; 2017 [cited 2011 Dec 7]. Available from: http://www.law.go.kr/LSW//lsInfoP.do?lsiSeq=180823&chrClsCd=010202&urlMode=lsInfoP&efYd=20170804#0000.
  7. Choe MA, Kim NC, Kim KM, Kim SJ, Park KS, Byeon YS, et al. Trends in nursing research in Korea: research trends for studies published from the inaugural issue to 2010 in the Journal of Korean Academy of Nursing and the journals published by member societies under Korean Academy of Nursing Science. J Korean Acad Nurs 2014;44:484-578. https://doi.org/10.4040/jkan.2014.44.5.484
  8. Kim SN, Kim HJ. Recognition of good death, attitude towards the withdrawal of life-sustaining treatment, and attitude towards euthanasia in nurses. Korean J Hosp Palliat Care 2016;19:136-44. https://doi.org/10.14475/kjhpc.2016.19.2.136
  9. Kim HT, Koh KW, Kim YM, Kang MS, Noh HS, Kim HR, et al. Pain management based on NCCN guideline in patients with lung cancer. Tuberc Respir Dis 2009;67:221-5. https://doi.org/10.4046/trd.2009.67.3.221
  10. Cramarossa G, Chow E, Zhang L, Bedard G, Zeng L, Sahgal A, et al. Predictive factors for overall quality of life in patients with advanced cancer. Support Care Cancer 2013;21:1709-16. https://doi.org/10.1007/s00520-013-1717-7
  11. Leow MQ, Chan SW. The challenges, emotions, coping, and gains of family caregivers caring for patients with advanced cancer in Singapore: a qualitative study. Cancer Nurs 2017;40:22-30. https://doi.org/10.1097/NCC.0000000000000354
  12. Kim SH, Choi SE, Kang SN, Park JS, Sohn SK, Kang ES, et al. The analysis of research trend about hospice in Korea; 1991-2004. Korean J Hosp Palliat Care 2007;10:145-53.
  13. Lee YE, Choi EJ. Trends in research on hospice care in Korea. Korean J Hosp Palliat Care 2011;14:152-62. https://doi.org/10.14475/kjhpc.2011.14.3.152
  14. Lee YE, Choi EA, Lee KE. Spiritual well-being Attitude to death and perception of hospice care in college students. Korean J Hosp Palliat Care 2015;18:294-305. https://doi.org/10.14475/kjhpc.2015.18.4.294
  15. Noh YJ, Han SS, Ahn SH, Kim CG. Hospice and death. Seoul:Hyunmoon;1994. p. 220-9.
  16. Cho HH, Yoon JW. Trends in research on children with cancer and their families in Korea. Child Health Nurs Res 2010;16:73-83. https://doi.org/10.4094/jkachn.2010.16.1.73
  17. 2015 State cancer generation data service [Internet]. Goyang: National Cancer Information Center; 2015 [cited 2017 Dec 26]. Available from: https://www.cancer.go.kr/lay1/S1T639C640/contents.do.
  18. Announce of plan for activation of hospice & palliative care in 2013 [Internet]. Seoul: Ministry of Health & Welfare; 2013 [cited 2014 Dec 6]. Available from: http://www.mohw.go.kr/front_new/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&page=206&CONT_SEQ=291914.
  19. Sohn SK, Kim SJ, Kim SH, Kang SN, Park JS, Choi SE. The analysis of research trend about hospice in Korea (1991-2004). J Holistic Nurs Sci 2018;3:25-51.
  20. Catholic University Hospice Education Institute. Hospice palliative care. Seoul:Koonja;2006. p. 120-9.
  21. Korean Hospice Relief Nursing Society. Hospice palliative care. Seoul:Hyunmoon;2015. p. 220-9.
  22. Seo MJ, Kim JY, Kim S, Lee TW. Nurses attitudes toward death, coping with death and understanding and performance regarding EOL care; focus on nurses at ED, ICU and oncology department. Korean J Hosp Palliat Care 2013;16:108-17. https://doi.org/10.14475/kjhpc.2013.16.2.108
  23. Ko MJ, Moon SH. Factors influencing performance of end-of-life care by ICU nurses. J Korean Acad Psychiatr Ment Health Nurs 2016;25:327-37. https://doi.org/10.12934/jkpmhn.2016.25.4.327
  24. Noh SS, Lee CK, Sung YH. Predictors of terminal care performance of clinical nurses for cancer patients. Korean J Crit Care Nurs 2016;9:61-70.
  25. Hospice easing medical quality evaluation in 2016 [Internet]. Goyang: National Cancer Center; 2016 [cited 2015 Sep 8]. Available from: http://hospice.cancer.go.kr/home/contentsInfo.do?menu_no=443&brd_mgrno.
  26. 2016 Cause of death statistics [Internet]. Daejeon: Statistics Korea; 2017 [cited 2017 Sep 22]. Available from: http://www.index.go.kr/potal/main/EachDtlPageDetail.do?idx_cd=2770.
  27. 2016 HIV/AIDS Report Status [Internet]. Seoul: Chosun.com; 2016 [cited 2017 Aug 12]. Available from: http://news.chosun.com/site/data/html_dir/2017/08/12/2017081200168.html?Dep0=twitter&d=2017081200168.
  28. Enforcement Decree of the Bioethics and Safety Act [Internet]. Sejong: Ministry of Health and Welfare; 2016 [cited 2017 Dec 12]. Available from: http://www.law.go.kr/%EB%B2%95%EB%A0%B9/%EC%83%9D%EB%AA%85%EC%9C%A4%EB%A6%AC%EB%B0%8F%EC%95%88%EC%A0%84%EC%97%90%EA%B4%80%ED%95%9C%EB%B2%95%EB%A5%A0.
  29. Lee EO, Im NY, Park HA, Lee IS, Kim JI, Bae JY, et al. Nursing research and statistical analysis. Paju:Soomoonsa;2009. p. 340-7.
  30. Kim GH. The perceptions of hospice palliative care and terminal care attitudes of nurses at long-term care hospitals. [master's thesis] Pusan: Catholic Univ.; 2016.
  31. Lee YE, Choi EA, Lee KE. Spiritual welling-being, attitude to death and perception of hospice care in college students. Korean J Hosp Palliat Care 2015;18:294-305. https://doi.org/10.14475/kjhpc.2015.18.4.294
  32. Kim SN, Kim HJ. Recognition of good death, attitude towards the withdrawal of life-sustaining treatment, and attitude towards euthanasia in nurses. Korean J Hosp Palliat Care 2016;19:136-44. https://doi.org/10.14475/kjhpc.2016.19.2.136
  33. Noh YJ, Kim NC, Lee SM. The present status and the proposals of hospice in Korea. J Res Inst Hosp Palliat Care 1996;1:5-17.
  34. Shin EJ. Influence of the death education program on meaning in life, death anxiety and attitude toward nursing care of the dying patients among nursing students. J Orient Neuropsychiatry 2011;22:65-74. https://doi.org/10.7231/JON.2011.22.3.065
  35. Kim SN, Kim HJ, Choi SO. Effects of a hospice and palliative care education program including meaning in life on attitudes toward end-of-life care and meaning in life among nursing college students. J Korean Acad Soc Nurs Educ 2011;17:454-63. https://doi.org/10.5977/JKASNE.2011.17.3.454

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