• 제목/요약/키워드: 호스피스간호

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호스피스 자원봉사자의 감성지능, 소진탄력성 및 생의 의미 간의 관계 (The Relationships among Emotional Intelligence, Resilience to Burnout, and Meaning in Life of Hospice Volunteers)

  • 김경옥;유명숙
    • 가정∙방문간호학회지
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    • 제25권1호
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    • pp.78-86
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    • 2018
  • Purpose: The purpose of this study was to identify the relationships among emotional intelligence, resilience to burnout, and meaning in life of hospice volunteers. Methods: Data were collected through structured questionnaires from 200 hospice volunteers who were working at hospitals for six months or longer. Data were collected from March 7 to March 31, 2016, and analyzed using descriptive statistics, independent t-tests, ANOVA, Pearson correlation coefficients and stepwise multiple regression with SPSS WIN 22.0. Results: There was a statistically significant correlation between emotional intelligence, resilience to burnout and meaning in life. The significant predictors of hospice volunteers' meaning in life were resilience to burnout(${\beta}=.47$), emotional intelligence(${\beta}=.15$), educational level(college, ${\beta}=.11$), religion(protestant, ${\beta}=.12$; buddhism, ${\beta}=-.15$), and motivation for neighborhood service(${\beta}=.16$). These variables explained meaning in life up to 50.2%. Resilience to burnout was the greatest effective factor on meaning in life. Conclusion: These results suggest a need to develop programs that improve hospice volunteers' emotional intelligence and resilience to burnout. Also, educational level, religion, and service motivation of hospice volunteers should be considered.

아로마 손마사지가 호스피스 말기암환자의 통증, 상태불안 및 우울에 미치는 영향 (Effects of Aroma Hand Massage on Pain, State Anxiety and Depression in Hospice Patients with Terminal Cancer)

  • 장소영
    • 대한간호학회지
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    • 제38권4호
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    • pp.493-502
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    • 2008
  • Purpose: The purpose of this study was to examine the effects of aroma hand massage on pain, state anxiety and depression in hospice patients with terminal cancer. Methods: This study was a nonequivalent control group pretest-posttest design. The subjects were 58 hospice patients with terminal cancer who were hospitalized. Twenty eight hospice patients with terminal cancer were assigned to the experimental group (aroma hand massage), and 30 hospice patients with terminal cancer were assigned to the control group (general oil hand massage). As for the experimental treatment, the experimental group went through aroma hand massage on each hand for 5 min for 7 days with blended oil-a mixture of Bergamot, Lavender, and Frankincense in the ratio of 1:1:1, which was diluted 1.5% with sweet almond carrier oil 50 ml. The control group went through general oil hand massage by only sweet almond carrier oil-on each hand for 5 min for 7 days. Results: The aroma hand massage experimental group showed more significant differences in the changes of pain score (t=-3.52, p=.001) and depression (t=-8.99, p=.000) than the control group. Conclusion: Aroma hand massage had a positive effect on pain and depression in hospice patients with terminal cancer.

아로마 손마사지가 호스피스·완화의료대상자의 상태불안, 우울, 수면의 질 및 혈압에 미치는 효과 (Effects of Aroma Hand Massage on State Anxiety, Depression, Quality of Sleep, and Blood Pressure of Palliative Patients in Hospice)

  • 유명숙
    • 가정∙방문간호학회지
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    • 제26권3호
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    • pp.309-318
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    • 2019
  • Purpose: The study aimed to examine the effects of aroma hand massage on state sanxiety, depression, quality of sleep, and blood pressure levels of palliative patients in hospice. Methods: This study was conducted using a nonequivalent control group with a pretest-posttest design. The participants were 48 palliative patients in hospice (experimental group: 24, control group: 24). The aroma hand massage was given to the experimental group once a day for 5 days. Data were collected between December 2017 to February 2018. Data were analyzed using SPSS 20.0 program with the chi-square test, Fisher's exact test, independent t-test, and repeated measurement analysis of variance(ANOVA). Results: There were significant differences in state anxiety levels (t=2.41, p=.020) and quality of sleep (F=14.29, p<.001). However, significant differences in the levels of depression (t=1.59, p=.119), systolic blood pressure (F=0.37, p=.695), and diastolic blood pressure (F=0.37, p=.695) were observed. The aroma hand massage was effective in improving the quality of sleep and state anxiety levels of palliative patients in a hospice. Conclusion: The aroma hand massage was effective in improving the quality of sleep and state anxiety in a hospice.

호스피스 전문간호사 제도에 관한 인식 (The perception of Hospice Health Professionals on the Hospice Clinical Nurse Specialist System)

  • 오복자;이희정;김복자
    • 종양간호연구
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    • 제3권1호
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    • pp.15-23
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    • 2003
  • Purpose: This study was to find out hospice nurses and other health professionals' perception on the system of hospice and palliative nurse specialist. Methods: Using questionnaire, 63 nurses and 22 other health professionals answered about the benefit required qualification, workforce standard, and the extent of autonomy needed for hospice and palliative nurse specialist. Data was collected from August, 2002 to November, 2002. and analyzed by using SPSS 10 program. Results: 1) 96.4% of the subjects perceived that hospice nurse specialist will improve the quality of care and patient satisfaction. 2) The most frequent response for the type of education required for hospice nurse specialist was one year post RN program. 3) The most frequent response for the required clinical experience of hospice nurse specialists was minimum of four to five years. 4) The most important qualification for the hospice nurse specialists was an "good relationship with others", and "clinical experience". 5) One to two hospice nurse specialist per hospice facility was viewed as a sufficient number. 6. Autonomy was viewed as the most important characteristic which should be granted to hospice nurse specialist. Conclusion: The results of this study can be used as a basic information in establishing hospice nurse specialist program.

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일 호스피스실 이용 환자와 가족의 상담내용 분석 (Content Analysis with Counseling Cancer Patients and Their Relatives in Outpatient Hospice Office)

  • 최은숙;김금순
    • 재활간호학회지
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    • 제8권1호
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    • pp.50-58
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    • 2005
  • Purpose: The purpose of this study was to increase our understanding of the terminal cancer patients and their families concerns. I analyzed the counseling contents of terminal cancer patients and their relatives who referred to hospice office. Method: Data was collected from January 2004 to November 2004. During the counseling, I took notes the key points and contents. 109 patients and/or their families's counseling records were analyzed with the descriptive statistics and content analysis. Result: 73.4% of patients knew their current terminally ill status. The mobility of 86.2% of the patients was worse than ECOG 3 level. Patients have uncontrolled pain(28.4%), emotional distress(55.0%), and physical distress(49.5%). Caregivers of the patients were spouse(46.8%), sons and daughters(24.8%). Family members had problems to tell the bad news to their family cancer patient. 95.4% of the patient and family members was informed about the hospice and palliative care services, and 35.8% of them was referred to the hospice and palliative organizations. Frequently asked questions were 'what is hospice?', 'how much is the cost of hospice services?' etc. Conclusion: Care planning for terminal cancer patients must include patient. Also, professionals should consider and offer accessible, effective and empathetic counseling services to patients and families.

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암환아 부모의 호스피스 간호에 대한 인식과 요구 (Cognition'and Needs for Hospice Core among Parents of with Cancer)

  • 구현영;최선희;박호란
    • Child Health Nursing Research
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    • 제15권3호
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    • pp.325-333
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    • 2009
  • Purpose: This study was done to investigate the cognition and needs for hospice care among.parentsofchildrenwith cancer. Methods: The participants were 73 parents of children with cancer. Data were collected through self-report questionnaires and analyzed using the SPSS/WIN Program. Results: Less than half of parents (49.3%) told the child about the disease. If the child could not be treated medically, 39.5% of the parents answered that they would have the child treated in a hospital until his/her last days, while 62.8% of the parents replied that it would be. appropriate for the child to get hospice care when all medical treatments for the child failed, or when the end of the child's life was near. Needs for hospice care for the parents were high, and the physical care of the child ranked as the most important. Conclusion: The above findings indicate that the parents were not cognitive enough about hospice care, but needed hospice care,especially as it is related to the physical care of the children. Therefore hospice care, based on cognition and needs of parents, should be provided for children and their families.

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일 지역 주민의 죽음에 대한 태도 및 호스피스에 대한 인식 (Attitude toward Death and Recognition of Hospice of Community Dwellers)

  • 한영란;김인흥
    • 한국보건간호학회지
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    • 제22권1호
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    • pp.49-61
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    • 2008
  • Purpose: To investigate the attitude toward death and recognition of hospice of community dwellers and to examine the differentiation between the attitude, recognition, and demographic variables. Method: This study was a cross-sectional descriptive study using a questionnaire. The Fear of Death Scale (FODS) made by Collect & Lester (1969) and translated and revised by Kim (2003) was used to measure the fear of death. The data were analyzed using SPSS. Results: The subjects were725 community dwellers, 65.8% female with a mean age of 39.9 years. The mean FODS score was 3.17 out of 5, showing a slightly high negative attitude to death. There was a statistically significant difference between the type of religion and total FODS (F=3.91. p=.02). Of the respondents, 66.5% had heard of hospice and 5.5% had received hospice care. Conclusion: Based on the study results, various types of death education program for community dwellers, including the content of hospice care, should be developed. In addition, public relations for the settlement of desirable dying culture and hospice service need to be activated.

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호스피스의 수가 산정 방안에 관한 연구 (A Study on the Method to Estimate the Cost of Hospice Care)

  • 조현
    • 대한간호학회지
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    • 제24권2호
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    • pp.216-225
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    • 1994
  • The cost of hospice care should be covered by the insurance system if it is to be promoted in our country and this, in turn, requires a proper method to the estimate of this cost. The purpose of this study was to set up the method to estimate the cost of hospice care. First the cost effectiveness of hospice care were studied. By tracing the activities of hospice nurses for a given period, all the relevant data such as the scope and load of activities as well as the cost were collected. Then these were analysed and compared with the data obtained from hospice and home care. The results showed that the cost of hospice care was the most economic, and indicate its qualification as .1n in-dependent system. The main part of the cost of hospice care was found to be the labor cost which was up to 83% of the total. Therefore a method to estimate the cost should reflect the real labor cost. Several methods have been proposed in the study in terms of unit labor cost, service time, material cost, and the weight of the labor cost. All variables, including the service time surveyed in this study, can easily be translated into numerical values and it would not difficult to estmate the cost of hospice care. Hence by letting the hospice care be insured, hospice care can be expected to function as a good alternative to the present medical system.

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호스피스 간호사의 직무만족 관련 영향 요인: 감정노동과 소진을 중심으로 (Influential Factors Related to Job Satisfaction in Hospice Nurses: Focus on Emotional Labor and Burnout)

  • 정복례;한지영
    • 간호행정학회지
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    • 제20권3호
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    • pp.322-331
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    • 2014
  • Purpose: The purpose of this study was to identify factors influencing job satisfaction in hospice nurses. The focus was on emotional labor and burnout. Methods: Between September 30 and October 18, 2013, hospice nurses (n=63) in 5 hospitals in 4 cities completed measures of emotional labor, burnout, and job satisfaction. Data were collected using questionnaires and analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficient, and multiple regression with the SPSS/Win 21.0 program. Results: The mean score per item for emotional labor was 3.0, the mean of burnout score was 2.7, and the mean job satisfaction score was 3.4. Emotional labor showed a positive correlation with burnout (r=.61), and a negative correlation with job satisfaction (r=-.52). Burnout showed a negative correlation with job satisfaction (r=-.64). The factors influencing job satisfaction were burnout (${\beta}$=-.65, p<.001) and clinical experience (${\beta}$=.25, p=.007). Burnout and clinical experience explained 57.0% of the variance in hospice nurses' job satisfaction. Conclusion: The findings of this study indicate a need to develop strategies to prevent burnout and control emotional labor in order to increase job satisfaction for hospice nurses.

호스피스 자원봉사자의 죽음에 대한 태도와 감성지능이 생의 의미에 미치는 영향 (The Influences of Death Attitudes and Emotional Intelligence On Hospice Volunteers' Perception of Life as meaningful)

  • 유명숙
    • 가정∙방문간호학회지
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    • 제23권1호
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    • pp.90-99
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    • 2016
  • Purpose: The purpose of this study was to examine the influences of emotional intelligence and attitudes about death on hospice volunteers' perception of life as meaningful. Methods: In this study, 232 hospice volunteers who were serving at 3 university hospitals and 7 general hospitals for 6 months or longer. Data were collected using self-report questionnaires from January 20 to February 15, 2016. Data were analyzed using descriptive statistics, independent-tests, one way ANOVAs, Pearson's correlation coefficients, and multiple regression analyses with SPSS 21.0. Results: Hospice volunteers' perception of life as meaningful was positively correlated with their attitudes toward death and emotional intelligence. The significant predictors of perception of meaning were emotional intelligence, attitudes toward death, religion and perceived health status. These variables explained 41.0% of the variance in hospice volunteers' perception of life as meaningful. Conclusion: These results suggest that hospice volunteers perceptions of life as meaningful can be changed positively by increasing emotional intelligence and positive attitudes about death.