• Title/Summary/Keyword: 호스피스간호

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Perception on Hospice, Attitudes toward Death and Needs of Hospice Care between the Patients with Cancer and Family (암 환자와 가족의 호스피스 인식, 죽음에 대한 태도 및 호스피스 간호 요구도)

  • Son, Youn-Jung;Park, Youngrye
    • The Korean Journal of Rehabilitation Nursing
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    • v.18 no.1
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    • pp.11-19
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    • 2015
  • Purpose: The purpose of this study was to identify the perception on hospice, attitudes toward death and needs of hospice care between the patients with cancer and family. Methods: This study used descriptive research design. The participants were 118 patients with cancer hospitalized and 118 family caregivers of patients with cancer. The data collected by questionnaires from October to December, 2013. Results: There was significant difference in perception on hospice (recognition of hospice term and definition of hospice) and needs of hospice care between patients and family. Among the categories of the needs, 'medical needs' was the highest in patients and 'emotional care' was the highest in family. But there was no significant difference in attitudes toward death. There correlation between attitudes toward death and needs of hospice care was significant only in patients. Conclusion: Hospice care must be provided considering the death attitudes and needs of patients with cancer and family based on the understanding of perception on hospice, attitudes toward death of the patients with cancer and family.

Comparisons of Medical Costs between Hospice and Non-hospice Care (호스피스와 비호스피스 병실에 입원한 말기 암 환자의 진료비용 분석)

  • Kim, Nam-Cho;Young, Jin-Sun;You, So-Young
    • Journal of Hospice and Palliative Care
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    • v.10 no.1
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    • pp.29-34
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    • 2007
  • Purpose: The purpose of this study was to show the differences of medical cost between hospice and non-hospice care for terminally ill patients. This information provides basic data to nationally institutionalize hospice care for decreasing costs and enhancing quality of life for terminally ill patients. Methods: Participants of this study were 114 terminally ill cancer patients who were diagnosed and died with stomach cancer and lung cancer at the K hospital of the C university. The study was a retrospective survey design that analyzed the medical costs for two weeks before they died. The cost analysis was done according to 11 items form the medical cost bill. Results: Patients enrolled in hospice care had significantly lower medical costs (53%) than did non-hospice patients especially in use of TPN, narcotic analgesics, nursing care, radiology tests, and blood tests. Among patients enrolled/admitted in the hospice unit, there was a significant cost difference only in use of analgesics whether the hospice specialized doctor was in charge of care or not. The cost was significantly lower when a hospice specialized doctor was in charge of care although the total medical cost was the same. Conclusion: This study identified lower medical costs for patients cared for in the hospice unit. Thus, we urge institutionalizing hospice care without delay to insure cost benefits as well as quality care.

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Effects of Death Preparation Education on Nursing Students' Perceptions about the Meaning of Life, Death and Well-dying and Hospice (죽음준비교육이 간호학생들의 생의 의미, 죽음과 웰다잉, 호스피스에 대한 인식에 미치는 효과)

  • Byeon, Do-Hwa;Park, Mi-Hyeon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.5
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    • pp.169-176
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    • 2017
  • This study, a non-equal prior and post quasi-experimental research on a control group, investigates the nursing students' change of perception on the meaning of life, death, well-dying and hospice in order to elucidate its effect. The study subjects were 38 students registered in the Department of Nursing Science in C University located in A city as the experimental group and another 36 students registered in the Department of Nursing Science in P University in P city as the control group. Death preparation education was conducted from February 29 through April 20, 2016. A 90-minute session was conducted each week for eight weeks and the data were analyzed by $x^2-test$ and t-test. In line with four domains of death education, i.e., cognition, emotion, practice and value, death preparation education was composed by imparting meaning to life and focusing on the perception on death, well-dying and hospice. From the study results, death preparation education enhanced nursing students' perception on the meaning of life, well-dying and hospice, and hence helped nursing students grant meaning to their lives and establish right values of life. Thus, it acted as a driving force for nursing students to live positive lives and is expected to be utilized as useful education which cultivates right perception on well-dying and hospice. However, in the absence of any significant difference in perception of death, repeated follow-up studies are required to verify the effect on the perception on death and the change in the perception of well-dying depending on the period of application.

Influence of Family Support and Death Preparation on the Quality of Life in Home Care Hospice Patients (가정형 호스피스 환자의 가족지지와 죽음준비가 삶의 질에 미치는 영향)

  • Kim, Kyung Eun;Yoo, Myung Sook
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.28 no.3
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    • pp.307-316
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    • 2021
  • Purpose: This study aimed to examine the influence of family support and death preparation on the quality of life in home care hospice patients. Methods: The study recruited 117 patients in home care hospice in four general tertiary hospitals and three general hospitals in three cities. Data were collected using self-reported questionnaires from September 1, 2019 to March 31, 2020 and analyzed using the statistical package IBM SPSS software version 22.0. Results: The quality of life according to the participants' general characteristics of the subjects shows a statistically significant difference between patients who live with supporters and those who do not(Z=2.96, p=.003). A statistically significant correlation was found between predictors such as family support, death preparation, and quality of life. Family support and death preparation affect the quality of life in home care hospice patients and these variables could explain 33.7% of it. Conclusion: To improve the quality of life in home care hospice patients, we should develop an intervention to enhance family support and death preparation.

Curriculum Development for Hospice and Palliative Care Nurses (간호사를 위한 호스피스 완화의료 교육과정 개발)

  • Choi, Eun-Sook;Kim, Hyun-Sook;Lee, So-Woo;Yoo, Yang-Sook
    • Journal of Hospice and Palliative Care
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    • v.9 no.2
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    • pp.77-85
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    • 2006
  • Purpose: The purpose of this study is to develop the basic curriculum for the nurses who work at hospice and palliative care settings. Methods: Seven curricula of hospice and palliative care for the nurses in Korea and other countries were reviewed, and Education Need for hospice and palliative care was surveyed from 162 nurses by mailing the questionnaires to hospice palliative care settings. Results: 1. The curricula of hospice and palliative care for the nurses in Korea and other countries in common include 'understanding of hospice and palliative care', 'understanding of lift and death', 'pain and symptom management for person with terminal disease', 'on-the-spot study and practical training', 'management of hospice and palliative ward', 'hospice and palliative care at home', 'physical assessment', 'therapeutic communication skills', 'children's hospice', 'administration and management of hospice and palliative care', 'interdisciplinary team of hospice and palliative care', 'ethics and laws in hospice and palliative care', 'psychological, social and spiritual care', 'care of the dying', 'bereavement care', etc. 2. The scores above 3.3 were marked for 34 items in education Need Survey. The highest scores were given in the order for the items 'understanding of death and dying', 'attitude and response to death and dying', 'understanding and assessment of pain' etc. respondents marked that they have been trained for 'pain and symptom management', 'ethics and laws in hospice and palliative care', 'building the system for cooperation and publicity activities in hospice' etc. 3. The basic curriculum of hospice and palliative care for the nurses requires 78 studying hours for 17 subjects, comprising 48 hours of theory education and 30 hours of practical training. The education methods are lectures, discussions, and case studies. Conclusion: The efforts of developed basic curriculum should be evaluated after educating nurses. It is necessary to develop the standard curriculum and regularly update it based on the result of education Need Survey for actively working nurses in hospice and palliative care settings.

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The Experience of Hospice Nurse on Caring for Terminal Cancer Patients in the Era of Convergence. (융복합시대에 말기 암 환자를 돌보는 호스피스 병동 간호사의 경험)

  • Yeo, Hyeong-Nam
    • Journal of Digital Convergence
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    • v.18 no.9
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    • pp.307-315
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    • 2020
  • The purpose of this study is to understand and describe in depth the meaning of the hospice nurse's experience in caring for terminal cancer patients through phenomenological methods. Participants of this study were selected from 9 nurses who have been working for more than 1 year in the hospice palliative ward of a kind hospital located in C city. Data were collected from July 2019 to September 2019 by using in-depth interview. Interview data were analyzed by Giorgi's phenomenological method. The analysis revealed the following constituents; Burden of work, Become mature, Forming a close relationship, Lack of support for hospice. Conclusion, It is thought that the experience of hospice nurses who care for terminal cancer patients will be provided with a comprehensive and comprehensive understanding from their point of view, thereby contributing to the development of effective support system and administrative support system based on their experience.

The Association of Life Event Stress, Family Function and Cancer (암과 생활사건스트레스 및 가족기능의 연관성)

  • Choi, Youn-Seon;Lee, Young-Mee;Hong, Myung-Ho;Chun, Byung-Chul
    • Journal of Hospice and Palliative Care
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    • v.2 no.2
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    • pp.114-124
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    • 1999
  • Purpose : To clarify the relation between psychosocial variables and cancer in Korea. Methods : Case-control study. Participants: 239 subjects in 2 university hospitals in Seoul completed a series of psychometric instruments(the Olson's FACES III and the Lee's 98-items life event scale). Results : In bivariable analysis, there were statistically significant difference in age and economic status(income): marginal significance in education status and marital status between the cases and controls. The family function type and stress score were not significantly different. The result of multivariable logistic regression, analysis showed that the risk of cancer was associated with economic status and marital status, but neither the family function nor the life event stress. Conclusion : In this study, we cannot prove the statistical association between the family function, life event stress and cancer. It is necessary to persevere in our efforts to clarify the relation between stress and disease and to develop the useful tools to measure the Korean family function and life event stress.

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