• Title/Summary/Keyword: 환자가족

Search Result 996, Processing Time 0.033 seconds

A Phenomenological Study of Experiences of Family Care Givers of Patient with Head and Neck Cancer (두경부암 환자 가족의 돌봄 경험에 관한 현상학적 연구)

  • Im, Jung-Won;Kwon, Ju-Yeon;Ahn, Son-Hee;Yoon, Eun-Ji
    • The Journal of the Korea Contents Association
    • /
    • v.18 no.10
    • /
    • pp.348-360
    • /
    • 2018
  • Purpose : The purpose of this study was to explore the meaning and essence of experience of family members as care givers of patient with head and neck cancer. Methods : This study was based on the colaizzi's phenomenological method, which describes the experiences about the family care givers. We had in-depth interview with family of five head and neck cancer patients. Results : Data was classified by 24 themes, 9 theme clusters and 4 categories. The categories are as follows: 'Shocking and actuality like a deadly maze', 'Cut off from the world by changes in family's physical image', 'Exhaustion of family', 'Take-off for mature care'. Conclusion : The results of the study provide useful information in understanding care givers' experience of patient with head and neck cancer and establishing effective strategies to support these care givers.

Posttraumatic Growth in Family Caregivers of Patients with Cancer (암환자 가족돌봄자의 외상 후 성장)

  • Choi, Soon Ock
    • Journal of Hospice and Palliative Care
    • /
    • v.17 no.1
    • /
    • pp.1-9
    • /
    • 2014
  • Purpose: The purpose of this study was to examine posttraumatic growth (PTG) in family caregivers of patients with cancer. Methods: Participants included 201 family caregivers of cancer patients who are treated at outpatient clinics and oncology wards of a university hospital and two general hospitals in Busan, Korea. The study instrument was the Korean version of the posttraumatic growth inventory (K-PTGI). Data were analyzed with descriptive statistics, t test, one-way ANOVA and Scheffe's test using the SPSS 21 for Windows. Results: The mean score of PTG was 3.10. The factor with the highest score was "Changes to self-perception" (3.15), while the one with the lowest was "Increase in spiritual interest" (2.88). There were significant differences in PTG, depending on age, religion, importance of religious life and perceived level of daily difficulties. Conclusion: Family caregivers also experience PTG when their loved ones are diagnosed with cancer. According to these findings, it is necessary to develop a spiritual nursing program to help family caregivers growth from the experience of attending patients with cancer.

Survey of Secondary Infections within the Households of Newly Diagnosed Tuberculosis Patients (새로 진단된 결핵 환자의 가족 내 2차 감염 양상 조사)

  • Lee, Min Hyun;Sung, Jae Jin;Eun, Byung Wook;Cho, Hye-Kyung
    • Pediatric Infection and Vaccine
    • /
    • v.22 no.1
    • /
    • pp.7-15
    • /
    • 2015
  • Purpose: The purpose of this study is to investigate secondary infections within the households of newly diagnosed tuberculosis patients. Methods: We collected data on household infections of tuberculosis patients by retrospective review of medical records and telephone surveys. Results: Out of 321 newly diagnosed tuberculosis cases, a total of 253 patients who received telephone surveys were enrolled in this study. Less than 50% of the patients had household contacts screened for tuberculosis infection, and most of the patients were not aware of the necessity of testing. Out of 562 household contacts, there were 8 cases of secondary tuberculosis (1.4%, 8/562) in 7 households. There were 15 cases of latent infection (2.7%, 15/562) in 13 households. Out of 110 child and adolescent household contacts, there were no cases of secondary tuberculosis, and there were 8 cases of latent infection (7.3%) in 7 households, which was 20.5% among child and adolescent contacts screened for tuberculosis infection. In 3 of the cases (13.0%) that had secondary tuberculosis or latent infection in their households, the source of infection was extrapulmonary tuberculosis. There was no correlation between the frequency of household infections and the presence of pulmonary cavities, sputum AFB smear results, and microbiologically confirmed results. Conclusions: For effective investigation of tuberculosis contacts, it is necessary to raise general awareness on the necessity of investigating household contacts, and there should also be a continued assessment on tuberculosis contact investigation since government-supported programs.

The Satisfaction of Inpatient Families and Bereaved Families in the Hospice Service (호스피스 병동에 입원한 환자 가족과 사별 가족의 만족도)

  • Park, Theresia;Ra, Jeong-Ran;Seo, In-Ok;Cho, Young-Yee;Choi, Suk-Kyung;Park, Myung-Hee;Heo, Jeong-Hee;Kim, Eun-Kyung
    • Journal of Hospice and Palliative Care
    • /
    • v.2 no.2
    • /
    • pp.91-100
    • /
    • 1999
  • Purpose : This study was performed to investigate the satisfaction in the hospice services provided for inpatient families and bereaved families whose members had been admitted to the hospice unit at Kangnam St. Mary's Hospital to improve the quality of care for the terminally ill patients and their families. Methods : This sample consisted of 33 families of hospice patients during the period of April to lune, 1998 and 30 bereaved families whose patients had died from March, 1993 to March, 1998. The data were collected through a self-report questionnaire and analyzed using t-test and ANOVA. Results : 1) The satisfaction level of inpatient families and bereaved families showed the mean value of 3.5 where the highest value is 5.0. 2) According to age, the level of satisfaction of inpatient families had significant differences in the fields of hospice philosophy, support for the family, medical management and nursing management(P=0.0001). The level of satisfaction of bereaved families showed significant differences in the field of support for the family, medical management, nursing management, and facilities of the hospice unit(P=0.0001). 3) By family relationship, the level of satisfaction of inpatient families had significant differences in the fields of hospice philosophy, support for the family, medical management and nursing management (P=0.0001). 4) According to religion, the level of satisfaction of inpatient families had significant differences in the fields of hospice philosophy, support for the family and nursing management (P=0.0001), but there was no significant difference for the bereaved families. Conclusions : The findings of this study showed that hospice services had positive influence on families with terminal disease such as cancer. To improve the level of satisfaction in the hospice services for families with hospice patients, we need to provide care by an interdisciplinary hospice team approach, and to assess needs of the families according to their socio-psychological characteristics. Further studies need to be conducted with large samples.

  • PDF

Relationship among Resilience, family support and health promotion of hospitalized cancer patients in an advanced general hospital (일 상급종합병원에 입원한 암환자의 극복력, 가족지지 및 건강증진행위간의 관계)

  • Lee, Jeong-Ran;Lee, Gyoung-Wan;Chin, Eun-Young;Park, Boc-Nam;Son, Yun
    • Journal of the Korean Institute of Oriental Medical Informatics
    • /
    • v.21 no.2
    • /
    • pp.35-45
    • /
    • 2015
  • Purpose: The aim of this study was to investigate the relationship among resilience, family support and health promotion of hospitalized cancer patients in an advanced general hospital. Methods: Data were collected from 131 hospitalized cancer patients and analyzed SPSS 18.0 program. Results: Resilience showed significant differences according to gender, education level, occupation, family income, family help. and recurrence. Family support showed significant differences according to education level, occupation, care giver, family help, progress of disease and recurrence. Resilience and family support are positive correlations. Conclusion: It is needed to develop various program including cancer patient and their family for the promoting resilience.

  • PDF

Cancer Care-giver Burden On The Parents-Children Negative Communication - The Moderating Effect Of Family TSL Attitude - (암환자 주부양자의 부양부담이 자녀와의 역기능적 의사소통에 미치는 영향에서 가족간 TSL 태도의 조절효과: 청장년층과 중장년층의 비교연구)

  • Kim, Jae Yop;Sung, Shin Myoung;Hwang, Ho Koung;Im, Ji-hye
    • Korean Journal of Family Social Work
    • /
    • no.54
    • /
    • pp.77-106
    • /
    • 2016
  • The purpose of this study is to examine the effect of cancer care-giver burden on the parent-children negative communication. Plus the moderating effect of family TSL Attitude(positive thinking and behaviors between family member). Cancer family care burden and parent-children communication have a difference in the family life cycle. So It compared to the young adult group and middle-aged group. The research conducted from 2015 April to September and It was targeted to cancer care-giver who were at the great hospitals in Seoul. The total people were 199, but for the purpose of this study 145 people who had children were extracted. Frequency analysis, T-test and Multiple Regression Analysis were conducted. Consequently, the young adult group care burden have direct effect on the negative parent-children communication, and the Family TSL Attitude have moderating effect. however, In the middle-age group, the care burden haven't significant effect on the negative parent-children communication and family TSL Attitude haven't moderating effect. Base on the this result, this study suggested the need of cancer care-giver burden relieving program and family communication program. Also It proposed the different access to the cancer patient family in the life cycle.

The Lived Experience of Suffering of Family with Cancer Patients: Parse's Human Becoming Research Method (암환자 가족의 고통체험 - Parse의 인간되어감 연구방법 -)

  • Choi, Ye-Sook
    • Journal of Hospice and Palliative Care
    • /
    • v.19 no.2
    • /
    • pp.127-135
    • /
    • 2016
  • Purpose: The purpose of this study was to discover the structure of the lived experience of suffering of families with cancer patients to develop a theoretical foundation that can be used to reinforce nursing practice for cancer patients and their families. Methods: A qualitative study was performed using Parse's research method. Participants were four families with cancer patients. From February 2009 through April 2010, data were collected via dialogical-engagement between participants and the researcher and analyzed through the extraction-synthesis and heuristic interpretation processes. Results: The structure was identified as follows. The families' lived experience of suffering was a process through which they experienced a psychological shock of cancer diagnosis and difficulties associated with reshuffled roles among family members, and made efforts to care for the patients. Conclusion: Amidst sadness, pain, anxiety, guilt, fear and agony, the families focused on the human-health-universe aspect and found meanings of their experiences as love, triumphant, responsibility and hope. As such, the study results suggest that the suffering of families with cancer patients is a human becoming process of positive transformation.

Burden and Needs of the Family Members of the Intensive Care Unit Patients (중환자실 입원환자 가족의 부담감과 요구도)

  • Lee, Ji-Won;Lim, Sun-Young
    • The Journal of the Korea Contents Association
    • /
    • v.14 no.2
    • /
    • pp.421-429
    • /
    • 2014
  • This study set out to investigate the burden and needs of family members of ICU(Intensive Care Unit) patients facing a crisis situation of a family member being hospitalized in ICU and check their connections. Data were collected from May to October 2013. The subjects include 93 main family caregivers of patients hospitalized in ICU at four general hospitals in the B area for three days or longer. Collected data were put to t-test, ANOVA, Scheff$\acute{e}$ test, and Pearson's correlation coefficient analysis with the SPSS WIN 20.0 program. As a result, the family members of ICU patients scored mean 3.56 points(out of five) on burden and mean 3.58 points(out of four) on needs, recording a moderate or higher level in both the areas. There was significant difference(F=3.463, p=.036) in burden according to the general characteristics with the number of days in the hospital. There was significant positive correlation(r=.332, p<.001) between their burden and needs. Those findings indicate that an active nursing intervention to reduce the burden of the families of ICU patients in a crisis situation and check their needs will be able to mitigate the family crisis and further have positive influences on the recovery of ICU patients.

The Effect of Information on the level of need fulfillment and anxiety of the emergency patient's family members (정보제공이 응급실 환자 가족의 요구 충족 및 불안 감소에 미치는 영향)

  • Kim, Sang-Soon;Choi, Yeon-Hee;Kim, Mi-Han
    • Research in Community and Public Health Nursing
    • /
    • v.7 no.2
    • /
    • pp.333-348
    • /
    • 1996
  • The purpose of this study was to examine the effect of nursing information on the level of need fulfillment and anxiety of the emergency patient's family members. The quasi-experimental study was designed using a noneqivalent control group non-synchronized design. During the first period, 30 subjects were assigned to the control group and 25 to the experimental group at a late period. The experimental group was provided with nursing information via guide booklet designed by the researcher. The control group received only routine care. Data was collected from January 31 to April 16 in 1996 at the K hospital in Taegu and analysed by chi-square test, t-test, ANOVA and Pearson correlation with SAS program. The instruments used for this study were the Family Needs Scale developed by Jung and the State-Trait Anxiety Inventory developed by Spielberger. The results of this study were summarized as follows : 1. The first hypothesis that the family members who received nursing information will have greater need fulfillment than family members who did not receive nursing information was supported. 2. The second hypothesis that the family members who received nursing information will have lower anxiety level than family members who did not receive nursing information was not supported. 3. The third hypothesis that the more the need of family member of emergency patient was met, the lower the anxiety level, was not supported. In conclusion, it was proved that nursing information about the emergency room provides family members with more need fulfillment, but did not decrease the anxiety level.

  • PDF

A Study on the Response Rate for Family Examination and the Morbidity of Family Examinees of Tuberculosis Patients Found in Rural Area (농촌지역 폐결핵 환자의 가족검진실태 및 가족의 이환상태)

  • Shin, Hyun-Gyu;Yeh, Min-Hae;Chun, Byung-Yeol;Lee, Kyung-Eun;Kam, Sin
    • Journal of agricultural medicine and community health
    • /
    • v.20 no.1
    • /
    • pp.25-30
    • /
    • 1995
  • To investigate the response rate for family examination and the morbidity of family members, we reviewed the medical records of 1,525 tuberculosis patients at health center of Sunsan county in Kyungpook province from January 1981 to December 1990. The response rate for family examination in the first period(1981-1985) was 20.0%, and that in the second period(1986-1990) was 78.8%. The response rate for family examination was rapidly increased with the year. The kinship between the tuberculosis patients and examinees was very closely related with the response rate of family examination. The radiological finding was closely related with rate for family examination was 63.0% in the children of patients, 28.9% in wives or husbands of patients, 28.8% in other relatives and 19.9% the morbidity rate of family examinees. The severe the radiological finding, the higher the tuberculosis morbidity rate of family examinees. The prevalent rates of family examinees were 6.2% in parents, 4.3% in wives or husbands, 1.1% in children, and 1.5% in other relatives of parents. The results of this study suggest that the response rate for family examination should be increased especially for the old people, such as parents of tuberculosis patients.

  • PDF