• Title/Summary/Keyword: 환자돌봄

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Reliability and Validatity of a Korean version of Posttraumatic Growth Inventory Among Cancer Caregivers (암환자 가족을 대상으로 한 '외상 후 성장 척도(K-PTGI)'의 타당도 검증)

  • Rhee, Young-Sun
    • Korean Journal of Social Welfare Studies
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    • v.40 no.2
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    • pp.123-143
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    • 2009
  • To investigate the reliability, validity of posttraumatic growth among Korean cancer caregiver, 295 participants were asked to complete a Korean posttraumatic growth inventory, translated from the Posttraumatic Growth Inventory (PTGI; J Trauma Stress 1996; 9: 455.471), together with the Caregiver burden scale, life style interruption scale, economic burden scale and positive adaptation scale, social support scale and questions about religious and demographic factors. Cronbach's alpha was 0.95 for the K-PTGI, indicating sufficient internal consistencies. Construct and Criterion validity were also supported. K-PTGI appeared to be a sound measure for the experience of posttraumatic growth in cancer caregivers and this study result will be able to contribute to facilitate future research.

Policy Supports for Informal Caregivers: Focusing on Policy Changes in the United States and United Kingdom (비공식 돌봄자를 위한 정책 지원 비교 연구: 미국과 영국 최근 정책 동향 고찰 중심으로)

  • Rhee, YongJoo
    • Journal of Digital Convergence
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    • v.18 no.12
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    • pp.389-399
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    • 2020
  • Diverse official policies in community are available for caregivers to take care of the elderly in the US and the UK. This study aims to examine the recent changes in government supports based on The Recognize, Assist, Include Support and Engage (RAISE) in the US, and those by Carer Act 2014 in the UK, to take any good lessons for Korean policy. Caregivers will play a new role to develop innovative treatment for patient-centered care. The UK strengthens to provide various efforts for working carers while assuring economic efficiency in labor market with empirical evidence. The major four ways to support carers were developed agreed with the acknowledge of caregiving value and their human right; financial support, direct services for carers, flexible work time, and advocacy. Korean supports policies for carers in long-term care and social welfare will be more effective in community care system if more evidence based policies are prepared.

The Analysis of Activities and Satisfaction of Volunteers for Hospice Care (호스피스 자원봉사자의 활동 및 만족도 분석)

  • Kim, Boon-Han;Jung, Yun;Park, Kyung-Bok
    • Journal of Hospice and Palliative Care
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    • v.5 no.2
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    • pp.163-171
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    • 2002
  • Purpose : The purpose of this study was to analyze activities and satisfaction of volunteers for hospice care. Methods : We used 271 reports of hospice care and 20 questionnaire of activities and satisfaction of volunteers for hospice care from volunteers of in a community. Window SPSS-PC was used for the data analysis and the statistical method used were the descriptive statistics, t-test, ANOVA and Pearson's correlation coefficient. Results : 1) The highest score of activity was emotional area and the next activities was physical area. 2) The degree of emotional area (t=4.94, P<.05) and spiritual area (t=3.80, P<.05) was influence by religion of volunteers. 3) The mean score of satisfaction was 3.61. 4) There was correlation between duration of activity and death experience (r=.558, P<.05), emotional care (r=.698, P<.01), spiritual care (r=.474, P<.05), satisfaction (r=.651, P<.01), and the between physical care and family care (r=.559, P<.05), and the between spiritual cue and family care (r=.512, P<.05), and between emotional care and satisfaction (r=.536, P<.05). Conclution : The above result indicated that we must develope the management and education of volunteer of hospice care for various hospice care. Also, We should to encouraged the continuous education and efficient management.

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Effects of Integrated Palliative Care Intervention on Quality of Life in Terminal Cancer Patients: A Meta-analysis (통합적 완화 돌봄 중재가 말기암환자의 삶의 질에 미치는 효과: 메타분석)

  • Jo, Kae Hwa;Park, Ae Ran;Lee, Jin Ju
    • Journal of Hospice and Palliative Care
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    • v.18 no.2
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    • pp.136-147
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    • 2015
  • Purpose: This study was conducted to evaluate the effects of integrated palliative care intervention on quality of life in terminally ill patients. Methods: A comprehensive literature search was performed via PubMed, Cochrane Library CENTRAL, LWW (Ovid), CINAHL and several Korean databases. The main search strategy was to combine terms indicating palliative care intervention, presence of terminal illness and study design. Methodological quality was assessed using Cochrane's Risk of Bias for randomized studies and Risk of Bias Assessment tool for non-randomized studies. Data were analyzed by the Stata 10 program. Results: Eight clinical trials met the inclusion criteria with a total of 356 participants. Integrated palliative care interventions were administered for a mean of 6.5 weeks, 5.6 sessions and an average of 47.8 minutes per session. Effect sizes were heterogeneous, and subgroup analysis was done. Integrated palliative care interventions had a significant effect on quality of life (ES=1.83, P=0.018, $l^2=92%$), spiritual well-being (ES=0.78, P=0.040, $l^2=0$), depression (ES=0.86, P<0.001, $l^2=32$) and anxiety (ES=0.69, P=0.041, $l^2=71.1$). But integrated palliative care interventions had no significant effect on pain (ES=0.365, P=0.230, $l^2=69.8$). Conclusion: Results support findings that integrated palliative care interventions were helpful in lessening depression and anxiety and improving quality of life and spiritual well-being, however, the interventions did not assist pain management in terminal cancer patients. These findings suggest that various integrated palliative care interventions can assist terminal cancer patients with better quality of life in the socio-psycho-spiritual dimension.

The Necessity for End-of-Life Care Education: A Preliminary Analysis with Interns at Two University Hospitals (임종돌봄에 대한 교육의 필요성: 2개 대학병원의 인턴을 대상으로 예비 분석)

  • Kim, Do Yeun;Kim, Kyong-Jee;Shin, Sung Joon;Kwon, Ivo;Nam, Eun Mi;Heo, Dae Seog;Lee, Soon Nam
    • Journal of Hospice and Palliative Care
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    • v.20 no.2
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    • pp.111-121
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    • 2017
  • Purpose: This study was performed to explore the current state of end-of-life (EoL) care education provided to new interns at two university hospitals. Methods: A questionnaire was given to incoming interns (N=64). The levels of acquired knowledge and experience of clinical observation were measured. Seven areas for self-assessment questions were identified and used to analyze the interns' attitudes towards EoL-related education and practice. Results: On average, participants learned five elements (nine in total) from EoL-related classes and two (seven in total) from clinical observation. The most frequently educated element was how to deliver bad news (96.9%) in the classroom setting and how to control physical symptoms (56.5%) in clinical observation. Less than 20% received training on EoL care communication, including discussion of advanced directives. Compared with participants who had no EoL training, those who had EoL training showed positive attitudes in all seven categories regarding overall satisfaction, interest and preparedness in relation to EoL-care classes and practice. Conclusion: Although interns are responsible for caring of dying patients, their EoL training in classroom and clinical settings was very insufficient. Further research should be conducted to establish an education system that provides sufficient knowledge and training on EoL care.

The development and application of integrated palliative care empowerment program for clinical nurses (임상 간호사를 위한 통합적 완화 돌봄 역량강화 프로그램 개발 및 적용)

  • Jo, Kae Hwa;Choi, Su Jung;Park, Ae Ran;Lee, Jin Ju
    • The Journal of the Convergence on Culture Technology
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    • v.4 no.1
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    • pp.139-151
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    • 2018
  • The purpose of this study was to develop, apply, and test the effectiveness of integrated palliative care empowerment program for the clinical nurses caring the cancer patients. Methods: The subjects were selected by a convenience sampling method from the nurses working at two university hospitals in D city. The study targeted a total of 37 nurses, 17 for the experimental group and 20 for the control group. The integrated palliative care empowerment program was implemented once a week for seven weeks to the experimental group from October 5th to November 11th in 2016, and it was analyzed by using the program IBM SPSS Statistics version 19.0 for Windows. Result and Conclusion: The study proved that the integrated palliative care empowerment program was effective on improving the integrated palliative care, empathy capacity, and ethical climate of the nurses. Based on the results of the study, it is necessary to develop an applicable program in collaboration of various health professions.

The Impact of Palliative Care Practitioners' Workplace Spirituality on Caring for Terminally Ill People (완화의료 전문인들의 일터영성(workplace spirituality)이 말기환자 돌봄수행에 미치는 영향)

  • Hong, Young Joon;Lim, Seonghee
    • Korean Journal of Family Social Work
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    • no.57
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    • pp.69-98
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    • 2017
  • This study aims to examine the direct effects of two workplace spirituality dimensions, community at work and meaning in work, and burnout on three caring dimensions, emotional, social and spiritual care, for terminally ill people. It also seeks to examine the moderating effect of burnout in the relationship between two workplace spirituality dimensions and three caring dimensions. For these purposes, data were collected from 114 interdisciplinary team members, doctors, nurses, social workers and pastors, working in 68 palliative care in nationwide by questionnaires. The study results indicated that community at work has a positive effect on emotional care, and that meaning in work has a positive effect on social and spiritual care. The results also provided that burnout does not impact on three caring dimensions and has no moderating effect in the relationship between two workplace spirituality dimensions and three caring dimensions. In the findings, managers or leaders from palliative care should consider the potentially positive influence of workplace spirituality on caring for terminally ill people and can improve practitioners' performance with any interventions to increase workplace spirituality. The limitations of this study and recommendations for the future research were discussed.