• Journal of Hospice and Palliative Care
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• 제24권3호
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• pp.135-143
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• 2021

End-of-life patients experience physical, mental, social, and existential distress. While medical personnel provide medication and care to alleviate patients' distress, listening to and interacting with patients remains essential for understanding their psychological condition. The most important tool, though difficult to implement in practice, is end-of-life discussion (EOLD). EOLD has been shown to have positive effects on end-of-life treatment choices, achievement of patients' life goals, improvements in the quality of life of patients and their families, and the prevention of depression and complicated grief among bereaved family members. EOLD is not often undertaken in clinical practice, however, due to hesitancy among medical personnel and patients for various reasons. In order to conduct an EOLD, the patient's judgment, psychiatric illnesses such as delirium and depression, and psychological issues such as the side effects of psychotropic drugs, denial, and collusion must be evaluated. Open and honest conversation, treatment goal setting, the doctor's familiarity with the patient's background, and attentiveness when providing information are important elements for any dialogue. Meaning-centered psychotherapy was developed to alleviate the existential distress of cancer patients, and its application may promote EOLD. The future development of meaning-centered psychotherapy in practice and in research is expected to further promote EOLD.

• 가정과삶의질연구
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• 제25권3호
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• pp.1-23
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• 2007

This study provides basic materials that assist in marital counselling and marital therapy intervention through its analysis of the effects of marital communication and marital intimacy on psychological well-being and its systematic focus on middle-aged married men and women of social interest and importance. The subjects of this study were married men and women, aged 40 to 59, living in the metropolitan areas of Seoul and Kyeonggi; the study excluded those who were divorced, bereaved or whose last child was in over high school, but included those who were separated or in a second marriage. A total of 396 people, 134 men and 262 women, were included in the study. The major findings of this study are as follows. First, middle-aged married men recorded higher levels of marital communication and marital intimacy than middle-aged married women. While women showed higher levels of depression than men, there was no difference between men and women in terms of overall life satisfaction. Second, there were differences in marital communication, marital intimacy, and psychological well-being among middle-aged married men and women according to background variables. Third, marital communication and marital intimacy were shown to affect the life satisfaction of both middle-aged married men and women. Of the two, marital communication had more the influence. Marital communication also had the biggest influence on levels of depression among both middle-aged married men and women.

• 보존과학회지
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• 제37권5호
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• pp.516-524
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• 2021

현대미술의 보존처리에 있어서 '작가의 의도'는 방향성을 결정하는 중요한 역할을 하게 된다. 이에 따라 작가, 유족, 재단 등 일종의 의사 결정권을 가지는 이들이 소유한 작품에 관한 정보는 매우 중요하다. 그중 작가 인터뷰는 명확한 '작가의 의도'를 제공할 수 있는 자료로써 작가 사후에도 신뢰도 높은 보존처리가 이루어질 수 있도록 한다. 이에 본 연구에서는 국립현대미술관 소장 목제 작품에 대한 보존처리를 진행함에 있어서, 들뜨고 분리된 수피 상태에 적용할 충전제의 제조에 작가 인터뷰 내용 속 수종에 관한 정보를 활용하고자 하였다. 보존처리 결과 작품의 수피는 안정적인 보존처리가 이루어졌지만, 수종분석을 통해 작가 인터뷰의 정보가 실제와 다름을 확인하였다. 결론적으로 작가 및 유족 등으로부터 제공받은 정보를 활용함에 있어 유의할 필요가 있다는 점을 시사하고자 한다. 또한 이번 연구 결과를 바탕으로 향후 비슷한 수피 상태를 가진 작품의 보존처리에 도움이 될 것으로 기대한다.

• 정신신체의학
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• 제26권2호
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• pp.179-187
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• 2018

연구목적 세월호 침몰 사고 1주기에 시행한 설문조사를 통해 유가족들의 신체적 건강, 심리적 어려움, 일상 기능의 문제를 파악하고, 향후 재난 유가족들에 대한 지원 대책의 기틀을 마련하고자 하였다. 방 법 본 연구에서는 2015년 3월 22일부터 7일간 137명의 세월호 유가족들을 대상으로 실시한 자가보고식 설문조사 자료를 바탕으로 통계분석을 실시하였다. 결 과 유가족 대부분이 심리적 어려움을 호소하였고, 95.4%가 새로 진단받거나 악화된 신체질환이 있었으며, 호소하는 심리적 어려움이 많을수록 소화기계, 근골격계, 산부인과계, 비뇨생식기, 심혈관계 질환과 만성 두통이 발생하거나 악화되는 경향을 보였다. 사고 전과 비교해 71.9%가 대인관계를 회피하였으며, 63.9%가 직장생활 복귀의 어려움을 보고하는 등 일상 기능에서도 어려움을 보였다. 결 론 재난 후에는 유가족들이 겪는 심리적 외상뿐 아니라 신체질환이나 일상 기능에 대해서도 세밀한 평가와 개입이 시행되어야 한다.

• 대한간호학회지
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• 제38권5호
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• pp.739-747
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• 2008

Purpose: This study aimed to uncover the fundamental nature of living alone in female elderly. Methods: The phenomenological research approach developed by van Manen was adopted. Results: The theme was 'taking a firm stand alone on the edges of life'. The composition elements of living alone experienced by elderly women were as follows: 1) Corporeality: participants perceived their bodies by their health status. Unhealthy participants were suffering with diseases and dependant on other persons, while healthy participants were free from family responsibility and kept on moving. 2) Spatiality: participants felt both freedom and loneliness while they stayed home. 3) Relationality: participants felt pity and yearning for their bereaved husband and sometimes talked to his picture. According to their children's filial piety, participants were pleased or displeased. However, they incessantly devoted themselves to their children. 4) Temporality: participants considered the rest of their life as extra-time which was proceeding to death, and tried to keep themselves busy before they died. Conclusion: A nurse should understand the multifarious aspects of elderly women's life, and then intervene to consolidate their strengths for self-supporting the final years of life.

• 한국화재소방학회논문지
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• 제22권2호
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• pp.116-120
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• 2008

2005년 개정된 소방법에 의하면 11층 이상의 신축 아파트는 전(全)층에 스프링클러를 설치하게 되어 있으나, 2005년 이전의 소방법은 16층 이상의 아파트에 대해서 16층부터 최상층까지 스프링클러를 설치하여 화재 시에 작동하여 소화를 하게끔 되어 있다. 본 사례는 2005년 이전에 지어진 17층 아파트의 17층 한 가구에서 담배에 의한 실화로 추정되는 화재에 의해 피해자가 사망한 사건으로서 유족 측에서 화재 시에 스프링클러가 정상작동하지 않은 이유에 대해 의문을 제기한 사건이다. 현장조사를 통해 동 아파트 16층에서 화재감지기를 작동시키면 스프링클러가 정상작동 하였으나, 17층에서 화재감지기를 작동시키면 스프링클러가 작동하지 않음을 확인하였고, 동 17층에서 스프링클러가 작동하지 않은 원인이 스프링클러제어기의 프로그래밍 결함에 있다는 것을 밝혔다.

• 호스피스학술지
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• 제2권2호
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• pp.1-16
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• 2002

Hospice can not only help the dying persons to maintain the high quality of life and facing the death in comfortable and peaceful state, but also the bereaved family to relieve the grief and sufferings. We investigated the work of hospice performed by church base from March 2000 until recently and reported the results dividing them into three parts. 1)The application of resources in church to administration, education, nursing delivery of hospice in the aspects of management. 2)Spiritual and postmortal management relating hospice nursing and funeral in hospice practice. 3)Case report of hospice and the patients situation(5 in average a month). The expected effects of hospice practice using the resources in church are as follows. 1)Hospice practice can provide the highly qualified persons with the opportunities to do voluntary services and find their lives worth living. Consequently hospice contributes to the spreading of the volunteering culture. 2)The volunteers in hospice can grow mature spiritually and get interpersonal relationships among the volunteers. Doyle. D., Geoflrey.W.C., & Macdonald. N.(1988). Oxford Textbook of Palliative Medicine(2nd ed). New York :Oxford University Press. Woodruff. R.(1996). Palliative Medicine(2nd ed). Melburn: Asperula Pty Ltd. 3)Through the hospice activity, church can practice and show the moral. 4)The volunteers in hospice can make a organization with a hope to be a beautiful community in church. 5)The patients and their families can enjoy the high quality of life through the holistic care provided by 33 nursing practical items of hospice. 6)'Hospice newsletter' can be a useful vehicle to provide readers with hope and encouragement through the stories of the patient and the volunteers. The persons unaware of the hospice can be contacted with hospice by this 'Hospice newsletter'. 7)Irrespective of the economic status, all patients are served equally that hospice can contribute to dying with dignity and the equality of human being.

• 한국기록관리학회지
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• 제15권4호
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• pp.173-194
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• 2015

본 연구는 도큐멘테이션 전략을 노근리사건 관련 기록의 평가, 선별 방법으로 삼고, Hackman와 Wornow-Blewett이 제시한 실행 모델에 근거하여 그 첫 단계인 예비 분석을 수행한다. 이를 위한 이론 연구로서 노근리사건의 개요를 연혁적으로 정리하고, 도큐멘테이션 전략의 특징을 '협력 수집', '특정 영역의 수집', '결락 기록의 생산', '기록화 계획', '자문조직' 등 5가지로 규정한다. 또한 전략의 발전과정과 실행 모델을 논하고, 전략에 대한 비판과 의의를 분석한다. 이를 바탕으로 본 연구는 노근리사건 도큐멘테이션 전략 수립을 위한 예비 분석을 실시하여 노근리사건 초첨 그룹을 '생존 피해자 및 희생자 유가족', '정부', '시민사회', '학술연구', '언론', '문화예술' 등을 구분하는 한편, 도큐멘테이션 범주를 사건기록, 진상규명활동기록, 추모기록으로 분류한다.

• 공연문화연구
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• 제43호
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• pp.145-172
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• 2021

<증인>은 금기시되었던 소재로부터 출발한다. 1950년에 있었던 한강교 폭파 사건과 최창식 대령 총살의 실상은 입에서 입으로 전해지는 '소문'으로만 알려졌을 뿐이다. 당시 집권층은 개전 초의 불리한 전황과 대통령의 거짓 방송이라는 뼈아픈 실책을 드러내고 싶어 하지 않았다. 유가족들에게마저 철저히 비밀로 부쳐졌던 사건의 진실은 정권이 바뀌고 난 뒤에야 폭로될 수 있었다. 이후 최창식 대령의 유가족이 재심청구를 통해 망자의 무죄를 확정짓고 난 뒤 <증인>이 탄생할 수 있었다. 하지만 <증인>의 운명은 그리 순탄치 못했다. 당시의 관계자들은 해당 텍스트로 인해 겪었던 곤란들을 생생하게 기억하고 있다. 대본 사전 검열을 통과했음에도 불구하고 공연 직전에 취소될 수밖에 없었던 사정은 그리 단순하지 않다. 국립극장, 문교부의 관계자도 모자라 군 장성들까지 연습실을 찾아와 공연을 중단시키려 했다는 사실은 반대로 <증인>이 담고 있는 위험성을 증언하는 것이기도 했다. 그것은 공식적 역사의 균열과 이를 저지하기 위한 움직임으로 요약될 수 있는 것이다. <증인>은 이후 1981년 텔레비전 특집극 <불타는 다리>로 각색되어 사람들 앞에 처음으로 공개될 수 있었다. 텔레비전에서 정치적으로 민감한 소재를 다루었다는 측면에서 이것은 매우 의미 있는 진일보였으나 애초에 <증인>이 가지고 있었던 불온성은 상당부분 사라져 버렸다. 이후 1988년, 민주주의가 보다 유화국면에 접어들고 나서야 <증인>은 온전한 형태로 공연될 수 있었다. 요컨대 <증인>은 기성질서의 입장에서 기록된 한국전쟁의 역사와 이에 균열을 내는 대항 기억이, 시대와 매체의 변화에 따라 변모하는 과정을 생생하게 보여주는 사례라 할 수 있다.

• 의료법학
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• 제9권1호
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• pp.385-411
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• 2008

The goal of medicine is to contribute to promoting national health by preventing diseases and providing treatment. The scope of modern medicine isn't merely confined to disease testing, treatment and prevention in accordance to that, and making experiments by using the human body is widespread. The advance in modern medicine has made a great contribution to valuing human dignity and actualizing a manly life, but there is a problem that has still nagged modern medicine: treatment and healing for terminal patients including cancer patients. In advanced countries, pain care and hospice medicine are already universal. Offering a helping hand for terminal patients to lead a less painful and more manly life from diverse angles instead of merely focusing on treatment is called the very hospice medicine. That is a comprehensive package of medical services to take care of death-facing terminal patients and their families with affection. That is providing physical, mental and social support for the patients to pass away in peace after living a dignified and decent life, and that is comforting their bereaved families. The National Hospice Organization of the United States provides terminal patients and their families with sustained hospital care and home care in a move to lend assistance to them. In our country, however, tertiary medical institutions simply provide medical care for terminal patients to extend their lives, and there are few institutional efforts to help them. Hospice medicine is offered mostly in our country by non- professionals including doctors, nurses, social workers, pastors or physical therapists. Terminal patients' needs cannot be satisfied in the same manner as those of other patients, and it's needed to take a different approach to their treatment as well. Nevertheless, the focus of medical care is still placed on treatment only, which should be taken seriously. Ministry for Health, Welfare & Family Affairs and Health Insurance Review & Assessment Service held a public hearing on May 21, 2008, on the cost of hospice care, quality control and demonstration project to gather extensive opinions from the academic community, experts and consumer groups to draw up plans about manpower supply, facilities and demonstration project, but the institutions are not going to work on hospice education, securement of facilities and relevant legislation. In 2002, Ministry for Health, Welfare & Family Affairs made an official announcement to introduce a hospice nurse system to nurture nurse specialists in this area. That ministry legislated for the qualifications of advanced nurse practitioner and a hospice nurse system(Article 24 and 2 in Enforcement Regulations for the Medical Law), but few specific plans are under way to carry out the regulations. It's well known that the medical law defines a nurse as a professional health care worker, and there is a move to draw a line between the responsibilities of doctors and those of nurses in association with medical errors. Specifically, the roles of professional hospice are increasingly expected to be accentuated in conjunction with treatment for terminal patients, and it seems that delving into possible problems with the job performance of nurses and coming up with workable countermeasures are what scholars of conscience should do in an effort to contribute to the development of medicine and the realization of a dignified and manly life.