• 성인간호학회지
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• 제27권5호
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• pp.493-504
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• 2015

Purpose: This study was a qualitative study to explore and understand the adaptation experiences of hemodialysis among women with End-Stage Renal Disease (ESRD) and to develop a substantive theory using the grounded theory method. Methods: Participants were 15 female patients who underwent hemodialysis for ESRD treatment from three general hospitals. The data were collected through in-depth individual interviews. Results: The adaptation experience of participants was emerged as a process of taking care and enduring. There were four adaptation stages as a negative, despair, receptive, and maintenance period in reference to hemodialysis. The causal conditions were a vague expectations of recovery and refusal to undergo hemodialysis. The core phenomenon was that of confinement to dialysis machine. The contextual conditions for this phenomenon were the loss of femininity. They used action/interaction strategies such as transition their life with a focus on hemodialysis, seeking information, and learning how to take care of their body. Through this process, they had a strong will to live or had sustained their life. Conclusion: These results indicate that there is a need for nurses to understand the different steps of adaptation experiences of the given patient population. It is necessary for nurses to support them to lead their life as much normal as possible and improve the adaptation experience of ESRD.

• 한국직업건강간호학회지
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• 제18권2호
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• pp.185-193
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• 2009

Purpose: Loneliness may be a typical psychological consideration in chronically ill patients, linking with low life satisfaction. We aimed to determine if loneliness would be independently associated with life satisfaction in pneumoconiosis patients hospitalized in long-term care facilities. Methods: We recruited 164 patients from 3 pneumoconiosis-specialized hospitals in M and S cities, South Korea, and measured loneliness and life satisfaction by using the University of California Los Angeles loneliness and life satisfaction index-Z scales. The Multiple regression analysis was performed to examine an independent association between loneliness and life satisfaction after adjustment for age, the levels of dyspnea and bronchitis-emphysema symptom, length of institutionalization, marital status, previous coal work experience, perceived socioeconomic status, and presence of caregivers. Results: The mean of loneliness was 46.4. We found a significant association between loneliness and life satisfaction (standardized beta=-0.16, p=0.049), independent of all the covariates. Conclusions: Loneliness was an independent associate of life satisfaction in patients with pneumoconiosis who were institutionalized in long-term care facilities. Thus, a nursing intervention strategy for relieving loneliness is needed to increase life satisfaction in these patients.

• 성인간호학회지
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• 제23권1호
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• pp.72-86
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• 2011

Purpose: The purpose of this study was to explore and understand the suicide ideation and survival experience of Korean elders in America. Methods: A phenomenological research method guided data collection and analysis. A total of five elders reported having had suicide ideation participated. Data were collected through individual in-depth interviews. All interviews were audio taped and transcribed verbatim. Coding was used to establish different concepts and categories. Results: The following three constituents have been identified: retrospective focus based on the suicide ideation through the immigrant life, facing reality through comparison between the life in America and in Korea, survival skills and constructing view of life. Conclusion: The result of this study may contribute for health professionals working at various crisis settings to understand Korean immigrant elders with suicide ideation.

• Child Health Nursing Research
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• 제15권3호
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• pp.282-290
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• 2009

Purpose: The main purpose of this study was to observe the adaptation experience process of adolescents with hematologic malignancies. Methods: The Grounded Theory Method, developed by Strauss & Corbin (1998), was used in this study. The data were collected through in-depth. interviews with 10 adolescents with cancer. Data collection and analysis occurred concurrently. Theoretical sampling technique was used until the data reached saturation. Results: "A deviated life" was verified as the central phenomenon for adolescents with cancer. The adaptation experience process was divided into 3 steps: "Self-confusion", "Reinterpretation", and "Regeneration of self". Through these 3 steps, the adolescents with hematologic malignancies fitted a new life by self-integration. Conclusion: The results of this study provide a frame for individualized nursing intervention strategies in helping with the psychosocial adaptation of adolescents with hematologic malignancies.

• 가정간호학회지
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• 제20권1호
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• pp.63-71
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• 2013

Purpose: This study was performed to identify nursing college students' attitudes towards death and was conducted as a pre-investigation to prepare them for coping with terminally ill patients in their clinical practice. Methods: The subjects consisted of 321 nursing students. Their attitudes towards death were measured by using the Collett-Lester Fear of Death Scale(CLFODS). The data obtained were analyzed by using the one-wayANOVA and Duncan's multiple test using the SAS 9.2 soft ware program. Results: The mean CLFODS score was 2.99. Among the 4 subscales, there were significant differences among the students with respect to grade, indirect experience of death, social isolation, daily life stress, and suicidal ideation in the past year. Conclusion: A negative attitude towards death was observed in the psychosocial characteristics, with indirect experience of death, social isolation, daily life stress, and suicidal ideation in the past year. It is necessary to educate students on how to care for dying patients before clinical practice. This education can be carried out by developing a death education program after considering the above mentioned psychosocial characteristics noted in this study.

• 임상간호연구
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• 제26권3호
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• pp.352-364
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• 2020

Purpose: The purpose of this study was to understand and describe the meaning of the experience of male nurses working in Intensive Care Units (ICU). Methods: Data were collected through in-depth interviews with 8 male nurses. Data were collected from november 2019 to february 2020 and were analyzed using Colaizzi's method, a phenomenological approach. Results: 8 theme clusters, and 28 themes were identified. The 8 clusters were as follows; the feeling of burden in a busy and sensitive situation, the daily life facing life and death, female colleagues and patients who are still difficult to treat, a reliable and grateful male colleague, being proud of this role that a man can do, various experiences that improve me, constant effort to be recognized as a team member, and wavering and weighing in the career. Conclusion: These results could help to expand understanding the role of male nurses working in the ICU and in other areas. In addition, the results provide basic data needed to improve mutual respect and relationships between male and female nurses. It is necessary to offer mentoring programs for male nurses to adapt to nursing field.

• 성인간호학회지
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• 제20권1호
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• pp.163-175
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• 2008

Purpose: This study aimed to define the relationship among self-care, symptom experiences, and health-related quality of life(HRQoL) according to the severity of disease in chronic obstructive pulmonary disease(COPD) patients. Methods: The participants, 195 COPD patients, were recruited at a pulmonology clinic of a universityaffiliated medical center in B metropolitan city. Inclusion criteria were patients who were diagnosed as COPD and had less than 0.7 of $FEV_1$/FVC(Forced Expiratory Volume for 1 second/Forced Vital Capacity) ratio. The severity was classified with GOLD(Global initiative for Obstructive Lung Disease) stages, $FEV_1%$ predicted value from mild to very severe. The data were gathered by the medical records and self-reported questionnaires. Results: The self-care, symptom experience, and HRQoL were all significantly different by COPD severity based on pulmonary function(p<.05). There were significant moderate negative relationships between symptom experiences and self-care(r=-.54, p<.001) and between symptom experiences and HRQoL(r=-.64, p<.001). There was a moderate positive correlation between self-care and HRQoL(r=.63, p<.001). Conclusion: It suggests that the assessment of disease severity based on pulmonary function and subjective symptom experience in patients with COPD may be a key component to develop a tailored self-management program and to improve their quality of life.

• 한국조경학회지
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• 제36권1호
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• pp.28-37
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• 2008

This study intends analyzes the experience urbanites need regarding rural amenities when visiting rural areas for leisure. For this purpose, 18 rural amenities that can be experienced at 65 traditional rural villages and are designated by the rural development administration(RDA) were selected. Based on rural amenity selection, a questionnaire survey was conducted in 10 cities with 1,052 urban residents. The cities were divided into 5 metropolitan cities(Seoul, Busan, Daegu, Kwangju and Daejeon) and 5 small cities in each province(Chuncheon, Suwon, Jeonju, Chungju and Pohang). The study results suggest that of the 18 rural amenities, urbanites want greater experience with landscape resources near water and forests, health resources related to food and traditional resources such as traditional architecture and culture. Those amenities not chosen were animals, famous people and agricultural landscapes. In addition, women indicated more experience needs than men. Specifically, women want to experience the rural amenities dealing with tradition and health. In addition, people under 40 want to experience active program related festivals(events) and arts and crafts, whereas the group over 40 prefers a non-active program, such as observing the rural landscape and planting. College graduates want to experience the landscape while college students prefer arts and crafts and festivals(events). Those with below average salaries want to experience the most rural amenities. There were no differences in experience needs between those surveyed in metropolitan cities and those in small cities. Finally, the people who visited rural areas within the last year want to experience water, plants, agricultural landscape, health and rural life resources more than other groups, and there is correlation between plans to visit rural villages and experience needs. The results of this study provide insightful information for rural planning strategies such as selection of the type of marketing segments.

• 한국간호교육학회지
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• 제18권1호
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• pp.5-13
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• 2012

Purpose: The purpose of this study was to investigate the factors affecting adaptation to school life of freshmen enrolled in nursing at a Junior College. Method: The data were collected from questionnaires filled out by 312 nursing students in two schools at J and I city from March 7-11, 2011. Data were analyzed using the SPSS/WIN18 program. Result: Self-esteem and adaptation to school life were higher than previous advanced research showed, self-efficacy was moderate and stress to school life was lower than other studies. School adaptation level was related to satisfaction of friendship, school life and the nursing program. The subjects who have chosen nursing by themselves and male students scored higher in their school adaptation. The greatest factors affecting adaptation to school life were satisfaction of school life and stress respectively. Conclusion: Inpre-admission, enough information about nursing school life through experience of previous students must be given. Then, a school adaptation program which incorporates counseling and mentoring should be provided for supporting understanding of school life.

• 가정과삶의질연구
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• 제26권5호
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• pp.39-49
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• 2008

This research reports on a qualitative analysis of email facilitated reflective dialogue with seven college students whose parent dies. The study was exploratory in considering cultural values on intact family and asked the question: What do children experience after parental death in terms of the relationships with intra and extrafamily systems? Young adult children of single parent family expressed that they felt social pressure to practice filial piety toward their single parent. They made efforts to fulfill the social expectation and to achieve social desirability. Social stigma from extrafamily systems affected the experiences of the bereaved children. In terms of intrafamily system, young adult children tend to idealize their deceased parent. Single parents depended on the young adult children, which made parent-child relationship enmeshed or conflicting. The holistic view of the study highlights the importance of interactions between individuals and the intra and extra family systems when understanding family loss experience of the bereaved young people.