• 여성건강간호학회지
• /
• 제23권3호
• /
• pp.166-180
• /
• 2017

Purpose: The purpose of the study was to have an in-depth understanding of delivery room nurses' experiences of caring for stillborn babies and their parents. Methods: After obtaining approval from the Institutional Review Board, data were collected from March 1 to August 30, 2016. A total of six nurses participated in the study. Semi-structured in-depth interviews were conducted and the data subsequently analyzed. Results: Using thematic analysis, six themes were defined and refined: Emotional distress as a result of encountering stillborn babies; Caring for the deceased baby; Concerns for the mother's pain; Consideration for the father; Conflicts between accepting and dismissing parents' requests; and Strong mindset for the stillborn babies and their parents. Conclusion: The results showed that the nurses' experiences of caring for stillborn babies and their parents might be a difficult and lonely process. However, it could also be a process of attaining maturity by finding meaning and value in one's work. It would be helpful for the delivery room nurses to share examples of effective communication, train through simulation, and learn useful strategies that each nurse can use.

• 성인간호학회지
• /
• 제17권2호
• /
• pp.287-297
• /
• 2005

Purpose: The purpose of the study is to investigate the correlation between burden, health status and well-being in spouse caregivers of patients with stroke. Method: The subjects of this study were 160 spouse caregivers registered at general hospital in Seoul and Seongnam. The data were collected from July 2th to October 30th, 2003. The Suh & Oh's burden scale, Yang's health status scale and Park's well-being scale were employed to measure burden, health status and wellbeing respectively. Collected data were analyzed using SPSS 12 version to obtain summary statistics for the descriptive analysis, Pearson Correlation, and Stepwise Multiple Regression. Results: 1. The mean score of the degree of burden, health status and well-being were 3.52, 5.92 and 3.64 points. 2. The burden of the subjects were significantly negative correlated with psychological health status(r=-.482. p<.01) and wellbeing(r=-.455, p<.01). 3. With the result of stepwise multiple regression, psychological health status and wellbeing were the main variables which could explain burden by 27.1%. Conclusion: The findings of this study will provide practical guidelines for developing emotional nursing interventions for the spouses taking care of CVA patients who would experience a heavy burden and distress.

• 성인간호학회지
• /
• 제28권2호
• /
• pp.148-155
• /
• 2016

Purpose: The purpose of this study was to compare symptom severity and the impact of presence of depressive and/or anxiety symptoms among patients with head and neck cancer (HNC). Methods: One hundred and fifteen patients diagnosed with HNC completed two questionnaires: Hospital Anxiety and Depression Scale (HADS) and the M. D. Anderson Symptom Inventory-Head and Neck Cancer (MDASI-HN). Results: Of the total sample, 55.6% reported depressive symptoms and 33% reported anxiety symptoms. Patients who reported either depressive or anxiety symptoms also had significantly more severe symptoms. The most severe symptom was dry mouth. Participants who were depressed reported that interference in the enjoyment of life due to symptoms was the most distressing whereas participants with anxiety reported symptom interference in work was of most concern. Of patients reporting moderate to severe symptoms, more than 60% reported depressive symptoms. Of patients reporting moderate to severe feelings of being distress and feeling sad, more than 70% reported anxiety symptoms. Conclusion: Patients with HNC reporting moderate to severe symptoms also report depressive and/or anxiety symptoms. The results suggest the need to develop an integrated nursing intervention of both physical and emotional symptoms for patients with HNC.

• 성인간호학회지
• /
• 제25권1호
• /
• pp.41-52
• /
• 2013

Purpose: The purpose of this study was to compare the attitude of physicians and nurses toward family presence during cardiopulmonary resuscitation (CPR). Methods: 100 physicians and 100 nurses from five hospitals with than 500 beds in B city were surveyed using a Family Presence During Resuscitation (FPDR) Inventory. The data were analyzed by t-test, ANOVA and Duncan's multiple range test using SPSS/WIN 19.0 version. Results: Nurses showed more positive attitudes toward family presence during CPR but reported more concerns about the problem of confidentiality, arguing with family members, and emotional distress of family members than physicians did. Conclusion: On the basis of results from this study, we recommend that educational program be developed within the hospitals to change the negative perception of health care providers for the family presence during CPR.

• 대한간호학회지
• /
• 제29권4호
• /
• pp.755-765
• /
• 1999

Most people experience fatigue at some point in their lives, and they say the word ‘fatigue’ in their ordinary conversational speech. The ordinary word is used as a military or engineering term and has been studied in various different disciplines, such as ergonomics, physiology, psychology, medicine, and nursing. In spite of its widespread uses, however, fatigue has not been well defined. The term of fatigue Is thus often used with different meanings and is applied in diverse contexts that had led to a confusion of ideas. In people with cancer, fatigue is reported as a major distress. Despite the importance of fatigue in cancer patients, the phenomena of fatigue is poorly understood. Therefore, the purpose of the present study is to analyze the concept of fatigue in people with cancer. The process for the concept analysis was guided by Walker and Avant's conceptual analysis methodology. The identified attributes of fatigue in the present study were subjective feeling, lack of energy, sustenance, and multidimensions. The antecedents were cancer treatment and economic status. The consequences were decreased daily, vocational, leisure, and social activities, uncertainty, and difficulties in adjustment. Symptoms (pain, anorexia, and insomnia) and emotional disturbance were not clear whether they are antecedents or consequences. However, they are related with cancer related fatigue. Even though still in the beginning stage, instruments measuring cancer related fatigue have been developed by some nursing investigators.

• 한방안이비인후피부과학회지
• /
• 제18권3호
• /
• pp.135-141
• /
• 2005

Hyperhidrosis of the palms and soles is a disorder characterized by excessive sweating that occurs in the hands and feet and that cause severe psychological, social and/or professional disability. The pathophysiological cause is still unknown but the condition is related to over-activity in the Sympathetic Nervous System. We experienced four young patients with hyperhidrosis of the palms and soles that was thought to be initiated by emotional distress, nervousness, stressful situation and anxiety. In the point of Differentiation of Syndrome, this subject was diagnosed as consumptive fever of the Heart and a weakness of the Spleen and damp heat, and was administrated with Yangshimtang-Gamibang. After treatment of herbal medicine and acupuncture, hyperhidrosis and other symptoms of patients were improved.

• 대한한의학원전학회지
• /
• 제32권2호
• /
• pp.49-70
• /
• 2019

Objectives : Medical records of Xueji in the "Xiaozhufurenliangfang" were examined in this study which aimed to look at the medical situation in gynecology of China's Ming Dynasty period, in hopes for it to yield implications and treatment directions to gynecology in $21^{st}$ century Korea. Methods : The medical records were systematically organized with a medical anthropological approach along with overall analysis of the entire records, which lent meaningful statistical information in numeric form. A bibliographical review of the text as historical artifact was undertaken as well. Results : In managing gynecological conditions, Xueji frequently attributed them to depletion of Qi and Blood of the Spleen and Liver. In terms of pathogenic factors, he frequently mentioned Fire and Heat, and as etiological factors, emotional distress. For treatment, he frequently used 'Bu Zhong Yi Qi Tang(補中益氣湯)', 'Xiao Yao San(逍遙散)' and 'Gui Pi Tang(歸脾湯)'. Conclusions : Through studying the medical records of Xueji in "Xiaozhufurenliangfang" a close look into a master's insight on gynecological disorders in terms of diagnosis and treatment was achieved. The formulas he used are widely applied even today, and this study shows that the formulas's clinical application could be expanded even wider.

• 한국IT서비스학회지
• /
• 제20권5호
• /
• pp.55-71
• /
• 2021

Technostress management is increasingly getting important as ICT advances and infiltrates every job and task. Especially with the advent of COVID-19, workers had to switch to teleworking utilizing ICT extensively. In this study, we developed a research model explaining antecedents and their impacts on technostress in telecommuting context, especially under the COVID-19 situation. The result revealed that techno-complexity, techno-invasion, and techno-overload are the dominant factors that affect the negative psychological responses in the COVID-19 situation. Among them, we found that techno-overload maintain the most significant influence. It is due to the lack of instant feedback on workload allocations in telework and the lack of adjustment period with the sudden shift to telecommuting. In the case of techno-complexity, employees seem to experience difficulty acquiring new technical skills. Finally, the techno-invasion came out significant, signifying the infiltration of working space by home-related activities. The emotion-focused coping strategy had a moderating effect. In contrast, the problem-focused coping strategy had no significant effect, indicating that an appropriate emotional coping strategy is more important for workers undergoing extreme changes in the work environment. Subsequently, practical and theoretical implications, limitations, and future research directions are discussed.

• 한국간호교육학회지
• /
• 제27권4호
• /
• pp.347-358
• /
• 2021

Purpose: The purpose of this study is to explore the experiences of nurses who have suffered from hurt feelings in their relationships with medical personnel in intensive care units (ICUs). Methods: Data were collected from May 2019 to August 2020 through individual in-depth interviews with 8 ICU nurses. Verbatim transcripts were analyzed using the MAXQDA program, employing a phenomenological method designed by Colaizzi. Results: Four theme clusters and nine themes were identified. The themes cluster that emerged were as follows: high-handedness from a lack of understanding and consideration, not being respected as a professional, having to endure sadness alone, and strategies for accepting pain. Conclusion: In ICUs, nurses are being emotionally wounded, resulting in a variety of hurt feelings, not only by doctors, but also by other nurses. Nurses were heavy-hearted because they wanted the participants to do their part and care for critically ill patients proficiently. However, they did not treat ICU nurses as specialized professionals. The participating nurses said they felt pressure, fear, and intimidated. In addition, they felt lonely because their head nurses, seniors, or colleagues did not protect or support them. This study helped develop a program to decrease the nurses' emotional distress and create a safe work environment where they respected and cared for each other without undergoing anguish.

• 사회복지연구
• /
• 제40권1호
• /
• pp.37-61
• /
• 2009

유방암은 진단과 치료과정에서 환자뿐만 아니라 배우자에게 심리사회적 디스트레스를 초래하게 된다. 이러한 배우자의 디스트레스는 다시 유방암환자의 적응, 삶의 질에 영향을 미치게 된다. 이에 따라 부부관계 맥락에서 유방암의 심리사회적 영향을 살펴보아야할 필요성이 제기된다. 이를 위해 유방암환자와 배우자를 대상으로 심리사회적 영향을 조사한 국외 연구 33편, 국내 연구 1편 총 34편을 방법론적 측면과 내용적 측면으로 분석하였다. 분석 결과를 토대로 후속 연구와 임상적 실천에 있어서의 제언점을 제시하였다.