• Title/Summary/Keyword: Fear experiences

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암환자의 신약개발 임상시험 참여 경험 (Experience of Patients with Cancer Participating in a Clinical Trial for the Development of a New Drug)

  • 김현영
    • 종양간호연구
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    • 제6권2호
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    • pp.121-132
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    • 2006
  • Purpose: The purpose of this study was to describe the lived experience of the patients with cancer participating in a clinical trial for the development of a new drug. Method: This study was based on a phenomenological approach. The eight patients participating in a clinical trial were selected as the participations of this study. The data were obtained through in-depth interviews from the participants and were analyzed using the Giorgi method. Results: Essential experiences of the patients with cancer under a clinical trial consisted of anticipating recovery of physical health and a social role, passing the strict criteria of a clinical trial, diminishing economic burden, satisfaction with special treatment receiving, social contribution, concerns about side effects and withdrawal from the clinical trial, conflicts as a participant, pain, limited administration of other treatments, regret for giving up other treatments, strict compliance with instructions, prevention of side effects and maintaining desirable life-style. Integrated units of meaning of these components were hope, good luck, a sense of satisfaction, fear, distress, and the will of self-control. Conclusion: The most essential meaning of the cancer patients participating in a clinical trial was hope. Hope was found to be a primary factor reinforcing the will of self-management. The results of this study can be of great help to the research nurses to understand the lived experience of the patients with cancer and to plan an effective nursing intervention for the patients.

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RFID 기반 실시간 위치인식 방식을 활용한 미아방지시스템 적용 가능성에 관한 연구 (A Study on the Possibility of a Lost Child Prevention System Application using RFID Real-time Location System)

  • 차맹규;전정우;김정근;백송훈
    • 한국측량학회:학술대회논문집
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    • 한국측량학회 2007년도 춘계학술발표회 논문집
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    • pp.395-398
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    • 2007
  • Losing a child is one fear parents never want to experiences. Nothing can take away the anguish of it. Unfortunately, it happens all too often. A lost child problem is the social problem that all parents should be worried about. To this, this study applies RFID for lost child prevention. RFID technology is developing to position recognition technology in addition to functions to distinguish a thing. Although RFID is not designed for location sensing, but now it is regarded as a device to facilitate real time location awareness. It is also possible to transfer information in the USN. Those advantages of RFID can be integrated with LBS achieving much synergy. However, such technology is mostly used indoors and outdoor research case is short. Therefore, this study is the preceding study having progressed to actual application. This study verifies technical applied service, and presents a system configuration model. Finally, this paper confirms lost child prevention system utilization possibility.

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신장이식술 후의 사회심리적 적응 (Psychosocial Adjustment after Kidney Transplantation)

  • 이명선
    • 대한간호학회지
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    • 제28권2호
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    • pp.291-302
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    • 1998
  • The purpose of this phenomenological study was to understand and describe the essence and the structure of lived experience of people with kidney transplantation. Initially, nine individual interviews were conducted to gather data regarding their subjective experiences. And two focus group interviews were utilized to validate or discard the themes that were emerged from the analysis using Colaizzi's method. Among 17 participants, 13 had living related kidney donations, one living unrelated, and the remaining two cadavor donations. About 130 significant statements were extracted and these were clustered into 11 themes. All participants felt anxiety and fear toward the rejection of transplantation and the complication of immunosuppressive drugs. Although they were initially satisfied with their life after kidney transplantation, most of them lost a self-confidence and experienced loneliness, depression, and despair. Most of the participants also felt guilty for not being able to accomplish their appropriate roles in the family, They also had financial difficulties and social restrictions. However, they overcame these psychosocial distress by exercising, working and sharing love with others. They also could overcome it by living a religious life and by working to help others with kidney transplantations. Most of them felt gratitude toward the donor and did not have a psychological rejection toward the kidney transplanted. The results of the study might help nurses who work with people with kidney transplantations in establishing and implementing an effective nursing intervention by understanding their lived experience.

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시험관 아기를 둔 어머니의 경험 (Experience of Mothers with Babies by in Vitro Fertilization)

  • 이명선;이소우;최명애;김금순;김윤미
    • 대한간호학회지
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    • 제31권1호
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    • pp.55-67
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    • 2001
  • A phenomenological study was conducted to investigate the experiences of mothers pregnant via in vitro fertilization (IVF). Sample of nine mothers participated. Ten theme clusters emerged when the formulated meanings were organized into categories. During the infertility period, the participants were subject to self- depreciation, envy, anxiety, and depression. It changed their priorities in life from a job-oriented life to one where having a baby was the most important thing. After trying numerous alternative therapies, IVF became their last hope in having a baby. Since the success rate for IVF is low (only 20-30%), the participants for the treatment were overwhelmed with uncertainty, and it led to further anxiety, depression and despair. Success of pregnancy gave them extreme satisfaction, but they became very cautious in their day-to-day life because of their fear of abortion and early delivery. Some were even worried about the side effect of IVF during the pregnancy. Finally, the delivery of the baby gave them relief from the obligation of having a baby. Women did not have any difficulties in rearing a "test tube baby" except in the case of twins. Most women had no ethical difficulty in having a baby by IVF. However they did not wish this information to be revealed to other people. They again turned to IVF to have a son(s) when the resultory child(s) was a daughter(s). This is because of the strong preference for sons in Korean society.

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아동의 고통경험에 관한 연구 (The Meaning of Suffering to Teeanger)

  • 강경아
    • Child Health Nursing Research
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    • 제4권1호
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    • pp.45-59
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    • 1998
  • Suffering is a human burden that may not be truly avoidable. In order to put that view in perspective we must examine suffering in a form as isolated from self-inflicted behavior as possible. The suffering of a child is one such example. The purpose of this study is to understand the meaning of suffering in the teenager and is to analyze difference of suffering in children and adult. The subjects of this study were 6 childrens (12year-17year) including in-patients and out-patients of a general hospital who were diagnosed as having cancer. The data was collected from October 10, 1996 to April 15, 1997. Qualitative research methods of in-depth interview and participant observation were used for data collection. Data analysis progressed according to the fieldwork phases suggested by the Hybrid Model. According to the results of the study, the meaning of suffering in the teenager can be described as follows : Suffering is an inevitable experience of all human beings. When each child experiences pain and destroying child-adult relationship, suffering in which threaten one's personal integrity is perceived differently among each child depending on their personal inner factors, one's significant others, exterior circumstances and stimuli. Suffering brings severe and unendurable distress which accompany anguish, depression, anxiety and fear. This findings provide data for new insights of suffering. When caring for teenager who experience suffering, nurses need to consider the influence of suffering. Moreover, appropriate nursing interventions aimed at relieving suffering need to be developed.

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『리어왕』에 나타난 현명한 바보이자 치유자로서의 광대에 관한 연구 (A Study of the Fool as a 'Wise Fool' and 'Healer' in King Lear)

  • 류다영
    • 한국산학기술학회논문지
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    • 제16권1호
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    • pp.78-85
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    • 2015
  • 광대는 주로 우스꽝스러운 모습과 바보 같은 행동으로 사람들을 웃게 만드는 역할을 한다. "리어왕"에 등장하는 바보 광대 또한 특유의 익살과 해학으로 우리에게 즐거움을 주고 있다. 하지만, 그는 진정한 바보가 아니다. 그는 현명함을 지니고 있고 사람들의 마음을 꿰뚫어보는 직관력을 가지고 있으며, 언제나 현실을 직시한다. 그는 미래를 예측하고, 옳지 않은 것에 대해 비판하며, 또한 상처 받은 마음을 치유하는 역할을 한다. 그는 항상 리어왕의 옆을 지키며, 리어왕이 그 자신의 어리석음을 깨닫도록 도움을 준다. 모든 고통과 두려움에서 벗어난 리어왕은 광대의 도움으로 자신의 감정이 순화되고 치유되는 과정을 겪게 된다. 이러한 면에서 "리어왕"에 등장하는 바보광대는 리어왕의 현명한 조력자이자 치유자인 것이다.

간호대학생과 의과대학생의 임종돌봄 실습 후 죽음 정서의 의미 (A Meaning of Death through Emotional Expression about Death after Nursing and Medical Students' End-of-Life Care Practice)

  • 조계화
    • 성인간호학회지
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    • 제22권3호
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    • pp.329-341
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    • 2010
  • Purpose: The purpose of this study was to understand the meaning of death experienced by medical and nursing students through end-of-life care practice. Methods: Data were collected by in-depth interviews with twelve (six nursing and six medical) students. Conventional qualitative content analysis was used to analyze the data. Results: This findings were analyzed in three areas: 'feeling from the word of death', 'color association of death', and 'relation between life and death'. Results were three major themes and sixteen categories from the analysis. Three major themes include 'reality of uncertain death', 'have to leave, and 'new perception about death'. Sixteen categories include 'being well', 'fear', 'unknown', 'boundless', 'being with', 'out of sight', 'new start', 'go back to', 'place going by itself', 'place to meet with', 'being transformed', 'a sense of futility', 'the same point', 'a different point', 'continuous line', and 'a crossroad'. Conclusion: The findings suggest a number of themes that nursing and medical students reported about the end of life experiences that could be explored as a way of improving end of life care.

가정폭력 피해 여성의 위기 경험과 서비스 요구: 포커스그룹 면담방법을 사용하여 (Crisis Experience of Domestic Violence in Women: Focus Group Interview)

  • 한영란;박영희
    • 한국보건간호학회지
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    • 제31권2호
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    • pp.311-326
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    • 2017
  • Purpose: This study was conducted to explore women's experiences with domestic violence crises and needs of services. Methods: Data were collected using focus group interviews. Three focus group interviews were held with 16 victims of domestic violence in a shelter. All interviews were recorded and transcribed as they were spoken, and data were analyzed using Morgan & Krueger's four step analysis. Results: The results of this study were as follows: Four categories of crisis were perceived by victims of domestic violence, fear of death, possibility of suicide and murder, despair, facing forlorn positions when seeking help. Services that were needed for victims of domestic violence were classified into four categories: securing personal safety, providing active assistance to victims by first contact, providing information on helping facilities, continuous and preventive support. Conclusion: The results presented herein provide an opportunity to understand women who have experienced domestic violence, to recognize what type of crisis they are experiencing and to determine what help they need in a crisis situation.

중소병원 입원환자의 낙상발생 시 현황, 낙상위험요인 및 낙상발생 예측요인 (Circumstances, Risk Factors, and the Predictors of Falls among Patients in the Small and Medium-sized Hospitals)

  • 이영진;구미옥
    • 임상간호연구
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    • 제21권2호
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    • pp.252-265
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    • 2015
  • Purpose: This study examined the circumstances, risk factors, and the predictors of fall incidents among patients in the small and medium-sized hospitals. Methods: Fifty patients with any fall experiences were matched by gender, age, and medical departments with 100 patients without fall incident at the same hospital. Data were collected from 5 small and medium-sized hospitals. Data were analyzed using descriptive statistics, a Chi-square test, a Fisher's exact test, and a logistic regression with the SPSS/WIN 21.0 program. Results: In the patients with falls, the largest number of falls occurred during the day shift, in the patients' rooms, and while they were walking. Further 74.0% of the patients had physical injuries, and 34.0% had to take further medical diagnostic tests. Significant differences were found between the patients with falls and the others on 14 variables (cardiovascular disease, anemia, sedative-hypnotics, vasodilators, narcotic analgesics, dizziness, general weakness, unstable gait, walking aids, anger, anxiety, depression, orientation, and fear of fall). Narcotic analgesic use, dizziness, walking aids, and cardiovascular disease were identified as the predictors of fall incidents. Conclusion: These findings are hoped to be used in developing a fall risk assessment tool and fall prevention nursing programs for small and medium-sized hospitals.

구역반사가 심한 환자의 임플란트 치료에서 프로포폴과 미다졸람을 이용한 정주진정법 -증례 보고- (Intravenous Sedation using Propofol and Midazolam in The Exaggerated Gag Reflex Patient's Dental Implant Treatment -A Case Report-)

  • 오세리;이준
    • 대한치과마취과학회지
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    • 제10권1호
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    • pp.27-33
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    • 2010
  • The gag reflex is a physiologic reaction which safeguards the airway from foreign bodies. But, an exaggerated gag reflex can be a severe limitation to a patient's ability to accept dental care and for a clinician's ability to provide it. The overactive gag reflex can be due to psychological factors or physiological factors, or both. Psychological factors can include fear of loss of control and past traumatic experiences. A 58-year-old man, scheduled for extraction of left upper second molar, left lower second and third molar and implantation of left upper second molar, and left lower second molar had no specific underlying medical problems. He had exaggerated gag reflex. Dental treatment was successfully performed using intravenous sedation. Intravenous sedation with midazolam and propofol was a useful management technique for reflex control during dental treatment extended to the posterior regions in the oral cavity.