• 제목/요약/키워드: First death experience

검색결과 82건 처리시간 0.027초

Lived Experience among Patients Newly Diagnosed with Lung Adenocarcinoma Stage IV within One Year

  • Shih, Whei-Mei Jean;Hsu, Hsiu-Chin;Jiang, Ru-Shang;Lin, Mei-Hsiang
    • Asian Pacific Journal of Cancer Prevention
    • /
    • 제16권15호
    • /
    • pp.6633-6638
    • /
    • 2015
  • Background: lung cancer (LC) is the fifth of the 10 leading causes of death in the world. LC is in first place for cancer-related mortality for both males and females in Taiwan. It is one of the most difficult cancers to treat and is often diagnosed at a late stage. Patients with stage IV are often unprepared for the diagnosis. Materials and Methods: To explore lived experience among patients newly diagnosed with lung adenocarcinoma stage IV within one year. Results: Twelve participants were recruited in this study. Content analysis of the interviews revealed four themes: (1) emotional roller coaster, (2) trying to find out causes, (3) adjusting my lifestyle, and (4) cancer fighter. Conclusions: This study provides new insight into the experiences of lung cancer patients y with newly diagnosed lung adenocarcinoma stage 4. These results will inform future supportive care service development and intervention research for patients with advanced stage cancer.

임종환자를 돌보는 병원간호사의 경험: 감정에 충실하면서 자신 추스르기 (Nurses Experience of Caring for Dying Patients in Hospitals)

  • 이명선
    • 대한간호학회지
    • /
    • 제33권5호
    • /
    • pp.553-561
    • /
    • 2003
  • Purpose: To develop a substantive theory that represents hospital nurses' experience on caring for dying patients. Method: Grounded theory method guided the data collection and analysis. A purposeful sample of 15 hospital nurses participated during the period of 2001-2002. The data were collected by semi-structured individual interviews. All interviews were audio taped and transcribed verbatim. Constant comparative analysis was employed to analyze the data. Result: 'Putting oneself into shape while being faithful to feelings and emotions' emerged as the basic social-psychological process. Three different phases were identified: being faithful to own feelings and behaviors; putting oneself into shape; and mourning death. The first phase includes the categories of 'establishing trust relationships' and 'sympathizing with dying patients and their family members.' The second phase consists of 'controlling feelings,' 'adjusting ethical conflicts,' and 'providing best patient-care,' and 'helping family accept the jeath.' And the third phase consists of 'overcoming sadness' and 'releasing other negative feelings.' Conclusion: The result of this study will help health professionals develop efficient support programs that support nurses caring for dying patients in hospitals. Further study needs to be done to verify findings.

한.일 여자고등학생의 가정과에 대한 관심과 학습요구의 실태조사 -가족과 보육을 중심으로- (Senior High School Students'Concerns about Home Economics and their Educational Needs in Korea and Japan -In the areas of the Family and Child Care-)

  • 이수희
    • 한국가정과교육학회지
    • /
    • 제8권1호
    • /
    • pp.23-32
    • /
    • 1996
  • The purposes of this study was to investigate high school girl students’concerns about the family life education in Home Economics and their needs for learning in home economics classes in order to develop an advisable co-education curriculum. The questionnaires were completed by 196 first grade students in Seoul in 1993 and 765 first grade students in Tokyo and Kanagawa Prefectures in 1991. The contents of the questionnaire were as follows:1) students’interests in the areas of Home Economics education, 2) students'concerns in their daily life 3) students’interests in a new curriculum for family life education:16 contents from human birth to death. 4) students’experience with their family, and 5) students’educational needs in Home Economics’teaching method. The result of our research showed that:1) Most of senior high school students in Korea and Japan had strong interests in their life and life span. 2) Although there are some differences in the degree of concerns between Korea and Japan, senior high school students in Korea and Japan had strong concerns with their “characteristics and personality”, their “future job”, their “looks and figure”and their “hobby and amusement”, these had not been the contents of home economics in Korea and Japan, but had been in U.S. 3) Very few senior high school students in Japan and especially in Korea had contacts with their grandparents. 4) Senior high school students in Korea and Japan showed strong interests in their near future stage, but they showed less interest in the stage of early childhood. 5) Senior high school students in Korea and Japan showed their diverse needs for learning in home economics classes. The results indicated that co-education curriculum for family life education should meet adolescent needs and concerns, and our new curriculum, “from one’s birth to death/one’s life span”, would be more advisable.

  • PDF

정서·행동 문제아가 지각하는 두려움의 유형분석 : Q 방법론적 접근 (Fear Factors in Children with Emotional and Behavioral Problems : A Q-Methodological Approach)

  • 구미향
    • 아동학회지
    • /
    • 제26권1호
    • /
    • pp.75-90
    • /
    • 2005
  • The structure of fears was identified and measured by Q methodology. Subjects were 40 school-aged children with emotional and behavioral problems. Subjectivity of children's fears was classified into 3 types by the QUANL program. Three types occupied 52% of all variance and correlations ranged between .31 and.52. The first type is "imaginative-sensitive perception" where children are fearful about unreal and imaginative objects related to death. The second type is "rational-empirical perception" where children are concerned about the impact of fearful objects and authoritative figures based on their own personal experience. The last type is "realistic-egocentric perception" where children are fearful of possible violence, crime, and disease.

  • PDF

중년여성의 애착, 외상 후 성장 및 자기실현과의 관계 (Relationship Between Attachment, Post-traumatic Growth, and Self-realization of Middle-aged Women)

  • 김옥희;김연경
    • 한국콘텐츠학회논문지
    • /
    • 제16권12호
    • /
    • pp.507-517
    • /
    • 2016
  • 본 연구는 중년여성을 대상으로 이들이 경험하는 외상사건의 유형과 특성을 살펴보고 이들이 외상 후 성장과 자기실현을 이루는 과정에서 애착이 미치는 영향을 탐색하고자 하였다. 연구 참여자는 서울, 경기지역의 중년여성 221명이었고 설문지는 외상경험 질문지, 애착 척도, 외상 후 성장 척도, 자기실현 척도로 구성되었으며, 중년여성의 외상경험 유형과 특성은 빈도분석을 실시하였고, 각 변인들 간의 관계를 분석하기 위해 상관계수와 구조방정식 모형검증을 통해 확인하였다. 주요연구 결과를 살펴보면, 첫째, 가까운 사람의 상실(사망, 이별, 이혼, 실연, 절교)이 중년여성들에게 일반적이고, 가장 큰 위기 사건으로 보고되었고, 둘째, 애착, 외상 후 성장, 자기실현 간의 관계를 살펴보면, 부 모안정애착, 영적변화는 인간성, 자기수용성의 하위변인을 제외한 모든 하위변인에서 상관이 있는 것으로 나타났다. 셋째, 구조방정식 모형검증 결과, 애착이 외상 후 성장과 자기실현에 정적인 영향을 미치고, 외상 후 성장이 애착과 자기실현을 매개하는 변인으로 나타났다.

뇌졸중환자의 희망 (The Hope of the Stroke Patients)

  • 김이순
    • 대한간호학회지
    • /
    • 제27권1호
    • /
    • pp.212-227
    • /
    • 1997
  • Cerebrovascular diseases in Korea is an important health problem since mortality and mobidity have been increased rapidly. It marked the 2nd cause of specific death rates in 1993. The stroke causes physical function disorder due to hemiparalysis and emotional disorder, and stroke patients experience helplessness, powerlessness. sense of alienation and loss of hope. These feelings make the rehabilitation difficult because they lose the will of life. The subjects of the study were seven citizens who live in Pusan, are over 50 years old and belong to low income-level. The data were collected from Jan. to Sep. 1995. The researcher as a caregiver and volunteer made confidence of them and asked for their agreement on the purpose of the study. The subjects expressed their experience as openheartedly as possible. The analysis of the data was made through the phenomenological analytic method suggested by Giorgi, which is as follows ; as an unit of description which include the subject' expressions and the researcher's observation, it is examined the theme that express the hope experience with the subject's language(underlining), and the focal meanings are identified. The focal meaning is the crystalization of the theme, which is written in the language of the researcher. After intergrating the focal meaning and make the situated structural description as the meaning of the hope experience identified on each subject's point. After intergrating the situated structural description and make the general structural description as the meaning of the hope experience identified on total subject's point then the systemizing of the structure of the hope experienced phenomena and the flowing of the conciousness was researched. The conclusions of this study was as follows : The ten sources of hope which the subjects experienced were sorted as under 〈mutual relations to others : spouse, children, relatives, fellow believer. health professioner. associate patient group〉, 〈spiritual dependence〉. 〈recovery of physical function〉. 〈rumination of the past life〉, 〈expectation of the future〉. 〈economic power〉, 〈belief〉, 〈ability〉. 〈spontaneous participation〉 and 〈recovery of roles〉. Their hope was spoken out by the following two kinds of linguistics. First. the hope was expressed in the affirmative expression as follows : 〈 to be dependable〉, 〈to make efforts〉, 〈to keep under control〉, 〈to desire〉, 〈to be pleasant〉, 〈to be peaceful〉, 〈to be grateful〉, 〈to give help〉, 〈self-confidence. Courage〉, 〈to be happy〉, 〈to satisfy oneself〉, 〈to share with others〉, 〈to understand〉 and 〈to be affected, be impressed〉 Second, the hope was expressed in the negative on pression as under : 〈to be distressed〉, 〈to be uneasy〉, 〈to be sorry, be unsatisfied〉 〈despair〉, 〈to abandon〉, 〈to be fearful〉, 〈to suffer〉, 〈to bear a burden〉 〈to be confused〉, 〈to be solitary〉, 〈chest trouble〉, 〈to feel heavy〉 〈grief〉, 〈to be daunted〉, 〈to get angry〉, 〈to be uncomfortable〉, 〈to have something regretable〉 and 〈to feel guilty〉. And their hope was expressed by the following four behavioral expressions : 〈physical sphere〉, 〈psychological sphere〉, 〈social support sphere〉 and 〈spiritual sphere〉. The reaction patterns of their hope experience appeared in the following 4 coping method : 〈conquest type〉, 〈dependence type〉, 〈adaptation type〉 and 〈fate type〉. Finally, in the hope structure the sense of certainty don't always coexict with the sense of uncertainty, When the stroke patients try to search for the best quality of life, the senses of certainty and uncertainty make a continual cyclic system in the hope structure.

  • PDF

근디스트로피 자녀를 가진 어머니의 경험 (The Lived Experience of Mothers of Children with Muscular Dystrophy)

  • 오상은
    • Child Health Nursing Research
    • /
    • 제7권4호
    • /
    • pp.421-433
    • /
    • 2001
  • The purpose of this phenomenological study was to understand the lived experience of mothers of children with muscular dystrophy. The participants were 11 mothers recruited by snowball sampling, who agreed with the objectives of the research and could verbally communicate with the researcher and who lived with their sons who had muscular dystrophy. Data collection was done through in-depth interviews with participants in their own homes. Each interview took 50 to 120 minutes. All of the interviews were audiotaped and then transcribed. Data were analyzed using Colaizzi's (1978) method of phenomenology. From the transcripts 109 significant sentences and phrases were selected and 13 clusters of themes were categorized from 67 significant statements. These results were integrated into the essential structure of the lived experience of mothers of children with muscular dystrophy. 1. Anxious and relying on chance due to indefinite diagnosis. 2. Only able to cry with shock because of son's fatal disease. 3. Seeing the future as dismal and feeling resentment that this disease in transmitted through the mother. 4. Feeling caught between a husband who is distancing himself from his family and the family which is disintegrating. 5. Feeling like a sinner for transmission of genetic disease(Feeling guilt for conceiving a son with a genetically transmitted fatal disease). 6. Empathizing with other suffers of muscular dystropy and their parents in their grief and helping to dissipate their heavy feelings. 7. Deciding to sacrifice self as a way of taking responsibility for giving birth to a handi-capped son. 8. Losing hope (feeling despair) as son's condition deteriorates in spite of all attempts to help him. 9. Wishing to die with son who becomes progressively immobile. 10. Accumulating Han*(한, 恨), because of rising Hwa(화, anger), and becoming sick both mentally and physically. 11. Seeing events as destiny and finding self-control through faith. 12. Finally, giving up sacrificing self for son and becoming concerned(involved) with other children in the family. 13. Feeling fear at son's impending death. This is the first research on the experience of Korean mothers of children with muscular dystrophy. In applying the phenomenology research method, this study not only helps health professionals understand the experience of these mothers in the Korean patriarchal social system, but the researcher, as a nurse, can share their agony and grief through identification of their inner world through in-depth personal interviews. The results obtained in this study will not only help in the development of family nursing practice for families with genetically transmitted diseases but also prepare basic data for family nursing practice in the Korean sociocultural context.

  • PDF

Metastatic Pancreatic Carcinoma and Experience with FOLFIRINOX - a Cross Sectional Analysis From a Developing Country

  • Zahir, Muhammad Nauman;Jabbar, Adnan Abdul
    • Asian Pacific Journal of Cancer Prevention
    • /
    • 제16권14호
    • /
    • pp.6001-6006
    • /
    • 2015
  • Background: Pancreatic cancer is the fourth leading cause of cancer related death with median survival ranging from 3 to 6 months for metastatic disease. Palliative chemotherapy has been the backbone of treatment in advanced stage and has evolved over time. Data pertaining to the disease are scarce from our part of the world where treatment poses a significant challenge due to lack of resources. Materials and Methods: A retrospective chart review was performed for all patients presenting with stage IV pancreatic carcinoma at a tertiary care hospital in Karachi, Pakistan between January 2008 and December 2012. Data were collected using a pre-designed, coded questionnaire looking at patient characteristics, treatment given and outcome. Results: 101 patients were found to be eligible. Mean age was $56.7{\pm}12.8years$, the male to female ratio was 2:1 and most patients had a good performance status. More than half of the tumors were located in the head (57%, n=58) and almost all were adenocarcinomas (95%, n=96). Some 58% (n=59) received first line chemotherapy of which 49% (n=29) received gemcitabine-based regimens and 39% (n=23) received FOLFIRINOX. The median progression free survival for gemcitabine based treatment was 2.9 months (IQR=1.6-5.6) as opposed to 7.3 months (IQR=4.5-9.2) for FOLFIRINOX (P=0.02). Median overall survival was 4.9 months (IQR=2.3-9.5) for first line gemcitabine based treatment and 10.5 months (IQR=7.0-13.2) for first line FOLFIRINOX therapy (P=0.002). Patients on FOLFIRINOX had better survival across all subgroups. Inpatient admissions and dose reductions were more frequent with FOLFIRINOX but the difference between the two regimens was not statistically significant. FOLFIRINOX could be successfully administered as outpatient therapy to a number of patients. Conclusions: FOLFIRINOX remains a suitable first line option in patients with metastatic pancreatic cancer with good performance status even in a resource-poor country where diagnostic and supportive care facilities may be less than optimal and cost is a limitation.

T. S. Eliot의 "The Waste Land"에 나타난 주제와 형식 (Theme and Form in T. S. Elopt's "The Waste Land")

  • 양현철
    • 영어어문교육
    • /
    • 제4호
    • /
    • pp.249-267
    • /
    • 1998
  • "The Waste Land" is Eliot's best known poem. It was first published in 1922 and became a famous poem in modem poetry by the 1940's. The poem is a statement of his personal experience with spiritual crisis, this simple outline is complicated and universalized by being set within the structure of 'the Fisher King legend'. The fisher King legend was studied by Miss Weston in From Ritual to Romance and Sir James Frazer in The Goldon Bough which traced the vegetation myths. It explained the cycle of the seasons in relation to the death and rebirth of a god. The god died in the winter with the death of the vegetation and was reborn in the spring with the rebirth of the vegetation. Sir James Frazer reaced these ancient rituals within the Christian world. He indicated that the death and rebirth of Christ falls within the pattern of this ancient ritual. Also Miss Weston transformed that ancient ritual into Christian terms, and connected it with the Quest for the Holy Grail. Eliot used not only the title, but the plan and a good of the important symbolism of the poem from these two books. "The Waste Land" is a difficult one because of the numerous interruptions in the narrative. On the superficial level, the story covers a 12-hour period in a day. It is also in "the stream of consciousness." It might be called the internal monologue; that is, "the free association of ideas in the mind of the narrator," Eliot experiments with both the idea of time and with the stream of consciousness, He employs a number of quotations and allusion from the Classic literature. So, his technique in "The Waste Land" consists of the juxtaposition of the present with mythcism and religious symbolism derived from the past. The structure of the poem is built out of the contrasts in time. The poem illustrates his conception of the past as an active part of the present. "The Waste Land" has "a symphonic structure" composed of five parts, which are linked by the repeated themes. The theme is the death and salvation of the Waste Land. It is drawn from the Fisher King myths. Moreover, he has absorbed into the structure of this poem the language, phrases, and associations of other writers. It gave the poem the universality both of theme and of pattern. Also, his intricate and fine techniques added the universality to the poet's personal material. At last, the verse pattern of the poem follow the same basic structure as the thematic patterns. Again in symphonic style, the verse varies from section to section. The interruption of real time is associated with the flow of consciousness. Though the poem is a complex structure, there are the interweavings of a great deal of ideas into a simple, brief statement. By these poetic techniques the poem manages to have good harmony and unity between the thematic pattern and narrative structure. "The Waste Land" therefore, became the greatest poem in the 20th century modern world.

  • PDF

호스피스 대상 환자들에 대한 목회자들의 인지도

  • 윤영일
    • 호스피스학술지
    • /
    • 제1권1호
    • /
    • pp.18-33
    • /
    • 2001
  • This paper has surveyed above all what the patients call for physically, psychologically, and socially and researched how the ministers have acknowledge on cancers, their patients and hospice by means of enquete. To the difficulty the pastors should give their hands. This study researched what thoughts and behaviors the ministers actually had by the method of questionnaire. It was done from October 20, 1997 through December 10, 1997 on seven thousand of questionnaire paper of which 149 given back on the line of post or firsthandly were analyzed. The questioness consisted of 141 men(94.6%), 8 women(5.4) and 104 pastor on appentice(69.8%). There were 58 questionees(38.9%) who were hospitalized of their own diseases, and 121 questionees(81.3%) who had cancer patients hospitalized among their church people, relatives, or friends. Most of all the questionees(79.9%) had not any experience, such as they took some instruction about cancer patients. 72.5% of all the questionees had not ever served patients around them. The followings are the contents of the enquete: the questionees' view to chronic patients and death, where they put the priority in the case of that they look after patients who are under terrible pain ahead of death, what they think of such a situation as a patient has no technical possibility to be recuperated, why they think pastors do not like to visit chronics, which therapy they choose, whether they mainly control their pain or they do their best in order to heal their diseases, how much the questioned ministers know hospice, where and how they get the information on it, how much important role they play in the hospice team, whether the volunteers for hospice have not worked on account of pastors' misunderstanding to hospice service, whether the ministers want to take part in hospice service with their church people or not, and so forth. Suggestion: First, the education and P.R. about hospice are requested for the ministers. Second, the ministers must participate in hospice activities actively. Therefore the ministers and the churches must firsthandly take part in hospice activities beyond the education only and the raising of the recognition to them.

  • PDF