• 제목/요약/키워드: Loss Experiences

검색결과 222건 처리시간 0.022초

불확실성의 간호이론 구성 (Theory Construction in Nursing of Uncertainty)

  • 오현숙
    • 성인간호학회지
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    • 제13권2호
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    • pp.200-208
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    • 2001
  • The purpose of this study was to understand the nature and structure of "uncertainty of chronically ill patients" by explaining it more scientifically. This study is based on the unique experiences, which individual uncertainty experiences differ from others. In this sense, Q-methodology which includes self-psychology and abductive logics is applied to the study. The results indicate that there are six types of uncertainty of chronically ill patients : my own fault, self-esteem loss, self-care determination, cure-doubt, reality-restructure, and past-tenacity reality-absence. Thus, "uncertainty of chronically ill patients" is defined from the study as the process in which continuous transition and evaluation of possibility cause changes in human recognition, attitude, action, etc.. The significance of the study is threefold : (1) discovery of six types of uncertainty of chronically ill patients in Korean people, (2) the better understanding of "uncertainty of chronically ill patients", (3) possible developments of nursing concept and assessment and intervention technique based on the new dimension of the understanding in uncertainty for nursing of chronically ill patients from this research.

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학생 자살 후 교사의 애도 경험에 관한 개념도 연구: 어려움 및 도움 요인 (Factors that Help and Hinder South Korean Teachers' Bereavement Following Student Suicide: A Concept-Mapping Approach)

  • 서정일;이화연;김가연;이동귀
    • 한국심리학회지:학교
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    • 제18권1호
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    • pp.121-151
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    • 2021
  • 본 연구는 학생의 자살 이후, 중·고등학교 교사들이 상실에 대처하는 과정에서 어떤 어려움과 도움 요소를 경험하는지 개념도 방법을 활용하여 확인하였다. 이를 위해 학생의 자살을 경험한 중·고등학교 교사 7명을 대상으로 개별 면접을 시행하였고, 진술 내용을 기초로 총 113개의 핵심 문장을 추출하였다. 이 문장들은 참여자들에 의해 비슷한 의미를 가진 것끼리 분류되었으며, 이를 바탕으로 다차원척도분석과 군집분석을 실시하였다. 분석 결과, 교사들의 애도 과정에서의 어려움 요인은 '자살사별자 관련 및 자살 학생 관련' 축과 '외부시스템 및 내적 경험' 축의 2차원으로 구조화되었으며, 총 4개의 군집으로 분류되었다. 각각의 군집은 '자살을 예방하지 못한 후회,' '자살 사건에 대한 학교의 무관심,' '자살사별자 관련 무력감,' '자살사별자 관련 접근-회피 갈등'으로 명명되었다. 교사들의 적응과정에서 도움 요인은 '직업적 활동 및 개인적 활동' 축과 '상실 경험 분리 및 상실 경험 밀착' 축의 2차원으로 구조화되었고, 총 6개의 군집으로 나타났다. 각각의 군집은 '자살사별자 간 협조와 보살핌,' '바쁜 일상과 현재에 집중,' '영성 활동,' '사회적 지지,' '이타적 행동을 통한 애도,' '고인에 대한 연민'으로 명명되었다. 본 연구는 그동안 관심을 받지 못했던 교사 집단의 학생 상실 경험을 조명하고, 이들이 애도 과정에서 경험하는 어려움 요인과 도움 요인의 개념적 구조를 당사자의 관점에서 생생하게 규명하였다는 데 의의가 있다.

암 환아 부모의 경험에 대한 질적 연구 (The Experience of Parents Whose Child is Dying with Cancer)

  • 조영숙;김수지
    • 대한간호학회지
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    • 제22권4호
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    • pp.491-505
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    • 1992
  • The purpose of this research was to understand the structure of the lived experience of parents of a child terminally ill with cancer The research question was “What is the structure of the experience of parents of a child terminally ill with cancer\ulcorner” The sample consisted of 17 parents of children admitted to the cancer units of two university hospitals in Seoul. The unstructured interviews were carried out from October 10, 1991 through January 10, 1992. They were audio-recorded and analysed using Van Kaam's method. Parents ascribed the cause of the cancer to the mother's emotional imbalance during pregnancy, the mother's stress, failure to observe religious rites, food, the parent's sin, misfortune and pollution. The theme clusters were tension, fear and depression experienced during pregnancy, stress that children suffer from abusive parents, failure to observe religious activites, bad luck, and sins committed during a previous life. When the child suffered a recurrence of cancer, the parents experienced negative emotions, nervousness, sorrow. depression and death. The theme clusters were feelings of despair, helplessness, regret, guilt, insecurity, emptyness and apathy. The long struggle with cancer resulted in the loss of economic security, loss of psychological and physical well being, and social withdrawal. The theme clusters were the economic burden of medical cost, giving up treatment, debt, limited medical insurance coverage and blood transfusion. The loss of psychological well being included stress, lack of support systems, inability to carry out responsibilities, lack of trust of the medical ten family breakdown, inappropriate expression of emotion and not disclosing the diagnosis to the child. Physically the parents suffered fatigue, insomnia, loss of appetite, loss of weight, dizzness, headache, psychosomatic symptoms, and increased consumption of liquor and cigarettes. Social withdrawal was manifested by taking time off from work to look after the child, decrease of outside social activities and feelings of isolation. Influences on family life were spousal conflicts, negative response of siblings, separation of the family members and economic hardship. The theme clusters were blaming a spouse for the cause of the illness and disagreements, maladjustment, lonliness, hostility and depression of siblings. The high price of medical care over the long period was a major factor influencing the life of the family. Positive experiences during the child's long illness were the strengthening of support systems and religious beliefs and financial help from social organizations. The support of one's spouse primarily helped to overcome the stress of the long illness. In addition, support was received from parents of other children with cancer and from nurses and religious leaders. The nurse, by providing empathetic support, should be a person with whom parents can express their feelings and share their experiences.

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경험적 규칙을 이용한 배전계통의 재구성기법 (Distribution Feeder Reconfiguration Using Heuristic Rules)

  • 조시형;최병윤;우광방
    • 대한전기학회:학술대회논문집
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    • 대한전기학회 1991년도 하계학술대회 논문집
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    • pp.363-365
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    • 1991
  • This paper presents a method for feeder reconfiguration in order to operate distribution systems efficiently using heuristic rules. The reconfiguration method presented here not only eliminates various abnormal states but also achieves minimum power loss and optimum load balance of the distribution feeders under normal operating condition transfering loads from one feeder to anoter applying the experiences of the experts. To implement the method effectively, a best-first tree searching strategy based on heuristics is used to evaluate the various load transfer alternatives. The development of a rule-based system aimed at the reduction of the search space is presented as a means of implementing the best-first searching strategy. The results of the computer simulation of the above procedure are as follows; 1) achieving minimum power loss of the distribution feeder adopting the optimum load transfer alternative. 2) Enhencing system reliability and achieving load balance through rational allocation of the feeder loads.

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기형아 출산 산모의 경험 (Experience of Mothers who Gave Birth to Congenitally Anomalic Babies)

  • 최소영;이미라
    • 여성건강간호학회지
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    • 제3권1호
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    • pp.28-38
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    • 1997
  • Recently, the birth rate of congenitally anomalic babies is increasing in Korea. But there are few studies and articles in nursing field. So nurses are having difficulties in caring those mothers. This study is to reveal experiences of the mothers with congenitally anomalic babies. Subjects were six and data were gathered by interviews. Data were analyzed by Giorgi's method. Mother's responses were organized into five categories-shock, sadness, expectation, attribution and loss of confidence on future pregnancies. Loss of confidence on future pregnancies were categories which were not found in foreign articles. Based on the result of this study, author recommend that another studies which deal only same anomaly will be done, and genetic counseling system will be organized in hospitals.

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Quasi-Distributed Water Detection Sensor Based On a V-Grooved Single-Mode Optical Fiber Covered with Water-Soluble Index-Matched Medium

  • Kim, Dae Hyun;Kim, Kwang Taek
    • 센서학회지
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    • 제24권1호
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    • pp.1-5
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    • 2015
  • The V-grooved single-mode fiber in which a surface part of the core was removed was investigated as a quasi-distributed water detection sensor. In the normal state, the V-grooved region is filled and covered with a specific RI (Refractive Index)-matched medium, and the sensor experiences minimal optical loss. As water invades the V-grooved region, the material is dissolved and removed, and a considerable optical loss occurs owing to the large RI difference between the fiber core and water. The experimental results showed the feasibility of the device as a sensor element of the quasi-distributed water detection sensor system based on general optical time domain reflectometry (OTDR).

FAIR를 통한 개인정보 유출에 따른 기업의 손해금액 산출에 대한 연구 (FAIR-Based Loss Measurement Caused by Personal Information Breach of a Company)

  • 김정규;이경호
    • 정보보호학회논문지
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    • 제27권1호
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    • pp.129-145
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    • 2017
  • 본 연구는 지속적으로 발생하고 있는 개인정보 유출사고에 대한 기업의 리스크와 손해금액 산출을 위해, 최신 리스크 분석방법론인 FAIR(Factor Analysis of Information Risk)를 사용하였다. FAIR를 통해서 실제 개인정보 유출 사고 기업을 예를들어, 손해금액을 분석하고 산출하는 방법론을 제시 하였다. 전문가 집단의 설문을 실시하고 AHP(Analytic Hierarchy Process) 방법론을 사용하여 손해금액 산정요소의 중요도와 적절성을 객관적으로 평가하였다, 본 연구를 통해서 개인정보보호 실무 담당자는 스스로 손해금액을 최신 리스크 평가 방법론을 통해서 산정하고 입증할 수 있다. 또한 본 연구의 손해금액 산정요소를 해당기업에 맞게 선택하여 정확한 개인정보 유출에 따른 손해금액 등 경제적 손실을 추정할 수 있으며, 사고조치 및 예방대책의 수립과 경영진에게 보고할 수 있는 객관적인 근거를 확보 할 수 있다.

중고등학생의 구강병으로 인한 학업손실실태와 연관요인 (School loss due to oral disease and the related factors for a middle schools and high schools in Busan, Gyeongnam province)

  • 장경애
    • 한국치위생학회지
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    • 제9권4호
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    • pp.784-794
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    • 2009
  • Objectives : This study was to prepare basic data about middle and high school students' school loss due to oral diseasea and to investigate the relevant factors. Methods : The survey is conducted for 575 middle school students in Busan and Gyeongnam. School loss was investigated based on the experiences of absences and leaving school early, which had happened from oral diseasea. The independent variables were oral health behaviors and sociopeconomic factors such as sex, age of their parents, educational level of their parents, family income. Factors related with school loss was analyzed by the multiple logistic regression method. Results : The experience ratio of leaving school early to the dental clinic or having difficulty in studying was higher in the case of high school student than in middle school student case. The parameters related with absence or leaving school early for oral disease were the education level, the distinction of sex, fear about medical examination and the standard of living. The reasons of absence or leaving early for visiting the dental clinic were related with education level, the distinction of sex, fear about medical examination, distrust of oral care and the satisfaction of oral health. The parameters having effect on school performance were education level, sex, fear about medical examination, distrust of oral care, cost burden, interests in oral health by the parents and school record. Conclusions : The oral health promotion should be developed to decrease school loss for students.

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Biobehavioral Pain Profile을 이용한 구강안면동통 환자의 행동양식에 관한 연구 (A Study on the Behavior in Patieints with Orafacial Pain by Biobehavioral Pain Profile)

  • 신민
    • Journal of Oral Medicine and Pain
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    • 제23권4호
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    • pp.403-418
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    • 1998
  • The aim of this study was to measure effects of the following items to pain and pain behavior reaction in patients with chronic orofacial pain. Items that contribute to the first factor(Environmental Influences) measure environmental sources of information that may affect illness behavior; Second factro(Loss of Control) measure appraisals and attributions perceived to influence personal views aobut pain; Third factor(Health Care Avoidance) measures a variety of avoidant behaviors; Fouth factor(Past and Current Experiences) measures experiences with treatment); Fifth factor(Physiological Responsivity) measures physiological parameters that are experienced in association with pain; Sixth factor(Thoughts of Disease Progression) measures thoughts regarding the etiology and progression of disease in relation to pain. 150 patients that were consist of 40 male and 110 female were participated in this study. The obtained results of this study were as follows : 1. Environmental influences and loss of control scales were recorded high score in patients with chronic orofacial pain 2. "Physician's descriptions of what your pain will be like" and "Physician's facial expression when they ask about your pain" items from the environmental influences were recorded high score. These results indicated that responsibility of doctro is very important to the pain reaction behavior of patients. Also, items from thoughts regarding the etiology and progression of disease in relation to pain influenced to the pain reaction. 3. There were significant defferences on the "nurses' descriptions of what you pain will be like", "physician's and nurses' facial expression when they ask about your pain", "TV and radio", and "Literature" items from the environmental influences between male and female patients. 4. There were no significant differences on the each scale between arthrogenous and combitnation group and significant correlated with all 6 scales.

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혈액투석 환자들이 경험한 건강문제 분석 (An Analysis of Health Problems Experienced by the Clients Receiving Hemodialysis)

  • 신미자
    • 대한간호학회지
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    • 제26권4호
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    • pp.903-916
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    • 1996
  • The purpose of this study was to discover practical health problems which hemodialysis clients experienced so as to present basic data for development of a health assessment tool. The research subjects were 70 clients receiving hemodialysis in Seoul and Inchon from Mar. 1996 to Sep. 1996. Data were collected by researcher's informal indepth interview and nurses' open ended question. Content analysis was applied to collect similar contents and common experiences in order to derivate concepts and categories for better understanding of hemodialysis clients' experiences. As a result, 9 categories derivated to identify the health problems of clients receiving hemodialysis were as follows : 1) They experienced 'the decreased digestive function' which contained the changed appetite, nausea, vomiting, constipation and diarrhea. 2) They experienced 'the decreased respiratory and circulatory function' which contained dyspnea, changed blood pressure, tingling sensation and the fear of aggrevated vascular condition. 3) They experienced 'the aggrevated oral condition' which contained dry mouth and destruction of teeth and their soft tissue. 4) They experienced 'the decreased sensory function' which contained visual disturbances, sensation difficulty, and hearing loss. 5) They experienced 'the aggrevated skin condition' which contained dark brown skin color, dry skin (and hyperpigmentatic freckle, seborrheric keratosis, scale), itching sense, and alopethia. 6) They experienced 'the decreased urinary reproductive function' which contained anuria or oliguria, dysmenorrhea, sterility and decreased libido. 7) They experienced 'the restricted activity' which contained decreased activity, muscle cramp and stiffness of joint. 8) They experienced 'the changed mental status' which contained memory disturbance, decreased cognition, disorientation, neurosis and psychosis. 9) They experienced 'the aggrevated general condition' which contained kyphosis, weight loss, fatigue, sleep disturbance, bleeding tendency, inflammation, generalized edema and foul oder of uremia.

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