• Child Health Nursing Research
• /
• 제15권2호
• /
• pp.136-144
• /
• 2009

Purpose: To evaluate the effects of a logotherapy education program. Methods: A nonequivalent control group, non-synchronized design was conducted with a convenience sample of 29 children with cancer. The experimental group (n=17) participated in the logotherapy education program which consisted of 5 daily sessions for one week. The control group (n=12) received the usual nursing care. The effects were measured using suffering, adolescent meaning in life (AMIL), and spiritual well-being (SWBS) scales. Results: There were significant differences in suffering (W=153.00, p<.05) and meaning in life (W=78.00, p<.05) between the experimental and control groups. However, there was no significant difference in spiritual well-being (W=136.50, p>.05). Conclusions: Logotherapy was effective in reducing suffering and improving the meaning in life. Logotherapy can be utilized for adolescents with terminal cancer to prevent existential distress and improve their quality of life.

• 대한간호학회지
• /
• 제36권5호
• /
• pp.701-709
• /
• 2006

Purpose: The purpose of this study was to examine the effects of 'Logotherapy with Exercise' on the meaning of life, ego integrity and IADL's in the Elderly. Method: This quasi-experimental study was designed for a nonequivalent control group repeated measurement study. This study was done from Oct. 13, 2004 to Dec. 18. 2004. The subjects were between the ages of 65 to 75, who were literate in Korean and able to communicate and participate in physical exercise without any discomfort. The experimental group was 25 subjects and the control group was 26. The 5-week 'Logotherapy with Exercise' program was given to the experimental group. Data was analyzed by X$^2$, t-test, ANCOVA, ANOVA, and post-hoc comparison by Bonferroni correction with the SPSS/WIN 12.0. Results: The experimental group had a greater difference in meaning of life, ego integrity and IADL's than the control group. The experimental group had differences in changes in meaning of life, ego integrity and IADL's during time period. Conclusion: 'Logotherapy with Exercise' can be recommended as an effective nursing intervention for the elderly.

• 대한간호학회지
• /
• 제27권4호
• /
• pp.727-739
• /
• 1997

The purpose of this study was to present an effective nursing intervention for helping the patients of mental illness by determining the effect of nursing-logotherapy on purpose in life and finding meaning, and hope of the patients of mental illness by developing and applicating program of nursing-logotherapy The data was collected from March to September in 1995, and its subjects were the patients of mental illness who was appropriate to the standard of this study among the patients of mental illness who hospitalized into Neuro-Psychiatric ward of M. and B. hospital located in Pusan area. They were all 60 subjects, thirty of them for an experimental group and the rest for a control group. The research design was an equivalent control group pre-test and post-test design as an quasi-experimental research and the conceptual frame- work was an interpersonal model. The data analysis was computerized by using SP-SS/PC$^{+}$ and hypothesis testing was done with 2-way ANCOVA and simple correlation. Results were summarized as follows : 1. There were significant changes of purpose in life and finding meaning in an experimental group be-fore and after treatment and a control group be-fore and after. 2. There were significant changes of hope in an experimental group before and after treatment and a control group before and after. 3. The positive correlation between purpose in life and finding meaning and hope of the patients of mental illness were observed. Consequently, nursing-logotherapy could significantly increase the purpose in life and finding mean-ing, and of hope, so it could be said an effective nursing intervention for helping the healing of the patients of mental illness.s.

• Child Health Nursing Research
• /
• 제13권4호
• /
• pp.495-505
• /
• 2007

Purpose: The purpose of this paper was to develop a CD program of applied logotherapy to improve the quality of life of adolescents with terminal cancer. Method: Keller's ARCS theory and a model for developing internet learning materials(Kang) was applied to develop this program comprised four distinct phases: planning, designing, development, and execution stages. Results: This program was entitled 'Finding treasures in my life' and consisted of 5 sessions and its educational contents were made up as follows: "Treasure One" is 'learning three natures of the human mind', "Treasure Two" is 'learning creative value as first method to find meaning of life', "Treasure Three" is 'learning experiential value as second method to find meaning of life', "Treasure Four" is 'learning attitudinal value as third method to find meaning of life', and "Treasure Five" is 'Becoming the master of my life'. The sub-menu was made up of 'Beginning', 'What is it?', 'Travelling'. 'Laughing Song', 'End'. Conclusions: This CD program applied logotherapy with flash animation technique as an emotional and spiritual nursing intervention program for easier and more scientific application in pediatric oncology and hospice area.

• 대한간호학회지
• /
• 제39권6호
• /
• pp.759-768
• /
• 2009

Purpose: To evaluate the effects of a logotherapy program entitled 'Finding meaning in my life' for adolescents with terminal cancer. Methods: A nonequivalent control group, non-synchronized design was conducted with a convenience sample of 44 late adolescents with terminal cancer. The experimental group (n=22) participated in the 'Finding meaning in my life' program which consisted of five-day sessions for one week. The control group (n=22) received the usual nursing care. The effects were measured using adolescent meaning in life (AMIL), and quality of life (QOL) scales. The collected data were analyzed by descriptive statistics, Chi-square, and t-test using SPSS/PC 17.0 program. Results: There were significant differences in AMIL (t=3.36, p<.05) and QOL (t=2.67, p<.05) between the experimental and control groups. Conclusion: Logotherapy is effective in improving the meaning in life and quality of life of late adolescents with terminal cancer, and can be used to prevent existential distress.

• 대한간호학회지
• /
• 제43권1호
• /
• pp.91-101
• /
• 2013

Purpose: This study was done to identify effects of a life-esteemed education applied logotherapy on life respect, meaning of life, and depression on older elementary school students. Methods: A nonequivalent control group and non-synchronized design was conducted with a convenience sample of 142 students. The program named 'My Precious Life'. consisted of one session per week for five weeks. Students were assigned to the experimental group (n=70) or the control group (72). Data were analyzed using descriptive statistics, Chi-square, Fisher's exact test, t-test, and repeated measured ANOVA with the SPSS/PC 18.0 program. Results: Meaning of life and life respect increased significantly and depression decreased significantly for participants in the experimental group. Conclusion: The results of the study indicate that life-esteemed education applied logotherapy is effective in improving meaning of life and life respect and in decreasing depression in elementary school students. It can also be used to prevent existential distress and to intervene as a motif for having hope in life.

• Child Health Nursing Research
• /
• 제23권1호
• /
• pp.37-47
• /
• 2017

Purpose: The purpose of this study was to explore the experience of the meaning in life for elementary school students. Methods: The conceptual framework was based on the five main concepts (meaning in life, creativity, experiences, attitudes, choice and responsibility) of logotherapy. Data from 1,600 higher grade elementary school students were analyzed for content of meaning in life. Results: The experiences of meaning in life were identified as follows: Important things in my life (people close to me, things that brings me happiness, to live in earnest, surrounding environment), Activities I like to do (relaxing, achievements, family relationships), Experiences that made me feel like I am loved (taken care of by family, material recompense, being respected), Times when I feel grateful (receive love and care, health), Importance of choices (consequences of bad choices, result of good life choices). Conclusion: These results suggest that elementary school students can understand meaning-centered health education and this kind of education is necessary to promote their wholistic health.

• 기본간호학회지
• /
• 제13권3호
• /
• pp.501-509
• /
• 2006

Purpose: The purpose of this study was to measure meaning in life of elderly and to delineate basic data for developing nursing strategies for improving the meaning in life of elderly. Method: Subjects were 240 elderly above 65 years old staying in Busan and Kyungnam Province. The data was collected from May to Jun 2004. The instrument was utilizing Elderly Meaning In Life(EMIL) scale developed by Choi et al.(2003). Results: The mean for elderly was 100.4, the range was from 37 to 148. 63.3% of subjects were in existential vacuum. The mean of 1 phase 'acceptance and awareness of self and life' was 36.9, 2 phase 'creative value realization' was 17.8, 3 phase 'experiential value realization' was 2.8, 4 phase 'contentedness of past and present' was 43.7. There were significant differences according to the gender, religion, educational level, spouse, spending money, living arrangement and disease. Conclusion: On the viewpoint of above results, 63.3% of subjects were in level of existential vacuum, which required logotherapy. Therefore it shows that developing nursing-logotherapy to improve the meaning in life for elderly is demanded.

• Journal of Hospice and Palliative Care
• /
• 제12권2호
• /
• pp.61-71
• /
• 2009

목적: 본 연구는 청소년 후기 말기 암 환자의 전반적인 경험을 이해하고 총체적인 고통을 경감하도록 돕는 정서적, 영적 돌봄 프로그램인 CD 프로그램을 개발하기 위한 것이다. 방법: 2006년 11월 1일부터 2007년 10월 30일까지 Keller와 Song의 ARCS이론과 Kang의 멀티미디어 코스웨어 설계 과정을 응용하여 플래쉬 도구를 활용한 CD 프로그램을 개발하였으며, 개발된 의미요법 프로그램명은 "청소년 후기 암 환자를 위한 "내 삶의 보물찾기""이었다. 프로그램 개발은 <계획>, <설계>, <개발>-CD프로그램, 사용자(간호사)용 교육지침서 및 학습자용 교육용 책자, <평가>의 4단계를 통해 이루어졌다. 결과: 본 연구에서 개발된 의미요법 CD 프로그램은 총 5개의 비밀을 찾는 과정으로 교육시간은 각 차시별로 $15{\sim}20$분으로 구성되었으며. "비밀"로 명명된 각 차시별 구성은 의미요법에 대한 프로그램의 제작목적을 알려주는 <처음>과 6컷 만화를 통한 동기유발을 유도하기 위한 <마음열기>, 각 차시별 교육목적과 의미요법 교육이 진행되는 영상물 상영 <알아보기>, 교육 내용에 대한 카타르시스를 위한 <웃음 송>, 교육내용을 자신에게 직접 적용해 보는 <경험하기>, 메인화면으로 돌아갈 수 있는 <끝>의 6단계로 이루어졌으며, 교육용 소책자(의미노트)를 제공하여 반복학습이 이루어질 수 있도록 하였다. 본 프로그램은 청소년 말기 암환자가 있는 임상현장인 병원학교 혹은 지역사회 어느 곳이든지 컴퓨터가 가능한 곳에서는 사용할 수 있도록 CD로 만들어졌으며, 프로그램은 신규 간호사도 사용하기 편리하게 자동과 수동 양방향의 기능을 가지고 매체조작이 용이하도록 제작되었다. 교육지침서는 전체 내용을 손쉽게 파악할 수 있도록 되어 있고, <웃음 송>에 대한 저작권 등록은 완료된 상태로 전국의 소아 청소년 종양병동에서 무료로 사용할 수 있도록 하였다. 결론: 본 프로그램은 간호사들이 교육에 대한 큰 부담없이 의미요법 프로그램을 쉽게 진행할 수 있도록 제작되어 있어 임상에서 청소년 후기 말기 암 환자의 정서적, 영적 간호중재 방법으로 유용하다고 판단된다. 또한 말기 암환자 뿐 아니라 청소년 후기에 만성 및 불치의 질병으로 고통을 받는 대상자에게도 적용할 수 있다고 생각된다.

• 한국간호교육학회지
• /
• 제9권2호
• /
• pp.329-339
• /
• 2003

The purpose of this study is to consider of meaning in life based on Frankl's theory and to propose of hospice nursing according to conceptual framework of meaning in life. The conceptual framework of meaning in life is composed of 4 phases. According to the first phase, acceptance & awareness of self and life, hospice nurse should helps dying patient to accept limitedness of human existence and death. and according to the second phase, actualization of creative value, hospice nurse can helps dying patient to discover meaning in life through doing a deed for last time before his death. According to the third phase, actualization of experiential value, hospice nurse can helps them to discovery of meaning by experiencing of love through meetings with other people, nature, and god. According to the forth phase, actualization of attitudinal value, hospice nurse can helps them to discovery of meaning by realizing meaning in suffering and death through exercising of the inner freedom to choose bravery and acceptance in the face of death and misfortune. As mentioned above, the Frankl's theory accords with the core of hospice nursing that helps people to accomplish human essence in suffering and death. therefore we accepted Frankl's point of view, asserted that one of the most important roles of a hospice nurse as a supporter and sustainer for dying patients is to help patients to find meaning in life even in the course of death. To achieve the goal, hospice nurses should try to have a firm faith through philosophical introspection about life, death, human existence and meaning in life what the most important goal of life is to discover meaning in life and human have the duty and responsibility of recognizing and pursuing meaning up to the last moment of life.