• 임상간호연구
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• 제25권2호
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• pp.120-132
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• 2019

Purpose: This study aimed to investigate the performance of patient engagement nursing services perceived by nurses and necessity in Korea. Methods: This study was a descriptive research. A total of 205 nurses participated in the study. The Smart Patient Engagement Assessment Checklist was developed by the investigators to assess patient engagement nursing services performance and necessity. The data were collected using online survey. Descriptive analysis and $x^2$ analysis were performed using SPSS 25.0 program. Results: The mean age of participants was $36.6{\pm}8.5years$ and the mean working experience was $12.92{\pm}9.23years$. Seventy eight percent of participants reported that patients and family participated in care as advisors through customer's suggestion or patient satisfaction assessment. The rate of patients' and family's engagement in care as advisors was significantly higher in tertiary hospitals ($x^2=28.54$, p<.001). About 89% of participants communicated with patients and family to make clinical decisions with a multidisciplinary approach. The rate of communication for multidisciplinary decision making was significantly higher in tertiary hospitals ($x^2=6.30$, p=.012). With regards to nurses' bedside patient handoff, 22.0% of participants reported that they were performing bedside patient handoff, and there was no significant difference between type of hospitals. About discharge planning, 72.2% of participants reported utilizing discharge checklist. Conclusion: Currently, patient engagement nursing services are applied partially in Korea. It seems that care protocols to be applied for patient engagement nursing services are insufficient. Therefore, patient engagement care protocols need to be developed to improve patient's health outcome and safety.

• 정신신체의학
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• 제12권1호
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• pp.56-65
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• 2004

연구목적: 만성 정신과 환자 보호자의 부담과 삶의 질을 알아본 후, 상관관계에 대하여 조사하여, 향후 가족 치료를 포함하는 치료적 중재를 위한 기초 자료로 사용하고자 함이다. 방 법: 정신분열병으로 진단을 받은 환자 보호자 78명과 알콜 의존으로 진단을 받은 환자 보호자 54명을 포함하여 총 132명을 대상으로 하여 가족 부담 척도와 스미스클라인 비챰 '삶의 질'척도를 이용하여 조사하였다. 결 과: 가족이 느끼는 부담과 보호자의 성별, 연령, 월 평균 소득과 병전 함께 산기간은 유의한 상관관계를 나타내지 않았다. 삶의 질에서는 남성이 더 삶의 질이 높았으며, 신체적 안녕 요인과 활력 요인에서 연령과 유의한 상관관계를 나타내었다. 스트레스 반응 요인, 부담과 정신과 영역의 장점 요인이 정신과 환자 주 보호자의 삶의 질 전체 변이 중에 약 41%를 설명하였으며, 이 중 긴장 요인이 가장 큰 설명력을 보였다. 결 론: 만성 질환은 간병하는 보호자에게 부담을 주며, 이러한 부담이 보호자의 삶의 질을 악화시키는 요인으로 작용할 수 있다. 특히, 환자의 유병기간이 증가할수록 유능감에 부정적 영향을 줄 수 있다. 그러므로, 보호자가 경험하는 부담과 스트레스를 줄여주어 보호자의 삶의 질을 높일 수 있도록 하는 가족 교육을 포함한 가족 치료적 중재가 필요하리라 사료된다.

• 근관절건강학회지
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• 제24권2호
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• pp.89-100
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• 2017

Purpose: The aim of this study was to examine the utilization of and satisfaction with the smart bedside station (SBS) system among users in a hospital. Methods: A cross-sectional descriptive design was used. The participants were 190 patients, 186 family caregivers, and 154 nurses in a hospital. Results: Around 78.1% of patients or family caregivers used the SBS system at least once during their hospital stay. The commonly used items on the SBS system menu were "lab findings", "hospital cost", "today's medication", and the "alarm message". Satisfaction with the SBS system of patients and family caregivers were significantly higher than those of nurses (F=39.88, p<.001). Conclusion: A patient-centered SBS system was a useful system that could increase patient satisfaction and comfort. More specific and technical service contents reflecting the current healthcare system should be added.

• 지역사회간호학회지
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• 제16권3호
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• pp.270-281
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• 2005

Purpose: The objective of this study was to understand the caring experience of families with terminal cancer patients. Method: This was designed to be an inductive and descriptive study. Forty-seven families with terminal cancer patients were interviewed in depth and collected data were examined through content analysis. Result: The main categories of difficulties found in this study were 'suffering of patient', 'emotional suffering of family', 'bereavement of patient', 'difficulties in coping', 'problems in treatment', 'incurable situation', 'family problems', 'relationship with other people', 'economic problems', 'spiritual problems', 'problems in the future', 'informing patients of their condition', 'preparing death', 'emotional unstability', 'meaninglessness', 'unkindness of medical teams', 'poor environment for treatment', 'difficulties in hospital environment' and 'economic burden'. Conclusion: The main point found from this result was that families taking care of terminal cancer patients are suffering emotionally from watching the patients' pains and had difficulties in coping with the patients' situation and treatment. In addition, they had negative experiences in medical teams' attitude and hospital environment. This result can be used as an important guide for nurses to assess families' needs in the terminal care setting.

• 성인간호학회지
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• 제12권4호
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• pp.629-640
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• 2000

The purpose of this study was to develop and validate the scale to measure dementia patient's caregiver burden of Korea. In the first phase of the study, 15 caregivers of dementia patients were interviewed to provide narrative data from which items were developed. Initially 65 items were generated from the interview data of 15 caregivers. Content validity was judged by two separate panels of experts with 27 professionals and 30 family caregivers. These items were analyzed through the Index of Content Validity and 33 items were selected which met .80 or more of the CVI. This preliminary FCBSD-K was tested with 207 adult caregivers for reliability and construct validity including item analysis and orthogonal(Varimax) factor analysis. Eight items were deleted because of high or low item-item correlation. The result of the second factor analysis produced six factors that coincided with the conceptual framework posed for the scale developed. The six factors were labeled as 'physio social factor' 'emotional factor' 'family cultural factor' 'role obligation' 'guilt feeling' and 'financial & supportive system factor'. The alpha coefficient relating to internal consistency was .9264 for reliability. In conclusion, cultural factor is related to dementia patient's caregiver burden and FCBSD-K was useful in assessing the dementia patient's caregiver burden in Korea.

• 재활간호학회지
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• 제8권1호
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• pp.50-58
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• 2005

Purpose: The purpose of this study was to increase our understanding of the terminal cancer patients and their families concerns. I analyzed the counseling contents of terminal cancer patients and their relatives who referred to hospice office. Method: Data was collected from January 2004 to November 2004. During the counseling, I took notes the key points and contents. 109 patients and/or their families's counseling records were analyzed with the descriptive statistics and content analysis. Result: 73.4% of patients knew their current terminally ill status. The mobility of 86.2% of the patients was worse than ECOG 3 level. Patients have uncontrolled pain(28.4%), emotional distress(55.0%), and physical distress(49.5%). Caregivers of the patients were spouse(46.8%), sons and daughters(24.8%). Family members had problems to tell the bad news to their family cancer patient. 95.4% of the patient and family members was informed about the hospice and palliative care services, and 35.8% of them was referred to the hospice and palliative organizations. Frequently asked questions were 'what is hospice?', 'how much is the cost of hospice services?' etc. Conclusion: Care planning for terminal cancer patients must include patient. Also, professionals should consider and offer accessible, effective and empathetic counseling services to patients and families.

• Journal of Hospice and Palliative Care
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• 제24권3호
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• pp.194-197
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• 2021

End-of-life assessments aim to help dying patients and their families plan clinical interventions in advance and prepare them for a peaceful end of life, in which the patient accepts life and death, and the family accepts the patient's departure. It is important to assess whether death is imminent within a few days, because critical hospice care is provided intensively during that period. The following five changes constitute objective evidence of the end of life: diminished daily living performance, decreased food intake, changes in consciousness and increased sleep quantity, worsening of respiratory distress, and end-stage delirium. As subjective evidence, it is suggested that sensitive perceptions of experienced nurses and the feelings of family members caring for patients should also be considered. When notifying a patient or family members that the end of life is approaching, the members of the multidisciplinary hospice team must communicate with each other, share accurate information, and provide consistent explanations. They must also listen to non-verbal communication in an empathic and supportive manner.

• Journal of Korean Biological Nursing Science
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• 제23권3호
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• pp.208-216
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• 2021

Purpose: The purpose of this study was to identify the factors influencing nurses' caring behavior. Methods: The descriptive study included 178 intensive care unit (ICU) nurses who completed a self-report structured questionnaire. The data were analyzed using descriptive statistics, independent t-test, one-way ANOVA, and Pearson's correlation and multiple regression analysis using the IBM SPSS/WIN 23.0 program. Results: Significant correlation existed between perception of Patient- and Family-Centered Care (PFCC) and nurses' caring behaviors (r=.36, p<.001). Multiple regression analysis showed that perception of support (β=.36, p<.001), total career length (β=.33, p<.001), and familiarity with PFCC (β=.15, p=.018) affected the caring behavior of ICU nurses. These variables explained 30.0% of the variance in caring behavior. Conclusion: Effective strategies are needed to improve perceptions of support as well as to promote PFCC for increasig the frequency of caring behavior among ICU nurses.

• 지역사회간호학회지
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• 제7권2호
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• pp.333-348
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• 1996

본 연구의 목적은 응급실 시설 자원을 포함한 지지적 정보제공이 응급실 환자 가족의 요구충족 및 불안 감소에 미치는 영향을 규명함으로써 응급실에서 사용가능한 간호 중재를 개발하고자 함이다. 본 연구는 1996년 1월 31일부터 4월 16일까지 2개월 15일 동안 대구시에 위치한 K 대학교 병원 응급실을 내원한 환자의 가족 중 정보제공을 받은 실험군 25명과 정보제공을 받지 않은 대조군 30명을 대상으로 하였다. 수집된 자료는 SAS Program을 사용하여 백분율, 평균, chi-square test t-test, ANOVA Pearson Correlation Coefficient의 방법을 사용하여 분석한 결과는 다음과 같다. o 응급실 시설 자원을 포함한 지지적 정보제공을 받은 응급실 환자 가족은 정보를 받지 않은 가족에 비하여 요구 충족도가 높게 나타났다. 응급실 시설 자원을 포함한 지지적 정보제공을 받은 응급실 환자 가족은 정보를 받지 않은 가족에 비하여 불안정도는 낮아지지 않았다. o 응급실 환자 가족의 요구가 충족될수록 불안정도는 낮아지지 않았다. o 일반적 특성에 따른 상태 불안 정도를 검정한 결과 응급실 내원 횟수만이 유의하게 나타났고 그 외 상태 불안 정도와 관련 있는 일반적 특성은 없었다. 본 연구결과 응급실 시설 자원을 포함한 지지적 정보제공은 응급실 환자 가족의 요구 충족도는 높였으나 상태불안을 감소시키지는 못하는 것으로 나타났고 요구 충족도와 상태불안은 유의한 관련성이 없는 것으로 나타났다. 따라서 다음과 같은 제언을 하고자 한다. 1. 응급실에서 본 연구에 사용된 정보제공용 소책자를 응급실 환자 가족의 요구충족을 위한 간호 중재로 사용할 것을 제언한다. 2. 정보제공 분 아니라 불안 감소를 위한 다양한 간호중재에 대한 연구가 계속 이루어져야 하겠다.

• 대한간호학회지
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• 제30권6호
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• pp.1531-1542
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• 2000

In this paper, we examined the depression of stroke patient's caregivers and analyzed influencing factors of the depression. The subjects were 215 caregivers who have takencare of stroke survivors in their home. The conceptual model of this study consisted of the caregiver's depression, perceived burden, illness intrusiveness, and patient's ADL. Modified Korean CES-D, modified subjective and objective Burden Scale, Illness intrusiveness(II), and Instrumental Activity of Daily Living(IADL) were used to measure concepts. Path analysis was used to test the model of this study. The results were as follows: 1. The mean depression score was 11.6 which was below the cut-off score of the CES-D. This score indicates that the subjects were higher than normal adults' mean score but not depressive. Eighty-six out of 215 caregivers(40%) were above the cut-off score. This finding was different from previous research results, and the reason might be the patients' capability of ADL. In a group of low capability patient's activities of daily living, caregiver's depression score was 15.5. 2. Caregiver's depression was positively related to caregiver's burden and illness intrusiveness, but negatively related to patient's activities of daily living. 3. The caregiver's perceived burden and illness intrusiveness directly influenced on their depression. Furthermore, the and caregiver's illness intrusiveness led to depression indirectly through their burden. A patient's activities of daily living didn't influence directly on depression but indirectly through caregiver's illness intrusiveness and burden.