• 호스피스학술지
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• 제8권1호
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• pp.145-152
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• 2008

• 기본간호학회지
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• 제4권1호
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• pp.31-42
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• 1997

The factors that affect the nurse-patient interaction were identified. Sixty-six nurses participated in the cross-sectional survey. Based upon the literature, the factors were classified into 4 categories : the patient, the nurse, the family caregiver, and the situational factors. The data were collected with the open-and closed-ended questionnaire developed by researchers. In the closed-ended questionnaire, the significant factors differentiating the best-liked from the least-liked caring situation were found in all factors except the nurse factors. None of the nurse factors was found to be significant. In patient factors, the physically attractive stereotype was found to affect patient-nurse interaction. As expected, family caregiver factors were found to affect the nurse-patient interaction. The content analysis was done to identify the specific factors affecting nurse-patient interaction. In both of the best-liked and the least-liked caring situations, the patient factors were the most contributing causes as likely as 68.51% and 66.45%, respectively. Some factors that nurses perceived as causes for the best-liked and the least-liked to care were presented. In conclusion, these results show that nurses are influenced by stereotypes in caring patients. So, some programs to increase awareness of the biases of nurses are included in in-service education. Also the incentives to encourage nurses are needed.

• Perspectives in Nursing Science
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• 제10권1호
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• pp.12-23
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• 2013

Purpose: This study was conducted to investigate ICU nurses' perceptions of communication difficulties, the importance of and satisfaction with communication with doctors, other nurses, patients, and family, as well as to explore communication barrier with patient families. Methods: Investigators developed a 15-item communication perception questionnaire and 58-item communication barrier questionnaire. Communication barrier included 4 domains: nurses, family, environment, and patient condition. A total of 151 ICU nurses with a minimum of one year of ICU experience participated. Results: ICU patients ($3.38{\pm}0.73$) were the most difficult group to communicate with, followed by family ($3.32{\pm}0.72$), senior nurses ($3.25{\pm}0.74$), doctors ($3.21{\pm}0.68$), and nurse colleagues ($2.64{\pm}0.73$). Doctors ($4.61{\pm}0.53$) were the most important group to communicate with, followed by nurse colleagues ($4.52{\pm}0.54$), patients ($4.49{\pm}0.58$), senior nurses ($4.44{\pm}0.55$), and family ($4.43{\pm}0.61$). Satisfaction with communication was the highest with colleague nurses ($3.60{\pm}0.68$), then senior nurses ($3.37{\pm}0.74$), family ($3.18{\pm}0.71$), patients ($3.09{\pm}0.75$), and doctors ($3.06{\pm}0.83$).The total score of the communication barrier was $2.83{\pm}0.52$, where each domain was scored as follows: patient condition $3.13{\pm}0.74$, nurses $2.83{\pm}0.60$, environment $2.81{\pm}0.66$, and family $2.76{\pm}0.57$. The ICU nurses reported that communication was difficult due to 'sudden deterioration in the patient's condition', 'being too busy', 'a noisy environment', and 'information not being shared between family members.' Significant differences were noted by age, clinical experience, and marital status of nurse respondents. Conclusion: The findings indicated that development of a protocol on communication between nurses and doctors as well as development of an educational program on communication skills are necessary.

• Journal of Hospice and Palliative Care
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• 제18권4호
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• pp.314-321
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• 2015

목적: 말기암환자는 다양한 증상을 경험하기 때문에 말기 암이라는 상태는 환자뿐만 아니라, 그들의 가족 구성원들에게도 영향을 준다. 이 연구에서는 가족간병인의 삶의 질, 우울, 불안지수에 영향을 주는 환자의 증상조절과 같은 교정 가능한 요소들을 알아보고자 한다. 방법: 2015년 1월부터 2015년 5월말까지, 5개월 동안 부산광역시 내의 2개 대학병원 호스피스병동, 1개의 시립병원 호스피스병동에 입원한 61명의 가족간병인을 대상으로 설문조사를 시행하였다. 설문지는 가족간병인의 특성과 환자의 특성, 가족간병인의 CQOLC-K, BDI-II, BAI와 가족간병인이 수치화한 환자의 증상조절 점수로 구성되어 있다. 결과: 가족간병인의 우울지수는 종교와 연관성이 있으며, 삶의 질과 우울지수는 한달 가정소득에 영향을 받았다. 환자의 나이는 가족간병인의 삶의 질과 역의 상관관계를 가지고 있다. 가족간병인의 CQOLC-K는 환자의 불안조절 점수에 영향을 받았으며, 가족간병인의 BDI-II는 환자의 변비, 불안, 주간 졸음조절 점수에 영향을 받았다. 가족간병인의 BAI는 환자의 수면장애, 우울, 불안조절 점수에 영향을 받았다. 결론: 가족 간병인의 삶의 질, 우울, 불안지수는 환자의 증상이 잘 조절될 때 삶의 질이 높고, 우울, 불안지수가 낮은 경향을 보여주었다.

• 농촌의학ㆍ지역보건
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• 제24권2호
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• pp.351-368
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• 1999

정신분열병환자의 주보호자가 경험하고 있는 객관적, 주관적 부담의 내용과 정도를 파악하고, 주보호자의 부담감에 영향을 미치는 변수들을 파악하기 위하여 광주 전남 지역에 소재한 K병원, Y병원, S병원의 협조를 얻어 정신과에 입원하고 있거나, 외래 치료를 받고 있는 정신분열병환자의 주보호자 115명을 대상으로 직접 면접을 통한 설문조사를 실시하여 분석한 결과는 다음과 같다. 1. 주보호자의 부담감과 관련 있는 변수는 주보호자의 일반적 특성에서 학력, 종교, 직업, 월수입, 의료보장형태, 건강인식 정도이었으며(P<0.05), 정신분열병 환자의 일반적 특성에서는 학력, 종교, 과거직업, 의료보장형태와 가족지지도 등이었다(P<0.05). 2. 정신분열병 환자를 돌보는 주보호자의 부담감의 항목별 분석 결과 4점 만점에 최소 평균점수 0.67에서 최고 평균점수 2.73이었으며 객관적 부담감은 전체항목 평균 1.5점, 주관적 부담감은 전체항목 평균 1.6점이었다. 3. 주보호자의 부담감에 영향을 미치는 요인은 객관적 부담감에서는 종교, 직업, 가족지지가(P<0.05), 주관적 부담감에서는 총수입, 가족지지가 (P<0.05), 전체부담감에서는 종교, 가족지지가(P<0.05) 각각 통계적으로 유의하게 영향을 미쳤다. 결론적으로 정신분열병환자 가족의 부담감에 주보호자의 종교, 직업, 총수입, 가족지지가 영향을 미치는 것으로 시사되어 지역사회 정신보건사업에서 가족의 부담을 줄이는데 이러한 요인들이 고려되어야 할 것으로 생각한다.

• 대한간호학회지
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• 제43권6호
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• pp.812-820
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• 2013

Purpose: The purpose of this study was to construct a structural equational model to explain and predict burnout in family caregivers of patients with cancer. The study was based on the Stress-Appraisal-Coping Model of Lazarus and Folkman (1984) and Family Stress Theory (Hill, 1958). Methods: Data were collected from July 10 to September 30, 2012 through direct interviews and a self -report questionnaire survey. Participants in this study were 206 family caregivers providing care for patients with cancer in In-patient or Out-patient departments of three different general hospitals located in Busan. Measured variables were exogenous variables (social support and perceived health status) and endogenous variables (perceived stress, hope and burnout). Results: Goodness of fit in the hypothetical model was ${\chi}^2=174.07$, TLI=.95, CFI=.97, RMSEA=.08. Perceived health status, perceived stress, and hope showed statistically significant direct effects on burnout of family caregivers. Social support affected burnout of family caregivers indirectly. These variables explained 68.5% of total variance in burnout. Conclusion: The results from this study suggest that perceived stress, perceived health status, and hope should be considered as major influential factors when developing nursing interventions to control burnout of family caregivers (of patients with cancer).

• 재활간호학회지
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• 제7권2호
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• pp.220-230
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• 2004

Purpose: The study has planned to find out the perceived social support of the families with pneumoconiosis patients. Method: The subjects of the study were the 300 family care givers of the pneumoconiosis patients who were hospitalized in Taeback, Donghae and Jeongsun Occupational Medical Center. The Social Support Survey Instrument developed by Park(1985) was adopted. Results: The Direct Perceived Supports showed statistically differences by the age(F=1.70 p=0.01) and the state of the disease(F=3.09 p=0.027) of the patients. The Health Situation Centered Support was different by the marietal situation(F=2.29 p=0.48) of the pneumoconiosis patients. The Indirect Perceived Supports were statistically different by sex(t=3.76 p=0.043) and relation with the patient (F=2.49 p=0.048), group joining(t=3.79 p=0.042) of the family care givers. The DPSs were statistically different by family income(F=2.25 p=0.025), family authority(F=2.81 p=0.031) and health insurance status(F=2.13 p=0.026). Recommendation: It is recommended to develop an active social support program at the pneumoconiosis care centers for the middle aged female family care givers of the pneumoconiosis patients with the support of Ministry of Labor, Ministry of Health and Welfare and other NGOs of pneumoconiosis.

• Journal of Preventive Medicine and Public Health
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• 제51권2호
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• pp.100-108
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• 2018

Objectives: Family members are often cancer patients' primary source of social and emotional support and make a major contribution to how well patients manage their illness. We compared the prevalence of depression in the family members of cancer patients and the general population. Methods: This study used the data from the fourth, fifth, and sixth rounds of the Korea National Health and Nutrition Examination Survey. The variable of interest was the presence of a cohabitating cancer patient in the family and the dependent variable was the presence of diagnosed depression. Results: The odds of having medically diagnosed depression in those with a cohabitating cancer patient in the family were significantly higher than among those who did not have cancer patients in their families (odds ratio [OR], 1.56; 95% confidence interval [CI], 1.12 to 2.17; p=0.009). The OR for females was 1.59, and this increase was statistically significant (95% CI, 1.09 to 2.31; p=0.02). Conclusions: We need to invest more effort into diagnosing and managing depression in the family members of cancer patients. This will have an impact both on their quality of life and on the well-being of patients, as supporters and caregivers play an instrumental role in helping patients manage their illness.

• 대한간호학회지
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• 제33권1호
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• pp.71-78
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• 2003

Purpose: The study was done to identify the relationship of treatment side effects, family support, and quality of life in patients with cancer, and factors influencing quality of life. Method: A convenience sample of 106 patients who were receiving cancer treatment at W hospital were interviewed using the Side Effects scale by Hur, Family Support scale by Kang, and QOL scale by Ro. Result: Results indicate that women experienced more severe side effects than men. There was a negative relationship between side effects and quality of life, and a positive relationship between family support and quality of life. The most bothersome side effects were changes in taste and appetite, followed by general weakness and fatigue. Side effects such as loss of hair, nausea, dizziness, numbness, pins and needles in fingers and toes, and dry mouth were also experienced. General weakness and family support were analysed as to whether they were factors influencing quality of life. Conclusion: The results revealed that relieving general weakness should be given high priority in nursing interventions for patients undergoing cancer treatment. In addition, nursing programs should be developed that can reinforce family support.

• 동의신경정신과학회지
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• 제21권2호
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• pp.215-227
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• 2010

Objectives : Jeon-Jeung(癲證) is one of negative symptoms from schizophrenia in Western medecine, which causes flattening of affect, emotional bluntness, and avolition. Compared with positive symptoms of schizophrenia, there is no established treatments that have been proved to be effective for negative symptoms, and since negative symptoms are chronically processed, they finally lead to devastate the mental health. Since Jeon-Jeung(癲證) is usually in set in adolescent period and tends to become chronic through life time, it is important to start getting treatments in early stage by being distinguished from other diseases, such as anxiety disorder. A patient in this case was affective blunting, general weakness, and delusion when sixteen years old. However, he refused to get Western medicine treatment and wanted oriental medicine treatment. Methods : The patient in this case had been suffered from severe stress from his family since he was young and had kept having irregular and unhealthy eating habits. Therefore, he diagnosed stagnant qi transforming into fire(氣鬱化火), heart blood deficiency(心血虛), and spleen-stomach deficiency cold(脾胃虛寒) and since then he had received several treatments including herbal treatment, acupumcture treatment, supportive therapy, and family therapy. These treatments were successful and reduced the level of symptoms. After discharged from the hospital, he had continued receiving outpatient treatment with his family for 8 months and his progress had been still observed after the discharge. Results : The symptoms of patient had been almost reduced and eliminated after he received 29days of admission treatment and the patient got better and better and now lives a normal life 8 months outpatient treatment. Conclusions : This result suggests that our oriental medical treatments and family treatments was effective on schizophrenia.