• Journal of Korean Biological Nursing Science
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• 제20권4호
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• pp.221-227
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• 2018

Purpose: This study aimed to evaluate the effect of illness perception on depression and quality of life in patients with hemodialysis. Methods: This is a cross-sectional study using structural equation modeling. Depression, quality of life and cognitive and emotional illness perceptions were measured by the Center for Epidemiologic Studies Depression-10 (CESD-10), Short Form-36 version 2 (SF-36v2), and Brief Illness Perception Questionnaire (BIPQ) in 272 hemodialysis patients. Results: Prevalence of depression was 76.1%, and higher in female patients on hemodialysis. Cognitive illness perception had effect on depression and quality of life, while emotional illness perception had effect only on depression. Quality of life was explained 69.6% through depression (${\beta}=-.74$, t= -8.17) and cognitive illness perceptions (${\beta}=.21$, t= 3.06), while depression was explained 40.5% through cognitive (${\beta}=-.34$, t= -5.99) and emotional (${\beta}=.59$, t= 9.37) illness perceptions. Conclusion: In the inevitable choice of dialysis, illness perception could decrease depression and improve quality of life in hemodialysis patients.

• 한국치위생학회지
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• 제20권5호
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• pp.623-633
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• 2020

Objectives: Since scaling has been covered by insurance, the number of patients undergoing scaling has increased. Simultaneously, legal disputes around scaling have increased. Therefore, this study was aimed at comparing the differences between the perceptions of dental hygienists and patients regarding the scaling procedure and providing dental hygienists with basic data to find ways to reduce disputes arising from these differences. Methods: A survey was conducted on 119 dental hygienists working in Busan and the South Gyeongsang Province and 110 patients who visited hospitals for scaling. Frequency analyses were performed for dental hygienists' scaling behavior and patient discomfort during scaling. The independent t-test and chi-square test were performed to compare the perceptions of dental hygienists and patients regarding the scaling procedure. Results: Polishing after scaling was performed according to 70.1% of dental hygienists but only 29.9% of patients. Oral health education was provided according to 20.4% of dental hygienists, while 79.6% of patients said that they received oral health education at the Dentiform. The scaling time was reported to be shorter by patients than by dental hygienists. Both dental hygienists and patients said that legal action was required if problems occurred during scaling, and the refund standard was that patients needed it more than dental hygienists. Conclusions: There are differences between the perceptions of dental hygienists and patients regarding scaling. Dental hygienists should identify these differences and try to prevent conflicts or disputes with patients around scaling.

• Journal of Hospice and Palliative Care
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• 제27권1호
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• pp.11-20
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• 2024

Purpose: Advance directives (ADs) are legal documents that outline a person's preferences or decisions regarding end-of-life care ahead of time. In Korea, there is insufficient awareness and knowledge about ADs among patients undergoing hemodialysis. This study explored the relationship between perceptions of a good death, knowledge about ADs, and attitudes toward ADs in this patient population. Methods: This cross-sectional survey enrolled 119 hemodialysis patients from a secondary hospital in 2021. The participants completed a self-administered questionnaire, and the data were analyzed using the t-test, analysis of variance, Pearson correlation coefficients, Spearman rank correlation coefficients, and multiple regression analysis. Results: The average score for perceptions of a good death among hemodialysis patients was 2.80 out of 4, with clinical symptoms identified as the most critical factor. The average scores for knowledge about ADs and attitudes toward ADs were 5.69 out of 9 and 2.79 out of 4, respectively. There was a positive correlation between perceptions of a good death and attitudes toward ADs (r=0.34, P<0.001), as well as between knowledge about Ads and attitudes toward ADs (r=0.19, P=0.037). Factors influencing attitudes toward Ads included employment status (β=0.22, P=0.011), education level (β=0.22, P=0.013), and perceptions of a good death (β=0.29, P=0.001), which accounted for 24.8% of the variance in attitudes toward ADs. Conclusion: A positive perception of a good death among patients undergoing hemodialysis was associated with a positive attitude toward ADs. Educational programs are needed to improve individuals' understanding of a good death and encourage the development of end-of-life care plans.

• 한국산학기술학회논문지
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• 제15권12호
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• pp.7148-7159
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• 2014

본 연구 목적은 호스피스 요양병원에 입원한 중증질환자의 일반적 특성에 따른 죽음의 인식 및 태도의 상관관계를 파악하고자 한다. 연구 대상은 경기도 ${\bigcirc}$시에 소재하는 호스피스 요양병원 및 요양원에 입원한 중증질환자 149명을 대상으로 2013년 3월 10일부터 7월 31일까지 설문조사를 실시하였다. 분석방법은 SPSS WIN 18.0프로그램을 이용하여 빈도분석, t-test, 일원변량분석, 상관분석, 다중회귀분석을 실시하여 유의수준 5%에서 검증하였다. 분석결과는 첫째, 중증질환자의 죽음에 대한 긍정적인 태도는 환자의 일반적 특성에 따라 유의한 차이를 보였다(F=6.218, p<.001). 둘째, 중증질환자의 죽음에 대한 인식에 따른 죽음의 태도는 유의한 차이가 나타났다(F=6.634, p<.001). 셋째, 중증질환자의 죽음에 대한 태도는 호스피스 이용과 정의 관계를 보였다(r=.496, p<.001). 결론적으로 죽음에 대한 긍정적인 인식과 태도를 가진 중증질환자가 호스피스 이용에 대한 기대감이 높았으며, 이는 추후 중증질환자의 호스피스이용 확대 등 복지정책을 위한 기초자료가 될 것으로 판단된다.

• 한국치위생학회지
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• 제19권5호
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• pp.825-834
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• 2019

Objectives: To analyze whether there are perceptual differences in internet oral health information use between ordinary people who underwent dental treatments and dental hygienists. Second, the study aimed to analyze related issues, and, third, to find a developmental direction to provide fundamental information for developing patient-customized websites to improve dental services to suit contemporary needs. Methods: From September 1 to September 30, 2018, a questionnaire survey was conducted, with 367 participants (209 dental hygienists and 149 patients) in order to analyze their objective agreement, subjective congruence, and accuracy. As a study tool, the questionnaire consisted of 11 items about the perception of internet oral health information use and 11 on the estimated perceptions of both groups in order to compare their perceptions and estimates of each other. Results: Objective agreement was analyzed and, as a result, dental hygienists and patients were found to demonstrate similar results in terms of their perceptions of internet oral health information use. With regard to subjective agreement, the study subjects either underestimated or overestimated internet oral health information use more than they perceived. In terms of accuracy, dental hygienists and patients had different perceptions regarding internet oral health information use. Therefore, accuracy was somewhat low. Conclusions: In order to improve individuals' self-care ability and increase therapeutic instructional adherence for oral healthcare, it is necessary to apply internet oral health information properly to each patient's individual oral state.

• 대한간호학회지
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• 제22권4호
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• pp.421-443
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• 1992

The purpose of this study was to identify patients' perceptions of health professionals' unkind behavior and the effects of this unkind behavior using a Phenomenological research methodology. Understanding of this phenomena should enlighten nurses to interaction and relationship problems between patient and health professionals and thus lead to further research toward enhancing these interaction and relationships. The subjects were 40 adult patients hospitalized in a university hospital in Seoul. They were from 20 to 65 yews old and hospitalized at IM, GS, OS, NS, OB /GY ward. Their hospital days were from 4 to 72. Data were collected from July 29 to August 9, 1991 and from January 6 to 17, 1992. The research questions were “What behavior on the part of health professionals you perceive as unkind and what effect does such behavior have in you\ulcorner”. Responses to the non-structured open-ended questions were audio-recorded during the interviews done by two nurses researchers. Data were analyzed using the phenomenological method of Colazzi. The validity was enhanced by confirmation of the analysis by two nursing clinical researchers, and professor of psychology, and philosophy, all knowledgable of phenomenological research. From the protocols, 146 significant statements about unkind behavior were organized into 38 formulating meanings which were then grouped into six clusters of themes. Patients' Perceived health professional' unkind behavior as being cold, insincere, unconcerned, disregardful, lacking in technical skill, and failing to provide a therapeutic environment. From the protocols, 65 significant statements about the influence of such behavior on patient care were organized into 18 formulating meanings which were then grouped into four clusters of themes. Patients perceived these unkind behavior influencing then emotionally, physically and having negative effects on their compliance with medical and nursing care. The study points to the need for health professionals to understand how their behavior may be perceived by their patients as unkind behavior. Patients perceptions of health professionals' unkind behavior may suggest the opposite desire, that professionals have exellent medical knowledge and skill and that they be sincere, concerned, respectful and warm emotionally toward their patients.

• Asian Pacific Journal of Cancer Prevention
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• 제15권13호
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• pp.5305-5309
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• 2014

Background: This study aimed to assess the most common physical side effects experienced by local chemotherapy patients. Their perceptions of these side effects and informational needs from clinical pharmacists were also evaluated. Materials and Methods: This was a single-center, cross-sectional study. A face-to-face interview guided by a structured questionnaire with cancer patients admitted to receive repeated cycles of chemotherapy was conducted. Information collected included chemotherapy-related side effects after last chemotherapy experience, the most worrisome side effects, the side effects overlooked by healthcare professionals and the preferred method, amount and source of receiving related information. Results: Of 99 patients recruited, 90 participated in this survey (response rate: 90.9%). The majority were in the age range of 45-64 years (73.3%) and female (93.3%). Seventy-five (83.3%) and seventy-one (78.9%) experienced nausea and vomiting, respectively. Both symptoms were selected as two of the most worrisome side effects (16.7% vs. 33.3%). Other common and worrisome side effects were hair loss and loss of appetite. Symptoms caused by peripheral neuropathies were perceived as the major symptoms being overlooked (6.7%). Most patients demanded information about side effects (60.0%) and they would like to receive as much information as possible (86.7%). Oral conversation (83.3%) remained as the preferred method and the clinical pharmacist was preferred by 46.7% of patients as the educator in this aspect. Conclusions: The high prevalence of chemotherapy-related side effects among local patients is of concern. Findings of their perceptions and informational needs may serve as a valuable guide for clinical pharmacists to help in side effect management in Malaysia.

• 대한장애인치과학회지
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• 제9권2호
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• pp.91-97
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• 2013

The objective of this study was to explore perceptions of dental student of patients with special care. Their satisfaction with education, and their professional attitudes and behavioral intentions concerning treating these patients were the issues of this paper. Paper-and-pencil survey data were collected from 289 dental students at the school of dentistry, Seoul National University. Most respondents agreed that it is important to be educated about providing care for patients with special needs at the school. The higher grade students they are, they got the higher degree of understanding about treating these patients and the more satisfaction with the education. However, their intentions to treat these patients in their future professional lives were negatively correlated with degree of students. Based on these findings, it is recommended that school curriculum about treating patients with special care be reconsidered to develop students' comfort level in treating special needs populations.

• 한국직업건강간호학회지
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• 제30권4호
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• pp.175-185
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• 2021

Purpose: The purpose of this study was to explore the influence of care stress for older patients, self-perceptions of aging, and anxiety about aging on preparation for retirement in clinical nurses. Methods: This was a cross-sectional descriptive study in which participants were 222 nurses who had at least six months of work experience and were involved in caring for older patients in the last six months at the work site. Data were collected from August to September, 2020 using an online survey questionnaire. Data were analyzed using the IBM SPSS/WIN 25.0 program. Results: The mean level of preparation for retirement in the participants was moderate (3.21 out of 5 points). Among the sub-domains of preparation for retirement, financial preparation had the lowest score. Self-perceptions of aging and aging anxiety were significant predictors for retirement preparation in nurses, accounting for 16% of the variable's total variance. Conclusion: A greater level of preparation for retirement was associated with a positive perception of aging and a decreased level of aging anxiety in the clinical nurses. Further research should focus on exploration of specific determinants of financial preparation for retirement and development of intervention strategies for improving preparation for retirement in the nursing workforce.

• 한국식생활문화학회지
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• 제9권2호
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• pp.149-157
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• 1994

Hospitalized patients' perceptions of the quality of hospital foodservice and their importance were surveyed through questionnaires by 820(men 435, women 385) hospitalized patients in Seoul. The results are as follows: Most respondents agreed with the following foodservice characteristics that meals arrived exactly the same time every day(74.6%), cleanliness of dishes(64.9%), employees leave food within reach(60.2%), and employees who bring meals are cheerful(58.7%). Only 34.2% of respondents agreed to variety of menu; 12.9% of respondents viewed these foodservice characteristics as important in selecting a hospital; cleanliness of dishes(66.4%), variety of menu(55.0%), and varying food item combination(45.9%) were considered important by respondents; appetite, mood, and atmosphere of ward were positively correlated(p<0.001) with rating of the foodservice characteristics, but length of hospitalization was negatively correlated(p<0.001) with them; familiarity with cooking method, varying food item combination, cleanliness of the dishes, and foodservice employees' pleasant greeting were positively correlated(p<0.001) with rating of the taste, nutrition, and fresshness of the food characteristics.