• 제목/요약/키워드: Purpose in life

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Factors Affecting the End-of Life Care Competency of Tertiary Hospital Nurses

  • Jeong, Da-In;Eun, Young
    • Journal of Hospice and Palliative Care
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    • 제23권3호
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    • pp.139-150
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    • 2020
  • Purpose: The purpose of this study was to investigate the levels of end-of-life care competency; knowledge, attitudes, and experiences regarding advance directives; perceptions of good death; and end-of-life care obstacles and supportive behaviors among tertiary care nurses. Methods: The participants were 150 nurses at a tertiary hospital in Jinju, Korea. The data collected using a questionnaire were analyzed using descriptive statistics, the t-test, analysis of variance, Pearson correlation coefficients, and stepwise multiple regression in SPSS for Windows version 24.0. Results: The mean (±SD) score of end-of-life care competency was 3.63 (±0.53) on a 5-point scale. A significant difference in end-of-life care competency was found according to whether nurses had experienced the death of a family member or acquaintance (P=0.029). According to stepwise multiple regression analysis, the factors affecting end-of-life care competency were the frequency of end-of-life care supportive behaviors (β=0.38, P<0.001), experience with advance directives (β=0.29, P<0.001), and marriage (β=0.15, P=0.039). This model had an explanatory power of 27.9% (F=18.87, P<0.001). Conclusion: In order to improve nurses' end-of-life care competency, it is important to strengthen end-of-life care supportive behaviors by exposing nurses to those behaviors and providing frequent experience with advance directives.

생애 말 연명의료에 대한 중환자실 간호사의 인식: 내용 분석 연구 (Critical Care Nurses' Perception of Life-sustaining Treatment at End of Life: A Content Analysis)

  • 고진강;고정미;박혜영
    • 중환자간호학회지
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    • 제10권1호
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    • pp.41-50
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    • 2017
  • Purpose: The purpose of this study was to describe what critical care nurses perceived about life-sustaining treatment at end of life. Methods: A qualitative content analysis method was utilized. The unit of analysis was interview text obtained from fifty critical care nurses of a general hospital. Results: Seven categories in two content areas were abstracted. In the negative perception area, the following five categories were abstracted: patients' suffering, dying with damaged dignity, patients' isolation from family members, regret about choosing life-sustaining treatment, and family members' burden. In the positive perception area, the following two categories were abstracted: willingness to sustain life and duty as family members. Conclusions: Nurses have better competencies pertaining to understanding patients' responses and suffering than any other health care professions do. Nurses should play an important role in advocating for patients and their family in the process of end-of-life care decision making.

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고혈압 환자의 삶의 질 영향요인 및 측정도구에 대한 체계적 문헌고찰 (Factors Influencing Quality of Life and Its Measurements in Patients with Hypertension: A Systematic Review)

  • 장선주;장선주;이승희;이현옥
    • 근관절건강학회지
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    • 제24권1호
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    • pp.24-36
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    • 2017
  • Purpose: The purpose of the study was to comprehensively explore the factors influencing quality of life and its measurements in patients with hypertension. Methods: Based on the PRISMA statement and NECA systematic literature review guideline, a systematic literature review was conducted in this study. To search studies related to quality of life in patients with hypertension, multiple electronic databases were used using a combination of key words 'hypertension' and 'quality of life'. Throughout this process, a total of 983 studies were identified. Then, the second selection processes and quality assessment were conducted by four investigators independently. Finally, a total of 19 studies were included for the analysis. Results: Results showed that quality of life was focused on the health-related quality of life, and the SF-36 was one of the most frequently used measurements. The factors influencing quality of life were categorized into sociodemographic, health-related, health behavioral, and psychosocial variables. Conclusion: Researchers need to consider these multiple factors to promote quality of life in patients with hypertension.

중학교 기술 .가정교과서의 가족생활 영역 분석 (Analysis of Family Life Part in [Technology.Home Economics] Textbooks for Middle School)

  • 최정혜
    • 한국가정과교육학회지
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    • 제14권1호
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    • pp.15-25
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    • 2002
  • The purpose of the study is to analyze the technology$.$home economics textbooks of family life in the 7th curriculum for the middle school students and the direction of future policy to improve the curriculum for further revision. For this purpose, 10 different textbooks prepared for 7th Curriculum and published in 2001 were examined and obtained the following major findings 1. It was gradually strengthened that the part of family life in home economics textbooks for middle school students. 2. The part of family life in technology$.$home economics a in middle school textbooks of the 7th curriculum tried to adapt diverse learning programs and many fixtures were included to improve its learning efficiency. 3. Since the contents of family life parts in technology$.$home economics textbooks consisted of practically and empirically appliable. it must be suite useful for the middle school students.

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동남아시아 결혼이주여성 임부의 생활 스트레스, 사회적 지지 및 산전우울과의 관계 (Life Stress, Social Support, and Antepartum Depression among Married Immigrant Women from Southeast Asia)

  • 신현희;신영희
    • 지역사회간호학회지
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    • 제26권2호
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    • pp.108-118
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    • 2015
  • Purpose: The purpose of this study was to investigate life stress, social support, and antepartum depression among Southeast Asian immigrant women married to Korean men. Methods: Ninety-three subjects were recruited from local women's clinics and multicultural family support centers in D City. The instruments used were the life stress scale, social support scale, and K-EPDS. All the instruments were translated into their corresponding mother languages (Vietnamese, Cambodian, and Philippine) and notarized. Results: The item mean scores of life stress and social support were 2.65 and 3.17, respectively, on a 5-point Likert scale. The mean score of antepartum depression was 10.16, indicating that they were generally in a depressive state. A positive correlation was observed between life stress and antepartum depression (r=.59, p<.001). Social support was negatively correlated with life stress (r=-.42, p<.001) and antepartum depression (r=-.39, p<.001). The best predictors for antepartum depression were life stress, marital satisfaction, and emotional support, and they explained 43% of the variance. Conclusion: Antepartum depression in Southeast Asian immigrant brides was significantly associated with life stress as well as lack of emotional support. Emotional support may reduce their life stress and antepartum depression.

고령 농업인의 공동농사 프로그램 개발 및 적용 효과 분석 - 삶의 의미와 심리적 복지감을 중심으로 - (The Analysis on Development and Effect of Co-farming Program for the Rural Elderly Farmers - Focusing on Meaning in Life and Psychological Well-being -)

  • 김영애;정미경;김기성
    • 농촌계획
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    • 제22권4호
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    • pp.115-129
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    • 2016
  • This study aims to develop co-farming program for elderly farmers, employ, then evaluate its effectiveness whether it influences purpose in life and psychological well-being of program participants. A total of 130 elderly farmers that composed of 65 in experimental group and control group respectively were enrolled in this study. The results of this study are as follows: First, the experimental group showed significant difference on 'purpose in life' compared to the control group(t=3.316, p<.001). Second, the experimental group showed significant difference on 'Psychological Well-being' compared to that of control group. The four major problems of elderly farmers which are poverty, health, loneliness and alienation keeps on worsening over time along with the population ageing. According to the result, it is necessary to improve elderly farmer's quality of life by developing suitable and sustainable occupation.

진폐 노인환자의 삶의 질에 관한 연구 (A Study on the Quality of Life in Pneumonconiosis Elderly Patient)

  • 이영희;고미순
    • 성인간호학회지
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    • 제17권1호
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    • pp.12-22
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    • 2005
  • Purpose: The purpose of this study was to find out the quality of life and to identify the related characteristics for nursing care in pneumconiosis elderly patients. Methods: The subjects for this study were 206 elderly patients who received pneumoconiosis treatment in the two pneumoconiosis specialized hospitals located in Gangwondo, Korea. The instrument used for this study was Quality of Life Index Pulmonary version III. The data was collected from February 17 to March 10, 2003, and analyzed by t-test, ANOVA, Duncan test using SPSS. Results: The results of this study were as follows : 1. The highest frequency in chief complaints was dyspnea, 91 subjects(44.2%), and complications was tuberculosis, 88 subjects (42.7%). 2. The total mean score of the level of quality of life was $14.49{\pm}2.18$. 3. The score of quality of life showed higher in good family relationship group than the other after diagnosed pneumoconisis(F=5.486, P=0.001). 4. The comparison of quality of life was significant according to oxygen use(t=2.674, P=0.008), bronchodilators use(t=2.678, P=0.008), and prospect of future health status concerning pneumoconiosis(F=2.960, P=0.021). Conclusions: In conclusion, adequate nursing intervention as effective management of respiratory symptoms and improvement of family support will be needed to improve the quality of life in pneumoconiosis elderly patients.

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간호대학생의 삶의 의미에 영향 미치는 요인 (Factors Influencing Meaning in Life of Nursing Students)

  • 김소명;김수올
    • 한국간호교육학회지
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    • 제23권1호
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    • pp.57-65
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    • 2017
  • Purpose: The purpose of this study was to identify the factors influencing meaning in life of nursing students. Methods: This was a descriptive survey study. Data were collected using questionnaires from a sample of 210 nursing students. Data were analyzed using frequencies, means, t-test, ANOVA, Pearson correlation coefficient, and multiple regression analysis with SPSS 21.0. Results: The mean of the score from the meaning in life was 4.82. There were significant differences in subjects' perception of meaning in life according to school year, grade level, motivation to apply to a nursing program, and satisfaction with a nursing major. Meaning in life was significantly correlated with positive affect, subjective happiness and social support, which were significant predictors (49.1%) of meaning in life. Conclusion: To improve meaning in life of the nursing students, pay attention to positive affect, subjective happiness, and social support.

초등학생의 생명존중교육을 위한 삶의 의미발견 CD 프로그램 개발 및 효과 (Development and Evaluation of a Finding Meaning in Life CD Program for Life-esteemed Education of Older School-age Children)

  • 강경아;김신정;송미경
    • 한국간호교육학회지
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    • 제17권3호
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    • pp.487-500
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    • 2011
  • Purpose: The purpose of this study was to develop a finding meaning in life CD program about life-esteemed education and to identify the effect of the program. Methods: The life-esteemed education philosophy and the concepts of logotherapy were applied as a theoretical framework for this program. This program was developed through the process of planning, designing, developing, and evaluating with a content validity test. To identify the effect of the program, one experimental group design was applied to 54 students. Data were collected before the program started and one week and five weeks after the program finished. Results: The program was developed based on the students' needs and evaluation of the CD's content and consists of five periods: Dinosaur Park of Promise, Hill of Fragrance, Garden of Love, Forest of Acceptance, and My Lake. Each post-test score of knowledge, attitude, and practice on meaning of life was significantly higher than pretest scores. Conclusion: This program can be effective for life-esteemed education in elementary school students. Moreover, it is encouraged that the program will be utilized in more life-esteemed education for elementary school students.

Factors Influencing Life Satisfaction in Korean Baby-boomer Men with Drinking Problems

  • Kim, Minju
    • 근관절건강학회지
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    • 제20권3호
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    • pp.207-213
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    • 2013
  • Purpose: The purpose of this study was to examine the levels of life satisfaction and identify factors influencing life satisfaction in Korean baby-boomer men with drinking problems. Methods: The study used cross-sectional design with secondary analysis of the 7th data of Korean Welfare Penal Study collected in 2012 from 6,000 Korean households. Among 1,572 baby-boomers born between 1955 and 1963, 349 men with a drinking problem were selected as a sample by the Alcohol Use Identification Test (AUDIT) scores. Levels of depression, self-esteem, and life satisfaction were measured. Descriptive statistics, t-tests, ANOVA, Pearson's correlation coefficients, and stepwise multiple regression were conducted with SPSS/WIN 21.0. Results: The findings indicated that the mean AUDIT score was 13.7. Means were 2.8 for depression, 20.2 for self-esteem, and 23.2 for life satisfaction. The results of multiple regression analysis showed that self-esteem, depression, educational level, and levels of problem drinking significantly predicted life satisfaction, explaining 41.1% of the variance. Conclusion: Problem drinking, depression, and self-esteem were important to improve life satisfaction among Korean baby-boomer men. Further study is necessary to examine the mediating effects of depression and self-esteem in the relationship between problem drinking and life satisfaction.