• 제목/요약/키워드: Spiritual health

검색결과 310건 처리시간 0.024초

건강검진행사에 참여한 노인의 생리적 건강상태 및 건강증진생활양식 (Physiologic Health Status and Health Promotion in Older Adults)

  • 강희선;박연환
    • 한국노년학
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    • 제25권2호
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    • pp.95-108
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    • 2005
  • 본 연구의 목적은 건강검진에 참여한 노인들의 생리적 건강상태와 건강증진생활양식 정도를 확인하고 건강증진생활양식에 영향을 미치는 특성을 파악하여 향후 노인대상 건강검진 사업과 노인의 건강증진을 도모할 수 있는 중재프로그램 개발의 기초 자료로 활용하고자 함이다. 자료수집은 서울 소재 일 지하철역에서 임의표출된 60세 이상의 노인 209명을 대상으로 혈압과 혈당 측정 및 구조화된 설문지를 이용하여 이루어졌다. 연구대상 노인들은 평균 67세로 스스로 건강하다고 지각하는 경우가 39.2%이며, 71.3%가 평소에 운동을 하고 있었고, 71.8%가 평소 자신의 혈압을 알고 있었다. 노인의 44.0%가 고혈압이나 저혈압 등 혈압이상 위험 군에 속하였고, 혈당은 126mg/dl 이상인 노인이 44.5%, 200mg/dl 이상인 노인이 3.8%이었다. 노인의 건강증진생활양식 수행정도는 4점 만점에 2.75 점이었고, 6개의 하부영역 중 대인관계 영역이 3.01 점으로 가장 높았고, 영양, 스트레스 관리, 영적 성장, 신체 활동, 건강책임 영역의 순으로 낮았다. 건강증진생활양식은 운동과 평소 자신의 혈압에 대한 지식여부에 따라 차이가 있었고, 건강증진생활양식 하부영역별 차이는 다음과 같았다. 신체활동 영역은 노인의 성별, 운동, 월수입, 혈압이상; 영양 영역은 평소 자신의 혈압에 대한 지식과 혈당체크 경험; 건강책임 영역은 평소 자신의 혈압에 대한 지식, 혈당 이상; 대인관계 영역은 성별, 종교, 혈당체크경험; 영적성장 영역은 지각된 건강상태, 월수입; 그리고 스트레스관리 영역은 성별, 흡연 여부에 따라 통계적으로 유의한 차이가 있었다. 노인의 건강증진을 위해서는 본 연구에서 밝혀진 특성을 고려한 차별화된 건강증진 프로그램의 개발과 확산이 필요하다고 본다.

Health Promoting Lifestyle Behaviour in Medical Students: a Multicentre Study from Turkey

  • Nacar, Melis;Baykan, Zeynep;Cetinkaya, Fevziye;Arslantas, Didem;Ozer, Ali;Coskun, Ozlem;Bati, Hilal;Karaoglu, Nazan;Elmali, Ferhan;Yilmaze, Gulay
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권20호
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    • pp.8969-8974
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    • 2014
  • Background: The aim of this study was to determine the predictors of health promoting lifestyle behaviour among medical students attending seven of the medical schools in Turkey. Materials and Methods: This crosssectional descriptive study was performed during the second semester of the first and last (sixth) years of study from March to May 2011. A questionnaire with two sections was specifically designed. The first section contained questions on demographic characteristics; the second consisted of the Health Promoting Lifestyle Profile II (HPLP) Scale. From a total of 2,309 medical students, 2,118 (response rate 91.7%) completed the questionnaire. Data were analyzed using descriptive statistics, t, Anova, Tukey test and binary logistic regression analysis. The research was approved by the Ethics Committee of Erciyes University. Results: The mean age was $20.7{\pm}2.9$ years and it was found that 55.1% were men, 62.3% were in the first year. The overall prevalence of smoking was 19.1%, and for drinking alcohol was 19.4%. HPLP point averages of the first year students were $129.2{\pm}17.7$, and for last year $125.5{\pm}19.0$. The overall mean score for the HPLP II was $2.5{\pm}0.4$. They scored highest on the spiritual growth subscale ($2.9{\pm}0.5$), interpersonal relations ($2.8{\pm}0.5$), health responsibility subscale ($2.3{\pm}0.5$), nutrition subscale ($2.3{\pm}0.5$), stress management subscale ($2.3{\pm}0.4$), and the lowest subscale physical activity ($2.0{\pm}0.5$). It is established that student's grade, educational level of parents, economic status of family, marital status, smoking and general health perception of the students resulted in a significant difference in HPLP Scale total score average and the mean score of majority of subscales. There was no statistically significant difference between the total HPLP when evaluated for gender, chronic disease, alcohol drinking status and BMI. Conclusions: Based on these results, particularly in the curriculum of medical students in order to increase positive health behaviours including physical activity, health promotion issues, and giving more space to aim at behaviour change in these matters is recommended.

간호개념에 대한 기초조사 (The Empirical Exploration of the Conception on Nursing)

  • 백혜자
    • 대한간호학회지
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    • 제11권1호
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    • pp.65-87
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    • 1981
  • The study is aimed at exploring concept held by clinical nurses of nursing. The data were collected from 225 nurses conviniently selected from the population of nurses working in Kang Won province. Findings include. 1) Nurse's Qualification. The respondents view that specialized knowledge is more important qualification of the nurse. Than warm personality. Specifically, 92.9% of the respondents indicated specialized knowledge as the most important qualification while only 43.1% indicated warm personality. 2) On Nursing Profession. The respondents view that nursing profession as health service oriented rather than independent profession specifically. This suggests that nursing profession is not consistentic present health care delivery system nor support nurses working independently. 3) On Clients of Nursing Care The respondents include patients, family and the community residents in the category of nursing care. Specifically, 92.0% of the respondents view that patient is the client, while only 67.1% of nursing student and 74.7% of herself. This indicates the lack of the nurse's recognition toward their clients. 4) On the Priority of Nursing care. Most of the respondents view the clients physical psychological respects as important component of nursing care but not the spiritual ones. Specially, 96.0% of the respondents indicated the physical respects, 93% psychological ones, while 64.1% indicated the spiritual ones. This means the lack of comprehensive conception on nursing aimension. 5) On Nursing Care. 91.6% of the respondents indicated that nursing care is the activity decreasing pain or helping to recover illness, while only 66.2% indicated earring out the physicians medical orders. 6) On Purpose of Nursing Care. 89.8% of the respondents indicated preventing illness and than 76.6% of them decreasing 1;ai of clients. On the other hand, maintaining health has the lowest selection at the degree of 13.8%. This means the lack of nurses' recognition for maintaining health as the most important point. 7) On Knowledge Needed in Nursing Care. Most of the respondents view that the knowledge faced with the spot of nursing care is needed. Specially, 81.3% of the respondents indicated simple curing method and 75.1%, 73.3%, 71.6% each indicated child nursing, maternal nursing and controlling for the communicable disease. On the other hand, knowledge w hick has been neglected in the specialized courses of nursing education, that is, thinking line among com-w unity members, overcoming style against between stress and personal relation in each home, and administration, management have a low selection at the depree of 48.9%,41.875 and 41.3%. 8) On Nursing Idea. The highest degree of selection is that they know themselves rightly, (The mean score measuring distribution was 4.205/5) In the lowest degree,3.016/5 is that devotion is the essential element of nursing, 2.860/5 the religious problems that human beings can not settle, such as a fatal ones, 2,810/5 the nursing profession is worth trying in one's life. This means that the peculiarly essential ideas on the professional sense of value. 9) On Nursing Services. The mean score measuring distribution for the nursing services showed that the inserting of machine air way is 2.132/5, the technique and knowledge for surviving heart-lung resuscitating is 2.892/s, and the preventing air pollution 3.021/5. Specially, 41.1% of the respondents indicated the lack of the replied ratio. 10) On Nurses' Qualifications. The respondents were selected five items as the most important qualifications. Specially, 17.4% of the respondents indicated specialized knowledge, 15.3% the nurses' health, 10.6% satisfaction for nursing profession, 9.8% the experience need, 9.2% comprehension and cooperation, while warm personality as nursing qualifications have a tendency of being lighted. 11) On the Priority of Nursing Care The respondents were selected three items as the most important component. Most of the respondents view the client's physical, spiritual: economic points as important components of nursing care. They showed each 36.8%, 27.6%, 13.8% while educational ones showed 1.8%. 12) On Purpose of Nursing Care. The respondents were selected four items as the most important purpose. Specially,29.3% of the respondents indicated curing illness for clients, 21.3% preventing illness for client 17.4% decreasing pain, 15.3% surviving. 13) On the Analysis of Important Nursing Care Ranging from 5 point to 25 point, the nurses' qualification are concentrated at the degree of 95.1%. Ranging from 3 point to 25, the priorities of nursing care are concentrated at the degree of 96.4%. Ranging from 4 point to 16, the purpose of nursing care is concentrated at the degree of 84.0%. 14) The Analysis, of General Characteristics and Facts of Nursing Concept. The correlation between the educational high level and nursing care showed significance. (P < 0.0262). The correction between the educational low level and purpose of nursing care showed significance. (P < 0.002) The correlation between nurses' working yeras and the degree of importance for the purpose of nursing care showed significance (P < 0.0155) Specially, the most affirmative answers were showed from two years to four ones. 15) On Nunes' qualification and its Degree of Importance The correlation between nurses' qualification and its degree of importance showed significance. (r = 0.2172, p< 0.001) 0.005) B. General characteristics of the subjects The mean age of the subject was 39 ; with 38.6% with in the age range of 20-29 ; 52.6% were male; 57.9% were Schizophrenia; 35.1% were graduated from high school or high school dropouts; 56.l% were not have any religion; 52.6% were unmarried; 47.4% were first admission; 91.2% were involuntary admission patients. C. Measurement of anxiety variables. 1. Measurement tools of affective anxiety in this study demonstrated high reliability (.854). 2. Measurement tools of somatic anxiety in this study demonstrated high reliability (.920). D. Relationship between the anxiety variables and the general characteristics. 1. Relationship between affective anxiety and general characteristics. 1) The level of female patients were higher than that of the male patient (t = 5.41, p < 0.05). 2) Frequencies of admission were related to affective anxiety, so in the first admission the anxiety level was the highest. (F = 5.50, p < 0.005). 2, Relationship between somatic anxiety and general characteristics. 1) The age range of 30-39 was found to have the highest level of the somatic anxiety. (F = 3.95, p < 0.005). 2) Frequencies of admission were related to the somatic anxiety, so .in first admission the anxiety level was the highest. (F = 9.12, p < 0.005) 0. Analysis of significant anxiety symptoms for nursing intervention. 1. Seven items such as dizziness, mental integration, sweating, restlessness, anxiousness, urinary frequency and insomnia, init. accounted for 96% of the variation within the first 24 hours after admission. 2. Seven items such as fear, paresthesias, restlessness, sweating insomnia, init., tremors and body aches and pains accounted for 84% of the variation on the 10th day after admission.

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재가암환자의 신체 증상들과 정신적, 사회적, 영적, 그리고 경제적 돌봄 요구도 (Physical Symptoms and Psychiatric, Social, Spiritual and Economical Care Needs of Patients under Home-based Cancer Service)

  • 강명희;문영실;이영준;강윤식;김훈구;이경원;이원섭;강정훈
    • Journal of Hospice and Palliative Care
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    • 제17권4호
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    • pp.216-222
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    • 2014
  • 목적: 국내에서 재가암환자를 대상으로 시행된 연구는 많지 않다. 이 연구의 목적은 재가암환자들의 증상정도와 돌봄 요구도를 확인하기 위함이다. 방법: 진주시 재가암 서비스에 등록된 환자를 대상으로 자료를 수집하였다. 측정은 보건소에 소속된 간호사들이 시행하였다. 증상의 평가를 위해 Edmontone Symptome Assessment System (ESAS)와 Numeric Rating Scale (NRS)가 사용되었으며 정신적, 사회적 영적 요구도의 평가를 위해 4점 Likert scale이 사용되었다. 결과: 2013년 10월에 단면조사 방식으로 자료를 수집하였다. 총 209명이 등록되었으며 평균 나이는 65세였다(범위 17~89세). 대다수의 환자들이 초기에 진단 받았으며(n=188), 19명만이 진행된 병기였다. 절반 이상의 환자들이 혼자 거주하고 있었으며(n=115, 55%), 다른 보호자가 없이 스스로 돌보고 있었다(n=128, 61.2%). 식욕부진과 피로가 가장 흔한 증상이었다(NRS 중앙값 각각 5, 4). 환자들은 경제적 문제에 대한 지원이 가장 필요한 반면 영적인 돌봄이 가장 적게 필요하다고 대답하였다(n=138 [67.3%] vs. n=128 [62.1%]). 결론: 이 자료는 진주시 재가암환자들이 신체적 증상과 경제적 문제로 고통 받고 있다는 결과를 보여주었다. 서비스의 질을 향상시키기 위하여 맞춤형 접근이 필요할 것으로 사료된다.

일 호스피스 병동 입원 환자와 가족의 요구도 (Needs of Patients and their Families in Hospice Care Unit)

  • 김형철;김은숙;박광희
    • Journal of Hospice and Palliative Care
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    • 제10권3호
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    • pp.137-144
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    • 2007
  • 목적: 본 연구는 호스피스 입원 환자와 가족의 간호요구를 파악하고, 그들의 요구를 충족시켜주는데 필요한 기초자료를 제공하기 위함이다. 방법: 2004년 5월부터 10월 말까지 일 호스피스 병동에서 퇴원한 환자 76명과 가족 76명을 대상으로 하였고, SPSS 10.0으로 분석하였다. 결과: 대상자의 연령은 70세 이상이 가장 많았으며, 초기 진단명은 폐암이 가장 많았다. 호스피스 입원환자가 경험하는 신체적 증상은 통증, 기운 없음, 식욕부진, 오심구토, 호흡곤란의 순이었고, 정서적 증상은 불안, 우울, 분노 순이었으며, 영적 증상은 신에게 의지하고 싶어함, 원목실, 성직자가 방문하여 종교의식을 원함 순이었다. 입원 환자의 요구도는 통증 조절, 통증 이외의 증상(구토, 호흡곤란, 복수 등)조절, 정서적 문제의 해결, 영적 문제의 해결 순으로 높았으며, 환자의 관심사는 본인의 건강관련문제, 혼자 남을 배우자에 대한 관심, 자녀의 장래문제 순이었다. 가족의 간호 요구도는 "환자의 상태 및 처치/간호에 대한 정보"영역이 가장 높았으며, "가족의 역할 알려주기", "영적 지지", "정서적 지지" 순이었다. 문항별로는 "환자의 예후에 대해 알려주는 것", "환자에게 행해지고 있는 각각의 간호가 왜 필요한지 알려 주는 것" 순으로 높았다. 가족들은 환자의 편안한 임종을 가장 높게 기대하였고, 서비스의 만족도는 자원봉사자 서비스가 가장 높았으며, 통증 조절, 간호사 서비스 순이었다. 결론: 의료인들은 암환자를 돌보는 가족들의 실제적인 요구를 정확히 파악하여 개별적인 대상자들의 요구와 특성을 반영하는 지속적인 관심과 지원을 줄 수 있는 실질적인 프로그램을 개발하고 운영할 때 환자와 가족 모두의 삶의 질을 향상시킬 수 있다고 생각한다.

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희망중재가 재가 암환자의 희망과 우울에 미치는 효과 (The Effects of Hope Intervention on Hope and Depression of Cancer Patients Staying at Home)

  • 신아미;박정숙
    • 대한간호학회지
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    • 제37권6호
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    • pp.994-1002
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    • 2007
  • Purpose: This study was to identify the effects of hope intervention on hope and depression of cancer patients staying at home. Methods: The study design was a randomized control group design. The subjects consisted of forty cancer patients randomly selected who were registered at S-Gu Public Health Center. Hope intervention, which was composed of hope assessment, hope objective setting, positive self identity formation, therapeutic relationships, spiritual & transcendental process improvement, positive environmental formation and hope evaluation, was provided from November 20, 2006 to January 26, 2007. Results: The 1-1 hypothesis, "The experimental group which received hope intervention will have a higher score of hope than the control group", was supported(t=-3.253, p= .003). The 1-2 hypothesis, "The experimental group which received hope intervention will have a higher level of hope index than the control group", was supported (t=-4.001, p= .000). Therefore the 1st hypothesis, "The experimental group which received hope intervention will have a higher level of hope than the control group" was supported. The 2nd hypothesis, "The experimental group which received hope intervention will have a lower level of depression than the control group", was not supported (t=1.872, p= .070). Conclusion: Hope intervention is an effective nursing intervention to enhance hope for patient with cancer.

중년층의 여가활동 활성화 방안에 관한 연구 (A Study on the Activation of Leisure Activities for Middle-aged)

  • 이준민;신화경
    • 가정과삶의질연구
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    • 제23권1호
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    • pp.161-172
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    • 2005
  • The purpose of this study is to grasp actual status and needs of leisure of middle age. The questionnaire survey is used, the subjects are middle age from 40$\~$50's living in seoul. The questionnaire consists of leisure conscious, leisure actual condition, leisure satisfaction and need. Frequency, percent, average, $x^2_test$ and ANOVA are used for data analysis. The results of this study are as following; First, leisure is necessary to elevate quality of life in terms of spiritual, psychological stability and physical health. Second, the subjects are not satisfied with current leisure for unsufficiency of leisure time, cost, facility and program. Third, present leisure behavior characteristics are restrictive and passive. In the near future, however, they showed desire to engage in fivers forms of leisure including active and participant leisure. Fourth, even though current main areas for leisure activity are in their house, they are more likely to change from in the house to around and near there house.

예비노년층이 선호하는 노후 여가활동에 관한 연구 (Middle Aged People's Preference for Leisure Activities in Their Future Elderly Stage)

  • 신화경;이준민
    • 가정과삶의질연구
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    • 제23권6호
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    • pp.15-23
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    • 2005
  • This study was conducted to understand the current leisure activities and needs for future activities among middle-aged men and women. A questionnaire survey was conducted with participants in their forties and fifties of age, who were residing in a large city.'rho survey consisted of questions on current leisure activities, leisure satisfaction, and needs for future activities. Frequency, percentage, average, consisted and Chi-square tests were used for data analysis. The results of this study are as following; First, leisure activities are necessary to enhance the quality of life in terms of spiritual and psychological stability and physical health. Second, the participants are generally not satisfied with their current leisure situations, because of insufficient leisure time, high cost, and shortage of facilities and programs. Third, current leisure behaviors of the participants are restrictive and passive. However, they show a desire to engage in diverse forms of leisure including active and participant leisure activities in the future. Fourth, they wish to perform active and participant leisure activities (for example, indoor sports, continuing education, and taking walks) at places that are close to their residence in the future.

항암 화학요법을 받는 유방암 환자의 삶의 질에 관한 연구 (A Study on Quality of Life of those who have Breast Cancer Patients taking Chemotherapy)

  • 심주현;박경숙
    • 성인간호학회지
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    • 제16권1호
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    • pp.49-59
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    • 2004
  • Purpose: This study is a descriptive research study to measure the quality of life of those who suffer from breast cancer and take the chemotherapy. Method: The Subjects were 70 breast cancer patients who took the chemotherapy from September 2 to October 31, 2003. Quality of life was measured by Ferrell's measurements. Result: Quality of life indicators were spiritual domain=6.44, physical domain=5.45, social domain=4.15, and mental domain=3. 95. Whole quality of life was 4. 68 out of 10 points. The quality of life of those with a practicing religion was significantly higher than those without(F=3.88, P=0.026). Subjects who were less than 2 months post-operation had higher points in the physical domain than those who were more than 2 months post-operation (t= 2.76, p=0.007). Subjects who had less than 4 treatments of chemotherapy had higher points in the physical domain than those who had more than 4 treatments of chemotherapy (t=2.03, p=0.046). Conclusion: The results of this study serve as a meaningful source to promote quality of life of breast cancer patients who undergo chemotherapy. The results can also be applied to the development of education programs and counseling materials for chemotherapy patients. Health care strategy can also raise the quality of life of brest cancer patients.

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만성질환자의 특성에 따른 생애말기치료 선호도 (Preferences for Care near the End of Life according to Chronic Patients' Characteristics)

  • 윤선영;강지연
    • 성인간호학회지
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    • 제25권2호
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    • pp.207-218
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    • 2013
  • Purpose: The purpose of this study was to explore the chronic patients' preferences for care near the end of life. Methods: This is a descriptive survey research, with subjects of 161 outpatients with hypertension, diabetes mellitus or chronic renal failure. Results: The majority of the subjects do not want meaningless life sustaining treatment and they report thinking positively about family or health care professional to participate in their end of life decision making process. Subjects reported preferring adequate pain management and spiritual support at the end of life. In regard to advance directives (ADs), those subjects with chronic disease report thinking positively about the necessity of ADs and its institutionalization. However, the subjects report not having the detailed information on the proper time and method of writing their ADs. Conclusion: Based on these results, educational programs on end of life decision making for chronic patients need to be developed. Also, the nurse should try to reflect the opinion of chronic patients as much as possible when make an end-of-life decision.