• 제목/요약/키워드: University Hospital Nurses

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전인적 호스피스간호중재 프로그램이 입원한 호스피스환자의 통증과 불안에 미치는 효과 (Effects of Wholistic Hospice Nursing Intervention Program on Pain and Anxiety for In-patient of Hospice Palliative Care Unit)

  • 최성은;강은실;최화숙
    • 호스피스학술지
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    • 제8권1호
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    • pp.55-67
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    • 2008
  • 목적: 말기환자와 그 가족들은 신체적인 고통뿐 아니라 심리·사회적, 영적 측면에서 전인적인 고통을 겪고 있으므로 이러한 고통을 완화시켜주기 위해서는 간호사, 의사, 성직자, 사회복지사 등의 다학제(multi- discipline) 전문가들과 자원봉사자로 구성된 호스피스 팀에 의해 제공되는 호스피스 간호중재 프로그램의 개발이 필요한 현실이다. 본 연구는 단일군 전․후 유사실험 연구설계로 전인적 호스피스 간호중재 프로그램이 호스피스 병동에 입원한 호스피스 환자의 통증과 상태불안에 미치는 효과를 알아보고자 하였다. 방법: 자료수집은 P시 소재 S병원의 호스피스 병동에 입원한 18세 이상의 환자 27명을 대상으로 2004년 4월 6일부터 2005년 4월 20일까지 구조화된 설문지를 통해 수집하였다. 제공된 전인적 호스피스간호중재 프로그램은 전인적, 다학제적, 개별 및 집단적인 중재형태로 구성되어 있고, 상호협동적인 다학제 전문가팀(간호사, 의사, 성직자, 사회복지사, 무용치료사, 미술치료사, 자원봉사자)이 호스피스 대상자 병실이나 병동에서 매회 120분씩, 총 10회(총1,200분)에 걸쳐 실시한 프로그램이었다. 프로그램 효과를 측정하기 위한 도구로서 통증 척도는 윤영호(1998) 등이 한국형 간이통증 조사지(Korean Version of Brief Pain Inventory, BPI-K)로 개발한 도구 중 일부를 윤매옥(2000)이 사용한 도구, 상태불안 척도로는 Spielberger (1975)의 상태불안 측정도구(State-Anxiety Inventory)를 김정택과 신동균(1978)이 번역하여 사용한 도구를 사용하였다. 자료분석은 수집된 자료를 SPSS/WIN 12.0 프로그램을 이용하여 실수, 백분율, 최대값, 최소값, 평균, 표준편차, Paired t-test로 분석하였다. 결과: 본 연구의 결과는 다음과 같다. (1) 가설 1 ‘전인적 호스피스 간호중재 프로그램을 제공받은 입원 호스피스 환자(이하 실험군)는 실험 전보다 실험 후의 통증 정도가 낮을 것이다’ 를 검증한 결과 실험군은 실험 후의 통증 점수가 유의하게 낮아 가설이 지지되었다(t=-10.585, P= .000). (2) 가설 2 ‘전인적 호스피스 간호중재 프로그램을 제공받은 실험군은 실험 전보다 실험 후의 상태불안 정도가 낮을 것이다’ 를 검증한 결과 실험군은 실험 후의 상태불안 정도가 유의하게 낮아 가설이 지지되었다(t=-8.234, P= .000). 결론: 본 연구의 결과, 전인적 호스피스 간호중재 프로그램은 호스피스 대상자의 통증 및 상태불안을 완화시키고 향상시켜 신체 및 정서적 차원에서 그 효과가 확인되었으므로 호스피스 임상 실무에 적극적으로 활용할 수 있을 것이며, 그로 인해 호스피스 대상자의 통증을 조절하고 불안을 감소시켜 삶의 질을 총체적으로 높일 수 있는 데 기여하리라 사료된다.

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두부 손상환자 가족의 간호요구에 대한 연구 (A Study on Needs of the Families of Head Injury Patients)

  • 조규영;박형숙
    • 기본간호학회지
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    • 제6권3호
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    • pp.414-433
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    • 1999
  • The purpose of this study is to identify the needs which are perceived by one of the familiy members who have head injury parients by traffic accidents in the intensive care units. Subjects were 70 families members of head injury patients admitted to 2 general hospitals NICU located Pusan city, 1 general hospital NICU located Ulsan city from December 1. 1998 to February 28. 1999. For this study, 70 family members were interviewed with aid of a Likert scale which was developed by researcher for this study. For development of the survey instrument, literature review and open questionnaire technique with family members and the nurses working in NICU. The 50needs-items were classified into 7 groups according to the homogeneity of the items with the support of literature review. For the content validity, the instrument was reviewed by 1 nursing professor and the internal reliability of this instrument was Cronbach alpha=0.94 which is highly accepted. Data was analyzed by a SPSS computer program. Data analysis included frequency. percentage, mean, standard variance and t-test or ANOVA. The results were as followings : 1. The general characteristics of head injury patients shows that the male was 74.3%, the female was 25.7% and age distribution shows that the fifty-fifty nine years was 30%, the highest. Of religion the buddhism was the most, The diagnosis distribution shows that epidural hematoma was 32.9% and subdural hematoma was 24.3%. The mentalility distribution shows that semicoma was 31.4% and stupor was 31.4%. Hemiplegia was 42.9% 2. The general charaterisrics of the family needs of head injury patients shows that thirty-thirty nine years was 31.4%, the highest. sex distribution shows that the male was 20%, the female was 80%. Of religion the buddism was the most. 3. The family needs of head injury patients was $3.03{\pm}0.42$, needs for the information of a patient's condition was $3.65{\pm}0.48$, the highest. And needs for the information of care and treatment was $3.48{\pm}0.48$, needs to be supplied with comfortable facilities for family was $3.04{\pm}0.66$, needs to be participate in a patient's care was $2.90{\pm}0.55$, needs to be informed about the available resources was $2.83{\pm}0.59$, needs to be supported emotionally for family was $2.79{\pm}0.55$, needs for religious assistance was $2.51{\pm}0.85$. 4. Examining the family needs of head injury patients according to patient's characteristics, mentality, plegia degree and operation were shown be variables to make an effect on the needs for the head injury patients family. At all, according to severity of head. injury, the family needs of head injury patients was high. 5. Examining the family needs of head injury patients according to their general characteristics, we could know that religion, job. income were shown to be variables to make an effect on the family needs. Through the examination it can be seen that the characteristics of head injury patients and the family needs of head injury patients. In conclusion, the family needs of head injury patients was almost same the family needs of ICU patients. Therefore we must involve the family's care of head injury patients and we must provide exact and repeated explanation, education and support the family of head injury patients. As this study was resulted in selecting the families admitted to NICU of some general hospital, we couldn't stretch the result in our favor. Therefore, continuous studies are suggested.

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간호센타 개발을 위한 건강증진 프로그램 요구사정 연구-유방자가검진 프로그램을 중심으로- (A Study on Need Assessment in Health Promotion Programs for Developing Nursing Centers - Breast Self Examination-)

  • 박인혜;강혜영;이정희;류현숙
    • 지역사회간호학회지
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    • 제11권1호
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    • pp.21-36
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    • 2000
  • The purpose of this study was to assess the needs of breast self examination education (BSEE) programs for developing nursing centers. A first, we reviewed the literature of activity and management-related factors of nursing centers: and, second. we used a questionnaire to discover the degree of knowledge, attitude, and practice on breast cancer, as well as an individual's intention to participate BSEE program. 1. Reviewing the literatures of nursing center activities. Nursing centers which were administered by a professional nurse are an ideal site for faculty and student practices. With the use of nursing models of health. professional nurses in nursing centers diagnose and treat human responses to potential and actual health problems and offer holistic, client-centered health service. In nursing centers professional nursing services include health education, health promotion, and health-related research. A nursing center is comprised of the advisory and exacutive commitee; the advisory commitee serves consultants and links community needs to the nursing center, while the director of the exacutive commitee identifies the potential resources to generate funds, support, and facilitate the activities of staffs in a nursing center. Nursing centers mobilize various financal resources for reimbursement of services from college and insurance companies, collect minimum service fees from the client, and further collect fees for providing programs to community groups, this also includes membership fees, and donations. The services provided by nursing centers focus on services related to primary prevention, health maintenance & health promotion, direct nursing care for acute & chronic diseases, and holistic care for actual and potential health problems. The client satisfaction for the services was high. Students also showed positive reponses for their clinical experiences and independent working conditions. 2. The degree of knowledge, attitudes, and practices for breast cancer. and an individual's intention to participate in the BSEE program. The subjects of this study were 308 females in K-city in the Republic of Korea. Data were collected using a self-administered questionnaire. The mean age of the respondents was 35.0 years old. Those who already participated in the BSEE were 64.9%, and those who had support and encouragement to practice BSE from significant others were 25.1 %. Clients intent to participate in the BSEE were 37.0%. The mean score of knowledge(2.4 out of 5 points) and practices(1.8 out of 5 points) for breast cancer were quite low, but the mean score of attitudes was relatively positive04.5 out of 20 point) for breast cancer. Those who already had BSEE showed significantly high scores in knowledge(t=6.48, p<0.01), attitudes (t=10.54, p<0.01). and practices(t=57.07, p<0.001) for breast cancer than those who had not participated in the BSEE. In all age groups no intention to participate in the BSEE was higher than who the intention to participate. These findings suggest some strategies should be developed to increase the awareness of breast cancer's early detection.

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사상체질진단검사(QSCC II) 설문지 간소화 연구 (A Study on the Simplification of Questionnaire for Sasang Constitution Classification(QSCC II))

  • 박지원;김정아;왕명자
    • 지역사회간호학회지
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    • 제14권2호
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    • pp.334-350
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    • 2003
  • The purpose of this descriptive study was to evaluate the clinical validity of QSCCII (Questionnaire for the Sasang Constitution Classification), whose high accuracy as a constitutional diagnostic tool has been recognized by medical professionals. The subjects of this study were 568 clients from an A university hospital in Suwon. Of the subjects, 259 were health center visitors and 292 were ambulatory clinic visitors. Data were collected using self-reported questionnaire and were analyzed by $X^2$-test and one-way ANOVA. The results of this study as follows: 1. In 4 types of constitution, Soeumin type was found in 41.5% of the subjects. Taeumin type in 39.2%.,and Soyangin type in 19.2%, respectively. There was no Tayangin type found in this study. There were no significant differences on types of constitution by demographic characteristics such as age, sex, marital status, education, religion, and economic status. 2. As for 15 item-selective questionnaire, there were statistically significant differences on the response rate of the 12 items, except items such as A4, A11 and A14, by the types of constitution. When the subjects' own criteria on their constitution were compared to the given constitutional criteria on each item, 4 items such as A6, A11, A13 and A14 were advisable to be excluded from the questionnaire or to be reunited to the other criteria. In the meanwhile, 3 items such as A7, A18 and A15 were desirable to be re-categorized to the other constitutional types and reconstructed to the QSCC II questionnaire. 3. In terms of 106 true-false questionnaire, there were statistically significant differences on the response rate of 46 items by the types of constitution. The 46 items include 15 items (32.6%) of the domain of 'handling something/strength and weakness', 4 items (8.7%) of the domain of 'interpersonal relationship', 9 items (19.6%) of the domain of 'state of mind at ordinary times', 2 items (4.3%) of the domain of 'distinctive emotional characteristics' area, 11 items (23.9%) of the domain of 'specific behavioral trait' and 5 items (10.9%) of the domain of 'physical characteristics'. Therefore, the areas of 'handling something/strength and weakness' and' specific behavioral trait' mainly contributed to the classification of constitutional type. 4. When the 106 true-false items were simplified to the 46 items, statistically significant differences were found on the rate of items allocated to the 3 types of constitution. The rate of selection assigned to the 3 constitutional types of the simplified 46-item questionnaire was higher than that of the original 106-item questionnaire. Conclusions; It was concluded that the rate of selection of each lay person about his own constitutional type would be still higher even though the simplified items of QSCC II questionnaire were applied. If more replicated studies are conducted on the diverse population using the simplifying QSCC II questionnaire in the future, a more simplified standardized Sasang Constitution Questionnaire that is available to the public rather than to medical staffs in the clinical settings could be developed. Moreover, the simplified scale will help nurses deliver more efficient nursing care by providing a more rapid way of health assessment.

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중국 간호교육관련 연구실태 분석 (An Analysis of Nursing education Research in China : 1990-1998)

  • 고일선;이춘옥;김경애
    • 한국간호교육학회지
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    • 제5권2호
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    • pp.177-190
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    • 1999
  • This study has been conducted on the basis of the literature review of Nursing Education Research in China from 1990 through August 1998. Its purpose was to support the basic data of nursing education which is risen as major revolutionary of nursing in China and those for exchange of information between Korea-China nursing education. It is retrospective and descriptive research analyzing one hundred eighty articles published in The Journal of China Nursing. The results of the study were as follows. 1. Only 33.3% of the professors of Technical Nursing School who have played of major role of nursing education in China have carried out the study related to nursing education. Baccalaureate program professors have marked 22.2% of all studies, and diploma program professors have done 12.2% of all. Therefore, the professors of above the diploma program have done total 44.4%. It explains that the professors of baccalaureate and diploma programs have done more studies related to nursing education than those of Technical Nursing School. 2. In terms of the study design, most of the studies(38.8%) were case studies introducing the curriculum contents that were done at education institutions. And then, 28.5% were reviewing the articles, and 15.6% were descriptive studies. 3. In terms of the content of the study, 38.3% were relevant to education of Technical Nursing School, 15.0% were about baccalaureate education, and 10.4% is about diploma. 4. To analyze the specific contents of the studies ; a. In baccalaureate program, human resources (professor or teaching), course extension, lab, classes, teaching method, education philosophy, goal of education, evaluation method, and human resource development were included. b. In diploma program, teaching contents evaluation method, teaching method, and educational system were included c. In the technical school, there were qualification of professors , teaching method, evaluation method, opening the courses, teaching contents, goal of education and so on. d. Beyond these, there were practice guidance and appraisement, teaching method, and opening new courses which were not specially indicated as educational curriculum and score management as continuing education. What is above tell us that the study regarding development of university system has been progressed actively and widely. It has been for the effort of revolution which based on the China government force to reform of nursing education process during last 10 years. On the base of the result, we suggest the following questions and the alternatives. 1) Since most articles are case studies related to teaching methods and the others doesn't propose the research method. the study which is applied more exact research method is needed. 2) No study is regarding social change and health policy. Because University program, founded in 1983 is on the beginning point, the research about curriculum have to be taken as a top priority as well as to reflect social needs which are based on social changes and national health policy 3) Only one review article study tells nursing Human resource. To appear in large numbers in nursing manpower, avoid the present hospital nurses training system. Then, the study for manpower development which is able to accomplish in many fields has to be advanced. 4) Most studies did not have literature review processes, so it was impossible for researcher to know the past study tendency and there is no relation among studies as to same subject, the education about research method is needed.

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농촌지역사회 보건요원의 교육을 통한 주민의 보건복지향상에 관한 사회의학적 연구 (Socio-Medical Approach to the Welfare of Rural Residents Through the Education of Community Health Personnel)

  • 염용태;이명숙;조병희
    • 농촌의학ㆍ지역보건
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    • 제17권1호
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    • pp.34-45
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    • 1992
  • In this county, the gap between the urban 'haves' and the rural 'have-nots' continues to be an increasing problem. WHO and UNICEF see primary health care(PHC) as the key to achieving an acceptable level of health throughout the world as a community development. PHC is essential health care made accessible to individuals and families in the community by means acceptable to them. It is the first level of contact of individual, the family, and community with the national health system. It includes at least education on health system. It includes at least education on health problems, promotion of food supply, MCH including family planning, immunization against infectious diseases, control of endemic diseases, treatment of common diseases and injuries, promotion of mental health, and provision of essential drugs. However, of the aboves, education concerning of mental health problems and the methods to identify, prevent, and control them is the principal step of establishment. In Korea, the category of PHC worker includes the physician as public doctor and nurse as primary health care practitioner and community health leader as village health worker. PHC workers of the aboves will thus function best if they are appropriately trained to respond to the health needs of the community. However in this country, since the national PHC service project launched in 1980, the government has not developed and performed appropriate and enough education and training activities. In light of above reasons, several categories of health education activities had been planned and performed being aimed at above specific target groups and the main focus was on the village health workers for about one year from July 1991 to July 1992 in Yeoju Kun of Kyonki Province. At the end of the period, evaluation of education input was carried out to measure the improvement of healthful life of people in terms of awareness, attitude, and practice. At the end of the period, evaluation of education input was carried out to measure the improvement of healthful life of people in terms of awareness, attitude, and practice. The totals of 80 village health workers, 13 public health practitioners and 9 public docters took in the course of health education for a few hours at every month and the evaluation works of educational effect were taken. The results the study were as follows. 1) Number of persons who realized the maxim "health care of the people is a duty of the government" increased after the education course, On the other hand, the rate of satisfaction on the effort of government for health promotion of the people decreased. 2) Public doctors and primary health care practitioners(nurses) liked and enjoyed the education schedule as a meeting of peer group. It provided chances of communication with staffs of Korea University Hospital. It was said that lectures covered great deal of knowledge and technic they urgently needed in the field. 3) After finishing the education course, more of village health workers(VHW) thought they adapted themselves to their roles and functions showing increased number of home visit and contact with primary health care practitioners by month. 4) In case of patient refer, VHW preferred primary health care practitioners to public doctors. 5) Capability of VHWs in most of their functions increased dramatically after when the education course finished except tuberculosis control.

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채식인과 비채식 일반인의 혈중 지질, 혈당, 혈압에 관한 연구(III) -연령을 중심으로- (A Study of Serum Lipid, Blood Sugar, Blood Pressure of Buddhist Nuns in Vegetarians and Non-Vegetarians (III) - Based on Age -)

  • 차복경
    • 한국식품영양과학회지
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    • 제33권8호
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    • pp.1311-1319
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    • 2004
  • 우리나라에도 심혈관 질환으로 인한 사망률이 점차 증가하고 있다. 이에 본 연구에서는 채식과 심혈관 질환과기 관계를 규명하기 위한 연구의 일환으로 채식을 하는 비구니스님을 대상으로 하여 연구한 결과를 요약하면 다음과 같다. 조사대상자의 평균나이는 채식인 44.20세, 비채식인 40.52세, BMI는 각각 22.47, 21.08이었고, WHR은 0.85, 0.84였고, %BF는 28.79, 26.55였으며, 활동량은 각각 507.8 kg/day, 400.0kg/day였고, 채식인의 평균채식기간은 13.16년이었다. 조사대상자의 총 콜레스테롤, LDL-콜레스테롤, AI, 이완기 혈압 및 혈당은 비채식인이 유의적으로(p<0.01) 높았고, HDL-콜레스테롤도 비채식인이 유의적으로(p<0.05) 높았으며 심 질환 예견지수인 HDL-콜레스테롤/총 콜레스테롤비는 채식인이 유의적으로(p<0.01) 높았다. 두군 모두 중성지방, 혈청 총 콜레스테롤, LDL-콜레스테롤, AI는 WHR, BMI,% BF, 활동량과는 유의적으로 높은 정의상관 관계를 보였다(p<0.05, p<0.01). HDL-콜레스테롤은 BMI, WHR과는 유의한 부의 상관관계를 보였다. 수축기 혈압은 BMI, WHR과는 높은 정의 상관관계를 보였다(p<0.01). 나이는 채식인에서 중성지방과는 정의 상관관계(p<0.05), 비채식인에서는 중성지방 혈청 총 콜레스테롤, LDL-콜레스테롤, AI, 수축기 혈압과는 정의 상관관계를 보였다. 두군 모두 연령 증가와 함께 중성지방, 혈청 총 콜레스테롤, LDL-콜레스테롤, AI, 수축기혈압은 유의적으로 높아졌고 채식인은 비채식인에 비해 유의적으로 낮았다(p<0.01). 이완기 혈압, 혈당은 뚜렷한 경향을 보이지 않았으나 연령증가에 따라 증가하였다. 중성지방, 혈청 총 콜레스테롤, LDL-콜레스테롤, AI, 수축기 혈압은 두군 모두 60대에 최고치를 나타내었고 70대에는 낮아지는 경향을 보였다. 따라서 혈청지질농도, 혈압은 연령 증가에 따라 유의하게 높아지고 채식인은 그 상승률이 비채식인에 비해 완만하게 증가하는 것으로 조사되었다. 이상의 결과에서 채식인은 심혈관 질환 관련인자인 혈청 총콜레스테롤, LDL-콜레스테롤, AI, 수축기혈압이 유의적으로 낮았다. 또한 나이가 듦에 따라 두군 모두 혈중지질 농도와 혈압이 높아지지만 채식군은 비채식군에 비해 상승률이 낮았다. 이로 미루어볼 때 채식은 가령과 함께 증가하는 심혈관 질환 관련인자의 상승률을 낮출 수 있을 뿐만 아니라 심혈관 질환의 예방과 치료에 효과가 있다고 볼 수 있다.

암 환아 가족의 아동 호스피스 요구도 (The Need for Child Hospice Care in Families of Children with Cancer)

  • 강경아;김신정;김영순
    • Journal of Hospice and Palliative Care
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    • 제7권2호
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    • pp.221-231
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    • 2004
  • 목적: 본 연구는 암환아 가족의 호스피스 요구도를 파악하여 앞으로 암 환아 간호시, 대상자의 요구에 적절한 호스피스 간호를 제공하기 위한 목적으로 시도되었다. 방법: 자료수집은 2004년 2월부터 7월까지 서울의 2개 대학병원에서 암으로 진단 받고 입원한 아동의 가족 104명을 대상으로 하였다. 대상자의 아동 호스피스 요구도를 측정하기 위해서는 아동 호스피스에 대한 국내 외 문헌고찰과 아동 호스피스 전문가와 관련자, 암 환아 가족 20명을 대상으로 면담하여 개발한 암 환아 가족의 아동 호스피스 요구 측정도구[10]를 사용하였다. 결과: 1. 대상자의 아동 호스피스 요구 정도는 4점 만점에 $2.77{\sim}4.00$점의 범위로 평균 3.41점(.38)으로 높게 나타났다. 각 요인에 따른 요구정도는 아동의 정서적 간호 말기 주요 신체적 증상의 조절, 2차적인 생리적 문제의 조절, 가족이 어려움 수용, 죽음준비를 위한 영적 돌봄의 순으로 나타났다. 2. 대상자의 일반적 특성에 따른 아동 호스피스의 요구 정도는 아동 어머니의 연령(F==4.980, P=.009), 형제나 친척 중 암 환자의 유무(t=2.423, P=.017)에 따라서만 유의한 차이가 있었다. 즉, 대상자의 아동 호스피스 요구정도는 어머니의 연령이 $36{\sim}40$세인 경우가 요구 정도가 가장 높고 35세 이하인 경우가 가장 낮았으며 형제나 친척 중 암 환자가 있는 경우가 없는 경우보다 요구 정도가 더 높았다. 결론: 아동 호스피스에 대한 암 환아 가족의 요구 정도는 정서적, 신체적, 사회적, 영적 돌봄의 순으로 나타나 가족이 자녀의 죽음을 앞두고 자녀의 신체적 증상관리와 함께 자신의 죽음에 대한 이해가 어려운 자녀의 불안과 두려움을 경감시켜주기 원하는 부모의 특성이 파악되었다. 또한 호스피스에 대한 요구도는 높았으나 자녀에 대한 호스피스 돌봄의향은 낮게 나타나 암 환아 부모들이 적극적인 치료와 호스피스에 대한 양가감정을 가지고 있음을 유추해 볼 수 있었다. 본 연구의 결과는 암 환아 가족들을 위해 간호사가 제공해야 하는 호스피스 돌봄의 방향을 제시하고 있다고 생각되며 이를 위해서는 호스피스 관련 기관뿐만 아니라 국가적 차원의 아동 호스피스에 대한 관심과 지원이 요구된다고 생각한다.

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감성활용이 오센틱리더십과 변화적 조직시민행동에 미치는 영향 (Emotional Regulation's influence on Authentic Leadership and Change Oriented Organizational Citizenship Behavior)

  • 강윤희;김종관
    • 예술인문사회 융합 멀티미디어 논문지
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    • 제8권8호
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    • pp.1-9
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    • 2018
  • 본 연구는 감성활용이 오센틱 리더십과 개인의 변화적 조직시민행동에 미치는 영향을 살펴 보았다. 감성활용은 감성지능의 네가지 하부요인으로 개인의 본인 및 타인의 감성 인지, 감성 이해 감성조절 및 감성활용 능력이며, 최근 많은 연구를 통해 개인의 감성지능이 높을수록 성과, 효율, 선제적 행동을 증가 시키며, 조직 내 부정적 행동을 감소한다는 연구들이 발표되었다. 감성활용은 감성지능의 하부요인 중 하나로써 동양의 유교적 문화는 타인을 인식하고 함께 협력해서 공존하는 관계지향적 사회적 구조이며 이런 문화에서는 감성활용이 매우 중요한 요인이라는 연구도 발표되었다. 하지만 현재 국내에서 감성활용 관련 논문은 미습한 수준이다. 오센틱 리더십 선행연구들은 학교 또는 기업체 중심으로 연구되었으며 개선과 변화가 시급한 병원, 간호사 및 의료 환경을 중심으로 실행된 연구는 미흡한 상황이다. 이런 현상은 최근 태움과 같은 안타까운 사건으로 나타났다. 본 연구에서는 간호사가 인식하는 수간호사의 오센틱 리더십이 개인의 변화적 조직시민행동에 미치는 영향을 감성 활용의 매개 효과를 통해 살펴 보았으며 SPSS 21.0을 통해 B도시의 두 개의 종합병원에서 300명의 간호사를 상대로 분석했으며 결과는 다음과 같다. 오센틱 리더십은 변화적 조직시민행동에 유의의 영향을 미친다고 나타났으며 세부적으로 네 가지 하부요인 중 자아인식, 관계적 투명성과 내재된 도덕관점 세 가지 관점 모두가 변화적 조직시민행동에 유의한 영향을 보였다. 오센틱 리더십은 감성 활용에도 유의한 영향을 미쳤으며 네 가지 하부요인 중 세 가지 요인인 자아인식, 관계적 투명성과 내재된 도덕관점 모두 유의하다고 나타났다. 오센틱 리더십의 하부 요인인 균형적 정보처리 요인만 변화적 조직시민행동과 감성 활용에 유의한 영향을 미치지 않는다는 결과가 나타났다. 감성 활용은 오센틱 리더십과 변화적 조직시민행동을 부분 매개한다는 결과가 나옴으로 향 후 감성 활용과 오센틱 리더십 훈련 및 교육을 통해 직무만족과 조직효율성을 높이고 선제적 행동요인인 변화적 조직시민행동도 높일 수 있다는 가능성을 제시하였다.

채식을 하는 스님과 비채식 일반인의 혈중 지질수준, 혈당, 혈압에 관한 연구(I) -체질량지수, 체지방 분포형태, 체지방 함량을 중심으로- (A Study of Serum Lipid Levels, Blood Sugar, Blood Pressure of Buddhist nuns in Vegetarians and Non-Vegetarians (I) - Based on BMI, WHR, %BF-)

  • 차복경
    • 한국식품영양과학회지
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    • 제31권5호
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    • pp.862-870
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    • 2002
  • 우리나라에도 심혈관질환으로 인한 사망률이 점차 증가하고 있다. 이에 본 연구에서는 채식과 혈청지질 수준 및 혈당, 혈압과의 관계를 규명하기 위한 연구의 일환으로 채식을 하는 비구니스님을 대상으로 하여 연구한 결과를 요약하면 조사대상자의 평균나이는 채식인 44.2세, 비채식인 40.5세, BMI는 각각 22.4, 21.0이었고, WHR은 0.8, 0.8이었고, %BF는 28.7,26.5였으며, 채식인의 평균채식기간은 13.1년이었다. 조사대상자의 total-cholesterol, LDL-cholesterol, HDL-chole-sterol, AI, 수축기혈압 및 혈당은 비채식인이 유의적으로 낮았으며, 심혈관질환 예견지수인 HDL-cholsterol/total-chol-esterol 비는 채식인이 유의적으로 높았다. 두군 모두 중성지방, 혈청 총 콜레스테롤, LDL-cholesterol, AI,는 BMI, WHR, %BF와는 유의적으로 높은 정의상관을 보였다. HDL-cho-lesterol은 BMI, WHR과는 유의한 부의상관을 보였다. 나이는 채식인에서는 BMI, WHR과는 높은 정의상관을 보였다. 나이는 채식인에서는 중성지방과는 정의상관, 비채식인에서는 중성지방, 혈청 총 콜레스테롤, LDL-cholesterol, AI, 수축기 혈압과는 정의 상관을 보였다. 이상의 결과에서 볼 때 두군 모두 BMI, RBW, WHR, %BF가 높을수록 총콜레스테롤, LDL-cholesterol, AI, 수축기 혈압이 유의적으로 높아졌으며 BMI, WHR이 높을수록 HDL-cholesterol은 유의적으로 낮아졌다. 그러나 채식군은 비채식군에 비해 BMI, RBW, WHR, %BF가 유의적으로 높았음에도 불구하고 심혈관 질환 관련인자인 총콜레스테롤, LDL-cholesterol, AI, 수축기 혈압 및 혈당이 비채식군에 비해 유의적으로 낮게 나타났다. 한편 나이와의 상관에서도 비채식인은 나이와 중성지방, 총 콜레스테롤, LDL-cholesterol, AI등이 모두 정의 상관을 보였으나 채식군에서는 나이와 중성지방만이 정의 상관을 보였다. 따라서 채식을 하면 비만인 사람이라도 혈중 지질수준 및 혈당, 혈압이 낮아져서 심혈관 질환 및 고혈압, 당뇨병 등의 예방 치료에 효과적일 것으로 사료된다.