• Title/Summary/Keyword: death attitudes

검색결과 171건 처리시간 0.021초

성인의 심폐소생술 금지(DNR)에 대한 인식 및 태도에 대한 조사 연구 (A Study on the Perception and Attitude of 'Do Not Resuscitate' in Adults)

  • 이수정
    • 한국융합학회논문지
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    • 제10권6호
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    • pp.393-399
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    • 2019
  • 본 논문은 성인의 심페소생술 금지(DNR)에 대한 인식 및 태도에 대한 서술적 조사 연구이다. 구조화된 설문지를 이용하였으며, 연구 대상은 210명이었다. DNR에 대한 인식에서는 '편안한 죽음을 위해(64.3%)' DNR이 도움이 된다고 긍정적으로 응답하였으며, 상황에 따른 DNR의 필요성은 '품위 있는 죽음을 위함(41.3%)' '환자의 고통을 줄여주기 위해(23.9%)' 등이었으며, DNR에 동의하지 않는 응답자의 이유는 '법적 문제가 제기 될 수 있기 때문(61.7%)', '인간의 존엄성은 생명유지가 최우선이기 때문(16.7%)' 등의 순이었다. DNR에 대한 태도는 '내가 불치병을 가졌을 때 사실을 알기 원하는지의 여부'가 평균 4.21점으로 가장 높았으며, 성인의 연령대별 DNR에 대한 태도에는 차이가 없었다. 심폐소생술 금지는 연명치료 중단의 방법이 아니라 인간이 임종과정과 죽음에 대한 자율권을 행사하는 포괄적 맥락에서 다루어져야 할 것이다.

19세기 조선 의약 풍경과 '약로(藥露)' - 신대우 가계 기록물과 서유구, 이규경의 저술을 중심으로 (An Aspect of Medical Life and Yakro in Joseon in the 19th Century Based on the Records of Sin Dae-woo's Family, Seo Yugu, and Lee Kyugyung)

  • 전종욱
    • 한국의사학회지
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    • 제35권1호
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    • pp.135-147
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    • 2022
  • Sin Dae-woo was a scholar representing the Ganghwa School in the late Joseon Dynasty. He was Jeong Je-du's grandson-in-law and also in charge of organizing Jeong Je-du's collection of writings. His three sons had a particularly close relationship with their father, so even when they published a collection of writings after his father's death, the names of the three were combined and marked as Jin-jak-shin. The records they left include Seokcheon Il-seung, who described the history of the family along with the collection of writings, Seongdo Il-rok, a diary of the time of Seongcheon Busa, and many letters exchanged over time. These records draw attention as they contain records of medical life, such as eye diseases that the family suffered, infectious diseases that caused many casualties, and Yakro (distilled herbal essence) that showed records of being used for treatment at the time. In this paper: 1) We examine the medicines, prescriptions, acupuncture, and medication used to treat eye diseases. 2) We carefully examine the epidemic, the responses of the parties to it, and the attitudes of those who stood at the boundary between death and life. 3) We look for clues to the use of Western-origin drugs called Yakro. Intellectuals of the time looked deeper into Lee Kyugyung's book and Seo Yu-gu's book on how they were reflected in Joseon's medical life. In conclusion, in the 18th and 9th centuries, we see that the influential families of the Ganghwa school freely brought in famous acupuncturists, used prescriptions that were included in medical books or not, and used Yakro from western origin that were not traditional methods of Joseon. Thus, we reveal that doctors of the Joseon had the capacity to pursue their medical life more actively and had open-minded exchanges than our existing perceptions.

하이데거의 눈으로 '간호'를 바라보기: 실존하는 존재에 대한 성찰 (Looking into the Nursing from the Viewpoint of Heidegger: Reflections on the Existence of Being)

  • 김수미;최희승
    • Perspectives in Nursing Science
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    • 제11권2호
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    • pp.94-100
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    • 2014
  • Purpose: This article is aimed at broadening the perspectives of nursing by applying Heidegger's philosophical reasoning and views to nursing beliefs. Methods: Heidegger's main concepts on a human's way of being were the source for examining the encounter between care-receiver and care-giver in nursing. In addition, the paper illustrates the attitudes that nurses must present to their care-receiver in existential nursing. Results: As nurses and care-receivers experience existential crises due to anxiety about death and fear over uncontrollable situations, they both raise questions about the significance of their existences. By putting their deep reflections on these questions into nursing practice, nurses can exist as "Mitdasein" and be open to a number of possibilities in nursing. Conclusion: Nurses must be open to a number of possibilities in nursing by embracing various experiences of life and individuality without criticism, and pursuing the existing lives of their counterparts as well as their owns. They are able to take this attitude by raising fundamental questions about life and the existence of human beings through ceaseless reflections on their experiences, then implementing the result of these reflections in their lives and nursing practices.

유방 절제술을 경험한 중년 여성의 체험연구 (A phenomenological perspective and discovery of meaning in mid-aged women중s experience of mastectomy)

  • 신경림
    • 대한간호학회지
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    • 제25권2호
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    • pp.295-315
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    • 1995
  • This qualitative nursing research used a hermeneutic phenomenological approach to discover meaning in mid - aged women's experience of mastectomy. The ultimate aim of the inquiry was to discover the essence of mid-aged women's experience and promote understanding. The study was guided by Van Manen's method for doing research. The method of inquiry included. turning to phenomenon of interest ; inquiring and investigating experience as it was lived rather than as conceptualized ; reflecting and analyzing essential themes which characterize phenomenon : and describing phenomenon through art of writing and rewriting. Multiple strategies for data collecting were needed : in depth face-to-face interview ; analysis of women's writings ; artistic works : and analysis of examples of phenomenon in art, litera lure, and drama. Although the experience was different for all of the women interviewd, essential themes of experience emerged : Self-discovering of vicious disease, Divining punishment-unfortunate women, loss of self though the scar, a night-mare, change of life values and attitudes, rediscovering living alone, living through with fearing of death. Findings from artistic and creative inquiry further validated findings and meaning descovered. The study illuminated meaning and simultaneously validated the phenomenological research process. Essential themes for understanding women's experience, implications for education, research, and practice, direction and need for continuing inquiry were identified.

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자기성장 프로그램 참여가 노년기 여성의 자아통합감과 가족관계만족도에 미치는 효과 (Effects of Participating Self-Growth Program on Ego-Integrity and Family Relationship Satisfaction of the Elderly Women)

  • 최순호;윤경자
    • 한국생활과학회지
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    • 제24권1호
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    • pp.1-24
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    • 2015
  • The objective of this study was to test the effects of participating self-growth program on ego-integrity and family relationship satisfaction of the elderly women. The subjects were 15 elderly women of low education. The levels of ego-integrity, including life attitudes, wisdom toward life, acceptance of life, and acceptance of death, and family relation satisfaction were measured before and after completing the program sessions. The program of eight sessions was conducted twice a week, for two hours. A significant difference in ego integrity, relation satisfaction with children, and relation satisfaction with grandchildren was found between pre- and post-test scores. The results show that elderly women can benefit from programs enhancing ego integrity and relation satisfaction with offspring. This study can be utilized in the Healthy Family Support Centers or the elderly welfare program for improvement of ego-integrity and parent-child relationship satisfaction of the elderly.

호스피스 전개에 있어서 과제와 방향에 대한 모색 -호스피스 전개를 위한 교육적 측면에서- (Review on the Approaches and Issues of the Hospice Care Program)

  • 조유향
    • 보건교육건강증진학회지
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    • 제11권2호
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    • pp.146-159
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    • 1994
  • The conecpt of hospice care for the terminally ill is a development of relatively modern times, although it has its origins in antiquity. The hospice will be able to handle progressively more and more patient, to the limit of its resources. The purposes of this study were to review of demand and issues of the hospice care programes and to recommand the hospice care approaches in south Korea that using the book-review method. At this point, although at present there is a general unawareness of hospice throughout Korean society, the public will become gradually aware of hospice. This will thus aid the development of hospices. Awareness will come about because of the educational efforts of medical schools, nursing schools, allied health training programs, practicing hospice care giver, universities, and others interested in hospice education. At present, there are many issues of the hospice care program that are hospice resources problems of manpower, facilities, finances, and cost of hospice services, quality of care, and ethics. Additional studies are needed to determine the most efficacious organizational hospice models for varying conditions. They will insist upon reasonable regulatory agency regulations that will promote the hospice idea and. permit adequate remuneration for services provided. More research is needed on health professionals', patients', and others' attitudes towards death.

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노인요양시설 봉사경험 간호대학생의 생명윤리 주관성 (Subjectivity about Bioethics among Nursing Students with Experience Volunteering in Elderly Care Facilities)

  • 주민선;황윤영
    • 한국간호교육학회지
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    • 제24권1호
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    • pp.50-60
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    • 2018
  • Purpose: This study aims to determine the bioethical subjectivity of nursing students with experience volunteering in elderly care facilities, and the characteristics that comprise the types thereof. Methods: Q methodology, which analyzes the subjectivity of each type, was used. The 37 selected Q statements from 32 participants were classified into the shape of a normal distribution using a 9-point scale. The collected data were analyzed using the PC-QUANL program. Results: The survey revealed that the bioethical subjectivity of nursing students with experience volunteering in elderly care facilities can be divided into three types: a rational dignity emphasis, an autonomous right to life belief, and conflict avoidance. All three attitudes regard human beings as possessing dignity, and life and death as elements to be experienced as aspects of human life. Bioethical values are critical to treatment and care; however, it is sometimes also held that humans have the right to commit suicide. Conclusion: This study enhanced our awareness of nursing students' bioethics. The findings can be used as a basis for the design of differentiated bioethics education according to each type of bioethical subjectivity. This calls for diverse research on bioethics and the implementation of effective bioethics education.

Lay Beliefs, Knowledge, and Attitudes Towards Cancer: a Pilot Study in Japan

  • Tsuchiya, Miyako
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권8호
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    • pp.3247-3251
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    • 2015
  • Background: The attendance rates for cancer screening are low in Japan. Little is actually known about how the Japanese perceive cancer. Since beliefs about illness affect individuals' health care practice, the aim of this study was to explore beliefs about cancer and factors associated with those beliefs, focusing on representative cancer sites. Materials and Methods: Japanese adults (${\geq}20$ years old) who had not been diagnosed with any cancers and were not health care professionals were recruited, using a convenience sampling approach. A total of 91 participants completed questionnaires including open-ended questions. Thematic analysis was used to analyze the responses. Results: Five themes were suggested: (i) a threatening illness that might greatly change one's future life; (ii) basic cancer knowledge; (iii) a curable illness with early detection and adequate treatment; (iv) causes of cancer; and (v) anyone can develop cancer. Families or friends' negative consequences of cancer were associated with negative beliefs about the disease. Gestational cancer was the most representative site of most themes. Conclusions: A threatening illness (e.g., death or incurable illness) was the most common belief among the Japanese laypeople. Importance of early detection and treatments should be more emphasized, and future screening programs should include strategies modifying negative cancer beliefs among Japanese laypeople.

고령화 사회에서의 "노인"과 "노년기"연구 - 가정학전문학술지를 중심으로 한 연구동향과 과제 (An Analysis of the Research Trends and Tasks on Senior Citizens and Later Life in the Aging Society - Focused on the Field of Home Economics)

  • 송현애
    • 가정과삶의질연구
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    • 제26권3호
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    • pp.79-99
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    • 2008
  • Nowadays, social circumstances have changed rapidly due to the decreasing birthrate and increasing number of senior citizens. Therefore, it is necessary to investigate past research for presenting the direction of future research and for improvement of welfare for the elderly. For this study a total of 231 articles within four kinds of major home economics journals are used. The articles were published from 2000 to 2007. Specific research topics (subjects) are investigated for this study. Results from this study are as follows. Research topics are divided into the following fields: facilities for the elderly, family relationships in later life, quality of life, economical aspects of the elderly, physical and metal health, leisure, awareness and the attitudes about elderly people, clothing, death and welfare services for elders. According to this study, 'facilities for the elderly' and 'relationships in later life' are the most frequent topics of interest. Based on the results of this research and the governmental aging society plan, SEROMAZI PLAN 2010, the directions of future research about senior citizens and later life in our home economics major science field are presented.

롤랑 바르트의 텍스트로 본 렘 콜하스, SANAA, 소우 후지모토 건축의 특성 (A Study on the Works of Rem Koolhaas, SANAA, Sou Fujimoto through the Text of Roland Barthes)

  • 박주석;김동진
    • 한국실내디자인학회논문집
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    • 제26권1호
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    • pp.13-24
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    • 2017
  • The semiotics philosopher Roland Barthes declared 'the death of the author'. This means a sense of skepticism about author-centered writing in literature, and that readers and critics must also change their reading attitudes. In architecture, too, author-centered design appears. Architects sometimes try to express their will and concepts strongly through their work. However, this architecture is oriented toward identity, self-revealing, self-centered, and eventually without inspiration. On the other hand, the signifier does not result in a single meaning, and it is architecture as text that allows readers to enjoy the pleasure of deciphering. The purpose of this study is to investigate that unilateral by the will of the architect. Or whether there is a potential for non-intelligence and the possibility of generating meaning. In particular, we will analyze the works of Rem Koolhaas, SANAA and Sou Fujimoto to see if they are free from the will of the architect and can obtain the user's true freedom. As a result, we want to reveal the potential of various interpretations by users in contemporary architecture.