• Title/Summary/Keyword: helplessness

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Experiences of Nursing Students in Caring for Pediatric Cancer Patients

  • Kostak, Melahat Akgun;Mutlu, Aysel;Bilsel, Aysegul
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.5
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    • pp.1955-1960
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    • 2014
  • Background: This study was performed to determine the experiences of nursing students in caring for paediatric cancer patients and their families. Materials and Methods: This qualitative survey was carried out with 14 students studying in the nursing department of the Faculty of Health Sciences of a university in Edirne, Turkey. Data were obtained through focus group interviews and evaluated based on a qualitative content analysis. Results: It was determined that students, for the most part, experienced problems related to communication, sadness, helplessness, fear, anxiety, resentment and anger. In addition, the students were affected most often by effects of the disease and invasive procedures on paediatric cancer patients and their families during the process of caring for them in the oncology clinic. Conclusions: It would be useful to inform nursing students, prior to clinical practice, about the special needs of paediatric cancer patients and families who stay in oncology clinics, and to follow up with appropriate guidance during the clinical practices.

A Case Report of Dizziness treated by Guizhieryuebiyi-tang based on Shanghanlun provisions (『상한론(傷寒論)』 변병진단체계(辨病診斷體系)에 근거하여 계지이월비일탕(桂支二越婢一湯)을 투여 후 호전된 어지럼증 1례)

  • Heo, Joo
    • 대한상한금궤의학회지
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    • v.9 no.1
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    • pp.21-28
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    • 2017
  • Objective : The purpose of this paper is to report the improvement of patient with dizziness treated by herb medication based on Shanghanlun disease pattern identification diagnostic system. Methods : According to 'Disease Pattern Identification Diagnostic System based on Shanghanlun Provisions', the patient diagnosed with Taeyang-byung, number 27 provision, and took Guizhieryuebiyi-tang herb medication 30 days. The changing symptom of dizziness was estimated by VAS(Visual Analogue Scale). Results : The VAS changed 10 to 0. Conclusions : On the number 27 provision of Shanghanlun, '弱' means lower body helplessness. This is the first case report treating the dizziness with Guizhieryuebiyi-tang in Korea.

An analysis of Korean Medicine treatment pattern for the development of Korean-medicine health literacy assessment tool (한의약 건강정보이해력 평가도구 개발을 위한 한의 진료 패턴 분석)

  • Park, Jeong-Su
    • Journal of Society of Preventive Korean Medicine
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    • v.22 no.2
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    • pp.33-40
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    • 2018
  • Objectives : Health literacy can affect medical results. This study aimed to detect to the modify point of health literacy assessment tools. Methods : The general Korean Medicine service procedure was recorded and categorized. The participants were in- or out-patient of Korean Medical hospital. Written informed consents were obtained. Results : A total of 20 patients participated, with nine males and eleven females. The chief complaints were pain, growth, cerebral infarction sequela, dyspepsia, diarrhea, feeling of helplessness, mental stress, postpartum symptoms, and menstrual disorder. The Korean Medicine service were categorized into collecting patient information, relationship building, and treatment. Terms used in the service embraced general medical terms and Korean Medical terms. Conclusions : The Korean-medical health literacy assessment tool should incorporate western-eastern combined treatment and Korean medical terms.

Analysis of Forest Therapy Program Needs according to Emotional Characteristics of Subfertile Women (난임여성의 정서적 특성에 따른 산림치유 프로그램 요구 분석)

  • Bu, Seo-Yun;Shin, Chang-Seob
    • Korean Journal of Environment and Ecology
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    • v.34 no.1
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    • pp.72-84
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    • 2020
  • The purpose of this study is to provide a reference for the development of forest therapy programs for subfertile women. This exploratory study identifies the emotional characteristics of subfertile women and the demands for forest therapy according to the emotional characteristics and provides basic data for the development and operation of forest therapy programs. This study surveyed 200 subfertile women who visited a subfertility hospital in Seoul on 33 items of subfertile women's emotional characteristics and requirements of forest therapy programs. We conducted the frequency analysis, cross-analysis, and one-way ANOVA to determine the correlation and importance between the emotional characteristics of subfertile women and the demands for forest therapy programs using the SPSS 21.0 program. Emotional traits of subfertile women included pressure on pregnancy, anxiety/fear, depression, hopelessness, helplessness, loneliness, sadness, shame/guilt, impatience/frustration, and anger/hypersensitivity. Of these traits, pressure on pregnancy, depression, hopelessness, helplessness, loneliness, sadness, anger/hypersensitivity, and anxiety/fear were particularly high among subfertile women. The demands for forest therapy programs also differed according to the emotional characteristics of subfertile women. There was a significant difference in the operation mode of the subfertile couple's forest therapy program according to the pressure, shame, and guilt of pregnancy. There was a significant difference in the experience of participating in a program according to anxiety and fear and in the reason for not being able to participate in the forest therapy program according to depression, hopelessness, helplessness, loneliness, and sadness. There was a significant difference in couples participating the in the forest therapy program according to impatience and frustration. There was a significant difference in the experience of participating in the forest therapy program and the effect of self-help groups through the forest therapy program for subfertile women according to anger and hypersensitivity. We expect that the results of this study would be useful as the reference data for developing forest therapy programs for the improvement of the mental health of subfertile women.

A Study on the Change of Primipara′s Mother - Infant Interaction by Infant′s Monthly Age (영아의 월령에 따른 초산모의 모아상호작용에 관한 연구)

  • 방경숙;한경자
    • Journal of Korean Academy of Nursing
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    • v.21 no.2
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    • pp.150-167
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    • 1991
  • The intent of this longitudinal descriptive correlational study is to investigate the change of the mother - infant interactions over the periods of one month, three months and six months of the infant's age. This study is also intended to explore the interrelationships among three major factors- the perception of pregnancy, the mother -infant inter-action and the maternal attitude. The samples participated are 36 pairs of mother and infant from two university hospitals in Seoul. A data collection was made, from October in 1988 to September in 1989, for each subject at five periods of time ; prenatal period (after 36 weeks in pregnancy), postpartum two or three days, one month, three months and six months of infant's age. The research tools used in this investigation are Mother - Infant Play Interaction Scale (MIPIS), Prenatal Self- Evaluation Questionnaire and Cohler's Maternal Attitude Scale. Some of the findings are as follows ; 1. There is a significant increase in the mother - infant interaction from one month to three months and six months of infant's age. The highest score of the mother - infant interaction during three periods is at the time of three months. 2. The primipara's mother -infant interaction is not affected by the demographic characteristics, such as age, education and vocation of mother, types of delivery, or sex of infant. 3. Among seven categories of the perception of pregnancy, the most positively perceived categories by primiparas are acceptance of pregnancy and identification of. a motherhood role : whereas the negative ones are preparation for labor, concern for well -being of self and baby, md fear of pain, helplessness and loss of control in order of negativity. 4. There is no significant relationship between the perception of pregnancy and the mother - infant interactions. 5. There is no significant change in the maternal attitude over the period of one month, three months, and six months of infant's age. 6. There is no significant relationship between the maternal attitude and the mother - infant interactions. 7, The significant relationships are (end between the perception of pregnancy and maternal attitude, especially in the categories of concern for well -being of self and baby, accetance of pregnancy, identification of a motherhood role, fear of pain, helplessness and loss of control, and relationship with husband. In conclusion, it is confirmed that primipara's mother-infant interactions change over time period, and that perception of pregnancy and the maternal attitude do not affect the mother-infant interactions despite a significat relationship between those two variables. The implications of this investigation include a suggestion that nurses need to teach and demonstrate to mothers how to care for and interact with their infants, with a view to improving the mother-infant interactions which can be obtained through the improvement of maternal sensitivity to their infants.

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Development of A Nurse는s Suffering Experience Scale (말기 암 환자를 간호하는 간호사의 고통경험 척도개발)

  • 조계화
    • Journal of Korean Academy of Nursing
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    • v.32 no.2
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    • pp.243-253
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    • 2002
  • The purpose of this study was to develop Nurse's Suffering Experience Scale and to test the reliability and validity of the instrument. Method: The subjects used to verify the scale's reliability and validity were 220 nurses who were taking care of the end stage cancer patients, while working at university and general hospitals in Daegu and Kyungbuk province from April 20. to July 10, 2001. The data was analyzed by the SPSS/WIN 8.0 program. Results: A factor analysis was conducted, and items that had a factor loading more than .40, and an eigen value more than 1.0. were selected. The factor analysis classified a total of seven factors statistically, and it's communality was 44%. The explanation of factors based on the conceptual framework and item content are as follows: The first factor was expanding self consciousness, the second factor was forming empathy with family, the third factor was professional challenge, the fourth factor was change of values, the fifth factor was spiritual sublimation, the sixth factor was helplessness, and finally the seventh factor was rejection to death. Cronbach's coefficient to test reliability of the scale was .8665 for total of 44 items. The Scale for Nurse's Suffering Experience developed in the study was identified as a tool with a high degree of reliability and validity. Therefore this scale can be effectively utilized for the evaluation of the degree of nurse's suffering experience in clinical settings.

Working with Vulnerable Families: A Nurse Home Visiting Perspective (취약계층의 방문간호 서비스 요구 특성)

  • Lee Insook
    • Journal of Korean Academy of Nursing
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    • v.34 no.6
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    • pp.1025-1034
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    • 2004
  • Purpose: This study defines a vulnerable group in a community that has become the main target of a national health project also, it is descriptive research to suggest an evidence-based direction to meet their deficit health-related needs, Method: This research examined 833 families and 1,835 family members of the financially vulnerable class that was registered in a home visiting program of a public health center. Among them, 892 persons who had health problems, and their family members were examined in detail to find out their characteristics of vulnerability and health needs by assessment during a nurses home visit. Frequency distribution, stepwise-regression and factor analysis were used to analyze the data. Result: The vulnerable group that was defined with social indexes set as standards, involved substantial characteristics of vulnerability. The characteristics of demand showed tendencies of being clustered in 5 factors needs of intensive nursing care, chronic nursing care problems and helplessness, maintenance of family functioning with a disability, deficient problem solving ability, and simple financial fragility. Conclusion: Categorization of needs is an evidence-based estimator of workload in nurse home visiting services, and can be used as a basic resource for direction to meet the deficit needs of a vulnerable group.

A Study of Decadence Represented in Haute Couture Collection-Focus on the 1997 S/S-2002 S/S- (오뜨꾸뛰르 컬렉션에 나타난 데카당스적 특성연구-1997년 S/S에서 2002년 S/S를 중심으로-)

  • 김양희;박선경
    • Journal of the Korean Society of Costume
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    • v.52 no.8
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    • pp.73-85
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    • 2002
  • Decadence is a phenomenon that people express fear from their inside, so unsound aspects appear in the social culture when the existing society is about to be collapsed. This study covered the cultural and aesthetic meaning and the role of decadence by examining the concept and phenomenon of it and analyzing the real case of expression appeared in the modern fashion. Characteristics of decadent phenomenon were divided into sexual corruption, ideality, cynicism and extreme technique, and decadent expression appeared in the fashion images was examined based on the divided phenomenon. Main results are as fellows. People bring the incidents that animals go through into relief, sticking to animal instinct when the society is on the decline. At that time, sexual decadence becomes remarkable, so voyeurism by exposure in their dress is deepen, revealing abnormal sexual propensity with bisexual tendency and sexual perversion. The real facts and appearance of people are revealed by transforming and distorting bodies for the fear of humans inside suppressed in the fin-de-siecle mood. The sense of alienation and helplessness of people anxious about the future is developed to cynicism expressing the uncertain emotion in their dress, and the formative methods of dismantlement. destruction and abrasion appear to form sickly images in the gloomy and cold mood. The intention of affirmative decadence is realized by mixing heterogeneous styles and producing new things. Extreme decorative technique and gorgeousness are even mysterious and show the highest refinement.

The Comparison of Hospice Care by Nurse, Volunteer and Minister (말기 암환자 호스피스 케어의 사례 - 간호사, 자원봉사자, 목회자의 케어 사례 비교 -)

  • Kim, Boon-Han
    • Journal of Hospice and Palliative Care
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    • v.2 no.1
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    • pp.46-53
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    • 1999
  • The purpose of this case study is to explore the difference of hospice care and the efficiency of hospice education, by comparing the care of the nurse, the volunteer and the minister who have been trained by the Hospice Education Program. The index of common hospice care delivered by cases is that 1) the physical problems (pain, physical discomfort, incontinece, nausea, vomiting etc.) 2) the family problems(family support, change of family function, inefficiency, preparing the death of family) 3) the psychiatric problems(grief and sadness of death, anxiety, fear, helplessness). The case of volunteer and minister is different with the hospice care by nurse, because it is some what related to Christian's base. The index of care by the volunteer and minister is pertaining to social support and spiritual support for family and dying patient. In conclusion, for the wholistic hospice care, we need the hospice caregiver who have diverse background and expert in knowledge of various dimension. For that, it is necessary to build and develop hospice education program as a team apprach, which indudes a systematic expertizing items for care in consideration of caregiver's background.

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The Study of the Nursing Students' Lived Experience of Clinical Practice at the Intensive Care Unit (간호학생의 중환자실 임상실습 체험 연구)

  • Park, Kyung-Sook;Hwang, Yun-Young;Choi, Eun-Hee
    • Korean Journal of Adult Nursing
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    • v.15 no.3
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    • pp.373-382
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    • 2003
  • Purpose: The purpose of this study is to investigate the perception of nursing students' on-site clinical experience at intensive care unit(ICU), which will help on developing fundamental tool to enhance the effect of their clinical practice. Method: Van Manens hermeneutic-phenomenological method has been used to analyze the data. Participants consisted of 74 third-year nursing students who performed the clinical practice at an ICU in C university hospital. The students got the group interviews and kept the clinical diaries. Data was collected from series of group interviews and contents of the students clinical diaries. Result: Major concerns related to students clinical practice were found as follows : "being nervous about unfamiliar machines and situations", "being frustrated about the patients", "feeling of helplessness", "being stupefied from witnessing a death", "realizing the importance of health", "realizing individual patient's precious value through family's love", "realizing the importance of treating a patient as humanbein g", "realizing the differences between theory and practice", "modelizing two aspects of nursing: professional and personal", "readiness to become a capable nurse". Conclusion: We are able to obtain in-depth understandings about the nursing students lived experience of clinical practice at the ICU. Based upon this, there is a need to develop a better nursing intervention enhance the effectiveness of the nursing students clinical practice.

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