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노인의 죽음불안과 임종기치료선호도와의 관계 파악을 통한 임종기 간호중재에 관한 연구
이정인 국제차세대융합기술학회 2021 차세대융합기술학회논문지 Vol.5 No.5
본 연구는 대도시에 거주하는 노인 146명을 대상으로 노인의 죽음불안과 임종기치료선호도와의 관계를 파악함으 로써 노인의 임종기 간호중재 가이드라인 개발에 기초자료를 제공하기 위한 서술적조사연구이다. 연구결과 대상자의 죽음불안 정도는 중등도로 나타났으며, 임종기치료선호도는 통증관리를 가장 중요하게 여기는 것으로 조사되었다. 대상 자의 죽음불안과 임종기치료선호도 간의 상관관계는 지율적의사결정요인이 높은 경우 죽음불안이 높은 것으로 나타났다. 향후 노인의 죽음불안을 감소시키고 좋은 죽음 서비스 제공을 위한 제도 정립 및 차별화된 좋은 죽음 프로그램 개발이 필요하다. This study is a descriptive survey study to provide basic data on the development of guidelines for nursing interventions for the elderly by identifying the relationship between death anxiety and PCEOL. The subjects of this study were 146 elderly people living in large cities. As a result of the study, the subject's death anxiety was found to be moderate. The PCEOL was found to be the most important for pain management. The correlation between death anxiety and PCEOL was found to be high when the autonomous dscision making factor was high. It is necessary to establish a system to reduce death anxiety in the elderly and provide good death services and to develop a differentiated good death program.
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Factors influencing Preferences for Care near the End-of-life among Undergraduate Nursing Students
Jooyoung Cheon 한국융합학회 2020 한국융합학회논문지 Vol.11 No.12
본 연구는 간호대학생들의 임종치료선호도에 영향을 미치는 요인을 확인하기 위해 수행되었다. 이 조사 연구는 2017년 12월부터 2018년 2월까지 수행되었으며, 최종 217명의 간호대학생의 자료가 수집되었다. '자율적 의사결정' 선호도에 영향을 미치는 요인은 교육수준(학년), 생명의료윤리 교육 수강, 죽음에 대한 태도, 연명치료에 대한 태도였 다. '의료인의 의사결정'에 대한 선호도는 종교를 가지는 것과 관련이 있었다. '영성'에 대한 선호도에 영향을 미치는 요인은 교육수준(학년), 종교를 가짐, 전공만족도였다. '통증 조절'에 대한 선호도는 교육수준(학년), 사망한 환자 관찰 경험, 나쁜 주관적 건강상태, 죽음에 대한 태도, 연명치료에 대한 태도와 관련이 있었다. 본 연구 결과는 간호학 전공 커리큘럼에서 연명치료, 생애말기간호 및 생애말기 의사결정에 관한 교육이 필수적임을 시사한다. This study aimed to identify factors influencing the preferences for end-of-life (EOL) care among undergraduate nursing students. In this cross-sectional study, data were collected from December 2017 to February 2018. This study included 217 undergraduate nursing students. Factors influencing the preference for ‘autonomous physiological decision-making’ were the following: education level(by grade), having biomedical education, attitude towards death, and attitude towards life-sustaining treatments (LSTs). Preference for ‘decision-making by healthcare professionals’ was related to having a religion. Factors influencing the preference for ‘spirituality’ were education level, having a religion, and academic major satisfaction. Preference for ‘pain control’ was associated with education level, experience with dying patients, bad self-rated health, attitude towards death, and attitude towards LSTs. The study findings suggest that education regarding LSTs, EOL care, and EOL decision-making in nursing curricula is essential.
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지역사회 거주 노인의 임종기 치료, 연명치료, 사전의료의향서에 대한 지식
홍선우(Hong, Sun Woo),김신미(Kim, Shin Mi) 한국간호교육학회 2013 한국간호교육학회지 Vol.19 No.3
Purpose: This study was performed to identify the level of Korean elderlys knowledge regarding concepts of end-of-life (EOL), Life-sustaining-treatment (LST), and advance directives (AD) which are critical aspects for establishing AD in Korean society. Methods: A questionnaire survey was done between October 2011 and February 2012. Knowledge of AD was evaluated with 3 aspects including EOL, LST, and AD utilizing a questionnaire that was developed by authors for the study. Data were collected from 268 community dwelling elderly from three cities and analyzed using descriptive statistics, t-tests, one-way analysis of variance, and a Scheffe post hoc test with SAS Ver. 9.1 program. Results: Overall, Korean elderly were poorly acquainted with AD related concepts. Significant differences in awareness of AD including understanding of EOL, the level of comprehension of LST, and knowledge about AD were revealed by gender, education level, economic state, and acquaintance with terms of AD or LST. Conclusion: To acknowledge autonomy and support quality of life for elderly and to meet the purpose of AD, attention should be given to target populations including elderly in terms of knowledge level related to AD, social marketing, and infra structure relevant to practice AD in our society.
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김동순(Kim, Dong Soon),소애영(So, AeYoung),이경숙(Lee, Kyung-Sook),최정숙(Choi, Jung Sook) 대한근관절건강학회 2013 근관절건강학회지 Vol.20 No.3
Purpose: The purpose of this study was to identify the differences in preference for terminal care between hospitalized patients and nurses. Methods: A cross-sectional descriptive design was used in 79 patients and 107 nurses. The data were collected from August to October 2011, using the Preference for Care near the End of life Scale - Korean Version (PCEOL-K) with 5-point scale of 26 items. The reliability of the tool was Cronbachs α=.74. Results: The mean score (SD) of PCEOL-K’s sub-dimensions in nurses’ priority was: (a) pain 3.70±0.63, (b) spirituality 3.63±0.61, (c) family 3.40±0.70, (d) autonomous decision making 2.30±0.66, and (e) decision making by healthcare professionals 2.14±0.64. In patients’ priority, the M±SD score of each sub-dimension was: (a) pain 3.86±0.65, (b) family 3.83±0.57, (c) decision making by healthcare professionals 3.37±0.85, (d) spirituality 3.01±0.80, and (e) autonomous decision making 2.43±0.63. Results indicated significant differences between nurses and patients regarding decision making by healthcare professionals (t=-11.28, p<.001), family (t=-4.66, p<.001), and spirituality (t=5.71, p<.001). Conclusion: The PCEOL-K of patients was higher than nurses’. A terminal care program for hospitalized patients at the end of life should be planned according to the results of PCEOL-K in nurses and patients.
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