호스피스 완화의료 전문인력의 죽음에 대한 태도가 임종돌봄 스트레스에 미치는 영향

양경희,권성일,Yang, Kyung Hee,Kwon, Seong Il 한국호스피스완화의료학회 2015 한국호스피스.완화의료학회지 Vol.18 No.4

목적: 본 연구는 호스피스 완화의료 전문인력의 죽음에 대한 태도의 임종 돌봄 스트레스에 대한 효과를 탐구하고, 이 두 변수와 관련된 우울, 대처전략들의 변수와의 상관관계를 분석하기 위해 시도되었다. 방법: 연구 대상자는 호스피스 완화의료 전문인력 131명이며, J도를 중심으로 2개의 상급종합병원과 2개의 종합병원 암병동, 2개의 호스피스 시설, 2개의 전문요양병원 및 2개의 노인병원에서 실시되었다. 자료는 2015년 3월부터 6월에 수집되었으며, 자료 분석에는 SPSS/WIN 21.0과 AMOS 18.0 programs을 사용하였고, t-test, factor analysis, ANOVA ($Scheff{\acute{e}}$), Pearson's correlation 및 path analysis를 실시하였다. 결과: 죽음에 대한 태도는 낮았으며(2.63점), 우울 점수는 0.45점이였으나 15.0%의 대상자는 우울관리가 요구되었다. 임종 돌봄 스트레스가 높고(3.82점), 그 중 의료 한계에 대한 갈등이 가장 높았다(4.04점). 스트레스 대처는 낮았으며(3.13점), 대인관계 기피(4.03점), 간식이나 잠을 취하는 기본욕구 충족(3.65점)과 같은 소극적인 방법을 사용하였다. 죽음에 대한 태도는 임종 돌봄 스트레스에 직접적으로 부적 영향을 주었으며, 우울과 기본 욕구 충족(CS2)을 통한 간접적인 영향을 주었다. 결론: 호스피스 완화의료 전문인력들에게 죽음에 대한 태도를 향상시키고 효과적인 대처전략을 활용하게 하는 인지적 지지와 정서적 지지를 제공하는 프로그램 제공이 요구된다. Purpose: This study was conducted to explore the effects of attitude to death in hospice and palliative professionals on their terminal care stress, and to analyze relationships among variables related to the two aforementioned parameters, such as depression and coping strategies. Methods: Participants were 131 hospice and palliative professionals from the cancer units of two tertiary hospitals and two general hospitals, two hospice facilities, two geriatric hospitals, and two convalescent hospitals in J province. Data were collected from April through June 2015 and analyzed using t-test, factor analysis, ANOVA ($Scheff{\acute{e}}$ test), ANCOVA, and Pearson's correlation and a path analysis using the SPSS/WIN 21.0 and AMOS 18.0 programs. Results: The score for attitude to death was low (2.63), and that for depression was 0.45. Among all, 16.0% of the participants showed need for depression management. They scored 3.82 on terminal care stress. The subcategory with the highest mark was inner conflicts on limitation given availability of medical services (4.04). The score on coping strategy was low (3.13). They used passive coping strategies such as interpersonal avoidance (4.03), fulfilling basic needs (3.65) such as sleeping or eating. Attitudes to death had a direct negative effect on the terminal care stress level and indirectly affected through depression and fulfilling basic needs (CS2). Conclusion: It is necessary to provide hospice and palliative professionals with education on death and dying, as well as access to programs that provide emotional support and promote positive cognition of death and dying.

전북지역 양호교사의 업무수행과 자신감과 그에 영향하는 요인에 관한 연구

양경희 한국지역사회간호학회 1992 지역사회간호학회지 Vol.2 No.1

중년여성의 정서와 건강에 대한 유형

양경희,박금숙 한국주관성연구학회 2008 주관성연구 Vol.- No.17

The purpose of this study is to explore the relevance between emotions and the physical health of middle aged women from Oriental Medicine perspective. 30 Q-samples selected among the 183 statements derived from in-depth interviews with 20 middle aged women, and are based on 5 basic emotions: anger, joy, greed, sadness and fear were defined by Oriental Medical theory. The result of this study were as follows, Health type, Joy and Agony type, Anger type, Rational Thinking type, and Appeasement of anger and sadness type. The Health type feels pleasure of trifling things. The subjects in Health type are healthy and can be classified as Spleen type because they eat and digest well. Most of the Joy and Agony type have heart disease, others have gastric disease or liver diseases. The people who are joyous do not have sadness or anger, so can be classified as the Heart type. Fire nourishes Earth, if the heart has problems, it can not nourish Earth(火不生土), and then it is considered to lead to gastric and esophageal problems. The Anger type has hepatic problems, so named Liver type. The liver suppresses the G-I tract(木克土) and also gastritis occurs. Most people of Rational Thinking type have nose or lung problems, others are hepatitis or gastritis. This type is named the Lung type, as explained that lung suppresses the liver(金克木). There are three subjects, healthy and with complication of diabetes, liver disease in the appeasement of anger and sadness type, so these subjects were unclassified. The result of this study suggested making pleasure, perceiving own one’s feelings early, and managing them. It needed to explore whether the negative emotions perceived were useful to be expressed or not in Emotional Psychology and Social Psychology and healthy, safe ways in expressing such negative emotions. The study also should explore the differences between the feeling of surprise and the feeling of fear of something in Health Psychology and Oriental Medicine.

보건진료원의 직무만족도에 관한 연구

양경희 한국지역사회간호학회 1992 지역사회간호학회지 Vol.2 No.1

뇌성마비 아동을 위한 가족지원 연구

양경희 단국대학교 특수교육연구소 2002 특수교육논총 Vol.10 No.-

주산기 유병율(Perinatal Morbidity) 예측에 있어 제대동맥혈 pH의 역할

양경희,전승환,조경훈,왕영미,박종규,강영호 대한산부인과학회 1990 대한산부인과학회 학술대회 Vol.66 No.-

울산 광산에 분포하는 탄산염암체의 성인에 관한 연구

양경희,황진연 한국광물학회 2001 한국광물학회.한국암석학회 공동학술발표회 논문집 Vol.2001 No.-

설득적 글쓰기를 위한 독자의 저항 활용 전략

양경희 한국초등국어교육학회 2020 한국초등국어교육 Vol.68 No.-

이 연구는 설득의 과정에서 발생하는 독자의 심리적 저항에 주목하여 저항의 개념을밝히고 설득의 과정에서 작용하는 독자의 저항 작용 기제와 저항 양상을 살펴 이를 쓰기에 활용할 수 있는 전략으로 마련하는 데 목적이 있다. 설득의 결과는 설득 정도와 저항 정도의 합으로 나타낼 수 있으며, 저항은 설득의성패를 결정하는 또 하나의 중요한 변인이다. 저항이란 설득을 방해하는 독자의 심리적반응으로, 방향성과 세기, 인지적⋅정의적⋅행위적 요소로 구성된다. 독자는 외부로부터 태도 변화의 요구를 느끼면 저항하고자 하는 동기가 발생한다. 그리고 필자의 메시지에 적극적으로 대응할 것인지, 기존의 태도를 공고히 할 것인지 저항의 방향성을 결정하고 그에 따라 저항 전략을 선택한다. 이러한 독자의 저항 작용 기제와 저항 감소 전략인 오메가 전략을 고려하여, 쓰기에 적용할 수 있는 저항 활용 전략을 탐색하였다. 이 연구는 설득적 글쓰기에서 고려해야 할 독자 관련 요소로 ‘저항’을 새롭게 조명하고 설득의 가능성을 높이는 글쓰기를 위해 이를 전략적으로 활용할 수 있는 기반을 마련하였다는 점에서 의미가 있다. The purpose of this study is to clarify the concept of resistance, and to examine the mechanism of resistance that acts in the process of persuasion and the audience’s resistance pattern to prepare it as a strategy that can be used for writing. Resistance is the audience’s psychological response that interferes with persuasion, and consists of directionality, strength, and cognitive, affective, and behavioral factors. When the audience feels the demand for attitude change from the outside, the motivation to resist arises. In addition, it decides the direction of resistance whether it will actively respond to my message or consolidate the existing attitude, and select a resistance strategy accordingly. Considering the audience’s resistance mechanism and resistance reduction strategy, the omega strategy was explored to apply resistance to writing.

전북지역 산업장의 제특성에 따른 보건관리 수준에 관한 연구

양경희,김영희,Yang, Kyoung-Hee,Kim, Young-Hee 한국지역사회간호학회 1993 지역사회간호학회지 Vol.4 No.1

The study was conducted with 27 health mangers working in manufacturing industries. The purpose of this study was to analyze the health manager's employment status, health examination, and it's follow. up health management level(about the industrial type). The results are as follows: 1. Characteristics of Manufacturing Industries: The ratio of nurse to employees is 1 : 552.6 and the percentage of physician employed was 51.9% All of the physicians were part time except one. 2. Health Examination and Follow Up ; 1) Periodic screening examinations were provided to 92.39% of the employees. Of these 11.56% required a detailed examination. Follow up on routine cases were done for 51.69%. Follow up on intensive cases were done 13.97%. 2) 62% of all employees working in hazardous conditions(noise, artificial light 74.1%) are required to receive a special health examination bi annually. Of these 96.66% were examined. 11.24% of these employees required a detailed follow up examination. 3. Relevancy between health management level, industrial type, and health manager's status 1) Health clinic operated separately except one case. Nursing activity level :. health diagnosis(0.27) Occupational condition (0.97) Health education(0.81) Health assessment(0.74) Health education level is higher at the industries working in environmental technician(P=0.017). The other's significance is not shown by any type of the staff.

보건진료원의 직무만족도에 관한 연구

양경희,Yang, Gyeong-Hui 한국지역사회간호학회 1990 지역사회간호학회지 Vol.2 No.1