말기 암 환자 보호자의 호스피스와 마약성 진통제에 대한 인식도 분석

곽경숙,천성호,하정옥,이경희,Kwak, Kyung-Sook,Chun, Sung-Ho,Ha, Jung-Ok,Lee, Kyung-Hee 한국호스피스완화의료학회 2006 한국호스피스.완화의료학회지 Vol.9 No.2

목적: 말기 암환자에서 마약성 진통제를 사용한 통증 조절과 호스피스를 통한 보존적 치료는 매우 유용한 치료 방법이다. 그러나 많은 환자들과 환자의 보호자들은 중독과 내성에 대한 두려움 때문에 마약성 진통제의 사용을 충분히 하지 못하고 있다. 그리고 또한 다수의 환자와 보호자들은 호스피스가 환자의 상태가 돌이킬 수 없는 지속적으로 악화되는 것과 같이 생각하기 때문에 호스피스를 받아들이는 것을 꺼려한다. 이 연구의 목적은 한국 문화에서 가족구성원이 건강관리에 결정적인 역할을 하기 때문에 말기 암 환자의 보호자들의 호스피스와 마약성 진통제의 사용에 대한 인식도를 분석하고 평가하였다. 방법: 이 연구에서는 총 54명의 말기 암환자의 보호자들이 참가했다. 설문지는 총 마약성 진통제와 호스피스에 관한 15문항으로 구성되었다. 결과: 연구는 다음과 같은 결과를 나타내었다. 1) 환자보호자의 반 이상(56.7%)이 호스피스에 대한 인식이 없었다. 2) 환자 보호자의 81.8%가 호스피스 치료가 말기 암환자에게 유익하다는 데 동의했다. 3) 보호자의 85.1%는 경제적 부담을 갖고 있었다. 4) 환자의 83.2%가 24시간 동안 통증의 호소했다. 5) 보호자의 85.8% 마약성 진통제가 통증을 조절할 수 있음을 믿고 있었으나 또한 79.1%와 79.6%보호자들은 마약성 진통제의 사용이 중독과 내성을 발생시킨다고 믿었다. 결론: 여전히 통증 조절을 위한 마약성 진통제 사용에 있어 보호자의 벽이 존재했다. 또한 말기 암 환자 보호자에게 호스피스에 대한 정보가 부족했다. 그러므로 약사와 의사 의한 마약성 진통제에 대한 교육이 통한 말기암환자에 있어 적절한 통증 조절을 위해 필요하다. 그리고 호스피스에 대한 좀 더 정확한 정보를 말기 암 환자에게 제공하여야 한다.가족간병인의 삶의 질에 많은 영향을 주는 교정 가능한 인자로 나타났다. 말기 암 환자 간병인의 간병 시간 및 경제적 부담을 감축하기 위한 사회적 지원이 필요하다. 봉사자와의 관계는 매우 좋다가 81.2%로 대부분을 차지하였고, 병원직원과의 관계는 매우 좋다가 69.7%였고, 다음은 대체로 좋다가 21.2%의 순이었다. 봉사활동에 대해 가족이나 친구의 지지는 어떠한가는 매우 좋다가 83.2%로 대부분을 차지하였다. 2. 대상자의 자원봉사활동 만족도는 평점 $3.09{\pm}0.49$(도구범위 $1{\sim}4$점)로 중간정도이었다. 영역별로 살펴보았을 때 만족도가 가장 높았던 영역은 사회적 접촉영역($3.48{\pm}0.61$)이었고, 다음은 성취영역($3.43{\pm}0.53$), 사회적 인정영역($3.35{\pm}0.70$)의 순이었다. 만족도가 가장 낮았던 영역은 사회적 교환영역($1.65{\pm}0.63$)이었다. 3. 대상자의 인구사회학적 특성에 따른 봉사활동 만족도를 분석한 결과 성별(t=2.038, P=0.044), 결혼상태(F=3.806, P=0.013)에 따라 유의한 차이를 보였다. 4. 대상자의 자원봉사활동 실태에 따른 봉사활동 만족도를 분석한 결과병원봉사활동기간(F=3.326, P=0.008), 봉사활동을 하는 주된 이유(F=2.707, P=0.035), 봉사활동을 위한 교육을 받은 여부(t=-1.982, P=0.050), 봉사활동의 평가 빈도(F=7.877, P=0.000), 봉사활동이 자신의 기술이나 능력에 적합도(F=2.712, P=0.049), 관리자와의 관계(t=-2.517, P=0.013), 다른 병원직원과의 Purpose: In terminal cancer patients, pain control with narcotic analgesics and supportive care by hospice are very useful treatment modality. However, many patients and their caregivers are poorly compliant in using narcotic analgesics for fear of addiction and tolerance. And also many patients and family caregivers are reluctant to accept hospice, presuming that hospice means patient's condition is no longer reversible and progressively deteriorating. The purpose of this study was to evaluate and analyze the perception of using narcotic analgesics and hospice by family caregivers of terminal cancer patients who play a critical role in health care in Korean culture. Methods: A total of 54 terminal ranter patient's family caregivers participated in this study. Questionnaire consisted of 15 questions about narcotic analgesics and hospice. Results: The study revealed following results. 1) family caregivers who are not aware of hospice are more than half (56.7%). 2) 81.8% of family caregivers agreed that hospice care is beneficial to terminal cancer patients. 3) 85.1% of family caregivers were under financial burden. 4) 83.2% of patient complained pain in 24 hours. 3) while 88.5% of family caregivers believed that narcotic analgesics can control pair, 79.1% and 79.6% of them also believed that use of narcotic analgesics would result in addiction and tolerance, respectively. Conclusion: There still exist barriers to family caregivers in using narcotic analgesics for pain control. And also, terminal cancer patient's family caregivers have poor information about hospice. Therefore, educational intervention about narcotic analgesics by pharmacist and doctors are needed for proper pain control for terminal ranter patients. In addition, more precise information about hospice care should be provided for terminal cancer patients and their family caregivers.

랜드스케이프 요소의 실내공간디자인 적용에 관한 연구

곽경숙(Kwak, Koung-Suk) 한국실내디자인학회 2007 한국실내디자인학회 학술대회논문집 Vol.9 No.3

개화기 소설에 나타난 자연 인식

곽경숙(Kwak Kyungsook) 한국언어문학회 2005 한국언어문학 Vol.55 No.-

The environmental issues have become part of global talk that now dominates. We are in the midst of a global crisis that heralds a paradigm shift to a socially harmonious and ecological era. Though the ecological theory which appears to overcome an environment crisis comes from western countries, the theoretical background is rooted in oriental spirit. The attitude that restricts the category of ecological literature only after industrialization should be avoided. This study reviews 20th century's Korean literatures from ecological point of view. This study aims at enlarging the research boundary of ecological literature study. This study wants to find out the possibility reviewing Korean literature history by using continual viewpoint. For this purpose the writer reviews the novels of civilization era from ecological viewpoint. Especially through the change of natural consciousness which appears in the novels, the writer researches the transformation of traditional thought which conflicts with western thought. As a result, the natural consciousness in the civilization era's novels can be divided into three types. Fist type is the modern oriented natural consciousness. With the appearance of scientific reason the natural consciousness which harmonious with traditional thought is challenged. With the admiration about the train which is emblem of scientific civilization, our traditional nature consciousness changes slowly. Second type is pre modern natural consciousness which remains in the folklore. Inflowing of modern civilization, Korean people shows the modern oriented attitude but didn't get out of pre modern worldview. Much folklore used in the novels of civilization era shows this. Folklore is the pre modern thought that has no self evident basis. Nevertheless, the new style novels which enlighten the people used folklore. This shows that the people were influenced by traditional worldview. Third type is harmonious symbiotic consciousness between nature and human. Novel 'Geumsu Hoieurok' is well expressed literary work of ecological imagination. In this novel, ecological principles like self realization and ecocentric equality give us meaningful implication until now as well as pre modern era. These give us two lessons. First, the most important thing in the human life is that recovering the understanding that all life is meaningful like human being. Second, being faithful to the original nature following the nature's principles is the best life style. Until now, modern novels and traditional are studied separately. This study tried to review traditional novels as well as a modern by using continual viewpoint. This study is one of the first researches hitherto unexplored to Korean literature society. This study helps the researchers to overcome the research methodology because of discontinuation between tradition and modern. And this study contributes enlarging the research boundary of ecological literature studies hitherto limited only after civilization.

현대 식음공간 디자인에 관한 연구

곽경숙(Kwak, Koung-Suk) 한국실내디자인학회 2008 한국실내디자인학회 학술대회논문집 Vol.10 No.3

?무녀도?를 통해 본 사고와 표현 - 일반의미론적 관점에서

곽경숙(Kwak, Kyungsook) 한국언어문학회 2008 한국언어문학 Vol.64 No.-

For the purpose of viewing the various types of thinking and expressions in the writing, this paper examines Gim DongRi’s Munyeodo on the general semantics’ view point. Because general semantics researches the relationship among human thinking, linguistics and behavior, it is the suitable methodology for studying the writing process. This study inquires into writer’s world view, types of thinking, and forms of linguistic expression. It leads to reveal the different characteristics between literary writings and other writings. The analysis shows us that two valued orientation, intensional orientation, facts and judgments are frequently used in Munyeodo. These promote the novel’s influential effects to the readers. Intensional orientation which is used for shaping shamanism and two valued orientation caused the conflicts among the characters of novel, which lead the tragic situation. And facts and judgments which are properly used in Munyeodo, affect the readers by coloring the poetic mood. On the basis of thinking methods and expression patterns in Munyeodo, this study tried to draw out the writer’s real world view and thinking process. This study could have a meaning because general semantics can be a useful tool for the literary writing analysis.

근대기 유럽의 슈퍼블록형 공동주택에 관한 연구

김은지(Kim Eun-Ji),곽경숙(Kwak Koung-suk) 한국주거학회 2016 한국주거학회 학술대회논문집 Vol.2016 No.4

In the mid 18<SUP>th</SUP> century, the Industrial Revolution brought about several problems, such as a poor residential environment, the exploitation of workers, the lower quality of people’s life, pollution and diseases. This study is conducted to investigate the change of modern housing durining the 20<SUP>th</SUP> century and to suggest a new direction for a contemporary housing environment based on the results of the investigation. The characteristrics of European housing is analyzed by looking into how superblock housing reflected the circumstances of Austria’s Red Vienna. The architectural features of the Karl Marx Hof which was built during the Red Vienna, are outlined and analyzed. By analyzing, this study aims to provide useful information for resolving issues related to superblocks, which arebeing introducted to Korea.

한국 현대단독주택 전이공간의 경계적 특성에 관한 연구

김해영(Kim, Hae-Young),곽경숙(Kwak, Kyoung-Suk),김형우(Kim, Hyung-Woo) 한국실내디자인학회 2008 한국실내디자인학회 학술대회논문집 Vol.10 No.1

월터 그로피우스 단독주택의 경계구조적 특성에 관한 연구

왕설서(Wang Xuerui),전병권(Jun Byung-Kweon),곽경숙(Kwak Kyoung-Suk),김경연(Kim Kyoung-Yon) 대한건축학회 2011 대한건축학회 학술발표대회 논문집 - 계획계/구조계 Vol.31 No.2(계획계)

The Boundary structure in architecture is a form of combining and arranging the architectural elements such as columns, beams, floors, ceilings, walls, windows, and doorways. Walter Gropius presented a new possibility for the boundary of time, space, material use, and interior and exterior spaces through the corner of the Fagus Factory, one of his representative works. Therefore the purpose of this study is to conduct an in-depth investigation of the boundary characteristics of Walter Gropius’ works by investigating the boundary structure characteristics of detached houses, which are more closed to life than other works.

경계구조적 관점에서 본 Mies van der Rohe주택 분석

문지선(Moon Ji-Sun),김경연(Kim Kyoung-Yon),전병권(Jun Byung-Kweon),곽경숙(Kwak Kyoung-Suk) 대한건축학회 2011 대한건축학회 학술발표대회 논문집 - 계획계/구조계 Vol.31 No.2(계획계)

Space in architecture is formed by the structure of boundaries, and is defined by the arrangement of elements. Boundaries, which used to be perceived dichotomous way of thinking, have become ambiguous in modern architecture. Such a phenomenon has become important in modern architecture. By analyzing the works of Mies van der rohe, who is one of modern architects. this study attempted to re-interpret the meaning and role of boundary structures in defining the relationship between interior and exterior spaces.

르 꼬르뷔제의 공간 형성 체계로서의 경계 구조 특성에 관한 연구

김재철(Kim Jae-Chul),김경연(Kim Kyoung-Yon),곽경숙(Kwak Kyoung-Suk),전병권(Jun Byung-Kweon) 대한건축학회 2011 대한건축학회 학술발표대회 논문집 - 계획계/구조계 Vol.31 No.2(계획계)

This study was conducted to re-interpret the architectural characteristics of Le Corbusier, who asserted ‘les Cinq points d’une Architecture Nouvelle’ and ‘Dom-ino’ structure’, which are the systems that generate modern architectural space from the perspective of boundaries. After analyzing the system of his architecture, this study also investigated what boundary characteristics incidents have in space.