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말기 암 환자를 돌보는 간호사, 의사와 호스피스 자원봉사자의 호스피스 간호와 사전의사결정에 대한 인식
김대숙 ( Dae Suk Kim ),박형숙 ( Hyoung Sook Park ),김정아 ( Jung A Kim ),최주희 ( Ju Hee Choi ),박미주 ( Mi Ju Park ) 부산대학교 간호과학연구소 2012 글로벌 건강과 간호 Vol.2 No.2
Purpose: The purpose of this study was to examine the perception of doctors, nurses, and hospice volunteers of hospice care and advance directives of terminal cancer patients. Methods: The data were collected from August 1 to September 31, 2010 using structured questionnaires. Subjects consisted of each of 100 nurses, doctors, and hospice volunteers and total 252 respondents (91 nurses, 80 doctors, and 81 hospice volunteers) participated in this study. The data were analyzed using descriptive statistics. Results: Compared to hospice volunteers, nurses and doctors have less comprehension of the needs of hospice (F=12.47, p<.001). In comparison to nurses and doctors, hospice volunteers had better understanding of the adjusting of advance directives (p=.020). Conclusion: Nurses and doctors didn`t fully understand the notion of hospice care and advance directives. The findings of this study would provide the basis to educate nurses and doctors about hospice care and advance directives.
병원중심 가정간호사업에 대한 의사, 간호사의 인식과 태도에 대한 조사연구
김정순,고영희,김대숙,김정화,신재신,이길자,정인숙,황선경,Kim, Jung-Soon,Ko, Young-Hee,Kim, Dae-Suk,Kim, Jeung-Hwa,Shin, Jae-Shin,Lee, Jil-Ja,Jeong, Ihn-Sook,Hwang, Sun-Kyung 한국가정간호학회 2001 가정간호학회지 Vol.8 No.2
Purpose: This study is to investigate the attitudes on the Home Health Care among the physicians and nurses in P University. Method: Data were gathered from 71 physicians and 264 nurses. working at P University Hospital. from May 1 to May 15, 2001 and analyzed using descriptive statistics and Fisher exact test. Results: 1) As to the previous information about home health care program, those who have been familiar to it were 100% of physicians, and 99.6% of nurses, and 39% of the physicians and 66.1% of the nurses. were found to have responded with right answers, 2) As to the acceptance of the home health care program, 87% of physicians and 98.5% of nurses were found to be positive and there showed a significant difference(p= .019), 3) The main reasons for accepting the system were: the alleviation of the family burden of time, the maintenance of continuity of care, and the reasons for opposing the system were incomplete legal assurance. the possibility of providing illegal medical services. 4) The physician's intention rate of patient referrals to home care program reveled 49.2%. 5) According to the services related to Home Health Care. the orders of acceptance rates were medical tests related services (77.8%, 92%); therapeutic nursing interventions(69.0%, 88.2%): and services for medication(68.3%, 82.5%) among physicians and nurses. respectively. Conclusion: For the stabilization and successful implementation of home health care system. it should be accompanied with education for physicians about home care. setting specific laws and regulations for home care. legal assurance of home care business. outcome research for home care recipients. and support systems of hospital administration.
복부 경락마사지가 편마비 환자의 변비 완화와 우울에 미치는 효과
김대숙,최인주,하원춘,이화자,박남희 임상간호사회 2004 임상간호연구 Vol.10 No.1
Purpose: This study was conducted to identify an effect of the abdominal meridian concept for help hemiplegic patients to recover their constipation and to reduce depression. Method: A one group time series design was used. The subjects of the study were 16 hemiplegic patients who were participants at a hospitalized B hospital. After an intial one-week baseline measurement phase without any treatment, there followed two week treatment phases. The data were analyzed with repeated measures ANOVA, and post -hoc Tukey. Results: Through the total period the experimental group demonstrated a statistically bowel movements pre week showed a significant difference(F=4.64, p=.007). In the average scores of CAS the experimental group showed a statistically significant difference between the baseline week and first treatment week, second treatment week. In addition, through the total period the scores of CAS showed a significant difference(F=14.16, p=.000). There were no significant differences between changes in depression and the baseline week and all the other weeks. Conclusion: Despite the number of patients involved in this study being small, relief form of some symptoms associated with constipation was experienced by some patients. From these results, it can be concluded that abdominal meridian massage is an effective nursing intervention for the management of constipation of hemiplegic patients.