만성정신질환자의 희망 체험의 구조에 대한 현상학적 이해

고문희 한국간호과학회 2004 한국간호과학회 학술대회 Vol.2004 No.5

제20차 ICN 총회를 다녀와서

고문희 대한간호협회 1993 대한간호 Vol.32 No.3

노인우울증과 여가활동 및 음주습관과의 관계

고문희,이영숙 전남대학교 간호과학연구소 2008 Nursing and Health Issues(NHI) Vol.13 No.1

The purposes of this study were to identify the relationships of geriatric depression symptoms on leisure activities and drinking habits among the elderly. A descriptive correlational study was conducted. The stratified sample were 263 elderly residing in 10 townships in "J" County. Data was gathered through interviews conducted from August 20th_30th , 2007 using Geriatric Depression Scale(Gee & Lee 1986), Leisure Activity Status Tool(Huh & Yoo 2002), and Problem Drinking Scale(AUDIT-K, KIM, 1999). Data analysis was conducted using SPSS Ver. 10.0 pct determining frequency, percentages, Chi-square test, Trend test, t-test, and ANOVA. There are high frequencies of geriatric depreSSion and 52.5% of those sampled suffer from depression. Those depressed ranked lower in 4 subcategories in all leisure activities than those without depression. For drinking habits 10.6% fell into the drinking group. There were significantly high statistical differences in levels of drinking according to general traits: males, lower levels of education, having a spouse, families with a husband and wife. A statistically significant low rate was scored by those with depression on the item of frequency of drinking and drinking quantity due to the number of times loss of memory occurred concerning the previous days drinking over a one year period. When compared to those without depression there are low levels in rate of drinking and other related activities as well as leisure activities. There were low negative relationships between depression and drinking. There is a need for depression management especially for elderly females, those without a spouse, and those that live alone. There is an urgency to develop activity programs for the elderly suffering from depression according to the low results on the four subcategories of leisure activities. There is a need to carry out a sorting process to determine if someone is suffering from depression prior to them participating in elderly health maintenance programs currently available at community centers in order to give positive guidance to those suffering from depression along with regular consultations and social support afterwards.

후두 접촉성 육아종의 치료

고문희,손영익,장전엽,소윤경,정만기,Ko, Moon-Hee,Son, Young-Ik,Jang, Jeon-Yeob,So, Yoon-Kyoung,Chung, Man-Ki 대한후두음성언어의학회 2008 대한후두음성언어의학회지 Vol.19 No.2

Background: Laryngeal contact granuloma is an inflammatory hypertrophic granulation tissue arising at around the vocal process of arytenoid cartilage. Various approaches are currently used for the treatment, but a solid guideline has not been established. Objectives: We aimed to compare the each treatment modality in the hope of suggesting a guideline for the successful management of laryngeal contact granuloma. Method: Eighty-seven treatment cases of 56 patients were analyzed. Cases having recent intubation history were excluded from the study. All patients received vocal hygiene education. Proton pump inhibitors (PPI, N = 33) or H2 receptor antagonists ($H_{2}RA$, N =26) were used as a first-line treatment. Among the non-responders to $H_{2}RA$, 11 cases received PPI as a second-line therapy. Eight cases received botulinum toxin injection and 9 cases had laryngomicrosurgical removal. Results: As an initial therapy, response rate to PPI and $H_{2}RA$ was 60.6% and 38.5% respectively, which was not statistically different (p=0.091). Response rate of PPI as the second-line therapy was 36.3% (p=0.162 when compared to that of first-line PPI therapy). Response rate of Botulinum toxin injection was 75%. All cases of surgical removal recurred in a relatively short period (mean 1.9months). Conclusion: In patients having laryngeal contact granuloma, combined therapy with vocal hygiene education and PPI medication would provide more than 60% of therapeutic response. Botulinum toxin injection is highly effective even in non-responders to antireflux therapy. The only indications of surgery are to resolve diagnostic doubt or to treat acute airway compromise.

질병체험에 관한 현상학적 연구의 현황

고문희 대한질적연구학회 2018 대한질적연구학회지 Vol.3 No.-

Purpose: This study aimed to provide a comprehensive review of illness experience research study using phenomenological approaches. Methods: Data were searched from the database (CINAHL) under the key word '(Phenomeno*) and lived experience' and the publishing period 'Jan. 2006~Dec. 2016'. A total of 62 articles about first hand experience of patients was selected as final samples. Data were analysed in terms of research method and contents. Results: The chronic illness was the most frequently used disease, and 'van Mannen' method was also the most frequently used. The popular philosophical perspectives were Husserl's phenomenology and Heidegger's hermeneutic phenomenology. As the criteria to ensure truthworthiness, Lincoln & Guba's criteria was the one mostly employed. Conclusion: It was found that the researchers employed various qualitative approaches despite of continued discussion on selecting a proper approach. However, the phenomenological approach was found to be the strongest tool for exploring the lived experience of patients. In this respect, the given approach is warranted for future utilization in nursing research.

만성정신분열증환자의 희망체험에 대한 현상학적 이해

고문희 한국간호과학회 2005 Journal of Korean Academy of Nursing Vol.35 No.3

만성정신분열증환자의 희망체험에 대한 현상학적 이해

고문희 한국간호과학회 2005 Journal of Korean Academy of Nursing Vol.35 No.4

Purpose: This study was done to uncover the nature of hope experienced by clients with chronic schizophrenia. Method: A phenomenological approach developed by Van Manen was adopted. Data was collected from intensive interviews on 7 clients with chronic schizophrenia and the expatients’ biographies and arts. A phenomenological reflection was done in terms of the four life world existentials. Result: Corporeality: Perceiving the body feeling better, proudness of self, accepting their own ill body and transcending the limitation of the body, expressing self, and staying within the boundary of a healthy body were disclosed as the body‘s experience of hope. Spatiality :A place with safety, freedom, peace, and sharing was the space of hope. Temporality :The essential experience of time with hope was the continuity of moving forward amid cycling and moments being filled up with something. Relationality : Connecting with someone, having someone who is dependable, understandable and exchanging interest and love were identified as the relationships of hope with others. Conclusion: The results of this study show that chronic schizophrenic patients always strive hard to keep hope and they really need someone who can support them.

소아 후두기관협착 환자에서 single-stage 방법의 후두기관재건수술

고문희,손영익,백정환,정한신,정만기,Ko, Moon-Hee,Son, Young-Ik,Baek, Chung-Hwan,Jeong, Han-Sin,Chung, Man-Ki 대한기관식도과학회 2007 大韓氣管食道科學會誌 Vol.13 No.2

Background and Objectives: Laryngotracheal stenosis and its reconstruction in children is a highly challenging field to airway surgeons, and the way of stenting after a reconstructive surgery is still controversial. The aims of this study were to analyze the single institutional experiences of laryngotracheal reconstruction (LTR) in the pediatric patients with laryngotracheal stenosis and to compare the outcomes of single-stage LTR (SSLTR) with conventional two-stage LTR (TSLTR) in these patients. Materials and Methods: Medical records of 14 children (mean age 4.1 years) were reviewed, who received 20 LTR including 6 revisions for their moderate to severe subglottic stenosis and/or combined posterior glottic stenosis. Of these 20 LTR, tracheostoma was temporarily maintained after LTR in 12 cases (TSLTR) or not in the other 8 cases (SSLTR). Results: Overall decannulation rate of LTR that were performed before and after the year of 2003 was 40% (4/10) and 70% (7/10) respectively. Decannulation rate was 42% (5/12) in TSLTR group and 75% (6/8) in SSLTR group (P = 0.197). Mean interval to decannulation after LTR was 9.8 months and 7.2 days in TSLTR and SSLTR groups respectively (P = 0.004). A number of additional touch-up procedures that were required after LTR was 4 in TSLTR and 2.7 in SSLTR group (P = 0.238). Major complication rate was similar in both groups (33% in TSLTR and 38% in SSLTR, P = 0.910). Conclusion: A laryngotracheal reconstruction in children is a technically demanding procedure and its outcome is largely dependent on the surgeon's experience. Albeit there was a tendency that SSLTR ofters a higher decannulation rate, less additional touch-up procedures and similar complication rates, a shorter interval to decannulation after LTR was the only advantage that was confirmed as statistically significant in this study.

자살 시도자의 고통에 대한 현상학적 연구

고문희 ( Moon Hee Ko ),이미옥 ( Mi Ok Lee ),이명선 ( Myung Sun Yi ) 한국간호과학회 정신간호학회(구 대한간호학회정신간호학회) 2013 정신간호학회지 Vol.22 No.4

Purpose: The purpose of the study was to understand essential meanings of suffering experienced by suicide attempters. Methods: Data were collected in 2009 through individual narrative interviews from 7 suicide attempters. Texts from literary works and movies containing suicide were also included as data. Data were analyzed using the hermeneutic phenomenology of van Manen. Results: Thirteen themes were identified in four dimensions. In the dimension of ‘lived body’, ‘unbearably sweet temptation to death’, ‘body surrendered by emotional damage’, ‘chaos in life and death’, ‘squashed body by the heavy weight of life’, and ‘loss of meaning in life’ were identified. ‘The black hole, one is not able to get out’ represents the experience in the dimension of ‘lived space’, ‘The moment on the edge of a profound abyss’ and ‘the worst present and hopeless future’ represent ‘lived time’. In the dimension of ‘lived human relation’, ‘I who am alone in the world’, ‘fear of being abandoned’, ‘unbreakable relationship trap’, ‘I who am not recognized’ and ‘guilty feeling’ were included. Conclusion: Results of the study should be helpful in developing personalized suicide prevention programs by showing the various types of suffering deeply ingrained into the personal history of suicide attempters.

명말청초의 계몽사조와 《 홍루몽 》

고문희(Min Hee Ko) 중국어문연구회 1994 中國語文論叢 Vol.7 No.-