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오윤경,기정숙,박상학 朝鮮大學校 附設 醫學硏究所 1998 The Medical Journal of Chosun University Vol.23 No.1
We evaluated the attitudes towards cancer patients in third year medical students who did not receive a lecture before starting the poly-clinic education about radiation oncology in our medical school. We obtained a total of 142 answers from the students that completed the questionnaire of the following. 1) Should the patient be notified of the terminal cancer? The patient should be notified of terminal cancer in 95.1%, 91.6%, and 85.9% from the point of view of a patient, a doctor, and patients' families, respectively. 2) Who should notify the patient that the disease is terminal cancer? Doctor(53.3%), professor(22.2%). fami1y(17.1%). fnend(2.2%), and others(2.2%), respectively. 3) Do you have any experience of anticancer treatment with an intimate person? Yes(42.3%), No(56.3%). 4) Did the patient know about the cancer? Yes(81.6%), guess (15.0%). no(1.7%). 5) Do you wish to prolong the survival time from 1 year to 3 years with long courses of chemotherapy and radiation therapy? No(56.3%), yes(40.2%). 6) The attitude about marriage in the situation of engaged status and recently diagnosed cancer. As an engaged person: marry(30.3%), delay(43%). don't marry(23.9%). As family of a cancer patient who is engaged: marry(9.1%), delay(43.7%), don't marry(38,7%). As a cancer patient: marry(2.8%). delay (27.5%), don't marry(67.6%). The results of this study necessitate the education about the following: emotional state of cancer patients, decision about informing the patient of the true diagnosis, the method and timing of informing, sharing bad news with patients, and control of anxiety as a doctor. The students expressed pessimism about anticancer treatment. Therefore, the exact results and positive aspects of anti-cancer treatment should be emphasized more during the lecture and poly-clinic education about radiation oncology in our medical school.
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대학병원 간호사의 좋은 죽음에 대한 인식과 사전연명의료의향서 지식이 연명의료 중단에 대한 태도에 미치는 영향
조은아(Eun-A Cho),기정숙(Jeong-Sook Ki) 한국콘텐츠학회 2021 한국콘텐츠학회논문지 Vol.21 No.4
본 연구의 목적은 대학병원 간호사의 좋은 죽음에 대한 인식과 사전연명의료의향서 지식이 연명의료 중단에 미치는 영향을 파악하기 위해 시도되었다. 연구대상자는 J도와 G시에 소재하고 있는 3개 대학병원에 근무하는 간호사 207명이었다. 연구결과 연명의료 중단에 대한 태도에 가장 강력한 예측인자는 좋은 죽음에 대한 인식(β=-.32, p<.001)이었고, 좋은 죽음에 대한 교육 경험(β=.15, p=.024), 사전연명의료의향서 지식(β=.14, p=.036)이 영향요인으로 파악되었으며, 모형의 설명력은 14.2%였다. 본 연구결과를 토대로 대학병원 간호사가 연명의료 중단에 대한 긍정적 태도를 가지고 정확한 정보 제공과 상담자로서 제 역할을 할 수 있도록 좋은 죽음에 대한 인식, 사전연명의료의향서 지식을 향상시키기 위한 좋은 죽음과 연명의료에 대한 교육 프로그램의 개발을 제언한다. The purpose of this study was to determine the effects of perception of good death and knowledge toward advance directive on attitude toward withdrawal of life-sustaining treatment among university hospital nurses. The subjects of this study were 207 university hospital nurses. Data were analyzed using the SPSS Statistics 24.0 version. The results showed that factors influencing attitude toward withdrawal of life-sustaining treatment were perception of good death (β=-.32, p<.001), education experience for good death (β=.15, p=.024), and knowledge toward advance directive (β=.14, p=.036). They explained 14.2% of attitude toward withdrawal of life-sustaining treatment. Based on the results of this study, it suggests the development of education programs for good death and life-sustaining treatment to improve the perception of good death, knowledge toward advance directive of university hospital nurses.
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