청장년 남자 갑상선 결절의 임상적 고찰

김신수(Sin Su Kim),유희철(Hee Chul Yu),이승렬(Seung Ryeol Rhee) 대한외과학회 1996 Annals of Surgical Treatment and Research Vol.51 No.1

기도와 찬송이 통증과 불안, 외로움, 안녕감에 미치는 영향

김수호,김신수,김재송,박희명,오승훈,원주희,이성옥,이채영,Kim Su-Ho,Kim Sin-Su,Kim Jae-Song,Park Hui-Myeong,O Seung-Hun,Won Ju-Hui,Lee Seong-Ok,Lee Chae-Yeong 한국호스피스협회 2005 호스피스 학술지 Vol.5 No.1

Purpose: The purpose of this study is to help apply spiritual care in clinics by testing whether spiritual support like prayer and praise, which is appled on a patient who has been cared for by Facility Hospice can have an effect on their physical pain, emotional anxietv, loneliness and well being. Method: This research was done on a subject patient who had been hospitalized in Saemmul from Jan, 2002 to June, 2003, and who could easily communicate. Questionnaire of quality of life, they had this test from the date of admission into the hospital 1week, 3week, 5week later. The Target was 182 people for the hospital data, 124 people after one week, 84 people after 3 weeks and 54 people after for 5 weeks later. For statistics, SPSS for Window(SPSS inc. ver.10), student T-test and one way ANOVA were used. The interrelation between pray and pain was analyzed by the "Pearson correlation". In case where the P-value was below 0.05, we concluded it had statistical-value. Results: When we compared both the party which had a low degree of peace by prayer and praise and the B party which had the highest degree, B party had an increasing tendency for less anxiety and loneliness and more well-being. Each of the data 0, 1, 3 and 5 week showed visible difference between both parties. Conclusion: First, in case that a late cancer patient is hospitalized, the difference for tranquility and pain control by prayer and praise is not noticeable. While, 1 and 3 weeks later, the difference is visible, so we concluded the relationship between the cancer patient's spiritual tranquility and physical pain are closely related with each other. Also the patients who are in spiritual peace by prayer and praise can control the pain better than the other patients. Second, because the patient who can feel calm from the data of being admitted into the hospital is mentally calm, both party's difference is noticeable in each period of the 1, 3 and 5th week. Compared with other patients, the object patients who have spiritual tranquility will have less anxiety and loneliness and more tranquility.

이모티콘 이해 및 표현에 관한 연구: 지적장애 성인을 대상으로

김화수 ( Kim Wha-soo ),이지우 ( Lee Ji-woo ),김소정 ( Kim So-jung ),김한얼 ( Kim Han-eul ),신수연 ( Sin Su-eun ),이아영 ( Lee A-young ) 한국지적장애교육학회(구 한국정신지체아교육학회) 2019 지적장애연구 Vol.21 No.2

본 연구는 지적장애 성인의 이모티콘의 이해 능력 및 표현 능력을 통해 지적장애인의 의사소통 능력 지원과 사회관계 향상을 도모하는 것을 목적으로 한다. 연구 대상자는 지적장애 성인 15명, 지적장애 성인과 언어연령을 일치시킨 일반아동 15명(초등 4-6학년), 지적장애 성인과 생활연령을 일치시킨 일반성인 15명을 대상으로 하였다. 연구방법은 대상자들에게 이모티콘 사용과 관련되는 설문조사를 실시한 후, 이모티콘 이해 검사와 이모티콘 표현 검사를 개별적으로 실시하였다. 이모티콘 이해 검사 및 표현 검사는 감정의 4가지 유형 (희·로·애·락)에 대해서 각각 5문항씩 전체 20문항으로 구성하였다. 이모티콘의 형태는 한글을 사용한 이모티콘과 얼굴표정 이모티콘 그리고 캐릭터 이모티콘을 같은 비율로 검사 문항을 구성하였다. 연구 결과 첫째, 설문조사 결과 이모티콘은 감정표현을 하기 위한 의사표현을 하기 위해 사용한다는 비율이 가장 높았다. 또한 친구와 이모티콘을 가장 많이 사용하며, 기쁘고 즐거울 때 이모티콘을 가장 많이 사용하는 것으로 나타났다. 둘째, 이모티콘 이해 검사 결과, 지적장애 성인 집단과 언어연령을 일치시킨 일반아동 집단, 그리고 지적장애 성인집단과 생활연령을 일치시킨 일반성인 집단 간에 유의한 차이를 나타냈다. 연령별로 집단 간의 차이를 비교한 결과, 지적장애 집단은 연령이 증가함에 따라 이모티콘 이해 능력이 증가하는 반면, 일반아동과 일반성인 집단은 연령별로 차이를 보이지 않았다. 문항별 정반응률 검사 결과, 지적장애 성인 집단은 슬픔의 감정에서 오반응이 높게 나타났다. 셋째, 이모티콘 표현 검사 결과, 지적장애 집단과 일반아동 집단 간에 유의한 차이를 나타냈다. 또한 연령별 이모티콘 표현 검사 결과, 지적장애 집단은 이모티콘 표현 능력에 있어서 언어연령 10세와 11세 평균의 차이는 없지만 12세가 되면 평균이 큰 폭으로 증가하는 것으로 나타났다. 이러한 결과는 일반아동 집단에서도 동일하게 나타났다. 문항별 정반응률 검사 결과, 4가지 감정에서 차이를 보이지 않았다. 이러한 연구 결과는 지적장애인들이 친구와의 대화 상황에서 자신의 감정을 표현하기 위한 화용능력을 향상시키기 위해서 이모티콘을 더 적극적으로 지도할 필요성을 시사한다고 볼 수 있다. The purpose of this study is to investigate the differences of Emoticon comprehension and expressive ability among intellectual disability adults with language age of 10 ∼ 12 year, general-children with normal language age, and general-adults with normal language age. The subjects of this study were 15 adults with intellectual disabilities, 15 normal children (elementary school students in grade 4-6) who matched the language age with adults with intellectual disabilities, and 15 general-adults with non-intellectual disability. The research method was conducted by questionnaires related to the use of Emoticons. And then the emoticon understanding test and Emoticon expression test were performed separately. Understanding emoticon test and Expression test consisted of 20 questions in total of 5 items for each of the four types of emotions (happy, anger, sadness, pleasure). And the test items were composed by korean-text Emoticons, facial Emoticons, and character Emoticons. First, the survey results have the highest percentage of Emoticons used to represent conversations. The most popular Emoticons were 'happiness' and 'joy', and they send Emoticons to friend the most. Second, emoticon understanding test showed significant difference between adult group with intellectual disability and general-adult group, and general-children group. As a result of comparing the differences among groups by age, the age increases, the intellectual disability group increases the understanding ability of Emoticons. On the other hand, there was no significant difference between the general-children and adult groups. Result of correct answer rate per question, adult group with intellectual disability showed high error rate in ‘sadness’. As a result of age - based emoticon test, there was no difference in the mean language age between 10 and 11 years of age in the intellectual disability group with language age of 10 ∼ 12 year, but the average increased at 12 years of age. These results were the same in the general-children group. According to a result of the test results, there was no difference in four emotions. The results of this study suggest that it is necessary to more actively instruct the use of Emoticons to improve the conversational and communication skills of the people with intellectual disabilities.

한국 시설호스피스의 원리와 실제

강승계,김수호,김신수,박희명,송근옥,원주희,이명숙,이성옥,이옥제,이은의,이채영,이현미,허필석,Gang Seung-Gye,Kim Su-Ho,Kim Sin-Su,Park Hui-Myeong,Song Geun-Ok,Won Ju-Hui,Lee Myeong-Suk,Lee Seong-Ok,Lee Ok-Je,Lee Eun-Ui,Lee Chae-Yeong,Lee Hyeo 한국호스피스협회 2002 호스피스 학술지 Vol.2 No.1

The hospice activities in Korea have still stood in the premature stage, although the contemporary hospice program, which professionally accommodates terminally ill patients, appeared in the history 35 years ago. Especially, the availability of the facility hospice is not only poor in number, but also lack of a guideline for the conduct of the facility. Saemmul Hospice has keenly felt the necessity of more facility hospices and has interchanged experiences and informations with people interested in hospice. However, the number of facilities has fallen short of one's expectations, and many problems have been revealed in order to maintain the operation. This paper was written in order to improve these atmospheres and to help more terminally ill cancer patients properly. This paper clarifies in detail the principle of management, the method of practice in each departments of Saemmul Hospice, expected effects and supplemental items. We try to provide concrete and practical informations and to help extensively for all peoples who are to begin or currently working. 1.Facility: It secures, maintain, and manage the hospice environment for all around care of patients effectively. 2.Education and Volunteer: It trains and manages hospice volunteers devoted to hospice. 3.Financial: It manages donation by healthy soul with an effective method. 4.Administration and Organization: It executes the administration efficiently and constitutes the organization to operate. 5.Medical and Nursing: It offers the maximum professional supports to a hospital. 6.Medicine and alternative medicine: It improves the quality of life of patients by medical and pharmaceutical approach and by other possible methods available. 7.Nutrition: It helps patients to have diets in accord with the order of the creation. 8.Belief: It offers spiritual care which allows the profound relationship with God. 9. Funeral ceremonies: Funeral ceremonies may heal grieves of families faced with their deaths. 10. Bereaved families: It supports the families after the deaths of patients. 11.Reception and consultation: It seeks to help the patients who meet the purposes for which Saemmul Hospice is established. 12.Publication: It allows publicity activities for Saemmul Hospice. Facility hospice programs are able to overcome the disadvantages that the other type of the hospice possess, like as the economic burdens of the families, and the patients' losses of comforts of home after being transferred to a hospital. Facility hospice can provide home atmosphere with professional manpower and facilities like hospital to the patients. Therefore, it can also improve patients' qualities of life and make them comfortable death. We anticipate that the hospice program in Korea would be more active to let more people be indebted to maintain the nobel human dignity and to cross beautifully in the most painful process of dying in the journey of their lives.

신앙이 말기 암환자 삶의 질에 미치는 영향

강승계,김수호,김신수,박희명,송근옥,원주희,이명숙,이성옥,이은의,이채영,이현미,Gang Seung-Gye,kim Su-Ho,kim Sin-Su,Park Hui-Myeong,Song Geun-Ok,Won Ju-Hui,Lee Myeong-Suk,Lee Seong-Ok,Lee Eun-Ui,Lee Chae-Yeong,Lee Hyeon-Mi 한국호스피스협회 2002 호스피스 학술지 Vol.2 No.2

Background: The purpose of this study is to find out to how much influence religion had on the quality of life in patients admitted to the hospice facility at Saemmul's House. Terminal cancer patients were assessed one to two weeks after admittance to Saemmul's House. Metohd: The subjects of this study were numbered at 75 patients and were admitted to the hospice facility at Sammul's house between January 2002 and July 2002. The data regarding quality of life was collected using a questionnaire prepared by the sammul Hospice and were analyzed by means of ANOVA and T-test. Result: As a result of this study, there was no noticeable difference in quality of physical, psychosocial life between the patients with conviction of salvation and the other patients. However, it shows that the former enjoyed a higher spiritual quality of life than the latter. In case of baptized patients and unbaptized patients, there were no differences in terms of physical and psychosocial quality of life, but the baptized patients demonstrated a higher spiritual quality of life. After admittance, patients were grouped by duration of conviction of salvation I.e., those that believed more than 5 years and those that believed less than 5 years. In terms of physical, psychosocial quality of life, there was little difference between the two groups. However, those who believed more than 5 years demonstrated a higher spiritual quality of life. However, there was no difference in quality of life among patients, regardless of their belief in God, after receiving spiritual care at the hospice. Conclusion: We got a few conclusions in accordance with result gained by this study. First, spiritual support is very important to improving quality of patients' lives in hospices. Second, hospice programs are needed keenly and spiritual support for patients from trained experts is needed 24 hours a day. Third, because trained experts(ministry) are urgently needed to lend spiritual support, hospice courses must be taught at all colleges of theology. Fourth, a hospice program must provide a proper atmosphere that can give spiritual support and therefore all hospices must build such as environment. Fifth, a tool for spiritual support of hospice must be developed.

시설 호스피스에 있어서 가족지지가 말기 암 환자의 삶의 질에 미치는 영향

강승계,김수호,김신수,박희명,송근옥,원주희,이명숙,이성옥,이은의,이채영,이현미,Gang Seung-Gye,kim Su-Ho,kim Sin-Su,park Hui-Myeong,song Geun-Ok,Won Ju-Hui,Lee Myeong-Suk,Lee Seong-Ok,Lee Eun-Ui,Lee Chae-Yeong,Lee Hyeon-Mi 한국호스피스협회 2003 호스피스 학술지 Vol.3 No.1

Background: The purpose of this study is to assess the effectiveness of family support on the quality of life in patients admitted to the hospice facility at Saemmul Hospice. Method: The subjects of this study were 152 terminal cancer patients that were admitted to the hospice facility at Saemmul hospice between January 2002 and February 2003. Their each quality of life were assessed at admission, one, three, five and seven weeks at Saemmul Hospice using a questionnaire prepared by the Saemmul hospice and were anlalyzed by means of T-test. Result: There was no difference in the quality of life score between patients with family support and patients without family support in terms of physical, psychosocial, and spiritual aspects in the admission. There was no difference in the quality of life score between the patients with frequent family member's visit(>=8) and less frequent family visit(<=7), and between the patients whose family members stayed at the facility for 24hrs and the patients without staying family members. There was no difference in the quality of life score between the patients in low-middle and low-high class among 9 classes of familial economic status(high-high, high-middle, high-low, middle-high, middle-middle, middle-low, low-high, low-middle, low-low). There was no difference in the quality of life score between the patients whose familial religion were Christianity and the patients with other religions. After 1, 3, 5, 7 weeks assessment, the scores in the physical, psychosocial, spiritual aspect of quality of life were increased. Conclusion: The results suggest that family support is important to improve the quality of life in hospice patients and hospice care team is needed to replace 24 hours of family care. There is a urgent need of trained hospice care teams, so training programs for physicians, nurses, clergies, social workers, and volunteers are necessary.