수술경험에 대한 주관성 연구

채정선,김경희 중앙대학교 의과대학 간호학과 간호과학연구소 2003 중앙간호논문집 Vol.7 No.1

This study was executed to provide the basic data of the nursing intervention according to the surgical experience types by classifying the experiences of the surgical operation of the patients, and by analyzing the characteristics of then and the subject people were patients who experienced the surgical operation in one hospital in affiliation with an university in Seoul city by using 37 units of Q samples from 9th September 2002 to 21th September 2002, and the dta were collected from P-samples for the 33 subject people who were conveniently selected by the researcher. The result of the study showed that they were structured as 3 types. The subject people in type 1 are revival styles who acquire the encouragement from the religious belief, incitement of neighbors, and warm consideration of the medical service providers, and then they become to have the will to carefully manage their health through the experience of the surgical operation. Additionally, they experience the fear for the death just before the surgical operation, and then feel the reassurance that they escaped from the fear for the death when they wakeup from the anesthesia after the surgical operation, and they do not show the spite for the surgical operation itself while thinking that the surgical operation is a destiny. Especially, most of them are shown to positively depend on the religion and overcome the uneasiness with the power of the religion. The subject people in type 2 are apprehension styles who show the strong contradiction about the death, and show the deep anxiety about the prognosis after the surgical operation, and show the pursuit for the hope on the result after the surgical operation. The subject people in type 3 are confidence styles who confirm the love of their family through the support of their family, and are sure that there will be no problem in the surgical operation while accepting the surgical operation without any problem. Additionally, they showed the pursuit for the hope on the future, but showed the strong negation for the anxiety about the prognosis. Besides, these type of patients experienced the discomfort caused by the pain, and also suffered from the indisposition by the assistant devices for the treatment which are attached to their bodies.

입원환자의 수술경험

황윤영,양기우,채정선,이필호,장미,강미경,서효신,박성희,최경숙 중앙대학교 의과대학 간호학과 간호과학연구소 2000 중앙간호논문집 Vol.4 No.2

This study was to understan the experience of patients before and after operation with general anesthesia, and find specific nursing intervention unique to each patients so that they could keep peaceful mind and recover sooner. Patients in front of operation would experience anxiety and even emotional crisis in almost of them even though individual variation. To provide effective nursing care to them, it is essential to estimate nd understand the experiences of subjects. So this study is aimed to estimate the experience of patients in perioperative period in view of them. Subjects were 25 adult patient over 20 years who had been operated under general anesthesia in one university hospital in seoul. They did not have any special complication or psychological problem or change consciousness in perioperative period and agree this study. Data were gathered through in - depth interview using open and unstructive questions. Interview was done twice per one patients before and after 3 days of opeartion in their room and each interview tooks 30 - 40 minutes. Data analysis tool was Giorgi's phenomenological analysis method. Result were as follows ; 1) preoperative experiences of the patients were categorized into "Anxiety" "Hoping·Wishing" and "Transcendental Attitue" 2) postoperative experiences of the patients were categorized nto "Comfortability" "Hoping·Wishing" and "Dissatisfaction" Before operton most patients felt anxiety on the possibilities of operative pain, complication of failure of awakening from anesthesia. But patients tried to keep peaceful mind expecting good results or relying on medical teams. After opearton most patients felt comfortability and dissatisfaction a special treatment to reduce patients dissatisfaction. For satisfaction that perioperative nursing needs of the patients in admission is above all nurse's supporting and thinking patient's situation and specific nursing care to unique patients. Specially, patient's satisfaction that important role of operation room nurse to provide information and emotional support in opeartion waiting room and operation room. Therefore nursing intervention developed in properly operation waiting room and operation room and then performed by operation room nurse. Suggestions for further studies as follows ; 1) various approach for supportive nursing intervention methods by that perioperative patients in admission could be opearted and recovered in more comfortable state. 2) further study about perioperative nursing needs of the patients in same operation would be needed.

간호대학생의 전문간호이미지에 대한 인식 : Q-방법론 적용 Q-methodological approach

김복순,조정호,지동옥,현신숙,채정선,이소연,지희영,정은경,지성애 중앙대학교 의과대학 의과학연구소 1998 中央醫大誌 Vol.23 No.4

Applying Q-methodology, this research analyses the image style of the nurse college students to get the data for the nursing education about the nursing professional. The research was between 1998. 8. 13 and 1998. 10. 5 with 35 students of the C-nurse college second and third grade. We gather 148 Q-statement cards and use 39 items of them. Analysis of Q-type obtained by QUANL pc program. As the result of the research, there are three styles about the nursing professional image of the student. The first type is the value-complexed style : students have conflict about the nursing as a professional, and recognize the outside viewpoint and the influence of the environment factors about the nurse as negative and skeptical. The second type is the proud style : their image about the nurse and the nursing is very positive and they try to develop the professional knowledge continuously and think of the nature of the nursing as important. The third type is in search for the profession : their perception of the nursing as a profession is very high but they have a negative viewpoint about the nurse because of the lack of the professional pride and the endeavor of the self-development. As the result of the research, the styles of the image about the nursing as a profession is available for the reconstruction of the attitude for the professional nursing and data for nursing education. We suggest the below according to the result of this research : 1. The strategic research to make the image of the nursing as a profession better has to be continuous. 2. It is necessary to compare the nurse college student with the nurse about the difference of the image of the nursing as a profession.

노인의 영적 간호요구

최미혜,김경희,김귀옥,김기숙,김수강,김정신,김춘숙,노흥진,박지연,성혜연,오명선,이선희,이원옥,이윤영,이현수,장명재,차혜경,채정선,홍상희 중앙대학교 의과대학 간호학과 간호과학연구소 2001 중앙간호논문집 Vol.5 No.1

This study was designed to exam the aged's needs for spiritual nursing care. The purpose was to serve as a basis for the development of spiritual nursing practice. The major findings are as follows : 1. The degree of needs for spiritual nursing care as area was that needs of love and relationship mean 22.0, needs of meaning and object mean 28.2, needs of forgiving mean 13.5. Total needs for spiritual nursing care mean 63.7, which was on the upper middle level. The needs of meaning and object was rated highest. 2. Among the general characteristics of the subjects, needs of love and relatiohship wasn't significanlty different. 3. Among the general characteristics of the subjects, needs of meaning and object was significantly different according to two factors : age(F=7.260, p=0.001), religion(F=5.275, p=0.001). Higher needs of meaning and object was possessed by the older than the younger, by the one who have religion than the other. 4. Among the general characteristics of the subjects, four factors made a significantly difference to needs of forgiving : sex(t=-2.851, p=0.006), age(F=8.201, p=0.001), religion(F=6.928, p=0.000), disease(t=2.327, p=0.024). Higher needs of forgiving was possessed by man than woman, by the older than the younger, by the one who have religion than the other, by the one who have disease than the other.