지역사회 말기질환자 가족 부담감에 관한 연구

한성숙,노유자,양수,유양숙,김석일,황희경,Han, Sung-Suk,Ro, You-Ja,Yang, Soo,Yoo, Yang-Sook,Kim, Sek-Il,Hwang, Hee-Hyung 한국가정간호학회 2003 가정간호학회지 Vol.10 No.1

The purpose of this study was to describe the perceived burden of the terminally III patients's caregiver and to analyze relationship between the perceived burden and the various demographics, illness characteristics, family relationships, and economic factor of the family & patients. The sample of 132 caregivers who care for the terminally III patients Kyung-Gi province, Seoul, Korea. The period of this study was from August to September, 2002. The perceived burden of the family caregiver was measured by the burden scale(20 items, 4 point scale) developed by Montgomery et al. (1985). The Data was analyzed using SAS-program by t-test and ANOVA. The results were as follows; 1. The mean of the family caregiver's burden score was 3.02. The score showed that caregivers perceive severe the level of burden. The hight items of the family caregiver's burden were' I feel it is painful to watch patient's diseases'(3.77). 'I feel afraid for what the future holds for my patients'(3.66), 'I feel it reduced to amount of privacy time'(3.64). 2. The caregiver's burden was significantly related to patient's gender(F=3.17, p= 0.0020), patient's job(F=2.49, p=0.0476), caregiver's age(F=4.29, p=0.0030), and caregiver's job(F=2.49, p=0.0476). 3. The caregiver's burden according to illness characteristics showed no significant difference. 4. The caregiver's burden was significantly associated with patient's family relationship (F=4.05, p=0.0041), patient's care mean period in a day(F=47.18, <p=.000l), patient's care period after diagnosis (F=5.18, p=<.0001), and economic status of family(F=3.58, p=0.0088). The highest caregiver's burden related to family was 'parents caregivers'(3.27), the lowest was 'patient's son & daughter caregivers'(2.88). In case of prolonged care period in a day, the caregiver's burden was significantly high. In case of prolonged care period after diagnosis, the caregiver's burden was significantly high. In case of no monthly family income. the caregiver's burden was significantly increased (3,24). The need for health care has expanded from curative therapy to health promotion and rehabilitation also. finally the need for hospice care has demanded in order to improve the quality of life of the terminally ill patients and their families. Because physical, emotional, social and spiritual approaches are required to meet their needs, the integration of various resources is very important. This study is carried out to build a community-based integrated model that is good for improving the patients and familiy's quality of life and to minimize the cost from tertiary hospitals. There were several subjects in this study such, analyses as traditional home care, utilization review of terminally ill patients, measurement of burden of family members and provided practice guidelines for the home cancer patient management. We suggest three strategies for the development of a new model. The firstly the change of the role of the healthcare center from a direct service provider to a management-oriented organization. The secondly the induction of a team-based approach by preserving the proper role of each organization. The thirdly the reenforcement of this team-based approach with the sharing of information on the patients and community-based resources. These suggests are based on the Partnership Collaboration Model and the strategies stated as in the above. In this model, the health care center could playa managerial role and all of the community's resources and the patient's information could hold in common. It is indicated that the information of the patients might be safely used by a semi-open system and an open-system for sharing of the information of the community-based resources.

간호대학생과 간호사의 도덕적 민감도 비교

한성숙 ( Sung Sook Han ),김용순 ( Yong Soon Kim ),박진희 ( Jin Hee Park ),안성희 ( Sung Hee Ahn ),맹광호 ( Kwang Ho Meng ),김주후 ( Ju Hoo Kim ) 한국의료윤리학회 2007 한국의료윤리학회지 Vol.10 No.2

This article reports on the results of a study of nurses and nursing students` sensitivity to the ethical dimensions of nursing practice. The sample consisted of 215 nursing students from two nursing colleges and 283 nurses working in two medical centers. The instrument used was the Moral Sensitivity Questionnaire(MSQ), a self-reporting Likert-type questionnaire consisting of 30 assumptions related to moral sensitivity in health-care practice. Each of these assumptions was categorized into a theoretical dimension of moral sensitivity: relational orientation, structuring moral meaning, expressing benevolence, modifying autonomy, experiencing moral conflict, and following rules. In structuring moral meaning, relational orientation, and following rules, significant differences were found between nurses and nursing students. However, a significant difference in the general characteristics of subjects was not found.

초 중 고 학생들의 가정환경 영양섭취 실태 및 학업 성취도와의 관계에 관한 연구

한성숙(Han Sung Sook),김혜영(Kim Hye Young),김우경(Kim Woo Kyung),오세영(Oh Se Young),원혜숙(Won Hye Suk),이현숙(Lee Hyun Sook),장영애(Jang Young Ai),김숙희(Kim Sook He) 韓國營養學會 1999 Journal of Nutrition and Health Vol.32 No.6

한국 노인의 식사내용이 골격밀도에 미치는 영향에 관한 조사연구

한성숙(Sung-Sook Han),김숙희(Sook He Kim) 韓國營養學會 1988 Journal of Nutrition and Health Vol.21 No.5

우리 나라 일부 초 중 고등학생들의 식생활 태도 및 식행동에 관한 연구

장영애(Young Ai Jang),김혜영(Hye Young Kim),오세영(Se Young Oh),한성숙(Sung Sook Han),이현숙(Hyun Sook Lee),원혜숙(Hye Sook Won),김숙희(Sook He Kim),김우경(Woo Kyung Kim),조성수(Sung Soo Cho) 대한가정학회 2000 Family and Environment Research Vol.38 No.8

기정 호스피스 팀 기록지 개발

이종은,한성숙,박재순,유양숙,최상옥,이미송,김성은,이선미,Lee, Jong-Eun,Han, Sung-Suk,Park, Chai-Soon,Yoo, Yang-Sook,Choe, Sang-Ok,Lee, Mi-Song,Kim, Seong-Eun,Lee, Sun-Mi 한국호스피스완화의료학회 2008 한국호스피스.완화의료학회지 Vol.11 No.1

목적: 본 연구는 의사, 간호사, 사회복지사, 사목자, 자원봉사자로 구성된 호스피스팀원들이 각자의 전문영역에서 중복되지 않으면서 필요한 정보를 효과적으로 공유할 수 있는 표준화된 기록지를 개발하여 호스피스 대상자들에게 적절한 돌봄을 제공하는데 도움을 주고자 수행되었다. 방법: 초기 개발된 기록지를 근거로 문헌 고찰과 전문가 집단의 자문을 통해 수정 보완하는 델파이 기법을 이용한 방법론적 연구이다. 결과: 각 전문가별로 총 27명의 자문가의 의견을 수렴하여 최종 11가지 가정 호스피스 팀 기록지가 개발되었다: 등록기록지, 초기 평가기록지 (의사용), 경과기록지(의사용), 방문 기록지 (간호사용, 봉사자용), 영적돌봄 초기 면담지, 방문 기록지 (사목자용),사회적 돌봄 면담지 (사회복지사용), 사별가족 초기 면담지, 사별가족 돌봄 기록지, 종결 기록지. 결론: 본 연구를 통해 개발된 11종의 호스피스 팀 기록지는 가정호스피스 팀원간의 의사소통을 원활히 하고 질 높은 서비스를 제공하는데 기여할 수 있으리라고 기대된다. Purpose: To develop the standardized record forms for home hospice team members, made up of nurse, doctor, social worker, minister and volunteer, to share information and communicate efficiently in their specialized field. Methods: A methodological study revising and complementing initially developed record forms by obtaining content validity from the experts in each field. Results: Reflecting total 27 experts' opinions, final 11 types of home hospice team documents (registration form, visiting record form for a nurse, initial assessment form for a doctor, progress note for a doctor, initial assessment form for spiritual care, visiting record form for a minister, care note for social worker, visiting record form for a volunteer, final summary note, initial assessment form for bereaved family, and follow-up record form for bereaved family) have been developed. Conclusion: It is believed that this study initiated of effective communication between home hospice team members and enhanced quality of home hospice service and its records.

호스피스 팀 구성원의 직무지침 개발

노유자,한성숙,유양숙,용진선,Ro, You-Ja,Han, Sung-Suk,Yoo, Yang-Sook,Yong, Jin-Sun 한국호스피스완화의료학회 2001 한국호스피스.완화의료학회지 Vol.4 No.1

목적 : 본 연구는 우리나라 호스피스 팀 구성원의 직무지침을 개발하여 앞으로 호스피스 제도화 방안에 기초자료를 제공하기 위하여 수행되었다. 방법 : 관련 국내외 문헌고찰을 토대로 호스피스팀 구성원의 직무 지침안을 설정하여 직무지침에 대한 도구를 개발하였다. 개발된 도구의 내용 타당도를 2차에 걸쳐 전문가에게 우편 설문조사하였다. 1차 조사는 1999년 12월부터 2000년 1월까지 국내 호스피스 기관에 종사하고 있는 실무자 및 호스피스 전문가 126인을 대상으로 하였으며, 2차 조사는 2000년 8월부터 10월까지 35인을 대상으로 하였다. 자료는 조사자가 직접 기관을 방문하여 설문지를 통해 수집하였다. 결과 : 1차 조사에서 호스피스 조정자, 간호사, 사목자, 사회복지사, 약사, 영양사, 치료사, 자원봉사자, 그리고 간호 조무사의 역할과 자격은 CVI가 80.0점 이상인 문항으로 선정하였다. 의사의 자격 중 '마취제 관리 자격증을 소지한 자' 문항은 78.6점 이었고, 자원봉사자 팀장의 자격에서 '대학 이상의 학력소지자' 문항은 74.7점 이었으므로 제외시켰다. 2차 조사에서 호스피스 간호사, 사목자, 사회복지사, 약사, 영양사, 치료사, 자원봉사자, 그리고 간호 조무사의 역할과 자격은 CVI가 80.0점 이상인 문항을 선정하였다. 그러나 호스피스 조정자의 역할 중 '신체적, 사회적, 심리적, 영적 상태를 진단하고 계획한다' 문항이 77.9점이었고, 자원봉사자 팀장의 역할 중 주 1회 팀회의에 참여하고 대상자를 위한 공식적인 간호계획에 참여한다'가 78.6점이었으나 1차에서 80점 이상이었기 때문에 포함시켰다. 결론 : 개발된 직무지침을 적용한 후 수정, 보완하는 과정과 한국 실정에 적합한 호스피스 팀 구성원의 직무지침 표준을 위한 연구가 필요하다. Purpose : The purpose of this study was to develop task guidelines for hospice team members. The task range of all personnel who work for hospice institutions was identified, and a tool describing roles and tasks of the hospice team members was developed based on review of related literature, both domestic and international. Methods : The content validity of the tool was assured by an expert panel through two phases of discussion. The first phase of the study included a survey conducted from December 1999 to January 2000 for a total of 126 hospice experts and practitioners affiliated with domestic hospice institutions. The second phase of the study included 35 subjects. The data were collected using a survey when the investigators visited each hospice institution. The data were analyzed using descriptive statistics. Results : 1) In the first phase of the study, all items scored over 80 points in CVI were selected as the roles and tasks of hospice coordinator, nurse, pastor, social worker, pharmacist, nutritionist, therapist, volunteer, and nurse aide. However, two items were excluded because they scored below 80 points: an item describing eligibility of a physician, a person who has a license for managing anesthetic agents was scored as 78.6 points, and an item describing the eligibility of the team leader of volunteers, a person educated at the graduate level was scored as 74.7 points. 2) In the second phase of the study, all items scored over 80 points in CVI were selected as the roles and tasks of hospice nurse, pastor, social worker, pharmacist, nutritionist, therapist, volunteer, and nurse aide. Of the roles of the hospice coordinator, however, the item scored as 77.9 points, assess and plan a patients physical, social, emotional, and spiritual status, and, of the roles of the team leaders of volunteers, the item scored as 78.6, attend a team meeting once a week and participate in building an standard nursing plan for patients were included in the tool since they scored over 80 points in the first phase of the study. Conclusion : The developed task guideline should be further modified and revised based on the findings of a preliminary application in the actual field. There is also a need of continuous research for developing more culturally-appropriate task guidelines for hospice team members.

도덕판단력 진단검사(Defining Issues Test)에 의한 의과대학생의 도덕적 사고

안성희(Sung Hee Ahn),한성숙(Sung Sook Han),김중호(Chung Ho Kim) 한국간호행정학회 1996 간호행정학회지 Vol.2 No.2

호스피스 팀원들의 영적 돌봄 수행도 측정 도구 개발

유양숙,한성숙,이선미,서민정,홍진의,Yoo, Yang-Sook,Han, Sung-Suk,Lee, Sun-Mi,Seo, Min-Jeong,Hong, Jin-Ui 한국호스피스완화의료학회 2006 한국호스피스.완화의료학회지 Vol.9 No.2

목적: 본 연구는 호스피스 대상자들에게 체계적이고 표준화된 영적 돌봄을 제공하기 위하여 호스피스 팀원들의 영적 돌봄 수행도를 측정할 수 있는 도구를 개발하고자 시도되었다. 방법: 도구를 개발하기 위해 개념적 기틀의 구성, 문항개발, 도구의 타당도와 신뢰도를 측정하였다. 도구의 신뢰도와 타당도 검증을 위하여 2005년 12월부터 2006년 2월까지 호스피스 팀원 192명에게 33문항의 자가 보고형 4점 척도의 설문지를 배부하고 회수하였다. 수집된 자료는 SPSS win 11.5 프로그램으로 분석되었다. 결과: 도구의 내용타당도 검증을 위해 문헌고찰과 전문가의 자문을 거쳐 구성한 예비문항 33문항을 전문가 20명을 통해 내용타당도 90% 이상의 문항을 수정하여 최종 33문항이 채택되었다. 문항분석을 실시하여 문항과 전체 문항과의 상관계수가 .30 이상인 문항을 선정하였는데, 모든 문항이 .30 이상이어서 33개 문항을 모두 선정하였다. 신뢰도 계수 Cronbach's ${\alpha}$값은 .95였다. 선정된 33문항을 요인 분석한 결과 6개의 요인으로 추출되었으며, 추출된 요인이 호스피스 팀원들의 영적 돌봄 수행도를 설명하는 변량은 64.185%이었다. 추출된 6개의 요인을 '관계 형성과 의사소통', '영적 성장 격려와 촉진', '영적 자원 연계', '죽음준비', '영적 돌봄 중재에 대한 평가 및 질 관리', '영적 돌봄을 위한 자료수집'으로 명명하였다. 결론: 본 연구에서 개발한 호스피스 팀원들의 영적 돌봄 수행도 측정 도구는 신뢰도가 높았으며, 6개의 요인으로 구성되었다. 앞으로 호스피스 팀원들은 말기환자와 가족들에게 체계적인 표준화된 영적 돌봄을 제공하기 위해 본 측정 도구로 현재 수행하고 있는 돌봄 내용을 평가하고 개선방안을 모색하는 것이 필요하다. 않았다. 결론: $Ultracet^{(R)}$은 외래환경에서 암환자의 통증조절에 있어서 안전하게 사용할 수 있는 비교적 효과적인 약물로 생각된다. 완화의료에 대한 교육과 정보, 홍보가 필요하리라고 생각된다.9.7%였고, 다음은 대체로 좋다가 21.2%의 순이었다. 봉사활동에 대해 가족이나 친구의 지지는 어떠한가는 매우 좋다가 83.2%로 대부분을 차지하였다. 2. 대상자의 자원봉사활동 만족도는 평점 $3.09{\pm}0.49$(도구범위 $1{\sim}4$점)로 중간정도이었다. 영역별로 살펴보았을 때 만족도가 가장 높았던 영역은 사회적 접촉영역($3.48{\pm}0.61$)이었고, 다음은 성취영역($3.43{\pm}0.53$), 사회적 인정영역($3.35{\pm}0.70$)의 순이었다. 만족도가 가장 낮았던 영역은 사회적 교환영역($1.65{\pm}0.63$)이었다. 3. 대상자의 인구사회학적 특성에 따른 봉사활동 만족도를 분석한 결과 성별(t=2.038, P=0.044), 결혼상태(F=3.806, P=0.013)에 따라 유의한 차이를 보였다. 4. 대상자의 자원봉사활동 실태에 따른 봉사활동 만족도를 분석한 결과병원봉사활동기간(F=3.326, P=0.008), 봉사활동을 하는 주된 이유(F=2.707, P=0.035), 봉사활동을 위한 교육을 받은 여부(t=-1.982, P=0.050), 봉사활동의 평가 빈도(F=7.877, P=0.000), 봉사활동이 자신의 기술이나 능력에 적합도(F=2.712, P=0.049), 관리자와의 관계(t=-2.517, P=0.013), 다른 병원직원과의 관계(F=5.202, P=0.007), 자원봉사자로서의 활동에 대해 Purpose: This study was conducted to develop a measuring tool for spiritual care performance of hospice team members. The tool may be utilized for providing hospice patients with more systematic and standardized spiritual tares. Methods: The concept and questions of the tool were developed, and then its validity and reliability were tested. For the validity and reliability tests, a self-reported questionnaire comprising 33 questions with 4 point scale ($1{\sim}4$), was developed, and the data were collected from 192 hospice team members from December 2005 to February 2006. Results: Thirty three questions, drafted through literature review and professional consultation, were reviewed by 20 professionals for their validity, were revised and supplemented resulted in the final 33 questions. The questions with a correlation coefficient grater than .30 were selected: all the 33 questions were selected based on this criterion. The reliability coefficient, Cronbarh's ${\alpha}$, was 0.95. The 33 questions were analyzed for factors, and six factors were extracted: relationship formation and communication, encouragement and promotion of spiritual growth, linking with spiritual resources, preparation of death, evaluation and quality control for spiritual intervention, Intervention, and spiritual assessment for intervention. Conclusion: The tool developed in this study includes six factors and has high level of reliability. This tool Will greatly contribute to assess and improve hospice care services, providing systematic and standardized spiritual cares for terminally ill patients and their families.

TV 홈쇼핑 이용자의 불만족과 불평행동 영향요인

홍병숙 ( Byung Sook Hong ),권유진 ( Yoo Jin Kwon ),한성숙 ( Sung Sook Han ),이영주 ( Young Joo Lee ),황정화 ( Jung Hwa Hwang ),이정 ( Jung Lee ) 중앙대학교 생활문화산업연구소 [ 구-생활과학연구소] 2006 생활과학논집 Vol.24 No.-

The purpose of this study was to investigate the effect factors of dissatisfaction and complaining behavior for TV Home Shopping users. With Convenience sampling, the research was surveyed to women using TV Home Shopping. The 178 responses were analyzed by frequency analysis, factor analysis, reliability test, regression analysis, logistic regression analysis with using SPSS 12.0 program. The result was as follows. First, dissatisfaction became lower when the quality of product and response service were made well. Second, the complaining behavior was affected by the economic, payment option and repurchasing intention. Third the repurchasing intention was influenced by the quality of product, payment option, delivery service and dissatisfaction.