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만성 간 질환자의 지각된 질병장애정도와 삶의 질과의 관계
손행미 성인간호학회 2002 성인간호학회지 Vol.14 No.4
Purpose: This study was performed to identify the illness intrusiveness, quality of life, and their relationships in patients with chronic liver disease. Method: Data was collected using scales of illness intrusiveness developed by Devins et al and Korean health related quality of life(KoQoLS) developed by Shim et al to measure the illness intrusiveness and quality of life from 141 chronic liver disease patients. Result: The total mean score of illness intrusiveness was 38.85±18.45. The domain of illness intrusiveness which showed the highest mean score was health(4.60±2.02), and the lowest mean score domain was relationship with spouse (2.04±1.69). The subcategory of KoQoLS which showed the highest mean score was bodily pain (6.96±2.98), and the lowest mean score subcategory was vitality (2.75±1.20). There were negative relationships between illness intrusiveness and KoQoLS in all subcategories. Abovel all, Illness intrusiveness had the strongest negative relationship with role limitation (r=-0.641) among the KoQoLS subcategories. Conclusion: Because the illness intrusiveness had negative influence on the quality of life in patients with chronic liver disease, further research will need to specify detailed illness intrusiveness and to explore influencing factors on quality of life in them.
손행미 성인간호학회 2002 성인간호학회지 Vol.14 No.1
Purpose: This study was performed to develop a scale for evaluation of attitudes toward complementary and alternative therapies (CAT) and to investigate nurses' attitudes toward CAT. Method: The subjects were 263 nurses working at a university hospital in Seoul and Inchon. The personally designed questionnaire was tested for its reliability and validity. Nurses' attitudes to CAT were evaluated using the questionnaire. Results: Cronbach's α coefficient was 0.7405. 23 items were selected by item analysis and 4 factors including application, therapeutic effect, social interest and communication about CAT were classified by factor analysis. The mean score of attitudes and its subcategories were high, especially that of communication was very high. Nurses had a positive response to CAT in several items: acceptance as nursing intervention, its therapeutic value, complement for conventional medicine, and open communication about CAT. Attitudes were different significantly according to education and number of working years. There were high relationships between attitudes and its subcategories except communication. Conclusion: The Scale of attitudes toward CAT was proven to be reliable and valid. Positive nurses' attitudes toward CAT will help the patients be provided with a proper and safe way to take CAT.
서문자,손행미,강현숙,권성복,김주현,박영숙,이은희,임난영,조경숙,지성애 성인간호학회 2002 성인간호학회지 Vol.14 No.4
purpose: This study was conducted to describe qualitatively the entities of nurse's experiences in general hospitals and to suggest basic data guiding research on developing Standards of clinical nursing practice in Korea. Method: Fourteen nurses working at general hospitals with over 300 beds in Seoul were interviewed in-depth until saturation using tape-recorders and transcription. Result: The central theme of clinical nursing practice experienced by subjects was "being with clients" that means accepting client's personal character, solving client's needs and providing client-centered nursing. A also "being with clients" was felt to be the responsibility of nurses which was learned from their nursing schools. The nursing strategies performed in order to be with patients were proving skillful nursing techniques, accepting, educating, emotional support, advocating, and self-reflecting, the subjects experienced somewhat problematic affects such as difficulties in interpersonal relationship, work overload, negative image of nursing, deficit of self-confidence for nursing actions, poor working conditions, and unfair treatment. Nurses at the hospital practiced with pride when they felt that they were accepted by clients. Conclusion: Further research is needed to analysis problems in clinical practice and the comparison of nurses' experiences of clinical practice, with nurses' experiences in various settings.
Experience of Pain From Patients With Non-Acute Pain After Back Surgery
Son Haeng-Mi,Kim Eun-Jeong,Park Youngrye,Shin Byung-Cheul,Cho Jae-Heung,Ha In-Hyuk,Lee Jun-Hwan,Shin Kyung-Min 대한질적연구학회 2021 대한질적연구학회지 Vol.6 No.2
Purpose: The aim of this study was to describe and understand the experiences of pain and the perceptions of treatment through a traditional Korean medicine clinical trial in patients with non-acute pain after back surgery. Methods: The data collection was recorded through in-depth interviews with 20 participants and transcribed with verbatim. The data were analyzed with qualitative contents analysis. Results: Patients with persistent or recurring pain after back surgery experienced physical and psychological symptoms that resulted in severe difficulties in daily and working life. Their persistent or recurring pain after surgery was a burden in their life and a major source of depression. Because of the difference in the perception of pain between doctors and patients, the patients continuously sought and received various treatments. The patients also wanted to receive customized self-management in exercise so that they could control pain themselves in daily life. Conclusion: A multidisciplinary approach that includes psychological counseling, pain management, individualized exercise, and education for proper posture should be needed to reduce low back pain in patients with pain after back surgery.
Experiences of Public Officials for the COVID-19 Response in the Public Health Center
Son, Haeng-Mi,Yang, Hye-Ryun,Park, Bohyun 한국간호과학회 2021 한국간호과학회 학술대회 Vol.2021 No.10
Aim(s): The purpose of this study was to explore the experiences and difficulties of public officials working for the coronavirus disease (COVID-19) response in the public health center. Method(s): A qualitative thematic analysis was conducted using data collected from three focus group and individual interviews. Each interview was conducted from July 2020 to January 2021. Eighteen participants (11 nurses, four medical technicians, and three administrative officials) were included. Main questions were overall working conditions, difficult experience about COVID-19 quarantine response, and overall evaluation and improvement plan. Result(s): As a result of this study, three themes, 14 sub-themes, and 46 concepts were derived. The three themes were "poor working conditions", "incomplete quarantine system" and "personal life that endured sacrifice". Participants performed quarantine work in a poor working conditions including overwork, lack of manpower, and handling civil complaints. They said that the quarantine system was incomplete, so detailed quarantine guidelines were frequently changed and information was not well shared, which made it an obstacle to quarantine work. The participants sacrificed their personal lives while doing COVID-19 response work without holidays, and even experienced health problems. Conclusion(s): From the results of this study, it is required that policies to fundamentally improve the working conditions and to recruit expertise for infectious disease. In addition, it is necessary to evaluate the job stress related to COVID-19 response by public officials in public health centers and to systematically investigate the relevance of their job stress to physical, mental health problems and psychosocial stress.