간호대학생의 영적안녕에 관한 연구

강은실(Kang Eun-Sil),김숙자(Kim Sook-Ja),강성년(Kang Sung-Nyun),최성은(Choi Sung-Eun) 고신대학교 전인간호과학연구소 2008 전인간호과학학술지 Vol.3 No.-

The purpose of this study was to describe the spiritual well-being of nursing students to provide a basic data for the development the curriculum of Spiritual Nursing Care in nursing collages. The subjects for this study were consist of 58 nursing students in K University of Pusan city in Korea. All of them were educated about Spiritual Nursing Care for 100 minutes in a week, during totally 8 weeks in one semester. The data were collected during 7days from July 11 to July 18,2004 by using structured questionnaire method. The measurement of the spiritual well-being was performed with 6 points-index which is composed of 21 items and is modified by Sang-Soon Choi(1990)from Palau tzian & Ellison(1983) s. Its high score means that the degree of spiritual well-being of the subject is high. The data were analyzed by using the SPSS WIN 10.1 program according to the purpose of this study. The general characteristics of the subjects were analyzed by calculating the real quantity and the percentage, and the spiritual well-being scores were identified through calculating the mean value of individual domain. The significant difference of the general characteristics with the spiritual well-being was analyzed by t-test and ANOVA, Scheffe s test. The results of this study were as follow; 1.The spiritual well-being of the subjects The average value for the spiritual well-being of the subjects was 97.78(SD=±10.53) among the possible ranges of 21-126. The mean value of all items was 4.66(SD=±0.502) and high relatively. 2. The spiritual well-being according to general characteristics of subjects The analysis of the spiritual well-being according to general characteristics of the subjects showed statistically significant difference on the degree of life satisfaction in faith(F=4.327, P= .004),the degree of recognition about God s initiation in their daily life(F=3.933, P= .013),the degree of satisfaction about Nursing as their major(F=6.608, P= .000), their assurance of salvation(t=4.557,P= .037). among the personal religious actions, praising(F=3.32,p= .017), The group of nursing students responded that they were satisfied in their faith life, always God has the initiative in their daily lives personally, they were satisfied about Nursing as their major very much, and they have their assurance of salvation showed the highest degree of the spiritual well-being than any other group. In conclusion, in this study we observed that the spiritual well-being of nursing students was high relatively. The general characteristics of subjects were related to the spiritual well-being of them were the degree of satisfaction in their faith lives,their recognition about God s initiation in their daily life, their satisfaction about Nursing as their major, among the personal religious actions, regular praising and their assurance of salvation. Therefore this study s results can be used for developing a spiritual nursing education and program to strengthen nursing student s spirituality to practice in spiritual nursing care.

청소년의 자살의도와 우울,영적안녕과의 관계

강은실(Kang Eun Sil),조향숙(Cho Hyang Suk),송양숙(Song Yang Sook),강성년(Kang Sung Nyun) 고신대학교 전인간호과학연구소 2003 전인간호과학학술지 Vol.2 No.-

This study was carried out to identify the relationships of suicidal ideation, depression, spiritual well-being of adolescence in Korea. Design of the study was correlational study. Objects of the study were 423 adolescences of high school students of 5 cities in Korea. Data was collected from April, 2003 to July, 2003 using structured questionaire. Research tools of this study were SSI(Scale for Sucidal Ideation) developed by Beck (1979), BDI(Beck Depression Inventory) translated by Lee(1993), scale for spiritual well-being of Paloutzian & Ellison translated by Choi(1990) Collected data were analyzed by frequency, percentage, mean, standard deviation, t-test, ANOVA , Pearson s correlation with SPSS/PC 11.0 program. The results were as follow; 1.Mean value of sucidal ideation (25.93)of adolescence were moderate level,depression(12.48) of adolescence was moderate, spiritual well-being(75.35) was high. 2.General characteristics statistically related to the suicidal ideation are sex(t=3.655, p= .05),grade(F=4.71, p=.009),department of school (t=-2.98, p=.003),relationship of friends (F= 13.65,p= .000), girl(boy)(F-7.80, p= .000),experience of school violence injury (t=2.23, p= .026), school records(F=4.50,p= .001),smoking(F= 19.98, p=.000), drinking(F=14.29, p=.000), trial sucide (t=9.92, p= .000),disease of physical (t=3.74, p= .000), economical levels of family(F=7.31, p= .001),marital status of parents (F=2.65, p= .048), atmosphere at home (F=8.65,p= .000),conversation with father(F=3.87, p= .009), conversation of mether( F=4.64, p= .003). 3.Relationships of the suicidal ideation,depression, spiritual well-being of adolescence. Suicidal ideation of adolescence was positive relationships with depression (r=.628, p= .000), suicidal ideation of adolescence was negative relationships with spiritual well-being (r=- .380, p=.000). In conclusion, it was found that depression of adolescence was spiritual well-being to decrease sucidal ideation of adolescence. Therefore, development of counseling and guidance program to increase spiritual well-being of the adolescence was suggested.

국내 호스피스 논문 분석($1991{\sim}2004$)

김상희,최성은,강성년,박정숙,손수경,강은실,이영은,Kim, Sang-Hee,Choi, Sung-Eun,Kang, Sung-Nyun,Park, Jung-Suk,Sohn, Sue-Kyung,Kang, Eun-Sil,Lee, Young-Eun 한국호스피스완화의료학회 2007 한국호스피스.완화의료학회지 Vol.10 No.3

목적: 본 연구는 약 15년간의 우리나라 호스피스 연구의 총체적인 주제와 경향을 확인함으로써 추후 호스피스 연구의 방향을 제시하고자 실시되었다. 방법: 1991년 1월부터 2004년 7월까지의 우리나라 박사학위논문 7편, 석사학위논문 44편과 호스피스와 관련된 논문이 주로 수록되는 분야별 간호학회지, 의학회지, 호스피스 학회지, 호스피스 협회 학술지, 호스피스 연구소 논문집의 논문에서 호스피스와 관련된 개념이 제시된 논문 59편으로 총 110편을 목록화하여 분석하였다. 분석은 연구 발표년도, 연구설계, 연구대상, 상관관계 연구, 조사연구, 실험연구, 질적 연구, 측정도구 별로 분류하여 분석하였다. 결과: 2000년 이후의 논문이 52편으로 2000년 이후부터 본격적으로 호스피스 논문이 증가하였음을 알 수 있다. 학회지에 발표한 논문으로는 한국 호스피스 완화 의료학회지가 16편으로 가장 많았고, 질적 연구는 13편으로 다소 적은 편수였다. 연구대상별로 살펴보면, 사람을 대상으로 한 연구가 98편으로 가장 많았고, 이 중 말기환자를 대상으로 한 연구가 44편으로 나타났다. 결론: 분석 결과 향후에는 호스피스 간호이론의 기초 정립을 위한 양적방법론에 근거한 서술적 연구와 질적 연구가 더욱 많이 행해져야 할 것이며, 호스피스 간호 중재의 효과를 확인하는 실험연구를 통하여 간호중재의 효율성을 입증하는 연구도 필요한 것으로 생각된다. Purpose: This study was to analyze the research trend centering on the theses to hospice released in Korea. Methods: The researcher collected the academic degrees and theses published on the book of the academic society from 1991 to 2004, and examined 110 domestic papers of hospice. Results: 1) The number of articles increased 3 years after 1997, 52 (47%) theses were published in $2000{\sim}2002$. 97 (88%) articles were quantitative studies, and 13 (12%) were qualitative studies. 2) As for the subject, the results were: patients with end stage 44 (40%), nurse 18 (16%), hospice care system, facilities, and literature review 12 (10%). 3) As for main concepts of correlational studies 15 (13%), the results were: quality of life, activities of volunteers, suffering experience of nurse, and so on. 4) The subjects and contents of survey, the results were: pain control and need for nursing care in patients, need for spiritual and physical care in family, and so on. 5) The treatment of experimental research, the results were: hospice nursing, educational program, informational support, spiritual nursing, supportive nursing intervention, home hospice care, information services for control of cancer pain, and so on. 6) In the theme of the qualitative studies, the results were: experience of dying patients, perceive of hospice care and death, experience of family of terminal ill patients, meaning of dying in Korean. 7) In the instrument in studies, the results were: MQOL, EQOL, QOL, NIC, Need Scale, Spiritual Well-being Scale, Spiritual Perspective Scale, Coping for Grief Scale, K-CPAT, VAS, BPI, Depression Scale, Strait-anxiety Scale, Care-giver Burden Inventory, Burnout Inventory, Mental quality. Conclusion: More research needs to be encouraged in experimental and qualitative research fields. Researches should be conducted for the establishment of the basis of practical and theoretical framework and hospice polices.

병동형 호스피스 대상자를 위한 전인적 호스피스 간호중재 프로그램의 개발

강은실,최성은,강성년,Kang, Eun-Sil,Choi, Sung-Eun,Kang, Sung-Nyun 한국호스피스협회 2007 호스피스 학술지 Vol.7 No.1

People in the end of life and their families suffer in their physical disease and other aspects as a whole person. They need hospice care to palliate their total suffering in physical, emotional, social and also spiritual aspect through professional hospice team. To care their whole personal needs, hospice team must be a multi-discipline team which consists of medical doctors, nurses, social workers, pastors and volunteers. Recently those who die in hospice palliative care unit have trend to increase more than in home year by year. So it is necessary to develop the nursing intervention program to be performed by multi-discipline team approach for in-patient of hospice palliative care unit. The purposes of this study were to develop of wholistic hospice nursing intervention program for inpatient of hospice palliative care unit. The subjects of study were collected from 30 patients those who were over 18 years old and admitted in hospice palliative care unit of S hospital in P city with agreement in hospice palliative care in their terminal disease. The period of data collection was from December 15, 2003 to March 15, 2004. The result were as follows : 1. The result of Wholistic Hospice Nursing Program's development was as follow : A Wholistic Hospice Nursing Program was developed by me in this study is one of the service program for hospice palliative care unit. It was named as ‘Rainbow Program’ to be approached easily by hospice patients. The purposes of it are to improve the quality of life of the terminal patients with their dignity, to help them live in abundant and meaningful in their lives, to care them in peaceful in dying process with understanding them in whole personal, and also to palliate the grief and suffering of the bereaved. It was provided by hospice professionals(nurses, medical doctors, social worker, pastors, art therapists) and volunteers those who were educated in hospice for multi-diciplinary team approach to collaborate with each role play I 20-30 minuters of each through visiting their rooms individually and a place of hospice palliative care unit of S hospital in P city. The subjects of it were the terminal patients those who admitted hospice palliative care unit and their familes. with agreement in hospice palliative care in their terminal disease. The characteristics of it were multi-disciplinary team approach, whole personal care, individual care and total care according to their needs in their condition. The contents of it were pain control, symptom control, counseling patient, counseling family, hair cutting, hair shampooing, bed bath, recreation, taking a walk, event of culture(screen, recital, festival of praises, exhibition and so on), pastoral counseling, ritual service in bed, praying, service in bed, sing a worship praise, listening to the music, sharing remembrance of life, individual visiting music service(sing and praying), meditation Bible, art therapies(dance and drawing), social worker's counselling, confessing and sharing love and thanksgiving. The experimental group subjects participated in Wholistic Hospice Nursing Program which takes 120 minutes per session, total 10 sessions(total 1,200 minutes) altogether. In conclusion, this Wholistic Hospice Nursing Intervention can be used actively for whole personal well-being of the patients in hospice palliative in hospice palliative care unit and also applied in hospice practice as an useful model of multi-disciplinary team approach by hospice professionals.

성경적 관점에서 본 남북통일 : 일반논문 ; 간호대학생의 영적안녕에 관한 연구

강은실 ( Eun Sil Kang ),강성년 ( Seong Nyun Kang ),최성은 ( Sung Eun Choi ),김숙자 ( Sook Ja Kim ) 통합연구학회 2005 통합연구 Vol.18 No.1

청소년의 자살의도, 우울, 영적 안녕과의 관계

강은실 ( Eun Sil Kang ),송양숙 ( Yang Sook Song ),조향숙 ( Hang Suk Cho ),강성년 ( Sung Nyun Kang ) 한국정신간호학회 2004 정신간호학회지 Vol.13 No.2

N/A This study was carried out to identify the relationships of suicidal ideation, depression, spiritual well-being of adolescence in Korea. Design of the study was correlational study. Objects of the study were 423 adolescences of high school students of 5 cities in Korea, Data was collected from April, 2003 to July, 2003 using structured questionnaire. Research tools of this study were SSI(scale for suicidal ideation) developed by Beck(1979), BDI(Beck depression inventory) translated by Lee(1993), scale for spiritual well-being of Paloutzian & Ellison translated by Choi(1990) Collected data were analyzed by frequency, percentage, mean, standard deviation, t-test, ANOVA, Pearson`s correlational coefficients with SPSS/PC 11.0 program. The results of the study were as follow : 1. Mean value of suicidal ideation(25.93) of adolescences were moderate level, depression(12.48) was low, spiritual wll-being(75.35) was high. 2. Relationships of the suicidal ideation, depression, spiritual well-being of adolescence. Suicidal ideation of adolescence was positive relationships with depression(r=.628, p= .000), suicidal ideation of adolescence was negative relationships with spiritual well-being(r=-.329, p= .000). In conclusion, it was found that depression of adolescence was incline to increase suicidal ideation, spiritual well-being to decrease suicidal ideation of adolescence. Therefore, development of counseling and guidance program to increase spiritual well-being of the adolescence was suggested.