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.

생산전략의 경쟁요인과 경영성과

강승계 大田大學校 社會科學硏究所 2000 社會科學論文集 Vol.19 No.1

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.

人大腦 帶狀回(Brodmann 第24皮質分野)皮質의 細胞構築學的 硏究

康承桂 최신의학사 1974 最新醫學 Vol.17 No.8

The authors have made a study of the quantitative changes in the development of human brain with special growth and cytoarchitectonics of cerebral cortex in the anterior part of the cingulate gyrus (Br odmann's area 24) in a sample of 149 Korean brains (83 of male & 66 of female), of which the age ranged from the newborns to the old age. The thickness of the total cortex and each. cortical layer, the relative neuron density and the relative glia density in (100u)3 of each cortical layer and the relative total neuron and glia densities of the cortex were observed and the results were summerized as follows; 1. The mean thickness of the cortex in the 0-1 year group was 80% of the adult and it increased very rapidly during 2-5 years and it was 96% of the adult. In the 16-20 year group it was maximun thick and thereafter it decreased gradually. The mean thicknes of the adult cortex was 2.13mm. The mean thickness of the cortex increased rapidly until the 1,100-1,199gm stage of the brain weight and increased slowly until the 1, 400-1, 499gm stage of the brain weight and thereafter it had a tendency of slow decreasing as the brain weight increased. 2. The relative neuron density was highest in the 0-1 year group and it decreased very rapidly in the 2-5 year group and it decreased slowly until the 11-15 year group and at this time it was eaqual as the adult mean value. Thereafter it was relatively stable. As the relation between the neuron density and the brain weight, it was highest in 300-500gm stage of the brain weight and it decreased rapidly until the 500-699gm stage of brain weight and it decreased slowly until the brain weight was 900-1,099gm stage and in this stage it became eaqual as the adult mean value. Thereafter it had a tendency to derease slowly as the brain weight increased. The mean valuee of thee neuron density of the adult was 292-309. 3. The relative glia density was high in the 0-1 year group and' it decreased rapidly in the 2-5 year group and was minimum value which was lower than the adult mean value and thereafter it increased gradually as the age increased. The mean value of the relative glia density of the adult was 501-536 which is higher than that of the adult neuron density (292-309). -During the 300-499gm,stage of the brain weight the relative glia density was high and it decreased gradually to the minimum value (406-472) until the 1,100-1,199gm stage of the brain weight and thereafter it increased gradually as the brain weight incrceaged. 4. The neuron density and glia density had no sexual difference and left-right difference.

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.

생산전략의 경쟁요인이 경영성과에 미치는 영향

이한섭,강승계 大田大學校 社會科學硏究所 2001 社會科學論文集 Vol.20 No.2

人胎兒 頸動脈 및 그 動脈枝의 發育에 關한 硏究

全尙武,康世鎭,康承桂,具秀會,李明馥 최신의학사 1972 最新醫學 Vol.15 No.4

This study was undertaken to find out the developmental features of the carotid artery and its branches measureing the external diameter of these arteries based upon 508 dissections of Korean fetuses, which were injected with 8% vinylite solution added 3% fast red B in acetone. The results were summerized as follows: 1. All of these arteries developed rapidly until the sixth month of the fetal period and thereafter they develooped regularly as that of the external form of the fetuses. 2. The order of the size of the arterial branches of the external carotid arteries in the full term fetuses was (1) the maxillary artery, (2) the occipital artery, (3) the superficial temporal artery, (4) the facial artery, (5) the superior thyroid artery, (6) the lingual artery, (7) the posterior auricular artery, (8) the ascending pharyngeal artery and (9) the sternocleidomastoid artery,

개량된 항-히스타민제(PRO-ENTRA)의 임상적 효능에 관한 고찰 : Pro-entra Recently Advanced

尹元泰,李彦馥,張濟榮,康世鎭,康承桂,林海昇 최신의학사 1973 最新醫學 Vol.16 No.8