국내 가정 호스피스 운영 실태

박재순,윤수진,정연,Park, Chai-Soon,Yoon, Soojin,Jung, Yun 한국호스피스완화의료학회 2013 한국호스피스.완화의료학회지 Vol.16 No.2

목적: 본 연구는 우리나라의 가정 호스피스 기관의 서비스 실태와 문제점을 파악함으로써 가정 호스피스의 개념을 재정립하고, 가정 호스피스의 표준 설정과 제도화, 다양한 호스피스 유형들의 연계 체계 구축의 기초자료로 활용하고자 시도되었다. 방법: 2011년 5월을 기준으로 확인된 호스피스 기관 166개 중 의학적 돌봄을 포함하는 가정 호스피스를 운영한다고 응답한 29개 기관 전수의 질문지가 자료 분석에 사용되었다. 결과: 대상 기관 중 호스피스 입원 병실이 있는 경우는 51.7%, 순수 가정형은 34.5%이었다. 팀 구성원은 간호사와 자원봉사자가 각각 62.0%, 62.1%, 팀 구성원의 방문은 간호사와 자원봉사자가 각각 평균 8.84회와 6.0회, 팀 회의는 월평균 2.65회, 비용은 대부분 무료로, 필요한 재원을 마련하는 방법에는 개인의 기부가 가장 많았다. 하루 평균 방문 환자 수는 평균 2.46명, 비암성 환자는 6.9%의 기관만이 돌보고 있었다. 58.6% 기관에서 협력의뢰를 위한 공식적인 체계를 구축하고 있었으며, 방문 범위는 44.8%에서 거리나 시간에 제한을 두고 있었다. 제공되는 서비스는 가족 상담과 서비스 연계가 가장 많았고, 가정 호스피스 의뢰방법은 환자 및 가족의 직접 의뢰가 51.7%로 가장 많았다. 대부분은 서비스 제공을 위한 기본 의료장비 및 물품을 갖추고 있는 반면 특수 장비는 부족하였다. 호스피스 전용병상이 있는 경우는 대부분 정부 및 공공기관의 후원으로 이루어지고 서비스 측면에서는 팀 회의, 통증조절, 증상조절이 잘 이루어지고 있었다. 기관운영 장애요인으로는 재정문제, 인력부족, 호스피스 인식 부족의 순위를 보였으며, 이를 위해 가장 먼저 해결해야 할 과제로는 '수가제도화'라고 주장하였다. 결론: 현재 우리나라의 가정 호스피스는 호스피스 본연의 목적을 달성하기에는 많은 제한이 있으므로 빠른 제도화와 서비스 표준 확립이 이루어져야 할 것이다. Purpose: This study was conducted to investigate how home-based hospice care is provided in Korea. Methods: From July 2011 through August 2011, 29 hospice facilities that provide home-based hospice care were surveyed using a questionnaire. Items included in the questionnaire were general characteristics of the organization, staff members, service programs, difficulties. Results: Among the surveyed, hospice care was hospital-based for 11 (37.9%) facilities, hospital-independent center-based care for four (13.8%) and home-based care only for 10 (34.5%). Near half the participants were located in Seoul and Gyeonggi-do. Caregivers included nurses for 62.1% of the participants, volunteers 62.0%, pastors 44.8%, social workers 37.9%, coordinators 31.0% and doctors 31.0%. The facilities offered service programs such as family counseling (96.6%), transfer to other facilities (93.1%), psychological support (89.7%), bereavement support (86.2%), dying care (79.3%), clinical care (75.9%) and spiritual support (75.9%). The major obstacles were financial issues (24.1%), lack of trained staff (20.7%) and staff members' lack of awareness of home-based hospice care (13.8%). Conclusion: In Korea, home-based hospice care is provided by an insufficient number of facilities. Moreover, the service providers are experiencing difficulties such as lack of trained staff, insufficient financial resource and staff's lack of awareness of home-based hospice care. It is necessary to increase the number of home-based hospice care facilities with consideration of even distribution across regions and standard staffing and service programs and develop related insurance policies.

중년여성의 운동실천과 건강상태에 관한 연구

박재순,Park, Chai-Soon 한국지역사회간호학회 1999 지역사회간호학회지 Vol.10 No.2

The purpose of this study was to identify the physical exercise and the effects of exercise on health. Data were collected from Oct. to Dec. 1998. The subjects were 241 middle aged women living in Seoul and near Seoul. The following instruments were used in the study: The questionniare for physical exercise and health status was combined with simple CMI and climacteric symptom. Analysis of the data was done by chi-test. t-test. and ANOVA with SAS program. The results of this study were as follows: 1. The rate of physical exercise was 59.3% of subjects. The mean number of exercise per week was 3.1. Duration at one time exercise was 25.6 minutes. The period of exercise was 18.6 months. And main objective of exercise was health promotion. 2. The physical exercise had differences according to the age. job. monthly income. period of marriage. type of family. and perceived body image. 3. Musculoskeletal and mental complaints were lower in no-exercise group than exercise group(respectively P=0.04. 0.02). According to the duration of exercise. autonomous nervous symptoms was the lowest in 20 minutes group(P=0.04) and psychologic complaints was the lowest in below 60 minutes group(P=0.03). According to the period of exercise. cardiovascular and fatigue complaints was the lowest in 7-12 months maintenance group and autonomous nervous complaint was the lowest in below 3 months maintenance group(P=0.04). This study is only a preliminary effort. so I recommend that the repeated studies be carried out including detailed. comprehensive exercise practice and developing systematic exercise program.

부인암 전문간호사 제도 확립을 위한 기초조사

박재순 ( Chai Soon Park ) 한국여성건강간호학회 2006 여성건강간호학회지 Vol.12 No.2

병원근무 간호사의 소진과 영향 요인

박재순 ( Chai Soon Park ) 여성건강간호학회 2002 여성건강간호학회지 Vol.8 No.4

간호대학생의 조산원 분만 참여 경험

박재순 ( Chai Soon Park ),김혜진 ( Hye Jin Kim ),염순교 ( Soon Gyo Yeoum ) 여성건강간호학회 2015 여성건강간호학회지 Vol.21 No.2

Purpose: The purpose of this study was to explore the experiences of nursing college students who attended delivery practices at midwifery clinic. Methods: This was a qualitative study using focus groups. Data were collected by group interviews with a total of 12 students who observed natural childbirth at midwifery clinic. Data were analyzed through Colaizzi`s method in which meaningful statements were extracted. Results: The meanings of experiences were identified five theme clusters from thirteen themes and thirty-one sub-themes. The five theme clusters were ``ultimate process of natural childbirth`, ‘allowed birth`, ‘role recognition of the midwife`, ‘positively changed perception`, and ‘barriers`. Conclusion: This study showed that observation of delivery at midwifery clinic was helpful for nursing students in terms of positive impression about natural childbirth with maternal and baby being centered. Nursing students expressed value and concern about delivery at midwifery clinic. Further in-depth study of natural childbirth in terms of husband and family perspective is required. For quality improvement of maternity nursing care, natural childbirth process needs to be included in nursing care at hospitals as well as students` clinical practicum.

호스피스 스마트 환자 서비스 제공자를 위한 교육과정 개발

박재순(Park Chai-Soon),유양숙(Yoo Yang-Sook),박현정(Park Hyun-Jeong),최동원(Choi Dong-Won),최상옥(Choe Sang-O),김성은(Kim Seong-Eun),김효정(Kim Hyo-Jung) 대한종양간호학회 2009 Asian Oncology Nursing Vol.9 No.1

Purpose: The purpose of the study was to develop an educational program reflecting the educational needs of Hospice Smart Patient service providers. Method: The description, goal, curriculum, method, and process evaluation of the educational program were constructed based on Modified Tyler-type Ends-Means Model followed by the analysis of current curriculum and needs of service providers. Results: The curriculum was constructed based on hospice volunteer program currently offered in Korea and the recommendations of hospice service volunteers and experts. A total of 90 hr was required to complete the curriculum that was composed of ‘Introduction to cancer’, ‘Treatment and treatment complications of cancer’, ‘Post-treatment nutritional care’, ‘Helpful information’, ‘Introduction to hospice and palliative care’, ‘Comprehension of life and death’, ‘Holistic hospice and palliative care’, ‘How to communicate as a smart patient’, ‘Hospice and ethics’, ‘Pediatric hospice’, ‘Bereavement management’, and ‘Clinical practicum’. Conclusion: It is necessary to implement the developed educational program and evaluate its effectiveness, as well as making the service available to a greater number of cancer patients.

스트레스 관리 프로그램이 노인의 지각된 스트레스, 우울 및 신체화 증상에 미치는 효과

이영희,박재순,Lee, Young-Hee,Park, Chai-Soon 한국가정간호학회 2010 가정간호학회지 Vol.17 No.2

Purpose: This study was done to identify the effects of stress management program on perceived stress, geriatric depression, and somatic symptom in elderly Korean subjects. Methods: A pre-post test design with a nonequivalent control group was used. Fifty elderly Korean subjects with mild depression were recruited from the registerants at four public senior citizen centers within S-gu in Seoul. They were randomly allotted to the experimental group(n=25) and control group(n=25). The intervention was performed for one hour each week at each center for 5 weeks. The effects were measured by Perceived Stress Scale, Geriatric Depression Scale-Korean, and Patient Health Questionnaire-15. Results: Perceived stress and depression were significantly reduced in experimental group. The somatic symptom was not significantly different in the experimental group. Conclusion: The stress management program may have merit in improving mental health of elderly Koreans, although this conclusion is equivocal pending further well-controlled studies that include mediation techniques such as conversion therapy and health gymnastics.

여성건강에 관한 연구 분석

염순교 ( Soon Gyo Yeoum ),박재순 ( Chai Soon Park ) 한국여성건강간호학회 2005 여성건강간호학회지 Vol.11 No.4

임산부의 산전관리와 산욕기 영양실태에 관한 연구

차순향(Soon Hyang Chia),박재순(Chai Soon Park) 韓國營養學會 1976 Journal of Nutrition and Health Vol.9 No.4

내.외과계 간호사의 통증 관리에 대한 지식 및 태도

송승순,박재순,Song, Seung-Sun,Park, Chai-Soon 한국가정간호학회 2010 가정간호학회지 Vol.17 No.1

Purpose: This study investigated the sought to identify the pain management knowledge and attitude of nurses in internal medicine and surgery stream wards and intensive care units to obtain basic information needed for improved pain control. Method: Data was collected through self-reported questionnaires and analyzed by descriptive statistics, t-test and ANOVA using SPSS Win 12.0. Results: Pain management knowledge score averaged 51.1 out of 100, with significant differences evident depending on age, marital status, educational level, position, total work career, working department and cancer care-giving experience. Pain management attitude score averaged 2.9 out of 4, and significant differences were evident depending on age, marital status, educational level, position, total work career, working department, cancer care-giving experience, education experience and number of patients treated. Conclusion: Further studies are necessary to develop effective nursing knowledge and attitude education programs and evaluation such as discussion by cases, workshops, system of expert help for uncontrollable pain or a multi-disciplinary pain management task force. In addition, patient satisfaction level with pain management should be assessed and the responses reflected practically.