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원주희 연세대학교 간호정책연구소 1999 간호학탐구 Vol.8 No.2
Modern medical science currently focuses on improving quality of life and life-span, and has seen great research progress over the past century. In this context, the Hospice movement could be viewed as less newsworthy because it focuses exclusively on caring for patients in the less glamorous, terminal stage of life. However, on the contrary, interest in the Hospice has grown continuously during the past 30 years. The Hospice can also be expected to progress further in the 21st century. Medical science will continue to develop and prolong lives. In spite of the progress in Medical science, the high death rate due to the incurable disease will remain, and the process of death will also be longer. Futhermore, more patients(and families) will be touched by pain and the Hospice will be needed more than ever. Medical science does not deal with the nature of death, and must content itself with describing the phenomenon, just as it deals with the phenomenon and not the nature of life. As death and terminal disease are viewed as the point at which medical science has failed, patients who reach this stage are alienated and suffer physically and mentally. It is this view as 'failure of medical science' that risks ignoring the patients' needs, their human dignity and personality. This will greatly increase the need for the services of the Hospice, which caters for the whole patient to improve the quality of their remaining lives.
호스피스 케어가 말기암환자 가족들의 죽음에 대한 인식 변화에 미치는 영향
계광원,김재송,원주희,이성옥,이채영,조성훈,박윤미,윤영미,이명숙,주선미,Gye Gwang-Won,Kim Jae-Song,Won Ju-Hui,Lee Seong-Ok,Lee Chae-Yeong,Jo Seong-Hun,Park Yun-Mi,Yun Yeong-Mi,Lee Myeong-Suk,Ju Seon-Mi 한국호스피스협회 2005 호스피스 학술지 Vol.5 No.2
The objective of this research is to provide the basic material for effective hospice care by analyzing the recognition of families who have terminally ill patients over death. To do so, this research is designed to investigate the general tendency toward death and changes after hospice care. To analyse the initial status of the recognition about the death, questionnaires were provided to the families of the terminally ill patients who were taken hospice care from June 1st, 2005 to September 10th, 2005 at Saemmul Hospice. The same questionnaires were distributed to research some changes of the recognition of the death after 3 weeks. As the Data Analysis Methodology, SPSS v.10.0 statistics program were utilized. The summary of this research is as follows. First, by gender, it is analyzed that women have more fear than men in terms of incompetence sense after death. By religion, Christians have less fear than other religious people in terms of fear toward after death and general sense of death. Second, those who experienced deaths of close family members, relatives, friends for the past 3 years have more fear toward the moment of death than those who did not experience it. Third, statistically valid difference was found in terms of fear toward the moment of death, fear toward incompetence, fear toward after death, and fear toward death before and after the hospice care was taken. Based on the result of this research, terminally ill patients' families facing death have shown significant differences on fear and incompetence before and after hospice care was offered. It is necessary that the hospice care should be settled more professionally by expanding the opportunities of hospice care and institutionalizing the system. In addition, hospice activities which are focused on providing hope after death and facing death with dignity and peace should be expanded increasingly as the family members who experienced deaths showed higher degree of fear and powerlessness and Christians have less fear toward death with the help of biblical influence. It is also required that hospice care specialized in recognizing the importance of terminal cancer patients and their families at the same time.
탄소 중립을 위한 철도 건설 사업 온실가스 평가항목의 탄소흡수원 분야 환경영향평가 개선 방안 연구
황진후,Namuun Tuvshinjargal,원주희,김민정,박다혜,전성우 한국환경복원기술학회 2023 한국환경복원기술학회지 Vol.26 No.3
The railway project is an essential green transportation tool that is considered suitable for the domestic and foreign policy direction of carbon neutrality, but there are some limitations, such as damaging important carbon absorption sources during construction. This study analyzed the environmental impact assessment related to carbon absorption sources of greenhouse gas evaluation items conducted during the railway project, and limitations and implications were derived. The analysis of environmental impact assessment guidelines related to railway projects and carbon absorption sources dealt with prediction and reduction methods related to carbon absorption sources, but guidelines, including environmentally friendly railway construction guidelines, lacked descriptions. Since the greenhouse gas environmental impact assessment, 83 railway project environmental impact assessments have been reviewed, but in some cases, carbon absorption-related predictions have not been implemented, or carbon absorption-related reduction measures have been insufficient. In addition, there were cases where there was a limit to calculating emissions and reduction or where the reduction value was insignificant compared to emissions. In order to supplement the environmental impact assessment in the field of carbon absorption sources related to railway construction projects, alternatives such as quantitative emission and low reduction calculation, review of the no net loss system using the total environmental resource system, and linkage with climate change impact assessment are needed.
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.