우리나라에서의 연명의료결정에 관한 법률 적용-'호스피스완화의료 및 임종과정에 있는 환자의 연명의료결정에 관한 법률'을 중심으로-

정복례 경북대학교 간호혁신연구소 2016 간호와 혁신 Vol.20 No.2

The ‘law on life–sustaining medical decision netting of patients in hospice palliative care and end-of-life process' were promulgated on February, 2016. This Law will improve the quality of death significantly even it could not fix up the difficult problems related to human death in Korea. But in order to become a law, it will be considered to be settling successfully prepare for the next. The purpose of this paper is to identify the problems related to 'law on the medical decision netting of patients in hospice palliative care and end-of-life process' and to propose the strategies of the solution. First, national publicity will take place for people of means and philosophy of death, right of people associated with death, meaning of medical care for life prolongation, process of life–sustaining medical decision, meaning and writing of advance directives, and hospice and palliative care. Second, health professionals, patients and their families will decide on the future direction of the plenty of opinions about ‘corporal medical practices to be implemented and the present status and the future prognosis of the person'. Third, it should be clearly subject to apply the "law on life–sustaining medical decision netting of patients in hospice palliative care and end-of-life process“ Fourth, properly executed prior to the "Law on life–sustaining medical decision netting of patients in hospice palliative care and the end-of-life process" requires the preparation of health professionals. Fifth, there is a need of systematic maintenance and use of pre-written letter of intent.

말기 암 환자 가족의 간호요구와 부담감

정복례,김경혜 경북대학교 간호과학연구소 2003 경북간호과학지 Vol.7 No.2

The purpose of this study was to investigate nursing needs and family burdens of caregivers who have had terminal cancer patients. The data were collected from August 1st, to October 30th, 1999. The subjects of this study were 82 family caregivers who have had terminal cancer patients around T city in Korea. A self-rating questionnaire consisted of questions regarding general characteristics(25items), nursing need scale(30items), and burden scale(25items). Data were analyzed by frequency, percentage, means, standard deviation, and Pearson`s Correlation Coefficient using SPSS program. The results of this study were as follows: 1) The mobility of 34.1% of the patients was worse than ECOG 3 level because they were staying in bed on half(50%) a day. 2) 18.3% of the family caregivers hoped for cancer patients to recover from cancer. 3) The most difficult problems of caregivers at home were the lack of support system. 32.9% of caregivers pointed out the lack of health personnels which they were supported to counsel and get help in emergency situations. 4) 35.2% of family caregivers demanded 24-hour hot line, 19.3% readmission to hospital as needed, and 14.5% continuance management after discharge. 5) The score on family caregiver` nursing need ranged from 48.0 to 118.0 with a mean of 85.4. Nursing needs to be informed on patient`s condition, treatment and nursing intervention among six factors showed the highest score. 6) The score on the family burden of caregiver ranged from 45.0 to 116.0 with a mean of 77.1. 7) The relationship between nursing need and burden of family caregivers was showed a positive correlation significantly.

5대암 예방과 조기발견을 위한 교육연구

정복례 경북대학교 간호과학연구소 1999 경북간호과학지 Vol.3 No.1

암 환자의 통증특성

정복례 慶北大學校 醫科大學 1989 慶北醫大誌 Vol.30 No.2

본 연구는 1988년 9월부터 12월까지 대구시내 1개 종합 병원에서 암진단을 받은 암환자를 대상으로 하여 암환자에게 나타나는 통증부위와 암의 형태별, 치료형태별, 전이유무별로 나타나는 통증반응과 환자 본인이 암이란 것을 아닌 지의 여부와 통증에 의한 암환자의 불안정도를 조사하여 다음과 같은 결과를 얻었다. 암의 종류별로 나타난 통증반응은 폐암의 경우 가슴과 복부에 통증을 호소하였고, 간과 담낭암에서는 우상복부, 위에서는 심와부 통증을 호소하였으며, 백혈병에서는 증상이 전신적으로 나타나 두통 및 신체전반에 걸친 불편감을 호소하였다. 장 및 직장암에서는 복부와 항문주위 통증을, 자궁암에서는 하복부 통증을, 유방암에서는 가슴과 팔의 통증을 나타내었다. 암의 형태에 따른 통증반응의 빈도는 가장 많은 경우가 장 및 직장암, 간과 담낭암의 순이었다. 암의 형태에 따른 통증반응의 강도도 대장 및 직장암, 간 및 담낭암, 자궁암에서 높게 나타났고 백혈병에서는 통증반응이 없었다. 치료형태별 환자의 통증반응은 화학요법을 받은 환자의 통증반응이 가장 높았다. 암의 전이유부별로는 전이가 된 군의 통증반응이 높았으나 유의한 차는 없었다. 환자 자신이 암이란 것을 알고 있는 군과 모르는 군의 비교에서는 알고 있는 군이 모르는 군보다 통증반응이 유의하게 높게 나타났으며, 통증반응을 나타낸 군에서의 불안반응이 통증반응을 나타내지 않은 군보다 유의한 차로 더 높게 나타났다. The purpose of this study was to investigate the characteristics of pain reaction in patients with cancer. The study was carried out on 93 cancer patients from september to december, 1988. in one Hospital at Taegu. The data was collected using the questionnaire. The questionnaire was made up of Melzack's scale for measurement of the pain reaction and self Rating Anxiety scale for anxiety reaction. The data was analyzed using percentage, means and t-test. The results of findigns were as follows. 1. Distribution of sites on pain reaction according to the types of cancer were that a patient with lung cancer was complained on lung and abdomen, upper gastric pain on a liver and gallbladder cancer, headache and general achs on a Leukemia, abdominal and anal areas on a colorectal cancer, lower abdominal pain on a cervical cancer, lung and upper arms pain on a breast cancer. 2. Frequency of the pain reaction according to the types of cancer were that Breast, colorectal, and-liver and gallbladder cancer achieved a higher frequency than Leukemia. 3. Comparison of strength on pain reaction according to the types of cancer was that colorectal, liver and gallbladder and cervical cancer achieved a higher total mean score than lymphoma and Leukmia. 4. Comparison of pain reaction according to the types of therapy was that chemotherapy and no treatment group patient achieved a high total mean score. 5. Comparison of pain reaction in a patient according to the metastasis of cancer was that pain reaction of the cancer patient with the metastatic cancer was significantly higher than the those with no metastasis. 6. Pain reaction of the cancer patient that they know their diagnosis was significantly higher than that of the cancer patient that they don't know their diagnosis. 7. Anxiety reaction in the cancer patient with the presence of pain was significantly higher than that of no presence of pain.

간호학생의 공감에 대한 문헌고찰

정복례 경북대학교 간호혁신연구소 2013 간호와 혁신 Vol.17 No.2

Purpose: The purpose of this study was to analyze the results of empathetic studies for nursing students’. Methods: 22 empathetic research results published in the journals between January 2000 and August 2013 were reviewed. Results: The key concepts appeared in descriptive correlational studies were 'students' and 'culture'. The variables related to empathy were 'grade', 'age', 'sex', 'religion', 'academic degree', 'ethnicity', 'willing to work as a nurse', 'willing to study nursing, ability to sense other's feeling', 'attitude to patients', 'academic clinical experience', and 'spiritual perspective'. The relational variables of empathy were 'cultural sensitivity and knowledge', 'ego', 'attitude of life', and 'attachment'. Concepts adopted in experimental empathy researches were 'mindfulness', 'stress', 'communication skills', 'caring', 'training', 'feature films', and 'wit'. The programs to increase the ability of empathy were 'psychiatric clinical course', 'FACT program', and 'normal academic training programme'. Jefferson scale of Empathy(JSE) was used frequently in study of empathy. Conclusions: It will be needed to further study related to empathy in the meaning of empathy among Korean nursing students, the variables related to empathy and the program to increase the ability of empathy. Empathy instrument to prove the reliability and validity and to reflect the Korean culture should be developed and testified for the further empathy study.

여성과 암

정복례 한국여성학회 1992 한국여성학 Vol.8 No.1

간호이론의 간호교육과 간호실무 적용

정복례 대한간호협회 2001 대한간호 Vol.40 No.4

세션 3-3 호스피스,완화의료 제도화를 위한 선결과제 - 정부와 보험자의 역할 : 호스피스,완화의료 활성화 방안

정복례 한국보건행정학회 2014 한국보건행정학회 학술대회 논문집 Vol.2014 No.2

호스피스 교육이 간호사의 죽음과 임종에 대한 두려움과 대응에 미치는 영향

정복례,한지영,김경덕,Jeong, Bok-Rye,Han, Ji-Yeong,Kim, Gyeong-Deok 한국호스피스협회 2005 호스피스 학술지 Vol.5 No.1

Purpose: The purpose of this study was to identify the effects of education of hospice for nurses on concern and coping about death and dying. Methods: The subjects of this study were 33 Korean nurses who participated in the education of hospice which consisted of lectures and practices for 5 months. Data were collected using questionnaire of concern and coping about Death and Dying. Data were analyzed with the mean, SDs and Wilcoxen test. Results: The mean score of concern about death and dying was 7.03. The highest items of concern about death and dying were 'thoughts of physical pain and being, 'thoughts of suffocating and choking, 'fear of darkness', The lowest items of concern about death and dying were. 'thoughts of burglars invading my possessions', 'rejection by God', thoughts of no one attending funeral', 'thoughts of no one paying respect or tribute', The mean score of coping about death and dying was 11.37. The highest items of coping about death and dying were 'call family member(s) into room and ask them ti sit close by, reminisce on happy events of the past, tell myself that there is nothing to be afraid of, look at family picture albums'. The lowest items of coping about death and dying were 'stay up stay up late till ready to fall asleep', 'look at family heirlooms', 'phone a prayer line', 'ask for a snack or something to drink'. In concern and coping about death and dying, significant differences were not found between pre and post test. But there was a tendency to decrease concern and increase coping about death and dying after education of hospice. Conclusion: According to these results, it is needed for nurses not only to do research for concern and coping about death and dying but also to develop an education program.

두통을 호소하는 초등학생의 스트레스요인과 대처방식

정복례,홍연란,Chung Bok Yae,Hong Youn Lan 한국아동간호학회 2000 Child Health Nursing Research Vol.6 No.3

The purpose of this study was to examine the stressors and coping styles between headache- suffering children and headache-free children. The subjects of this study consisted of 112 headache-suffering children and 203 headache- free children. They were 5th and 6th grade of elementary school around Taegu city. The periods of study was from June 1, to July 20, 2000. Data were analyzed by SAS computer programme The results of this study were as follows: 1. The score of stressor of headache-suffering children was higher than that of headache- free children significantly. The scores of school stressor and mess media stressor of headache-suffering children were higher than those of headache-free children significantly. 2. There was no significant difference even though the mean score of the coping style in headache-suffering children was higher than that of headache-free children. There were also no significant differences in both problem-oriented coping style and emotion- oriented coping style. 3. Logistic regression analysis(stepwise) revealed that the most powerful predictor was the variable stressor in school(standardized estimate=0.316, P<.001), followed by stressor in mass media(standardized estimate=0.224, P<.05).