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      • 뇌사자 가족의 장기기증에 대한 경험 연구

        홍정자,지성애 중앙대학교 의과대학 간호학과 간호과학연구소 2002 중앙간호논문집 Vol.6 No.1

        The purpose of this study was to understand of experience about organ donation of brain death donor families by the use of analytical theory of Benner's Interpretive Phenomenology. The object was that what kind of experience did they feel during the organ donation. This research participants were 9 brain death donors' families who had experienced that organ donation from Jan. 1999 to Jan. 2000 and hospitalized from A. hospital in seoul. The data was collected and the contents of interview were recorded while interviewing deeply with the each participants from the January to August 2000. It took one half hours to two hours while interviewing. This research data was analysed in terms of Benner's Interpretive Phenomenoloic strategy tools which named paradigm case, thematic analysis, examlar. The conclusion that gained from this study which was based on experiences about organ donation of brain death donors families. The results of the study are as follows : At fist, the experience about organ donation of brain death donors' families was shock as like falling down. During this stage, donors' families felt that being at a loss, loss of spirit. and next, the experience about organ donation of brain death donors' families was agonizing. agonizing appeared in all process that their experiences related organ donation. During this stage, they felt that as like crushing their heart, deep grief, unable to calm themselves. and next, the experience about organ donation of brain death donors' families was the fear about uncertainty. During this stage, they felt that frightening, appealed to medical staff for saving to life and next, the experience about organ donation of brain death donors' families was having a hope to recovery. During this stage, they felt that unbelievable, having a hope. and next, the experience about organ donation of brain death donor's familirs was anger. and next, the experience about organ donation of brain death donors' families was the difficulty about accepting of brain death and decision of organ donation. and next, the experience about organ donation of brain death donors' families was want to information related to brain death and donation process, being together, emotional support by hospital staffs and relatives and needing the help on the funeral process. and next, the experience about organ donation of brain death donors' families was beravement(loss of loved one's). During this stage, donors' families felt that loneliness, withdrawal of life, missing and guilty feeling.at last, the experience about organ donation of brain death donors' families was having a positive thining about organ donation. During this stage, dnors' families felt that they feel free from the guilty feeling and organ donation means Gift of life. This study itemize the experiences about organ donation of brian death donors' families by applying the analytical interpretive phenomenology of Benner. Based upon this study, the theory of benner which describes the experiences about organ donation of brain death donors' family is suitable for brain death donors' family care, cadaveric organ transplantation nursing.

      • SCOPUSKCI등재

        신장이식 환자의 근력, 근지구력, 유연성 및 일상생활활동의 변화

        안재현,하희선,홍정자 성인간호학회 2001 성인간호학회지 Vol.13 No.1

        The purpose of this study was to explore the change of muscle strength, muscle endurance, flexibility and activities of daily living to develop a rehabilitational program. The subjects were selected randomly among the patients who underwent kidney trans- plantations at one major transplantation hospital in Seoul, Korea. This study was carried out between November 23, 1999 and February 15, 2000. The subjects in this study consisted of 16 patients who had kidney transplantations between 1 month and 12 months ago prior to this study. They were all on steroids and did not take any physical exercise regularly. The muscle strength, muscle endurance, flexibility and activities of daily living were evaluated at 1st week and after 12 weeks. The data were analyzed with numbers, percentiles, mean, standard deviation and t-test. The results were as follows : 1.After 12 weeks, the grip strength was significantly decreased than 1st week(p =.0002). 2.After 12 weeks, the back lift strength was significantly decreased than 1st week(p =.0002). 3.After 12 weeks, the muscle endurance was increased than 1st week, but it was not significant(p=.5487) 4.After 12 weeks, the flexibility was significantly decreased than 1st week(p=.0002). 5.After 12 weeks, the activities of daily living was significantly decreased than 1st week(p=.0006). Like the above result, the kidney transplant receipients' muscle strength, flexibility and activities of daily living were reduced In order to solve this problem, the writer has found that program development to prevent the defects should be extremely required. Since now on the number of patients should expand. After the kidney transplantation, the periods of 4, 8, 12 and 16 weeks are extended. The writer proposes to examine the different phase of change in each periods.

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