• 제목/요약/키워드: 희망중재

검색결과 47건 처리시간 0.023초

Towards Hope Seeking Intervention Based on Individual Experience in Palliative Care (완화돌봄에서 개인 경험에 근거한 희망 중재를 향하여)

  • Kim, Dal-Sook
    • Journal of Hospice and Palliative Care
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    • 제15권1호
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    • pp.1-9
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    • 2012
  • Purpose: The aim of this study was to discuss challenges for hope seeking intervention based on individual experience (HSIBIE) in palliative care, assuming that hope is an individualized unique, subjective, and dynamic experience. Methods: Literature, including analysis and discussion, was reviewed to identify limitations and ways to develop HSIBIE. Results: This study identified following challenges: 1. Hope was often described and utilized as a standardized unified structure with varying attributes or mono-structure emphasizing a realistic hope, or both of them (relativism vs. monism) in one literature. This challenge is represented as a problem in conceptualization. 2. Few studies discussed various patterns of hope or individuals' unique experiences in palliative care. 3. The HSIBIE and the method for the HSIBIE have been rarely discussed. Conclusion: A problem in conceptualization is often related to fixed ideas formed over a long period and used in a closed circle of scholars and professionals. Therefore, such fixed ideas should be openly challenged with fresh perspectives. The second issue requires a cross-cultural studies of various hope experiences in palliative care, which can be used for effective and appropriate HSIBIE.

An Intervention Model to Help Clients to Seek Their Own Hope Experiences: The Narrative Communication Model of Hope Seeking Intervention

  • Kim, Dal Sook;Kim, Hesook Suzie;Thorne, Sally
    • Journal of Hospice and Palliative Care
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    • 제20권1호
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    • pp.1-7
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    • 2017
  • The paper describes The Narrative Communication Model of Hope Seeking Intervention developed by the authors as an approach to help clients to have individually specific hope experiences. The Model is founded upon the existential conceptualization of hope that views hope as subjective, unique experiences of meaning and processes. The Model has been developed based on the findings both in the literature and the authors' work on the nature of hope and hope experiences and integrating the concept of hope as subjective meanings and experiences, the processes of story-telling and the concept of narrative configuration as a way to engage in person-specific experiences, and person-centered communication. The results of the experiences with the application of the model in a study are used to clarify the model further. The Model incorporating story-telling and narrative construction through person-centered communication is identified in three components-the story-telling, the narrative intervention, and the communication components. These components are processed as an intervention to culminate into person-specific hope experiences in which active participation of clients as the story-teller and of interventionist as the communicative facilitator is required to produce narratives of hope with individual specific thematic plots that become the basis for hope experiences. The application of the Model has shown positive outcomes in clients with successful seeking of own hope experiences. The success of the Model application seems to depend upon interventionists' understanding of the model and the competency with the application of person-centered communication strategies.

The Effects of Hope Intervention on Hope and Depression of Cancer Patients Staying at Home (희망중재가 재가 암환자의 희망과 우울에 미치는 효과)

  • Shin, A-Mi;Park, Jeong-Sook
    • Journal of Korean Academy of Nursing
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    • 제37권6호
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    • pp.994-1002
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    • 2007
  • Purpose: This study was to identify the effects of hope intervention on hope and depression of cancer patients staying at home. Methods: The study design was a randomized control group design. The subjects consisted of forty cancer patients randomly selected who were registered at S-Gu Public Health Center. Hope intervention, which was composed of hope assessment, hope objective setting, positive self identity formation, therapeutic relationships, spiritual & transcendental process improvement, positive environmental formation and hope evaluation, was provided from November 20, 2006 to January 26, 2007. Results: The 1-1 hypothesis, "The experimental group which received hope intervention will have a higher score of hope than the control group", was supported(t=-3.253, p= .003). The 1-2 hypothesis, "The experimental group which received hope intervention will have a higher level of hope index than the control group", was supported (t=-4.001, p= .000). Therefore the 1st hypothesis, "The experimental group which received hope intervention will have a higher level of hope than the control group" was supported. The 2nd hypothesis, "The experimental group which received hope intervention will have a lower level of depression than the control group", was not supported (t=1.872, p= .070). Conclusion: Hope intervention is an effective nursing intervention to enhance hope for patient with cancer.

Influences of Social Support and Social Stigma on Quality of Life of HIV Infected People : Mediating Effect of Hope (HIV 감염인의 사회적 지지, 사회적 낙인이 삶의 질에 미치는 영향 : 희망의 매개효과)

  • Kim, Il-Ok;Shin, Sun-Hwa
    • The Journal of the Korea Contents Association
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    • 제16권8호
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    • pp.247-256
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    • 2016
  • The purpose of this study was to identify the mediating effect of hope relationships among social support, social stigma and quality of life. It was conducted to measure social support, social stigma, hope and quality of life from 197 HIV-infected people. Data collection was carried out through one-on-one interviews by counselling nurse. The mediating effect was analyzed through Structure Equation Model using AMOS 21.0 program and indirect effect was analyzed by bootstrapping method. As a result of analysis, first, social support had a significant positive effect on quality of life. But social stigma had a significant negative effect on quality of life. Second, social support had a significant positive effect on hope. But social stigma had a significant negative effect on hope. Third, hope had significant mediating effect within the influence of social support and social stigma on quality of life. It is suggested to develop and apply comprehensive intervention program for improve quality of life of HIV infected people in community.

The Effects of Psychosocial Intervention on Depression, Hope and Quality of Life of Home-Based Cancer Patients (심리사회적 중재 프로그램이 재가 암 환자의 우울, 희망 및 삶의 질에 미치는 효과분석)

  • Park, Jeong-Sook;Oh, Yun-Jung
    • Korean Journal of Adult Nursing
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    • 제22권6호
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    • pp.594-605
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    • 2010
  • Purpose: The purpose of this study was to identify the effects of psychosocial intervention on depression, hope and quality of life of home-based cancer patients. Methods: The study design was a nonequivalent control group pretest-posttest design. Data were collected from September 21 to November 13, 2009. The subjects consisted of 81 cancer patients randomly selected who were registered at four public health center in Daegu, Korea. The 39 subjects in the experimental group received a psychosocial intervention and the 42 subjects in the control group received the usual nursing care. The weekly psychosocial Intervention protocol was comprised of health education, stress management, coping skill training and support (60 min) for eight weeks. Data were analyzed by using the SPSS/WIN 12.0 program. Results: Depression (F=23.303, p<.001) scores in the experimental group were significantly less than that of the control group. Further, hope (F=58.842, p<.001) and quality of life (F=31.515, p<.001) scores were significantly higher than those reported by the control group. Conclusion: The findings indicate that the psychosocial intervention was an effective intervention in decreasing depression and increasing hope and quality of life of home-based cancer patients.

Effects of the Illness Management and Recovery Program on Recovery, Knowledge of Mental Illness, and Hope of Inpatients with Mental Illness (회복지향질병관리 프로그램이 입원한 정신과 환자의 회복 및 정신질환 지식과 희망에 미치는 영향)

  • Shin, Eun-Sik;Lee, Hyun-Bok;Jeon, Mi-Sook;Kim, Sun-Hee;Yoon, Bo-Hyun;Sea, Young-Hwa;Park, Su-Hee
    • The Journal of the Korea Contents Association
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    • 제17권7호
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    • pp.579-591
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    • 2017
  • The Illness Management and Recovery(IMR) Program was designed to improve self-management and recovery of people with mental illness. The purpose of this study was to identify the effects of the Korean version of the IMR program on recovery, knowledge against mental illness, hope among inpatients with severe mental illness. 92 participants diagnosed with schizophrenia, bipolar disorder and schizoaffective disorder were assigned to either an IMR group(n=51) or the control group(n=41) without randomization. Data collection had been conducted from June 2015 to December 2016. Mental Health Recovery Scale, Knowledge Scale, and Hope Scale was administered to participants before and after the intervention. Participants in the IMR program showed significant improvement in progress toward their recovery and knowledge about their mental illness compared with those receiving treatment as usual. However, changes in hope were not significant in both groups. This is the first evaluation of the effects of the Korean version of the IMR program. Our findings support potential benefits of implementing the Korean version of the IMR program.

Effects of Post-traumatic, Self-Esteem, and Hope on Quality of life among Middle-aged Female (중년여성의 외상 후 성장, 자아존중감, 희망이 삶에 질에 미치는 영향)

  • Kang, Hye-seung;Lee, So-young
    • The Journal of the Korea Contents Association
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    • 제17권10호
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    • pp.518-525
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    • 2017
  • The purpose of this study was to investigate factors as post-traumatic, self-esteem and hope that affect the quality of life in middle-aged women. Number of middle-aged women participated in the survey were 118. Data were collected by means of self reported questionnaires from June 1 to 30. and analyzed by using descriptive statistics, t-test, ANOVA, Scheffe's test, Pearson's correlation coefficients and multiple regression with SPSS windows version 21.0. There were statistically significant differences in the quality of life health according to the frequency of hope, frequency of perceiver health status, frequency of self esteem and post traumatic state. There were significant positive correlations between quality of life and hope, perceiver health status, self esteem, post traumatic state. Negative correlations were found between quality of life and aged. Hope, perceiver health status, self esteem, post traumatic state were predictors of a quality of life Nurses should focus on factors identified in this study when developing nursing interventions to quality of life for middle-aged women.

The effect of Holistic Health Program on spiritual well-being and mental health in nursing students (전인건강중재 프로그램이 간호대학생의 영적안녕과 정신건강에 미치는 효과)

  • Kang, Eun-Sil;Kim, Young-Hee;Lee, Kyung-Ri
    • Journal of the Korea Academia-Industrial cooperation Society
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    • 제12권5호
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    • pp.2172-2179
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    • 2011
  • The purpose of this study is to examine the effects of Holistic Health Program on spiritual well-being and mental health of nursing students. A one-group pretest-posttest research design was used. The subjects were 42 nursing students attending C College located in Y city. All subjects participated in 13 week holistic health program. The data were analyzed using frequency, paired t-test, Pearson correlation coefficient. The results of this study were as followings; First, the score of spiritual well-being was significantly increased after Holistic Health Program in the subjects. Second, the score of mental heath was significantly increased after Holistic Health Program in the subjects. Based on these results, it was concluded that Holistic Health Program is effective for improving spiritual well-being and mental health of nursing students. Therefore, we recommend this program to be utilized as an effective method for improving spiritual well-being and mental health of nursing students. And this results will provide basic data to develop nursing practice curriculum in the nursing college.

The Effects of Hope Intervention on the Hope and Quality of Life of Cancer Patients Staying at Home and Cared in Public Health Center (희망중재가 보건소 관리 재가 암환자의 희망과 삶의 질에 미치는 효과)

  • Kim, Chung-Nam;Shin, A-Mi;Park, Kyung-Min;Park, Myong-Hwa;Kim, Yeong-Ah
    • Research in Community and Public Health Nursing
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    • 제19권2호
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    • pp.177-187
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    • 2008
  • Purpose: This study was to identify the effects of hope intervention on the hope and quality of life of cancer patients staying at home. Method: The study adopted the randomized control group design. The subjects consisted of randomly selected forty cancer patients who were registered at S-Gu Public Health Center. Hope intervention which was composed of hope assessment, positive self identity formation, hope objective setting. therapeutic relationship and spiritual & transcendental process improving, and hope evaluation was provided from October 22, 2007 to November 30, 2007. Result: Hypothesis 1-1 "The experimental group that received hope intervention will have a higher score of hope than the control group", was supported(t=-3.108, p=.004). Hypothesis 1-2 "The experimental group that received hope intervention will have a higher level of hope index than the control group". was supported(t=-4.219. p=.000). Therefore, Hypothesis 1 "The experimental group that received hope intervention will have a higher level of hope than the control group" was supported. Hypothesis 2 "The experimental group that received hope intervention will have a higher level of quality of life than the control group", was not supported(t=-1.726, p=.092). Conclusion: Hope intervention is an effective nursing intervention to enhance hope for patients with cancer staying at home.

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