• Journal of Hospice and Palliative Care
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• 제14권2호
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• pp.101-109
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• 2011

목적: ACOVE project에서는 말기 치료의 질 평가를 위한 임상질지표를 개발하였다. 그러나 말기 치료에 대하여 의료전문가들의 의견을 반영하여 만든 임상질지표와 보호자들의 의견은 실제로 다를 수 있다. 따라서 호스피스 치료 질에 대한 보호자들의 인식 정도를 파악하기 위해 본 연구를 시행하였다. 방법: 2009년 7월부터 10월까지 총 4개월간 경북대학교 병원과 대구 보훈병원의 호스피스 병동에 입원해 있는 환자의 보호자를 대상으로 익명의 횡단면 질문지 조사(cross-sectional anonymous questionnaire)를 시행하였다. 총 120명을 선정하고 이 중 모든 질문에 성실히 답한 69명을 최종대상자로 하였다. 통계분석은 SPSS WIN ver. 14.0을 이용하여 independent t-test와 Pearson's chi-square test를 시행하였다. 결과: 좋은 임상질지표 중 가장 동의율이 높은 항목은 '완화의학 팀이나 완화의학 전문가에 의한 의학적 진찰'과 '가족들이 지켜보는 앞에서의 임종' 이었으며 이 항목들은 88.4%의 보호자가 동의하였다. 반면에 낮은 동의율을 보인 항목은 '환자와 심폐소생술에 대해 논하는 것' 으로 15.9%가 동의하였다. 나쁜 임상질지표 중 동의율이 높은 항목은 '낙상이나 욕창이 발생하는 것은 바람직하지 않다' 라는 항목이었으며 94.2%의 보호자가 동의하였고 가장 낮은 동의율을 보인 것으로는 '병원에서 임종하시는 것은 바람직하지 않다'라는 항목으로 11.6%가 동의하였다. 그리고 동의를 많이 한 그룹일수록 여자의 비율, 환자가 자신의 예후를 인지한 비율, 경제 수준이 높은 사람의 비율이 높았다. 결론: 본 연구에서는 이전 여러 연구에서 임상질지표로 권유되어진 항목들에 대한 보호자들의 동의율이 낮은 항목들이 있었으며 일부 항목들의 동의율과 보호자들의 특성이 관련이 있었다.

• 한국농촌간호학회지
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• 제16권2호
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• pp.60-68
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• 2021

Purpose: This case report was attempted to present the process of the end of life nursing care provided by the visiting nurse. Methods: The subject was a person who was decided the long-term care Grade 1 and received a visiting nursing service, and the service was terminated on the death, and then was selected as a case with the consent of his family. The data were collected through long-term care benefit provision records and interviews with the visiting nurse. The nursing process was presented by applying the Omaha System. Results: The subject had digestion-hydration problems and respiration problems in the physiological domain, and the problems of role change, caretaking/parenting, spirituality, and grief in the psychosocial domain were identified. Depending on the problem, the end of life nursing care was provided to the subject and family members through activities on physical symptoms/signs, dietary management, end-life care, and coping skills. Conclusion: We expect that if the visiting nurse provides anticipatory guidance on the death process, the subject will be able to prepare for death comfortably with the family at home instead of vague fear of death.

• 지역사회간호학회지
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• 제14권2호
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• pp.263-273
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• 2003

Objectives: The purpose of this study was to identify the family phenomenon and characteristics by ICNP such as family shape, life standard. area, and development stage. Method: 1. Sample size was 115. 2. Data analysis method included frequency analysis including ratio. Results: 1. On the distribution of the family phenomena by family shape, the nuclear family showed a higher ratio on the distribution in family communication and the unhealthy life style. The nuclear family was related to children andhad a higher ratio on the inadequate care management of the sick member. The extended family showed the highest ratio on the inadequate care management of sick member. 2. On the distribution of the family phenomena by family life standard, the family with medium life standard showed a higher ratio on the inappropriate family coping, whereas the family with lower life standard appeared to have a higher ratio on the inadequate care management of the sick member. 3. On the distribution of the family phenomena by area. the large city area showed the highest ratio on the inappropriate family coping, the medium and small city area appeared to have the highest ratio on the unhealthy life style. The county area showed the highest ratio on the inadequate care management of sick member. 4. On the distribution of the family phenomena by development stage, the family in rearing period showed a higher ratio on the inappropriate family coping and the lack of family intimacy. Families with preschool children showed a higher ratio on the unhealthy life style, and families with school age children showed the highest ratio on the inappropriate family coping. Families with adolescents appeared to have the highest ratio on the disturbance in family communication, and families with launching young adults showed the highest ratio on the inadequate care management of sick member. 5. On the distribution of the family characteristics by family shape, the nuclear family showed a higher ratio on the family characteristics such as less communication chances among family members and neglect of general child rearing, whereas the third generation family appeared to have a higher ratio on the characteristics such as overburden of housewife's role and short of caring among family members. 6. On the distribution of the family characteristics by family life standard, the family of medium life standard showed higher ratio on the family characteristics such as a few communication chance among family and overburden of housewife's role, and the family of lower life standard appeared to higher ratio on the family characteristics such as short of caring among family members. 7. On the distribution of the family characteristics by area. the large city area showed a higher ratio on the family characteristics such as overburden of housewife's role and neglect of general child rearing. The medium and small city area appeared to have a higher ratio on the family characteristics such as less communication chancec among family members. The county area showed a higher ratio on the family characteristics such as short-term care among family members. 8. On the distribution of the family characteristics by development stage, the family with rearing period showed a higher ratio on the family characteristics such as neglect of general child rearing. Families with preschool children showed a higher ratio on the family characteristics such as less communication chancec among family members. Families with school age children showed a higher ratio on the family characteristics such as overburden of housewife's role. Families with adolescents appeared to have a higher ratio on the family characteristics such as less communication chances among family members. Families with launching young adults showed a higher ratio on the family characteristics such as less communication chances and short-term care among family members.

• 가족자원경영과 정책
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• 제10권2호
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• pp.107-125
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• 2006

This study aims to examine the family awareness and the demand for a group-based healthy family support program for current and former residents of a residential care institution, and to provide information to be utilized in the development of a comprehensive group-based family support program. To support this study, 1:1 interviews were conducted. The interviews focused on the adolescents' perception of their own families, perception of family in general, demand for a group-based healthy family support program, etc. The results of the interviews are as follows. First, as for the perception of their own families, the 'happiest' and 'saddest' experiences they reported were related to their own families for both the current and former resident adolescents of the institution. Second, as for the perception of family in general, both groups defined a healthy family as a family with members who 'help one another in times of difficulties and live happily in harmony together'. Third, regarding the educational contents that are essential to the establishment of a healthy family, a majority of the current residents answered cooking, yet a majority of former residents mentioned more practical education-such as the role of parents, child education, asset management, human relationships, and self worth enhancement, etc.

• 대한간호학회지
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• 제52권4호
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• pp.435-450
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• 2022

Purpose: The purpose of the study was to understand the care experiences of the family of living donor liver transplantation (LDLT) patients where the donation had occurred within the family. Methods: Participants were eight family caregivers who cared for recipients and donors of LDLT. Data were collected through individual in-depth interviews from November, 2020 to April, 2021. Data analysis was performed through a cyclical process of data collection and analysis by applying Giorgi's phenomenological research method. Results: The five main components extracted from the experiences of the family caregivers were: "A double-edged choice to save the family", "The harsh daily life of liver transplantation care", "The yoke of double care on both shoulders", "The power to withstand the adversity of caring", and "The recovery and growth of life pursued by trusting each other". Conclusion: The participants tried to do their best in their daily lives, while providing reassurance and care to the LDLT patients in the family; however, they expressed some worry and hardship while doing so. The results of this study provide a deeper understanding of the caring experience of the family caregivers, which may contribute to the development of nursing interventions that will aid these caregivers in providing care to their LDLT family members. Furthermore, the development and application of an integrated management program for LDLT patients in the family is required.

• 지역사회간호학회지
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• 제19권1호
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• pp.66-75
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• 2008

Purpose: The purpose of this study was to investigate influencing factors on self-care in the elderly with essential hypertension. Method: The research instruments included the Self-Care Scale, the Knowledge Scale Related to Hypertension, the Self-Efficacy Scale and the Family-Support Scale. Results: The self-care was significantly associated with knowledge (r=.510, p=.000), self-efficacy (r=.708, p=.000), and family support (r=.403, p=.000). The major factors that affected subjects' self-care were knowledge and self-efficacy which explained 58.7% of self-care. Conclusion: Hypertension knowledge and self-efficacy are important factors for nursing interventions in caring for elderly patients with hypertension. It is needed to develop nursing programs for elderly patients with hypertension and to provide nursing interventions to improve knowledge and self-efficacy and, thereby, improving the self-care of elderly patients with hypertension.

• 한국보건간호학회지
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• 제13권2호
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• pp.202-214
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• 1999

This study was conducted to provide the data for the improvement of home health nursing services through the investigation of burden and satisfaction felt by family caregivers under home health nursing care. The study subjects consisted of 200 family caregivers who were enrolled m six university hospital home care services. Data were collected by using constructed questionnaires through mail from March to April of 1999. and analyzed by using t-test. ANOVA, Duncan-test. and Pearson Correlation Coefficients. The results were as follows: 1. The mean score of burden was 2.24. Among the SIX burden dimensions. the highest score was marked in time-dependence dimension. Caregivers were found to have greater burden in the low income families living in flats. In relation to the characteristics of patients. higher scores were shown in the male patients with cerebrospinal diseases. who also revealed higher score of dependency in the Activities of Daily Living. As a whole. there was no significant difference between home nursing care and clinical nursing care in terms of family caregivers' burden. The burden of time-dependence dimension in home nursing care was significantly higher than that of clinical nursing care while the burdens of physical. social. and financial dimensions were significantly lower than those of the clinical nursing care. 2. The mean score of satisfaction was 3.14. Among the six items. the highest score was marked in the nursing care and treatment skill. while the lowest score was marked in the cost containment. Family caregivers with higher academic background and higher income showed higher satisfaction score. The mean score of home care nursmg was significantly higher than that of clinical nursing care.

• 가정∙방문간호학회지
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• 제3권
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• pp.67-74
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• 1996

The purpose of this study was to determine the level of family functioning and the degree of patient satisfaction for 102 patients who received home health care nursing service. The results are as follows ; 1. The score assessed for the family functioning was averaged at the score of $4.95{\pm}3.11$ (10 perfect score) and this was regarded as low, especially for the patients with chronic illness, and the reason was assumed due to poor psychological support from the family members and high expectations from the patients. 2. Patient satisfaction levels were toward the received services were high, according to the 13 items which consited of 3 point scales, with average score of $1.27{\pm}0.53$. Based on the above study results, the author suggests the followings : 1. A new nursing service program and model devolopment should be established and utilized because of low family functioning levels of those who receive family nursing service. 2. More standardized tool explorations for the study of family nursing service and patient satisfaction are required.

• 지역사회간호학회지
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• 제22권4호
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• pp.389-398
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• 2011

Purpose: This study of this study was to identify factors influencing the burden of main family caregivers who take care of elderly patients with brain and spinal diseases. Methods: This was conducted as descriptive research and data were collected from 255 main family caregivers who were taking care of elderly patients with brain and spinal diseases from 4 hospitals in Daegu and Gyeongbuk Province. Stepwise-multiple regression was used to identify the influencing factors of burden felt. Results: As the score of burden felt by the main family, economic, social, physical, interdependent and emotional burdens were high in order. Factors influencing burden felt by main family care givers taking care of elderly patients with brain and spinal diseases were changed relation with patient after hospitalization, daily life ability, marital status, education and family caregiver's personality (explanatory power of 24.6%). Family caregivers felt a heavier burden when their relation with the patient was changed negatively or when the patient's activity of daily living was low. Conclusion: Based on these results, we need to develop coping measures and interventional programs for reducing the burden felt by the main family caregivers of elderly patients with brain and spinal diseases.

• 가족자원경영과 정책
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• 제23권1호
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• pp.61-81
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• 2019

This study aims to examine the relative effects of marital conflict, social support, satisfaction with early childhood care and education centers, and family-friendly policies on the parenting stress of working mothers. The data were drawn from the 4th and 7th waves of the Panel Study of Korean Children (PSKC). Participants comprised 252 working mothers with infant children (4th wave) and children in the early childhood stage (7th wave). Data were analyzed using Pearson's correlation coefficients and hierarchical multiple regression with SPSS 22.0. The major findings were that marital conflict, emotional support, and the implementation of family-friendly policies significantly affected the parenting stress of working mothers with infant children. Additionally, marital conflict and satisfaction with early childhood care and education centers had significant effects on the parenting stress of working mothers with children in the early childhood stage. These findings emphasize the importance of considering a child's developmental stage in reducing parenting stress.