• 제목/요약/키워드: Illness Experience

Search Result 256, Processing Time 0.028 seconds

An Integrative Review of Oncology Nursing Research : 1980-1998 (국내의 암관련 간호연구논문 분석)

  • 최선혜;남영화;류은정;백명화;서동희;서순림;최귀윤;최경숙
    • Journal of Korean Academy of Nursing
    • /
    • v.28 no.3
    • /
    • pp.786-800
    • /
    • 1998
  • The purposes of this study were to describe systemically 18 years of oncology nursing research in Korea and suggest it's direction in future. 149 nursing studies published from 1980 to 1998 were selected for the present study. There were examined the source and the design of study, type of subjects, measurement variables, the intervention outcome of experimental research, and theme of qualitative research. The results were as follows : 1. 121 of 149 studies were composed of master thesis and dissertation of graduate school. There were 55 correlations, 30 descriptions, 19 comparisons, 19 qualitative studies and 2 Q-methods as the type of research design. 2. Cancer patients without describing specified diagnosis as subjects' characteristic were 44 of total studies. The others had various diagnoses such as gastric cancer, uterine cancer, breast cancer, leukemia, lymphoma, colorectal cancer, and lung cancer. According to treatment type, patients receiving chemotherapy were the highest number distribution as 53 of all researches. 3. Most measurement instruments used for research were translated it into Korean that developed by foreigners, such as Zung's depression, Spielberg's anxiety, and Wallston's locus of control. 4. Quality of life was shown the most frequently among correlational researches. the next one was depression, the third was hope, and so on. 5. There was the most frequent comparison between cancer and non-cancer patients in comparative researches. It was surveyed those variables as diet habits, risk factors, stressful life events, anxiety and depression, and self-care capacity between two groups. 6. The subjects were mostly chemotherapy patients as 15 of 24 experimental studies. Oral care and education were respectively the highest experimental interventions. 7. Qualitative researches about cancer were reported since 1991. Their themes were illness experience, adaptation process, dying experience, family experience, hope, caring, experience of health behavior, meaning of chemotherapy and experience of cancer survivor. Phenomenologic methodology was designed above 50% of qualitative researches. According to the above findings, cancer research had increased since 1990 and done mostly by descriptive design but a few experimental studies. As recommendations for the future, It is necessary to study the comparison of oncology nursing research internationally, the replication to establish the effect of nursing intervention, and the family care of cancer patient.

  • PDF

Self-Management Experiences of the Adolescents with Chronic Kidney Disease (만성 신 질환 청소년의 자기관리 경험)

  • Lee, Sug Young;Shin, Heesun
    • Journal of Korean Academy of Nursing
    • /
    • v.48 no.3
    • /
    • pp.266-278
    • /
    • 2018
  • Purpose: The aim of this study was to develop a substantive theory on self-management conducted by the adolescents with chronic kidney disease from their lived experience. Methods: Data was collected through in-depth interviews from May to December in 2015 with thirteen adolescents with chronic kidney disease. The data collected were analyzed on the basis of Strauss and Corbin's grounded theory. Results: The core of the category found in this study was "overcoming the unstable sense of self- control and integrating disease experience into their life". The causal conditions triggering the central phenomenon were "restriction in daily life" and "manifestation and aggravation of symptom". The central phenomenon in the experience of self-management within the adolescents with chronic kidney disease was "unstable sense of self control". The intervening condition for unstable self control were "micro system support" and "motivational resources". This study found that the adolescents with chronic kidney disease followed a series of strategies when they faced the central phenomenon, including; passive coping, reappraisal of illness, active coping, compliance with treatment, controlling physical activity, and adjusting school life. With these strategic approaches, the adolescents with chronic kidney disease could maintain their active lifestyles and achieve their health behaviors. The process of self-management by these adolescents passed through four phases; limited experience caused by diseases, effort for normalization, reorganizing their daily lives, and integration with daily lives and self-management. Conclusion: This Study explored the process and experience of self-management of adolescents with chronic kidney disease. These findings can be used for basis for developing substantive theory and nursing intervention strategy for adolescents with chronic kidney diseases.

A Study on the Activity Limitation Realities Caused by Oral Disease in Some University Students (일부 대학생의 구강질환으로 인한 활동제한실태 연구)

  • Ji, Min-Gyeong
    • The Journal of the Korea institute of electronic communication sciences
    • /
    • v.8 no.2
    • /
    • pp.371-378
    • /
    • 2013
  • This study was attempted in order to offer basic data for enhancing oral health by surveying the activity limitation realities caused by oral disease in university students and then by analyzing its relevant factors. As a result of research, university students' activity limitation experience rate accounted for 24.1%. The average number of activity limitation days stood at 0.44 day. Matters related to university students' activity limitation included housing type as for socio-demographic characteristics, and busyness in daily life, difficulty for supplying school expenses, temporal burden given using dental treatment, and difficulty for transportation given using dental treatment as for individual characteristics. In case of feeling difficulty for raising school expenses, the possibility was indicated to be high in activity limitation experience, illness experience, experience of having trouble in performing schoolwork, and schoolwork loss experience. Also, in case of feeling difficulty for transportation given using dental treatment, the possibility was indicated to be high in experiencing a trouble in performing schoolwork and a loss of schoolwork. Accordingly, a national interest and support are earnestly demanded in order to establish the more systematized oral health level and to increase oral health promotion.

Impacts of Trauma during the Korean War on Physical and Psychological Symptoms of Elderly ; Pilot Study (6.25 전쟁 당시 외상을 경험한 노인의 후유증상에 관한 예비연구)

  • Kim, Dae-Hyun;Ryu, Seong-Gon;Kim, Ho-Chan;Yeun, Byung-Kil;Han, Chang-Whan
    • Anxiety and mood
    • /
    • v.5 no.2
    • /
    • pp.120-124
    • /
    • 2009
  • Objectives : This pilot study examined the physical and psychological sequela of Korean War victims. Methods : Of 255 elderly who completed the Mini International Neuropsychiatric Interview (MINI), we selected 16 subjects who suffered severe traumatic experiences during the Korean War and met more than 2 specified symptoms of PTSD in DSM-IV-TR and 16 controls. Demographic characteristics, medical history including hypertension, diabetes mellitus, hypercholesterolemia and brain infarction, Geriatric Depression Scale, State-Trait Anxiety Inventory, suicide scale in MINI, and a scale for the assessment of somatic symptoms were compared between subjects with trauma experience and controls. Results : Subjects with trauma experience were more likely to have brain infarction and diabetes mellitus compared to control group. Depressive symptoms and suicidal risk were significantly higher in subjects with trauma experience than controls. Subjects with trauma experience showed significantly higher scores in Trait Anxiety scale and more complained of pain than controls. Conclusion : This study suggests that traumatic experience probably induce physical and psychological problem even 60 years later. Further studies are needed to confirm the results of this pilot study.

  • PDF

The Association of Perception of Health Status with Lifestyle of Yanbian Koreans and Yanbian Chinese (중국 연변지역 조선족 및 한족의 건강수준인식과 생활양식간의 관련성)

  • Ahn, Hyun-Ock;Kim, Ki-Soon;Ryu, So-Yeon;Lee, Chul-Gab;Park, Jong;Kim, Yang-Ok;Ro, Hee-Kyung
    • Journal of Preventive Medicine and Public Health
    • /
    • v.31 no.4 s.63
    • /
    • pp.828-843
    • /
    • 1998
  • To find the association of perception of health status with lifestyle of different ethnic groups living in north-eastern part of China, a cross-sectional questionnaire survey was done by 10 local health workers for 375 Korean immigrants and 217 Chinese whose age was 30 years old or more. Because Korean immigrants showed higher mortality than Chinese, we expected to find significant lifestyle related with perception of health status which was known to be a predictor of mortality by different ethnic groups. The results were as follows : 1. We found that 59.7% of Yanbian Koreans and 42.9% of Yanbian Chinese felt unhealthy (p=0.000). 2. For Yanbian Koreans, significant variables associated with perception of health status were selected through logistic regression analysis and they were sex; female to male with an OR=2.45 (95% confidence interval[CI] 1.06, 5.64), prevalence of chronic illness with an OR=5.48 (95% CI: 4.62, 15.56), mont of meal; small or moderate to full with an OR=2.67 (95% CI : 1.40, 5.09), preference of spicy food with an OR=1.78 (95% CI : 1.04, 3.04), and less amount intake of vitamin $B_2$, with an OR=2.29 (95% CI : 1.33, 3.93). 3. For Yanbian Chinese, significant variables associated with perception of health status were prevalence of chronic illness with an OR=4.97 (95% CI : 2.11, 11.68), history of taking ginseng with an OR=3.72 (95% CI : 1.33, 10.43), and less intake of vitamin C with an OR=0.18 (95% CI : 0.07, 0.46). In conclusion, sex, presence of chronic illness, dietary habit, and amount of $vitamin-B_1$ intake were associated with perception of health status in Yanbian Koreans. Presence of chronic illness, experience of ginseng intake, and amount of vitamin C intake were associated with perception of health status in Yanbian Chinese. To prove cause-effect relation between perception of health status and lifestyle, further study is needed for these different ethnic groups.

  • PDF

Emotional factors in the mechanism of Chiljeongsang(七情傷) (칠정상(七情傷)의 기전에 대한 고찰 - 감정적 요인을 중심으로 -)

  • Yoon, Eun-Kyung;Baik, You-Sang;Jeong, Chang-Hyun
    • Journal of Korean Medical classics
    • /
    • v.24 no.4
    • /
    • pp.117-142
    • /
    • 2011
  • This paper is about the emotional factors in Chiljeongsang(七情傷). To specify the collective term into specific categories, an examination of the meaning of emotion of the East and West was primarily undertaken. The importance of emotion lies in the fact that it provides a link between the individual and the outside world. Emotion was perceived as reflections of the human nature and mental activity by philosophers and psychiatrists throughout history. In the views of psychologists, the focus was on not emotion itself, but rather the emotional experience in human, and its psychological and physiological mechanism. In Traditional Medicine, problematic emotion is called Chiljeong(七情). The term Chiljeongsang(七情傷), which is a compound word of 'Chiljeong(七情)' and 'Sang(傷)' meaning 'damage', is used in referring to illness related to unhealthy emotions. It is used to describe illness caused by Chiljeong(七情) and mental disorders that result in emotional symptoms. It also refers to illness where Chiljeong(七情) plays a role in creating a more direct cause of illness in the larger pathogenic process. In the contents of Chiljeongsang(七情傷) in Traditional Medicine, emotion as causation of Gi(氣) disorder could be found the most, while explanation on the psychological process related to the creation of Chiljeong(七情) was insufficient. This tendency is related to the philosophical basis of Traditional Medicine. Out of the two patterns suggested, the mind-based Chiljeongsang(七情傷) pattern includes the psychological aspects of damage, in which key focus is on the cause that arouses problematic emotion, its process and the meaning this emotion entails. To explain this, concepts from psychiatry, especially Jung's theory on neurosis was adopted. In treating a Chiljeongsang(七情傷) patient, mere knowledge of the physiological changes of the body in terms of Gi(氣) is insufficient. This is because mental factors play a large role in Chiljeongsang(七情傷), and the more a condition is 'mental', the more complex it becomes and the more it influences life as whole. Therefore, the doctor must approach the patient with not only medical knowledge, but also overall knowledge on all aspects of human life.

Discordance between Physician and the General Public Perceptions of Prognostic Disclosure to Children with Serious Illness: a Korean Nationwide Study

  • Kim, Min Sun;Lee, Jihye;Sim, Jin-Ah;Kwon, Jung Hye;Kang, Eun Joo;Kim, Yu Jung;Lee, Junglim;Song, Eun-Kee;Kang, Jung Hun;Nam, Eun Mi;Kim, Si-Young;Yun, Hwan-Jung;Jung, Kyung Hae;Park, June Dong;Yun, Young Ho
    • Journal of Korean Medical Science
    • /
    • v.33 no.49
    • /
    • pp.327.1-327.10
    • /
    • 2018
  • Background: It is difficult to decide whether to inform the child of the incurable illness. We investigated attitudes of the general population and physicians toward prognosis disclosure to children and associated factors in Korea. Methods: Physicians working in one of 13 university hospitals or the National Cancer Center and members of the general public responded to the questionnaire. The questionnaire consisted of the age appropriate for informing children about the prognosis and the reason why children should not be informed. This survey was conducted as part of research to identify perceptions of physicians and general public on the end-of-life care in Korea. Results: A total of 928 physicians and 1,241 members of the general public in Korea completed the questionnaire. Whereas 92.7% of physicians said that children should be informed of their incurable illness, only 50.7% of the general population agreed. Physicians were also more likely to think that younger children should know about their poor prognosis compared with the general population. Physicians who opposed incurable illness disclosure suggested that children might not understand the situation, whereas the general public was primarily concerned that disclosure would exacerbate the disease. Physicians who were women or religious were more likely to want to inform children of their poor prognosis. In the general population, gender, education, comorbidity, and caregiver experience were related to attitude toward poor prognosis disclosure to children. Conclusion: Our findings indicate that physicians and the general public in Korea differ in their perceptions about informing children of poor prognosis.

Analysis of Nursing Studies about Stroke Research in Korea (뇌졸중에 관한 국내 간호학 논문의 분석)

  • Ham, Mi-Young;Choi, Kyung-Sook;Ryu, Eun-Jung
    • The Korean Journal of Rehabilitation Nursing
    • /
    • v.3 no.2
    • /
    • pp.154-168
    • /
    • 2000
  • This study was done to analyze the trends of research on stroke in Korea, to suggest future direction, for research on stroke. This article reviewed 75 nursing research papers on stroke done since 1990 to 2000 by examining them according to the period of publication or presentation, research design, type of subjects, measurement variables, the intervention outcome of experimental research, and theme of qualitative research. The research were as follows : 1. 26 of 75 studies were composed of master thesis and dissertation of graduate school. There were 53 nonexperimental research, 15 experimental research, and 7 qualitative studies design. 2. Stroke patients subject' Characteristic were 44 and Family and Spouses of caregiver support were 28 of total studies. 3. Most measurement instruments used for research were translated and redesigned it into Korean that developed by foreigners, and development measurement instruments used Kang's ADL. 4. Family support and Social support was shown the frequently among correlational research. 5. Methodological research were development of an evaluation tool for the quality of nursing care in stroke patients, caregiver support of development of nursing intervention list, and Home care Nursing Intervention protocol, and development of client selection criteria based on the needs of services to be offered. 6. The experimental research of intervention were mostly education nursing intervention, rehabilitation program on functional recovery, support nursing intervention, and applying a home care protocol on the nursing care intervention. 7. Theme of qualitative research were family experience, home care in family experience, soobal experience, illness experience, hope of Stroke patients and so on. Phenomenologic methodology and Granded Theory was designed of Qualitative research. On the basis of the above finding the following recommendations are made: 1. It's necessary to develop a reliable and variable measurement tool for stroke patients and family care of stroke patients. 2. It's necessary to study the comparison of Nursing Studies of stroke research abroad, the replication to establish the effect of nursing intervention stroke patients and family care of stroke patients.

  • PDF

Adaptation Process of The Family with Hemodialysis (혈액투석 환자 가족의 적응 과정)

  • Lee, Young-Ae
    • The Korean Journal of Rehabilitation Nursing
    • /
    • v.2 no.2
    • /
    • pp.184-192
    • /
    • 1999
  • Hemodialysis is a way of treatment for the patients with acute and chronic renal failure. "Marginal man" depicts the enormous amount of stress that hemodialytic patients suffer. It is known that family with chronic illness get stressed along with the patients and they need nursing care also. This qualitative study was conducted in order to identify the family adaptation process in patients with hemodialysis. 6 dyads of hemodialytic patients and caregivers were interviewed for this research. By way of grounded theoretical strategy the data was collected from October 20, 1999 to November 20, 1999. at a hemodialytic unit that was located in Iksan, Chonbuk by the researcher. The main research questions were "What's the adaptation experience of a patient since after being received with hemodialysis?" to the patients, and "What's the family adaptation experience of hemodialysis?" to the caregivers. The collected data was analyzed by grounded theoretical strategy built by Glaser & Strauss in 1967. Results were as follows; 7 grounded concepts were observed from the patients with hemodialysis and 4 grounded concepts were found from the caregivers. Two categories were derived ; 1) Holding hope that is related with treatment 2) Changing a value system.

  • PDF

지체장애 인식에 대한 개념분석

  • Jeong, Myeong-Sil
    • The Korean Nurse
    • /
    • v.35 no.4
    • /
    • pp.64-74
    • /
    • 1996
  • In general. social cognition for a disabled person seemed that he was limited aspects of emotion and psychology. Thus he was rejected. avoided. worthless and not accepted. People who have been raised in an ethnic collectivity often acquire from that experience not only basic conceps and attitudes toward health and illness but also fundamental styles of interpersonal behavior and concerns about the world. The effects of this enculuration carryover into health- care situation and also become an important influence on personal activities devoted to health maintenance and disease prevention. Our Korean culture is a state of tradition Confucianism. respects his honor and external feature. Therefore recognition of a disabled person is more specipic. This study uses Walker and Avant's process of concept analysis. The concep of recognition of disabilty can be defined as follows : Recognition of disability is a person's conscious process of sensation. perception. memory and thought and is constructed from value. attitude. emotion and expierince which is dynamics. and in everyday life is feeling that basic activity is not free and occurs interaction of envionment. Attributes of disability recognition are defined as 1) It is feeling that basic activity of his daily life is not free in everyday life. 2) It is a person's conscious process of sensation. perception. memory and thought. 3) It occurs interaction of enviornment. 4) It is constructed from value. attitude. emotion and experience. 5) it is dynamics ( changing but not stasis). Nurse is always suppoted and pushed him. She plans institutional and situational surroundings.

  • PDF