• 제목/요약/키워드: Illness Experience

검색결과 255건 처리시간 0.027초

심한 월경곤란증이 있는 여성의 체험 (Lived Experience of Women with Severe Dysmenorrhea)

  • 김현경
    • 여성건강간호학회지
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    • 제17권3호
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    • pp.304-315
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    • 2011
  • Purpose: The purpose of this study was to understand the meaning and nature of the lived experience of women with severe dysmenorrhea. Methods: Hermeneutic phenomenology by van Mannen and feminist philosophy informed this study involving 20 women who were 10~40 years old. Data was collected by using focus group interview 2 times from 10 women and in-depth interview from other 10 women from September to December, 2010. Results: The essential themes were message from body, deconstruction of negative stereotyped body, and authorship of my body. Participants described their own painful experiences. They recognized that psychological stress impacted on severe dysmenorrhea, so they made self caring time. They had positive attitude to menstruation, said that dysmenorrhea was not illness, but normal life process. They had internal strength, wisdom, and sistership. Conclusion: This study revealed meaning of pain experience in sociocultural context. This finding have implications for health care provider's empathic and holistic practice.

혈액종양 청소년의 질병 경험 (Illness Experience of Adolescents with Hematologic Malignancies)

  • 손선영
    • 대한간호학회지
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    • 제41권5호
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    • pp.603-612
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    • 2011
  • Purpose: The purpose of this study was to describe the experience process of adolescents with hematologic malignancies. The question for the study was "What is the experience of adolescents with hematologic malignancies like?" Methods: The grounded theory methodology was used for this study. The data were collected through in-depth interview from 10 adolescents with hematologic malignancies. Data collection was done from January to June 2007. Theoretical sampling was used until the data reached saturation. Results: As a result of the analysis, "Reconstructing self-image from deviated and suspended life" was identified as the core category. And 11 subcategories were identified and they were integrated to the core category. 'Establishment of expanded and matured self' was identified as the consequence. Conclusion: The results of the study provide a frame for effective individualized nursing intervention strategies in helping adjustment of the adolescents with hematologic malignancies.

한국 여성 유방암 생존자의 건강신념과 건강행위에 대한 질적 연구 (A Qualitative Study of Health Beliefs and Health Behaviors among Korean Breast Cancer Survivors)

  • 임정원;윤현숙;백옥미;조진희;박선형;이송월
    • 한국사회복지학
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    • 제63권4호
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    • pp.155-181
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    • 2011
  • 본 연구는 질적 연구 방법 중의 하나인 초점 집단 접근을 통해 우리나라 유방암 생존자의 1) 질병경험, 2) 건강신념(원인적 사고), 및 3) 건강행위 (진단 후 건강 행동 변화) 등을 조사함으로써, 유방암 생존자의 질병경험 및 건강신념이 어떻게 건강행위와 관련이 있는지를 파악하는 것을 목적으로 한다. 서울 및 경기에 거주하는 16명의 유방암 생존자를 대상으로 3개의 초점 집단이 수행되었으며, 각 집단에는 약 5명에서 6명 정도의 구성원이 참석하였다. 본 연구는 유방암 생존자들의 질병경험, 건강신념, 그리고 건강행위에 대한 다양한 신체 및 행동적, 심리적, 그리고 사회적 문제 등과 관련된 주제를 도출하였다. 본 연구를 통한 우리나라 유방암 생존자들의 건강신념 및 건강행위에 대한 이해는 건강신념에 근거한 건강행위 증진을 위한 사회복지실천 개입 방안을 모색하는데 중요한 토대가 될 것으로 보인다.

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급성 직업성 농약중독 및 손상에 대한 감시체계: 미국의 경험 (Surveillance of acute Occupational Pesticide-related Illness: The US Experience)

  • 송재철
    • 농촌의학ㆍ지역보건
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    • 제27권1호
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    • pp.1-8
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    • 2002
  • Pest control is required for protecting the food supply and for controlling disease vectors. Unfortunately, there is no perfectly safe form of pest control. Pesticides are commonly used for pest control. Pesticides are defined under the US Federal Insecticide Fungicide and Rodenticide Act(FIFRA) as any substance or mixture of substances intended to prevent, destroy, repel, or mitigate pests, and any substance or mixture of substances intended for use as a plant regulator, defoliant, or dessicant(40 CFR Part 152). Currently in the United States, there are 890 active ingredients registered as pesticides. Approximately one billion pounds of active ingredient are used in the US per year. Unlike most chemicals(anti-neoplastic and anti-micobial medications are the principal exceptions), pesticides are specifically designed to kill and cause harm. Because society allows these chemicals to be disseminated into the environment, it is important to monitor the health effects associated with these releases. This represents an important justification for establishing and maintaining surveillance systems for acute pesticide-related illness and injury. A comprehensive, national surveillance system for acute pesticide-related illness and injury does not currently exist in the US. Although the United States has several surveillance systems for this condition, none provide a complete understanding of the problem of acute pesticide-related illness and injury. The Toxic Exposure Surveillance System(TESS) and Bureau of Labor Statisitics(BLS) are useful for assessing magnitude and trends. The state-based surveillance systems are more useful for timely identification of outbreaks and emerging problems. Efforts are underway to increase the number of states that conduct surveillance, and to broaden the use of the standardized case definition to facilitate aggregation of data across states. Through such efforts, a comprehensive, national surveillance system may be attainable.

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한국 만성 B형 간염 환자들의 질병 경험 (Illness Experience of People with Chronic Hepatitis B in Korea)

  • 이명선;최은옥;백승운;김금순;곽상만;이화진
    • 대한간호학회지
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    • 제37권5호
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    • pp.665-675
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    • 2007
  • Purpose: The purpose of this study was to explore the experiences of people with chronic hepatitis B (CHB) in Korea. The specific aim was to identify major problems that people with CHB face and strategies that they are dealing with. Methods: A grounded theory method was utilized. The data were collected by individual in-depth interviews from 12 CHB patients from one of the major hospitals in Korea. Results: After constant comparative analysis, a core category emerged as "illness management with self-reliance and will." Seven major strategies that were identified in dealing with the illness were maintaining receptive and positive attitudes; restraining excessive work and greed; searching for information; controlling illness information; adhering to practices for not spreading the viral disease; abstaining from alcohol and smoking and maintaining healthy eating habits; nd using alternative therapies. The outcomes that result from employing these strategies were identified as burden, depression and helplessness, stress for maintaining compliance, and dispirited interpersonal relationships. Conclusion: The results of this study suggest that most people with CHB in Korea have problems in psychosocial area. Thus health professionals need to provide not only informational support but also emotional one to improve quality of life of the people with CHB.

입원환자가 경험한 입원스트레스 순위에 관한 연구 (A Study on the Rank of Stressful Events Related to the Experience of Hospitalization)

  • 이소우;하양숙;박은숙
    • 대한간호학회지
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    • 제15권1호
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    • pp.17-29
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    • 1985
  • This study was to explore on the rank of stressful events related to the experience of hospitalization. 180 hospitalized patients on surgical and medical wards were asked to rate 49 stress-producing events associated with the experience of hospitalization. Two university hospitals was used as the setting for this study. Because the nature of the events in the stress scale pertain mainly to general short term hospitalizations, patients in the rehabilitation and psychiatric units of the hospital were not included. Prior to the beginning of the study, three times meeting were held with 12 head nurses and 3 investigators for discussing with the ethics subject related to the study. The pretest was done to determine whether items to use were pertinent or not. According to the result of the pretest, Volicer's Hospital Stress Rating Scale was selected as a study tool for this study. Data collection was used an interview and a card-sorting method. The interviewing was done by two authors and three graduate nursing students. A total 125 completed the card-sorting procedure. The stressful items were ordered from most to least stressful within the categories. Additional information such as: age, sex, marital status, and diagnosis was obtained from the kardex file. The ordered list of items, with mean values, as scored by the total of 125 respondents was significantly accepted at 1% level by Friedman test. (X²=1448.339) The event,“knowing you have a serious illness.”was rated highest stressful and (M=41.54) “Being awakened in the night by the nurse”least stressful. (M=14.73) Highly rated items were orderly “Thinking you might have cancer”“Thinking you might lose a kidney or some other organ”“Not being told what your diagnosis is. “Not knowing for sure what illness you have,”five lowerly rated items were orderly “Having to eat at different times than you usually do”“net being able to call family or friends on the phone”“Not having friends visit you,”“Having strangers sleep in the same room with you.”Futher analysis of the data was done to ascertain tao degree of similarity of judgment between different groups in the sample as to how events should be rated. The sample was divided into two groups according to the demographic characteristics and the degree of seriousness of illness. The rank order correlation was calculated for the two sets of ranks as a measure of consensus between the two groups. The correlations ranged from .85∼.99 all indicating a high degree of consensus.

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암 환아 부모의 경험에 대한 질적 연구 (The Experience of Parents Whose Child is Dying with Cancer)

  • 조영숙;김수지
    • 대한간호학회지
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    • 제22권4호
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    • pp.491-505
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    • 1992
  • The purpose of this research was to understand the structure of the lived experience of parents of a child terminally ill with cancer The research question was “What is the structure of the experience of parents of a child terminally ill with cancer\ulcorner” The sample consisted of 17 parents of children admitted to the cancer units of two university hospitals in Seoul. The unstructured interviews were carried out from October 10, 1991 through January 10, 1992. They were audio-recorded and analysed using Van Kaam's method. Parents ascribed the cause of the cancer to the mother's emotional imbalance during pregnancy, the mother's stress, failure to observe religious rites, food, the parent's sin, misfortune and pollution. The theme clusters were tension, fear and depression experienced during pregnancy, stress that children suffer from abusive parents, failure to observe religious activites, bad luck, and sins committed during a previous life. When the child suffered a recurrence of cancer, the parents experienced negative emotions, nervousness, sorrow. depression and death. The theme clusters were feelings of despair, helplessness, regret, guilt, insecurity, emptyness and apathy. The long struggle with cancer resulted in the loss of economic security, loss of psychological and physical well being, and social withdrawal. The theme clusters were the economic burden of medical cost, giving up treatment, debt, limited medical insurance coverage and blood transfusion. The loss of psychological well being included stress, lack of support systems, inability to carry out responsibilities, lack of trust of the medical ten family breakdown, inappropriate expression of emotion and not disclosing the diagnosis to the child. Physically the parents suffered fatigue, insomnia, loss of appetite, loss of weight, dizzness, headache, psychosomatic symptoms, and increased consumption of liquor and cigarettes. Social withdrawal was manifested by taking time off from work to look after the child, decrease of outside social activities and feelings of isolation. Influences on family life were spousal conflicts, negative response of siblings, separation of the family members and economic hardship. The theme clusters were blaming a spouse for the cause of the illness and disagreements, maladjustment, lonliness, hostility and depression of siblings. The high price of medical care over the long period was a major factor influencing the life of the family. Positive experiences during the child's long illness were the strengthening of support systems and religious beliefs and financial help from social organizations. The support of one's spouse primarily helped to overcome the stress of the long illness. In addition, support was received from parents of other children with cancer and from nurses and religious leaders. The nurse, by providing empathetic support, should be a person with whom parents can express their feelings and share their experiences.

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정신간호학 교육정도에 따른 정신질환에 대한 태도 요인 비교연구 -J간호전문대학생을 중심으로- (A comparison of Nursing Students따 Attitudes about Mental Illness According to their Year in College Pschiatric Nursing)

  • 정민
    • 대한간호학회지
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    • 제19권1호
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    • pp.81-91
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    • 1989
  • This descriptive-comparative study attempted to examine the differences according to the year in college of 288 junior college nursing students attitudes about mental illness. The instrument used for this study was the OㆍMㆍI (Opinion about Mental Illness) scale developed by Cohen and Struening. Data collection was done from the 27th to the 30th of September, 1988 by means of a questionnaire. Data were analyzed by computer, using the t-test and Analysis of Variance. The finding of this study are as follows : 1. Hypothesis I: “There will be a difference in attitudes toward mental illness according to the year in college 1"There will be a difference in the attitude about authoritarianism-according to the year in college" was rejected(F=.5675, P=.5676). 2 "There will be a difference in the attitude about benevolence-according to the year in college." was accepted(F=.5376, P=.5848). 3. "There will be a difference in the attitude about mental hygiene ideology-according to." was accepted (F=17.3497, P=.0000). 4. "There will be a difference in the attitude about social restrictiveness-according to" was rejected (F=1.7416, P=.1771), 5."There will be a difference in the attitude about interpersonal etiology-according to" was accepted (F=10.8597, P=.0000). 2. Hypothesis II : "There will bed difference in attitudes toward mental illness." according to whether or not the student have had clinical practice in the psychiatric ward. 1.There will be a difference in the attitudes about authoritarianism - according to "whether or not the student's have had clinical practice in the psychiatric ward was rejected(t=.59, p=.555). 2. "Whether they have had clinical practice at the psychiatric ward or not, There will be difference in the attitudes about benevolence." was rejected (t=1.34, p=.182). 3."Whether they have had clinical practice at the psychiatric ward or not, there will be difference of the mental hygiene ideology attitude." was accepted (t=2.72, p=.008). \circled4 “Whether they have had clinical practice at the psychiatric ward or not, there will be difference of the social restrictiveness - attitude." was rejected (t=-.59, p=.557). 5. "Whether they have had clinical practice at the psychiatric ward or not, there will be difference of to interpersonal etiology-attitude." was accepted(t=3.55, p=.001). In conclusion, it was found that the higher the year in College, the more positive the attitudes are about mental hygiene ideology and interpersonal etiology. This study suggests that more positive attifudes about psychiatric illness can be induced by a more effective educational experience. The main limitation of this study was that the sociocultural background of Korea is not considered in the OㆍMㆍI scale.

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정신장애인의 회복관련변인에 관한 메타분석 (A Meta-analysis on the Variables related with Recovery among Persons with Mental Illness)

  • 박정임
    • 한국콘텐츠학회논문지
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    • 제18권12호
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    • pp.535-546
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    • 2018
  • 본 연구에서는 국내 정신장애인의 회복에 영향을 미치는 요인들을 통합적으로 검토하기 위하여 메타분석을 시행하였다. 메타분석을 시행하기 위해서, 1999년부터 2018년까지 국내에서 정신장애인의 회복과 관련된 학술연구 및 학위 연구들을 체계적으로 검토하였으며, 총 24편을 선정하였다. Comprehensive Meta Analysis(CMA) 3.0 소프트웨어방법을 활용하여, 정신장애인의 회복과 관련된 변인들의 평균효과크기와 조절변수들을 분석하였다. 연구결과는 다음과 같다. 첫째, 정신장애인의 회복에 영향을 미치는 변인들은 총 16개 변인들로 나타났다. 둘째, 정신장애인의 회복과 높은 상관관계를 보이는 변인으로는 사회적지지 (r=.575), 임파워먼트(r=.555), 자기효능감(r=.544), 사회기술(r=.500), 전문가와 관계(r=.482), 낙인 (r=-.446), 가족지지(r=.418)으로 나타났다. 셋째, 중간정도의 상관관계를 보이는 변인으로는 대인관계능력 (r=.391), 기관서비스만족도(r=.366), 병식 (r=.373), 증상(r=-.239)으로 나타났다. 넷째, 낮은 상관관계를 보이는 변인은 직업경험유무(r=.188)이었다. 다섯째, 조절변수분석은 조사대상자의 거주상태(지역사회 혹은 정신병원)를 중심으로 실시하였다. 조절효과는 사회적 지지와 가족지지 변인에서 나타났다. 본 연구의 결과를 토대로 국내 정신장애인의 회복과 관련된 이론적, 실천적 함의를 제시하였다.

Lung Transplantation for Patients with COVID-19 Acute Respiratory Distress Syndrome

  • Cho, Woo Hyun
    • Journal of Chest Surgery
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    • 제55권4호
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    • pp.357-360
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    • 2022
  • Patients with severe coronavirus disease 2019 (COVID-19) acute respiratory distress syndrome (ARDS) may exhibit pulmonary fibrosis after the viral illness resolves. Some of these patients may experience severe functional lung impairment, and thus require transplants to prevent death or maintain a tolerable quality of life. Considering the reversibility of COVID-19 ARDS, lung transplant candidates are observed for 1-2 months and must be selected very carefully before transplantation. As the short-term outcomes of such patients are comparable to those of patients with other indications for transplantation, lung transplantation should be actively considered.