• 성인간호학회지
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• 제20권6호
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• pp.852-865
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• 2008

Purpose: This study was designed to explore what experiences nurses had while caring and providing emotional support for patients. Methods: Participants were eight nurses working at hospitals for more than one year. Data were collected from June, 2006 to January, 2007 through in-depth interview by using tape-recordings. Data were analysed with the phenomenological method proposed by Colazzi(1978). Results: From significant statements, 4 clustered themes, 7 themes and 23 sub-themes were extracted from the essential meaning of the emotional experience of hospital nurses. The 4 clustered themes were 'movement of mind', 'affection and service for patients', 'worthwhile and conflict' and 'control oneself'. The 7 themes were 'special feeling', 'rapport formation', 'consideration', 'human interaction', 'value discovery', 'loss of volition', and 'keep to balance'. Conclusion: Although nurses had tough experiences for providing care for patients' emotional support, they had also experienced spiritual maturity from its experience. The result of this study would contribute for nurses not only to care for patients who need emotional support but also to develop knowledge in nursing.

• 성인간호학회지
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• 제27권5호
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• pp.493-504
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• 2015

Purpose: This study was a qualitative study to explore and understand the adaptation experiences of hemodialysis among women with End-Stage Renal Disease (ESRD) and to develop a substantive theory using the grounded theory method. Methods: Participants were 15 female patients who underwent hemodialysis for ESRD treatment from three general hospitals. The data were collected through in-depth individual interviews. Results: The adaptation experience of participants was emerged as a process of taking care and enduring. There were four adaptation stages as a negative, despair, receptive, and maintenance period in reference to hemodialysis. The causal conditions were a vague expectations of recovery and refusal to undergo hemodialysis. The core phenomenon was that of confinement to dialysis machine. The contextual conditions for this phenomenon were the loss of femininity. They used action/interaction strategies such as transition their life with a focus on hemodialysis, seeking information, and learning how to take care of their body. Through this process, they had a strong will to live or had sustained their life. Conclusion: These results indicate that there is a need for nurses to understand the different steps of adaptation experiences of the given patient population. It is necessary for nurses to support them to lead their life as much normal as possible and improve the adaptation experience of ESRD.

• 대한간호학회지
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• 제46권6호
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• pp.894-904
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• 2016

Purpose: The purpose of this study was to explore decision making experiences of Korean women with breast cancer who underwent breast reconstruction with/after a mastectomy. Methods: Data were collected during 2015-2016 through individual in-depth interviews with 10 women who had both mastectomy and breast reconstruction, and analyzed using phenomenological method to identify essential themes on experiences of making a decision to have breast reconstruction. Results: Five theme clusters emerged. First, "expected loss of sexuality and discovery of autonomy" illustrates various aims of breast reconstruction. Second, "holding tight to the reputation of doctors amid uncertainty" specifies the importance of a trust relationship with their physician despite a lack of information. Third, "family members to step back in position" describes support or opposition from family members in the decision making process. Fourth, "bewilderment due to the paradox of appearance-oriented views" illustrates paradoxical environment, resulting in confusion and anger. Lastly, "decision to be made quickly with limited time to oneself" describes the crazy whirling process of decision making. Conclusion: Findings highlight aims, worries, barriers, and facilitators that women with breast cancer experience when making a decision about breast reconstruction. Deciding on breast reconstruction was not only a burden for women in a state of shock with a diagnosis of breast cancer, but also an opportunity to decide to integrate their body, femininity, and self which might be wounded from a mastectomy. These findings will help oncology professionals provide effective educational counselling before the operation to promote higher satisfaction after the operation.

• 사회복지연구
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• 제44권1호
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• pp.193-216
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• 2013

본 연구는 도박장 인근에 사는 도박중독자들의 체험을 집중적으로 드러내기 위한 연구이다. 이에 본 연구자들은 카지노 인근 지역에 머무는 도박중독자 4명을 연구 참여자로 하여 이들이 체험하는 공간성이 무엇이며 그 의미가 어떠한지에 대하여 van-Manen의 해석학적 현상학 방법으로 분석하였다. 그 결과 이들의 삶의 체험에 본질적으로 영향을 주는 것은 고향도 아닌, 제 2의 정착지도 아닌 카지노 인근에 머문다는 현상 자체였다. 이들은 거주공간을 스스로 이탈하여 카지노 인근 지역에 유입되었지만 이 공간 안에서 실존적 거주공간을 짓지 못한 채 현재만을 살아가고 있었다. 그리하여 끊임없이 바깥세계와 세계와 다른 어딘가 사이에'끼인 존재'로서 존재론적 불안을 체험하고 있었다.

• 대한간호학회지
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• 제49권3호
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• pp.349-360
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• 2019

Purpose: This study was conducted to derive a substantive theory on lived experiences of elderly cancer patients. Methods: The data were collected from February to March 2018 through in-depth personal interviews with 14 elderly cancer patients. The collected data were analyzed based on Corbin and Strauss's grounded theory. Results: The core category was "the journey to find balance in daily lives as a cancer patient by recovering disturbed ego integrity." The core phenomenon was "shattered by suffering from cancer," and the causal conditions were "physical change" and "limitations in daily life." The contextual conditions were "decreased self-esteem," "feelings of guilt toward the family," and the sense of "economic burden." The participants' action and interaction strategies were "maintaining or avoiding social relations," "seeking meaning of the illness," "falling into despair," and "strengthening the willingness to battle the cancer." The intervening conditions were "support from health care providers and family," "dissatisfaction with health care providers," "spiritual help from religion," and "the improvement or worsening of health conditions." The consequences were "having a new insight for life," "living positively along with cancer illness," and "the loss of willingness to live." A summary of the series of processes includes the "crisis stage," "reorganizing stage," and the "ego integration stage." Conclusion: This study explored the holistic process of ego integrity impairment and the recovery experience of elderly cancer patients. This study is expected to be used as a basis for the development of nursing interventions that can support patients when coping with all stages of their cancer illness trajectory.

• 한국콘텐츠학회논문지
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• 제10권5호
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• pp.296-302
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• 2010

스포츠 선수는 경기 중 발생할 수 있는 몸싸움과 격렬한 동작으로 인해 항상 구강악안면 외상에 노출되어 있음에도 불구하고 구강보호장치는 불편하고 불필요하다는 인식이 강한편이다. 그러나 구강보호장치는 외부 충격 시 치아를 보호하고, 응력을 분산시키는 역할 등 스포츠 선수에게 없어서는 안 될 중요 예방대책이다. 그렇기 때문에 스포츠 선수들의 불편하고 불필요하다는 인식을 개선시켜줄 필요가 있고, 스포츠 선수의 구강 보호차원에서 구강보호장치의 사용을 일반화 하는 것이 중요하다 할 수 있다. 본 연구는 스포츠 선수 290명을 대상으로 구강보호장치 사용 실태를 조사하여 착용 경험율 6.6%, 현재 착용률 3.8%, 사용할 필요성 25.9%, 사용할 의사 28.3%인 결과를 얻어 스포츠 선수들의 구강보호장치 사용률과 인식모두 매우 낮은 실정을 알 수 있었고, 성별, 연령, 신체 접촉 정도, 구강악안면 외상경험, 외상 대처법 교육경험에 따라 구강보호장치 사용률에 변화가 있는지 분석한 결과, 사용률이나 인식이 남성과 고연령층이 높다는 것을 알 수 있었고, 신체 접촉이 많은 종목과 구강악안면 외상경험, 구강악안면 외상대처법 교육경험이 있는 스포츠 선수가 구강보호장치 사용률과 인식이 조금 더 높은 것으로 나타났다. 따라서 아직까지 스포츠 선수에게 구강보호장치에 대한 인식과 사용은 매우 낮은 실정이지만 경험과 교육을 통해 충분히 개선될 수 있고 향후 스포츠 선수들의 구강보호를 위해 많은 교육이 필요할 것으로 사료된다.

• 대한간호학회지
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• 제26권2호
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• pp.290-303
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• 1996

There is a need to define the concept of suffering more appropriate in the context of Korean culture. This research is an attempt to analyze and develop the concept of suffering by applying the Hybrid Model suggested by Schwartz-Barcott and Kim. The data were collected from March 20, 1995 to September 17,1995. The subjects of the study were eight persons including in-patients and out-patients of a general hospital who were diagnosed as having cancer and those resting in sanatoria for natural treatment of cancer. Qualitative research methods of in-depth interview and participant observation were used for data collection. The contents of the interviews were recorded on tape. Data-analysis progressed according to the 3 phases suggested by the Hybrid Model. For each case, in-depth interview data and participant observation data were included and the attributes of suffering revealed in these data were analyzed. Finally, by summarizing the results from each case, the attributes of suffering, its dimensions, definition, and processes observed in the field were suggested. According to the results of the study, the followlng new definition of suffering is suggested : Suffering is a fundamental and inevitable experience of all human beings. When each individual experiences loss, damage, and pain which threaten one's personal integrity, suffering is perceived differently among each individual depending on their personal inner factors, one's significant others, exterior circumstances and stimuli, and the ultimate meaning of life. Suffering brings severe and unendurable distress which accompany despair, powerlessness, anxiety, bitterness, fear, anguish, guilt, depression, withdrawal and anger. The results of this study suggest that the more responsibility and burden a cancer patient felt, the more suffering she/he experienced and it tended to be more relevant to one's significant others and exterior circumstances and stimuli : the less responsibility and burden a cancer patient had, the less suffering she/he experienced and it tended to be related to one's inner factors. These findings have implications for nursing profession. When caring for patients who experience suffering, nurses need to consider the influence of responsibility, burden, and each dimension of suffering. Moreover, appropriate nursing interventions aimed at relieving pain and satisfying the spiritual need of patients experiencing loss need to be developed and implemented more widely.

• 대한관절경학회지
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• 제14권2호
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• pp.92-101
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• 2010

전방십자인대 재건술에 자가 슬건과 자가 슬개건이 널리 사용되고 있으나 최근 자가 슬건의 사용이 증가하고 있다. 그 이유는 높은 최대 인장 강도, 낮은 공여부 이환률, 이식건의 고정 방법의 발전과 같은 장점 때문으로 보인다. 전방십자인대 재건술을 위해 슬건을 채취 후 슬건이 실제로 재생된다는 연구는 이러한 이론적 장점을 크게 부각시켰다. 그러나 내 회전력의 약화와 굴곡력의 감소와 같은 단점에 대한 우려가 있다. 이러한 굴곡력의 감소에 대해서 논쟁이 있으며, 과연 슬건의 재생 후에 굴곡력을 회복할 수 있는지에 대해 연구가 필요하다. 본 종설에서는 자가슬건의 장점과 단점, 슬건의 재생에 관한 최근의 연구를 고찰하고 저자들의 연구와 경험을 정리하여 기존의 연구와 비교하였다.

• Asian Pacific Journal of Cancer Prevention
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• 제15권13호
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• pp.5305-5309
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• 2014

Background: This study aimed to assess the most common physical side effects experienced by local chemotherapy patients. Their perceptions of these side effects and informational needs from clinical pharmacists were also evaluated. Materials and Methods: This was a single-center, cross-sectional study. A face-to-face interview guided by a structured questionnaire with cancer patients admitted to receive repeated cycles of chemotherapy was conducted. Information collected included chemotherapy-related side effects after last chemotherapy experience, the most worrisome side effects, the side effects overlooked by healthcare professionals and the preferred method, amount and source of receiving related information. Results: Of 99 patients recruited, 90 participated in this survey (response rate: 90.9%). The majority were in the age range of 45-64 years (73.3%) and female (93.3%). Seventy-five (83.3%) and seventy-one (78.9%) experienced nausea and vomiting, respectively. Both symptoms were selected as two of the most worrisome side effects (16.7% vs. 33.3%). Other common and worrisome side effects were hair loss and loss of appetite. Symptoms caused by peripheral neuropathies were perceived as the major symptoms being overlooked (6.7%). Most patients demanded information about side effects (60.0%) and they would like to receive as much information as possible (86.7%). Oral conversation (83.3%) remained as the preferred method and the clinical pharmacist was preferred by 46.7% of patients as the educator in this aspect. Conclusions: The high prevalence of chemotherapy-related side effects among local patients is of concern. Findings of their perceptions and informational needs may serve as a valuable guide for clinical pharmacists to help in side effect management in Malaysia.

• 한국광학회지
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• 제19권1호
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• pp.31-35
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• 2008

결합효율이 높고 정렬오차 발생 시 결합효율의 저하가 작은 광통신용 비구면 렌즈 시준기를 설계하였다. 비구면 시준 렌즈는 GRIN 렌즈와 작동거리와 두께가 유사하고 외경이 동일한 원통형 막대 형태로 설계해 GRIN 렌즈를 대체할 수 있도록 하였다. 결합효율의 저하는 시준렌즈의 구면수차에 의해 주요하게 발생하므로, 비구면 렌즈 시준기가 볼 렌즈, GRIN 렌즈 및 C-렌즈 시준기보다 높은 결합효율을 가지도록 비구면 계수를 최적화 해 구면수차를 낮추었다. 설계한 비구면 렌즈 시준기의 결합효율은 기존 시준기들보다 높았으며 정렬오차에 따른 결합효율의 감소도 작았다.