• Title/Summary/Keyword: Loss Experiences

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An Analysis of Health Problems Experienced by the Clients Receiving Hemodialysis (혈액투석 환자들이 경험한 건강문제 분석)

  • 신미자
    • Journal of Korean Academy of Nursing
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    • v.26 no.4
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    • pp.903-916
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    • 1996
  • The purpose of this study was to discover practical health problems which hemodialysis clients experienced so as to present basic data for development of a health assessment tool. The research subjects were 70 clients receiving hemodialysis in Seoul and Inchon from Mar. 1996 to Sep. 1996. Data were collected by researcher's informal indepth interview and nurses' open ended question. Content analysis was applied to collect similar contents and common experiences in order to derivate concepts and categories for better understanding of hemodialysis clients' experiences. As a result, 9 categories derivated to identify the health problems of clients receiving hemodialysis were as follows : 1) They experienced 'the decreased digestive function' which contained the changed appetite, nausea, vomiting, constipation and diarrhea. 2) They experienced 'the decreased respiratory and circulatory function' which contained dyspnea, changed blood pressure, tingling sensation and the fear of aggrevated vascular condition. 3) They experienced 'the aggrevated oral condition' which contained dry mouth and destruction of teeth and their soft tissue. 4) They experienced 'the decreased sensory function' which contained visual disturbances, sensation difficulty, and hearing loss. 5) They experienced 'the aggrevated skin condition' which contained dark brown skin color, dry skin (and hyperpigmentatic freckle, seborrheric keratosis, scale), itching sense, and alopethia. 6) They experienced 'the decreased urinary reproductive function' which contained anuria or oliguria, dysmenorrhea, sterility and decreased libido. 7) They experienced 'the restricted activity' which contained decreased activity, muscle cramp and stiffness of joint. 8) They experienced 'the changed mental status' which contained memory disturbance, decreased cognition, disorientation, neurosis and psychosis. 9) They experienced 'the aggrevated general condition' which contained kyphosis, weight loss, fatigue, sleep disturbance, bleeding tendency, inflammation, generalized edema and foul oder of uremia.

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Experiences of Spousal Bereavement in Middle Aged Men (중년남성의 배우자 사별경험)

  • Park, Kyung-Bok;Kim, Boon-Han
    • Asian Oncology Nursing
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    • v.4 no.2
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    • pp.143-153
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    • 2004
  • Death of spouse is the most heartbreaking stressful and inevitable tragic life event. In middle aged men who belong to the social middle class and accomplished their occupational success, experiences of spousal bereavement are great shock. The aim of this study was to find out how they overcome their mental and physical pain and to obtain the basic materials to develop suitable nursing care programs for them. The methodological approach of this study is Giorgi's phenomenological analysis meaning unit. This method also makes theme focal meaning, situated structural description and create general structural description grasped by participator's experience through situated structure description. This study performed from November 2002 to May 2004, and participators were four men. Data collected through in-depth personal interviews. which had been tapped and analysed the Giorgi's method. Finally, the five focal meaning below have been abstracted. Theme 1. Physical symptom loss of appetite, fatigue, insomnia. outbreak of illness, weight loss. Theme 2. life of spiritless lack of desire, sense of emptiness, unstableness, prosaic life. wandering. indifference of appearances, avoidance of meeting people. Theme 3. life of retrospction reflection for his wife, yearning, grief, muttering to himself, never-to-be forgotten wife, leading a lonely life. Theme 4. negative emotion reproaching, feeling hurt, marriage of daughter, feeling heavy, getting angry, sexual desire, awareness of his sinfulness. loneliness Theme 5. social support and adjustment getting his wife off his mind, curring favor with children, support and consolation by his daughter-in-law, appreciation for hospice nurse, considering remarriage, taking care of himself, good relation with his children. The result of this study showed that middle aged men bereaved of their wife by cancer need other's concern. And we have to study further to understand their experience. Until now hospice nursing is concentrated on cancer patients But from now we have to provide their families suitable nursing care programs to adjust themselves to social life before and after death of patients.

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Mediating Effect of Decentering between Centrality of Event and Meaning Reconstruction on Relational Loss Experience (관계상실경험자의 사건중심성과 의미재구성의 관계: 탈중심화의 매개효과)

  • Kim, Soon-Me;Lee, Su-Lim
    • The Journal of the Korea Contents Association
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    • v.20 no.6
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    • pp.445-459
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    • 2020
  • The purpose of this study was to verify the mediating effect of decentering between centrality of event and meaning reconstruction, based on relational loss experiences. To do so, surveys were conducted on 295 people(male: 109, female: 186) who would experience relational loss and be over 20 years old in the country using a questionnaire including a relational loss history checklist, the CES(Centrality of Event Scale), the Decentering Scale and the GMRI(Grief and Meaning Reconstruction Inventory). And the valid data were statistically processed using SPSS 22.0 program. The results of the study was followed. First, both centrality of event and decentering had positive corrleations with meaning reconstruction. Second, decentering completely mediated relationship of centrality of event and meaning reconstruction. Centrality of event had no direct effect on meaning reconstruction and the entire effect of centrality of event on meaning reconstruction was transmitted only through the path of decentering. Based on these results, limitations and implications of this study and suggestions for future studies were discussed.

비만(肥滿) CLINIC 내원환자(來院患者) 453 CASES에 대(對)한 임상적(臨床的) 고찰(考察)

  • An, Gyeong-Sun;Seong, Nak-Gi
    • Journal of Haehwa Medicine
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    • v.2 no.2
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    • pp.219-246
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    • 1993
  • In 1991, Obesity rate of South Korea has reached to 18.7%. Because of economical development, the pattern of diet is exchanged from carbohydrate to rich protein and fat. The more problem is not only obesity of adult but also one of little child. Obesity is induced to diabetes mellitus, hypertension, artherosclerosis, hyperlipoidemia. heart and C.V.A disease, etc. In Woman, special important ploblem is the complex of beauty about Woman's figure. In Oriental Medicine, the factor of obesity is mainly regarded as dampness. And there are many treatments and methods to body weight loss, but obesity patients dislike to use them because of their side effects and inconvenience, intolerance. Now ear acupuncture is applied on so many disease because of its easy handly, non-side effect and high efficiency in clinics. Here obesity acupuncture is used to ear and whole body acupuncture. Because they react eachother for lack point. Therefore, in order to investigate the effect of obesity acupuncture and develop non-drug, non-starvation etc, we analyzed 453 the cases of body weight loss patients treated with ear and whole body acupuncture in Oriental Medicine Hospital of Jeon-Ju Woo-Sug University from April.1.1992. to March.17. 1993. The results were summarized as follows. 1. Distribution of sex ; male (4.4%), Female(95.6%) 2. Distribution of age in descending order ; 30s, 20s, 40s, 10s, 50s, below 10s, abowe 60s. The 20s-30s are group made up 60.7% of the group. 3. Distribution of occupation in descending order; housewife, student, service, salaried, merchant, teacher, farmer, inoccupation. 4. Distribution of human coporal constitution in descending order : Tae-Eum-In, So-Eum-In, So-Yang-In. 5. Distribution of body height and weight, 155-164cm ; 71.1%, 60-70kg, 74.6% are majority. 6. Distribution of weight variation, 2-6kg(71.0%) is majority, also 13-14kg(0.4%). 7. Distribution of duration in descending order ; 1-3 years, 3-6 years, 1-12months, above 10 years but in success, 1-12 months, 1-3 years, 3-6 years, above 10 years. Therefore, we know that the shorter duration of obesity is, the more loss of body weight. 8. Past experiences to body weight loss; Yes(69.5%), No(30.5%). The success rate accordant with the past temporary experiences shows that the cases without experience is higher than the ones with experience. 9. In distribution of times(treatments), 10 times is top. The rate of body weight loss is the highest in 14 times. Therefore, I think that one would need at least 10 times. in order lose body weight 10. Distribution of body weight variation in treatments times is at 2 times(3-4kg loss), and surprisingly is 14kg loss at above 15 times. 11. Distribution of symptoms improvement, in descending order ; heavy sense in body, dec. of appetite, inc.of exercise, lumbago, edema, knee pain, inc.of urine, inc. of fullness sense, thirsty, disease of gynecology, white tung, chest burning, heart burning, dec.of tobacco, drink taste. motion sickness, allergy, water eczema, arthma, belching. 12. Distribution of snack; Yes(87.4%), No(78.6%) 13. Distribution of exercise; Yes(21.4%), No(78.6%) 14. Distribution of sleeping times, above 7 hours(79.0%) 15. Distribution of the reason to body loss, the complex of beauty(68.7%) is top. 16. Distribution of side effect in obesity acupuncture, constipation (17.4%) is top. 17. Distribution of method in body weight loss ; dietary treatment (31.1%), sauna(26.7%), exercise(19.7%), the center of body weight loss (15.0%) herb-med and starvation treatments (5.1%), hand-finger acupuncture (hand-foot acupuncture) is 1.6%, diet pill(0.3%), etc(0.6%).

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Living as Severe COPD Patient - Life of Stepping on the Thin Ice (중증 만성폐쇄성 폐질환 환자로 살아가기 -살얼음판 위를 걸어가는 삶-)

  • Kim, Sung-Reul;Kim, Yun-Ok;Kwon, Kyoung-Min
    • Korean Journal of Adult Nursing
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    • v.22 no.6
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    • pp.663-675
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    • 2010
  • Purpose: The purpose of this study was to explore the life experiences of patients with a severe Chronic Obstructive Pulmonary Disease (COPD). Methods: The data were collected through in-depth interviews of six patients suffering from severe COPD. The interviewed data were audio-recorded and transcribed verbatim and checked for accuracy. The Giorgi method of phenomenology was used for analyzing data. Results: Eight themes forming the, units of meaning, were: Repeated and Unpredictable Suffering of Dyspnea, Confidence Loss/Exhaustion Life due to non-efficient breathing, Gradually Deprived Liberty, Absolute Being to Sustaining my life, Source of Burden but Significant Person I am in the Family, Endless Tug-of-War-Capability/Endeavor to Breath, Longing for my Life, and Dead-end of breathing. Conclusion: The study results provide an in-depth understanding of life experiences of patients suffering from severe COPD. The findings will be useful to nurses caring for this population.

A Grounded Theory Study on Women's Menopause Experiences (중년 여성의 폐경 경험에 대한 근거 이론적 접근)

  • Kim, Ae-Kyung
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.15 no.3
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    • pp.321-331
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    • 2008
  • Purpose: Purpose of this study was to explore the process of menopause experiences in middle-aged women. Method: The grounded theory methodology by Strauss & Corbin was the basis for this study. The participants were 15 middle-aged women selected by theoretical sampling. The data were collected by in-depth interviews using audiotape recording analyzed simultaneously by the constant comparative method described in Strauss and Corbin's methodology. Results: Experiencerelated to menopause in middle-aged women is caused by cognition of the aging process, difficult problems in family that occur with limitation of social activity, and perception of changingseasons. The central incident of menopause in middle-aged women was loss of the woman's identity. Intervening conditions, which are action/interactional strategies for menopause, are related to social support. Action/interactional strategies related to menopause management included medical treatment, mind control, and participation in social activity. Experiencerelated to menopause in middle-aged women resulted in comfort or discomfot of physical and emotional condition. Conclusion: The findings of this study may contribute to the development health promotion strategy for middle-aged women. There is need to develop family support systems and preventive nursing interventions to avoid negative coping strategy.

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Lived Experience with Aging in Middle-Aged Woman (중년 여성의 노화 체험)

  • 신경림;공은숙;김귀분;김남초;김주희;김춘길;김희경;노유자;송미순
    • Journal of Korean Academy of Nursing
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    • v.32 no.6
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    • pp.878-887
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    • 2002
  • This study was to explore lived experience of middle-aged women with aging. The ultimate purpose of this inquiry was to discover the essence of middle-aged women's experience of aging and to promote understanding. Method: This inquiry was performed by using Van Manen's hermeneutical phenomenological approach to make more plausible interpretation of experience. First-handed experiences were explored through multi-stage in-depth interview with 6 women aged between 40 and 64. Second- handed experiences were explored with text such as essay, novel, and photographs. Result: As the process of reflecting and analysing the data of experience were performed, essential themes were emerged: striking onset of event, discomfort and tired body and mind, everything in ones mind, age of harvest gaining much more than loss. Conclusion: This inquiry would be a cornerstone for humanistic nursing care for the mid-aged women.

A Study of Nursing Students' Spiritual Care Experiences (간호 대학생의 영적 간호 경험 분석)

  • Koh, Myung-Suk
    • The Journal of Korean Academic Society of Nursing Education
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    • v.9 no.2
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    • pp.175-185
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    • 2003
  • The purpose: This study was to describe the spiritual nursing care experiences of nursing students who were in a university, Seoul, Korea. Method: This study is based on descriptive analysis of case studies that were submitted by nursing students. Nursing students were 64 person who were sophomores in a university of the year 2000, 2001. Results: 1. The problems that students report for their subjects were: Loss of self-confidence, body image complex, health status problems, maladaptability, economic problems of home, guilty feeling, problems with dating, loneliness, uncertainty of their future, faith problem, accountability, stress and apart from intimate friends. 2. The methods which students use to solve the subjects's problems were: prayer with subjects, use the Scripture, conversation, meet frequently, listening, frequent phone call, explore problem solving methods together, write letters or E-mails, present with books or music CD etc. 3. After the students have experienced spiritual nursing care they feel that: satisfaction, lack of knowledge of spiritual care, understanding the importance of spiritual nursing care make a new resolution for others, understanding the importance of listening, understanding the power of prayer, the need of Bible study. Conclusion: Maintaining spiritual wellness is a important as maintaining physical fitness and essential for optimal well being. Therefore educating nursing students in developing and maintaining spiritual wellness is essential for the patient to achieve holism.

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The Lived Experience of Postpatal Women in Che-Ju island (산욕기 여성의 경험 - 제주지역을 중심으로 -)

  • Shin, Hye-Sook;Lee, Kyung-Hee
    • Women's Health Nursing
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    • v.4 no.2
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    • pp.271-285
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    • 1998
  • The purpose of this study is to explore and describe the experiences of postpartal woman, Korean postpatal care that Korean women experience afterbirth, to find the meaning of their lived experiences and to contribute to the base Korean maternal nursing. The method is to phenomenological through participant in depth interview. The subjects of this study were 8 women who are 1 week to less or over 100 days afterbirth. Their age rang from 22 to 33. All available data was collected from 26th of March 1988 to 10 of July 1998. A tape recorder was used with the permission of the subjects to prevent the loss of spoken information. The analysis of the data was made through Colaizzi's. The result of the study was as follow: There were eleven themes and 8 structures, Structure 1 : Acceptance to the traditional Sanhujori, Structure 2 : Powerlessness, Structure 3 : Disappointment and Being sorry, Structure 4 : Attachment as mother, Structure 5 : Anxiety on bring up, Structure 6 : Praying the well being of baby. Structure 7 : Negative body image 8 : Information seeking, Structure. In conclusion, nurses have to help Korean women afterbirth who are in difficulties physically, emotionally, socio-psychologically as direct caregivers and educators. As continually finding out the Korean postpartal care. Sanhujori, we can build the our original maternal nursing.

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Experiences of Single Pregnant Mothers (독신모의 임신 경험: 벼랑 끝으로 내몰림)

  • Yang, Soon-Ok;Kim, Shin-Jeong;Jeong, Geum-Hee
    • Women's Health Nursing
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    • v.14 no.1
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    • pp.44-55
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    • 2008
  • Purpose: This study was done to assess the personal experiences of the coping process during pregnancy for single mothers. Methods: The participants were 17 single mothers who had stayed in a social welfare facility. Data was collected with an in-depth unstructured interview. Data analysis was done by the grounded theory method. Results: One-hundred twelve concepts and 49 sub-categories were confirmed in the analysis. The sub-categories were grouped into 19 categories; escape from a miserable family, wrong meeting, openness of sex, defenseless state of pregnancy, inevitable result of pregnancy, heartbreak by herself, closure, isolation, difficult situation of being alone, stigma, supporting & protecting, helplessness, seeking, empowering, feeling of loss, conflict, facing issues, assuring a fresh start and becoming-mature. "Being driven over the edge of a cliff" was the key phenomenon which the single mothers experienced during the process of pregnancy. Conclusion: The above results will help nurses assessing single pregnancy mothers' needs and developing a nursing intervention program for supporting them. Therefore, nurses will be able to stop them from "being driven over the edge of cliff". A more vigorous nursing intervention is suggested for the research of the vulnerable classes of medical health care including single pregnant mothers.

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