• 제목/요약/키워드: Patient caring

검색결과 202건 처리시간 0.029초

요양병원 간호사의 치매 행동심리증상 부담감, 치매태도 및 감정노동이 돌봄행위에 미치는 영향 (Impacts of Burden from Behavioral Psychological Symptoms of Dementia, Dementia Attitude, and Emotional Labor on Caring Behavior of Nurses in Long-term Care Hospital)

  • 어혜경;김선호
    • 근관절건강학회지
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    • 제28권2호
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    • pp.111-120
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    • 2021
  • Purpose: This study was a descriptive research to identify the relationships among burden from behavioral psychological symptoms of dementia, dementia attitude, emotional labor and nurse's caring behavior as well as to clarify factors that affect caring behavior of nurses in long-term care hospital. Methods: For the research, this study collected data from July 8 to July 20, in 2019 with 214 nurses who worked at 10 long-term care hospitals in Chungbuk. The data were analyzed using descriptive statistics, t-tests, Mann-Whitney U test, ANOVA, Pearson's correlation coefficient, stepwise multiple regression with the SPSS 23.0 program. Results: Factors influencing caring behavior of nurses in long-term care hospital were dementia attitudes (β=.549, p<.001), burden from behavioral psychological symptoms of dementia (β=.242, p<.001) and marital status (β=.134, p=.017). These factors explained 33.9% of caring behavior (F=37.35, p<.001). Conclusion: Dementia attitudes were confirmed to be the main variable influencing nurse's caring behavior. Therefore, to improve the caring behavior of dementia patient, it is considered that the development of programs to improve dementia attitudes and in-depth understanding regarding the behavioral and psychological symptoms of dementia is necessary.

응급실 간호사와 환자가 지각한 돌봄행위의 중요도 (Importance of Nurses' Caring Behaviors as Perceived by Nurses and Patients at Emergency Departments)

  • 최은희;이은남
    • 한국간호교육학회지
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    • 제20권3호
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    • pp.402-412
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    • 2014
  • Purpose: This study was to investigate the importance of nurses' caring behaviors as perceived by nurses and patients at emergency departments, and to determine the differences between the two groups. Methods: The subjects of this study were 159 nurses working at emergency departments in 9 general hospitals in B Metropolitan City and 153 in-patients in 6 general hospitals, who were transferred to a general ward after being admitted to an emergency room. Research tool was a self-report questionnaire, which was a translated version of Caring Behavior Assessment(CBA). In this study, Cronbach's ${\alpha}$ was ranged from .83 to .93 in the seven subscale's reliability of CBA. Results: In terms of caring behaviors at emergency departments, both nurses and patients perceived that the most important subscale was . The subscale which showed the least importance from both groups was . Conclusion: The results of this study have demonstrated that nurses' caring behaviors can meet the patient's needs if the gap in perceptions between nurses and patients would be reduced.

가족 돌봄제공자의 말기 교모세포종 환자 돌봄경험-갈등과정에 대한 내러티브 분석 (Caring for Dying Patient with Glioblastoma Multiforme: A Narrative Analysis of the Caring Experience of Family Caregiver)

  • 김명아;류은정;홍연표
    • 종양간호연구
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    • 제12권2호
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    • pp.186-193
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    • 2012
  • Purpose: The purpose of this narrative study was to understand how family caregivers interpreted themselves life during caring for dying patients with gliobalstoma, and how they integrated these experiences into their personal biographies. Methods: Three family caregivers were recruited for the study. Data were collected through a series of audio-taped unstructured interviews and conversations with participants. The interviews and observation were conducted between October and November, 2011. Data were analyzed using psychosocial analytical methods that combined case based, in-depth staged analysis of narratives. Results: The life experiences of the family caregivers with a dying family member were summarized as, in their own voices, 'the repetition of gliobalstoma,' 'a smart patient,' 'being obsessed with rehabilitation treatment,' 'the frustration from nothing but just looking at the suffering of the patient,' and 'a stubborn son'. Conclusion: Caregiving was characterised by various roles and life changes from the moment of diagnosis. Family caregivers of brain tumor reported experiences similar to those described by caregivers of people with other cancers. What differed for this group was the rapidity of change and the need for immediate information and support to assist with caring for a person with high-grade glioma.

간호사가 지각한 질적간호에 대한 내용분석 (Content Analysis of Quality Nursing Care Perceived by Nurses)

  • 권성복;지성애;백경선;유수옥;주숙남;김복자;이혜숙;안옥희
    • 대한간호학회지
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    • 제31권3호
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    • pp.380-390
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    • 2001
  • Purpose: This study was designed to explore the perceptions of quality nursing care among nurses. Method: The data were analyzed using content analysis. The data were collected from 19 nurses who worked at diverse clinical areas in 8 general and university hospitals with over 400 beds. Result: 1. The attributes of quality nursing care were categorized into 7 hierarchies in the order of 'caring' (40.65%), 'specialty' (29.03%), 'nurse attainments' (15.48%), 'patient- centered nursing management' (6.45%), 'sincerity' (5.16%), 'kindness' (2.58%), 'satisfaction' (0.65%). 2. The concept of quality nursing care were defined as 'giving a satisfaction both to patients and nurses through patient-centered nursing management with specialty and caring in the ground of the kindness and sincerity'. Conclusion: Based on there findings, we suggest that the study results should be used for development of a quality assurance tool in nursing practice, patient care in hospital setting, education of nurses and nursing students. In addition, further repeated studies need to be conducted.

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간호사와 환자가 지각한 돌봄행위 중요도에 관한 연구 (Importance of Nurses's Caring Behaviors as Perceived by Staff Nurses and Patients)

  • 김영이;이병숙
    • 기본간호학회지
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    • 제6권1호
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    • pp.18-34
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    • 1999
  • Nurse's caring behaviors are essential to help patients cope with their health problems. The purpose of this study was to investigate the importance of nurse's caring behaviors as perceived by staff nurses and patients. The subjects were 295 staff nurses and 340 patients from five medical centers in Taegu. Data collection was done from Dec. 10, 1997 to Jan. 31, 1998. The tool for this study was a 7 point Likert type scale with 27 earing behaviors developed by Lee(1996). Cronbach alpha of the tool was .9701 in staff nurses and .9618 in patients. Data were analyzed with SAS using t-test, ANOVA and Spearman rank correlation program. The results are as follows : 1. The a verage score of perceived importance of nurse's taring behaviors for the 27 items was 5.65 in staff nurses and 4.97 in patients. 2. The most important caring behaviors perceived by the nurses was 'Nurse gives painless and cautious injection and treatment for patients' and for the patients, 'Nurse gives hygienic treatment and nursing care'. 3. The caring behavior which showed a significant difference between the ranks of perceived importance by staff nurses and patients was 'to treat the patient with tenderness and friendship'. 4. The Spearman rank correlation coefficient between the ranks of importance perceived by staff nurses and patients was 0.8302. With the results of this study, the staff nurses could be recognized to have much enthusiasm and passion about caring. It is suggested that nurses let the public know about the nurses' caring roles. In the future, research to investigate the actual practice of nurses' caring behavior is necessary.

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환자돌봄 의사소통이 환자만족도에 미치는 영향: 불안의 매개효과를 중심으로 (Effects of Patient Satisfaction on Patient Caring Communication: Focusing on the Mediating Effects of Anxiety)

  • 원효진;서가원
    • 산업융합연구
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    • 제22권4호
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    • pp.49-55
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    • 2024
  • 본 연구는 병동의 입원환자를 대상으로 환자돌봄 의사소통과 환자만족도 간의 관계에서 불안의 매개효과를 파악하기 위한 서술적 조사연구이다. 자료는 2021년 10월부터 12월까지 자가설문지를 이용하여 수집하였다. 수집된 자료는 SPSS 24.0 프로그램을 이용하여 서술적 통계, 피어슨 상관관계 분석과 위계적 회귀분석을 이용하여 분석하였으며, 매개효과의 유효성 검정은 Sobel test로 분석하였다. 연구 결과, 환자돌봄 의사소통과 환자만족도 사이에는 양의 상관관계가 있었으며, 환자돌봄 의사소통과 불안과의 사이에는 음의 상관관계가 있었다. 환자만족도와 불안 사이에도 음의 상관관계가 있었다. 환자돌봄 의사소통과 환자만족도의 관계에서 불안은 부분매개 효과가 있었으며(z=2.93, p<.001), 설명력은 38.4%이었다. 본 연구의 결과를 토대로 환자만족도를 향상시키기 위해서는 간호사의 환자돌봄 의사소통 역량을 향상시키고, 환자의 불안을 감소시킬 수 있는 프로그램의 개발이 필요하다.

외국인 환자를 돌보는 간호사의 업무경험 (Employment Experiences of Nurses Caring for Foreign Patients)

  • 박형숙;하수정;박정하;유지형;이상화
    • 간호행정학회지
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    • 제20권3호
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    • pp.281-291
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    • 2014
  • Purpose: The purpose of this study was to identify employment experiences of nurses caring for hospitalized foreign patients. Methods: For this study, 10 nurses caring for foreign patients for more than 6 months were chosen purposively. Data were collected through in-depth individual interviews from July to September 2013 and analyzed in terms of Giorgi's phenomenological methodology. Results: Five themes-clusters were identified from fifteen themes; 1) Awesome challenges; 2) Laborious dealing with barriers; 3) Acceptance of cultural differences; 4) Complete concentration of personal energy; 5) Taking a powerful step towards tomorrow. Conclusion: Results of this study reveal the significance of nurses' experiences in caring for foreign patients for the first time in Korea. The following are suggested: First, facilitation and training is necessary for language proficiency, communication skills and ability to understand cultural traits of foreign patients. Second, manuals and international guidelines for caring for foreign patients should be systematically developed to improve quality of healthcare services.

암환자 가족 간호자가 인지하는 가족기능수행과 삶의 질 (Family Functioning and Quality of Life of the Family Care-giver in Cancer Patients)

  • 한금선;김순용;이숙자;박은숙;박영주;김정화;이광미;강현철;윤지원
    • 대한간호학회지
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    • 제36권6호
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    • pp.983-991
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    • 2006
  • Purpose: The purpose of this study was to identify the relationship among quality of life, family coherence, family hardiness, and family resources of the family care-giver caring for a cancer patient. Method: Data was collected by questionnaires from 137 families with a cancer patient at a General Hospital and Government Cancer Hospital. Data was analyzed using descriptive statistics, pearson correlation coefficients, and stepwise multiple regression. Results: The score of quality of life showed a significant positive correlation with the score of the level of family sense of coherence, family hardiness, and family resources. The most powerful predictor of quality of life was sense of coherence and the variance was 30%. A combination of sense of coherence and family resources account for 34 % of the variance in quality of life of the family care-giver caring for a cancer patient. Conclusion: The results showed that family sense of coherence, hardiness, and family resources were significant influencing factors on the quality of life of the family care-giver caring for a cancer patient.

살 가망이 없는 환자간호에 대한 교육이 간호학생의 태도에 미치는 영향에 관한 일 연구 (A Study on the Influence of the Education on the Attitudes of Nursing Students about the Dying Patient Care)

  • 최공옥
    • 대한간호
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    • 제19권1호통권104호
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    • pp.50-59
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    • 1980
  • Death is such a difficult event that it is more than a match for nurse. In caring for the dying patient, most important thing is nurse''s attitudes and ability to face terminal illness and death. It was given to the 108 nursing students that the lecture a

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만성 재가 기동장애자의 가정병실 모델 개발을 위한 현장 연구 (A Ethnographic Field Study for a Model Development of the Chronic Bed-ridden Patient s Home-ward)

  • 김태연;정연강
    • 대한간호학회지
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    • 제24권4호
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    • pp.597-615
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    • 1994
  • This study is designed to facilitate the creation of home environment conducive to the family taking care of chronic bed-ridden patients with more effective method. The need for this study has emerged against the background of marked changes in the structure of ailments and causes of death, resulting in the number and plights of chronic bed-ridden patients as well as of a rapid increase in demand for medical care and resulting premature discharge. Keeping these in mind, this study focused on home-wards where the majority of chronic bed-ridden patients are being cared for. Despite. their overriding importance, home-words are less than efficient in caring (or chronic bed-ridden patients. These circumstances require the designing of home-wards that can offer greater comfort to patients and at the same time make things easier for caregivers, on the basis of an overall analysis of patients' life and home - ward situation. According1y this study adopted a Participant Observation Method derived cultural anthropology, Toward this end, 3 patients were chosen as subjects of this study for intensive interviewing and participant observation. In the process of this field re-search efforts were made to collect emprical data, that is, to faithfully record the words of the subjects and their caregivers for analysis and interpretation. The findings of these analyses are as follows. Firstly, the chronic bed-ridden patients are mostly being taken care by close family members. Secondly, a room for the exclusive use of the patient, floor, kitchen, bathroom and multipurpose space were found to be necessary for proper caring of the patient. These spaces were respectively used with a view to 1) accomodating the patient as well as caregivers' activities, 2) keeping general and medical supplies and other appliances for patient's care and drying the patient's washing, 3) preparing and keeping the patient's foods and beverages, 4) keeping the supplies necessary for cleaning the patient's body and treating the patient's eliminations, 5) washing the patient's clothes, underwears and bedclothes. The patient's room in turn is subdivided into six portions in terms of uses : specifically the places for accomodating 1) the patient, 2) medical supplies, 3) medicines, 4) linens St clothes, 5) bedclothes and, 6) diapers. Thirdly, the activities of the caregiver are subdivided into seven key areas : hygiene, exercise, diet, elimination, therapeutic nursing, prevention of sore, and other activities. Each area is further classified into several different activities of caring. These activities we mainly carried out in the patient's room. Fourthly, the supplies for caring the chronic bed-ridden patient is divided into two large domains : medical and general supplies. Finally, three main problems areas were found in this study on the part of caregivers, that is, sore prevention, hygiene problem related frequent urination / defecation, the caregiver's physical, psych ological and emotional burden. In consideration of the aforesaid problem areas, a model home-ward was developed in this study. The newly-developed model has been found to have the following six advantages. Firstly, the time and effort required for maintaining the patient's hygiene are reduced, thus relievins the caregiver's physical and psychological bur-den. Secondly, the patient's hygiene can be maintained in satisfactory conditions, because the patient's eliminations are more easily removed. Thirdly, skin irritations caused by the patient's eliminations were remarkably reduced and so were the patient's sores due to moisture and bacteria. Fourthly, the home-ward have a tilt-table ef-fect thanks to the inclining room floor. This improves the patient's cardiovascular function as well as constantly changes pressed skin areas and thus prevents sores. Fifthly, improved shelf arrangements help make the best use of patient's supplies. Sixthly, the trouble of continuously changing clothes, underwears, diapers & bedclothes is remarkably reduced simply by covering the patient with cotton sheets when laid in bed. This is espected to cut down expenses by reducing the comsumptions of diapers and other disposable supplies.

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