• 사회복지연구
• /
• 제40권1호
• /
• pp.37-61
• /
• 2009

유방암은 진단과 치료과정에서 환자뿐만 아니라 배우자에게 심리사회적 디스트레스를 초래하게 된다. 이러한 배우자의 디스트레스는 다시 유방암환자의 적응, 삶의 질에 영향을 미치게 된다. 이에 따라 부부관계 맥락에서 유방암의 심리사회적 영향을 살펴보아야할 필요성이 제기된다. 이를 위해 유방암환자와 배우자를 대상으로 심리사회적 영향을 조사한 국외 연구 33편, 국내 연구 1편 총 34편을 방법론적 측면과 내용적 측면으로 분석하였다. 분석 결과를 토대로 후속 연구와 임상적 실천에 있어서의 제언점을 제시하였다.

• Journal of Hospice and Palliative Care
• /
• 제27권1호
• /
• pp.31-44
• /
• 2024

Purpose: The purpose of this qualitative study was to employ Colaizzi's phenomenological research method to elucidate and understand the essence of practical experiences among consultative hospice palliative care nurses working in hospice institutions. Methods: The participants in the study were 15 consultative hospice palliative care nurses with over 1 year of work experience in institutions located in S City, I City, and K Province in South Korea. Data were collected from 23 in-depth interviews and analyzed using Colaizzi's phenomenological qualitative method. Results: The practical experiences of consultative hospice palliative nurses were categorized into five categories, 10 theme clusters, and 25 themes. The five categories included "being aware of patients' situations at the time of transition to hospice palliative care," "empathizing with patients and their families by putting oneself in the other's shoes," "providing patient and family-centered end-of-life care," "experiencing difficulties in practical tasks," and "striving to improve hospice service quality." Conclusion: This study is significant in that it provides practical data for understanding the experiences of consultative hospice palliative care nurses caring for terminally ill patients. This could enhance our understanding of care solutions that effectively tackle the challenges consultative hospice palliative care nurses encounter while fulfilling their roles.

• 한국주거학회논문집
• /
• 제16권6호
• /
• pp.55-63
• /
• 2005

The purpose of study is to suggest the data on what residential choice elements have to be considered to be important when the apartments are planed in middle size cities. This study analyzed the environmental characteristics of Cheong-Ju city and compared the priority of residential choice elements by using AHP(Analytic Hierarchy Process). The results of analysis are as follows. 1) The rate of housing supply in Cheong-Ju city is low at $80.2\%$ and concentrated on small sized apartments. Furthermore, the educational and traffic facilities are very insufficient. 2) While residential choice in Cheong-Ju is heavily characterized by educational surroundings, it is less affected by economic aspects such as housing prices and the value of investments and accessibility to public transportations, distance to working places. 3) It is affected by residents' general characteristics like as sex, age, life cycle, education level, properties, home ownership, number of room and type of house they want. In conclusion, the middle size cities like Cheong-Ju need the large scale residential plans connected with educational considerations, focused on improvement in quality and outdoor space. In addition, it is recommended to make plans to satisfy the diverse needs of consumers.

• 대한간호학회지
• /
• 제23권1호
• /
• pp.42-55
• /
• 1993

Computerization has been applied in most areas of health care in recent years. But computerized standardized nursing care plans have not yet been adequately developed even though they can significantly contribute to an improvement in the quality of nursing care. Therefore, this study was done to develop computerized nursing care plans. For this purpose, the study had the following objectives ; 1) to develop a computerized program for standardized nursing care plans which include defining characteristics, relating factors, expected out-comes and nursing interventions 2) to test applicability of the computerized pro-grams to the actual clinical situation of the clinical nurse. Application of the system development life cycle by davis was used as the study methodology. There are five stages in this method : strategy planning development, system analysis, system design, system practice and system evaluation. The first four steps in this methodology were used in this project. Two clinical nurses were selected to apply this computerized program in the clinical situation. The results of the study are as follows ; 1) Ten standardized nursing care plans including defining characteristics, relating factors, expected outcomes and nursing interventions which had been proven to have validity in the clinical setting were computerized using the Foxbase Program. 2) These programs were applied to the actual clinical situation by two clinic친 nurses working at Severance Hospital. For further study, continuous revision should be done by the users. Evaluation related to the utilization of the program should also be done.

• 보건교육건강증진학회지
• /
• 제29권5호
• /
• pp.13-26
• /
• 2012

Objectives: The purpose of this study was to identify the relationship between resilience of migrant workers and their mental health for improving their quality of life and adaptation in Korean society. Methods: Data were collected from March 21 to May 7, 2011. The participants included 488 migrant workers who lived in Busan Metropolitan City or Gyoungnam province. Results: First, heavy working burdens and lack of rests, low wages, poor living environments, low economic status & deficiency of living necessities, hard physical labors, and conflicts with Korean workers had negative effects on mental health. Second, high perceived stress caused by usual 'living difficulties', high 'cutural shock', high feeling of 'social isolation', and high discomfort from 'lack of Korean language proficiency' gave negative effects on migrant worker's mental health. Third, the most important factor on the mental health was the 'cultural shock' among stressors. Even though many stressors existed among migrant workers, these negative effects on mental health were lessened by their high resilience level. Conclusions: This study highlights the importance of migrant workers in Busan, Korea. To improve their mental health, social support including financial supports and educational programs that foster resilience needed.

• 중환자간호학회지
• /
• 제16권1호
• /
• pp.44-55
• /
• 2023

Purpose : This study aims to identify job stress, emotional intelligence, and exhaustion of the nurses in comprehensive nursing service units and then verify the moderating and mediating effects of emotional intelligence on the relationship between job stress and exhaustion. Methods : Participants are 118 nurses working in two general hospitals. The collected data are analyzed using the SPSS WIN 27.0 and AMOS 18.0 programs by assessing frequency and percentage, mean and standard deviation, independent t-test and one-way ANOVA, Scheffé test, Pearson correlation coefficient, and hierarchical multiple regression analysis and bootstrapping. Results : Exhaustion has a statistically significant positive correlation with job stress (r=.40, p <.001) and a statistically significant negative correlation with emotional intelligence (r=-.26, p =.004). A partial mediating effect of emotional intelligence is found between job stress and exhaustion, however, there is no moderating effect. Conclusion : It is expected that to reduce the exhaustion of nurses in comprehensive nursing service units, it is necessary to assess job stress and emotional intelligence, and strengthen emotional intelligence along with job stress intervention.

• 한국산학기술학회논문지
• /
• 제21권5호
• /
• pp.327-336
• /
• 2020

본 연구는 암 생존자의 일상생활 복귀 경험의 이해를 통해 성공적인 일상생활 복귀와 삶의 질 향상 방안을 모색하고자 시도되었다. 암 치료 후 5년이 경과되어 완치 판정을 받은 19명을 암 생존자 환우회 및 인터넷 카페에 연구목적과 방법을 공지하여 모집하였다. 자료 수집은 2017년 1월 18일부터 2월 25일까지로 심층면담을 통해 실시되었으며, 자료가 포화될 때까지 이론적 표출을 시도하였다. 1회 면담 시간은 90분에서 120분 정도 소요되었으며, 인터뷰 이후 불충분한 내용은 추가 면담을 통해 내용을 확인 받았다. 면담 횟수는 1~3회였다. 근거이론에 따른 자료 분석을 실시하였으며, 암 생존자의 일상생활복귀 경험은 '고달픈 현실', '육체적 소진', '심리적 소진', '경제적 소진'이라는 인과적 조건으로 인해 '벗어날 수 없는 현실', '내일을 알 수 없는 불확실한 현실'이라는 중심현상이 발견되었다. '가족의 지지부족', '노동 취약계층으로의 이동', '미비한 지원시스템', '사회적 지원체계 희망', '위축된 성', '암/암환자에 대한 편견', '찾기 힘든 완치 이후 삶에 대한 정보' 등의 맥락적 조건에 따라 '적극적 건강관리', '긍정적 경험', '절대적 존재에 의지하기' 전략을 선택적으로 수행하였다. 이러한 전략 수행 과정은 중재적 조건인 '든든한 울타리', '효과적인 암보험'의 영향을 받았다. 그 결과는 '새로운 삶 구축하기' 또는 '견디기'로 나타났다. 암 생존자의 성공적인 일상생활 복귀를 위해서는 일상생활 복귀 과정에서 경험할 수 있는 문제들과 관련된 포괄적인 정보 제공 및 보건·복지적 개입이 필요하며, 향후 암 생존자 관리를 위한 시스템 구축 시 암 생존자의 요구를 반영한 지원 프로그램 개발이 필요하다.

• Journal of Welding and Joining
• /
• 제18권3호
• /
• pp.51-59
• /
• 2000

Sink roll has been used in molten 55%Al-Zn alloy bath of continuous galvanizing line for sinking and stabilizing working steel strip in molten metal bath. In the process, the sink roll body inevitably build up dross compounds and pitting on the sink roll surface during 55%Al-Zn alloy coated strip production, and the life time of the sink roll is shorten by build up dross compounds and pitting. The present study examined the application of thermally sprayed ceramic coatings method on sink roll body for improving erosion resistance at molten 55% Al-Zn pool. In this experiment, the stainless steels such as STS 316L and STS 430F were used as the substrate materials. The CoNiCr and WE-Co powder were selected as bond coating materials. Moreover $Al_2O_3-ZrO_2-SiO_2 and ZrO_2-SiO_2$ powders selected as the top coating materials. Appearances of the specimens before and after dipping to molten 55%Al-Zn pool were compared and analyzed. As a result of this study, STS430F of substrate, WC-Co of bond spray coatings, $ZrO_2-SiO_2$ power of top spray coatings is the best quality in erosion resistance test at molten 55%Al-Zn pool

• 한국임상약학회지
• /
• 제26권1호
• /
• pp.13-23
• /
• 2016

Background: South Korea is rapidly being an aging-society and the demand of long-term care insurance services for elderly patients is rising. In addition, because the elderly taking multiple medicines, the adherence is lowered and the adverse events are easily occurred. Therefore, many are interested in introducing the geriatric pharmacy specialist to manage this situation. Purpose: By applying a similar program such as the geriatric pharmacy specialist working in nursing home, we conducted this study to evaluate the potential contribution to both the health insurance services and financial savings for the elderly patients. Methods: We conducted a trial in an elderly nursing home to collaborate between doctor and pharmacist making a checklist for improving medication adherence and establish a consultation system. Also we applied a smart phone application in the pharmaceutical care processes. Results: Thereby completing the drug therapy related checklist apply to nursing facilities in South Korea. And we got a performance that improves medication adherence when used in the clinical practice settings. Conclusion: By introducing a training program of pharmacy care managers and geriatric professionals such as the United States and Japan, we revealed the elderly nursing home residents and vulnerable elderly people living alone were improved the medication adherence and it will contributed to the health and quality of life of the patients.

• 가족자원경영과 정책
• /
• 제16권3호
• /
• pp.67-82
• /
• 2012

The first local exchange trading system(LETS), established in Comox Valley in Canada, aimed at facilitating the regional economy. However, in Korea, LETS was adopted to encourage mutual aid and promote community spirit among residents. This study examines the feasibility of LETS as a revitalization initiative for Pumasi and suggests a number of policies that can be implemented to support the project. The findings are as follows: First, the LETS credit system was found to complement social capital initiatives among Pumasi participants in the early stages of the Pumasi project. Second, combining LETS and Pumasi initiatives was found to consolidate community spirit and encourage a cooperative way of life among participants due to the fact that LETS enlarges the scope of local residents' participation and diversifies the services being exchanged. A number of policy suggestions are made for combining LETS with Pumasi. First, the project must define a vision of its long-term purpose and outcomes. Second, local residents should be employed as assistants to facilitate the project. Third, Pumasi participants should ensure that childcare exchange services are of the highest quality by providing an educational program on parenting. Fourth, the project manager's employment conditions and working environments must be guaranteed.