• 디지털융복합연구
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• 제15권8호
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• pp.257-265
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• 2017

본 연구에서는 '호스피스 완화의료'의 개념 및 '연명의료' 결정 내용에 대해 일반인들이 어느 정도 인식하고 있는지 알아보고자 하는 목적으로 시행되었다. 2016년 9월 일개 지역에서 열린 행사에 참여한 참가자 및 관계자 중 자발적으로 동의한 346명을 대상으로 설문조사를 진행하였다. 연구결과를 보면, 종교를 가진 사람들이 종교가 없는 사람들에 비해 자연스런 죽음을 원하고 있었으며, 존엄사와 관련된 결정에서 적극적인 태도를 취하는 것으로 보인다. 종교가 있는 집단에서 연명치료 중 인공호흡시행에 동의한 대상이 많이 나왔다. 종교는 삶과 죽음에 대한 인식에 영향을 미칠 수 있는 중요 요소로서 죽음 후 내세가 있다고 믿기 때문에, 무의미한 삶의 연장에 대해서 보다 단호한 입장을 취할 수 있는 것으로 생각된다. 따라서 호스피스 완화의료와 사전연명의료결정법이 일반인들에게 안정적으로 정착하여 존엄한 삶의 마무리와 죽음의 질을 높이기 위해서는 연령, 교육정도, 종교의 유무 등을 고려하여 다양한 교육 프로그램을 통한 인식 확산을 하여야 할 것이다. 또한 호스피스 완화의료 및 연명의료 관련 지식을 일반인이 충분히 이해할 수 있도록 교육 및 홍보를 강화해야 할 것이며 호스피스에 대한 정부차원의 표준화와 정책적 뒷받침이 시급할 것으로 보인다.

• 한국간호교육학회지
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• 제9권2호
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• pp.329-339
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• 2003

The purpose of this study is to consider of meaning in life based on Frankl's theory and to propose of hospice nursing according to conceptual framework of meaning in life. The conceptual framework of meaning in life is composed of 4 phases. According to the first phase, acceptance & awareness of self and life, hospice nurse should helps dying patient to accept limitedness of human existence and death. and according to the second phase, actualization of creative value, hospice nurse can helps dying patient to discover meaning in life through doing a deed for last time before his death. According to the third phase, actualization of experiential value, hospice nurse can helps them to discovery of meaning by experiencing of love through meetings with other people, nature, and god. According to the forth phase, actualization of attitudinal value, hospice nurse can helps them to discovery of meaning by realizing meaning in suffering and death through exercising of the inner freedom to choose bravery and acceptance in the face of death and misfortune. As mentioned above, the Frankl's theory accords with the core of hospice nursing that helps people to accomplish human essence in suffering and death. therefore we accepted Frankl's point of view, asserted that one of the most important roles of a hospice nurse as a supporter and sustainer for dying patients is to help patients to find meaning in life even in the course of death. To achieve the goal, hospice nurses should try to have a firm faith through philosophical introspection about life, death, human existence and meaning in life what the most important goal of life is to discover meaning in life and human have the duty and responsibility of recognizing and pursuing meaning up to the last moment of life.

• Journal of Hospice and Palliative Care
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• 제27권1호
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• pp.11-20
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• 2024

Purpose: Advance directives (ADs) are legal documents that outline a person's preferences or decisions regarding end-of-life care ahead of time. In Korea, there is insufficient awareness and knowledge about ADs among patients undergoing hemodialysis. This study explored the relationship between perceptions of a good death, knowledge about ADs, and attitudes toward ADs in this patient population. Methods: This cross-sectional survey enrolled 119 hemodialysis patients from a secondary hospital in 2021. The participants completed a self-administered questionnaire, and the data were analyzed using the t-test, analysis of variance, Pearson correlation coefficients, Spearman rank correlation coefficients, and multiple regression analysis. Results: The average score for perceptions of a good death among hemodialysis patients was 2.80 out of 4, with clinical symptoms identified as the most critical factor. The average scores for knowledge about ADs and attitudes toward ADs were 5.69 out of 9 and 2.79 out of 4, respectively. There was a positive correlation between perceptions of a good death and attitudes toward ADs (r=0.34, P<0.001), as well as between knowledge about Ads and attitudes toward ADs (r=0.19, P=0.037). Factors influencing attitudes toward Ads included employment status (β=0.22, P=0.011), education level (β=0.22, P=0.013), and perceptions of a good death (β=0.29, P=0.001), which accounted for 24.8% of the variance in attitudes toward ADs. Conclusion: A positive perception of a good death among patients undergoing hemodialysis was associated with a positive attitude toward ADs. Educational programs are needed to improve individuals' understanding of a good death and encourage the development of end-of-life care plans.

• Asian Pacific Journal of Cancer Prevention
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• 제13권10호
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• pp.5195-5199
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• 2012

Objectives: Global cancer statistical data show that India has one of the highest incidence rates of oral cancer worldwide. Early detection is extremely important as it results in lower morbidity and death rates. The present study was undertaken to assess awareness of oral cancer and knowledge of its early signs and risk factors in the general public of the semi-urban Gorakhpur area of Uttar Pradesh (India). It was also intended to educate the same population for early detection by increasing their ability to recognize signs and risk factors. Method: A questionnaire-based household survey was conducted over a period of one month in different parts of Gorakhpur district, a region where tobacco use is apparently very high. A total of 2,093 persons participated in the survey. The collected data were analyzed using SPSS software to assess and associate oral cancer awareness with the prevalence, and abstract risk factors, as well as other confounding variables. Results: The general awareness, knowledge of signs and risk factors of oral cancer were found to be proportionate to the literacy level with the highest rate of awareness being among high school and graduates and lowest among illiterates. It was also observed that on most of these dimensions the younger age groups (<30 years) were significantly more knowledgeable. Conclusion: Overall, the awareness of oral cancer in the high-risk population of Gorakhpur was not satisfactory, pointing to a need for further dissemination of information on this issue and its associated risks. This is especially important for the youngsters, as this may possibly help them keep away from the deleterious habit of tobacco indulgence in any form. If necessary risk factor cessation counselling should be provided.

• 한국산학기술학회논문지
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• 제19권1호
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• pp.300-310
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• 2018

본 연구는 대학생들이 죽음학 강좌 수강 이전과 이후 웰다잉 인식과 결정이 어떻게 변화되었는가를 비교 연구하고자 한다. 대전광역시 소재 일개 대학교에서 죽음학 관련 교양강좌를 2016년 8월부터 12월까지 15주 동안 수강한 대학생 교육 전 93명, 교육 후 117명 대상으로 연구 참여 희망자에 한해 설문조사를 실시하였다. 설문구성은 일반적인 특성은 성별, 연령, 학년, 전공, 결혼상태, 종교, 가족 동거여부, 건강상태 8항목이었다. 죽음의 인식 측면에 관한 4항목, 죽음의 수용 측면 5항목, 죽음의 결정 측면 7항목, 죽음 교육의 관심도와 중요도 12항목을 리커트 척도로 구성하였다. 통계 검정법으로는 카이제곱검정, 독립표본 t-검정, 의사결정나무 분석을 실시하였다. 연구결과를 의사결정나무 토대로 종합해보면, 죽음 준비 시기가 죽음에 직면한 시기(암환자, 말기환자 등)와 노인(65세 이상)에서 교육 전이 66.7%로 나타났으나, 교육 후에는 성인과 중 고등학교, 초등학교 이하, 대학교, 대학원에서 교육 후가 65.3%로 나타났으며 이는 유의한 차이를 보였다. 따라서 죽음교육의 효과성과 죽음교육의 시기와 내용 등을 어떻게 구체화 시킬 것인가에 대한 방향 제시를 할 수 있을 것으로 기대되며, 초 중 고등학교, 대학교에서의 죽음교육 실시에 대한 부정적인 시각과 우려를 해소하고 죽음 교육이 학생들의 삶에 태도 변화에 긍정적인 영향을 미칠 것으로 사료된다.

• 보건의료산업학회지
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• 제10권3호
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• pp.85-97
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• 2016

Objectives : In this study, the awareness of hospice and the perceptions on the need for visiting palliative care and what constitutes a good death of the citizens of Busan were investigated. The purpose of this study was to develop a hospice system based on the needs of the citizenry of Busan by seeking solutions for current hospice strategies. Methods : One thousand Busan citizens from 20 to 80 years of age were surveyed in this study. Results : Busan citizens defined a good death as spending less than one month of time in the actual process of dying at home between the ages of 80-89 years. They knew about hospice a little and were aware of its necessity. They also knew about the necessity of visiting palliative care and were interested in receiving it when appropriate but did not know much about it. Conclusions : First, there is a large difference between Busan citizens' expectations on what constitutes a good death and what a good death really is. Second, Hospice palliative care should be provided to the community. Third, the older the patient is, the more palliative care visits are necessary. Fourth, 40s and 50s must make preparations for hospice palliative care in their future.

• 한국콘텐츠학회논문지
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• 제17권4호
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• pp.500-509
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• 2017

본 연구는 일반 대학생의 생명의료윤리의식과 공감능력의 정도를 평가하고 그 연관성을 살펴보고자 하였다. 연구대상은 지역대학생 469명이었다. 연구 결과로서 대학생의 생명윤리의식 정도는 2.89점이었고 그중 신생아 생명권과 태아의 생명권이 각각 3.32, 3.20점으로 가장 높았다. 대학생의 공감능력은 2.41로 중간 수준이었다. 생명의료윤리의식은 공감과 정적상관관계를 보였고, 생명윤리의 하위요인 중 태아의 생명권, 인공임신 중절, 인공 수정, 태아 진단, 신생아의 생명권이 인지적 공감 및 정서적 공감과 정적 상관관계를 나타내었다. 또한 공감 능력 중 정서적 공감이 생명윤리의식에 영향을 나타내었으며, 정서적 공감 중 공감적 관심 요인이 생명윤리의 하위 요인에서 태아의 생명권, 인공임신 중절, 인공수정, 태아진단, 신생아의 생명권, 안락사, 뇌사 요인에 영향을 미치는 것으로 나타났다. 향후 대학생들에서 공감과 관련된 생명윤리의식 교육이 필요할 것으로 생각된다.

• 보건행정학회지
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• 제30권3호
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• pp.386-398
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• 2020

Background: We determined the differences in awareness of myocardial infarction and stroke according to the presence or absence of diabetes mellitus in the community. Methods: The 2018 Community Health Survey identified 20,812 people with diabetes mellitus aged 40-79 years. Using 1:1 matching by propensity score, 20,812 people without diabetes mellitus but with similar sociodemographic characteristics were selected as a comparison. Outcome variables were awareness of early symptoms of myocardial infarction and stroke and awareness of coping strategies in case of occurrence. Results: There was no significant difference between nondiabetic and diabetic people in terms of recognizing all early symptoms of myocardial infarction (nondiabetic, 42.7%; diabetic, 43.0%; p=0.43) and stroke (nondiabetic, 49.4%; diabetic, 49.4%; p=0.91). In addition, no significant difference was found between nondiabetic and diabetic people in the proportion of knowing correct emergency response to myocardial infarction (nondiabetic, 84.6%; diabetic, 84.4%; p=0.56) and stroke (nondiabetic, 81.3%; diabetic, 81.4%; p=0.77). Conclusion: Since people with diabetes are at greater risk of cardiovascular disease than the general public, it is important to lower the risk of disability and death by improving their awareness of early symptoms and correct emergency response to myocardial infarction and stroke.

• Asian Pacific Journal of Cancer Prevention
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• 제16권18호
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• pp.8163-8171
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• 2016

Background: Breast cancer is the second most cause of death (1.38 million, 10.9% of all cancer) worldwide after lung cancer. In present study, we assess the knowledge, level of awareness of risk factors and screening practices especially breast self examination (BSE) among women, considering the non-feasibility of diagnostic tools such as mammography for breast screening techniques of breast cancer in the holy city Varanasi, Uttar Pradesh, India. Materials and Methods: A cross-sectional population based survey was conducted. The investigation tool adopted was self administrated questionnaire format. Data were analysed using SPSS 20 version and Chi square test to determine significant association between various education groups with awareness and knowledge, analysis of variance was applied in order to establish significance. Results: The attitude of participants in this study, among 560 women 500 (89%) responded (age group 18-65 years), 53.8% were married. The knowledge about BSE was very low (16%) and out of them 15.6% were practised BSE only once in life time. study shown that prominent age at which women achieve their parity was 20 yrs, among 500 participants 224 women have achieved their parity from age 18 to 30 yrs. Very well known awareness about risk factors of breast cancer were alcohol (64.6%), smoking (64%) and least known awareness risk factors were early menarche (17.2%) and use of red meat (23%). The recovery factors of breast cancer cases were doctors support (95%) and family support (94.5%) as most familiar responses of the holy city Varanasi. Conclusions: The study revealed that the awareness about risk factors and practised of BSE among women in Varanasi is extremely low in comparison with other cities and countries as well (Delhi, Mumbai, Himachal Pradesh, Turkey and Nigeria). However, doctors and health workers may promote the early diagnosis of breast cancer.

• 한국안전학회지
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• 제35권3호
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• pp.64-71
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• 2020

Safety is not a service provided selectively by the country, and it is a basic right that human beings should enjoy. However, as the recent expansion of outsourcing due to the efficient corporate management, fatal accidents such as the Taean Power Plant where subcontractors are pinched on conveyors continued to occur. In addition, public safety concerns have been widespread as there are constant safety-related accidents in public institutions such as KTX trains derailing. As public institutions require safety as a top priority for management rather than profit, the government needs a leading role to enhance the level of private safety activities. The government announced the "Measures to strengthen the workplace safety of public institutions" and is promoting measures to protect the lives and safety of the people. The purpose of this study was to in-depth analysis of the accident and death situation in public institutions in the last 5 years from 2014 to 2018. A recognition survey was also conducted and the results were analyzed. As a result of the analysis of industrial accident death, it showed that the number of industrial accident deaths in public institutions was about 50 people per year, and it occupied about 6.1% of all industrial accidents. Following the government's public policy measures, positive changes as a result of the survey on awareness were detected in the order of rising safety awareness and participation of management (56.9%), safety and health organization and personnel composition (37.9%), and increasing safety awareness and participation of members (18.9%). However, the obstacles to the implementation of government measures were followings; 1) consciousness and lack of participation (42.1%), 2) indifference from other departments (35.1%), 3) absence, or lack of competency of safety manager (33.3%). In addition, safety investments and safety management of contractors and ordering works were analyzed to have remained largely unchanged even after the implementation of safety measures. Through this study, it is intended to provide basic data for strengthening the level and activities of safety in public institutions.