• 제목/요약/키워드: directives

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생태학적 접근으로 본 노인 주거환경계획 지침에 관한 연구 (A Study on Design Directives for the Elderly Housing Environment -based on an ecological approach-)

  • 우정민;홍형옥
    • 한국실내디자인학회:학술대회논문집
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    • 한국실내디자인학회 1999년도 춘계학술발표대회 논문집
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    • pp.11-15
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    • 1999
  • By taking an ecological approach, The purpose of this study was to 1. analyze the existing literary work about design directives for the elderly housing, 2. case study about actual housing conditions of elderly people, and analyze the level of satisfaction and level of requirement about housing environment by Korean elderly, By integrating the above three, suggested foundational data arranging the appropriate housing design directives pertaining to Korea's catual circumstances.

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의료종사자의 사전의료의향서에 대한 태도에 미치는 융합적 영향요인 (Convergence Factors Influencing Attitude Toward Advance Directive in Healthcare Workers)

  • 정은;정미라
    • 융합정보논문지
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    • 제9권10호
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    • pp.244-253
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    • 2019
  • 본 연구는 의료종사자의 생명의료윤리 의식, 좋은 죽음 인식과 자아존중감이 사전의료의향서에 대한 태도에 미치는 영향요인을 살펴보고자 수행되었다. 본 연구의 참여자는 Y시에 있는 3개 종합병원에 근무하는 의료종사자 292명을 대상으로 하였다. 자료수집은 2019년 4월 2일부터 4월 23일까지 실시하였고, 자료분석은 SPSS Statistics 22.0 프로그램을 이용하여 기술통계, t-test, one-way ANOVA, Pearson's correlation coefficient, multiple regression을 하였다. 다중 회귀분석 결과 사전의료의향서에 대한 태도에 영향을 미치는 요인은 사전의료의향서 인식, 사전의료의향서 작성여부, 사전의료의향서 작성 시기, 좋은 죽음 인식이었으며 이들의 설명력은 23.5%(F=12.39, P=.000)로 나타났다. 본 연구결과를 바탕으로 의료종사자의 좋은 죽음 인식에 대한 교육을 제공함으로써 사전의료의향서에 대한 올바른 태도확립을 위한 중재 프로그램 개발이 필요할 것으로 생각된다.

간호학생의 웰 다잉에 대한 인식과 사전연명의료의향서에 대한 지식 (Nursing Students' Perception of Well-dying and Knowledge for Advanced Directives)

  • 전경자;정소현;안희지;홍예경;이윤진;김윤아;조수연
    • 한국농촌간호학회지
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    • 제14권1호
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    • pp.1-7
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    • 2019
  • Purpose: The purpose of this study was to describe nursing students' perception of well-dying and knowledge for Advanced Directives. Methods: Nursing students from one university were selected for the research and a survey was carried out during March and April, 2019. A total of 133 nursing students participated in this study. Data were analyzed using t-test, ANOVA, $x^2$ test with SPSS statistics 21.0. Results: According to the results, the mean score for perception of well dying was $3.00{\pm}0.31$, and knowledge for Advance Directives was $9.05{\pm}2.20$. Perception of well-dying was significantly different by grade group. Knowledge for Advance Directives was significantly different by pre-education experience. Conclusion: In order to improve the nursing students' knowledge for advanced directives, it is necessary to develop education program and provide them through the total school years.

노인의 사전연명의료의향서 작성에 영향을 미치는 요인 (Factors Affecting the Preparation of Advance Directives of Older People)

  • 박지경
    • 대한통합의학회지
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    • 제11권2호
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    • pp.87-99
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    • 2023
  • Purpose : This study intended to provide essential data for developing measures for the stable settlement and expansion of the life-sustaining treatment decision system by identifying the effects on preparing advanced directives. Methods : The effects on preparing advance directives of older people were identified based on Andersen's behavioral model, using the 2020 Korean national survey on elderly. Data were statistically analyzed with SPSS Statistics ver 25.0 and the significance level (α) was set to .05. Results : For factors that influence the preparation of advance directives, the predisposing factor was .769 times less for women than men (p=.026). By age, it was 1.410 times higher (p=.006) for people in their 70s compared to people in their 60s and 1.675 times higher (p=.003) for those in their 80s. By the level of education, it was 1.617 times higher (p=.026) for those who have elementary school education compared to those who have no education, 1.596 times higher (p=.048) for those who have a middle school education, 2.313 times higher (p<.001) for those who have a high school education, and 3.827 times higher (p<.001) for those who have a college education. By religion, it was 1.328 times higher (p=.008) for those who have faith compared to those who do not. For possible factors, it was 2.325 times higher (p=.003) for those who spend 100,000 won or more on healthcare (monthly average) compared to those who do not spend. For necessary factors, it was 1.439 times higher (p=.041) for those with the chronic disease compared to those without. Conclusion : It is deemed a measure that can increase the preparation of advance directives, considering the characteristics of each cause, for the stable settlement of the life-sustaining treatment decision system.

환자의 임종간호 관찰경험에 따른 간호대학생의 웰다잉에 대한 인식과 사전연명의료의향서 지식 및 태도 비교 (A Comparison of Awareness to Well-dying, Knowledge and Attitudes toward Advance Directives of Nursing Students according to Terminal care Experience)

  • 서연희;이현주
    • 한국응용과학기술학회지
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    • 제37권5호
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    • pp.1430-1440
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    • 2020
  • 본 연구는 간호대학생을 대상으로 임종간호 관찰경험 여부에 따른 웰다잉에 대한 인식, 사전연명의료의향서 지식 및 태도와의 차이를 파악하기 위해 시도되었다. 연구대상은 경기도, 충청도, 전라도 소재의 4년제 간호학과 대학생 321명을 대상으로 구조화된 설문지를 이용하여 자료수집을 하였다. 수집된 자료는 SPSS 25.0 program을 이용하여 기술통계, t-test, ANOVA, Scheffe' test, Pearson's correlation coefficient로 분석하였다. 연구결과 임상실습 중 임종간호 관찰경험이 있는 간호대학생이 관찰경험이 없는 학생보다 사전연명의료의향서에 대한 태도가 긍정적으로 나타났고 유의한 차이를 보였다(t=3.011, p<.003). 임종간호 관찰경험이 있는 간호대학생의 웰다잉에 대한 인식(r=.194, p=.008)과 사전연명의료의 향서 지식(r=.201, p=.006)은 사전연명의료의향서 태도와 정적 상관관계가 나타난 반면, 임종간호 관찰경험이 없는 간호대학생은 사전연명의료의향서 태도와 웰다잉에 대한 인식(r=.189, p=.029)에서만 정적 상관관계를 보였다. 따라서 간호대학생의 좋은 죽음과 사전연명의료의향서에 대한 올바른 인식과 긍정적인 태도를 함양시키기 위한 체계적인 교육이 이루질 수 있도록 표준화된 교육프로그램 개발이 필요하다.

노인 암 환자의 사전의사결정에 대한 태도와 관련요인 (Factors Influencing Attitude toward Advance Directives of Older Cancer Patients)

  • 이민혜;박연환
    • 성인간호학회지
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    • 제27권4호
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    • pp.449-458
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    • 2015
  • Purpose: The aims of this study were to identify the reported attitudes of older patients with cancer toward advance directives (ADs) and the factors associated with their attitudes toward ADs. Methods: The design was a cross-sectional survey. The age mean of the 130 participants were 70.8, and 66.2% of the participants were male. The data were collected at one university hospital in Seoul, South Korea during the period from October $1^{st}$ to December $5^{th}$ in 2013. The data collecting instruments were the Advance Directives Attitude Survey (ADAS) and questionnaires including socio-demographic and disease-related characteristics, family function. Results: 30.0% of the participants were aware of ADs, only 9% of them had been informed by healthcare providers. Most participants (93.1%) intended to complete ADs. The mean score of ADAS was 48.29. The stepwise linear regression analysis indicated that family function, perceived health status, period of education, and age accounted for a significant percentage (52.0%, p<.001) of the variance in participants' ADAS. The variable with the greatest effect was family function. Conclusion: The findings suggest that family function and attitude of older cancer patients need to be considered for adapting ADs to Korean health care systems. Healthcare providers should include family members in advanced care planning discussions.

Factors Affecting the End-of Life Care Competency of Tertiary Hospital Nurses

  • Jeong, Da-In;Eun, Young
    • Journal of Hospice and Palliative Care
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    • 제23권3호
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    • pp.139-150
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    • 2020
  • Purpose: The purpose of this study was to investigate the levels of end-of-life care competency; knowledge, attitudes, and experiences regarding advance directives; perceptions of good death; and end-of-life care obstacles and supportive behaviors among tertiary care nurses. Methods: The participants were 150 nurses at a tertiary hospital in Jinju, Korea. The data collected using a questionnaire were analyzed using descriptive statistics, the t-test, analysis of variance, Pearson correlation coefficients, and stepwise multiple regression in SPSS for Windows version 24.0. Results: The mean (±SD) score of end-of-life care competency was 3.63 (±0.53) on a 5-point scale. A significant difference in end-of-life care competency was found according to whether nurses had experienced the death of a family member or acquaintance (P=0.029). According to stepwise multiple regression analysis, the factors affecting end-of-life care competency were the frequency of end-of-life care supportive behaviors (β=0.38, P<0.001), experience with advance directives (β=0.29, P<0.001), and marriage (β=0.15, P=0.039). This model had an explanatory power of 27.9% (F=18.87, P<0.001). Conclusion: In order to improve nurses' end-of-life care competency, it is important to strengthen end-of-life care supportive behaviors by exposing nurses to those behaviors and providing frequent experience with advance directives.

OpenMP 디렉티브 프로그램의 최초경합 탐지를 위한 도구 (A Detection Tool of First Races in OpenMP Programs with Directives)

  • 강문혜;하옥균;전용기
    • 한국정보과학회논문지:시스템및이론
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    • 제37권1호
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    • pp.1-7
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    • 2010
  • OpenMP 디렉티브 프로그램의 디버깅을 위해서 비결정적인 수행결과를 초래하는 경합을 탐지 하는 것은 중요하다. 특히, 프로그램 수행에서 가장 먼저 발생하는 최초경합은 이후에 발생하는 경합에 영향을 줄 수 있으므로 효과적인 디버깅을 위해서 반드시 탐지되어야 한다. 그러나 기존의 경합탐지 도구들은 최초경합의 탐지를 보장하지 못한다. 본 논문에서는 내포병렬성을 포함한 프로그램을 두 번의 수행으로만 프로그램의 수행 중에 최초경합을 탐지하는 도구를 제시한다. 본 도구의 정당성을 합성프로그램을 이용하여 보이고, 기존 경합탐지 도구와 기능성을 비교한다.

생의 말기치료 결정과 사전의사결정에 대한 간호사의 태도조사 (Korean Nurses' Attitude towards Advance Directives and End of Life Decision Making)

  • 김미영;김금순
    • 중환자간호학회지
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    • 제3권2호
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    • pp.77-90
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    • 2010
  • Purpose: The aim of this study is to carry out research on nurses regarding end of life decision and advance directives (ADs) and their attitude, experience and confidence towards them in order to define the role of nurses. Methods: In this research, questionnaire was distributed and data were collected and analyzed after receiving a written consent from 332 nurses. The survey was conducted from the $14^{th}$ to $30^{th}$ of September, 2009. The instrument used for conducting the study was revised version of KAESAD (The Knowledge, Attitudinal, Experiential Survey on Advance Directives). Results: We have come to a conclusion that nurses have positive attitude towards ADs. However, they hardly had any experience regarding them which leads to low confidence in assisting preparing ADs. Also, attitude towards ADs had no correlation with experience and confidence. Conclusion: In order to bring about the confidence level from positive attitude that nurses have, there needs to be a systematic change in nursing education. For that, it requires an education system that emphasizes the role of nurses which incorporates Korean culture and characteristics regarding death issue.

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사전의료지시(서)에 대한 성인의 인식과 태도 (Awareness and Attitudes Toward Advance Directives among Korean Adults)

  • 김수현
    • 기본간호학회지
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    • 제17권4호
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    • pp.450-459
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    • 2010
  • Purpose: The purposes of this study were to identify awareness and attitudes toward advance directives (ADs) among Korean adults and to examine various opinions in the utilization of ADs among young, middle-aged, and older adults. Methods: Data were collected using a structured questionnaire from 384 adults selected by a quota sampling method on the basis of age. Results: The majority of participants preferred that they themselves would be the primary decision maker. Most of them were unaware of the option of ADs but supported the utilization of ADs. Most of the participants preferred detailed descriptions on end-of-life decisions in ADs but wanted to allow some leeway in following it. Significant differences were found among age groups in terms of the preferences regarding the utilization of ADs. Conclusion: It is suggested that nurses make efforts to educate the general public about ADs and facilitate advance care planning, which focuses on the process of communication on end-of-life preferences within the social network of relationships.