• 제목/요약/키워드: illness experience

검색결과 256건 처리시간 0.021초

정신장애인에 대한 실질적 위협감 및 상징적 위협감: 접촉경험 및 공동체의식과의 관계 (The realistic threat and symbolic threat toward people with mental illness: The effect of contact and sense of community)

  • 류승아;김경미
    • 한국심리학회지 : 문화 및 사회문제
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    • 제25권2호
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    • pp.119-135
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    • 2019
  • 기존의 연구들은 비정신장애인이 느끼는 정신장애인에 대한 위협감이 정신장애에 대한 편견 및 차별에 중요한 역할을 한다고 보고한다. 이에 본 연구는 비정신장애인이 느끼는 정신장애인에 대한 위협감(실질적 위협감/상징적 위협감)을 설명할 수 있는 요인으로 접촉경험과 공동체의식을 선정하여 그 관계를 살펴보았다. 이를 위해 대학생 465명(평균 22.87세)을 대상으로 접촉경험 유무, 접촉대상, 경험을 통해 받은 인상(경험의 질), 공동체의식, 그리고 위협감을 질문하였다. 분석결과, 실질적 위협감은 접촉경험 여부나 대상에 따라 차이가 나타나지 않았지만, 상징적 위협의 경우에는 접촉경험이 있다고 답한 응답자가 그렇지 않은 응답자보다 낮게 나타났다. 접촉경험이 있는 응답자를 대상으로 해당 경험의 질을 살펴본 결과, 거의 대부분의 경우에서 경험의 질이 실질적 위협감 및 상징적 위협감 모두에 유의미한 설명력을 가졌다. 마지막으로, 접촉경험 유무는 상징적 위협감만 설명하였지만, 공동체의식은 실질적 위협과 상징적 위협 모두에 유의미한 변인으로 분석되었다. 이 결과를 바탕으로 접촉과 공동체의식이 위협감에 미치는 영향에 대한 함의와 시사점을 논의하였다.

정신질환자 가족들의 정신질환에 관한 태도 조사연구 (A Study on the Family Attitude toward Mental Illness)

  • 조영숙
    • 대한간호학회지
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    • 제11권1호
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    • pp.7-17
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    • 1981
  • The purpose of this study is to investigate the relationship between family attitude about mental illness and their general characteristics. The subjects for this study were a sample of 120 families selected from psychiatric ward of one university hospital, which is one national hospital in Seoul. Data was collected from July 1th to August 10th in 3980 used by Opinion about Mental Illness Scale (O.M.I.). The materials were analized by S.P.S.S. program. The findings of the study were as follows: A. Families' attitude toward mental illness shown ay this study was more negative compared to those of Korea1 nursing professorss, nurses and nursing students. B. Variables which influence families' attitude about mental illness: 1. There is no significant between general characteristics and authoritarianism. (p> 0.05) 2. Benevolence (Factor B) was found to be significantly related to such variables as religion, eucation levels, existence of mental patient in their an intimate friends. (P < 0.01) Families' attitude about benevolence was mere positive in families who have not relegion or having christion beliefs: haying the higher education levels; not having a mental patient in their an intimate friends. 3. Mental health ideology (Factor C) was found to be significantly related to variable experience of mental illness. (P < 0.01). families' attitude about mental health ideology was more positive in families who had experience of mental illness. 4. Social Restrictiveness (Factor D) was found to be significantly related to variable relationship between families and patients(P<0.01). An intimate friend's attitude about mental health Ideology was mon positive than that of parent and couple. 5. Interpersonal Etiology (Factor E) was found to be significantly related to variable religion (P < 0.05). Families' attitude about interpersonal etiology was more positive in families who have relegion.

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우리나라 결혼여성 뇌전증 환자의 질병 체험 (Illness Experience of Married Korean Women with Epilepsy)

  • 손영민;정우정
    • 대한간호학회지
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    • 제47권3호
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    • pp.289-304
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    • 2017
  • Purpose: The purpose of this study was to understand and describe the illness experience of married Korean women with epilepsy. Methods: Data were collected during 2015~2016 through individual in-depth interviews with 12 married women with epilepsy. Verbatim transcripts were analyzed using Giorgi's phenomenological analysis to uncover the meaning of the illness experience of the participants. Results: The study results showed that the illness experience of married Korean women with epilepsy was clustered into a specific description of situated structure and a general description of situated structure. Six themes from 20 meaning units were identified: 1) Undermined self-esteem with stigma of being epileptic; 2) Limited social interaction; 3) Suffering sorrow as a 'disqualified being'; 4) Shuttling back and forth across the boundary between healthy and epileptic; 5) Desperate struggle to meet the expectation of given role; 6) Self-empowering through self-restriction and realization. Conclusion: The findings from this study show that both the enacted and felt stigma of epilepsy impact on the life of married Korean women with epilepsy. Although the participants face social and interpersonal restriction and prejudices, they try their best to fulfill their role rather than to be cared for as patients. As the stigma and hardships of the participants are related to lack of knowledge, health professionals should focus not just on clinical intervention but also on providing targeted educational programs and counseling for these women to dispel the stigma of the disease and to increase their quality of life.

뇌수막종으로 개두술을 받은 중년여성의 질병체험 (Illness Experiences in Middle-Aged Women who Underwent Craniotomy for Meningioma)

  • 홍희정;이영휘;장종희
    • 융합정보논문지
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    • 제9권6호
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    • pp.52-64
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    • 2019
  • 본 연구의 목적은 뇌수막종으로 개두술을 받은 중년여성의 질병체험에 관한 의미와 구조를 파악하고자 함이다. 자료수집을 위해 7명의 개두술을 받은 중년여성을 대상으로 심층면접을 실시하였다. 자료분석을 위해 구두진술문에 대해 참여자의 질병겸험의 숨은 뜻을 분석하기 위해 Giorgi의 기술 현상학적 분석을 사용하였다. 연구 결과 뇌수막종으로 개두술을 받은 중년여성의 체험으로 흔들리는 중년에 엄습한 공포, 치유에 대한 자기 확신 강화, 죽음의 공포로 부터 탈출, 자기 몸에 대한 배려, 가족 화합과 질병 두 개의 무게, 치유의 동반자 간호사, 인생 2막 열기 등으로 나타났다. 이러한 본 연구결과를 토대로 참여자의 경험에 대한 이해를 통해 보다 전인적인 간호 중재를 계획할 수 있을 것이다. 더불어 참여자들이 느끼는 가장 큰 공포의 원인은 개두술에 대한 정보 부족이었다. 따라서 개두술에 대한 정보와 지식 제공을 위한 교육 프로그램의 개발을 제언한다.

결혼 이주 여성의 미충족 의료에 미치는 영향 요인 분석 (Analysis of Factors Affecting Unmet Healthcare Needs of Married Immigrant Women)

  • 김수희;이정열
    • 대한간호학회지
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    • 제43권6호
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    • pp.770-780
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    • 2013
  • Purpose: The purpose of this study was to identify the factors affecting the unmet healthcare needs of married immigrant women. Methods: This study was a secondary data analysis using data from the 2009 National Survey of Multicultural Families. Data collected from 58,735 married immigrant women who had spouses were analyzed using descriptive statistics, Chi-square test, and logistic regression. Results: Overall, 9.9% of married immigrant women have unmet healthcare needs. The significant predictors related to unmet healthcare needs were young age, high level of education, employed, country of origin, long period of residence, low income, uninsured, urban area, low level of subjective health status, and illness experience over past two weeks. In particular, four variables (long period of residence, low income, subjective health status, and illness experience over past two weeks) significantly predicted unmet healthcare needs for women from all countries of origin. Conclusion: The results of the study indicate that common predictors related to unmet healthcare needs of married immigrant women are a long period of residence, low income, subjective health status, and illness experience over past two weeks. Therefore intervention strategies to decrease unmet healthcare needs should focus on these significant predictors.

실존적 현상학과 돌봄의 실천 (Existential Phenomenology and the Practice of Caring)

  • 공병혜
    • 간호행정학회지
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    • 제19권1호
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    • pp.138-145
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    • 2013
  • Purpose: This study was done to provide fundamental ontological understanding of caring and inquiring into the possibility of a caring practice in nursing based on existential phenomenology. Methods: According to Heidegger's existential phenomenology, caring has been interpreted as a fundamental ontological basis for caring practice in nursing. Further, based on Merleau-Ponty's phenomenology, the meaning of the lived experience of illness and the way of caring practice have been described from the aspect of the existential involvement in the embodied life world. Results: Heidegger's phenomenology provided ontological thinking about caring, which is understood in a basic way as the possibility of human existence and dwelling in oneself in the confrontation of the illness experience. Merleau-Ponty's phenomenology offered a meaning of human existence according to bodily intention and situated freedom in the life world. This perspective of embodiment enables nurses to understand bodily experiences of patients and recovery of their bodily capacity in responding to the situation in caring practice. Conclusion: Existential phenomenology gives insight into fundamental reflection for caring attitude and practice in nursing. Existential phenomenological nursing research can provide descriptions and meaning of the lived experience of illness and a way of coping with the crisis of human existence in caring practice.

만성질환아동 부모의 부모되기 경험 (Parenting Experience of Parents with Chronically Ill Children)

  • 박은숙;이기형;오원옥;임여진;조은지
    • Child Health Nursing Research
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    • 제21권3호
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    • pp.272-284
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    • 2015
  • Purpose: The purpose of the study was to describe the parenting experience of parents of children with chronic illness in Korea. Methods: A conventional contents analysis was used for the study. Twelve mothers of chronically ill children participated in the study. Qualitative data were analyzed using the Morse and Field method. Results: Four categories, 10 subcategories and 42 codes emerged from the data on the parenting experience of parents of children with chronic illness. The four categories were 'Sacrifice and full-engagement within self-mortification', 'Re-normalization of collapsed daily life', 'Paving a new way for independence' and 'Growing together of myself and the family'. Conclusion: Parents of children with chronic illness experienced not only negative aspects such as a confusion but also re-normalization and growing together. Based on the results, health professionals need to develop effective nursing interventions toward positive parenting for these parents and their children with chronic illnesses.

근위축성 측삭경화증 환자의 투병경험 (The Lived Experience of Struggling against Illness for Patients with Amyotrophic Lateral Sclerosis)

  • 강성례
    • 대한간호학회지
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    • 제38권6호
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    • pp.802-812
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    • 2008
  • Purpose: The purpose of this study was to identify and describe phenomenological structures of the lived experience of struggling against an illness for patients with Amyotrophic Lateral Sclerosis (ALS). Methods: The participants were 7 patients with ALS recruited by snowball sampling who agreed to participate in this research and could verbally communicated with the researcher. Data were collected by long term-repeated interviews with participants in their own homes. Data were analyzed using Colaizzi's method of phenomenology. Results: Four categories were extracted as follows: 'Being seized with fear of death', 'Living a marginal life', 'Accepting hard fate', and 'Clinging to faint life'. Seven theme clusters were identified as: 'Wandering to find a healing method with ominous signs in the body', 'Having a diagnosis of ALS is like a bolt from the blue and struggling against illness with faint hope', 'Being forced out to the edge of life with anguish', 'Filling one's heart with hatred and longing toward becoming estranged from the world', 'Living with stigma as a stumbling block with bitter grief in one's heart', 'Accepting every things as one's fate with self controlled fear of death', and 'Attaching to desire to live'. Conclusion: The results of this study can be used to develop the programs to support patients with ALS and their family.

From Their Own Response: Experiences of Korean Children with Chronic Illness and Their Families

  • Park, Eun-Sook;Oh, Won-Oak;Suk, Min-Hyun;Yoon, Young-Mi
    • Child Health Nursing Research
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    • 제15권4호
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    • pp.350-358
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    • 2009
  • Purpose: This study was done to better understand how sick children and their families define chronic illness; what behaviors they used for managing chronic illness; and how they perceived the socio-cultural context of Korea. Methods: This study was a secondary analysis of qualitative studies. Articles on children with a chronic illness and their families located in electronic databases were selected for review. Twenty one qualitative studies were reviewed. Qualitative studies that had used an analysis tool, the Family Management Style Framework were reviewed. Results: Children with chronic illness and their families tended to accept illness as a negative outcome and thought that they were deprived of the context of normality. In the traditional Korean family style, parents-in-law demand absolute obedience from their daughter-in-law, leading to a conflict between the two parties, which, in turn, may have negatively affected their perceptions of chronic illness. Western and oriental medical treatments were used, and participants sought an array of folk remedies. Conclusion: Culturally specific findings can help to better understand the difficulties faced by children with a chronic illness and their families and can provide invaluable input into the development of culturally appropriate and sensitive nursing interventions.

정신질환자에 대한 태도, 정신간호역량, 정신질환자 간호업무 스트레스가 일반 병동간호사의 소진에 미치는 영향 (Effects of Nurses' Attitudes toward Mental Illness Patient, Psychiatric Nursing Competency and Nursing Work Stress on Burnout of Nurses in General Ward)

  • 이선미;윤정숙;신성희
    • 동서간호학연구지
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    • 제28권1호
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    • pp.31-40
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    • 2022
  • Purpose: The purpose of this study was to identify factors affecting burnout of nurses caring for people with mental illness in general hospital wards. Methods: This study conducted a survey targeting 186 nurses in general wards with more than one year of clinical experience working at three general hospitals in Seoul, Korea. The collected data were analyzed using t-test, one-way ANOVA, Pearson's correlation coefficient, and multiple linear regression analysis with SPSS 21.0. Results: The factors influencing burnout were nursing work stress (β=.30, p<.001), attitude towards people with mental illness (β=-.25, p<.001), religion (β=-.21, p=.001), psychiatric nursing competency (β=-.16, p=.016), experience of nursing for people with mental illness (β=.14, p=.023), and gender (β=.14, p=.026), explaining 33.5% of the total variance (F=16.53, p<.001). Conclusion: The findings suggest that it is necessary to develop and apply an education program to lower nurses' work stress, to create positive attitude towards people with mental illness, and to enhance psychiatric nursing competency for prevention and mitigation of burnout of nurses caring for people with mental illness.