• Title/Summary/Keyword: maintaining hope

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The Nature of Hope among Iranian Cancer Patients

  • Afrooz, Rashed;Rahmani, Azad;Zamanzadeh, Vahid;Abdullahzadeh, Farahnaz;Azadi, Arman;Faghany, Safieh;Pirzadeh, Asgar
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.21
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    • pp.9307-9312
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    • 2014
  • Background: Hope is an important coping resource for cancer patients. Types and sources of hope and hope-inspiring strategies are not well investigated among Iranian cancer patients. The aims of present study were therefore to investigate the nature of hope and some demographic predictors of hope among Iranian cancer patients. Materials and Methods: This descriptive-correlational study was undertaken among 200 cancer patients admitted to an educational center affiliated to Ardabil University of Medical Sciences, Iran. Participants were selected using a convenience sampling method. The Herth Hope Index and other validated questionnaires were used to investigate level of hope and types and sources of hope, as well as hope-inspiring strategies. Data were analyzed using SPSS statistical software. Results: The overall score for hope was 31 from total scores ranging between 12 and 48. Some 94% of patients mentioned 'return to normal life' and 'complete healing of disease by drugs and physicians' as their main hopes. The most important sources of hope reported by patients include spiritual resources, family members, healthcare workers, and medicines and treatments available for the disease. Relationship with God, praying/blessing, controlling the signs and symptoms of the disease, and family/health care workers' support were the main hope-inspiring strategies. Patients who had a history of metastasis, or who were older, illiterate, divorced/widowed and lived with their children reported lower levels of hope. On the other hand, employed patients and those with good support from their families had higher levels of hope. Conclusions: The study findings showed moderate to high levels of hope among Iranian cancer patients. Accordingly, the role of spiritual/religion, family members and health care workers should be considered in developing care plans for these patients.

The Relationship of Uncertainty, Hope and Quality of Life in Patients with Breast Cancer (유방암 환자의 불확실성, 희망 및 삶의 질과의 관계)

  • Jo Kae-Hwa;Son Bo-Kyung
    • Journal of Korean Academy of Nursing
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    • v.34 no.7
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    • pp.1184-1193
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    • 2004
  • Purpose: The purpose of this study was to explore the relationship of uncertainty, hope and quality of life in patients with breast cancer. Method: The subjects of the study were 113 breast cancer patients treated at 3 university hospitals in Daegu and Busan from June 1 to September 30, 2003. Uncertainty was measured by the Mishel Uncertainty in Il1ness Scale (MUIS), Hope was measured by Nowotny's Hope Scale, and quality of life by Ro's Korean Quality of Life(QOL). Data was analyzed with the SPSS program by t-test, ANOVA, Spearman's rank correlation and Multiple Regression Analysis. Result: The scores of uncertainty were negatively correlated with hope and QOL(all p's<0.05). Uncertainty revealed that there was a negative correlation among subitems of hope such as confidence, relationship with others, possibility of future, and inner motivation(r=-.333, p=.000; r=-.230, p=.015; r=-.260, p=.006; r=-.291, p=.003). Uncertainty also showed a negative correlation among subitems of QOL such as emotional status, self esteem, and relationship with family(r=-.29, p=.004; r=-.326, p=.000; r=-.197, p=.044), whereas hope revealed a positive correlation among subitems of QOL such as emotional status, self esteem, relationship with neighbor, and relationship with family(r=.243, p=.011; r=.487, p=.000; r=.29, p=.001; r=.29, p=.001). The score of uncertainty was low in graduate school students and subjects using problem solving as a coping method. However, the score of hope was high in college students and subjects using a problem solving method, and the score of QOL was high in professionals. Conclusion: Based on the study results, breast cancer patients experienced living with uncertainty and maintaining hope. Thus the study's findings can be useful in directing a comprehensive nursing care plan to improve QOL of breast cancer patients.

Experience of Patients with Cancer Participating in a Clinical Trial for the Development of a New Drug (암환자의 신약개발 임상시험 참여 경험)

  • Kim, Hyun-Young
    • Asian Oncology Nursing
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    • v.6 no.2
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    • pp.121-132
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    • 2006
  • Purpose: The purpose of this study was to describe the lived experience of the patients with cancer participating in a clinical trial for the development of a new drug. Method: This study was based on a phenomenological approach. The eight patients participating in a clinical trial were selected as the participations of this study. The data were obtained through in-depth interviews from the participants and were analyzed using the Giorgi method. Results: Essential experiences of the patients with cancer under a clinical trial consisted of anticipating recovery of physical health and a social role, passing the strict criteria of a clinical trial, diminishing economic burden, satisfaction with special treatment receiving, social contribution, concerns about side effects and withdrawal from the clinical trial, conflicts as a participant, pain, limited administration of other treatments, regret for giving up other treatments, strict compliance with instructions, prevention of side effects and maintaining desirable life-style. Integrated units of meaning of these components were hope, good luck, a sense of satisfaction, fear, distress, and the will of self-control. Conclusion: The most essential meaning of the cancer patients participating in a clinical trial was hope. Hope was found to be a primary factor reinforcing the will of self-management. The results of this study can be of great help to the research nurses to understand the lived experience of the patients with cancer and to plan an effective nursing intervention for the patients.

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Self-care Performance and Influential Factors in Hemodialysis Patients (혈액투석 환자의 자가간호 수행과 영향요인)

  • Choi, Hye-Suk;Choi, Euy-Soon
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.12 no.2
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    • pp.87-101
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    • 2005
  • Purpose: The purpose this study was to investigate the relationship between self-care performance and influential factors in hemodialysis patients. Method: The subjects of this study were 102 hemodialysis outpatients who had been visiting C University Hospital in Seoul. The data were collected through the scale of self care, self efficacy family support, daily living activity and hope from the 1st to 31st of December 2004. The collected data were analysed using SPSS PC Win 10.0. Result: The average score of self-care performance of subjects was $3.2\pm0.4$ points(4points scale) and significantly different among groups according to age and duration of dialysis. Self care performance of subjects was in a significant positive correlation with family support and hope. Factors affecting self care performance of subjects were family support, duration of hemodialysis, age and daily living function, and the explanatory power of these factors was 31.4%. Conclusion: These findings indicate that is necessary to enhance family support, to develope and apply self-care education programs in consideration of duration of dialysis and age, to have hope-giving communication with patients and their families, and to provide nursing interventions for maintaining patients' daily living function in order to improve the self care performance of hemodialysis patients

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The Meaning of Chemotherapy in Cancer Patients (암환자가 체험한 화학요범의 의미)

  • Park, Eun-Hee
    • Journal of Korean Academy of Nursing Administration
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    • v.4 no.1
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    • pp.151-181
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    • 1998
  • This study purports to find out the meanings of chemotherapy among cancer patients. The subjects of this study were selected from those patients who have taken chemotherapy at least twice at a hospital affiliated with a university. The twelve subjects agreed to join the present study and had no problem in communication with others. The data were collected through observations and interviews by the researcher. The phenomenological analysis method proposed by Giorgi was adopted for analyzing the data. The experiences of the subjects to chemotherapy were classified into 24 atributes. These attributes were also categorized into four groups such as hope, pain, fear, and ordea according to their meanings. The subjects expressed hope through the attributes such as "the wish for a new life." "the wish for healing." "the plasure form improvement of cancer." "the wish for being discharged form a hospital." "the interest in dietectic treatment." and "the trust in medical staff." Pain was represented by such attributes as "the physical pain", "the suffering from intravenous injection." "the discomfort of hospital environment." and "the economic burden." As for the attributes represention fear, "fear of being hospitalized." "tehr obscurity of uncertain situations." "the fear of side effects." "the fear of recurrence of cancer," "the lack of knowledge of the disease." Finally, nine attributes werw frouped to ordeal "the will endeavouring to recover cancer" "the adaptation to the present situation." "the giving up of being healthy," "the regret of the past life." "the recognition of significant others." "the physical changes." "the emotional changes." "the social changes." "the recollection of illness experiences." The above findings indicate that chemotherapy means hope, pain, fear, and ordeal to those cancer patinests under treatment. Hence, the nursing interventions for those cancer patients need to be directed to maintaining hope, alleviating pain and fear, and overcoming ordeal. There are some suggestions in achieving these goals : (1) the nurses caring for cancer patients need to understand the meaning of chemotherapy experienced by those patients, (2) a nursing specialty of intravenous injection needs to be developed, (3) interventions for providing emotional support should be devised, (4) nursing care should also be available to those cancer patients being dischaged at home.

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Two Protagonists of "The Old Man and the Sea," Santiago and Manolin, Used as Metaphors for a Healthy Retirement Life of Husbands and Wives in Korean Society

  • Wooyoung Kim
    • International Journal of Internet, Broadcasting and Communication
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    • v.15 no.4
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    • pp.215-222
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    • 2023
  • In this paper, we examine the roles, mutual relationships, and guidelines for a healthy life as exemplified by the characters Santiago and Manolin in Ernest Hemingway's novel "The Old Man and the Sea" and use this content to compare the happy home life of elderly couples in Korea. Through a metaphorical exploration of the lives of elderly husbands and wives in Korean society, the study examines their significance as the core of the family, particularly during their senior years. Ernest Hemingway's "The Old Man and the Sea" portrays Santiago as a unique embodiment of virtue and humanity. As an elderly male fisherman, he symbolizes a profound connection with the sea, as well as qualities such as courage, patience, and unwavering passion. His story underscores the importance of pursuing new goals and maintaining hope even in old age. The relationship between Santiago and Manolin provides insights into the dynamics of elderly husbands and wives in their domestic lives. Manolin's unwavering support for Santiago and his understanding of Santiago's dreams exemplify the significance of mutual support and the establishment of common goals for elderly couples. These characters serve as exemplary models for understanding and supporting one another within a family setting. Within the context of family life, applying these exemplary models and relationship dynamics fosters mutual respect, collaboration, emotional expression, and effective communication. Supporting each other and working towards common goals can enhance the family atmosphere, resolve conflicts, and enrich domestic life. Furthermore, when elderly couples share common goals and enjoy activities together, they strengthen their bond and create a more fulfilling family life. These shared activities deepen the affection between elderly husbands and wives and contribute to a thriving household. Through the characters of Santiago and Manolin in "The Old Man and the Sea," we present in this study a deeper understanding of the values and roles within the domestic lives and affection of elderly husbands and wives. Mutual respect, collaboration, emotional expression, communication, mutual support, common goals, hope, and shared domestic activities all play pivotal roles in maintaining a healthy family life and establishing happiness and well-being within the family. We expect this study to offer valuable insights into the fields of family studies, elderly welfare, and sociology.

Analysis of VOCs Produced from Incineration of Plastic Wastes Using a Small- Electric Furnace (소형전기로를 이용한 플라스틱류 소각시 발생하는 VOCs 농도분석)

  • Lee Byeong-Kyu;Kim Haengah
    • Journal of Korean Society for Atmospheric Environment
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    • v.20 no.6
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    • pp.759-771
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    • 2004
  • This study analyzed concentrations of volatile organic compounds (VOCs) produced from incineration of plastic wastes at $600^{\circ}C$. The plastic wastes used in this study included polyethyleneterephthlate (PETE), high density polyethylene (HOPE), polyvinyl chloride (PVC), low density polyethylene (LOPE), polypropylene (PP), polystyrene (PS) and other. Plastic wastes were heated from room temperature upto $600^{\circ}C$ providing the compressed air inside of a small-scale electric furnace for 90 minutes and then they were oxidized (incinerated) for 60 minutes at $600^{\circ}C$ maintaining the same air supply. VOCs emitted from the incineration process were sampled using an air sampling pump and Tedlar air bags for 150 minutes and then the components and concentrations of the VOCs were analyzed by a GC-MS. The most prominent chemical structure of the VOCs obtained from the incineration process of the HOPE, LOPE and PP, which include ethylene groups in their main chains, was identified as aliphatic hydrocarbons such as 1-hexene. However, aromatics such as benzene were major chemical structure from the incineration of PETE, PVC and PS which include benzene rings in their main chains. This study estimated the total VOC production from the incineration of the plastic wastes based on the real plastic waste production and the emission factors. 64% and 27% of the total VOC emissions consisted of aliphatic hydrocarbons and aromatics, respectively, which have double bonds within their molecular structure and thus a high ground level ozone formation potential.

Cancer Survivors' Life Experience (암 생존자의 생활경험)

  • Park, Mi-Sung;Kim, Keum-Soon
    • Asian Oncology Nursing
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    • v.8 no.2
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    • pp.93-104
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    • 2008
  • Purpose: The purpose of this study was to describe and understand the meaning of cancer survivors' life experience after being discharged from the primary cancer treatment. Methods: Data were collected through a tape-recorded in-depth interview from six participants living in Gyeonggi province from September 2007 to January 2008. The analysis of the data was made through the phenomenological analytic method suggested by Colaizzi. Results: Thirteen themes regarding the survivors' life experience were found. From these thirteen themes, six major theme were emerged. The six major theme included 'keeping his/her mind comfortable', 'going ahead with new hope', 'accepting for his/her existing burden', 'maintaining a good health for a new life', 'improving the strength and relationship among the family member', and 'being faithful to his/her religion'. Conclusions: The results of this study would help oncology nurses to understand the cancer survivors' life and to develop a quality of life improvement program for physical, psychosocial, and spiritual aspects of nursing.

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Formation of Resilience in the Context of Volunteer Activities Using Information and Communications Technology

  • Lazarenko, NataLiia;Sabat, Nataliia;Sabat, Nadiia;Sylenko, Nadiia;Rundong, Wang;Duchenko, Anna;Shuppe, Liudmyla
    • International Journal of Computer Science & Network Security
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    • v.22 no.6
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    • pp.374-381
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    • 2022
  • The article identifies and theoretically substantiates the trends of national resilience in the context of establishing the security of the country and its civilizational subjectivity. The strategy of development of the pedagogical university in the conditions of European integration into the European educational and scientific space based on certain characterological features of the personality of the volunteer in the context of allocation of personal resilience is developed. The analysis of both external and internal challenges and threats to the civilization of the country needs to be understood in the context of economic, socio-political, legal, military-political, spiritual-cultural, educational-scientific and network-information resilience. The concepts of "national resilience" and "national security" are quite close - at first glance, even identical. However, a deeper understanding clarifies the differences: national security is a state of protection of the country identity and its very existence, the realization of its national interests. In turn, resilience is a fairly effective strategy and a fundamental guarantee of national security. At the same time, it is extremely important to understand that both national security as a state and national resilience as a strategy are only means of achieving and developing a strong and humanistic civilizational subjectivity of the country. After all, such subjectivity opens for citizens the opportunity for development, dignified self-realization and a proper life. The restructuring of the volunteer's motivational sphere is due to the dominance of such leading motives, which are focused mainly on maintaining and restoring health, which leads to distorted meaningful life goals: isolation, alienation, passivity, inertia, reduced activity, limited communication, etc. The characteristics of relatively stable human behavior include several primary and secondary properties. The primary (relevant) properties include patience, trust, hope, faith, confidence, determination, perseverance, and love; the secondary - punctuality, neatness, obedience, honesty, loyalty, justice, diligence, thrift, accuracy, conscientiousness, obligation, etc. The restructuring of the volunteer's motivational sphere is due to the dominance of such leading motives, which are focused mainly on maintaining and restoring health, which leads to distorted meaningful life goals: isolation, alienation, passivity, inertia, reduced activity, limited communication, etc. The characteristics of relatively stable human behavior include several primary and secondary properties. The primary (relevant) properties include patience, trust, hope, faith, confidence, determination, perseverance, and love; the secondary - punctuality, neatness, obedience, honesty, loyalty, justice, diligence, thrift, accuracy, conscientiousness, obligation, etc. The use of information and communication technologies in volunteering will contribute to the formation of resilience traits in the structure of personality formation. Directly to the personal traits of resilience should be included methodological competencies, which include methodological knowledge, skills and abilities (ability to define ultimate and intermediate goals, plan, conduct and analyze knowledge, establish and implement interdisciplinary links with disciplines of medical-psychological-pedagogical cycles, etc.). All these competencies form the professional resilience of the volunteer.

A Study on the Elderly Households' Housing Needs for Aging in Places (지속적인 거주를 위한 노인가구의 주거요구 특성에 관한 연구)

  • Lee, Kwang-Soo;Park, Soo-Been
    • Journal of the Korean housing association
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    • v.20 no.5
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    • pp.123-132
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    • 2009
  • As society increasingly ages, maintaining an independent lifestyle at home becomes an important issue for older people. This study aims to determine old people's housing needs for maintaining an independent lifestyle despite their health status and living arrangements. A total of 438 residents voluntarily took part in a research questionnaire survey through the quota sampling method. The participants were grouped according to age (60-64, 65-69, 70-74, and over 75), gender (male and female), and house type (apartment houses and others). The results are as follows. (1) The senior residents are mostly within a non occupational, low income, and low subjective living status. (2) They are satisfied with their current residence and hope to manage the rest of their life in the same place. (3) Three out of five residents prefer the apartment housing type to other types of housing. The preferred dwelling size, number of rooms, and preference for use of an extra room all varied depending on gender and housing type as well as whether they were a couple or living alone. (4) The older residents have a higher need for a safety system than do the younger residents. Female residents pay more attention to convenience while male residents pay more attention to safety. The non-apartment residents require more modification to fundamental facilities such as a heating and ventilation system, wind protection, and additional storage than do the apartment residents. This study has thoroughly analyzed request characteristics according to basic qualities of the elderly households.