• 호스피스학술지
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• 제4권2호
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• pp.1-8
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• 2004

Purpose: This research aims to assess the effect of group education of hospice and palliative care program on recognition of home hospice care for terminal cancer patients and their family members. Methods: The terminal cancer patients or their family members who have visited Sam Anyang Hospital from January to September in 2004 participated in group education of hospice and palliative care program on one time a week. Of those, 32 patients or family members who were called education group has participated in group education more than 4 times and responded to a questionnaire. Sixty three patients or family members who were called non-education group have never participated in group education of hospice and palliative care program during the same period. Data were collected and done comparative analysis about both group. Results: A knowledge difference on definition of hospice and palliative care come out 29 people(91%) in education group and 26 people(41%) in non-education group. The recognition of home hospice care in education group(32 people, 100%) was significantly higher than non-education group(15 people,24%). A intention to home hospice care in education group(23 people, 72%) was significantly higher than non-education group(10 people,16%) and practically number of home hospice care was 15 people(50%) in education group and 8(13%) in non-education group. The recognition about cancer of patients was not significant differences in both group. People that the response to the question about 'Did you let your patient know to be the terminal cancer patient?' is 'yes' was 12 people(38%) in education group and 13(21%) in non-education group. Patients in education group had insight about terminal cancer significantly higher than non-education group. Conclusion: If we educated effective hospice and palliative care program in terminal cancer patients or their family members, we think the recognition of cancer and hospice and palliative care improve, and the home hospice care be activated more and more.

• 호스피스학술지
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• 제3권2호
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• pp.55-60
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• 2003

Purpose: The appropriate duration for effective hospice care is estimated about 3 months. However, the length of hospice care of many hospice patients is mostly less than 1 months. This is too short for effective hospice care. Therefore we investigated the reason by clinical considuations include the length of hospie care, duration from diagnosed as terminatlly ill to refer to hospice, the recogntion of hospice of doctors, patients and familis. Methods: This study was designed to retrospective cohot study. The data was obtaind from 50 hospice patients those who died in hospital from July to September in 2003. Results: Out of 50 patient, 30 were male(60%). The median age wes 60years in males and was 61 years in femailes. The most prevalant cancer was colorectal cancer(9 patients, 18%), followed by hepatoma(8 patients, 16%), and stomach cancer(7 patients, 14%). The most prevalent symptom was pain(37 patients 74%) and most prevalant reason of admission was also pain(30 patients, 60%). The most prevalent physician specialty was general internal medicine(21 doctors, 42%), followed by oncology(19 doctors, 38%). The median days form diagnosed terminally ill to refere to hospice was 47 days. The median lengths of hospice care was 23 days and the median admission days was 17. Conclusion: We found that lack of recognition of hospice of doctors, patients and families made the lengths of hospice care too short. If the patient and family go to hospice just after diagnosed as terminally ill, they could get more effective hospice care. To resolve these problems, it is needed education for them constantly.

• 한국보건간호학회지
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• 제22권1호
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• pp.49-61
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• 2008

Purpose: To investigate the attitude toward death and recognition of hospice of community dwellers and to examine the differentiation between the attitude, recognition, and demographic variables. Method: This study was a cross-sectional descriptive study using a questionnaire. The Fear of Death Scale (FODS) made by Collect & Lester (1969) and translated and revised by Kim (2003) was used to measure the fear of death. The data were analyzed using SPSS. Results: The subjects were725 community dwellers, 65.8% female with a mean age of 39.9 years. The mean FODS score was 3.17 out of 5, showing a slightly high negative attitude to death. There was a statistically significant difference between the type of religion and total FODS (F=3.91. p=.02). Of the respondents, 66.5% had heard of hospice and 5.5% had received hospice care. Conclusion: Based on the study results, various types of death education program for community dwellers, including the content of hospice care, should be developed. In addition, public relations for the settlement of desirable dying culture and hospice service need to be activated.

• 호스피스학술지
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• 제5권2호
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• pp.75-85
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• 2005

The objective of this research is to provide the basic material for effective hospice care by analyzing the recognition of families who have terminally ill patients over death. To do so, this research is designed to investigate the general tendency toward death and changes after hospice care. To analyse the initial status of the recognition about the death, questionnaires were provided to the families of the terminally ill patients who were taken hospice care from June 1st, 2005 to September 10th, 2005 at Saemmul Hospice. The same questionnaires were distributed to research some changes of the recognition of the death after 3 weeks. As the Data Analysis Methodology, SPSS v.10.0 statistics program were utilized. The summary of this research is as follows. First, by gender, it is analyzed that women have more fear than men in terms of incompetence sense after death. By religion, Christians have less fear than other religious people in terms of fear toward after death and general sense of death. Second, those who experienced deaths of close family members, relatives, friends for the past 3 years have more fear toward the moment of death than those who did not experience it. Third, statistically valid difference was found in terms of fear toward the moment of death, fear toward incompetence, fear toward after death, and fear toward death before and after the hospice care was taken. Based on the result of this research, terminally ill patients' families facing death have shown significant differences on fear and incompetence before and after hospice care was offered. It is necessary that the hospice care should be settled more professionally by expanding the opportunities of hospice care and institutionalizing the system. In addition, hospice activities which are focused on providing hope after death and facing death with dignity and peace should be expanded increasingly as the family members who experienced deaths showed higher degree of fear and powerlessness and Christians have less fear toward death with the help of biblical influence. It is also required that hospice care specialized in recognizing the importance of terminal cancer patients and their families at the same time.

• 호스피스학술지
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• 제2권1호
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• pp.58-74
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• 2002

This paper constitutes a descriptive investigation and used a structured questionnaire to investigate nurses' and doctors' recognition of cancer patients. The subjects were extracted from the medical personnel working at the internal medicine, the surgery ward, the obstetrics and gynecology department, the pediatrics department, the cancer ward, and the emergency room of five general hospitals located in Seoul and Gyeonggi Province. The research lasted from August, 2001 to September 2001. Total 137 nurses and 65 doctors were included and made out the questionnaires directly distributed by the investigator. The study tool was also developed by the investigator and consisted of such items as the demographic and social characteristics, the medical personnel's recognition degree of cancer and cancer patients, their recognition of the management of cancer patients, and their participation in a hospice. The results were analyzed using the SPSS Window program in terms of technological statistics, ranks, t-test, and ANOVA. The reliability was represented in Cronbach' α=.75. The nurses' and doctors' recognition degree of cancer and cancer patients had an overall average of 3.86 at the 5 point-scale. The items that received an average of 4.0 or more included 'Medical personnel should explain about the cancer cure plans to the cancer patient and his or her family', 'A patient whose case has been diagnosed as a terminal cancer should be notified of it, 'If I were a cancer patient, I would want to get informed of it,' and 'Cancer shall be conquered whenever it is'. In the meantime, the items that received an average of 3.0 or less was 'My relationship with the cancer patient's family has gotten worse since I announced his or her impending death.' And according to the general characteristics and the difference test, the recognition degree of cancer and cancer patient was high among the subgroups of nurses, females, married persons, who were in their 30s, who had a family member that was a cancer patient, and who received a hospice education. The biggest number of the nurses and doctors saw 'a gradual approach over several days'(68.8%) as a method to tell a cancer patient about his or her cancer diagnosis or impending death. Those who usually tell tragic news were the physician in charge(62.8%), the family members or relatives(32.1%) and the clergymen(3.8%) in the order. The greatest number of them recommended a cancer patient's home as the place where he or she should face death because they thought 'it would stabilize his or her mentality'(91.9%) while a number of them recommended the hospital because they 'should give the psychological satisfaction to the patient'(40%) or 'should try their best until the last moment of the patient's death'(30%). A majority of the medical personnel regarded 'smoking or drinking' and 'diet' as the causes of cancer. The biggest symptom of a cancer patient was 'pain' and the pain management of a cancer patient was mostly impeded by the 'excessive fear of drug addiction, tolerance to drugs and side effects of drugs' by medical personnel, the patient, and his or her family. The most frequently adopted treatment plan of a terminal cancer patient was 'to do whatever the patient or his or her family wants' to resort to a hospice' and 'to continue active treatment efforts' in the order. The biggest reasons why a terminal cancer patient went to see a doctor were 'pain alleviation' 'control of symptoms other than pain(intravenous supply)' and 'incapability of the patient's family' in the order. Terminal cancer patients placed their major concern in 'spiritual(religious) matter' 'emotional matters' their family' 'existence' and 'physical matters' in the order. 113(58.5%) of the whole medical personnel answered they 'would recommend' an alternative treatment to a terminal cancer patient mostly because they assumed it would 'stabilize the patient's mentality.' Meanwhile, 80(41.5%) of them chose 'not to recommend it mostly due to the unverified effects and high cost of it(78.7%). A majority of them, I. e. 190(94.1%) subjects said they 'would recommend' a hospice to a terminal cancer patient mostly because they thought it would help the patient to 'mentally prepare'(66.6%) Only 17.3% of them, however, had received a hospice education, most of which was done through the hospital duty education(41.4%) and volunteer training(34.5%). The follows are results of this study: 1. The nurses and the doctors turned out to be still passive and experience confusion in dealing with a cancer patient despite their great sense of responsibility for him or her. 2.Nurses and Doctors realize the need of a hospice, but an extremely small number of them participate in a hospice education or performance. Thus, a whole recognition of a hospice should be changed, for which purpose a hospice education for nurses and doctors should be provided. 3.Terminal cancer patients preferred their home to a hospital as the place to face their impending death because they felt it would bring 'mental stability.' And most of nurses and doctors think it would be unnecessary for them to be hospitalized just for control of their symptoms. Accordingly a terminal cancer patient can be cared at home, and a home hospice care needs to be activated.

• 재활간호학회지
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• 제18권1호
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• pp.11-19
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• 2015

Purpose: The purpose of this study was to identify the perception on hospice, attitudes toward death and needs of hospice care between the patients with cancer and family. Methods: This study used descriptive research design. The participants were 118 patients with cancer hospitalized and 118 family caregivers of patients with cancer. The data collected by questionnaires from October to December, 2013. Results: There was significant difference in perception on hospice (recognition of hospice term and definition of hospice) and needs of hospice care between patients and family. Among the categories of the needs, 'medical needs' was the highest in patients and 'emotional care' was the highest in family. But there was no significant difference in attitudes toward death. There correlation between attitudes toward death and needs of hospice care was significant only in patients. Conclusion: Hospice care must be provided considering the death attitudes and needs of patients with cancer and family based on the understanding of perception on hospice, attitudes toward death of the patients with cancer and family.

• 기본간호학회지
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• 제8권1호
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• pp.35-50
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• 2001

The purpose of this study was to identify the perception of hospice nurses on suffering, the type of stracture and characteristics of suffering. The research process is followed : First, the researcher selected 35 statements on suffering using content analysis of in-depth interviews and a literature search Second, the researcher asked 38 hospice nurses to classify the statement cards. The result of the research showed that the hospice nurse's perception of suffering can be divided into 4 types (Self-recognition, Suffering-elimination, Relation-restoration, and Meaning-endowment). The total explained variance was 46 percent. In relation to this, nursing intervention skills could be presence, listening touch, hope, reassurance, and comforting which result in positive effects between nurse and hospice client.

• Journal of Hospice and Palliative Care
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• 제22권1호
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• pp.19-29
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• 2019

목적: 본 연구는 1998년부터 2017년까지 수행된 호스피스 간호연구 논문을 분석한 서술적 조사연구이다. 방법: 주요 검색어는 '호스피스', '간호'였으며(마지막 검색일: 2018년 3월 30일) 검색은 학술연구정보서비스(www.riss4u.net)를 통해 선정되었으며, 더불어 한국간호과학회지 및 8개 분과 학회지와 한국 호스피스 완화의료학회지와 한국호스피스협회지에 1998년부터 2017년까지 게재된 논문 모두를 검토하였으며, 학위논문은 제외하여 자료를 수집하였다. 결과: 1998년부터 2002년에 51편(20.0%)이었던 논문이 2013년부터 2017년에는 79편(31.0%)으로 약 11% 이상 급증하였으며 호스피스간호 학문분야별로 심리학 분야가 92편(36.2%)으로 가장 많았으며 다음으로 간호학 분야가 46편(18.1%)로 나타났다. 연구 대상자별로 분석한 결과 말기암환자가 72편(28.3%)으로 압도적으로 많았다. 이외에 1편(0.4%)은 HIV 바이러스, AIDS 환자였으며 아동 말기암환자도 2편(0.8%)으로 나타났다. 연구 방법은 양적 연구는 183편(72.0%)으로 가장 많았으며 다음으로 질적 연구 22편(8.7%)으로 많았다. 실험 중재는 총 34편(13.5%)으로 호스피스교육프로그램이 7편(2.8%) 가장 많이 진행되었다. 결론: 호스피스 간호연구의 대상자는 대부분 환자에 치중되어있었으며 소수 호스피스대상자와 가족대상자의 연구가 적어 소수의 호스피스대상자와 가족대상의 연구가 활발히 진행될 필요가 있다. 연구 방법은 양적 연구가 대부분으로 나타나 향후 근거기반의 간호연구 환경의 조성을 위하여 순수 실험연구와 질적 연구의 활성화가 필요하다. 더불어 연구주제가 심리적 변수가 대부분으로 나타나 호스피스대상자의 주요 간호문제인 통증 등의 생리적 변수를 적용한 실험 연구가 활성화되어 대상자의 통증중재프로그램방안의 모색이 필요하다.

• Journal of Hospice and Palliative Care
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• 제19권3호
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• pp.222-232
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• 2016

목적: 본 연구는 고등학생을 대상으로 영적안녕, 죽음에 대한 태도, 호스피스 인식 간의 상관관계를 파악하고, 호스피스 인식에 영향을 미치는 요인을 규명하고자 한다. 방법: 대상자는 B 광역시에 소재한 고등학교인 실업계(남자, 여자) 2곳, 인문계(남자, 여자) 2곳에 재학 중인 1, 2학년 학생 229명이었고, 자료수집 기간은 2015년 5월 1일부터 동년 5월 31일까지였다. 자료는 SPSS Win 18.0 program을 이용하여 기술통계, t-test, ANOVA, Pearsion correlation coefficients, Stepwise multiple regression으로 데이터를 분석하였다. 결과: 고등학생의 호스피스 인식은 성별(t=-3.377, P=0.001), 주관적 건강상태(t=3.334, P=0.001), 주관적 학교생활만족도(t=3.233, P=0.001), 부직업(t=2.393, P=0.018), 호스피스 사전인지경험(t=-7.181, P<0.001), 호스피스, 죽음 관련 교육경험(t=-2.120, P=0.035)에 따라 유의한 차이가 있었다. 사후 내 몸에 대한 태도와 죽음준비에 대한 태도가 긍정적일수록 호스피스 인식에 대한 태도가 긍정적이었다. 호스피스 인식에 영향을 미치는 주요 요인은 호스피스 사전 인지 경험, 죽음준비에 대한 태도, 주관적 학교생활 만족도, 성별로 총 설명력은 34.5%였다. 결론: 고등학생의 호스피스 인식을 증진하기 위해서는 죽음준비에 대한 태도와 호스피스에 대한 인지를 높여줄 수 있는 좋은 죽음 및 호스피스 교육프로그램 개발과 시행이 필요하다고 본다.

• 호스피스학술지
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• 제1권1호
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• pp.18-33
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• 2001

This paper has surveyed above all what the patients call for physically, psychologically, and socially and researched how the ministers have acknowledge on cancers, their patients and hospice by means of enquete. To the difficulty the pastors should give their hands. This study researched what thoughts and behaviors the ministers actually had by the method of questionnaire. It was done from October 20, 1997 through December 10, 1997 on seven thousand of questionnaire paper of which 149 given back on the line of post or firsthandly were analyzed. The questioness consisted of 141 men(94.6%), 8 women(5.4) and 104 pastor on appentice(69.8%). There were 58 questionees(38.9%) who were hospitalized of their own diseases, and 121 questionees(81.3%) who had cancer patients hospitalized among their church people, relatives, or friends. Most of all the questionees(79.9%) had not any experience, such as they took some instruction about cancer patients. 72.5% of all the questionees had not ever served patients around them. The followings are the contents of the enquete: the questionees' view to chronic patients and death, where they put the priority in the case of that they look after patients who are under terrible pain ahead of death, what they think of such a situation as a patient has no technical possibility to be recuperated, why they think pastors do not like to visit chronics, which therapy they choose, whether they mainly control their pain or they do their best in order to heal their diseases, how much the questioned ministers know hospice, where and how they get the information on it, how much important role they play in the hospice team, whether the volunteers for hospice have not worked on account of pastors' misunderstanding to hospice service, whether the ministers want to take part in hospice service with their church people or not, and so forth. Suggestion: First, the education and P.R. about hospice are requested for the ministers. Second, the ministers must participate in hospice activities actively. Therefore the ministers and the churches must firsthandly take part in hospice activities beyond the education only and the raising of the recognition to them.