• Journal of Hospice and Palliative Care
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• 제23권1호
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• pp.27-38
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• 2020

Purpose: The purpose of this study was to compare differences in spiritual needs (SNs) and factors influencing SNs between patients with progressive terminal kidney disease and their family caregivers. Methods: An explorative comparative survey was used to identify the SNs of patients (N=102) with progressive terminal kidney disease undergoing hemodialysis and their family caregivers (N=88) at a general hospital located in Seoul, South Korea. The data were analyzed using descriptive statistics, the chi-square test, the independent t-test, one way analysis of variance, the Scheffe test, and multiple regression with dummy variables. Results: The SNs among family caregivers were higher than in the patient group. SNs were higher among those who were religious in both groups. Loving others was the highest-ranked subdimension in the patient group, followed in descending order by maintaining positive perspective, finding meaning, Reevaluating beliefs and life, asking "why?", receiving love and spiritual support, preparing for death, and relating to God. In the family group, the corresponding order was maintaining positive perspective, loving others, finding meaning, receiving love and spiritual support, preparing for death, relating to God, and asking "why?". The factors that had a negative influence on the level of SNs were not being religious in the patient group and having only a middle school level of education in the family group. Conclusion: The results of this study may serve as evidence that spiritual care for non-cancer patients' family caregivers should be considered as an important part of hospice and palliative care.

• 대한한의진단학회지
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• 제18권3호
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• pp.217-223
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• 2014

Objectives This study is on the implementation of the electric cauterizer with the hole for acupuncture to achieve the superposition effect of acupuncture-moxibustion therapies. Methods In this paper, we especially made a hole across the heat terminal of the electric cauterizer for acupuncture. Before the cauterization, the doctor treats a patient with needle. And after acupuncture, the heat terminal is to be superposed upon the needle along the hole to add the cauterization. Results There are 2 coupling methods that the heat terminal is to be superposed with the needle; one is the top-coupling and the other is side-coupling. The top-coupling means that the heat terminal is to be superposed upon the needle along the top of the needle, and side-coupling means that the heat terminal is to be superposed to the needle along the side of the needle. Conclusion This study was aimed to implement the electric cauterizer with the hole for acupuncture to achieve the superposition effect of acupuncture-moxibustion therapies. Not electric acupuncture but manual acupuncture is adopted. The electric cauterizer generates the heat $38{\sim}45^{\circ}C$. This heat is safe for skin not to burn. The electric cauterizer constitutes the smokeless moxa- pad which effects the skin DDS.

• 한국정보통신학회논문지
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• 제4권1호
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• pp.27-33
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• 2000

현재 사회는 고령화와 생활의 질적 향상으로 인해 재택 의료 기술이 필요하게 되었다. 재택 의료가 가능하게 되려면 재택 의료기의 가격이 저렴해야 하며, LAM이나 공중망에 의료기가 직접 접속을 하여 어디서든지 의사가 있는 병원으로 접속이 가능해야 한다. 본 논문에서는 심전도 전처리 과정중 기저선 제거만을 하고 디스플레이 영역을 생략하며, 전력선 잡음 제거를 위해 연산량이 적은 디지털 필터를 적용함으로써 CPU의 부담을 줄일 뿐 아니라 크기를 줄이고 가격을 낮출 수 있고, 남는 CPU의 능력을 LAN(Local Area Network)을 이용한 심전도 데이터 전송에 사용하여 직접 TCP/IP망에 접속할 수 있는 심전도 단말기를 구현하였다.

• 감성과학
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• 제23권1호
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• pp.79-88
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• 2020

본 연구는 요양병원에 근무하는 간호사를 대상으로 죽음인식, 임종간호스트레스, 임종간호수행간의 관계를 파악하고 이를 기반으로 임종간호수행에 영향을 주는 주요 요인을 파악하기 위한 것이 궁극적인 목적이다. 본 연구는 전라남도 3개 도시에 위치한 요양병원간호사를 대상으로 연구를 수행하였으며, 조사도구는 죽음인식, 임종간호스트레스, 임종간호수행 설문지를 활용하였다. 수집된 자료는 기술통계를 수행하였으며, 변수간의 상관성을 분석하기 위하여 피어슨상관분석을 수행하였으며, 주요 영향인자를 분석하기 위한 회귀분석을 실시하였다. 통계분석은 SAS 9.1 ver.을 사용하였다. 간호사 자신의 정신적, 업무적 스트레스가 임종간호수행에 많은 어려움을 야기하고 간호사는 임종환자를 자주 경험하면서 임종간호스트레스가 높아진다. 죽음인식과 임종간호스트레스는 임종간호수행과 상관관계가 있는 것으로 나타났으며, 임종간호수행에 영향을 미치는 요인은 임종간호스트레스와 임상경력 이었다. 요양병원간호사의 임상경력이 많은 사람일수록 임종간호수행도가 높았으므로 임상경력을 고려한 임종간호수행이 이루어져야 하며, 임종간호수행에 있어 스트레스를 줄일 수 있는 방안과 임종간호수행에 영향을 주는 다른 요인을 심도 있게 파악하여 요양병원 실정에 맞는 임종간호수행 및 교육이 필요하다고 사료된다.

• 성인간호학회지
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• 제16권3호
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• pp.378-387
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• 2004

Purpose: The study was undertaken to examine the degree of nurse's suffering experience and to identify the influencing factors on nurses' suffering experience in Korea. Method: Data were collected using a questionnaire for 271 nurses working at 5 general hospitals in Daegu and Kyung-book province from Sep. 1, to Sep. 30, 2003. The questionnaire consists of 54 items, general characteristics(10) and nurse's suffering experience(44). All surveys were sorted and studied by frequency analysis, mean score, standard deviation, range, independent t-test, one way ANOVA, Pearson's correlation coefficient and Multiple regression. Result: The findings of this survey indicate 1) The degree of suffering experienced by nurses caring for terminal cancer patients was 2.96; 2) Demographic variables affecting the degree of nurses' suffering experience were age(F=5.62, p=.000), marital status(F=20.53, p=.000), religion(F=5.44, p=.020), career of clinical experience(F=6.96, p=.000), and feelings of end-life care(F=3.11, p=.016); 3) There were slight correlation between the subitem of nurse's suffering experience and general characteristics of subjects. For 'expanding self consciousness', age, career duration, and position; for 'forming empathy with family', age and career duration ; for 'spiritual sublimation', age, and career duration were affected variables. 4) As a result of the multiple regression analysis for predictable variables affecting nurses' suffering, it was found that 'career of clinical experience' was most significant(F=23.100, p=.000). The explanatory power of this regression formula was 17.6%. Conclusion: This study can provide the basic data useful towards improvement of nursing services for terminal cancer patients and the health of the nurse.

• The Korean Journal of Pain
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• 제11권2호
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• pp.214-219
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• 1998

Pain is one of the most frequent and disturbing symptom of cancer patients. And almost of cancer patients are afraid of a attacks of pain related to cancer. Caring for the cancer patient can be divided into two phases. The phase of "active treatment" involves various interventions-surgical, chemical or radiological- that are designed to prolong the patient's life. "Terminal care" is the period from the end of active treatment until the patient's death. But in the majority of clinical settings, cancer pain is not being managed adequately results from a lack of education about how to treat the cancer pain management in the safest and most effective way during terminal phase. Althought organic factors represent the most important cause of their pain, it is also important to deal with the patient's psychological reactions and to take account of his or her social and family environment if treatment for chronic cancer pain is to prove adequate. Thus we try to evaluate a kinds of cancer related to pain, degree of pain, effectiveness of drugs, and patient's responses to management. In regard to the satisfaction for pain relief in pain clinics at Pusan National University Hospital(PNUH) are about 70% in patients and 90% in family. Average life expectancy in cancer patients are about 140 days (3 days- 5.7 years). Cancer patients are complained of several discomfortness (above 30 kinds) such as, pain associated with cancer (75%), nausea and vomitting (38%), sleeping disorder (38%), anorexia (38%), dyspnea (32%), constipation (31%), etc. Distributions of cancer associated with pain are stomach cancer (21%), lung cancer (16%), cervix cancer (10%), anorectal and colon cancer (8.6%), hepatoma (8%), pancreatic cancer (3%). About 1/3 of patients are suffer from incident pain in 3~5 times in a day especially in moving, coughing, and exercise. Methods for drug delivering system before death are transdermal fentanyl patch (42%), intravenous PCA (21%), oral intake of opioid (17%), epidural PCA (14%), etc.

• 종양간호연구
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• 제5권1호
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• pp.40-51
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• 2005

The purpose of this study was to explore the relationship between burden and burnout of the family care-givers for caring of terminal patients with cancer. A total of 99 convenience sample was recruited form hospitals. The data were collected by a direct interview with Questionnaire about family burden and burnout. The mean score of burnout of main care-givers was 2.98, and the mean score of burden was 3.03. The care-givers' burnout was significantly different by age, sex, job, duration of treatment, level of acceptance on the stage of death, and ability of daily living activities. The family care-givers' burden was significantly different by the jobs, complication of patients, level of acceptance on the stage of death, and ability of daily living activities. In conclusions, the burnout of family care-givers was highly and positively correlated with the burden.

• 대한간호학회지
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• 제26권3호
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• pp.668-677
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• 1996

This study is a phenomenological study done to promote understanding of the dying process in patients with terminal cancer who were in an independent hospice center. The purpose of study was to explore and understand indepth information on the dying process in order to provide data for holistic hospice care in nursing and to give insights in to practical applications in the nursing care In-depth interviewing was done from may, through November, 1995 with 11 patient with cancer who were being cared for at K Hospice Care Center. Experiences in the dying process were discussed as they expressed feelings about death including (a) feeling of isolation because family members try to hide the diagnosis of cancer. (b) hopelessness, (c) guilt, anger, and hostility, (d) suffering from pain, (e) fear of death. However, subjects did not deny death itself and were developing peace of mind and acceptance of death through religion.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제18권1호
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• pp.60-65
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• 2015

We report a pediatric patient admitted with abdominal pain, diffuse lower extremity edema and watery diarrhea for two months. Laboratory findings including complete blood count, serum albumin, lipid and immunoglobulin levels were compatible with protein losing enteropathy. Colonoscopic examination revealed diffuse ulcers with smooth raised edge (like "punched out holes") in the colon and terminal ileum. Histopathological examination showed active colitis, ulcerations and inclusion bodies. Immunostaining for cytomegalovirus was positive. Despite supportive management, antiviral therapy, the clinical condition of the patient worsened and developed disseminated cytomegalovirus infection and the patient died. Protein losing enteropathy and disseminated cytomegalovirus infection a presenting of feature in steroid-naive patient with inflammatory bowel disease is very rare. Hypogammaglobulinemia associated with protein losing enteropathy in Crohn's disease may predispose the cytomegalovirus infection in previously healthy children.

• Journal of Chest Surgery
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• 제24권8호
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• pp.819-823
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• 1991

The congenital cystic adenomatoid malformation of the lung is a rare disease, and is one of the most common congenital lung diseases which require prompt surgical intervention. The prognosis depends on its tissue type, prompt diagnosis and surgical intervention. The lesion consists of enlarged, variable sized multiple cyst with overgrowth of terminal bronchioles, like hamartoma. This disease can be associated with other vascular anomalies or other congenital defect especially in type II lesion We recently experienced one case of congenital cystic adenomatoid malformation The patient was 2 months old infant who showed respiratory distress without associated anomaly. After right upper lobe lobectomy, the patient was recovered uneventfully.