Han'guk Hosup'isu Wanhwa Uiryo Hakhoe chi = The Korean journal of hospice and palliative care最新文献_第5页

Illness Experiences and Palliative Care Needs in Community Dwelling Persons with Cardiometabolic Diseases 社区居民心脏代谢疾病患者的疾病经历和姑息治疗需求

Han'guk Hosup'isu Wanhwa Uiryo Hakhoe chi = The Korean journal of hospice and palliative care Pub Date : 2019-03-01 DOI: 10.14475/KJHPC.2019.22.1.8

EunSeok Cha, Jaehwan Lee, Br, K. Lee, Yu-Shu Hwang

{"title":"Illness Experiences and Palliative Care Needs in Community Dwelling Persons with Cardiometabolic Diseases","authors":"EunSeok Cha, Jaehwan Lee, Br, K. Lee, Yu-Shu Hwang","doi":"10.14475/KJHPC.2019.22.1.8","DOIUrl":"https://doi.org/10.14475/KJHPC.2019.22.1.8","url":null,"abstract":"Purpose: This study was conducted to better understand the illness experiences and palliative care needs in community-dwelling persons with cardiometabolic diseases. Methods: This qualitative descriptive study was conducted with 11 patients (and three family members) among 28 patients contacted. Interviews were led by the principal investigator in her office or at participants’ home depending on their preference. All interviews were digitally recorded and transcribed by a research assistant. The interviews were analyzed by two independent researchers using a conventional method. Results: Participants’ ages ranged from 42 to 82 years (nine men and two women). Three themes were identified: (1) same disease, but different illness experiences; (2) I am in charge of my disease(s); (3) preparation for disease progression. Participants were informed of the name of their disease when they were diagnosed, but not provided with explanation of the diagnosis or meant or how to do selfcare to delay the disease progression, which increased the feelings of uncertainty, hopelessness and anxiety. Taking medication was considered to be the primary treatment option and self-care a supplemental one. Advanced care plans were considered when they felt the progression of their disease(s) while refraining from sharing it with their family or health care professionals to save their concerns. All participants were willing to withhold life-sustaining treatment without making any preparation in writing. Conclusion: Education on self-care and advanced care planning should be provided to community-dwelling persons with cardiometabolic diseases. A patient-centered education program needs to be developed for this population.","PeriodicalId":73194,"journal":{"name":"Han'guk Hosup'isu Wanhwa Uiryo Hakhoe chi = The Korean journal of hospice and palliative care","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88104696","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 6

Factors Influencing Death Anxiety in Community-Dwelling Elderly: Based on the Ecology Theory 社区居住老年人死亡焦虑的影响因素:基于生态学理论

Han'guk Hosup'isu Wanhwa Uiryo Hakhoe chi = The Korean journal of hospice and palliative care Pub Date : 2019-03-01 DOI: 10.14475/KJHPC.2019.22.1.30

Yeon-Ha Kim, Minju Kim

{"title":"Factors Influencing Death Anxiety in Community-Dwelling Elderly: Based on the Ecology Theory","authors":"Yeon-Ha Kim, Minju Kim","doi":"10.14475/KJHPC.2019.22.1.30","DOIUrl":"https://doi.org/10.14475/KJHPC.2019.22.1.30","url":null,"abstract":"Purpose: This study analyzed a path through which factors influencing death anxiety in the community-dwelling elderly, assuming personal organismic factors and microsystemic factors based on the ecology model purported by Belsky (1980). Methods: This study was performed with 189 elderly people. Data were collected through a self-report questionnaire. The data were analyzed using the SPSS and AMOS programs. Results: The factors influencing death anxiety in the elderly were depression, family support, social network, and familism value, and the explanatory power of these variables was 22%. Death anxiety increased with higher depression, higher familism value, larger social network, and lower family support. Spiritual well-being and elderly discrimination experience had indirect effects on death anxiety, and these effects were mediated by depression. Conclusion: Depression, family support, social network, and familism value were found to influence death anxiety in the elderly, and the strongest effect came from depression. To reduce death anxiety in the elderly, it is important to improve their relationship with their family and friends. Moreover, support should be provided by establishing local systems, and intervention should be provided to alleviate depression.","PeriodicalId":73194,"journal":{"name":"Han'guk Hosup'isu Wanhwa Uiryo Hakhoe chi = The Korean journal of hospice and palliative care","volume":"19 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84522620","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 7

The History of Hospice and Palliative Care in Korea 韩国临终关怀和姑息治疗的历史

Han'guk Hosup'isu Wanhwa Uiryo Hakhoe chi = The Korean journal of hospice and palliative care Pub Date : 2019-03-01 DOI: 10.14475/KJHPC.2019.22.1.1

C. Kim

{"title":"The History of Hospice and Palliative Care in Korea","authors":"C. Kim","doi":"10.14475/KJHPC.2019.22.1.1","DOIUrl":"https://doi.org/10.14475/KJHPC.2019.22.1.1","url":null,"abstract":"The first hospice care center in Korea dates back to the East West Infirmaries (Dongseodaebiwon in the Korean language) of the Goryeo period in the early 11th century. It has been 50 years since hospice care was introduced in Korea. Initially hospice care was provided in the private sector, including those with a religious background, and its development was slow. In the 1990s, related religious organizations and academic associations were established, and then, a full-swing growth phase was ushered in as the Korean government institutionalized hospice care in the early 2000s. As a result, enhanced quality of hospice care service could be provided, which meant better pain management and higher quality of life for late stage cancer patients and their families. Still, the nation lacked a realistic reimbursement system which was needed to for financial stability of the affected patients. However, the national health insurance scheme began to cover hospice palliative expenses in 2015. In 2016, the Act on Decisions on Life-Sustaining Treatment for Patients in Hospice and Palliative Care or at the End of Life was legislated, allowing terminally-ill patients to refuse meaningless life-sustaining treatments. As the range of diseases subject to hospice palliative care was expanded, more challenges and issues need to be addressed by the service providers.","PeriodicalId":73194,"journal":{"name":"Han'guk Hosup'isu Wanhwa Uiryo Hakhoe chi = The Korean journal of hospice and palliative care","volume":"20 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81113232","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 8

Palliative Care Practitioners’ Perception toward Pediatric Palliative Care in the Republic of Korea 缓和疗护医师对韩国小儿缓和疗护的看法

Han'guk Hosup'isu Wanhwa Uiryo Hakhoe chi = The Korean journal of hospice and palliative care Pub Date : 2019-03-01 DOI: 10.14475/KJHPC.2019.22.1.39

Y. Moon, Msw, H. Shin, Min Sun Kim, I. Song, br, Cho Hee Kim, candidate, Juyoun Yu, H. Park

引用次数: 6

The Impact of Nursing Hospital Workers’ Hospice·Palliative Care Knowledge and Awareness, End-of-Life Care Attitude and Death Awareness on Their End-of-Life Care Performance 护理医院工作人员临终关怀·姑息治疗知识与意识、临终关怀态度、死亡意识对临终关怀绩效的影响

Han'guk Hosup'isu Wanhwa Uiryo Hakhoe chi = The Korean journal of hospice and palliative care Pub Date : 2018-12-01 DOI: 10.14475/KJHPC.2018.21.4.124

Meera Park, N. Je

{"title":"The Impact of Nursing Hospital Workers’ Hospice·Palliative Care Knowledge and Awareness, End-of-Life Care Attitude and Death Awareness on Their End-of-Life Care Performance","authors":"Meera Park, N. Je","doi":"10.14475/KJHPC.2018.21.4.124","DOIUrl":"https://doi.org/10.14475/KJHPC.2018.21.4.124","url":null,"abstract":"Purpose: This descriptive study is aimed at identifying how nursing hospital workers’ performance of end-of-life care is influenced by their knowledge and awareness of hospice palliative care, attitude towards end-of-life care, performance, importance, awareness of death and the factors. Methods: A self-reported questionnaire was used to collect data from 113 workers at an accredited nursing hospital in K province. Variables were their knowledge and awareness of hospice palliative care, attitude towards end-of-life care, endof-life care performance and importance and awareness of death. An analysis was performed with the frequency, percentage, mean, standard deviation, t-test, ANOVA, Scheffe’s test, Pearson’s correlation coefficient and multiple regression using IBM SPSS 21.0. Results: The factors affecting the nursing hospital workers’ end-of-life care performance were the importance of end-of-life care and their marital status, which showed an explanatory power of 38.2%. Conclusion: In order to improve the nursing hospital workers’ end-oflife care performance, a training on the importance of end-of-life care should be provided. Therefore, we would like to propose establishing administrative measures such as 1) efficient staffing to help the caregivers better perform what they think is important, 2) development of a training program that can improve their performance of end-of-life nursing care and 3) a study to verify the effectiveness of the program.","PeriodicalId":73194,"journal":{"name":"Han'guk Hosup'isu Wanhwa Uiryo Hakhoe chi = The Korean journal of hospice and palliative care","volume":"39 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82159640","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Hospice Music Therapy in Korea 韩国临终关怀音乐治疗

Han'guk Hosup'isu Wanhwa Uiryo Hakhoe chi = The Korean journal of hospice and palliative care Pub Date : 2018-12-01 DOI: 10.14475/KJHPC.2018.21.4.109

Eun Jung Kim

{"title":"Hospice Music Therapy in Korea","authors":"Eun Jung Kim","doi":"10.14475/KJHPC.2018.21.4.109","DOIUrl":"https://doi.org/10.14475/KJHPC.2018.21.4.109","url":null,"abstract":"The objective of this paper is to suggest plans to properly establish and promote the use of hospice music therapy by examining its necessity and how it is being used in Korea. Hospice music therapy is a clinical and evidence-based use of music interventions administered by a professional to alleviate total pains suffered by hospice patients and their families. While the effects of hospice music therapy have been reported by many studies, its meaning and value are still poorly understood in Korea, which explains the lack of related institutions in the nation. Recently policy-wise and legislative efforts have been made to promote hospice and palliative care, which in turn will likely fuel demand for hospice music therapy. Therefore, the meaning and role of hospice music therapy should be defined by major hospice and palliative care institutions and societies, followed by institutional and academic efforts as follows. First, a set of qualification criteria for hospice music therapists should be established to provide proven music therapy interventions to patients and their families. Second, a systematic program offering both theoretical and practical trainings needs to be developed to foster hospice music therapists. Last but not least, clinical studies should be promoted with development of a research road map for hospice music therapy and a standard protocol.","PeriodicalId":73194,"journal":{"name":"Han'guk Hosup'isu Wanhwa Uiryo Hakhoe chi = The Korean journal of hospice and palliative care","volume":"15 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91071023","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

The Characteristics of Terminally Ill Cancer Patients in Hospice and Palliative Care according to Family Composition 基于家庭组成的晚期癌症患者安宁疗护与缓和疗护特征

Han'guk Hosup'isu Wanhwa Uiryo Hakhoe chi = The Korean journal of hospice and palliative care Pub Date : 2018-12-01 DOI: 10.14475/KJHPC.2018.21.4.137

Sang Mi Park, S. Hwang, K. Han

{"title":"The Characteristics of Terminally Ill Cancer Patients in Hospice and Palliative Care according to Family Composition","authors":"Sang Mi Park, S. Hwang, K. Han","doi":"10.14475/KJHPC.2018.21.4.137","DOIUrl":"https://doi.org/10.14475/KJHPC.2018.21.4.137","url":null,"abstract":"Purpose: The purpose of this study was to investigate the family composition of terminally ill cancer patients admitted to the hospice unit and how it affects their hospice care. Meth-ods: We retrospectively analyzed the medical records of terminal cancer patients who died in one hospice unit between January 2009 and March 2014. The demographic and clinical characteristics of the patients were examined, and any different made by their marital status was evaluated. We calculated the time interval between cancer diagnosis and hospice admission and the survival period from hospice admission to death and analyzed their association with family composition. Results: When divided by the median time of 13 months between diagnosis and admission, Group B (＞13 months) had a significantly higher pro portion of patients living with their spouses; (P ＜ 0.01). The main decision maker was a spouse (52.9%) in Group B; (P=0.04). Conclusion: Among the characteristics of the family composition, the presence of spouse was an important factor associated with admission to a hospice unit. Clinicians need to be aware of the impact of marital status on end-of-life care. This study indicates that it is helpful to understand family composition of terminally-ill cancer patients for an effective palliative and hospice care.","PeriodicalId":73194,"journal":{"name":"Han'guk Hosup'isu Wanhwa Uiryo Hakhoe chi = The Korean journal of hospice and palliative care","volume":"21 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81937731","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Impact of Biomedical Ethics Awareness and Ethical Values in Nursing Student on Their Attitudes towards DNR 护生生物医学伦理意识和伦理价值观对其弃药态度的影响

Han'guk Hosup'isu Wanhwa Uiryo Hakhoe chi = The Korean journal of hospice and palliative care Pub Date : 2018-12-01 DOI: 10.14475/KJHPC.2018.21.4.115

Miyeong Kim, and Mi Yeong Mun

{"title":"Impact of Biomedical Ethics Awareness and Ethical Values in Nursing Student on Their Attitudes towards DNR","authors":"Miyeong Kim, and Mi Yeong Mun","doi":"10.14475/KJHPC.2018.21.4.115","DOIUrl":"https://doi.org/10.14475/KJHPC.2018.21.4.115","url":null,"abstract":"Purpose: The purpose of this study was to identify how nursing students’ awareness of biomedical ethics and ethical values affect their attitudes towards a do-not-resuscitate (DNR) order. Methods: This cross-sectional correlation study was conducted with 275 nursing students enrolled at two universities in North Chungcheong Province and North Gyeongsang Province of South Korea. Data were collected in April 2017 using a selfreported questionnaire. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficient and stepwise multiple regression with the SPSS/WIN 23.0 program. Results: The students’ attitudes towards DNR were positively correlated with attitudes that seek ethical values but negatively correlated with their biomedical ethics awareness. The explained variance for attitudes towards DNR was 20%, which was significant (F=13.01, P<0.001). Conclusion: These findings suggest that nursing students’ biomedical ethics awareness and ethical values were associated with their attitudes towards DNR. Curriculum organization and various educational programs should be developed and applied to help nursing students develop ethical values and awareness of biomedical ethics.","PeriodicalId":73194,"journal":{"name":"Han'guk Hosup'isu Wanhwa Uiryo Hakhoe chi = The Korean journal of hospice and palliative care","volume":"13 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89492952","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Successful Treatment with Transdermal Buprenorphine Patch in Opioid-Dependent Cancer Patients: Case Series 经皮丁丙诺啡贴片成功治疗阿片类药物依赖癌症患者:病例系列

Han'guk Hosup'isu Wanhwa Uiryo Hakhoe chi = The Korean journal of hospice and palliative care Pub Date : 2018-12-01 DOI: 10.14475/KJHPC.2018.21.4.152

S. Go, J. H. Kim, Gyeong-Won Lee, J. Kang

引用次数: 1

The Effect of Stellate Ganglion Block on Breast Cancer-Related Infectious Lymphedema 星状神经节阻滞对乳腺癌相关感染性淋巴水肿的影响

Han'guk Hosup'isu Wanhwa Uiryo Hakhoe chi = The Korean journal of hospice and palliative care Pub Date : 2018-12-01 DOI: 10.14475/kjhpc.2018.21.4.158

Youn Young Lee, H. Park, Yeon Sil Lee, Seung Hee Yoo, Heeseung Lee, Won-joong Kim

引用次数: 1