고령 환자 대상 의료 커뮤니케이션 교육의 방향 - 간호사와 고령 환자의 소통에 대한 인식을 중심으로 -
Direction of Medical Communication Education for Elderly Patients: How Nurses and Elderly Patients Perceive the Communication between Them
0
조회
0
다운로드
2
인용
0
참고문헌
키워드
초록
The purpose of this study was to analyze the perception of difficulties in medical communication through interviews with nurses and elderly patients. The study also aimed to explore the direction of medical communication education for the elderly patients. In-depth interviews on the communication between nurses and elderly patients were conducted between August 4, 2020 and September 23, 2020 with the following participants: Ten nurses and eight patients aged 60 and above. Specifically, semi-structured interviews with open-ended questions were conducted. Through the analysis of the interviews it was confirmed that the nurses were aware of the difficulty in communicating with the elderly patients due to the pathological and dispositional characteristics of the elderly. Additionally it was confirmed that the nurses were using their own medical communication strategies to reduce cognitive differences in the elderly patients. On the other hand, the elderly patients had difficulty in understanding the explanation given by of the nurses and showed a passive reaction, such as silence, to the communication process as they recognized their weakness. It was also confirmed that the elderly patients were expecting sympathy from the medical staff. Based on the above results, the study determined the direction of practical and cooperative medical communication education methods according to two-way demands for effective medical communication with the elderly patients.
Abstract
The purpose of this study was to analyze the perception of difficulties in medical communication through interviews with nurses and elderly patients. The study also aimed to explore the direction of medical communication education for the elderly patients. In-depth interviews on the communication between nurses and elderly patients were conducted between August 4, 2020 and September 23, 2020 with the following participants: Ten nurses and eight patients aged 60 and above. Specifically, semi-structured interviews with open-ended questions were conducted. Through the analysis of the interviews it was confirmed that the nurses were aware of the difficulty in communicating with the elderly patients due to the pathological and dispositional characteristics of the elderly. Additionally it was confirmed that the nurses were using their own medical communication strategies to reduce cognitive differences in the elderly patients. On the other hand, the elderly patients had difficulty in understanding the explanation given by of the nurses and showed a passive reaction, such as silence, to the communication process as they recognized their weakness. It was also confirmed that the elderly patients were expecting sympathy from the medical staff. Based on the above results, the study determined the direction of practical and cooperative medical communication education methods according to two-way demands for effective medical communication with the elderly patients.
참고문헌 (22)
- 강명신, "치과의사-노인환자 커뮤니케이션", 대한치과의사협회지, 49(10), pp.599~608 (2011), 대한치과의사협회[DOI]
- 고영훈, "심혈관 질환과 인격 특성", 정신신체의학, 14(2), pp.81~87 (2006), 한국정신신체의학회
- 김귀분, "노인에 대한 간호사의 지식 및 태도 조사연구", 동서간호학연구지, 13(1), pp.13~21 (2007)
- 김대현, "의료 커뮤니케이션: 세가지 기능적 접근", 의료커뮤니케이션, 1(1), pp.1~6 (2006), 대한의료커뮤니케이션학회
- 남혜리, "노인 환자를 돌보는 간호사가 경험하는 감정노동과 의사소통능력이 노인간호 스트레스에 미치는 영향", 한국직업건강간호학회지, 29(1), pp.20~28 (2020), 한국직업건강간호학회[DOI]
- 박순주, "간호사의 의사소통기술에 대한 간호사와 환자의 인식 차이", 성인간호학회지, 29(2), pp.166~176 (2017), 한국성인간호학회[DOI]
- 박혜숙, "여성노인의 건강행위, 신체기능과 삶의 만족도에 관한 연구", 여성건강간호학회지, 13(2), pp.115~122 (2007), 한국여성건강간호학회
- 우상수, "환자를 위하는 의사의 대화법" (2015), 커뮤니케이션북스
- 유희정, "내향성·외향성 성격특성과 지능과의 관계", 정신의학, 1(1), pp.28~35 (1992)
- 이선영, "향요법이 치매노인에 미치는 효과", Korean Journal of Health Promotion, 5(1), pp.23~30 (2005), 대한임상건강증진학회
- 이소영, "의료 커뮤니케이션에서의 자리매김 - 입장차이의 관점에서", 독어교육, 77(77), pp.93~118 (2020), 한국독어독문학교육학회[DOI]
- 임희정, "치과위생사의 노인에 대한 의사소통능력에 영향을 미치는 요인", 한국콘텐츠학회 논문지, 16(6), pp.627~635 (2016), 한국콘텐츠학회[DOI]
- 정수연, "간호사의 커뮤니케이션 스타일에 따른 환자 만족도 연구", 의료커뮤니케이션, 8(1), pp.35~44 (2013), 대한의료커뮤니케이션학회[DOI]
- 정애자, "외상성 뇌손상의 심도에 따른 성격 및 정서의 변화", 한국심리학회지: 건강, 9(2), pp.379~394 (2004), 한국건강심리학회
- 정혜선, "간호대학생과 간호사의 노인과 노인환자에 대한 태도", 보건의료산업학회지, 7(3), pp.15~28 (2013), 보건의료산업학회
- 조정진, "직무스트레스와 심혈관계 질환", Korean Journal of Family Medicine, 23(7), pp.3~854 (2002), 대한가정의학회
- 함병주, "만성 불면증 환자의 성격특성", 신경정신의학, 37(2), pp.234~242 (1998)
- Almeida Tavares, J. P., "Portuguese nurses’ knowledge of and attitudes toward hospitalized older adults", Scandinavian Journal of Caring Sciences, 29(1), pp.51~61 (2015)
- Bucka-Lassen, E., "중병진단 통보대화" (2009), 백산서당
- Haferalch, T., "일방통행하는 의사, 쌍방통행을 원하는 환자" (2007), 굿인포메이션
- Hawker, G. A., "Measures of adult pain: Visual analog scale for pain (vas pain), numeric rating scale for pain (nrs pain), mcgill pain questionnaire (mpq), short‐form mcgill pain questionnaire (sf‐mpq), chronic pain grade scale (cpgs), short form‐36bodily pain scale (sf‐36 bps), and measure of intermittent and constant osteoarthritis pain (icoap)", Arthritis Care & Research, 37(2), pp.240~252 (2011)
- Liu, Y. E., "Nurses’ attitudes towards older people: A systematic review", International Journal of Nursing Studies, 50(9), pp.1271~1282 (2013)