간호사와 의사의 임종치료선호도 점수에 영향을 미치는 예측요인
Predictive Factors Affecting the Preferences for Care Near the End of Life among Nurses and Physicians
0
조회
0
다운로드
15
인용
0
참고문헌
키워드
초록
Purpose: The purpose of this study was to identify the levels of the preferences for care near the end of life-korean version(PCEOL-K) and factors affecting the PCEOL-K among nurses and physicians. Methods: A descriptive study was conducted with 407 nurses and physicians working in general hospital and university hospital, Daegu and Busan. Data were collected through selfreported questionnaires from June to September, 2010. Data were analyzed using the Pearson’s Correlation Coefficient, t-test, ANOVA, Turkey’s HSD, and multiple regression with SPSS/WIN 15.0. Results: The mean score of PCEOL-K was 69.03±5.48 for nurses and 68.69±7.15 for physicians.Factors predicting subjects’ PCEOL-K were clinical experience, fear of death, and the personal meaning of death. These factors explained 40.0% of the PCEOL-K (F=21.00, p<.001). Conclusion: The results of this study suggest that the construction of comprehensive framework for nurses and physicians in relation to end-of-life care may contribute to improved positive preferences for care near the end of life by encouraging their professional careers and spirituality.
Abstract
Purpose: The purpose of this study was to identify the levels of the preferences for care near the end of life-korean version(PCEOL-K) and factors affecting the PCEOL-K among nurses and physicians. Methods: A descriptive study was conducted with 407 nurses and physicians working in general hospital and university hospital, Daegu and Busan. Data were collected through selfreported questionnaires from June to September, 2010. Data were analyzed using the Pearson’s Correlation Coefficient, t-test, ANOVA, Turkey’s HSD, and multiple regression with SPSS/WIN 15.0. Results: The mean score of PCEOL-K was 69.03±5.48 for nurses and 68.69±7.15 for physicians.Factors predicting subjects’ PCEOL-K were clinical experience, fear of death, and the personal meaning of death. These factors explained 40.0% of the PCEOL-K (F=21.00, p<.001). Conclusion: The results of this study suggest that the construction of comprehensive framework for nurses and physicians in relation to end-of-life care may contribute to improved positive preferences for care near the end of life by encouraging their professional careers and spirituality.
참고문헌 (25)
- 안명숙, "사전동의에 대한 의사, 간호사 및 환자의 인식과 경험", 임상간호연구, 14(2), pp.59~70 (2008), 병원간호사회
- 허대석, "환자의 자기결정권과 사전의료지시서", 대한의사협회지, 52(9), pp.865~870 (2009), 대한의사협회
- Frank RK, "Shared decision making and its role in end of life care", Br J Nurs, 18(10), pp.612~618 (2009)
- 최지윤, "안락사와 연명치료중단에 관한 우리나라의 최근 동향", 한국의료윤리학회지, 12(2), pp.127~142 (2009), 한국의료윤리학회
- 한성숙, "DNR에 대한 의사들의 인식 및 태도조사", 한국의료윤리학회지, 6(1) (2003), 한국의료윤리학회
- 이명선, "심폐소생술금지와관련된병원간호사들의경험", Journal of Korean Academy of Nursing, 38(2), pp.298~309 (2008), 한국간호과학회
- Royak-Schaler R, "Family perspectives on communication with health care providers during end of life cancer care", Oncol Nurs Forum, 33(4), pp.753~760 (2006)
- Smith R, "A good death: An important aim for health services and for us all", BMJ, 320(7228), pp.129~130 (2000)
- Pierson C, "A good death: A qualitative study of patients with advanced AIDS", AIDS Care, 14(5), pp.587~598 (2002)
- 이지애, "말기 암환자의 무의미한 연명치료중단과 사전의사결정에 대한 의료인(의사, 간호사)의 인식: 포커스그룹 인터뷰 분석기법", 석사, pp.2009
- 심규미, "환자·보호자와 의료인들의 호스피스에 관한 인지도 연구", 석사, pp.2000
- Abdel-Khalek AM, "Why do we fear death? The construction and validation of the reasons for death fear scale", Death studies, 26, pp.669~680 (2002)
- Cicirelli VG, "Personal meanings of death in relation to fear of death", Death Studies, 22, pp.713~733 (1998)
- Simon HA, "Decision making: Rational, nonrational, and irrational", Educational Administration Quarterly, 29(3), pp.392~411 (1993)
- 문정순, "간호연구", pp.166~ (1997), 신광출판사
- Yun YH, "The attitudes of cancer patients and their families toward the disclosure of terminal illness", J Clin Oncol, 22(2), pp.307~314 (2004)
- Friedrichsen M, "Cancer patients’perceptions of their participation and own resources after receiving information about discontinuation of active tumour treatment", Acta Oncol, 39(8), pp.919~925 (2000)
- Meraviglia MG, "Nurses’needs for education on cancer and end-of-life care", J Contin Educ Nurs, 34(3), pp.122~127 (2003)
- Sulmasy DP, "A biopsychosocial-spiritual model for the care of patients at the end of life", Gerontologist, 42, pp.24~33 (2002)
- 김상희, "암환자의 DNR(do-not-resuscitate) 의사결정에 관한 연구", 간호학탐구, 13(1), pp.127~143 (2004)
- 이현미, "말기 암 환자가 경험하는 두려움", 석사, pp.2008
- Beauchamp TL, "Principle of biomedical ethics", pp.480~ (2001), Oxford University Press
- Fortner B, "Correlates of death anxiety in older adults: A comprehensive review in Death attitudes and the older adult", pp.95~108 (2000), Brunner Routledge
- 최금주, "노인의 영성이 자아통합감에 미치는 영향", 노인복지연구, (38), pp.109~126 (2007), 한국노인복지학회
- 박승미, "간호사의 임상 의사결정능력 영향 요인 - 비판적 사고 성향을 중심으로 -", Journal of Korean Academy of Nursing, 37(6), pp.863~871 (2007), 한국간호과학회