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김미선 ( Kim Mee-Sun ) - 고신대학교복음병원
이영은 ( Lee Young-Eun ) - 고신대학교 간호학과
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Abstract
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-서론-
1. 연구의 필요성
20세기에 들어서 빠른 속도로 의학이 발전하면서 예전의 단기간의 치명적이었던 급성질환
의 형태가 약물요법이나 특수치료 등의 발달로 인해 장기간의 만성형태로 변화되었으며 이
에 따른 문제들이 간호실무에 매우 중요한 부분으로 대두되고 있다. 암은 만성질환일 뿐만 아니라 생명을 위협하는 질환이므로, 암환아 간호는 만성질환에 대한 간호를 포함하여 환아의 통증관리나 신체적 간호뿐만 아니라 가족들에게도 사회·심리적 지지와 더불어 죽음을 대비할 수 있도록 도와주는 간호가 제공되어야 한다. 이러한 아동기질환으로는 드물지만 아동기의 사망 원인중 사고 다음으로 높은 순위로서, 전 아동 사망률의 12%를 차지하고 있다.
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Thanks to development of operation, radiotherapy, and chemotherapy, cancer, the
second cause of children death, is considered not fatal disease as it used to be but
chronic one requiring long observation and caring. Considering role expectation of cancer
children mothers, nurses’ role performance becomes more important. The purpose of this research is to provide the basis of a practice model for cancer children care, by comparison of role expectation of cancer children mothers and nurses’ role performance.
This research was done through questionnaires from February 12, 1997 to March 13,
1997. 110 nurses caring for cancer children and 102 mothers were surveyed in four
university hospitals in Pusan, two other hospitals in Pusan, one university hospital in
Kyung Nam.
Findings of the research are as the follows;
1. Role expectation of cancer children mothers averaged 4.39±0.39 point very high in
Likert’ s 5 points scale.
2. Nurses’ role performance averaged 3.88±0.44 relatively high but far short of role
expectation of cancer children mothers.
3. The comparison was statistically significant in all sixteen areas including prevention
care, physical care, and acute care(t=8.90, p<0.001).
4. Treatment methods(F=4.47, p<0.001), domestic economy(F=5.41, p<0.05), and career
of mothers(F=5.72, p<0.001) show significant differences in role expectation. On the
contrary, age and sex of children, diagnosis, lapse of time after diagnosis, recurrence,
cause of being hospitalized as well as age, educational level, and religion of mothers
don’t have any bearings on role expectation.
5. Nurses’ age(F=4.38, p<0.01), marriage(F=8.00, p<0.01), working career(F=2.69,
p<0.05), and degree of complacency in pediatric ward(F=3.91, p<0.05) show significant
differences in role performance for cancer children. However, religion, degree of being
educated, present status, motive of working in pediatric ward, and type of hospitals that
nurses work for don’t have any significant relation to role performance.
This study validates the hypothesis that nurses’ role performance will vary according
to role expectation of cancer children mothers. Finally, it is suggested that nurses’ role performance will lead to satisfactory result through efficient care in tune with role expectation of cancer children mothers.
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KeyWords
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cancer children mothers, role expectation, role performance
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원문 및 링크아웃 정보
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등재저널 정보
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