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최화숙 ( ) - 이화여자대학교 간호과학대학
김수지 ( Kim Su-Sie ) - 이화여자대학교 간호과학대학
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Abstract
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Prupose: The purpose of this study was to identify signs and symptoms of hospice patients during their dying processes.
Method: The subjects of this study were 76 patients who received hospice care services in 2 different hospice care programs in Seoul area. Data was obtained from January, 1999 to June, 2001 by hospice nurse’s observation, interviews with patient’s primary caregiver and hospice volunteers, patient’s self report, nursing records and questionnaires which had been developed by selecting from various references and refining them based on the result of preliminay studies. The collected data were analyzed with the SPSS PC+ program and content analysis.
Results: Mean lengths of hospice patient’s dying process were 3.6 days. Physical signs and symptoms of hospice patients during their dying processes were ’increased sleep’(89.5%), ’decreased oral intake of food’(88.2%) and ’liquids’(86.8%), ’change of respiration’(82.9%), ’decreased urine output’(80.3%), ’cold extremities’(69.7%), ’death rattle’(67.1%), ’cyanosis’(57.9%), ’restlessness’(55.3%), etc. And psychological, spiritual and social signs and symptoms were ’decreased interpersonal relationships’(61.8%), ’panorama of memories from childhood’(60.5%), ’experiences as like hallucination’(56.5%), ’saying bye with family’(69.7%), ’forgiveness’, ’make a will’, etc. Experiences as like hallucination were seemed not as dream but reality were shown by 43 dying patients. They had experienced to see and to talk with their deceased mother(18.6%) and/or relatives(30.2%), angels(20.9%), heaven(11.6%), old house in which they had lived, someone from the world beyond with black clothes, etc.
Conclusion: The above results indicate that death of hospice patients is ongoing process with dying signs and symptoms during several days contains not only in physical aspects but also among psychological, spiritual and social aspects including family dynamics.
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KeyWords
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호스피스 환자, 임종과정, 임종증상
Hospice patient, Dying Process, Signs and Symptoms during Dying Process
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원문 및 링크아웃 정보
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등재저널 정보
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