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±è¼¼¶ó ( Kim Se-Ra ) - ¼¿ï¾Æ»êº´¿ø
³ë¹ÌÁø ( No Mi-Jin ) - ¼¿ï¾Æ»êº´¿ø ¹®°æÀº ( Moon Kyoung-Eun ) - ¼¿ï¾Æ»êº´¿ø Á¶ÈñÁÖ ( Cho Hee-Ju ) - ¼¿ï¾Æ»êº´¿ø ¹Ú¿µ ( Park Young ) - ¼¿ï¾Æ»êº´¿ø À̳²ÁÖ ( Lee Nam-Ju ) - ¼¿ï¾Æ»êº´¿ø À̼øÇà ( Lee Soon-Haeng ) - ¼¿ï¾Æ»êº´¿ø ½É¹Ì¿µ ( Shim Mi-Young ) - ¼¿ï´ëÇб³ ¾î¸°À̺´¿ø
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Abstract
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¸ñÀû: º» ¿¬±¸´Â ÁßȯÀÚ½Ç °£È£»çÀÇ ÀϹÝÀû Ư¼º¿¡ µû¸¥ Á×À½ÀÎ½Ä Á¤µµ¸¦ È®ÀÎÇÏ°í ÀÌ¿Í °ü·ÃµÈ ÀÓÁ¾°£È£ ½ºÆ®·¹½º ¹× ÀÓÁ¾°£È£ ¼öÇà°ú °ü·ÃµÈ Çö ÁßȯÀÚ½ÇÀÇ ¹®Á¦¸¦ ºÐ¼®Çϱâ À§ÇÑ ±âÃÊ ÀÚ·á·Î È°¿ëÇÏ°íÀÚ ÇÑ´Ù.
¿¬±¸¹æ¹ý: º» ¿¬±¸´Â ÁßȯÀÚ½Ç °£È£»çÀÇ Á×À½ÀνÄ, ÀÓÁ¾°£È£ ½ºÆ®·¹½º, ÀÓÁ¾°£È£ ŵµ¿¡ ´ëÇÑ ³»¿ëÀ» È®ÀÎÇϱâ À§ÇÑ ¼¼úÀû Á¶»ç¿¬±¸ÀÌ´Ù. ¿¬±¸´ë»óÀº ÃÑ 16°³ º´¿ø ÁßȯÀÚ½Ç °£È£»ç 975¸íÀ» ´ë»óÀ¸·Î 2016³â 8¿ùºÎÅÍ 12¿ù±îÁö ÀÚ·á ¼öÁýÇÏ¿´´Ù. ÀÚ·á´Â ±â¼úÅë°è, t-test, ÀÏ¿øºÐ»êºÐ¼®, Pearson correlation coefficient, ´ÙÁßȸ±Í ºÐ¼®À» ÅëÇÏ¿© ºÐ¼® ÇÏ¿´´Ù.
°á°ú : ÁßȯÀÚ½Ç °£È£»çÀÇ Á×À½¿¡ ´ëÇÑ ÀνÄÀº ÀÓÁ¾°£È£ ŵµ¿Í ¾çÀÇ »ó°ü°ü°è(r=.100, p=.002)¸¦ º¸¿´À¸¸ç ÀÓÁ¾°£È£ ½ºÆ®·¹½º¿Í´Â À½ÀÇ »ó°ü°ü°è(r=-.221, p=<.001)¸¦ È®ÀÎ ÇÏ¿´´Ù. ´ÙÁßȸ±Í ºÐ¼® °á°ú ÀÓÁ¾°£È£ ½ºÆ®·¹½º¿¡ ¿øÀÎÀ¸·Î ¿¬·É(¥â=.126, p<.001), Á×À½ÀνÄ(¥â=.182, p<.001), ÀÓÁ¾°£È£ ¸¸Á·µµ(¥â=.173, p<.001),ÀÓÁ¾°£È£ °ü·Ã ±³À° Àû¿ë¥â=-.144, p<.001) ÀÓÀ» ¾Ë ¼ö ÀÖ¾ú´Ù.
°á·Ð: º» ¿¬±¸ °á°ú ÁßȯÀÚ½Ç °£È£»çÀÇ ÀÓÁ¾°£È£ ½ºÆ®·¹½º´Â Áß°£ Á¤µµ·Î Æò°¡µÇ¾úÀ¸¸ç °£È£»ç Ư¼ºÀÌ ¹Ý¿µµÇ°í ÀÖÀ½À» È®ÀÎÇÏ¿´°í ÀÌ·¯ÇÑ Á¦ Ư¼º¿¡ µû¸¥ Á×À½, ÀÓÁ¾¿¡ ´ëÇÑ ±³À°°ú ´õºÒ¾î ÀÓÁ¾°£È£ ½ºÆ®·¹½º¸¦ °¨¼Ò ½ÃÅ°±â À§ÇÑ Èú¸µ ÇÁ·Î±×·¥¿¡ Á¦°øÀ» ºñ·ÔÇÑ Áöħ¼ ¹× ±³À° ÁßÀçµéÀÇ È¿°ú¸¦ ÃøÁ¤ÇÒ ¼ö ÀÖ´Â Áö¼ÓÀûÀÎ ¿¬±¸¸¦ Á¦¾ðÇÑ´Ù.
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Purpose: This study aimed to identify the view of life and death among ICU nurses and to analyze the problems related to end-of-life care in the current ICUs.
Methods: A descriptive study design was used. The participants were 975 nurses working in the intensive care units of 16 general hospitals. Using a descriptive survey design, data were collected from August to December in 2016 and were analyzed using descriptive statistics, t-test, ANOVA, correlation analysis, and multiple regression analysis.
Results: As a result of a correlation analysis of the data, Death perception had a significant positive correlation with EOL of nursing attitudes(r=.100, p=.002), and negative correlation with EOL stress care(r=-.221, p=<.001). The regression model explained for individual characteristics in the model, age(¥â=.126, p<.001) and death perception(¥â=.182, p<.001), Satisfaction of the EOL care(¥â=.173, p<.001), Healing training needs on the EOL(¥â=-.144, p<.001) were the most influential factors for EOL stress.
Conclusion: Results reveal that ICU nurses have a moderate level of EOL stress, and that individual, age, death perception, Satisfaction of the EOL care, Healing traning needs on the EOL relevant in ICU nurses¡¯ EOL stress. Programs or interventions to reduce EOL stress and to should be developed taking into account these multidimensional factors
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KeyWords
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ÁßȯÀÚ½Ç, ÀÓÁ¾°£È£, ŵµ
Intensive Care Unit, End of Life Care, Attitudes
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¿ø¹® ¹× ¸µÅ©¾Æ¿ô Á¤º¸
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µîÀçÀú³Î Á¤º¸
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