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±è¼öÇö ( Kim Su-Hyun ) - Chungnam National University Hospital Department of Nursing
Á¤¹Ì¼÷ ( Jung Mi-Sook ) - Chungnam National University College of Nursing Àå¸í¿Á ( Jang Myoung-Ock ) - Chungnam National University College of Nursing
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Abstract
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¸ñÀû: ¿¬¸íÀÇ·á °£È£ ½ºÆ®·¹½º´Â ¿¬¸íÀÇ·á °£È£¼öÇà°ú ȯÀÚ °Ç°¿¡ ÁÖ¿äÇÑ ¿µÇâÀ» ¹ÌÄ¡´Â ¿ä¼ÒÀÌ´Ù. ¿¬¸íÀÇ·á °£È£ ½ºÆ®·¹½º¿¡ ¿µÇâÀ» ¹ÌÄ¡´Â ¿ä¼Ò¸¦ ÆľÇÇÔÀ¸·Î½á °£È£»çÀÇ ¿¬¸íÀÇ·á °£È£¼öÇàÀ» Çâ»ó½Ãų ¼ö ÀÖ´Ù. º» ¿¬±¸´Â Á¾ÇÕº´¿ø °£È£»çÀÇ ¿¬¸íÀÇ·á °£È£ ½ºÆ®·¹½º¸¦ È®ÀÎÇÏ°í ¿¬¸íÀÇ·á °£È£ ½ºÆ®·¹½ºÀÇ ¿µÇâ ¿äÀÎÀ¸·Î ¿¬¸íÀÇ·á¿¡ ´ëÇÑ °£È£¿ªÇÒ Àνİú ÁÁÀº Á×À½ ÀÎ½Ä °£ÀÇ °ü°è¸¦ ÆľÇÇϱâ À§ÇØ ½Ç½ÃµÇ¾ú´Ù.
¹æ¹ý: ´ëÇѹα¹ ±¤¿ª½Ã¿¡ ÀÖ´Â ÀÏ°³ Á¾ÇÕº´¿ø¿¡¼ °£È£»ç¸¦ ´ë»óÀ¸·Î ¼¼úÀû Á¶»ç¿¬±¸¸¦ ½ÃÇàÇÏ¿´´Ù. ´ë»óÀÚ´Â ±¸Á¶ÈµÈ ¼³¹®Áö¸¦ ÀÛ¼ºÇÏ¿´À¸¸ç ¼öÁýµÈ ÀÚ·á´Â ±â¼úÅë°èºÐ¼®°ú À§°èÀû ´ÙÁßȸ±ÍºÐ¼®À» ÅëÇØ ºÐ¼®À» ÇÏ¿´´Ù.
°á°ú: Àüü 205¸íÀÇ ´ë»óÀÚ Áß ´ë´Ù¼ö(93.2%)°¡ ¿©¼ºÀ̾ú°í ¿¬·ÉÀº 63.0%°¡ 20´ë·Î °¡Àå ¸¹¾ÒÀ¸¸ç 78.5%°¡ ¹ÌÈ¥À̾ú´Ù. À§°èÀû ´ÙÁßȸ±ÍºÐ¼® °á°ú¿¡¼ ¿¬¸íÀÇ·á¿¡ ´ëÇÑ °£È£¿ªÇÒ ÀνÄÀº ¿¬¸íÀÇ·á °£È£ ½ºÆ®·¹½º¿Í À¯ÀÇÇÑ °ü°è¸¦ º¸¿´´Ù(¥â=.27, p<.001). ¶ÇÇÑ, ¼®»ç ÀÌ»ó ÇзÂÀ» °¡Áø °£È£»ç°¡ Çлç ÇзÂÀ» °¡Áø °£È£»çº¸´Ù(¥â=.13, p<.046), º´µ¿¿¡¼ ±Ù¹«ÇÏ´Â °£È£»ç°¡ ÁßȯÀڽǿ¡ ±Ù¹«ÇÏ´Â °æ¿ìº¸´Ù(¥â=.22, p=.001) ´õ ³ôÀº ¿¬¸íÀÇ·á °£È£ ½ºÆ®·¹½º¸¦ °æÇèÇÏ´Â °ÍÀ¸·Î ³ªÅ¸³µ´Ù. ÇÏÁö¸¸ ÁÁÀº Á×À½ ÀνÄÀº ¿¬¸íÀÇ·á °£È£ ½ºÆ®·¹½º¿¡ ¿µÇâÀ» ¹ÌÄ¡Áö ¾Ê´Â °ÍÀ¸·Î ³ªÅ¸³µ´Ù.
°á·Ð: ³ôÀº ¿¬¸íÀÇ·á¿¡ ´ëÇÑ ¿ªÇÒ ÀνÄÀ» °¡Áø º´µ¿ °£È£»ç¸¦ ´ë»óÀ¸·Î ¿¬¸íÀÇ·á °£È£ ½ºÆ®·¹½º¸¦ ÁÙÀ̱â À§ÇÑ ±³À° ÇÁ·Î±×·¥ °³¹ßÀÌ ÇÊ¿äÇÏ´Ù.
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Purpose: Nursing stress on life-sustaining treatment of nurses is a significant contributing factor to nursing care performance and patient care outcomes. We need to investigate the factors associated with nursing stress on life-sustaining treatment in hospital settings. The purpose of this descriptive study was to examine the relationship of role perception of life-sustaining treatment and good death perception with nursing stress on life-sustaining treatment among nurses in hospital settings.
Methods: Using a cross-sectional study design, we recruited nurses at a hospital located in a metropolitan city in Korea. The nurses completed structured questionnaire questions which were composed of well-validated questionnaires. Descriptive statistics and hierarchical multiple regression model were utilized for data analysis.
Results: A total of 205 nurses participated in the study (female 93.2%; aged 20~29 years 63.0%; single status 78.5%). In the hierarchical multiple regression model, there was a significant positive relationship between role perception of life-sustaining treatment and nursing stress on life-sustaining treatment (¥â=.27, p<.001). Higher education level and working at a ward setting were also significantly related to nursing stress on life-sustaining treatment (¥â=.13, p<.046 for education level; ¥â=.22, p=.001 for work setting). However, there was no relationship between good death perception and nursing stress on life-sustaining treatment.
Conclusion: Education programs to reduce nursing stress on life-sustaining treatment are needed to develop for nurses who have higher role perception of life-sustaining treatment with higher education level working at ward settings in hospitals.
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KeyWords
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°£È£»ç, ½ºÆ®·¹½º, ¿ªÇÒ, ÁÁÀº Á×À½, ¿¬¸íÀÇ·á
Nurses, Stress, Role, Death, Life Support Care
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¿ø¹® ¹× ¸µÅ©¾Æ¿ô Á¤º¸
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µîÀçÀú³Î Á¤º¸
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