The purpose of this study was to examine posttraumatic growth (PTG) in family caregivers of patients with cancer. Methods: Participants included 201 family caregivers of cancer patients who are treated at outpatient clinics and oncology wards of a university hospital and two general hospitals in Busan, Korea. The study instrument was the Korean version of the posttraumatic growth inventory (K-PTGI). Data were analyzed with descriptive statistics, t test, one-way ANOVA and Scheffe's test using the SPSS 21 for Windows. Results: The mean score of PTG was 3.10. The factor with the highest score was "Changes to self-perception" (3.15), while the one with the lowest was "Increase in spiritual interest" (2.88). There were significant differences in PTG, depending on age, religion, importance of religious life and perceived level of daily difficulties. Conclusion: Family caregivers also experience PTG when their loved ones are diagnosed with cancer. According to these findings, it is necessary to develop a spiritual nursing program to help family caregivers growth from the experience of attending patients with cancer.
A randomized comparison group pretest-posttest experimental design was used to quantitatively determine the effects of environmental control measures on patients with allergic rhinitis. Environmental controls included wrapping the mattress with a vinyl cover, washing the top bedding cover with 55 degrees C hot water every two weeks, removal of soft furniture, and wet cleaning of the bedroom floor every day. Thirty subjects were randomly assigned to experimental and control groups. The amount of house dust mites in dust samples collected from the bedroom floor, bedding and mattress, as well as the nasal symptoms of patients, were measured twice at one-month intervals. A significant decrease in house dust mites in dust samples and relief in patients' nasal symptoms were observed in the experimental group who had environmental controls.
Purpose: This study was a part of a drive to develop a community health center-based hospice management model which is concerned with hospice care at a community health care setting and available resources of the local community. Methods: Development of a community health center-based hospice management model involved evaluation of existing hospice-related research, including literature review, and research on hospice facilities at the study site, as well as evaluation of model operation. The latter involved community health center-based hospice test operation, and evaluation of test operation by a research team, including of a nursing professor majoring in hospice care and staffs from a community health center in Busan metropolitan city, regional cancer center, and regional terminal cancer patient medical institute. The study was conducted in the 2008 calendar year. Results: The community health center-based hospice management model provides service linked with local community resources, focusing on the local community health center. Financial and administrative assistance is provided by the regional cancer center, with collaboration from academic health care professionals who guide the operation management. The community health center hospice nurse in consultation with a visiting nurse team registers terminally-ill cancer patients and, after assessment, the hospice team prioritize hospice care during team meeting. Care is delivered by staffs and volunteers. Conclusion: The developed community health center-based hospice operation management model maximally utilizes available community health resources to produce qualitative improvement of regional health and welfare policy through improving the lives of home-based cancer patients and their family who are in medical blind spot. (Korean J Hosp Palliat Care 2010;13:109-119)
The purpose of this study was to develop an instrument to measure meaning in life based on Frankl's theory of logotherapy. Data were collected from August to October, 1999 by means of questionnaires developed by researchers. The subjects were 351 adults living in Busan and Kyoung Nam province. The study was conducted as follows: 1) A conceptual framework was identified based on the extensive review of relevant literatures and interviews with adults and professionals in psychology, philosophy, theology, and nursing. 2) The 76 items, 4-points scale were developed.3) The scale was tested on 351 adults to assess the reliability and validity, and factor analysis was done. 4) 63 items were established based on this testing and ten factors were extracted. These factors were labeled as self-awareness and self-acceptance, futuristic aspiration, valuelessness, purpose in life, contentedness with life, role awareness, experience of love, love in family, commitment, self-transcendence. Cronbach`s alpha of the 63 items was .950. Comparative studies to assess construct validity and repetitive studies to heighten generalizability are needed. This tool can be utilized to measure Korean's meaning in life.
By the above results, the researchers recommend the following: An exploratory study on the variables related to the meaning of life are needed for criterion validity of this scale. Studies on meaning of life of different group, and subjects are needed for reverification.
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