Park H J
Taehan Kanho. 1989 Aug 31;28(3):52-67.
True nursing care means total nursing care which includes physical, emotional and spiritual care. The modern nursing care has tendency to focus toward physical care and needs attention toward emotional and spiritual care. The total nursing care is mandatory for patients with terminal cancer and for this purpose, hospice care became emerged. Hospice care originated from the place or shelter for the travellers to Jerusalem in medieval stage. However, the meaning of modern hospice care became changed to total nursing care for dying patients. Modern hospice care has been developed in England, and spreaded to U.S.A. and Canada for the patients with terminal cancer. Nowadays, it became a part of nursing care and the concept of hospice care extended to the palliative care of the cancer patients. Recently, it was introduced to Korea and received attention as model of total nursing care. This study was attempted to assess the efficacy of hospice care. The purpose of this study was to prove a difference in terms of physical, emotional and spiritual aspect between the group who received hospice care and who didn't receive hospice care. The subject for this study were 113 patients with advanced cancer who were hospitalized in the 8 different hospitals. 67 patients received hospice care in 4 different hospitals, and 46 patients didn't receive hospice care in another 4 different hospitals. The method of this study was the questionnaire which was made through the descriptive study. The descriptive study was made by individual contact with 102 patients of advanced cancer for 9 months period. The measurement tool for questionaire was made by author through the descriptive study, and included the personal religious orientation obtained from chung (originated R. Fleck) and 5 emotional stages before dying from Kübler Ross. The content of questionnaire consisted in 67 items which included 11 for general characteristics, 10 for related condition with cancer, 13 for wishes for physical therapy, 13 for emotional reactions and 20 for personal religious orientation. Data for this study was collected from Aug. 25 to Oct. 6 by author and 4 other nurse's who received education and training by author for the collection of data. The collected data were analysed using descriptive statistics, X2-test, t-test and pearson correlation coefficient. Results of the study were as follows: "H.C Group" means the group of patient with cancer who received hospice care. "Non H.C Group" means the group of patient with cancer who did not receive hospice care.(ABSTRACT TRUNCATED AT 400 WORDS)
真正的护理意味着全面护理，包括身体、情感和精神护理。现代护理倾向于专注于身体护理，而需要关注情感和精神护理。全面护理对于晚期癌症患者是必不可少的，为此，临终关怀护理应运而生。临终关怀护理起源于中世纪前往耶路撒冷的旅行者的住所或庇护所。然而，现代临终关怀护理的含义已转变为对临终患者的全面护理。现代临终关怀护理在英国得到发展，并传播到美国和加拿大，用于晚期癌症患者。如今，它已成为护理的一部分，临终关怀护理的概念扩展到癌症患者的姑息治疗。最近，它被引入韩国，并作为全面护理的典范受到关注。本研究旨在评估临终关怀护理的效果。本研究的目的是证明接受临终关怀护理的组与未接受临终关怀护理的组在身体、情感和精神方面存在差异。本研究的对象是在8家不同医院住院的113例晚期癌症患者。67例患者在4家不同医院接受了临终关怀护理，46例患者在另外4家不同医院未接受临终关怀护理。本研究的方法是通过描述性研究制作的问卷。描述性研究是通过与102例晚期癌症患者进行为期9个月的个人接触完成的。问卷的测量工具由作者通过描述性研究制作，包括从钟（起源于R.弗莱克）获得的个人宗教取向和库伯勒·罗斯提出的临终前5个情感阶段。问卷内容包括67个项目，其中11个为一般特征，10个为与癌症相关的状况，13个为物理治疗愿望，13个为情感反应，20个为个人宗教取向。本研究的数据由作者和其他4名接受作者数据收集教育和培训的护士于8月25日至10月6日收集。收集的数据使用描述性统计、X2检验、t检验和皮尔逊相关系数进行分析。研究结果如下：“H.C组”指接受临终关怀护理的癌症患者组。“非H.C组”指未接受临终关怀护理的癌症患者组。（摘要截选至400字）
