목적: 본 연구에서는 전국의 시 군 구 보건소 재가 암환자 관리사업의 객관적 실태분석의 일환으로 재가 암환자 관리 사업의 주 대상자인 재가 암환자를 대상으로 개발된 조사도구를 이용하여 그들의 재가 암환자 관리 요구도와 제공정도를 파악하는데 목적이 있다. 방법: 재가암환자 관리사업의 요구도 및 제공정도로 구성된 설문지를 개발 조사하고 수집된 자료는 SPSSWIN 12.0을 이용하여 빈도와 백분율을 중심으로 분석하였다. 결과: 현재 재가 암환자 관리사업을 통해 제공되고 있는 서비스를 신체적, 정서적, 영적, 교육정보적 서비스로 나누어 재가 암환자들을 대상으로 조사한 결과 요구도와 제공정도는 정서적 서비스에서 가장 높고 다음으로 교육 정보적 서비스, 영적 서비스, 신체적 서비스 순으로 조사되었다. 각 서비스별 주요 항목을 살펴보면 신체적 서비스의 경우 통증조절은 요구도에 비해 그 제공정도가 낮았고 반면 배설장애조절과 개인위생은 요구도에 비해 그 제공정도가 높은 것으로 나타났다. 또한 정서적 서비스의 경우 전반적으로 요구도와 제공정도가 높았고 영적 서비스의 경우 요구도에 알맞게 서비스가 제공되고 있는 것으로 나타났다. 결론: 본 연구는 보건소 재가암환자 관리사업에 대한 환자의 서비스 요구도와 실제 제공받은 서비스 정도를 분석한 연구로서 향후 재가 암환자의 요구도에 근거한 효율적 프로그램 개발의 기초자료로 활용이 가능할 것으로 사료된다.
목적: 본 연구에서는 전국의 시 군 구 보건소 재가 암환자 관리사업의 객관적 실태분석의 일환으로 재가 암환자 관리 사업의 주 대상자인 재가 암환자를 대상으로 개발된 조사도구를 이용하여 그들의 재가 암환자 관리 요구도와 제공정도를 파악하는데 목적이 있다. 방법: 재가암환자 관리사업의 요구도 및 제공정도로 구성된 설문지를 개발 조사하고 수집된 자료는 SPSS WIN 12.0을 이용하여 빈도와 백분율을 중심으로 분석하였다. 결과: 현재 재가 암환자 관리사업을 통해 제공되고 있는 서비스를 신체적, 정서적, 영적, 교육정보적 서비스로 나누어 재가 암환자들을 대상으로 조사한 결과 요구도와 제공정도는 정서적 서비스에서 가장 높고 다음으로 교육 정보적 서비스, 영적 서비스, 신체적 서비스 순으로 조사되었다. 각 서비스별 주요 항목을 살펴보면 신체적 서비스의 경우 통증조절은 요구도에 비해 그 제공정도가 낮았고 반면 배설장애조절과 개인위생은 요구도에 비해 그 제공정도가 높은 것으로 나타났다. 또한 정서적 서비스의 경우 전반적으로 요구도와 제공정도가 높았고 영적 서비스의 경우 요구도에 알맞게 서비스가 제공되고 있는 것으로 나타났다. 결론: 본 연구는 보건소 재가암환자 관리사업에 대한 환자의 서비스 요구도와 실제 제공받은 서비스 정도를 분석한 연구로서 향후 재가 암환자의 요구도에 근거한 효율적 프로그램 개발의 기초자료로 활용이 가능할 것으로 사료된다.
Purpose: As a part of the analysis of home-based cancer patients management of public health renters in cities, counties and districts across the nation, this study is to understand the degree of patient demands for that management and the degree and scope of the supply for the patient's demand. Met...
Purpose: As a part of the analysis of home-based cancer patients management of public health renters in cities, counties and districts across the nation, this study is to understand the degree of patient demands for that management and the degree and scope of the supply for the patient's demand. Methods: Developed the questionnaire which was constituted of degree of demand and supply for home-based cancer patient management and analyzed data centering on the frequencies and percentages by utilizing SPSS WIN 12.0. Results: The services provided through the home-based cancer patients management project include physical, emotional, spiritual and education/informative services. A survey was conducted for home-based cancer patients about these services, and its result showed that the degree of demand and supply was highest for emotional service, followed by education/informative service, spiritual service and physical service in the order of the demand-supply degree. When main items for each service were examined, it was found that: in the case of physical service, pain control was provided murk lower than its demand, while excretion disorder control and individual hygiene is provided murk more than its demand. In the case of emotional service, the degree of demand was overall higher than that of supply; spiritual service was provided appropriately to the degree of demand. Conclusion: This study examines the home-based canter patients management project of public health centers and compares and analyzes the degree of demand for patient services and the degree of services that are actually provided. The findings could be used as based data for the development of effective programs in future on the basis of actual demands of home-based cancer patients.
Purpose: As a part of the analysis of home-based cancer patients management of public health renters in cities, counties and districts across the nation, this study is to understand the degree of patient demands for that management and the degree and scope of the supply for the patient's demand. Methods: Developed the questionnaire which was constituted of degree of demand and supply for home-based cancer patient management and analyzed data centering on the frequencies and percentages by utilizing SPSS WIN 12.0. Results: The services provided through the home-based cancer patients management project include physical, emotional, spiritual and education/informative services. A survey was conducted for home-based cancer patients about these services, and its result showed that the degree of demand and supply was highest for emotional service, followed by education/informative service, spiritual service and physical service in the order of the demand-supply degree. When main items for each service were examined, it was found that: in the case of physical service, pain control was provided murk lower than its demand, while excretion disorder control and individual hygiene is provided murk more than its demand. In the case of emotional service, the degree of demand was overall higher than that of supply; spiritual service was provided appropriately to the degree of demand. Conclusion: This study examines the home-based canter patients management project of public health centers and compares and analyzes the degree of demand for patient services and the degree of services that are actually provided. The findings could be used as based data for the development of effective programs in future on the basis of actual demands of home-based cancer patients.
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문제 정의
As a part of the objective analysis on the management projects for home-based cancer patients of public health centers in cities, counties and districts across the nation, this study is to understand the degree of patients' demand for that management and the degree of the supply for the patients' demand, intending for the home-based cancer patients as the major subject for the project.
제안 방법
Reviewing the analysis for each service, in case of the physical service, the degree of pain control supply is observed to be low, yet its demand is to be high and also the control for disorder of physical protective mechanism is provided at a relatively lower degree, comparing to its degree of demand, and on the contrary, the control of elimination disorder and personal sanitation are observed to be supplied at a relatively higher degree, comparing to its demand. It is, thus, thought that the supply of service needs to be adjusted by considering the priority order.
성능/효과
(1) Difficulties: The difficulties in medical treatment for cancers are observed highly in economic problems as 38.8%, followed by physical problems as 26.7%, relations in family as 10.2%, emotional problems as 10.2%, pain control as 6.1%, emergency system as 3.6%, spiritual problems as 2.3%, communication problems with doctors as 1.8%, communication problems with nurses as 0.3% (Table 10).
(1) Distribution per Region and Sex: Total 356 patients answered the questions, as male 48, 6% and female 51.4%. The respondents to the questionnaire is largely distributed in Gyeongnam as 20.
(1) Physic지 Service: As the result of analyses on the degrees of demand and supply for each service, the physical service is supplied mostly for the dystrophy control as 68.2%, followed by for physical defense mechanism disorder control as 68.1%, for excretion disorder control as 55.7%)for personal sanitation as 55.6%, for physical protective mechanism disor der control as 54.3% and for pain control as 47.5%. And the service for dyspnea control is observed to be least supplied as 30.
(2) Emotional Service: The emotional service is found out to 'be supplied' by more than 80% for the depression and anxiety management, and the sympathy by talking. Among such service, the sympathy by talking is most highly demand as 2.
(2) Hospitalization Histoiy: 95.9% of the responding patients have been hospitalized and the average number of hospitalizations is 2.9 times (Table 9).
(3) Comparison of Difficulties in Treatment for Cancers, according to Family Types: In case of the analysis on difficulties according to the family type, the large family told the physical problems as the significant one than economic problems while other family types regard the economic problems as the biggest difficulties. And especially grandpar ents-grandchildren families have much more difficulties than married couple-centered families do (Table 12).
(3) Educational Background: As for the distribution of the educational background of the responding patients, elementary school graduation is most highly observed as 42.7%, followed by mid히e school graduation as 21.6%, high school graduation as 20.8%, non-educated as 10.7% and university graduation as 4.2% (Table 3).
(3) Spiritual Service: The spiritual service is observed to be supplied by talking together about future worries as 59.1% and by religious help as 45.0%, and the degree of demand for those services is observed as 2.53~point and 2.32-point, respectively (Table 16).
(4) Educational-Informational Service: As for the educational-information service, the supply of disease process information is shown to be highest as 86.7%, followed by explanation of required adverse symptoms at visit as 80.8%, supply of preventive information against infection as 69.1%, explanation of nursing methods according to treatment as 60.3%, explanation of treatment cost as 48.4%, supply of sex life information as 10.6%. The degree of demand is observed to be highest in explanation of required adverse symptoms at visit as 2.
(4) Religion: The religions of the patients themselves are highly observed in Buddhism as 35.1%, no-religions as 29.5%, Christianity as 21.1%, Roman Catholicism as 11.0% and others as 3.4% (Table 4).
The degree of demand for those services is shown to be greatest in dystrophy control as 2.73 points, followed by sense of security disorder control as 2.64 points, pain control as 2.64 points and physical protective mechanism disorder control as 2.46 points, and the dyspnea control is observed to be lowest as 1.93 points (Table 14).
후속연구
85 In addition, it is expected the results can be utilized as the basic data for future policies. There have Ixen, however, much difficulty in carrying out surveys for the cancer patients on the environment of struggle against the disease, so it is hoped that further studies intend ing for families of cancer patients and responsible persons in public health centers will make up for the limitation of this study.
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