보건소 호스피스완화케어 서비스를 제공받는 재가 말기암 환자의 삶의 질 구조분석
Structural Analysis on Quality of Life for Terminal Cancer Patients provided Hospice and Palliative Care Services in Community Health Centers
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초록
Objectives: The purpose of this study was to identify the predictors of quality of life (QOL) for terminal cancer patients admitted into the community health center, and to establish a hypothetical model to explain and verify causative relationships among the variables. Methods: Data were collected from January 2015 to June 2016. Participants were 237 registered patients in Busan Metropolitan City hospice & palliative care center. The descriptive and correlation statistics were analyzed using the SPSS/WIN 24.0, and the structural equation modeling procedure was performed using the AMOS 24.0 program. Results: The results of this study showed that the physical symptoms of terminal cancer patients were the most direct factors affecting the QOL, and satisfaction with health care services has a direct effect on the QOL. Conclusions: The study contributes to drawing up measures to improve QOL for terminally ill cancer patients who are living in the end-of-life section of the community by revealing the causal relationship to the QOL for terminal cancer patients.
Abstract
Objectives: The purpose of this study was to identify the predictors of quality of life (QOL) for terminal cancer patients admitted into the community health center, and to establish a hypothetical model to explain and verify causative relationships among the variables. Methods: Data were collected from January 2015 to June 2016. Participants were 237 registered patients in Busan Metropolitan City hospice & palliative care center. The descriptive and correlation statistics were analyzed using the SPSS/WIN 24.0, and the structural equation modeling procedure was performed using the AMOS 24.0 program. Results: The results of this study showed that the physical symptoms of terminal cancer patients were the most direct factors affecting the QOL, and satisfaction with health care services has a direct effect on the QOL. Conclusions: The study contributes to drawing up measures to improve QOL for terminally ill cancer patients who are living in the end-of-life section of the community by revealing the causal relationship to the QOL for terminal cancer patients.
참고문헌 (25)
- 권인각, "재가 말기암 환자의 삶의 질 관련 요인", 임상간호연구, 14(2), pp.103~114 (2008), 병원간호사회
- 김수현, "Evaluation of a Home-Based Hospice and Palliative Care Program in a Community Health Center in Korea", Asian Nursing Research, 3(1), pp.24~30 (2009), 한국간호과학회
- 김현숙, "Hospice Palliative Care in South Korea: Past, Present, and Future", Journal of Hospice and Palliative Care, 19(2), pp.99~108 (2016), 한국호스피스완화의료학회[DOI]
- 김숙남, "Development of a Community-Based Palliative Care Model for Advance Cancer Patients in Public Health Centers in Busan, Korea", Cancer Research and Treatment, 49(3), pp.559~568 (2017), 대한암학회
- 최순옥, "일 지역 보건소 등록 호스피스 완화돌봄 대상자의 특성 및 증상 분석", Journal of Hospice and Palliative Care, 18(4), pp.329~334 (2015), 한국호스피스완화의료학회[DOI]
- 이지희, "저소득층의 삶의 질에 영향을 미치는 요인분석 -심리적 안녕감의 매개효과를 중심으로-", 한국비교정부학보, 21(2), pp.85~109 (2017), 한국비교정부학회[DOI]
- M.G. Nayak, "Quality of life among cancer patients", Indian Journal of Palliative Care, 23(4), pp.445~450 (2017)
- 강명희, "재가암환자의 신체 증상들과 정신적, 사회적, 영적, 그리고 경제적 돌봄 요구도", Journal of Hospice and Palliative Care, 17(4), pp.216~222 (2014), 한국호스피스완화의료학회
- 최영순, "보건의료서비스 이용자의 사회경제적 특성이 보건의료서비스의 여건변화 지각에 미치는 영향", 한국산학기술학회논문지, 16(5), pp.3276~3283 (2015), 한국산학기술학회[DOI]
- 이미숙, "한국 성인의 건강불평등:사회계층과 지역 차이를 중심으로", 한국사회학, 39(6), pp.183~209 (2005), 한국사회학회
- I.B. Wilson, "Linking Clinical Variables with Health –related Quality of Life, A Conceptual Model of patient Outcomes", Journal of the American Medical Association, 273(1), pp.59~65 (1995)
- D.W. Shin, "Measuring Comprehensive Outcomes in Palliative Care: Validation of the Korean Version of the Good Death Inventory", Journal of Pain and Symptom Management, 32, pp.632~642 (2011)
- M.J. Calvert, "Use of Health-related Quality of Life in Prescribing Research. Part 1: Why Evaluate Health Related Quality of Life?", Journal of Clinical Pharmacy and Therapeutics, 28, pp.513~521 (2003)
- H.S. Lee, "Structural Equation Modeling with AMOS", pp.18~ (2012), JypHyunJee Publishing Co
- D. Hui, "The Edmonton Symptom Assessment System 25 Years Later: Past, Present, and Future Developments", Journal of Pain and Symptom Management, 53(3), pp.630~643 (2017)
- Polish Report, "Y.S. Shin", Korea Institute for Health and Social Affairs, 188~190 (2011)
- K.S. Kim, "Analysis Structural Equation Modeling", pp.310~317 (2001), SPSS Academy
- 김혜진, "국내 성인 말기암 환자의 삶의 질에 대한 통합적 고찰", 성인간호학회지, 29(4), pp.419~431 (2017), 한국성인간호학회[DOI]
- 고정옥, "성인 뇌전증 환자의 건강관련 삶의 질 구조모형", Journal of Korean Academy of Nursing, 47(5), pp.624~637 (2017), 한국간호과학회
- 황선욱, "진행암 환자의 증상군", Journal of Hospice and Palliative Care, 16(3), pp.139~144 (2013), 한국호스피스완화의료학회
- 김민경, "삶의 질에 영향을 미치는 개인 및 지역사회 수준의 관련요인", Journal of The Korean Data Analysis Society, 19(2), pp.1025~1037 (2017), 한국자료분석학회[DOI]
- 권소희, "지역사회기반 호스피스완화케어에서의 의료지원서비스 요구분석", 보건의료산업학회지, 10(4), pp.109~121 (2016), 보건의료산업학회
- 김진현, "의료보장성이 주관적 건강상태의 변화에 미치는 영향: 차상위계층과 상위중산층 비교", 보건행정학회지, 26(4), pp.390~398 (2016), 한국보건행정학회
- 김태형, "보건서비스 분야에 대한 사회복지교육의 과제: 미충족 보건서비스와 사회적 고립감을 중심으로", 한국사회복지교육, 25, pp.123~146 (2014), 한국사회복지교육협의회
- 박진아, "성인 암환자 삶의 질 영향요인 -국민건강영양조사 제6기 2차년도(2014)", 한국산학기술학회논문지, 18(5), pp.382~390 (2017), 한국산학기술학회[DOI]