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논문KCI 등재

암 환자의 치료에 대한 요구도와 관련된 요인분석

Analysis of the Factors Related to the Needs of Patients with Cancer

박종혁|박재현|김성경|서주현|이선희|이정아
대한예방의학회 (The Korean Society For Preventive Medicine)|2010.05|예방의학회지 (Journal of Preventive Medicine and Public Health)|제43권 제3호|pp. 222-234

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참고문헌

키워드

CancerPatientsNeedsNeoplasms
주제분류예방의학/직업환경의학

초록

Objectives: Limited research has investigated the specific needs of patients with cancer. This study was performed to explore patients needs and the related factors. Methods: The data were collected by 1 National Cancer Center and 9 regional cancer centers in Korea. An interview survey was performed with using a structured questionnaire for the subjects(2661 patients who gave written informed consent to particiate) survey 4 months after diagnosis and review of medical records. Data were analyzed using t-test, ANOVA and multiple regression analysis. Results: When comparing the relating factors related with patient needs to the sociodemographic characteristics, the female group showed a higher level of recognition for physical symptoms, social support needs. The younger group showed a significantly higher level of recognition for health care staff, psychological problems, information and education, social support, hospital services needs. In addition, the higher educated group showed a higher level of recognition for health care staff, physical symptoms, social support needs. The higher income and office workers group showed a higher level of recognition for hospital services needs. When comparing the relating factors related with patient needs to the cancer, the breast cancer group showed a higher level of recognition for all needs excluding physical symptoms, accessibility and financial support needs. The combined radiotherapy with surgery and chemotherapy group showed a higher level of recognition for psychological problems, information and education, social support needs. Conclusions: This study showed that needs on patient with cancer was significantly influenced by female, higher educagion,lower income, having religion, office worker, liver cancer, breast cancer, colon cancer, chemotherapy, and combined therapy.

Abstract

Objectives: Limited research has investigated the specific needs of patients with cancer. This study was performed to explore patients needs and the related factors. Methods: The data were collected by 1 National Cancer Center and 9 regional cancer centers in Korea. An interview survey was performed with using a structured questionnaire for the subjects(2661 patients who gave written informed consent to particiate) survey 4 months after diagnosis and review of medical records. Data were analyzed using t-test, ANOVA and multiple regression analysis. Results: When comparing the relating factors related with patient needs to the sociodemographic characteristics, the female group showed a higher level of recognition for physical symptoms, social support needs. The younger group showed a significantly higher level of recognition for health care staff, psychological problems, information and education, social support, hospital services needs. In addition, the higher educated group showed a higher level of recognition for health care staff, physical symptoms, social support needs. The higher income and office workers group showed a higher level of recognition for hospital services needs. When comparing the relating factors related with patient needs to the cancer, the breast cancer group showed a higher level of recognition for all needs excluding physical symptoms, accessibility and financial support needs. The combined radiotherapy with surgery and chemotherapy group showed a higher level of recognition for psychological problems, information and education, social support needs. Conclusions: This study showed that needs on patient with cancer was significantly influenced by female, higher educagion,lower income, having religion, office worker, liver cancer, breast cancer, colon cancer, chemotherapy, and combined therapy.

참고문헌 (35)

  1. Berwick DM, "The total customer relationship in health care:broadening the bandwidth", Jt Comm J Qual Improv, 23(5), pp.245~250 (1997)
  2. Hwang JI, "Application of general QA tools to quality improvement activities in a hospital’s emergency room", J Korean Soc Qual Assur Health Care, 6(1), pp.136~149 (1999)
  3. 정민수, "Perceived Service Quality among Outpatients Visiting Hospitals and Clinics and Their Willingness to Re-utilize the Same Medical Institutions", 예방의학회지, 42(3), pp.151~159 (2009), 대한예방의학회
  4. Wen KY, "Gustafson DH. Needs assessment for cancer patients and their families", Health Qual Life Outcomes, 2(1), pp.11~ (2004)
  5. Cegala DJ, "A study of doctors’ and patients’ communication during a primary care consultation: implications for communication training", J Health Commun, 2(3), pp.169~194 (1997)
  6. Schulz R, "Caregiving as a risk factor for mortality: the Caregiver Health Effects Study", JAMA, 282(23), pp.2215~2219 (1999)
  7. Peters-Golden H, "Breast cancer: varied perceptions of social support in the illness experience", Soc Sci Med, 6(4), pp.483~491 (1982)
  8. The SUPPORT Principal Investigators, "A controlled trial to improve care for seriously ill hospitalized patients: the study to understand prognoses and preferences for outcomes and risks of treatments (SUPPORT)", JAMA, 274(20), pp.1591~1598 (1995)
  9. McGlynn EA, "The quality of health care delivered to adults in the United States", N Engl J Med, 348(26), pp.2635~2645 (2003)
  10. Hur HK, "Information needs of women with breast cancer", Korean Acad Adult Nurs, 12(2), pp.286~295 (2000)
  11. Bloom JR, "Social support, accomodation to stress and adjustment to breast cancer", Soc Sci Med, 16(4), pp.1329~1338 (1982)
  12. "Ewha University", 1997
  13. "Ewha Women’s University", 2002
  14. Kim MS, (2000), Yonsei University
  15. Cobb S, "Presidential Address-1976. Social support as a moderator of life stress", Psychosom Med, 38(5), pp.300~314 (1976)
  16. Mor V, "The changing needs of patients with cancer at home", A longitudinal view. Cancer, 69(3), pp.829~838 (1992)
  17. Mor V, "Determinants of need and unmet need among cancer patients residing at home", Health Serv Res, 27(3), pp.337~360 (1992)
  18. Kurtz ME, "Loss of physical functioning among patients with cancer: a longitudinal view", Cancer Pract, 1(4), pp.275~281 (1993)
  19. Sanson-Fisher R, "The unmet supportive care needs of patients with cancer", Supportive Care Review Group. Cancer, 88(1), pp.226~237 (2000)
  20. National Cancer Center, "Development of Cancer Care Quality Assurance and Cancer Patients’ Welfare System" (2008), National Cancer Center
  21. Bonevski B, "Evaluation of an instrument to assess the needs of patients with cancer", Supportive Care Review Group. Cancer, 88(1), pp.217~225 (2000)
  22. Osse BH, "Towards a new clinical tool for needs assessment in the palliative care of cancer patients: the PNPC instrument", J Pain Symptom Manage, 28(4), pp.329~341 (2004)
  23. Fortner B, "The Cancer Care Monitor: psychometric content evaluation and pilot testing of a computer administered system for symptom screening and quality of life in adult cancer patients", J Pain Symptom Manage, 26(6), pp.1077~1092 (2003)
  24. Emanuel LL, "Concise screening questions for clinical assessments of terminal care: the needs near the end-of-life care screening tool", J Palliat Med, 4(4), pp.465~474 (2001)
  25. Romsaas EP, "A method for assessing the rehabilitation needs of oncology outpatients", Oncol Nurs Forum, 10(3), pp.17~21 (1983)
  26. Coyle N, "Development and validation of a patient needs assessment tool (PNAT) for oncology clinicians", Cancer Nurs, 19(2), pp.81~92 (1996)
  27. Ahmedzai SH, "Improving Access to Specialist Palliative Care: developing a Screening Measure to Assess the Distress Caused by Advanced Illness that May Require Referral to Specialist Palliative Care. In:" (2004), University of Sheffield and Trent Palliative Care Centre
  28. Tamburini M, "Assessment of hospitalised cancer patients’ needs by the Needs Evaluation Questionnaire", Ann Oncol, 11(1), pp.31~37 (2000)
  29. McIllmurray MB, "The psychosocial needs of cancer patients: findings from an observational study", Eur J Cancer Care, 10(4), pp.261~269 (2001)
  30. Cassileth BR, "The effect of experience on radiation therapy patients’ desire for information", Int J Radiat Oncol Biol Phys, 6(4), pp.493~496 (1980)
  31. Jenkins V, "Information needs of patients with cancer: results from a large study in UK cancer centres", Br J Cancer, 84(1), pp.48~51 (2001)
  32. Meredith C, "Information needs of cancer patients in west Scotland: cross sectional survey of patients’ views", BMJ, 313(7059), pp.724~726 (1996)
  33. 김기연, "암 환자의 정보요구 분석", 성인간호학회지, 14(1), pp.135~143 (2002), 성인간호학회
  34. Song HW, "Spiritual needs of patients with cancer", Korea J Christian Counsel, 8(1), pp.141~162 (2004)
  35. 한경자, "항암화학요법 종료 시기 암환자의 요구*", 종양간호학회지, 5(2), pp.107~115 (2005), 대한종양간호학회

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