일부 복지관 장애인치과 내원 환자들의 서비스 만족도 및 진료 후 변화 인식도 연구

박순주 ( Soon Ju Park ),최성우 ( Seong Woo Choi ),박선숙 ( Sun Sook Park ) 한국치위생학회 2010 한국치위생학회지 Vol.10 No.6

일부 복지관 장애인치과 내원 환자들의 서비스 만족도 및 진료 후 변화 인식도 연구

박순주 ( Soon Ju Park ),최성우 ( Seong Woo Choi ),박선숙 ( Sun Sook Park ) 한국치위생과학회 2010 치위생과학회지 Vol.10 No.6

Objectives: The purpose of this study is about discovering the basic references to find the ways to vitalize handicapped dental clinics. Methods: The study was analyzed by the satisfactions of those patients who took the advantages of using the dental care at B-welfare center and also their transformed perceptions after the services are influenced. The analysis was the questionnaire consisting of 100 items and survey data. Results: 1. The satisfaction of the dental service for the disabled was respectively high which was the average of 4.49. 2. Their satisfactions of receiving kindness services by volunteers and employees were the highest in the entire research of successful handicapped dental services and it was 4.78 overall. 3. The satisfaction of using handicapped dental clinic has the higher range of female users than male`s. In the mean time treatment details of the dental care and the satisfaction towards to the volunteers and faculty at the center show the statistical significance gap. 4. The oral care service after experiencing the dental clinic for handicapped relived their discomforts of using the regular dental clinic which shows their highest satisfaction as it is the point of 4.75. 5. the change perception after dental treatment for handicapped has the higher range of females than men`s and solving the problems of mouth reference and discomfort of using regular clinics show the statistical significance gap. 6. In the change perception after having dental treatment for handicapped the thought of the possibility of periodical dental care shows the highest perception when the number of visiting is usually shorter and it shows the statistical significance. Conclusions: According to the satisfaction of those inpatients who use free dental care services that belong to dental clinics for handicapped in a part of Seoul welfare centers human services were appeared as the most important factor due to their advantages of taking services from volunteers and staff members. On the other hand to enhance the medical treatment information and environment which showed the weakest factors each inpatient should be specifically specialized for their needs and also further study on plans which enhance their perceptions toward to a better quality of oral-related life is required after using dental treatment service.

성매매피해여성의 탈업소에 영향을 미치는 요인 -집결지 자활지원 사업을 중심으로-

하지선 ( Ji Seoun Ha ),박순주 ( Sun Ju Park ),김나연 ( Na Yeon Kim ),김인숙 ( In Sook Kim ) 한국가족사회복지학회 2010 한국가족복지학 Vol.30 No.-

본 연구는 집결지 자활지원사업에 참여한 성매매피해여성의 탈업소에 영향을 미치는 요인을 파악하여 정책적인 함의를 제시하고자 한 연구이다. 이를 위해 전국 집결지 자활지원사업 수행기관으로부터 서비스 지원을 받은 여성 1,304명의 자료를 분석하였다. 분석결과, 2004~2008년의 집결지 자활지원사업에 참여한 성매매피해여성의 탈업소 성공률이 60.6%로 나타났다. 또한 로지스틱회귀분석을 사용하여 탈업소 성공률을 높이는 요인을 살펴본 결과, 개인적 요인(종사년 수, 부채액 수, 거주지 유무, 지지적 가족원 유무)을 통제한 상태에서도 정책적지원 요인(총 상담기간, 총 지원액, 주거연계 및 지원)이 성매매피해여성의 탈업소에 영향을 미치는 요인으로 검증되었다. 즉, 총 상담기간이 길수록, 총 지원액이 많을수록, 주거연계 및 지원이 이루어진 경우일수록 탈업소 성공률은 유의미하게 높아졌다. 본 연구 결과를 바탕으로 집결지 자활지원사업에 참여하는 성매매피해여성에 대해 충분한 상담기간과 지원액이 유지, 확대 되어야함을 제언하였다. 더불어 성매매피해여성의 탈업소의 조건이 되는 주거지원과 가족개입, 조기 현장구출에 대해서도 논하였다. The purpose of this study is to understand factors affecting exit from prostitution of sexually-exploited women who participated in support program for victims of conglomerated prostitution and to present implications in policy. The author in this study analyzed the data of 1,304 women who accepted service support from competent authorities performing support program for sexually-exploited women of the nation. As a result, the success rate of exit from prostitution of sexually-exploited women who participated in the support program for victims of conglomerated prostitution between 2004 and 2008 was 60.6%. When logistic regression analysis was used to identify factors enhancing the success rate of exit from prostitution, under the control of personal factors, factors of support in policy affected exit from prostitution of sexually-exploited women. In other words, the success rate of exit from prostitution was higher as the total hours of counsel and the total support fund were longer and larger. Based on the results of this study, the author suggests that sufficient period and fund of support are needed to be maintained and expanded for the sexually-exploited women who participated in the support program for victims of conglomerated prostitution, and argues of support of residence and family intervention in order to improve personal conditions as conditions of exit from prostitution of sexually-exploited women.

호스피스 병동 입원 환자의 삶의 질 변화

박테레지아,송혜향,서인옥,조영이,박명희,허정희,김은경,박순주,라정란,Park, Theresia,Song, Hae-Hiang,Seo, In-Ok,Cho, Young-Yee,Park, Myung-Hee,Heo, Jeong-Hee,Kim, Eun-Kyung,Park, Sun-Ju,Ra, Jeong-Ran 한국호스피스완화의료학회 2000 한국호스피스.완화의료학회지 Vol.3 No.1

목적 : 본 연구는 강남성모병원 호스피스 병동에 입원한 환자들의 입원 시 삶의 질과 간호서비스를 받는 동안 삶의 질 변화와 호스피스 간호서비스가 말기환자의 삶의 질에 미치는 영향을 알아보고자 시도하였다. 방법 : 1999년 10월부터 2000년 3월 사이에 가톨릭 대학교 강남성모병원 호스피스 병동에 입원한 환자와 가족 100명을 대상으로 연구자가 수정, 보완하여 개발한 설문지를 통해 자료를 수집하였고, 수집된 자료는 repeated measures ANOVA로 분석하였다. 결과 : 1) 간호제공자에 의해 인지된 환자의 삶의 질 평점은 입원시, 입원 1, 2, 3, 4주에 각각 3.31, 3.68, 3.56, 3.73, 3.75로 입원 당시보다 시간이 지남에 따라 유의하게 향상되었고, 입원시점에 따라 항목별로 살펴 볼 때 "신체적 청결"(F=6.50, P=0.0001) "통증조절"(F=18.01., P=0.0001) "대변상태"(F=2.96, P=0.0237) "수면상태"(F=3.99, P=0.0048) "메스꺼움/구토"(F=4.50, P=0.0022) "의료진의 편안한 돌봄"(F=3.95, P=0.0051) "가족들의 돌봄"(F=2.76, P=0.0317) "불안감"(F=3.14, P=0.0177) "마음이 편안함"(F=3.63, P=0.0085) "인간적인 대우"(F=3.32, P=0.0136) "죽음이 끝이 아니라 새로운 시작이라고 생각함"(F=2.54, P=0.0450) 등의 항목에서 유의한 차이가 있었다. 2) 환자 자신에 의해 인지된 삶의 질 평점은 입원 시와 입원 1주에 각각 3.63, 3.83으로 향상되었지만 유의한 차이는 보이지 않았다. 입원시점에 따라 항목별로 살펴볼 때 "통증조절" 항목만이 유의한 변화를 보였다. 3) 사망시점으로부터 삶의 질 평점은 사망 5주전, 4주전, 3주전, 2주전, 1주전에 각각 3.48, 3.51, 3.44, 3.46, 3.50이었으며 유의한 차이는 없었다. 결론 : 본 연구의 결과 호스피스 서비스는 말기 환자의 삶의 질에 긍정적인 영향을 주는 것으로 보여졌다. 따라서 호스피스 서비스의 질 향상을 위해 호스피스 환자들을 지지해 줄 중재방안을 모색해야 하며, 특히 간호의 영적 영역에 초점을 두어야 하겠다. 또한 말기 환자의 주관적인 삶의 질 측정을 위해 도구개발이 이루어져야 하며 대상자를 확대하여 계속적인 연구가 있어야 할 것으로 생각된다. Purpose : This study aims to find out the quality of life of patients admitted to the hospice unit at Kangnam St. Mary's Hospital, at admission and after weeks hospice service and to assess the effects of hospice service on the quality of life of terminal cancer patients. Methods : This study subjects were 100 patients admitted to the hospice unit at Kangnam St. Mary's Hospital, Catholic University between October 1999 and March 2000, and their primary caregivers. Quality of life data were collected using a questionnaire revised by the authors and were analyzed by means of repeated measures ANOVA. Results : 1) Patient's quality of life as perceived by the primary caregiver was significantly improved and the mean score was 3.31, 3.68, 3.56, 3.73, 3.75 at admission and week 1, 2, 3, 4. With the detailed item analysis, the following items were shown to be significantly improved: "clean bodies"(F=6.50, P=0.0001) "pain control"(F=18.01, P=0.0001) constipate"(F=2.96, P=0.0237) "sleep"(F=3.99, P=0.0048) "nausea/vomiting"(F=4.50, P=0.0022) "medical team's comfortable care" (F=3.95, P=0.0051) "family's care"(F=2.76, P=0.0317) "anxiety" (F=3.14, P=0.0177) "comfort"(F=3.63, P=0.0085) "treat with dignity"(F=3.32, P=0.0136). The item of "death is not the end of life rather the beginning" was significantly decreased(F=2.54, P=0.0450). 2) Patient's quality of life as perceived by the patient showed an improvement but statistically insignificant and the mean score was 3.63 and 3.83 at admission and week 1. With the detailed item analysis, the item of "pain control" was shown to be significantly improved(F=9.19, P=0.0251). 3) The quality of score in the last week of life of patient were 3.48, 3.51, 3.44, 3.46, 3.50, respectively, from 5 week prior to 1 week prior to death and these changes were insignificant. Conclusion : The findings of this study showed a positive effect of hospice service on quality of life of the terminal cancer patients admitted to the hospice unit. To improve the quality of life, we need first of all to develop hospice interventions with a particular emphasis on the spiritual aspect of patient. Secondly, measurement instruments need to be developed to collect the quality of life of the hospice patients who become weakened especially in the last weeks of their life and with this effort more representative data of hospice patients may be collected.