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서울의대 학생들을 대상으로 시행한 의학교육에 대한 설문조사 분석
서홍관(Hong Gwan Seo),황인홍(In Hong Hwang),허봉렬(Bong Yul Huh) 한국의학교육학회 1989 Korean journal of medical education Vol.1 No.2
As for the goal of medical education, it is generally accepted that it should provide the medical students with the ability to practice primary care. However, the medical education has been markedly dependent on the lecture and general hospital-based clerkship in Korea. This survey was conducted on the senior medical students (N = 209) who has been through with the entire curriculum of Seoul National University to assess the degree of satisfaction with the medical education and the ability to practice primary care. We analyzed the useful answers of the 164 objectives. The mean age of the objectives was 24.2+/-1.0 years. The results were as follows : 1. The proportion of the students who answered that he (or she) was satisfied with the medical education was 30.5% (N = 50) and that of the unsatisfied was 54.3% (N = 89). 2. The proportion of the students who answered that he (or she) has ever practiced the suture of simple laceration was 11% (N = 18). 3. The proportion of the students who answered that he (or she) could not manage the acute diarrhea of children was 63.8% (N = 104). 4. The proportion of the students who answered that he (or she) could not manage the upper respiratory tract infection of adult was 29.3% (N = 48).
윤영호,허대석,김홍수,오상우,유태우,김유영,허봉렬,Yun, Young-Ho,Heo, Dae-Seog,Kim, Hong-Soo,Ou, Sang-Woo,Yoo, Tai-Woo,Kim, You-Young,Huh, Bong-Yul 한국호스피스완화의료학회 1998 한국호스피스.완화의료학회지 Vol.1 No.1
목적: WHO의 통증관리원칙에 따른 통증관리의 효과가 입증되었으며 불충분한 통증관리의 문제점을 해결하려는 많은 노력이 있어 왔다. 본 연구는 말기암환자들의 통증정도와 불충분한 통증관리에 영향을 미치는 환자의 특성을 밝히고자 하였다. 방법: 1997년 6월부터 1997년 11월까지 서울대학교병원에서 말기암으로 판정받은 성인 암환자 100명을 대상으로 활동도, 전이여부 등을 포함한 인구 의학적 특성과, 사용되고 있는 진통제를 보정한 통증정도를 조사하였다. WHO의 통증관리지침에 따라 통증관리의 적절성을 평가하였으며 이에 영향을 미치는 환자의 특성을 조사하였다. 결과: 말기암판정당시 85%의 환자들이 통증이 있었으며 65%의 환자들이 중등도이상의 통증을 갖고 있었다. 말기암환자 38%가 불충분한 통증관리를 받고 있었으며 통증의 정도가 심할수록 불충분한 통증관리를 받고 있었다(P<0.001). 성별 연령, 암의 원발부위, 전이여부, 우울 및 불안 증상, 활동도는 통계적 유의성이 없었다. 결론: 통증관리지침이 제시되었음에도 불구하고 많은 말기암환자들이 충분한 통증관리를 받지 못하고 있다. 이를 해결하기 위해서 통증 평가방법과 통증관리지침에 관한 적극적인 교육 및 훈련이 필요하다. Purpose : Validity of WHO guideline of cancer pain management has been proven and many trials were done for resolution of inadequate management of cancer pain. We assessed the severity of pain in terminal cancer patients and patient's characteristics influencing inadequate pain management. Methods : This study was done on 100 patients who was confirmed as terminal in Seoul National University Hospital from lune 1997 to November. For getting the informations about dermographic and medical characteristics such as performance and metastasis, and drug-adjusted pain severity the patients, we reviewed the medical records and interview the patients. we assessed the adequacy of prescribed analgesics with WHO guidelines of pain management, and patient's characteristics influencing on adequacy of pain management. Results : 85.0 percent of cancer patient had pain when diagnosed as terminal cancer and 68% of patient had pain above moderate severity. 38.0 percent of those were given inadequate pain management and the greater pain severity, the less adequate(P<0.001). Sex, age, primary site of cancer, metastasis, symptoms such as depression and anxiety, and performance were not significant. Conclusion : Despite guidelines for pain management, many patients with terminal cancer received inadequate pan management. Their is a need for education about evaluation of pain and guidelines of pain management.