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호스피스와 비호스피스 병실에 입원한 말기 암 환자의 진료비용 분석
김남초,용진선,유소영,Kim, Nam-Cho,Young, Jin-Sun,You, So-Young 한국호스피스완화의료학회 2007 한국호스피스.완화의료학회지 Vol.10 No.1
목적: 본 연구는 위암과 폐암 말기로 진단받고 동일 병원에 입원하여 호스피스 대상자와 비대상자로 치료를 받다가 사망한 환자 114명을 대상으로 사망시점부터 14일 전까지의 진료비를 분석하여 양 대상을 비교하는데 있다. 방법: 진료비 분석에 대한 후향적 조사연구 설계로서 진료비 분석에 대한 도구는 C 대학 K 병원의 진료비 계산서 영수증을 기초로 하여 작성된 11개 항목에 대한 각각의 진료비 및 총액이었다. 결과: 호스피스 대상자의 진료비가 비 호스피스 대상자에 비해 낮았는데 특히 고단위 영양제, 마약성 진통제, 간호처치료, 방사선 검사, 혈액검사항목에서 통계적으로 유의하게 낮았다. 또한 호스피스 대상자 중에서는 호스피스 전담의의 유무에 따라 진료비의 총액에는 차이가 없었으나 기타 진통제 항목에서 전담의가 있었던 시기가 전담의가 없었던 시기에 비해 진료비용이 유의하게 높았다. 결론: 본 연구결과 동일기간 내 호스피스 대상자의 진료비용이 비 대상자에 비해 약 53%에 지나지 않음을 알 수 있어 범국가적인 차원의 호스피스 제도화 도입이 시급하다고 본다. Purpose: The purpose of this study was to show the differences of medical cost between hospice and non-hospice care for terminally ill patients. This information provides basic data to nationally institutionalize hospice care for decreasing costs and enhancing quality of life for terminally ill patients. Methods: Participants of this study were 114 terminally ill cancer patients who were diagnosed and died with stomach cancer and lung cancer at the K hospital of the C university. The study was a retrospective survey design that analyzed the medical costs for two weeks before they died. The cost analysis was done according to 11 items form the medical cost bill. Results: Patients enrolled in hospice care had significantly lower medical costs (53%) than did non-hospice patients especially in use of TPN, narcotic analgesics, nursing care, radiology tests, and blood tests. Among patients enrolled/admitted in the hospice unit, there was a significant cost difference only in use of analgesics whether the hospice specialized doctor was in charge of care or not. The cost was significantly lower when a hospice specialized doctor was in charge of care although the total medical cost was the same. Conclusion: This study identified lower medical costs for patients cared for in the hospice unit. Thus, we urge institutionalizing hospice care without delay to insure cost benefits as well as quality care.
김남초 ( Kim Nam Cho ),양수 ( Yang Su ),박호란 ( Park Ho Lan ),송경애 ( Song Gyeong Ae ),이소영 ( Lee So Yeong ),장혜원 ( Jang Hye Won ) 한국정신간호학회 2003 정신간호학회지 Vol.12 No.1
N/A Purpose: This study is to survey parents` recognition, attitude and educational need about adolescent drinking. Methods: This survey was conducted through questioning the parents of samples on the subjects from November 5th to 22th of 2002. Those are 3,493 students and 2,522 parents of the students of the 1st and 2nd grade, who were selected randomly among 26 middle and high schools in Socho-gu, Seoul. Results: The parents who had experienced drinking were 89.1% of the samples and the those who had drunk two times a week were 26% of them. The parents who knew that their children had experienced drunk were 28.8% of the samples of the samples, the 6.5% of them knew that their children were drinking then. The 93.6% of the samples thought that the education preventing their children from drinking was necessary. The parents who thought that the drinking preventive education was necessary, and who thought the adolescent drinking serious got the higher score than the parents who did not think as such. Conclusion: It is necessary that the education programs appropriate to the education need of the parents must be developed and conducted, In addition to that, we have to do further studies which could compare the variation of the parents` recognition and attitudes toward their children`s drinking after the execution of education program about adolescent drinking.
개별 심장재활교육이 경피적 관상동맥 중재술(PCI) 환자의 지식과 불안에 미치는 효과
김남초(Kim Nam-Cho),최경옥(Choi Kyung-Ok) 기본간호학회 2006 기본간호학회지 Vol.13 No.1
Purpose: This study was done to evaluate the effectiveness of cardiac rehabilitation education individualized to PCI patients in order to improve their knowledge of these diseases and to lessen their anxiety. Method: A Quasi-experimental design with non-equivalent control group non-synchronized design was used. The experimental group had the PCI operation for ischemic heart disease and individualized cardiac rehabilitation education and counseling twice for 25 minutes each time using an educational booklet developed by the authors. The effects of the education were analyzed using a knowledge assessment tool, state anxiety inventory and anxiety visual analogue scale. Results: The experimental group who received the individualized cardiac rehabilitation education showed a high level of knowledge about diseases compared to the control group and particularly showed a significant difference in knowledge about the drugs used for treatment. However, no significant difference was observed between the two groups in the level of state anxiety and anxiety visual analogue scale. Conclusion: Individualized cardiac rehabilitation education did not reduce anxiety but it was effective in enhancing the participants' knowledge about the diseases. Thus, it can be utilized effectively in addressing risk factors in ischemic heart diseases by providing education individualized according to patients' demands and knowledge levels.