외래 환자들의 의약품 정보원과 선호도 분석

이유정(Yu Jeung Lee) 大韓藥學會 2010 약학회지 Vol.54 No.4

Appropriate drug information is essential in pharmaceutical care practice. In recent years, educating patients with their prescription and drug therapy is becoming an increasingly important aspect of health care. Appropriate drug information has been shown to improve patients’ adherence to their medication and the results of pharmacotherapy. The purpose of this study was to study patients’ sources of drug information and their preferences in Korea. This study was a 11-questionnaire survey conducted from February 8, 2010 to February 25, 2010. Major sources of drug information used by respondents, proportions of respondents who received drug information on administration, dosage, indication, or warnings and precautions, sources of drug information which patients prefer, and the reasons of their preferences were studied. Of the 303 respondents, the most common sources of drug information were pharmacists (29.7%), doctors (23.8%), and the Internet (17.2%). There were significant differences according to sources of drug information in proportions of respondents who received drug information on administration, dosage, indication, or warnings and precautions. Patients preferred pharmacists as a drug information source the most (38.9%), and the reasons were reliability (72.0%) and easy to use (28.0%). Based on the results of this study, further studies should be conducted to establish the best way to provide appropriate drug information for patients and improve the results of pharmacotherapy.

Prioritizing the Preferences of Iranian Cancer Patients Regarding Acquisition of Health Information: Strategy for Patient Education

Zadeh, Jamileh Mahdi,Fard, Farahnaz Ghahreman,Madani, Raihaneh,Iravani, Homa,Kahouei, Mehdi Asian Pacific Journal of Cancer Prevention 2016 Asian Pacific journal of cancer prevention Vol.17 No.6

Recognizing cancer patients' preferences to obtain health information can help improve and reform the methods of communicating and providing proper services and consequently lead to effective patient education. The present cross-sectional study to prioritize the preferences of cancer patients regarding the acquisition of health informationwas conducted on cancer patients referred to hospitals affiliated to Semnan University of Medical Sciences in 2015. An anonymous self-administered questionnaire was developed. In the field of side effects of medications, 50 (46.7%) reported knowing about weight change, in the area of achieving relative health, 62(57.9%) announced awareness about diet, and 45 (42.1%) reported physical complications as a first regarding information needs. In the area of obtaining information, 50 (46.7%) tended to take their information through means outside of the hospital setting. These results can help with design of clinical information systems, as they inform the most relevant and useful coverage designed for cancer patients. Providing useful information through healthcare providers, the media and clinical information systems can act as a major source of social support for cancer patients.

Patient Perspectives and Preferences Regarding Gout and Gout Management: Impact on Adherence

Chung Min Kyung,Kim Sung Soo,천윤홍,Hong Seung-Jae,Choi Hyo Jin,Seo Mi Ryoung,Hwang Jiwon,Ahn Joong Kyong,Lee Sang-Heon,Min Hong Ki,Cha Hoon-Suk,이신석,Lee Jennifer,Moon Ki Won,Lee Chang-Keun,Kim Hyun-Ok,Su 대한의학회 2021 Journal of Korean medical science Vol.36 No.32

Background: Patient-centered management is becoming increasingly important in gout, but there are limited studies exploring patients' perspectives and preferences. We aimed to investigate patients' perspectives and preferences regarding gout and gout management, and their impacts on adherence to urate lowering therapy (ULT). Methods: A paper-based survey was performed in patients with gout seen at the rheumatology outpatient clinics of 16 tertiary hospitals. The survey included questions regarding demographics, comorbidities, gout attacks, current treatment and adherence, and patients' perspectives and preferences regarding gout and gout management. Multivariate regression analysis was performed to determine the factors associated with ULT adherence. Results: Of 809 surveyed patients with gout, 755 (94.5%) were using ULT. Among those using ULT, 89.1% had ≥ 80% adherence to ULT. Majority of the patients knew management strategies to some extent (94.8%), perceived gout as a life-long disease (91.2%), and were making efforts toward practicing at least one lifestyle modification (89.2%). Most patients (71.9%) obtained information about gout management during their clinic visits. Approximately half of the patients (53.6%) preferred managing their disease with both ULT and lifestyle modification, 28.4% preferred ULT only, and 17.4% preferred lifestyle modification only. Adherence was better in patients with older age (odds ratio [OR], 1.03), those with better knowledge of gout management strategies (OR, 3.56), and those who had preference for ULT (OR, 2.07). Conclusion: Patients' perspectives and management preferences had high impacts on adherence to ULT in gout. Consideration of patients' perspectives and preferences is important for achieving the desired clinical outcome in gout.

한국 소아환자들의 병실색채 선호도에 관한 연구

박진규 ( Jin Gyu Park ),박창배 ( Chang Bae Park ) 한국의료복지건축학회 2011 의료·복지 건축 Vol.17 No.2

The visual sensory information in physical environments can induce or reduce occupants` stress. In healthcare settings, positive environmental stimulations can promote patient well-being by reducing their stress: poor health environments work against a patient`s health. Changing the color in a patient room is an inexpensive process and thus finding better colors for healthcare settings is a cost effective method of improving healing environments. Color may have important implications for pediatric patients, but the investigation of Korean populations has been non-existent. The purpose of this study was to investigate Korean pediatric patients` color preferences for patient room design. The color preferences from 50 Korean pediatric patients were recorded and investigated for gender effects. A simulation method was used because of its reliability and feasibility, allowing for investigating the value of color in real contexts and controlling confounding variables. The overall color preferences from Korean pediatric patients showed that they preferred blue the most and white the least. Gender differences were found in red and purple. Girls preferred red and purple more than boys. The results from this study can help healthcare providers and designers better understand appropriate colors for Korean pediatric patient populations.

기독교 암 환자의 개인변인에 따른 교회 음악 선호도 조사연구

주지은,황은영 한국실천신학회 2014 신학과 실천 Vol.0 No.39

본 연구는 기독교 암 환자들의 개인적인 변인에 따라 음악선호도와 선호하는 교회음악을 알아보고자 한 것이다. 구체적으로 음악의 요소, 악기의 음색, 장르, 활동 방법들과 선호 곡은 무엇인지, 또 이러한 선호에 미치는 개인적인 변인들은 무엇인지를 알아보고자 하였다. 연구의 대상은 서울시에 위치한 A 병원, 경기도에 소재한 H 요양 병원, M 전문 병원, K 암센터에 있는 암 환자들 중 기독교인을 대상으로 하였다. 설문조사는 2013년 12월 2일부터 12월 24일까지 4주간에 거쳐 이루어졌다. 설문지는 총 120부가 배포되었으며 91부가 회수되어 회수율은 75.83%였다. 회수된 91부 중에 중복 표기하였거나 결측치가 있는 4부를 제외한 87부가 최종 연구에 사용되었다. 본 연구의 결과는 다음과 같다. 첫째, 기독교 암 환자들은 종교음악을 선호하였으며 교회 출석 기간 변인에 따라 통계적으로 유의미한 차이를 보였다. 둘째, 기독교 암 환자들은 음악 감상을 선호하였으며 병기와 교회사역 변인에 따라 통계적으로 유의미한 차이를 보였다. 셋째, 기독교 암 환자들은 구체적인 곡에 있어 현재 처해 있는 상황과 잘 맞는 곡을 선호하였으며 그 곡에는 개개인의 신앙 고백이 담겨 있는 것으로 나타났다. 본 연구의 결과는 암 환자 병동의 배경음악이나 암 환자들을 위한 심방 및 치유 예배 인도를 할 때 선곡에 도움이 될 것이며, 설교를 하는데 있어 음악을 활용한 설교가 제안되고 있는 현 추세에 발맞추어 암 환자들을 위한 음악 설교에도 활용될 수 있기에 현 교회의 목회적 적용의 의의를 찾을 수 있다. The purpose of this study was to investigate the church music preference of christian cancer patients and to examine the individual factors that influence their music preferences. In detail, the preference of tempo, dynamic, timbre of instruments, musical genre, musical activities, preferred song and individual variables to affect cancer patient's musical preference were studied. One hundred-twenty christian cancer patients, who were hospitalized in M cancer hospital, H convalescent hospital, N cancer center in Gyeonggi-do province and A medical center in Seoul volunteered to participate in the survey. The survey was collected between December 2 to December 24, and of the 120 participants, 91 patients (75.83%) returned their survey to the researcher. The data were statistically analyzed and the followings were revealed. First, christian cancer patients preferred religious music, and there were statistical differences in attendance years in church. Second, christian cancer patients preferred music listening, and there were statistical differences between stage of cancer and types of ministry in church. Third, christian cancer patients preferred songs that reflected their current conditions and professions of faith. T he results of this study would be beneficial to select background music for cancer patients in worship or for visiting as well as in a cancer ward. In addition, it would be applied to ministry as musical preaching to keep up with the trends of utilizing music in church.

정신요양 병동에서의 관리영역과 환자의 요양 공간영역의 관찰적 시선에 따른 병동구조와 요양 공간환경의 특성에 관한 연구

주용선 ( Joo Yongsun ) 한국의료복지건축학회(구 한국의료복지시설학회) 2021 의료·복지 건축 Vol.27 No.2

Purpose : The relationship between the staff area and the patient's private area is the key factor in designing the structure and the environmental characteristics of ward space s in a psychiatric hospital. Recent rese arch has found that for the purpose of treatment and securing privacy, psychiatric patients need to be in an open space of relief rather than closed confined environment and under the watch of nursing staffs. Method s: A survey at three kin ds of war ds in a private psychiatric hospital in Japan was conducted in October 2002. These wards include an acute ward, a psychiatric convalescence ward, and a stress care ward. All three kinds of ward s have the same structure. At each ward, spatial preferences of the 145 psychiatric inpatients were surveyed and data concerning the patient’s diagnostic category, symptoms, and activities of daily living were recorded. Results: The patients in the stress care ward prefer to stay in private spaces than public spaces. On the other hand, in the acute ward the patients seem to have a preference between managed public spaces where are monitored by nursing staff s and their private rooms where the nurse station is close. In addition, the patient s in the psychiatric convalescence ward spend most of their time in the public space, such as the hallways or the day room. Implications: Base on this research, the spaces at the acute ward that could be monitored by the nursing station serves effectively as a safety space for patients was concluded. However, in the stress care ward, the patients may perceive the monitoring by the nursing staff as interruption or nuisance to their relaxation. In order to design an ideal healing environment for psychiatric patients in psychiatric ward, it is important to consider how environmental characteristics of space affect the environmental sense of patients in each ward.

Patient preferences and shared decision making for the traditional Chinese medicine treatment of lung cancer: A discrete choice experiment study

Teng Yue,Wei Yan,Chen Yingyao,Yan Juntao,Liu Shimeng,Li Fuming,Bao Shiyi,Ren Yanfeng,Liu Liu,Yang Yi 한국한의학연구원 2023 Integrative Medicine Research Vol.12 No.3

Background: Traditional Chinese Medicine (TCM), integrating patient preferences into decision-making process, has been widely used in the multimodality therapy of lung cancer. This study aimed to estimate patient preferences for treatment and shared decision-making (SDM) modes concerning inpatient TCM treatment of lung cancer in Shanghai in order to provide a basis for clinical decision-making process on TCM therapy for lung cancer. Methods: This study was conducted among patients (n = 347) from nine tertiary hospitals in Shanghai by discrete-choice experiment (DCE) survey and Shared Decision-Making Questionnaire-patient version (SDM-Q-9) survey. The DCE was developed with the inclusion of the most relevant attributes at appropriate levels for the TCM treatment of lung cancer. The empirical data analyses of patients were performed using mixed logit models. Additionally, subgroup analysis was conducted. Results: In total, 347 respondents completed the questionnaire. All attributes’ coefficients were statistically significant for patients’ preferences. Patients showed strong preferences for increasing disease control rate, relieving nausea and vomiting, reducing the risk of side effects, and were concerned about monthly out-of-pocket costs. Subgroup analysis indicated that patients with a lower SDM-Q-9 score and those who were satisfied with medical services emphasized more importance of higher disease control rate. Furthermore, most of the patients (90.20%) self-reported a high willingness to use SDM during the decision-making process. Conclusion: In Shanghai, patients mainly preferred SDM and considered disease control rate as the most essential attribute in the TCM treatment of lung cancer. The study findings could underscore the importance of considering patients’ preferences and promote SDM.

Patient’s Perspective on Psychiatric Drugs: A Multicenter Survey-Based Study

Seoyun Han,Sun-Young Kim,Young-Eun Jung,Won Kim,Jeong Seok Seo,Inki Sohn,Kwanghun Lee,Jong Hun Lee,Sang-Keun Chung,Sang-Yeol Lee,Jung Wan Hong,Bo-Hyun Yoon,Young Sup Woo,Changwoo Han,Jhin Goo Chang,Wo 대한신경정신의학회 2024 PSYCHIATRY INVESTIGATION Vol.21 No.1

Objective We aimed to identify the expectations and preferences for medication and medical decision-making in patients with major psychiatric disorders.Methods A survey was conducted among patients with major psychiatric disorders who visited psychiatric outpatient clinics at 15 hospitals between 2016 and 2018 in Korea. The survey consisted of 12 questions about demographic variables and opinions on their expectations for medication, important medical decision-makers, and preferred drug type. The most preferred value in each category in the total population was identified, and differences in the preference ratio of each item among the disease groups were compared.Results A total of 707 participants were surveyed. In the total population, patients reported high efficacy (44.01%±21.44%) as the main wish for medication, themselves (37.39%±22.57%) and a doctor (35.27%±22.88%) as the main decision makers, and tablet/capsule (36.16%±30.69%) as the preferred type of drug. In the depressive disorders group, the preference ratio of high efficacy was significantly lower, and the preference ratio of a small amount was significantly higher than that of the psychotic disorder and bipolar disorder groups. The preference ratio of a doctor as an important decision maker in the bipolar disorder group was higher compared to the other groups.Conclusion This study revealed the preference for medications and showed differences among patients with psychiatric disorders. Providing personalized medicine that considers a patient’s preference for the drug may contribute to the improvement of drug compliance and outcomes.

Survey of Preferences in Patients Scheduled for Carpal Tunnel Release Using Conjoint Analysis

김완림,김진삼,이준범,김선화,민동욱,박윤호 대한정형외과학회 2017 Clinics in Orthopedic Surgery Vol.9 No.1

Background: This study aimed to investigate the preferences of patients scheduled for carpal tunnel release using conjoint analysis and also introduce an example of how to apply a conjoint analysis to the medical field. The use of conjoint analysis in this study is new to the field of orthopedic surgery. Methods: A total of 97 patients scheduled for carpal tunnel release completed the survey. The following four attributes were predefined: board certification status, distance from the patient's residency, medical costs, and waiting time for surgery. Two plausible levels for each attribute were assigned. Based on these attributes and levels, 16 scenarios were generated (2 × 2 × 2 × 2). We employed 8 scenarios using a fractional factorial design (orthogonal plan). Preferences for scenarios were then evaluated by ranking: patients were asked to list the 8 scenarios in their order of preference. Outcomes consisted of two results: the average importance of each attribute and the utility score. Results: The most important attribute was the physician's board certificate, followed by distance from the patient's residency to the hospital, waiting time, and costs. Utility estimate findings revealed that patients had a greater preference for a hand specialist than a general orthopedic surgeon. Conclusions: Patients considered the physician's expertise as the most important factor when choosing a hospital for carpal tunnel release. This suggests that patients are increasingly seeking safety without complications as interest in medical malpractice has increased.

Factors Affecting Patients’ Graft Choice in Anterior Cruciate Ligament Reconstruction

고해석,인용,Chae-Gwan Kong,Ho-Yeon Won,Kun-Hyung Kim,Jung-Han Lee 대한정형외과학회 2010 Clinics in Orthopedic Surgery Vol.2 No.2

Background: Multiple studies have reported that allografts are acceptable alternatives to autografts for anterior cruciate ligament (ACL) reconstructions. Our clinical practice allows patient involvement in graft decision-making. This study examined the patients’ preference for graft selection and the factors affecting their decision. Methods: Patients scheduled to undergo an ACL reconstruction surgery (n = 129) at a university medical center in Korea were enrolled in this study. Information leaflets with graft descriptions were provided prior to hospital admission, and the patients were allowed to choose one of two surgical graft types. The patients were asked to complete a questionnaire that reflected their decision-making processes, and the patients’ trends and factors affecting their choice of graft were analyzed based on their responses. Results: Most patients (54.3%) selected autografts for the ACL reconstruction. The surgeon’s explanation was the most important factor affecting the final patient decision followed by the information derived from Internet searches. Patients who derived the majority of their understanding of the graft types from the Internet chose allografts at significantly higher rates. Conclusions: Patient graft selection is a reasonable way of designating the type of surgical procedure. Most patients selected autografts for their ACL reconstruction. However, patients who performed significant Internet-based research tended to prefer allografts.