제주지역 암환자의 의료서비스 요구도 및 만족도 분석 = Needs and Satisfaction of Cancer Patients on the Medical Services in Jeju Special Self-Governing Province

다국어 초록 (Multilingual Abstract)

Purpose: The purpose of the present study was to investigate needs and satisfaction on the medical services of cancer patients in Jeju Special Self-Governing Province. Methods: Total 174 cancer patients, who visited at the clinic of Jeju National University Hospital, submitted informed consent and participated in this study from July 13 to July 30, 2009. Self questionnaire was used and data were analyzed with Kolmogorov-Smirnov test, Mann-Whitney U test, ANOVA, and Kruskal-Wallis test. Results: Participants expressed the needs of most economical support (3.38 out of 4), followed by counseling of treatment plan (3.22), information of disease (3.07), and disease management except cancer (2.97). Participants were satisfied most with religious counseling (3.41), followed by nursing service support (3.39), employment counseling (3.26), and counseling for family or interpersonal relationships (3.26). The satisfaction of economical support was the lowest (1.98). Satisfaction of men was higher than women, and needs in patients who were living with children was the highest. Patients who were living alone or with children showed the lowest satisfaction about the medical services. There were no significant differences in the general characteristics, however, participants who were older than 60 years of age or had higher income showed lower needs and higher satisfaction. There were no significant differences in the medical characteristics, however, thyroid cancer patients and patients who were treated with radiation therapy or transarterial embolization showed low satisfaction. Conclusion: Cancer patients seemed to need more economical support, information of treatment or disease, and symptom management. Furthermore, there were various needs about the services, depending on family formation or economical support of patients. Therefore, it is certain that patients who were suffering from other cancers, except the 5 major cancers, needed more services. In conclusion, continuous and systemic policy to consider patient's characteristics and needs are needed in community as well as health care system.

참고문헌 (Reference)

1 김정희, "호스피스 자원봉사자의 호스피스 케어 요구도 분석" 한국호스피스완화의료학회 5 (5): 155-162, 2002

2 윤영호, "재가암환자 요구도 조사" 한국호스피스완화의료학회 2 (2): 36-45, 1999

3 박광희, "일 호스피스 병동 입원 환자와 가족의 요구도" 한국호스피스완화의료학회 10 (10): 137-144, 2007

4 진은희, "보건소 재가 암환자 관리사업의 효율적 관리 방안 개발" 한국호스피스완화의료학회 10 (10): 128-136, 2007

5 진은희, "보건소 재가 암환자 관리사업에 대한 환자의 요구도 및 제공정도" 한국호스피스완화의료학회 10 (10): 195-201, 2007

6 용진선, "가정호스피스 간호중재 표준서에 의한 임상간호활동 분석" 성인간호학회 20 (20): 960-972, 2008

7 Kim CG, "The needs of family members of cancer patients" 19 (19): 403-413, 1998

8 Park SM, "Practice and improvement scheme of management of terminal cancer patients in Korea" Korean Soiety for Hospice and Palliative Care S14-S16, 2006

9 Ministry of Health & Welfare, National Cancer Center, "Cancer facts & figures 2009"

10 Ministry of Health & Welfare, "Cancer Management Act. Amended by Act No. 8852, Feb. 29, 2000"

11 The Central Cancer Registration Office of the Ministry for Health, Welfare, and Family Affairs, "Annual report of national cancer registration: cancer rates in 2007, prevalence rates of cancer in 2007, cancer survival rates between 1993 and 2007"

12 The Central Cancer Registration Office of the Ministry for Health, Welfare, and Family Affairs, "Annual report of national cancer registration: cancer rates in 2006, cancer survival rates between 1993 and 2006"

13 Ministry of Health & Welfare, "A study on efficient management for cancer patients in home"

14 Ministry of Health & Welfare, "2008 Home business information support cancer patients"