Journal of Hospice and Palliative Care

Korean Society for Hospice and Palliative Care (한국호스피스완화의료학회)
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Unmet Medical Service Needs in Family Caregivers of Terminal Cancer Patients

말기암환자 가족간병인의 미충족 의료 분석

  • Shin, Woong Jae (Department of Family Medicine, The Catholic University of Korea College of Medicine) ;
  • Hwang, Sun Wook (Department of Family Medicine, The Catholic University of Korea College of Medicine) ;
  • Hwang, In Cheol (Department of Family Medicine, The Catholic University of Korea College of Medicine) ;
  • Choi, Youn Seon (Department of Family Medicine, The Catholic University of Korea College of Medicine) ;
  • Lee, Yong Joo (Department of Family Medicine, The Catholic University of Korea College of Medicine) ;
  • Kim, Young Sung (Department of Family Medicine, The Catholic University of Korea College of Medicine) ;
  • Shin, Ji Sung (Department of Family Medicine, The Catholic University of Korea College of Medicine) ;
  • Choi, Young Ho (Department of Family Medicine, The Catholic University of Korea College of Medicine) ;
  • Rim, Da Won (Department of Family Medicine, The Catholic University of Korea College of Medicine) ;
  • Kim, Han Sook (Department of Family Medicine, The Catholic University of Korea College of Medicine)
  • 신웅재 (가톨릭대학교 의과대학 가정의학과교실) ;
  • 황선욱 (가톨릭대학교 의과대학 가정의학과교실) ;
  • 황인철 (가톨릭대학교 의과대학 가정의학과교실) ;
  • 최윤선 (가톨릭대학교 의과대학 가정의학과교실) ;
  • 이용주 (가톨릭대학교 의과대학 가정의학과교실) ;
  • 김영성 (가톨릭대학교 의과대학 가정의학과교실) ;
  • 신지성 (가톨릭대학교 의과대학 가정의학과교실) ;
  • 최영호 (가톨릭대학교 의과대학 가정의학과교실) ;
  • 임다원 (가톨릭대학교 의과대학 가정의학과교실) ;
  • 김한숙 (가톨릭대학교 의과대학 가정의학과교실)
  • Received : 2016.01.13
  • Accepted : 2016.04.22
  • Published : 2016.06.01
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Abstract

Purpose: The unmet medical service needs of caregivers critically influence their caring for terminal cancer patients, but not much research has been done in this regard. Thus, the purpose of this study is to investigate the association between caregivers' characteristics and their unmet medical service needs. Methods: The survey was conducted with 109 family caregivers of terminal cancer patients admitted to four hospice units. The data were collected from March 2014 through December 2014 using a structured questionnaire. The unmet medical service needs were measured using 14 items which were adopted and modified by authors. Results: Seven areas of unmet medical service needs were shown to be significant. A well-educated group showed stronger needs for counsel about cancer screening and complementary-alternative medicine and health supplement food. A never-smoked group was identified with less need for sexual dysfunction counsel. Counsel about family and personal relations was more necessary for current drinkers and current workers, and less necessary for the married. Insurance counsel was more needed for a no-religion group. Occupation counsel was less necessary for healthy patients. Financial support was less necessary for the married group. Conclusion: Based on the results, it is highly recommended to further investigate the unmet medical service needs of family caregivers for terminal cancer patients and causes of the unmet needs.

목적: 말기암환자들에게 간병인의 미충족 의료는 매우 중요하지만 간병인들이 필요로 하는 통증 조절, 삶의 질 보조, 가족간의 문제, 심리 사회적 문제, 자택 요양, 세심한 돌봄, 보완 대체 의학 같은 건강의 질을 유지할 수 있게 하는 관리 정보를 간병인에게 전부 제공하기에는 한계가 있고, 이와 관련된 연구는 아직 부족한 상태이다. 이번 연구를 통해 간병인의 특성과 미충족 의료를 밝히고, 특성에 따른 미충족 의료가 어떻게 다른지 알아보고자 하였다. 방법: 설문조사는 4개 호스피스 완화의료 병동에 입원한 말기암환자의 가족간병인 109명을 대상으로 시행되었다. 자료는 2014년 3월 1일부터 2014년 12월 31일까지 구조화된 설문지를 이용하여 수집되었다. 기존의 설문지를 수정하여 삶의 질 향상에 필요할 것으로 생각되는 14개 항목에 관해 필요성과 충족도를 알아보았다. 또, 통계는 단변량 분석으로 카이제곱 검정을, 다변량 분석으로 이중 회귀 분석을 사용하였다. 결과: 보완대체요법 및 건강기능식품 상담, 성기능 상담, 암 검진, 가족 및 대인관계 상담, 보험 상담, 직업 상담, 경제적 지원 등 7개의 항목에서 의미 있는 결과가 나타났다. 말기암환자의 가족간병인의 삶의 질 향상과 관련된 요구 중 충족도가 미충족도보다 더 높은 요구는 14개 중 피로 관리, 건강 체중 관리 2개였다. 결론: 본 연구 결과를 통하여, 말기암환자의 가족간병인의 미충족 의료를 이해하고 미충족 원인과 효과적인 중재방안에 대한 연구를 통해 요구를 충족시킬 수 있는 방안을 마련할 것을 제안한다.

Keywords

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