Journal of the Korea Convergence Society (한국융합학회논문지)

Korea Convergence Society (한국융합학회)
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Convergence Study on Unmet Demand and Influencing Factors in Advanced Cancer Patients Receiving Conventional Chemotherapy

고식적 항암화학요법 받는 진행성 암환자의 미충족 요구와 영향요인에 대한 융합적 연구

  • Received : 2020.10.08
  • Accepted : 2020.11.20
  • Published : 2020.11.28
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Abstract

This study was attempted to use as basic data for developing a nursing intervention program suitable for terminal cancer patients by analyzing the unmet needs of advanced cancer patients receiving palliative chemotherapy and identifying the influencing factors. The subject of the study consisted of 71 patients with advanced cancer who were admitted to a university hospital and received palliative chemotherapy, and the research tool used CNAT (Comprehensive Needs Assessment tool in Cancer) developed by Shin et al., and data analysis was an independent sample. It was analyzed by t-test, ANOVA and multiple regression analysis. As a result of the study, the medical staff's area was the highest at 2.34 ± 0.63 out of 4 points, followed by psychological problems (2.09 ± 0.53) and information education (1.69 ± 0.45). Factors influencing unmet needs include educational background (β=.207, p=.047), thoughts on death (β=-.269, p=.018), diagnosis (β=-.283, p=. 013). Based on the results of this study, it is necessary to consider the needs of the medical staff in advanced cancer patients, provide psychological support, and consider ways to meet the needs according to academic background and diagnosis.

본 논문은 고식적 항암화학요법을 받는 진행성 암환자의 미충족 요구를 분석하고 영향요인을 파악하여 암 말기 환자들에게 적합한 융합적 간호중재 프로그램 개발에 기초자료로 활용하고자 시도되었다. 연구대상은 일 대학병원에 입원하여 고식적 항암화학요법을 받는 진행성 암환자 71명으로 구성되었으며, 연구도구는 Shin 등이 개발한 CNAT(Comprehensive Needs Assessment tool in Cancer)를 사용하였다. 자료분석은 독립표본 t-검정, ANOVA 및 다중회귀분석으로 분석하였다. 연구결과 대상자의 미충족 요구는 의료진 영역이 4점 만점에 2.34점으로 가장 높았으며 심리적 문제 2.09점, 정보교육 1.69점의 순으로 나타났다. 진행성 암환자의 미충족 요구에 영향을 미치는 요인은 학력(β=.207, p=.047), 죽음에 대한 생각(β=-.269, p=.018), 진단명(β=-.283, p=.013)으로 나타났다. 본 연구결과를 바탕으로 진행성 암환자들에게 의료진 영역의 요구를 배려하여 심리적 지지를 제공하고, 학력, 진단명에 따른 요구 충족 방안을 고려할 필요가 있다

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