입원기간중 환자가 받은 건강정보에 대한 환자의 인식에 관한 일연구

Abstract

[한글]

건강한 사람이라도 앞으로의 질병예방 및 건강증진을 위하여 질병이란 무엇이며 그 자신이 당면한 건강문제가 무엇인지를 알고 있어야 하겠다. 그러므로 현재 질병을 갖고 병원에 입원해 있는 환자들에게는 건강문제에 관련된 여러 가지 정보가 더욱 필요하다고 본다.

따라서 일개 종합병원에 입원된지 5일째 되는 내과, 외과, 정형외과 환자 83명을 대상으로 하여 입원환자가 제공 받은 건강정보 종류, 요구하는 건강정보 내용 및 방법을 알아 보았다.

연구기간은 10월 2일부터 10월 15일까지 2주간이었으며, 연구방법은 질문지를 통한 직접면접법을 사용하였다. 통계적 분석방법으로는 백분율과 x-test를 이용하였다.

연구결과를 요약하면

1 .연구대상자의 일반적 특성

연구대상자중 남자가 ( 57.8% ) 과반수였고 20∼39세 군과 40세 이상 군이 각각 비슷한 비율이었다.

교육정도는 중등교육 이상이 대다수이며 직업은 여자는 모두 무직이었고, 남자는 판매직이 22.9%로 나타났다.

내과로 입원한 환자가 59.0%로 가장 많았고, 진단별로는 소화기계 질환이 44.6% 이었고, 질병 중등도는 급성, 아급성, 만성 질환이 각각 비슷한 비율이었다.

2. 대상자가 입원기간중 들은 건강정보 종류

선택된 20가지의 건강정보 종류중 환자 1인이 들었다는 건강정보 종류의 평균은 6 .37이었고, 들었다는 반응이 50.0% 이상되는 것은 진단, 진단검사, 회복기간에 대한 건강정보였다.

간호원에게는 주로 치료에 수반되는 간호( 80.0% ), 검사방법( 55.0% ), 수술전 지도 ( 50.0% )등을 들었고, 의사와 얘기한 것은 대부분 검사결과 ( 94.0% ), 치료종류 ( 93.1% )등으로 밝혀졌다.

3. 대상자가 요구하는 건강정보 내용

건강정보에 대한 설명을 더 요구하는 비율은 95.2%이었다. 선택된 10가지의 건강정보중 퇴원후 활동, 적당한 식이, 퇴원후 자가간호, 질병예방, 현재의 질병에서 올 수 있는 합병증등에 대해 더 설명해 줄 것을 희망하는 비율이 높게 나타났다.

[영문]

It is necessary for those who have been enjoying good health to have adequet informations regarding illness and the health problems one is faced with in order to cope with the problem of preventing illness and of improving one's health. Such health informations is much more needed for those who are already ill and being hospitalized.

A study was conducted on 83 in-patients of internal medicine, surgical and orthopedical wards staying for five days.

The study objectives are:

1. To descrive the general characteristics of study population.

2. To find out the kinds of health informations given to patients.

3. To find out the contents of health informations requested by patients.

this study was made during the period covering October 2 through October 15, 1976.

Direct interviewing method was used with a structured questionaire.

For the analysis of the data, both percentage and X**2 test were used. The findings in brief are as follows:

1. General characteristics of the population.

Among the patients, 57.8% are male, and female were slightly less than the male in number. The age group of 20-30 and the group above 40 occupied each half of the total patient interviewed. The most of them had middle school or higher level of education. The patients with the illness of internal medicine were highest in number, 59.0%. Among them 44.6% was gastro-intestinal illness.

2. Kinds of health informations given to patients.

Out of 20 selected informations on health the average number of health informations familialized by one (1) patient was 6.37. Over 50.0% of the informations they received were diagnosis, diagnostic test and recovering period.

From nurses they had received informations on patient care accompanying treatment(80.0%), method of diagnostic test (55.0%), and pre-operational instructions (50.0%). From physicians they had received informations on the result of tests (94.0%) and types of treatment (93.1%).

3. Health informations requested by patients.

Of the total patient interviewed, 95.2% stated that they had inadequet amount of informations on the status of their health.

Out of 10 selected health informations, high percentage of the subject wanted to know more about appropriate physical activities after leaving hospital, preventing illness, complications that might be developed from the present illness.

55.4% of those interviewed wanted more detailed explanation.