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말기암이 환자가족에게 미치는 사회경제적 영향 및 관련 요인

Other Titles
 The Socioeconomic Impact of Terminal Cancer on Patients´ Families and Its Associated Factors 
Authors
 윤영호  ;  이영선  ;  남소영  ;  박상민  ;  이정석  ;  박명희  ;  최화숙  ;  이창걸  ;  원주희 
Citation
 Journal of the Korean Academy of Family Medicine (가정의학회지), Vol.26(1) : 31-39, 2005 
Journal Title
Journal of the Korean Academy of Family Medicine(가정의학회지)
ISSN
 2005-6443 
Issue Date
2005
MeSH
termanal cancer ; caregiver ; socioeconomic impact
Keywords
termanal cancer ; caregiver ; socioeconomic impact
Abstract
Background : We conducted this study to investigate the financial burden of terminal cancer patients' family and to identify factors influencing their economic burden. Methods : We approached 187 family members supporting their famly member with terminal cancer who was enrolled in four hospice and palliative care program. We constructed a questionnaire examining the impact of illness on their family. With multiple logistic analysis, we examined the patients' and family members' demographic and the patients' clinical factors associated with the burden caused by terminal cancer. Results : The majority of families reported the loss of savings (54%), the need to make major life changes in order to care for the patient (50%), the loss of incomes (34%), the inability to function normally because of the stress of the illness (27%). Many families had to move to a less expensive home (18%), delay medical care for other family members (12%), or change educational plans for other family members (13%). Families that cared for patients who wanted to be cared for at institution (odds ratio: 2.72, 95% confidence interval: 1.19∼6.19), patients with liver cancer (3.61, 1.53∼8.57), and families who were poor caregivers (2.97, 1.24∼7.10), or primary caregiver was a spouse (3.57, 1.47∼8.68) were more likely to lose savings. Families that were in 'new couple' in family life cycle stages (3.91, 1.04∼14.63), 'birth of the first child' (8.34, 2.74∼25.32), and 'the adolescent family or the launching family' (10.56, 4.07∼27.33), were more likely to lose savings than 'the empty family or the aging family'.
Files in This Item:
T200500198.pdf Download
DOI
OAK-2005-02887
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Radiation Oncology (방사선종양학교실) > 1. Journal Papers
Yonsei Authors
Lee, Chang Geol(이창걸) ORCID logo https://orcid.org/0000-0002-8702-881X
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/147452
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