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보건소 호스피스완화케어 서비스를 제공받는 재가 말기암 환자의 삶의 질 구조분석

Structural Analysis on Quality of Life for Terminal Cancer Patients provided Hospice and Palliative Care Services in Community Health Centers

보건의료산업학회지 2019년 13권 4호 p.163 ~ 177
김숙남 ( Kim Sook-Nam ) - 부산가톨릭대학교 간호학과

최순옥 ( Choi Soon-Ock ) - 부산가톨릭대학교 간호학과
류지선 ( Ryu Ji-Sun ) - 부산대학교 사회복지학과
김정림 ( Kim Jung-Rim ) - 부산광역시호스피스완화케어센터

Abstract


Objectives: The purpose of this study was to identify the predictors of quality of life (QOL) for terminal cancer patients admitted into the community health center, and to establish a hypothetical model to explain and verify causative relationships among the variables.

Methods: Data were collected from January 2015 to June 2016. Participants were 237 registered patients in Busan Metropolitan City hospice & palliative care center. The descriptive and correlation statistics were analyzed using the SPSS/WIN 24.0, and the structural equation modeling procedure was performed using the AMOS 24.0 program.

Results: The results of this study showed that the physical symptoms of terminal cancer patients were the most direct factors affecting the QOL, and satisfaction with health care services has a direct effect on the QOL.

Conclusions: The study contributes to drawing up measures to improve QOL for terminally ill cancer patients who are living in the end-of-life section of the community by revealing the causal relationship to the QOL for terminal cancer patients.

키워드

삶의 질; 호스피스 및 완화치료; 보건소; 암
Quality of Life; Hospice and Palliative Care; Community Health Centers; Cancer
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