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권인각 ( Kwon In-Gak ) - 삼성서울병원
홍진영 ( Hong Jin-Young ) - 성균관대학교 의과대학 임상간호학교실
백혜진 ( Baek Hye-Jin ) - 삼성서울병원
김성 ( Kim Sung ) - 성균관대학교 의과대학 삼성서울병원 외과학교실
남석진 ( Nam Seok-Jin ) - 성균관대학교 의과대학 삼성서울병원 외과학교실
김임령 ( Kim Im-Ryung ) - 삼성서울병원 암교육센터
김혜정 ( Kim Hye-Jung ) - 삼성서울병원
김애란 ( Kim Ae-Ran ) - 삼성서울병원
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Abstract
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Purpose: The purposes of this study were to develop a navigation program for newly diagnosed cancer patients
and to evaluate its effects.
Methods: The navigation program was based upon Professional Navigation Framework. Patients were asked to complete self-administered questionnaires on satisfaction, distress, anxiety and depression for evaluating the program.
Results: The navigation program consisted of facilitating two concepts: continuity of care and empowerment of patients. Information-education package, telephone counseling and navigator’s phone number were provided to the newly diagnosed cancer patients for care continuity. Self-care diary and emotional support by telephone counseling were provided to the patients for empowerment of patients. A total of 163 patients - 78 control and 85 experimental participants - were included in the study. The mean scores of satisfaction, distress, anxiety and depression had no statistical differences between the two groups after program implementation. In patients with longer waiting days, the experimental
group with the navigation program showed higher relational continuity than the control group after program implementation(p =.023). In patients with longer waiting days or with higher distress, satisfaction of relational continuity was improved after program implementation in the experimental group.
Conclusion: The navigation program in this study has applied the concept of patient navigation into oncology clinical setting in Korea. Navigation program can play a significant role in assisting patients navigating across the care continuum.
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KeyWords
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위암, 유방암, 연속성, 임파워먼트
Stomach neoplasms, Breast neoplasms, Nurse’s role, Continuity of patient care
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원문 및 링크아웃 정보
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등재저널 정보
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