18 research outputs found
(The) plan for systematic improvement in using a narcotic drug to reduce pain for cancer patient in terminal stage
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ν΅κ³μ²μ λ°ννκ³ μλ€.μ΄λ° μ νμλ€μ΄ κ²½ννλ μ£Όλ λ¬Έμ λ ν΅μ¦μ΄λ©° νΉν λ§κΈ° μ νμλ€μκ² ν΅μ¦μ μμ¬, ν΄μ, μλ©΄, νλμ₯μ λ₯Ό μ λ°νλ©° λΆμκ³Ό μ£½μμ λν 곡ν¬λ₯Ό κ°μ€μν¨λ€. κ²°κ΅ λ€λ₯Έ μ¬λλ€κ³Όμ κ΄κ³λ₯Ό κ°μ§λ©΄μ μ§λΌ μ μλ λ₯λ ₯μ λ°ννμ§ λͺ»νκ² ν¨μΌλ‘μ¨ νμμ μΆμ μ§μ ν¬κ² λ¨μ΄λ¨λ¦°λ€. κ·Έλ¬λ μΌλ¨ ν΅μ¦μ΄ μ‘°μ λλ©΄ μ νμλΌλ μΌμμνμ μνν΄ λκ° μ μμΌλ―λ‘ ν΅μ¦ μ‘°μ μ λ°λμ μ΄λ£¨μ΄μ ΈμΌλ§ νλ€.νμ¬κΉμ§λ μ νμμ ν΅μ¦ μ‘°μ μ μν΄ μ§ν΅μ μ¬μ©μ΄ κ°μ₯ λΉλ²νκ² μ¬μ©λκ³ μμΌλ©° μμ± ν΅μ¦μ κ°λκ° μ¬ν΄μ§μλ‘ μΌλ°μ μΈ μ§νμ μν ν΅μ¦μ μΉλ£μ λ€λ₯΄κ² λ§μ½μ±μ μ μ ν¬μ¬κ° νμνλ€.μ ν΅μ¦μ λν λ§μ½μ±μ§ν΅μ κ° νμν μλ³΄λ€ μ κ² μ²λ°©λκ³ μλ€λ μ¬μ€μ μμ¬μ 86%κ° μκ³ μμμλ λΆκ΅¬νκ³ μ¬μ ν μμ¬λ€μ λ§μ½μ§ν΅μ μ²λ°©μ μ£Όμ νκ³ μλ€. μ΄μ κ°μ μμ±ν΅μ¦μ λΆμ μ ν κ΄λ¦¬λ μμ¬λ€μ λ§μ½μ±μ§ν΅μ μ λν μ§μμ λΆμ‘±, λΆμ μ νλ λ±μ΄ μμΈμΌμλ μμ§λ§ λν λ²μ , νμ μ μ ν μμ μ₯μ μμΈμΌλ‘ μμ©νκ³ μλ€.λ°λΌμ μ΄ μ°κ΅¬λ λ§κΈ° μ νμλ€μ ν΅μ¦ μ‘°μ μ μν λ§μ½μ±μ§ν΅μ μ μ²λ°©μ μμ λ‘κ² νμ§ λͺ»νκ² νλ μ¬λ¬ μμΈλ€ μ€ μλ£μ§μ λΆμ μ μΈ νλμ λν΄ λΆμν΄λ³΄κ³ μ΄μ κ΄λ ¨λ λ²μ , νμ μ μ ν μμλ€μ λΆμνμ¬ λ§κΈ° μ νμλ€μ ν΅μ¦ μ‘°μ μ λμμ΄ λλ ν΄κ²°λ°©μμ μ°Ύμλ³΄κ³ μ νκΈ° μν¨μ΄λ€.μ°κ΅¬ λμμ μμΈ μλ΄ 2κ° λν λΆμλ³μμ μμ¬μ μ½μ¬ μμΈ μλ΄ 3κ° λν λΆμλ³μμ κ°νΈμ¬μκ² μ€λ¬Έ μ‘°μ¬ν μλ£λ₯Ό μμ§νμ¬ λΉλμ λ°±λΆμ¨λ‘ λΆμνμλ€. μ€λ¬Έμ§λ₯Ό μμ±νκΈ° μν΄ μ€λ¬Έμ λλ΅ ν μ§μ’
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μ§Έ, λ§κΈ° μ νμλ€μ ν΅μ¦ μ‘°μ μ μμ΄ λ§μ½μ±μ§ν΅μ μ¬μ©μ μ νμ΄ μλ€κ³ λλ΅ν κ²½μ°λ μμ¬λ 77.5% μ΄κ³ κ°νΈμ¬λ 96.9%λ‘ κ°νΈμ¬κ° λ λκ² λνλ¬λ€.λ·μ§Έ, λ§μ½λ₯ κ΄λ¦¬μ κ΄ν λ²λ₯ μ 11μ‘°μ 12μ‘°κ° μλ£μ§λ€μ λ§μ½μ± μ§ν΅μ μ μ²λ°©κ³Ό μ·¨κΈμ μ ν΄νλμ§μ λν΄μλ μμ¬λ€μ 30% μ λκ° μ§μ₯μ λ°λ κ²μΌλ‘ λλ΅νκ³ μ½μ¬λ€μ 50~60% μ λ μ§μ₯μ λ°λλ€κ³ λλ΅νλ€. μ§μ μ μΌλ‘ λ§μ½μ±μ§ν΅μ λ₯Ό κ΄λ¦¬νλ μ½μ¬λ€μ΄ λ λ§μ μ΄λ €μμ λλΌκ³ μλ κ²μ μ μ μλ€.λ€μ―μ§Έ, λ§μ½μ±μ§ν΅μ μ μ¬μ©μ΄ 3μ°¨ μλ£κΈ°κ΄μ μ§μ€λμ΄ μλ κ²μ νμκ° μ½κ² μ ν μ μλ μ§ κ·Όμ²μ 1, 2μ°¨ μλ£κΈ°κ΄μ΄λ κ°μ μΌλ‘ λ°λμ΄μΌ νλ©° κ°μΈ μ½κ΅μμ λ§μ½μ±μ§ν΅μ μ·¨κΈμ΄ νμν¨μ μΈμνκ³ μμμΌλ©° κ°μ μ λ°©λ¬Ένλ μ λ¬Έ κ°νΈμ¬μ λν λ§μ½μ±μ§ν΅μ μ μ μ²λ°© νμΉμΈμ λν μλ΅μ κ° μλ£μ§λ€μ μ
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[μλ¬Έ]The national statistical office published in 2004 year that the dying people with cancer exceeded sixty four thousands a year in Korea and around thirty thousands of them have been suffered by cancers.The main problem what cancer patients have is a pain. The pain disturbs cancer patients in terminal stage to have meals, rest and sleep activities. So it is aggravated the fear to them about anxiety and death.Finally, it can`t be lived them with interacting other people and then it is decreased a quality of the patients` life seriously.But If the pain is just controlled firstly, no matter what cancer patient can carry out daily life. Therefore, It is necessary to control pains.To control pains of the cancer patients has been used commonly pain drugs until now. and they need to get narcotic drugs, different from a treatment of pain related general diseases as getting worst intensity of the pain by cancerAlthough the 86% of physicians know that pain killers related cancer pains have been prescribed less than needed amount to them, they still won`t be prescribed more narcotic pain killers. After all, a improper management of the pain related cancers may have some causes that physicians are lacking in knowledge about narcotic pain drugs, and they have a negative attitude, also some limits of the legal, administrative affect as obstacle factors.Therefore this study is to analyze the legal and administrative causes to bring about negative attitudes of physicians to restrict prescriptions of narcotic pain drugs for removing pains of cancer patients in terminal stage. So it has the purpose to look for a solution that can be helped of controlling pains of cancer patients in terminal stage.The target of this research are physicians and pharmacists who belong to hospital in affiliation of two universities, nurses who work to hospitals in affiliation of three universities in seoul.It was gathered data what was researched by them and was made by an analysis with the frequency and percentage. To write out questionnaires, we obtained through interviews with each medical teams who answer questionnaires.The results of research as below :The first, the 83.75% of physicians of medical teams who answered questions got a education about pain management, the 62.5 % of them had a education of the law about management of narcotic drugs. The 94.1 % of nurses had a education about pain management and they answered that the 70.6% of nurses took a education of the law about management of the pains and narcotic drugs.pharmacists replied that the 64% of them had educations about management of the pain and narcotic drugs.Most of medical teams replied that they had enough educations, also all of them understand to need necessary educations about the pain management.The second, the physicians who replied questions were just only the15% who gave pain killers to control pain until 100% if the pain is '100'. The other side, the 47.5 % of them answered that they control pains under 50%. Also home health care nurses visited and evaluated how severe pain they have and how proper pain killers they use, but the 2.9% of patients only answered that they were out of the pain completely ( until 100% ).This show that a negative attitude about narcotic pain drugs is an obstacle factor in spite of pain educationsThe third, the 77.5% of physicians, the 96.9% of nurses answered that there are no restrictions of using narcotic pain drugs for controlling pain of cancer patients in terminal stage. It showed that the percentage of nurses was highly than one of physicians.The fourth, the 30% of physicians , 50 - 60% of pharmacists replied that they have obstacles to prescribe and manage narcotic pain drugs because of the provision 11 and 12 of the law related to manage narcotic pain drugs. So we may know that the pharmacists who directly manage narcotic pain drugs have more difficulties.The fifth, whenever patient wants to get narcotic pain drugs, they have to contact to big medical centers ( like hospital in affiliation belong to universities ) in big cities. So to obtain narcotic pain drugs conveniently, it should be distributed to doctor`s clinics near the patients` home or home health care nurses who visit to them. There are different answers as medical teams` positions about that, but medical teams understand to need that for reducing pains to patients.As above the study results, we found two causes what distrub current medical teams to use narcotic pain drugs .First, there is a negative view of the medical teams about a narcotic pain drugs.Second, the medical team was restricted to use narcotic pains drugs because of strict laws about the management of narcotic drugs.so, they can get prescription of the narcotic pain drug from big medical center (like hospital in affiliation belong to universities) only, and we found that this causes a lot oe problems for controlling the pain of cancer patients in terminal stage.For that reason, we need to strengthen educations about pain control for increasing cancer patients and to examine a legislation of related the law or a revision of current policy of the management about the narcotic pain drugs for medical treatmentope
APPARATUS FOR GENERATING ELECTRIC POWER USING ANTENNA INTEGRATED RECTIFYING DEVICE
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