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Nguyin Khde Liem vd cpng su BAI BAO NGHIEN CLLGOf Nhu cSu ve dich vu cong tac xa hoi cua nguM b^nh n§i tru tai Bfnh vi?n Hiru Nghi Viet Dire Nguyen Khfic Liem'*, Luu Thi Thlm^ Myc tieu: Nghien cfiu nhSm mfl ta nhu c4u vl djch w coog tac xa hpi cua benh nhan nfli tni t^i Bfnh vifn Hihi Nghi Viet Diic nam 2018 Phirong phfip nghien cihi: Nghien ciru mo ta c5t ngang, sii dyng phuang phfip nghien ciiu djnh Iupng Nghien ciiu phSt v§n voi 420 bfnh nhan nfli tni Nghien ciiu thu thSp sfl lifu t^i khoa: Chan thucmg chinh hinh 1, Ung buou, Phlu thuat thdn kinh I, Phau thu^t gan mat va Phau thuat tiet nieu thfli gian thang 4-5/2018 Ket qufi: Kit qua nghien cihi cho thay, nguoi bfnh cfl nhu can khac ve djch vy cflng tfic xa hfi, dfl: 81,9% ngufli bfnh co nhu cdu cung d p djch vu chi din thong tin kham chua bfnh, 68,6% ngufli bfnh co nhu clu cung edp thflng tin giao due siic khoe, 62,9% ngufli bfnh cfl nhu can hfl tra tam ly, 55,5% ngucri bfnh co nhu clu kit nfli ngufln luc va ho trp tii thifn Ket luan: Mflt so khuyin nghi da dupc dua vl ngufln nhan l\tc, ccr so vat chat, truyen thflng, va viec giam sat trifin khai djch vy cong tac xa hfi t^i Bfnh vien Hihi nghi Vift Due TOr khda: Nhu cau, dfch vu cong tac xa hoi, Binh vi^n Hieu Nghf Viet Dire DAT VAN DE ^ ^ H tfic xa hfli (CTXH) frong benh vifn co vai frd dac bift quan ttpng frong viflc ho frp nguoi benh vfi nguoi nha ngufli bfnh vupt qua kho khfin frong qufi trinh khfim/dieu trj va tao dyng mfli quan he hfii boa ve thi chdt va tinh thfin cua nguoi benh, ngufli nhfi nguoi bfnh vdi nhiing ngudi xung quanh, giua ngudi bfnh vdi ca sd y te (1) ngfiy 15/7/2011 ciia Bfl tiirdng Bp Y te (BYT) phfl duyet De an "Phat trifln nghfl CTXH ttong nganh Y t l giai doan 2011-2020" voi mpc tiflu: "Phfit hiln CTXH ttd tiifinh mflt nghi d Vift Nam Nfing cao nhfin thde ciia tofin xa hpi vfl nghfl CTXH; Xay dyng dpi ngu cfin bp, vifln chuc, nhan vifln va cpng tfic vifln CTXH du v l s6 Iupng, dat yflu cfiu ve chfit Iupng gfin voi phfit trifln he thflng eo sd cung cfip dich vu CTXH tai cfic efip, gdp phfin xay dyng he thflng an sinh xfi hpi tifln tifln" (2) Ci Vift Nam, CTXH bfnh vien ifi mpt lmh vyc hofin toan moi va bfit dfiu dupe tiiye hifn bai bfin sau Quyflt djnh sfl 2514/QD-BYT 'Throng Dfli Ape Y te cong cpng Truong Bgi hpc Lao dpng ~ Xa hpi Bfnh vifn Hihi nghi Vift Due Ifi bfnh vifln ngoai khoa tayen cufli, noi tiflp nhan cfic trudne Ngdy nhgn bdi: 28/02/2020 Ngdy phdn biin: 03/03/2020 Ngdy ddng bdi: 24/03/2020 »• Khoa hpc Nghien ciiu Sue khoe vd Phdt triin (Tgp 04 Sd 01-2020) Joumal ofHealth and Development Studies (Vol.04 No.01.-2020) hpp chfin thuong nang, da chfin thuong chu yflu Ifi tai nan giao thflng Phong CTXH, Bfnh vifn Hihi nghi Vift Ddc dupc tiianh l^p ngfiy 16/4/2015 Ifi cfiu nfli giuatiifiythuflc, nguoi bfnh vfi nguoi nhfi bfnh nhan Phflng CTXH co chuc nang cung cfip eae djch vu vfl CTXH, thflng nhfit quan Iy cae ho^t dpng CTXH tai bflnh vifln Cac hoat dpng eung cfip djeh vii CTXH tai bfnh vien bude dau tao thuan lpi cho nguoi bfnh duac tilp can cfic djch vu CTXH nhfim gifii quyflt cfic van de gap phfii tiong qua trinh kham va diflu tri Tuy nhifln moi dupc lap, Phong van mflt sfl kho khfin nli4t djnh nhu: sy dap dng vl dich vy CTXH v§n chua hofin toan phu hop vdi nhu cfiu cua nguoi bflnh nfli chung vfi ngufli benh nfli tru nfli riflng, thiflu hut nhan sy, ngufln luc can thiflt vfi can cd thyctiflndfl trifln khai tflt eae dich vu hfl frp tam ly - xa hpi, djeh vu tmyfln thflng nang cao nhan thuc vfi kflt nfli ngufln lye Theo hiflu biflt eua chung toi, cae nghien cuu ve nhu cau djch vu cflng tac xa hpi tai bfnh vien hifn ban che Do do, chung tfli tiln hanh nghien cuu voi myc tieu: Mfl tfi nhu cfiu vfl djch vu cflng tac xa hfli cua nguoi bflnh nfli tru tai Bfnh vifn Huu nghi Vift Ddc C d mau, each chgn mau Ap dung cflng thuc tinh cd mau: p(l-p) i=Z^(1 - a/2) ^2 x2 Ap dung cong thuc trfln ta cd n=392, dy phong 7% dfli tuong bo cuflc nfln ed mfiu djnh Iupng frong nghifln cdu la 420 ngudi Tiiu chudn logi tru Ngudi bfnh nfli tru khflng co kha nang giao tiep bfing tiflng Kinh Nguoi bflnh npi tru nfing, khflng du sdc khfle tham gia phong van Phuwng phfip thu th^p so Hfu Cdng cu thu thgp sd lieu Sd dung bang kiflm dfl tifln hanh thu thap sfl lieu, bp cflng cy da dupc sd dung frong nghien cuu cua Pham Tifln Nam vfi cpng sy (2017) tai Bflnh vien K (su dung cfl ehinh sua) (3) Ky thugt thu thgp thong tin DOI TU'ONG VA PHUONG PHAP NGHlfeN ClTU Bfl eau hoi da dupc nghifln cdu vien thd nghiflm fren 10 nguoi bfnh npi tru trudc tifln hfinh dilu tra tifln qufin the nghien cdu, Phuong phfip nghien cihi Sd dung thiflt kfl nghien cuu mfl tfi cfit ngang sau dfl tilp tuc chinh sua cho phu hop Nhom diflu fra vien dupc tap huan ve bp cflng cu trudc dilu fra Dilu tta vifln Ifi hpc vifln Dia dilm va thdi gian nghifln cdu Nghifln euu dupe tiien khai tai Bfnh vifn Huu Nghi Viflt Due, tii tiiang 01/2018 dfln tiifing 12/2018 D6i tuyng nghifln cihi Lfi nhung nguoi bfnh dang dilu trj npi hd tai Bfnh vifn Huu Nghj Vift Due ldp Cao hpc qufin Iy bflnh vifn, Trudng Dai hpc Y tfl cflng cpng Quy trinh thu thgp sd lieu Nghifln cuu vifln tiln hfinh xin y kifln Ban giam dflc Bfnh vien Huu nghj Viet Dde, xin gifiy gidi thiflu cua Nhfi trudng vfi din Bfnh vifn dfl tiln hanh thu thap sfl lieu Nguyin KhSc Liim vd cpng j(r Journal ofHealth and Development Studies (Vol-IM No-l""- Diflu fra vifln tiep can nguai benh npi tru theo sy gioi thiflu cua lanh dao khoa diflu fri; gioi thiflu vfl myc dich, y nghia eua nghifln cuu; tinh bfio mat thflng tin vfi sy dflng y tham gia nghien cdu cua doi tupng Sau do, diflu tra vien tifln hfinh phfit vfin Sau dfli tapng difln thflng tin vfio phieu, dieu fra vien kilm tta cae thflng tin frfln phiflu vfi hoan thifn phiflu diflu fra Trudc tiiu tiiap thflng tin, tfit cfi ngudi bfnh npi tru dflu dupc gifii thich ro ve myc tiflu cua nghien cuu, lpi ich cua nghien cuu Ngufli bfnh cfin ky vfio philu chfip thuan tham gia trudc tiln hfinh diln bfl cfiu hoi phfit vfin Trong qufi trinh phfit vfin nguoi bflnh ed quyin tu chfli tham gia hat cu nfio Mpi thflng tin cua nguoi bfnh dflu dupc giu bi mat vfi chi su dung cho myc dieh nghifln edu X u ly va phan tich so lieu Tofin bp sfl lifu thu thap dupc nhap bang phfin mflm EpiData 3.1 So lieu dupe nhap Ian bfing ngudi nhap khfic nham tiinh sai sfl ttong qufi trinh nhap lifu Cfic so lifu sau thu thap, dupc tflng hpp va phan tich bang phan mflm SPSS 22.0 Sd dung thang diflm Likert dfinh gifi mdc dp hfii long cua nguoi bfnh npi tru (Bao gflm mdc dp: 1: Hofin tofin khflng cfin thiet, 2: Khflng ean thiflt, 3: Binh thudng, 4: Cfin thiflt, 5: Rfit can thiet) Thang dilm Likert dupe ma hfla nhom: nhom khflng cfl nhu cau (1-3 dilm) vfi nhom cfl nhu cau (4-5 diflm) dfli voi timg tiflu muc Mfli nhu cfiu dupe hinh thfinh td nhiflu tieu myc, mfli ylu tfl chia tiifinh nhom "cfl nhu cfiu" va "khflng eo nhu cfiu" Dao dire aghien cuu Nghien cuu dupc thye hien da dupc thflng qua bdi Hpi dflng dao due trudng Dai hpc Y tl Cflng cflng theo Quylt dinh sfl 86/2018/ YTCC-HD3 ngfiy 28/2/2018 Nghifln edu dupe sy chap thuan vfi tao dilu kifn cua Lanh dgo Phong CTXH, Lanh dao bfnh vifn Hiiu nghj Vift Due KET QUA Thong tin ehung ve doi tuyng nghifln cifhi Bfing cho thfiy nghien cuu fren 420 doi tapng, chu yflu cfic dfli tapng eo dp tafli frfln 55 tafli (chiflm 37,4%), nam gioi nhieu hon nu gidi (chilm 59,5%); 60,4% nguoi bfnh dfln tii khu vye nong thon, tien 80% da kit hfln Vfl trinh dp hpc van, 34,8% ngudi bfnh co trinh dp tu trung cap, eao dang ttd len Nghfl nghiep chu yflu Ifi lam ty chilm 39,5% vfi Ifim cflng an luong chilm 28,3%, cfic ngbl nghifp khfic chiflm ty If thap Phan loai ehufin ngheo dya theo quyflt dinh sfl 59/2015/QD-TTg eua Thu tadng Chinh phu ban hfinh (4) Trong nghien euu nfiy, ngudi bflnh co muc sflng trung binh chiflm ty lfl eao nhfit 57,1%, tilp theo Ifi khfi 33,1% vfi muc gifiu chilm ty If thfip nhfit chi cfl 0,5% Cd 79,8% ngudi bflnh nfli tru tham gia khfio sat trfi loi hp cfl bfio hiim y tfl den khfim ehua bflnh tai bfnh vifn Huu nebi Vift Due Mdc dp chi tra bfio hiflm cua ngudi bfnh dupe hudng 80% chiflm 41,8% tiln theo lfi 40% chilm 34,6%, thfip nhfit Ifi looy chi CO 9,3% Tap chi Khoa hpc Nghien cuu Sue khde vd Phdt triin (Tgp 04 Sd 01-2020) Joumal ofHealth and Development Studies (Vol.04 No.01-2020) Bang D^c diem chung cua d6i tiryng nghifln cihi Tan s6 (n) Thdng tin chung Nhom tuSi GicS4 tinh Nffi* Tmh trjng h6n nhSn IVinh dQ h^c van Nghe nghiep Ml^c s6ng B^o hiem y t^ Tylf(%) 18tu6i-26tu6i 53 12,6 Trtn 26 tu6i - 40 tu6i 93 22,1 Tren 40 tuoi - 55 tuoi 117 27,9 >55 tudi 157 37,4 Nam 250 59,5 Nii 170 40,5 Thanli th) 151 36,0 Nong thfln 269 64,0 Chua lap gia dinh 46 11,0 Da ket h6n 347 82,6 G6a/ Ly hon 27 6,4 Khdng di hoc 20 4,8 Ti8u hgc 61 14,5 Cap 11 (THCS) 99 23,6 Cap III (THPT) 94 22,4 Trung cap, cao dang trd len 146 34,8 L^m cong an luong 119 28,3 Chu CO so san xuat 26 6,2 Tudo 166 39,5 (3 nha 56 13,3 Khde 53 12,6 Giau 0,5 Kha 139 33,1 Trung binh 240 57,1 Ngheo 1,2 C$n ngheo 34 8,1 Khic 23 5,5 Co 335 79,8 20,2 Khdng 85 40% 116 34,6 Mirc d$ chi tra cua bao 80% 140 41,8 hiim y t^ 95% 48 14,3 100% 31 9,3 Nguyin Khde Liim va cpng S(r Tgp chi " Joumal ofHealth and Development iiuaies (i
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