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 5 khoa: Chan thucmg chinh hinh 1, Ung buou, Phlu thuat thdn kinh I, Phau thu^t gan mat va Phau thuat tiet nieu trong thfli gian thang 4-5/2018.
Ket qufi: Kit qua nghien cihi cho thay, nguoi bfnh cfl nhu can khac nhau ve djch vy cflng tfic xa hfi, trong 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 ra 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).
Ci Vift Nam, CTXH trong bfnh vien ifi mpt lmh vyc hofin toan moi va bfit dfiu dupe tiiye hifn bai bfin sau khi Quyflt djnh sfl 2514/QD-BYT
'Throng Dfli Ape Y te cong cpng Truong Bgi hpc Lao dpng ~ Xa hpi
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).
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
hpp chfin thuong nang, da chfin thuong chu yflu Ifi do tai nan giao thflng. Phong CTXH, Bfnh vifn Hihi nghi Vift Ddc dupc tiianh l^p ngfiy 16/4/2015 Ifi cfiu nfli giua tiifiy thuflc, 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 do moi dupc thanh lap, Phong van con 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 thyc tifln dfl 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 nay con 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.
DOI TU'ONG VA PHUONG PHAP NGHlfeN ClTU
Phuong phfip nghien cihi
Sd dung thiflt kfl nghien cuu mfl tfi cfit ngang 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 t u y n g nghifln cihi
Lfi nhung nguoi bfnh dang dilu trj npi hd tai Bfnh vifn Huu Nghj Vift Due.
»• Khoa hpc Nghien ciiu Sue khoe vd Phdt triin (Tgp 04. Sd 01-2020) Joumal ofHealth and Development Studies (Vol.04. No.01.-2020)
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 nay 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
Bfl eau hoi da dupc nghifln cdu vien thd nghiflm fren 10 nguoi bfnh npi tru trudc khi tifln hfinh dilu tra tifln qufin the nghien cdu, sau dfl tilp tuc chinh sua cho phu hop. Nhom diflu fra vien dupc tap huan ve bp cflng cu trudc khi dilu fra. Dilu tta vifln Ifi hpc vifln 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
Diflu fra vifln tiep can nguai benh npi tru theo sy gioi thiflu cua lanh dao 5 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 khi dfli tapng difln thflng tin vfio phieu, dieu fra vien kilm tta cae thflng tin frfln phiflu vfi hoan thifn phiflu diflu fra.
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 2 Ian bfing 2 ngudi nhap khfic nhau nham tiinh sai sfl ttong qufi trinh nhap lifu. Cfic so lifu sau khi 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 5 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 thanh 2 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 2 nhom "cfl nhu cfiu" va "khflng eo nhu cfiu".
Dao dire aghien cuu
Nghien cuu dupc thye hien khi da dupc thflng qua bdi Hpi dflng dao due trudng Dai hpc Y t l 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.
Journal ofHealth and Development Studies (Vol-IM. No-l""-
Trudc khi 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 khi tiln hfinh diln bfl cfiu hoi phfit vfin. Trong qufi trinh phfit vfin nguoi bflnh ed quyin tu chfli tham gia hat cu khi nfio. Mpi thflng tin cua nguoi bfnh dflu dupc giu bi mat vfi chi su dung cho myc dieh nghifln edu.
KET QUA
Thong tin ehung ve doi t u y n g nghifln cifhi Bfing 1 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 do 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 khi 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 l o o y 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 1. D^c diem chung cua d6i tiryng nghifln cihi 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^
Mirc d$ chi tra cua bao hiim y t^
18tu6i-26tu6i Trtn 26 tu6i - 40 tu6i Tren 40 tuoi - 55 tuoi
>55 tudi Nam Nii Thanli th) Nong thfln Chua lap gia dinh Da ket h6n G6a/ Ly hon Khdng di hoc Ti8u hgc Cap 11 (THCS) Cap III (THPT) Trung cap, cao dang trd len L^m cong an luong Chu CO so san xuat Tudo
(3 nha Khde Giau Kha Trung binh Ngheo C$n ngheo Khic Co Khdng 40%
80%
95%
100%
Tan s6 (n) 53 93 117 157 250 170 151 269 46 347
27 20 61 99 94 146 119 26 166 56 53 2 139 240 5 34 23 335 85 116 140 48 31
Tylf(%) 12,6 22,1 27,9 37,4 59,5 40,5 36,0 64,0 11,0 82,6 6,4 4,8 14,5 23,6 22,4 34,8 28,3 6,2 39,5 13,3 12,6 0,5 33,1 57,1 1,2 8,1 5,5 79,8 20,2 34,6 41,8 14,3 9,3
Nguyin Khde Liim va cpng S(r Tgp chi "
Joumal ofHealth and Development iiuaies (i <><.<^- •
Nhu cau cung cSp dich vy cong tac xa h$i Nhu cau cung edp dfch v{/ chi ddn, ^ doi vdi nguvi bfnh n^i t n i tai Bfnh vifln thong tin chung ve khdm chira bfth Huu ngh| Vift Due
Hfl fra tiiu tuc chiQ^^ CO sfl dilu tn/xufit vifn
Tu vfin frp c ^ x a hoi cho ngU&i bfnh fliupc ho ngheo
Tu vfin chinh sfidi bao hiflm yte Tuvan chi phi dilu tri Hudng din, hfl frp thii tuc/qui trinh kham
heah
m Co nhu cfiu • Khdng co nhu cau
Bieu do 1. Ty If % nhu c4u cua ngudi bfnh npi t r u v l cung edp dich vy chi dan, t u van thong tin chung ve kham chua bfnh
Theo biflu dfl 1, ty lfl nhu cau cua nguoi bflnh npi tiu vfl hudng dfin, hfl ttp thu tyc/quy trinh kham bfnh cua ngudi benh npi tru lfi cao nhat chiem 91,9%. Tiflp sau dfl, nhu cau ta vfin ehi phi diflu trj vfi ta vfin chinh sfich bfio hiem y tfl cung chiflm 90%. Nhu cau chiem ty If thfip
ban la ho tip thu tyc chuyen ca sd dieu tri/
xuat vifn (chiflm 89,8%), thfip nhfit Ifi nhu cfiu ve ta vfin ttp cfip xa hfli cho ngudi bflnh npi tru thupc hfl ngheo 83,3%.
Nhu cdu cung edp dich vi* truyin thdng ndng cao nh^n thiec
Cac quy ^ n h veldiani rhfrah^nh coa beid) vien
Cac am (hmg ve idioiig, ch&i^ benh (dang Idiam va dien bi)
Hc»n thv gop y tiof^ bodi vien
Qoi t i c vng XV t ^ benh vien
• Co nhu cfin OKbdng confaa c k i
Bilu do 2. Ty If % nhu can cua ngirdi bfnh npi trii ve nhu cau cung cap djch vy tru ^ thong nang cao nhan thde
Tgp chi Khoa hpc Nghien cuu Sue khoe vd Phdt tnin (Tgp 04, S6 01-2020) Joumal ofHealth and Development Studies (Vol.04. No.01-2020) Trong eac nhu cfiu cung cfip djch vy truyfln
thdng nang cao nhan thde cua ngudi bflnh thi nhu cfiu dupc cung cfip thong tin, cfic quy dinh v l khfim chua bfnh cua bflnh vifln la cao nhfit chilm 71,0%. Tiflp theo, nhu eau duyc bilt v l bom thu gop y ttong bflnh vien lfi
69,5%, nhu cfiu dupc biflt ve quy tfic dng xd tai bflnh vien chiflm 67,9%. Cufli cung, chilm ty lfl thap nhfit la nhu cau dupe cung cfip cac npi dimg vfl phong, chflng benh (dang kham vfi diflu tri), chiflm 60,3%.
Nhu can ho tra tdm ly-xa hdi
' ^ S T ^ i 1 3 2 , 1 "i 35^7 • 27,6
l l l l
Tham hfli ve tinh Tu vfin - tham Trj lifu tfim ly Tu van giao tiflp Cung cfip thflng ti^g sue khoe vfi vfin tam ly xa hpi tin mang luoi hfl hofin cfinh khfl khan frp nguoi bflnh.
cua gia dinh
• Co nhu cau • Khflng co nhu cfiu
Bieu do 3. Ty If % nhu c4u cua ngudi bfnh ngi tru ve hfl t r y tam ly - xa hpi
^ • n h u cau hfl fry tfim ly - xa hfli cua ngudi bfnh thi ty If nhu cfiu cung efip thong tm
P
ludi hfl ttp ngudi benh la cao nhat 72,4%. Cfic nhu cau khac chiem ty If taong dfli cao nhu: Tu van - Tham vfin tfim trj liflu tam ly (cung ehilm 71,7%) vfi tavan giao tiflp xa hpi (chiflm 67,9%). J^ lfl nhu cau cua nguoi benh hfl fro ta vfin giao tiep xa hpi la thap nhat chiflm 64,3%.
Nhu cdu kit ndi cdc ngudn luc va ho trg tit thien
Nguyin Khde liim vd e^ng sfr
Joumal of Health and Dewlopmi a Studies OtAo*-'^
41,4 40,2 42,1 43,8 I
U i l l l
Hotrgtignmat Ho trg tign ni$t E)injct5ngdo Ehigc cung cip Holrgrchocf Hotivch5ms6c thanh t o ^ mot chi dung cho sinh dilng ck nhan bfla fin mien cho nguai nha cila cdc tinh phSn chi phi difiu Iio?tphi phi trong thoi gian nguyin vi6n
tri chgms6c
• Co nbu ciu o IChong co nhu can
Bieu d^ 4. Ty If % nhu cau ket n6i nguon lire va ho trp" tu- thifn
Nhu cfiu hfl frp chfl d eho ngudi nhfi frong thdi gian cham sfle Ifi eao nhfit chiem 67,6%.
Tiflp sau dfl, la nhu cfiu bfl frp cham soc cua cac tinh nguyfn vien (64,3%). Nhu eau cua ngudi bflnh vfl cung cap bua an mifln phi la thap nhfit chiflm 56,2%. Mflt so nhu cau khfic
chi ehilm ty lfl d muc trung buih nhu: ho tip tien mat chi dimg eho sinh bo^t phi, hfl trp tien mat thanh toan mflt phan chi phi diflu trj, dupc tang do dung ca nhan (khoang 60%).
Nhu can cung cap djch vu CTXH chung vdi ngudi benh ngi trd tgi B^nh vi^n Vift Dike
U
% I 55,5
Nhu cau k€t noi nguon lye va ho trgf tir thi?n
Nhu cau ho trg tam ly
• Co nhu cau
Nhu cau cung c4p djch vv thong tin, kien thiic truyen thong giao dye stic
khoe OKJiongco nhu cau
cung cap djch vv chi dan, tu van thong tin chung ve khim chira b^nh
Bilu d^ 5. Ty If % nhu cau ngufli bfnh npi tru ve djch vy CTXH
Theo biflu dfl 5, nhu cfiu cua ngudi bflnh ve cung cap djch vy elu dan, ta van thflng tin chung khfim ehua bfnh lfi cao nhat chiem 81,9%. Ty If cfic nhu cfiu khfic eua ngudi bfnh npi tru taong dfli cao, frong khofing td 60 - 80%, bao gflm cac nhu cfiu: Nhu cfiu vfl dieh vu ta vfin thong tin dilu trj benh, nhu can ho frp tfim ly. Ty If nhu cau ciia ngufli bfnh vl kit nfli nguon lue vfi bfl ttp ta thifln la thfip nhfit chiem 55,5%.
BAN L U A N
Nhu cau cung dp djch \^ chi dSn thdng tin chung vl khfim chira bfnh
Nguoi bfnh cfin dupc uu tien ho trp, hudng dan thu tye quy trinh khfim chua bflnh. Kflt qufi nay taong ty vdi nghien euu cua tfic gifi P h ^ Tiln Nam vfi nhflm cflng s\r (2017) Ifi 86,1%. Day eung la nhu cau chiem ty le cao nhat cua ngufli bfnh ung thu tai bflnh vifln K) (3). Ngofii ra, ngudi bflnh tai bfnh vifln Hdu nghj Vift Ddc con cfl nhu cfiu: Hfl tta ta van chinh sfich bfio hiflm y tfl va ehi phi diflu ttj. Kflt qua nfiy cfl su khfic bilt vdi nghifln euu eua tfic gifi Nguyen Van Bang (2014).
Nghifln CIIU tfic gifi Nguyfln Van Bang, ngudi bflnh it cfl nhu cau ta van ve chi phi diflu trj bfidi (5). Nghifln cdu co su khfic biflt bdi, kflt qua nghien cuu cho thfiy nguoi bflnh t^i bfnh vifln Hiiu nghj Viet Due da phan co bfio hiem y tfl, tay nhifln, sfl Iupng khong nhfl nguoi bfnh chi co mde ehi trfi eua bfio hiflm y te la 40% (muc chi tta thfip).
Nhu c4u cung cap dich v^i truyin thong nfing cao nhfin thde
Nghifln cdu cho thfiy ngudi benh cfin dupc uu tifln ta vfin ho tip, eung efip thflng tin vl cfic quy djnh khfim chua bfnh cua benh vifln.
Khoa hpc Nghien cuu Sue khde vd Phdl triin (Tgp 04. So 01-2020) Joumal ofHealth and Development Studies (Vol 04. No.01-2020)
Diflu nfiy ngupc lai voi kit qufi nghien cuu cua tfic gifi Pham Tifln Nam vfi nhflm cpng su - ket qufi ehi ra nguoi benh cfin nhfit lfi duac ta van ve cfic npi dung phong chflng diflu trj bflnh (84,4%) (3). Nguyen nhfin do thuc tl hifln nay, sfl luang ngudi bfnh din kham va dieu tri tai bflnh vifn ngfiy mot tfing cao, frong khi phan lona ngudi bflnh din ta nong thon. Chinh vi vfiy, tai Benh vifn Huu nghj Viet Dde, khfi nang tiep can thflng tin vfl cfic quy djnh kham chua bflnh cua nhimg nguoi bfnh se khong bang ngufli bflnh din tu thfinh thj. Ngofii ra, ttong nghifln euu nay, ngudi bfnh eo nhu cfiu khfi cao (tifln 60%) ve tat ca eac tieu chi cua djch vu truyen thong nang cao nhan thuc. Kflt qufi nay hoan tofin phd hpp vdi thue tfl, bfli ttong suot qua trinh khfim/dilu tri, thflng tin vfl kifln thuc, ky nang phong chflng/diflu trj bfnh lfi nhihig hanh tiang quan trpng doi vdi nguoi bfnh vfi ngudi nhfi nguoi bflnh. Nghifln euu cua cfic tfic gifi Ly Thj Hfio (6), Nguyfln Hfi My (7) va Vu Thi Thu Phuang (8) cung chi ra kit qufi taong tu.
Nhu cau ho trg^ tfim 1^
Tam ly cua nguoi bflnh tai bflnh vifn Hiiu nghi Viet Due taong dfli phdc tap vfi co nhieu bifln dfli ttong suot qufi tiinh diflu trj.
Vl vay, ngudi bflnh ciing co nhu eau dupc hfl tip vl tfim ly. Trong do, ngudi bflnh mong mufln cao nhat dupc cung cap thong tin mang luoi hfl fra ngudi bflnh. Diflu nfiy ngupc lai voi kit qua nghifln cuu cua tfic gifi Pham Tiln Nam va nhdm cpng sy (2017) tai bflnh vifln K vfi kit qufi eua tfic gia Ly Thj Hfio (2016) nghien cdu vl CTXH vdi bflnh nhan ung thu mau tai Vifln Huylt hpc Truyen mau Trung uong (3, 6). Hai tfic gifi ehi ra rfing, ngudi bflnh can nhfit Ifi dupe tham hfli vl tinh hinh sue khoe va hofin cfinh kho khfin
Nguyen Khde Liim vd cgng ifr
cua gia dmh. Vdi kflt qufi nghifln euu ciia tac
^ H Pham Tifln Nam vfi nhom cpng su, nhu cfiu nfiy chiem ty If lfi 86,1%, edn cua tfic gifi Ly Thi Hfio, nhu cfiu nfiy cd ty le dao dpng ta 70-90%. Cd su khac biet nay lfi do, phan lom ngudi benh frong nghien cuu ciia hai tfic gifi dfln ta dfln til nong thfln - noi co hf thong co sd y tfl tayen dja phuang ehua thyc su tflt vfi mang Iudi hfl frp ngudi bfnh nfli tru con long Ieo. Ben eanh dd trinh dp hpc van ciia ngudi benh chu yflu Ifi trung efip vfi cao dfing frd len. Diflu nfiy cung eo nghia, hp cfl khfi nang tiflp cfin nhiflu thong tin chuyen sfiu hem ve bfnh, thflng tin vfl mang lufli hfl frp nguoi benh ban so vdi nhung nhflm ngudi bfnh cfl trinh dfl dfin tri thfip ban tai bfnh vifln Hihi nghj Vift Ddc.
Nhu c i u k i t not cac nguSn hfz vfi ho trp^
tiir thifn
K i t qufi nghifln cdu cho thfiy nguoi bfnh cfin dupe uu tifln bfl frp chfl d cho ngufli nhfi frong thai gian chfim soc vfi hfl trp chfim sfle cua cfic tinh nguyfn vien. Ket qufi nay taong tv mpt sfl nghien cuu khfic nhu nghifln cuu eiia Nguyen Thj Thanh Lam (2013) chi rfing frfln 80% ngudi bfnh cfl nhu cau hfl frp tien diflu fri, sinh boat phi vfi cho d. Ngoai ra hp cimg co nhu cau:
cfii thien ca sd vat chfit ciia bfnh vifln, tang cuong mfli quan he giua nguoi chfim soc vfi can bp bfnh vifln, hfl tip cfic thflm thflng tin v l cfic mang Iudi giup d o ngudi bfnh (9).
Kit qufi nfiy cfl su chflnh lfch vdi kflt qufi nghien cuu cua tfic gifi Ph^m Tifln Nam vfi nhdm cpng sy, ngudi bfnh can nhfit Ifi dupc hfl ttp tiln mat chi dung eho sinh hoat phi (84,9%) vfi hfl tip tiln mfit thanh tofin mot phfin chi phi dilu tii (84,2%) (3). Nguyen nhfin la do thu nhfit, bfnh vifn Huu nghj Vift Due - nai dfiy moi ngfiy ddn tiep hfing
Joumal of Health and Development sruaies troLv^. •.--' nghin lupt ngufli benh, ngudi nhfi nguoi benh nfli tm dfln khfim chira bfnh. Chinh vi vfiy, sfl Iupng nguoi benh npi tru rfit dflng.
Thu hai, vdi pham vi cua nghien cuu la tai 05 khoa; Chfin thuang chinh hinh 1. Ung budu, Phfiu tiiuat tiifin kinh I, Phfiu tiiuat gan m^t, Phfiu tiiuat tilt nifu. Nguoi bfnh tai cfic khoa nfiy da phan khflng the t^ minh ty cham sfle bfin tiian. Hp rfit cfin cd ngudi ho ttp cham sfle hp tiong suflt qufi tiinh diflu frj bfnh. Chua k l , ngudi bfnh phiin ldn dfln tii nflng thfln. Chinh vi vfiy, ho mong muon ngudi nhfi eua hp se dupc hfl trp it nhat Ifi v l cho d hogc se co tinh nguyfn vien cham sfle thay vi huy dflng ngudi cham soc tu qufl nhfi de hp cfl thfl yen tfim diflu trj tai vifn.
Hgn chl cua nghien euu: Nghien cuu chi dfinh gifi nhu cfiu cua ngudi bfnh npi tni tai bfnh vifn Hiru nghj Vift Due vdi quy mfl nhfl nfln tinh dai difn ciia nghien cuu ban ehe ve m | t pham vi, khong the suy rpng ta kit qufi nghien cuu. Do diflu kifn hgn chfl nen nghien cuu chi thuc hifn dupe tien dfli tapng nguoi bfnh nhfin nfim diflu trj npi tru tien 3 ngfiy tai bfnh vifn mfi khflng the tiln hfinh khfio sfit d ngudi bfnh da ra vifn.
Nhu eau v l dich vy CTXH ciia ngudi benh nfli tid t^i bfnh vifn Hiiu nghi Vift Due d cfic mdc ty If khfic nhau: 81,9% ngudi bfnh cd nhu cfiu cung cfip djch vy chi dfin, ta vfin tiiong tm ehung vfl khfim chira bfnh, tiong do, ngudi bfnh cfin nhfit lfi dupc hudng dan, ho frp tiiu tyc/quy trinh khfim bfnh (91,9%); 68,6%
nguoi bfnh cd nhu cfiu cung cap djch vu thflng tm, kien thuc tmyen thflng gifio dye sue khoe frong dd, ngudi bflnh can nhfit lfi dupc cung d p cfic quy djnh v l khfim chua bfnh cua bfnh vifn
(71%); 62,9% ngudi bflnh cfl nhu cau hfl tra tam Iy: bfnh nhan cfin nhfit la dupe hfl frp cung cfip thong tin mang luoi ho frp ngudi bflnh npi tni (72,4%); 55,5% ngudi bflnh ed nhu cfiu kit nfli nguon lye va ho fro td thien: nguoi bflnh cfin nhfit Ifi dupe hfl frp eho d cho ngudi nhfi trong thdi gian cham soc (67,6%).
KHUYEN NGH?
Mpt sfl khuyin nghj dua ra dfli voi Phdng CTXH cua bfnh vifln: Dfio tao, nfing cao cfic kiln thuc y hpc cho nhan vifln eong tfic xa hpi; tang cudng cflng tfic dfio tgo, e^p nhfit kiln thue chuyfln sau eho nhan vien cua Phong CTXH; tang cuotig cflng tfic giao luu giua phong eong tfic xfi hpi vfi cfic khoa/phong dl tiiln mang Iudi CTXH tai bflnh vifn; dfiy mgnh tmyln thong dfln bflnh nhan vfi ngudi nha bfnh nhfin v l dieh vu CTXH tai bfnh vifn; duy tri vfi phat trifln cfic boat dpng san CO, nhu: ho ttp bflnh nhfin ngheo, bflnh nhan cfl hofin cfinh khd khan thflng qua hogt dflng thifn nguyfn.
Ldi cam on
Nhflm nghien cuu xin chfin thfinh cfim an su hfl ttp, hpp tfic eda lanh dao bflnh vien, nhfin vien Phong CTXH va ngudi bfnh tai bflnh vifn Hihi nghj Vift Due.
TAI LIEU THAM KHAO
Tgp chi Khoa hpc Nghien cuu Siic khoe vd Phdt triin (Tgp 04. Sd 01-2020) Joumal of Health and Development Studies (Vol.04. No.01-2020)
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Nguyin Khic Liim va cpng su r^pcA. .J....;;-. .••„ . . _ ,- ^. ., ::. T ""f]) Journal ofHealth and Development Studia (K}l.04. i^--
Demands of inpatients for social work services at \^etnam - Germany Hospital
Nguyen Khac Liem', Luu Thi Tham^
' Hanoi University of Public Health
^ University of Labour and Social Affairs Objective: The stady auned to describe the demands of inpatients for social work services at Vietnam - Germany Hospital in 2018. Methods: This was a cross-sectional stady, using quantitative research methods with the participation of 420 inpatients. The stady collected data in 5 faculties: Orthopedic trauma I, Oncology, Neurosurgery I, Hepatobiliary surgery and Urologieal surgery in the period of April to May, 2018. Mam findings: The research results show that patients had different demands for social work services: 81.9% of patients wished to provide medical information and guidance services; 68.6% of patients demanded to be provided health education information; 62.9% of patients demanded psychological support;
and 55.5% of patients demanded to connect resources and charitable support. Conclusion: A number of recommendations was made regarding human resoiuces, facilities, communication, and monitoring tiie implementation of social work services at the Hospital.
Keywords: Demands, social work services, Vietnam-Germany Hospital.
