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์˜ํ•™์ „๋ฌธ๋Œ€ํ•™์›์ƒ์˜ ์˜๋ฃŒ์ปค๋ฎค๋‹ˆ์ผ€์ด์…˜ ๊ต์œก ํ”„๋กœ๊ทธ๋žจ ๊ฐœ๋ฐœ ๋ฐ ๊ต์œก ํšจ๊ณผ

Abstract

Purpose:

The purpose of the study is to develop education programs for improving medical school studentsโ€™ medical communication ability, and to provide basic information to help develop and operate medical communication education programs by analyzing the education programs and students satisfaction from the education effects.

Methods:

The method was to survey 116 sophomores in C medical school in 2014 in order to research studentsโ€™ demands for the medical communication education, level differences of communication between before and after of the education, and studentsโ€™ satisfaction from the education program. Analysis of frequency, paired samples t-test, descriptive statistic analysis were used for the research.

Results:

There were not only many students who did not get general communication educations before admission, but also many students who said they need medical communication education. On the whole, studentsโ€™ abilities of communication were improved. Building relationship, information gathering, sharing information, understanding oneโ€™s perspectives factors was improved meaningfully in the statistics. However opening relationship, reach agreement, and providing closure were not improved meaningfully in the statistics. On the whole, the students were satisfied from the education programs.

Conclusion:

To develop education programs for medical communication ability, we need to construct the objectives of education and contents by researching studentsโ€™ demands and level of learning in communication area. Moreover we have to design curriculum to maintain the education effects consistently.

์„œ๋ก 

์˜๋ฃŒ์ปค๋ฎค๋‹ˆ์ผ€์ด์…˜์€ ์˜๋ฃŒ์ƒํ™ฉ์—์„œ ์˜์‚ฌ-ํ™˜์ž์˜ ์น˜๋ฃŒ์  ๊ด€๊ณ„๋ฅผ ํ˜•์„ฑํ•˜๊ณ , ํ™˜์ž๊ฐ€ ๊ฐ€์ง„ ๋ฌธ์ œ๋ฅผ ์˜์‚ฌ์˜ ์งˆ๋ฌธ์— ์˜ํ•ด ๊ตฌ์ฒดํ™”ํ•ด ๋‚˜๊ฐ€๋Š” ์ •๋ณด๊ตํ™˜์˜ ๊ณผ์ •์„ ๊ฑฐ์ณ ๋ฌธ์ œ ํ•ด๊ฒฐ์˜ ๋ฐฉ๋ฒ•์„ ์ฐพ์•„๋‚ด๋Š” ๊ฒƒ์— ๋ชฉ์ ์ด ์žˆ๋‹ค๊ณ  ํ•  ์ˆ˜ ์žˆ๋‹ค. ํšจ์œจ์ ์ธ ์˜๋ฃŒ์ปค๋ฎค๋‹ˆ์ผ€์ด์…˜์€ ์˜์‚ฌ์™€ ํ™˜์ž ๊ฐ„์˜ ๊นŠ์€ ๊ณต๊ฐ๋Œ€๋ฅผ ํ˜•์„ฑํ•˜์—ฌ ์ƒํ˜ธ์‹ ๋ขฐ๊ฐ์„ ์ฆ์ง„์‹œํ‚ค๋Š” ๋ฐ ์ค‘์š”ํ•œ ์š”์ธ์œผ๋กœ์„œ, ์ง„๋ฃŒ์™€ ์น˜๋ฃŒ๊ณผ์ •์— ๋Œ€ํ•œ ํ™˜์ž์˜ ๋งŒ์กฑ๋„์™€ ์˜์‚ฌ์˜ ์ง๋ฌด๋งŒ์กฑ๋„๋ฅผ ์ฆ๊ฐ€์‹œํ‚ค๋ฉฐ, ๊ถ๊ทน์ ์œผ๋กœ ํ™˜์ž์˜ ์ˆœ์‘๋„๋ฅผ ์ฆ๊ฐ€์‹œํ‚ค๋ฏ€๋กœ ์น˜๋ฃŒ ๊ณผ์ • ๋ฐ ๊ฒฐ๊ณผ์— ์˜ํ–ฅ์„ ๋ฏธ์นœ๋‹ค๋Š” ์„ ํ–‰ ์—ฐ๊ตฌ ๋“ฑ์œผ๋กœ ์˜๋ฃŒ์ปค๋ฎค๋‹ˆ์ผ€์ด์…˜์˜ ์ค‘์š”์„ฑ์— ๋Œ€ํ•œ ์ธ์‹์ด ๋ณ€ํ•˜์˜€๋‹ค[1,2,3,4]. ๋˜ํ•œ ํ™˜์ž์˜ ์ฃผ๊ถŒ์˜์‹์ด ๋†’์•„์ง€๊ณ  ๋ฏธ๋””์–ด์™€ ์ธํ„ฐ๋„ท ๋“ฑ์„ ํ†ตํ•ด ์˜๋ฃŒ์ •๋ณด๊ฐ€ ๋Œ€์ค‘ํ™”๋˜๋ฉด์„œ ์˜์‚ฌ์˜ ์ผ๋ฐฉ์ ์ธ ์ „๋‹ฌ๋ฐฉ์‹์—์„œ ๋ฒ—์–ด๋‚˜ ์Œ๋ฐฉํ–ฅ์ ์ธ ๊ด€๊ณ„๋ฅผ ์ค‘์‹œํ•˜๋Š” ์‚ฌํšŒ์  ๋ถ„์œ„๊ธฐ๊ฐ€ ๋งž๋ฌผ๋ ค ์˜๋ฃŒ์ปค๋ฎค๋‹ˆ์ผ€์ด์…˜์˜ ์ค‘์š”์„ฑ์ด ๊ฐ•์กฐ๋˜์—ˆ๋‹ค[5].
๋งŽ์€ ๊ตญ์™ธ ์˜๊ณผ๋Œ€ํ•™ ๊ต์œก๊ณผ์ •์˜ ์กธ์—…์„ฑ๊ณผ๋กœ์„œ ์ง„๋ฃŒ์—ญ๋Ÿ‰ ์™ธ์— ์ปค๋ฎค๋‹ˆ์ผ€์ด์…˜ ๋Šฅ๋ ฅ์ด ๊ณตํ†ต์ ์œผ๋กœ ํฌํ•จ๋˜์–ด ์žˆ๊ณ [6], ๊ตญ๋‚ด ๋งŽ์€ ์˜๊ณผ๋Œ€ํ•™์˜ ์กธ์—…์„ฑ๊ณผ ํ˜น์€ ๊ต์œก ๋ชฉํ‘œ์—๋„ ํฌํ•จ๋˜์–ด๊ฐ€๋Š” ์ถ”์„ธ์ด๋‹ค. ๋”๋ถˆ์–ด ์˜์‚ฌ๊ตญ๊ฐ€๊ณ ์‹œ ์‹ค๊ธฐ์‹œํ—˜์— ์˜๋ฃŒ๋ฉด๋‹ด ๊ณผ๋ชฉ์ด ํฌํ•จ๋˜๋ฉด์„œ ์˜๋ฃŒ์ปค๋ฎค๋‹ˆ์ผ€์ด์…˜ ๊ต์œก์— ๊ด€ํ•œ ๊ด€์‹ฌ์ด ์ปค์ง€๊ณ  ์žˆ๋‹ค. ํ•œ๊ตญ์˜ํ•™๊ต์œกํ‰๊ฐ€์›์—์„œ ์‹ค์‹œํ•œ ์˜๊ณผ๋Œ€ํ•™์—์„œ ์˜๋ฃŒ์ปค๋ฎค๋‹ˆ์ผ€์ด์…˜ ๊ต์œก์— ๋Œ€ํ•œ ํ˜„ํ™ฉ์กฐ์‚ฌ(2007)์— ๋”ฐ๋ฅด๋ฉด 88%์˜ ์˜๊ณผ๋Œ€ํ•™์—์„œ ์˜๋ฃŒ์ปค๋ฎค๋‹ˆ์ผ€์ด์…˜ ๊ต๊ณผ๋ชฉ์„ ๊ฐœ์„คํ•˜๊ณ  ์žˆ๊ณ , ์˜๋ฃŒ์ปค๋ฎค๋‹ˆ์ผ€์ด์…˜ ๊ต์œก์€ ์˜๋ฃŒ์ปค๋ฎค๋‹ˆ์ผ€์ด์…˜ ๊ต์œก์„ ์ „๋‹ดํ•˜๊ธฐ ์œ„ํ•œ ๊ต๊ณผ๋ชฉ์œผ๋กœ ์ œ๊ณต๋˜๊ฑฐ๋‚˜ ์˜๋ฃŒ์ธ์˜ ๊ต์œก์„ ์œ„ํ•œ ๊ต๊ณผ๋ชฉ์˜ ์ผ๋ถ€ ๋‚ด์šฉ์œผ๋กœ ๋‹ค๋ฃจ์–ด์ง€๊ณ  ์žˆ๋‹ค. ์˜๋ฃŒ์ปค๋ฎค๋‹ˆ์ผ€์ด์…˜ ๊ต์œก ๋‚ด์šฉ๊ณผ ๋ฐฉ๋ฒ•, ๊ต์œก ๋Œ€์ƒ ๋“ฑ์€ ๋Œ€ํ•™์— ๋”ฐ๋ผ ํŽธ์ฐจ๊ฐ€ ์žˆ๋‹ค[7,8].
์˜๋ฃŒ์ปค๋ฎค๋‹ˆ์ผ€์ด์…˜ ๊ต์œก์˜ ๊ถ๊ทน์  ๋ชฉ์ ์€ ํ•™์ƒ๋“ค์ด ํ™˜์ž๋ฅผ ๋Œ€ํ•  ๋•Œ ํ•„์š”ํ•œ ์ปค๋ฎค๋‹ˆ์ผ€์ด์…˜ ๊ธฐ์ˆ ์„ ๊ต์œกํ•˜๋Š” ๊ฒƒ๋ฟ๋งŒ ์•„๋‹ˆ๋ผ ์žฅ์ฐจ ์˜๋ฃŒ์ธ์œผ๋กœ์„œ ์ „๋ฌธ์ง์„ ์ˆ˜ํ–‰ํ•˜๊ธฐ ์œ„ํ•œ ์ปค๋ฎค๋‹ˆ์ผ€์ด์…˜ ํƒœ๋„ ๋ฐ ๊ทธ์— ๋”ฐ๋ฅธ ํ–‰๋™์˜ ๋ณ€ํ™”๊ฐ€ ์ง€์†์ ์œผ๋กœ ์œ ์ง€๋˜๋„๋ก ํ•˜๋Š” ๊ฒƒ์ด๋‹ค[9]. ์˜๋ฃŒ์ปค๋ฎค๋‹ˆ์ผ€์ด์…˜์€ ์ธ๊ฐ„ ์ปค๋ฎค๋‹ˆ์ผ€์ด์…˜์˜ ํ•œ ์œ ํ˜•์œผ๋กœ ์ปค๋ฎค๋‹ˆ์ผ€์ด์…˜์˜ ๊ตฌ์„ฑ๊ณผ ์ง„ํ–‰๊ณผ์ • ๋“ฑ์— ๊ด€ํ•œ ๊ธฐ์ดˆ์ง€์‹์ด ์žˆ์„ ๋•Œ ๋ณด๋‹ค ์ •ํ™•ํ•˜๊ฒŒ ์ดํ•ดํ•  ์ˆ˜ ์žˆ๊ณ  ์‹คํ–‰ํ•  ์ˆ˜ ์žˆ๋‹ค[10]. ์ฆ‰, ์˜๋ฃŒ์ปค๋ฎค๋‹ˆ์ผ€์ด์…˜ ๊ต์œก์˜ ํšจ๊ณผ๋ฅผ ๋†’์ด๊ธฐ ์œ„ํ•ด์„œ๋Š” ๋จผ์ € ์ผ๋ฐ˜์ ์ด๊ณ  ๋ณดํŽธ์ ์ธ ์ปค๋ฎค๋‹ˆ์ผ€์ด์…˜์— ๊ด€ํ•œ ๊ธฐ์ดˆ์ง€์‹์˜ ์Šต๋“์ด ์ „์ œ๋˜์–ด์•ผ ํ•œ๋‹ค.
๋”ฐ๋ผ์„œ ์˜๋ฃŒ์ปค๋ฎค๋‹ˆ์ผ€์ด์…˜ ๊ต์œก ํ”„๋กœ๊ทธ๋žจ ๊ฐœ๋ฐœ์„ ์œ„ํ•ด์„œ๋Š” ํ•™์ƒ๋“ค์˜ ์ผ๋ฐ˜์ ์ธ ์ปค๋ฎค๋‹ˆ์ผ€์ด์…˜์— ๋Œ€ํ•œ ๊ธฐ์ดˆ์ง€์‹ ์ˆ˜์ค€์ด๋‚˜ ๊ต์œก ๊ฒฝํ—˜ ์ˆ˜์ค€, ์š”๊ตฌ ์ˆ˜์ค€์„ ํŒŒ์•…ํ•˜์—ฌ ๊ตฌ์„ฑํ•˜๋Š” ๊ฒƒ์ด ํ•„์š”ํ•˜๋‹ค. ์˜๋ฃŒ์ปค๋ฎค๋‹ˆ์ผ€์ด์…˜ ๊ต์œก๊ณผ ๊ด€๋ จํ•˜์—ฌ ๊ต๊ณผ๋ชฉ์˜ ๊ตฌ์„ฑ[9], ๊ต์œก ๊ณผ์ •์˜ ๋ฌธ์ œ์ [11] ๋“ฑ์— ๋Œ€ํ•œ ์„ ํ–‰ ์—ฐ๊ตฌ๋Š” ์žˆ์ง€๋งŒ ํ•™์ƒ๋“ค์˜ ์‚ฌ์ „ ์ปค๋ฎค๋‹ˆ์ผ€์ด์…˜์— ๋Œ€ํ•œ ๊ต์œก ๊ฒฝํ—˜ ์ •๋„๋‚˜ ์š”๊ตฌ๋„๋ฅผ ์กฐ์‚ฌํ•˜๊ฑฐ๋‚˜ ์˜๋ฃŒ์ปค๋ฎค๋‹ˆ์ผ€์ด์…˜ ํ”„๋กœ๊ทธ๋žจ์„ ์‹œํ–‰ํ•˜๊ณ  ๊ทธ ๊ต์œก ํšจ๊ณผ์— ๋Œ€ํ•œ ์—ฐ๊ตฌ๋Š” ์ฐพ์•„๋ณด๊ธฐ ์–ด๋ ต๋‹ค. ๋ณธ ์—ฐ๊ตฌ์—์„œ๋Š” ์˜ํ•™์ „๋ฌธ๋Œ€ํ•™์›(์ดํ•˜ ์˜์ „์›) ํ•™์ƒ๋“ค์˜ ์˜๋ฃŒ์ปค๋ฎค๋‹ˆ์ผ€์ด์…˜ ๋Šฅ๋ ฅ ํ–ฅ์ƒ์„ ์œ„ํ•ด ๊ต์œก ํ”„๋กœ๊ทธ๋žจ์„ ๊ฐœ๋ฐœํ•˜๊ณ  ๊ทธ ํšจ๊ณผ๋ฅผ ๋ถ„์„ํ•˜์˜€๋‹ค.

๋Œ€์ƒ ๋ฐ ๋ฐฉ๋ฒ•

1. ์—ฐ๊ตฌ ๋Œ€์ƒ

๋ณธ ์—ฐ๊ตฌ ๋Œ€์ƒ์€ C์˜ํ•™์ „๋ฌธ๋Œ€ํ•™์›์— ์žฌํ•™์ค‘์ธ 2ํ•™๋…„ 120๋ช… ์ค‘ ์˜๋ฃŒ์ปค๋ฎค๋‹ˆ์ผ€์ด์…˜ 9์‹œ๊ฐ„ ๊ต์œก ์‹œ๊ฐ„์— ๋ชจ๋‘ ์ถœ์„ํ•˜๊ณ , ์„ค๋ฌธ์กฐ์‚ฌ์— ๋ชจ๋‘ ์‘๋‹ตํ•œ ์ด 116๋ช…์ด๋‹ค.

2. ์˜๋ฃŒ์ปค๋ฎค๋‹ˆ์ผ€์ด์…˜ ๊ต์œก ํ”„๋กœ๊ทธ๋žจ ๊ฐœ๋ฐœ ๋ฐ ์ ์šฉ

์˜๋ฃŒ์ปค๋ฎค๋‹ˆ์ผ€์ด์…˜ ๊ต์œก ํ”„๋กœ๊ทธ๋žจ ๊ฐœ๋ฐœ์„ ์œ„ํ•˜์—ฌ ๊ต์ˆ˜์„ค๊ณ„๋ชจํ˜•์˜ ํ•˜๋‚˜์ธ ADDIE (๋ถ„์„[analysis], ์„ค๊ณ„[design], ๊ฐœ๋ฐœ[development], ์‹คํ–‰[implementation], ํ‰๊ฐ€[evaluation]) ๋ชจํ˜•์„ ์ ์šฉํ•˜์˜€๋‹ค.
๋ถ„์„๋‹จ๊ณ„์—์„œ๋Š” ์ˆ˜๊ฐ•์ƒ๋“ค์„ ๋Œ€์ƒ์œผ๋กœ ์˜์ „์› ์ž…ํ•™ ์ „ ํ•™๋ถ€์—์„œ ์ปค๋ฎค๋‹ˆ์ผ€์ด์…˜๊ณผ ๊ด€๋ จ๋œ ๊ฐ•์ขŒ์ˆ˜๊ฐ• ์—ฌ๋ถ€, ๋Œ€ํ•™(ํ•™๋ถ€)์—์„œ์˜ ์ปค๋ฎค๋‹ˆ์ผ€์ด์…˜ ๊ฐœ๋ก  ๊ต์œก์˜ ํ•„์š”์„ฑ์„ ๋Š๋‚€ ๊ฒฝํ—˜, ์˜์ „์›์—์„œ ์˜๋ฃŒ์ปค๋ฎค๋‹ˆ์ผ€์ด์…˜ ๊ต์œก์˜ ํ•„์š”์„ฑ, ์˜๋ฃŒ์ปค๋ฎค๋‹ˆ์ผ€์ด์…˜ ์ˆ˜์—…์„ ํ†ตํ•ด ๋ฐฐ์šฐ๊ณ  ์‹ถ์€ ์ฃผ์š” ๋‚ด์šฉ ๋“ฑ์„ ์„ค๋ฌธ์กฐ์‚ฌ๋ฐฉ๋ฒ•์„ ์‚ฌ์šฉํ•˜์—ฌ ํ•™์Šต์ž ์š”๊ตฌ ๋ถ„์„์„ ์‹ค์‹œํ•˜์˜€๋‹ค.
์„ค๊ณ„๋‹จ๊ณ„์—์„œ๋Š” ํ•™์Šต์ž ์š”๊ตฌ ๋ถ„์„ ๊ฒฐ๊ณผ๋ฅผ ๋ฐ˜์˜ํ•˜์—ฌ ์ผ๋ฐ˜์ ์ธ ์ปค๋ฎค๋‹ˆ์ผ€์ด์…˜ ๊ธฐ์ดˆ์ง€์‹๊ณผ ๋ฐฉ๋ฒ• ๋“ฑ์„ ๊ธฐ์ดˆ๋กœ ์˜๋ฃŒ์ปค๋ฎค๋‹ˆ์ผ€์ด์…˜ ๊ด€๋ จ ๋‚ด์šฉ์„ ์Šต๋“ํ•˜์—ฌ ํšจ๊ณผ์ ์ธ ์ปค๋ฎค๋‹ˆ์ผ€์ด์…˜์„ ํ•  ์ˆ˜ ์žˆ๋Š” ๋Šฅ๋ ฅ์„ ํ–ฅ์ƒ์‹œํ‚จ๋‹ค๋Š” ํ•™์Šต ์„ฑ๊ณผ๋ฅผ ์„ค์ •ํ•˜๊ณ , ์ด๋ฅผ ๋‹ฌ์„ฑํ•˜๊ธฐ ์œ„ํ•˜์—ฌ ๊ฐ•์˜, ์—ญํ• ๊ทน, Myers-Briggs Type Indicator ์›Œํฌ์ˆ, ์‹œ์—ฐ, ์‚ฌ๋ก€๋ถ„์„, ํ”ผ๋“œ๋ฐฑ ์ œ๊ณต, ์ž๊ธฐ์„ฑ์ฐฐ ๋ณด๊ณ ์„œ ๋“ฑ ๋‹ค์–‘ํ•œ ๊ต์ˆ˜์ „๋žต๊ณผ ํ•™์Šต๋งค์ฒด ๋“ฑ์„ ๋„์ถœํ•˜์˜€๋‹ค.
๊ฐœ๋ฐœ๋‹จ๊ณ„์—์„œ๋Š” ๊ฐ ์ˆ˜์—…์‹œ๊ฐ„์„ ๋„์ž…-์ „๊ฐœ-๋งˆ๋ฌด๋ฆฌ๋กœ ๋‚˜๋ˆ„์–ด ์ˆ˜์—…๊ณ„ํš์•ˆ์„ ๊ฐœ๋ฐœํ•˜์˜€๋‹ค.
์‹คํ–‰๋‹จ๊ณ„์—์„œ๋Š” Table 1๊ณผ ๊ฐ™์ด ์ด 9์‹œ๊ฐ„์œผ๋กœ 2014๋…„ 3์›” 6์ผ(๋ชฉ), 3์›” 20์ผ(๋ชฉ), 4์›” 3์ผ(๋ชฉ), 4์›” 10์ผ(๋ชฉ)๊นŒ์ง€ ์ด 4ํšŒ ์ง„ํ–‰ํ•˜์˜€๋‹ค.
ํ‰๊ฐ€๋‹จ๊ณ„์—์„œ๋Š” ๊ต์œก ์‹ค์‹œ ์ „๊ณผ ํ›„์˜ ์ปค๋ฎค๋‹ˆ์ผ€์ด์…˜ ์ˆ˜์ค€ ๋ณ€ํ™”๋ฅผ ํ†ตํ•˜์—ฌ ๊ต์œก ํšจ๊ณผ๋ฅผ ํ™•์ธํ•˜์˜€๊ณ , ๊ต์œก ํ”„๋กœ๊ทธ๋žจ ํ•™์ƒ๋งŒ์กฑ๋„ ์กฐ์‚ฌ๋ฅผ ์‹ค์‹œํ•˜์—ฌ ํ•™์ƒ๋“ค์˜ ์˜๊ฒฌ์„ ์ˆ˜๋ ดํ•˜๋Š” ๊ณผ์ •์œผ๋กœ ์ง„ํ–‰ํ•˜์˜€๋‹ค.

3. ์ž๋ฃŒ ์ˆ˜์ง‘

1) ์‚ฌ์ „ ํ•™์ƒ ์š”๊ตฌ ์กฐ์‚ฌ

ํ•™์ƒ๋“ค์˜ ์ปค๋ฎค๋‹ˆ์ผ€์ด์…˜๊ณผ ๊ด€๋ จ๋œ ์‚ฌ์ „ ๊ต์œก ๊ฒฝํ—˜ ์—ฌ๋ถ€์™€ ์˜๋ฃŒ์ปค๋ฎค๋‹ˆ์ผ€์ด์…˜ ์š”๊ตฌ๋ฅผ ํŒŒ์•…ํ•˜๊ธฐ ์œ„ํ•ด ์ฒซ ์‹œ๊ฐ„์— ์„ค๋ฌธ์กฐ์‚ฌ๋ฅผ ์‹ค์‹œํ•˜์˜€๋‹ค. ์„ค๋ฌธ์ง€๋Š” ์˜์ „์› ์ž…ํ•™ ์ „ ํ•™๋ถ€์—์„œ ์˜์‚ฌ์†Œํ†ต๊ณผ ๊ด€๋ จ๋œ ๊ณผ๋ชฉ ์ˆ˜๊ฐ• ์—ฌ๋ถ€, ๋Œ€ํ•™(ํ•™๋ถ€)์—์„œ์˜ ์ผ๋ฐ˜์ ์ธ ์ปค๋ฎค๋‹ˆ์ผ€์ด์…˜ ๊ฐœ๋ก  ๊ต์œก์˜ ํ•„์š”์„ฑ์„ ๋Š๋‚€ ๊ฒฝํ—˜ ์—ฌ๋ถ€, ์˜์ „์›์—์„œ ์˜๋ฃŒ์ปค๋ฎค๋‹ˆ์ผ€์ด์…˜ ๊ต์œก์˜ ํ•„์š”์„ฑ ๋“ฑ ํ์‡„ํ˜• 3๋ฌธํ•ญ๊ณผ ์˜๋ฃŒ์ปค๋ฎค๋‹ˆ์ผ€์ด์…˜ ๊ต์œก์„ ํ†ตํ•ด ๋ฐฐ์šฐ๊ณ  ์‹ถ์€ ๋‚ด์šฉ์„ ์ž์œ ๋กญ๊ฒŒ ์ž‘์„ฑํ•  ์ˆ˜ ์žˆ๋Š” ๊ฐœ๋ฐฉํ˜• 1๋ฌธํ•ญ์„ ํฌํ•จํ•˜์—ฌ ์ด 4๋ฌธํ•ญ์œผ๋กœ ๊ตฌ์„ฑํ•˜์˜€๋‹ค.

2) ์˜์‚ฌ์†Œํ†ต ์ˆ˜์ค€ ํ‰๊ฐ€ ์กฐ์‚ฌ

์˜๋ฃŒ์ปค๋ฎค๋‹ˆ์ผ€์ด์…˜ ๊ต์œก ์‹ค์‹œ ์ „๊ณผ ์‹ค์‹œ ํ›„์— ์ž์‹ ์˜ ์ปค๋ฎค๋‹ˆ์ผ€์ด์…˜ ์ˆ˜์ค€ ๋ณ€ํ™” ์ •๋„๋ฅผ ํ†ตํ•˜์—ฌ ์„ค๊ณ„๋‹จ๊ณ„์—์„œ ์„ค์ •ํ•œ ํ•™์Šต์„ฑ๊ณผ ๋‹ฌ์„ฑ ์—ฌ๋ถ€ ๋“ฑ ๊ต์œก์˜ ํšจ๊ณผ๋ฅผ ํ‰๊ฐ€ํ•˜๊ธฐ ์œ„ํ•˜์—ฌ ์˜์‚ฌ์†Œํ†ต ์ˆ˜์ค€ ์ฒดํฌ๋ฆฌ์ŠคํŠธ๋ฅผ ์‚ฌ์šฉํ•˜์˜€๋‹ค. Beyer-Fetzer Conference on Physician-Patient Communication in Medical Education์—์„œ ๋‹ค์–‘ํ•œ ์˜์‚ฌ์†Œํ†ต๋ชจํ˜•๊ณผ ์—ฐ๊ตฌ ์ž๋ฃŒ๋“ค์„ ํ† ๋Œ€๋กœ ๋งŒ๋“ค์–ด์ง„ ์˜์‚ฌ์†Œํ†ต์˜ ํ•„์ˆ˜์š”์†Œ ๋ชฉ๋ก์„ ํ† ๋Œ€๋กœ ๋ฒˆ์—ญ ์ œ์ž‘ํ•œ ์˜์‚ฌ์†Œํ†ต ์ˆ˜์ค€ ํ‰๊ฐ€์ง€๋ฅผ[12] ๋ณธ๊ต ์˜๋ฃŒ์ปค๋ฎค๋‹ˆ์ผ€์ด์…˜ ๊ต์œก์˜ ํšจ๊ณผ๋ฅผ ํŒŒ์•…ํ•  ์ˆ˜ ์žˆ๋„๋ก ์˜๋ฃŒ์ปค๋ฎค๋‹ˆ์ผ€์ด์…˜ ์ „๋ฌธ๊ต์ˆ˜ 1์ธ๊ณผ ๊ต์œก์‹ฌ๋ฆฌ ์ „๊ณต๊ต์ˆ˜ 1์ธ์˜ ์˜๊ฒฌ์„ ์ˆ˜๋ ดํ•˜์—ฌ ๋ฌธํ•ญ์„ ์ˆ˜์ • ๋ฐ ๋ณด์™„ํ•˜์˜€๋‹ค. ์˜์‚ฌ์†Œํ†ต ์ˆ˜์ค€ ์ฒดํฌ๋ฆฌ์ŠคํŠธ๋Š” ๊ด€๊ณ„ ํ˜•์„ฑํ•˜๊ธฐ, ๋Œ€ํ™” ์—ด๊ธฐ, ์ •๋ณด ์ˆ˜์ง‘ํ•˜๊ธฐ, ์ƒ๋Œ€๋ฐฉ ์ดํ•ดํ•˜๊ธฐ, ์ •๋ณด ๊ณต์œ ํ•˜๊ธฐ, ์˜๊ฒฌ ์ผ์น˜ํ•˜๊ธฐ, ๋งˆ๋ฌด๋ฆฌ ์ง“๊ธฐ ๋“ฑ 7๊ฐœ ์š”์ธ ์ด 25๋ฌธํ•ญ์œผ๋กœ ๊ตฌ์„ฑํ•˜์˜€๊ณ , 7์  ์ฒ™๋„๋ฅผ ์‚ฌ์šฉํ•˜์˜€๋‹ค.

3) ๊ต์œก ํ”„๋กœ๊ทธ๋žจ ํ•™์ƒ ๋งŒ์กฑ๋„ ์กฐ์‚ฌ

์˜๋ฃŒ์ปค๋ฎค๋‹ˆ์ผ€์ด์…˜ ๊ต์œก ํ”„๋กœ๊ทธ๋žจ์— ๋Œ€ํ•œ ํ•™์ƒ๋“ค์˜ ์˜๊ฒฌ๊ณผ ๊ฐœ์„ ํ•  ์ ์„ ํŒŒ์•…ํ•˜๊ธฐ ์œ„ํ•ด ๊ต์œก ํ”„๋กœ๊ทธ๋žจ ํ•™์ƒ ๋งŒ์กฑ๋„ ์กฐ์‚ฌ๋ฅผ ์‹ค์‹œํ•˜์˜€๋‹ค. ์„ค๋ฌธ์ง€๋Š” ๊ต์œก ์ „๋ฐ˜์— ๋Œ€ํ•œ ๋งŒ์กฑ๋„ 1๋ฌธํ•ญ, ์ˆ˜์—… ๋‚ด์šฉ ๋งŒ์กฑ๋„, ์ˆ˜์—… ๋ฐฉ๋ฒ•, ์ˆ˜์—… ๋‚œ์ด๋„, ํ”ผ๋“œ๋ฐฑ์— ๋Œ€ํ•œ ๋งŒ์กฑ๋„, ์ˆ˜์—… ์šด์˜ ๋งŒ์กฑ๋„ ๋“ฑ ๊ต์œก ๋งŒ์กฑ๋„ 5๋ฌธํ•ญ, ์ž์‹ ์˜ ์ˆ˜์—… ์ฐธ์—ฌ ์ •๋„ 1๋ฌธํ•ญ, ์ด 7๋ฌธํ•ญ์œผ๋กœ ๊ตฌ์„ฑํ•˜์˜€๊ณ , 4์  ์ฒ™๋„๋ฅผ ์‚ฌ์šฉํ•˜์˜€๋‹ค.

4. ๊ฒฐ๊ณผ ๋ถ„์„

SPSS version 12.0 (SPSS Inc., Chicago, USA)์„ ์‚ฌ์šฉํ•˜์—ฌ ํ•™์ƒ๋“ค์˜ ์‚ฌ์ „ ์š”๊ตฌ๋„ ๋ถ„์„์„ ์œ„ํ•ด ๋นˆ๋„๋ถ„์„์„ ์‹ค์‹œํ•˜์˜€๊ณ , ๊ต์œก ์ „๊ณผ ๊ต์œก ํ›„ ์˜์‚ฌ์†Œํ†ต ์ˆ˜์ค€ ํ‰๊ฐ€ ๊ฒฐ๊ณผ์˜ ์ฐจ์ด๋ฅผ ๋ถ„์„ํ•˜๊ธฐ์œ„ํ•ด paired samples t-test๋ฅผ ํ•˜์˜€์œผ๋ฉฐ, ๊ต์œก ํ”„๋กœ๊ทธ๋žจ ํ•™์ƒ๋งŒ์กฑ๋„๋Š” ๊ธฐ์ˆ ํ†ต๊ณ„๋ถ„์„(ํ‰๊ท ๊ณผ ํ‘œ์ค€ํŽธ์ฐจ)์„ ์‹ค์‹œํ•˜์˜€๋‹ค.

๊ฒฐ๊ณผ

1. ์˜๋ฃŒ์ปค๋ฎค๋‹ˆ์ผ€์ด์…˜์— ๋Œ€ํ•œ ํ•™์ƒ ์š”๊ตฌ๋„ ์กฐ์‚ฌ

์˜๋ฃŒ์ปค๋ฎค๋‹ˆ์ผ€์ด์…˜ ๊ต์œก ํ”„๋กœ๊ทธ๋žจ์„ ๊ณ„ํšํ•˜๊ธฐ ์ „์— ํ•™์ƒ๋“ค์ด ์˜์ „์› ์ž…ํ•™ ์ „ ์ปค๋ฎค๋‹ˆ์ผ€์ด์…˜๊ณผ ๊ด€๋ จ๋œ ๊ฐ•์ขŒ๋ฅผ ์ˆ˜๊ฐ•ํ•œ ๊ฒฝํ—˜์ด ์žˆ๋Š”์ง€๋ฅผ ์กฐ์‚ฌํ•œ ๊ฒฐ๊ณผ, 61.2%์˜ ํ•™์ƒ๋“ค์ด ์ „ํ˜€ ๊ฐ•์ขŒ๋ฅผ ์ˆ˜๊ฐ•ํ•œ ๊ฒฝํ—˜์ด ์—†๊ณ , 20.7%์˜ ํ•™์ƒ๋“ค์€ 1~5์‹œ๊ฐ„ ์ด์ƒ์˜ ๋‹จ์‹œ๊ฐ„ ํ”„๋กœ๊ทธ๋žจ์— ์ฐธ์—ฌํ•˜์˜€์œผ๋ฉฐ, 18.1%์˜ ํ•™์ƒ๋“ค๋งŒ์ด 1ํ•™๊ธฐ ์ด์ƒ(ํ•™์  ์ทจ๋“) ์ปค๋ฎค๋‹ˆ์ผ€์ด์…˜ ๊ด€๋ จ ๊ฐ•์ขŒ๋ฅผ ์ˆ˜๊ฐ•ํ•œ ๊ฒƒ์œผ๋กœ ๋‚˜ํƒ€๋‚ฌ๋‹ค. ํ•™๋ถ€ ์ฆ‰ ๋Œ€ํ•™๊ต์œก์—์„œ ์ผ๋ฐ˜์ ์ธ ์ปค๋ฎค๋‹ˆ์ผ€์ด์…˜ ๊ด€๋ จ ๊ต์œก์˜ ํ•„์š”์„ฑ์„ ๋Š๋‚€ ๊ฒฝํ—˜ ์—ฌ๋ถ€๋ฅผ ์กฐ์‚ฌํ•œ ๊ฒฐ๊ณผ, 76.7%๊ฐ€ ๊ต์œก ํ•„์š”์„ฑ์„ ๋Š๋‚€ ์ ์ด ์žˆ์—ˆ๊ณ , 23.3%๊ฐ€ ๊ต์œก ํ•„์š”์„ฑ์„ ๋Š๋‚€ ์ ์ด ์—†๋‹ค๊ณ  ์‘๋‹ตํ•˜์˜€๋‹ค. ์˜์ „์›์—์„œ ์˜๋ฃŒ์ปค๋ฎค๋‹ˆ์ผ€์ด์…˜ ๊ต์œก์˜ ํ•„์š”์„ฑ์„ ์กฐ์‚ฌํ•œ ๊ฒฐ๊ณผ, 99.1%๊ฐ€ ํ•„์š”ํ•˜๊ณ , 0.9%๋งŒ์ด ํ•„์š”ํ•˜์ง€ ์•Š๋‹ค๊ณ  ์‘๋‹ตํ•˜์˜€๋‹ค. ์›ํ•˜๋Š” ์˜๋ฃŒ์ปค๋ฎค๋‹ˆ์ผ€์ด์…˜ ๊ต์œก ๋‚ด์šฉ์œผ๋กœ ์‹ ๋ขฐ๋กœ์šด ๊ด€๊ณ„ ํ˜•์„ฑ ๋ฐฉ๋ฒ•, ๊ธฐ๋ณธ์ ์ธ ์˜์‚ฌ์†Œํ†ต ๋ฐฉ๋ฒ•, ์ •๋ณด ์ˆ˜์ง‘ ๋ฐ ์ „๋‹ฌ ๋ฐฉ๋ฒ•, ๊ณต๊ฐ ๋ฐ ๊ฒฝ์ฒญ ๋“ฑ์ด ๋†’๊ฒŒ ๋‚˜ํƒ€๋‚ฌ๋‹ค(Table 2).

2. ์˜์‚ฌ์†Œํ†ต ์ˆ˜์ค€ ์ฐจ์ด ๋ถ„์„

์˜๋ฃŒ์ปค๋ฎค๋‹ˆ์ผ€์ด์…˜ ๊ต์œก์˜ ํšจ๊ณผ๋ฅผ ๋ถ„์„ํ•˜๊ธฐ ์œ„ํ•ด ์ฒซ ์ˆ˜์—…์‹œ๊ฐ„์— ์‹ค์‹œํ•œ ์ปค๋ฎค๋‹ˆ์ผ€์ด์…˜ ์ˆ˜์ค€๊ณผ ์ˆ˜์—…์ด ์ข…๋ฃŒ๋œ ์‹œ์ ์— ์‹ค์‹œํ•œ ์ปค๋ฎค๋‹ˆ์ผ€์ด์…˜ ์ˆ˜์ค€ ๊ฐ„์˜ ์ฐจ์ด๋ฅผ ๋ถ„์„ํ•œ ๊ฒฐ๊ณผ๋Š” Table 3๊ณผ ๊ฐ™๋‹ค. ๊ด€๊ณ„ ํ˜•์„ฑํ•˜๊ธฐ, ์ •๋ณด ์ˆ˜์ง‘ํ•˜๊ธฐ, ์ƒ๋Œ€๋ฐฉ ์ดํ•ดํ•˜๊ธฐ, ์ •๋ณด ๊ณต์œ ํ•˜๊ธฐ ์š”์ธ์€ ์‚ฌ์ „-์‚ฌํ›„๊ฒ€์‚ฌ ๊ฐ„ ๋ชจ๋‘ ์œ ์˜ํ•œ ์ฐจ์ด๊ฐ€ ์žˆ๋Š” ๊ฒƒ์œผ๋กœ ๋‚˜ํƒ€๋‚ฌ์ง€๋งŒ(p<0.05), ๋Œ€ํ™” ์—ด๊ธฐ, ์˜๊ฒฌ ์ผ์น˜ํ•˜๊ธฐ, ๋งˆ๋ฌด๋ฆฌ ์ง“๊ธฐ ์š”์ธ์€ ์œ ์˜ํ•œ ์ฐจ์ด๊ฐ€ ์—†์—ˆ๋‹ค(p>0.05). ๊ทธ๋Ÿฌ๋‚˜ ์ˆ˜์—… ์ข…๋ฃŒ ํ›„ ์ปค๋ฎค๋‹ˆ์ผ€์ด์…˜ ์ˆ˜์ค€์˜ ํ‰๊ท ์ ์ˆ˜๋Š” ๋ชจ๋‘ ํ–ฅ์ƒ๋˜์—ˆ๋‹ค.

3. ๊ต์œก ํ”„๋กœ๊ทธ๋žจ ํ•™์ƒ ๋งŒ์กฑ๋„ ์กฐ์‚ฌ

์˜๋ฃŒ์ปค๋ฎค๋‹ˆ์ผ€์ด์…˜ ๊ต์œก์— ๋Œ€ํ•œ ํ•™์ƒ ๋งŒ์กฑ๋„ ํ‰๊ฐ€ ๊ฒฐ๊ณผ, ์ „์ฒด์ ์ธ ๋งŒ์กฑ๋„๋Š” 4์  ๋งŒ์ ์— ํ‰๊ท  3.07๋กœ ๋†’๊ฒŒ ๋‚˜ํƒ€๋‚ฌ๋‹ค. ์ˆ˜์—… ์ „๋ฐ˜์— ๋Œ€ํ•œ ๋งŒ์กฑ๋„๋ฅผ ์กฐ์‚ฌํ•œ ๊ฒฐ๊ณผ, ์ˆ˜์—… ๋‚ด์šฉ ๋งŒ์กฑ๋„๋Š” ํ‰๊ท  3.00, ์ˆ˜์—… ๋ฐฉ๋ฒ• ๋งŒ์กฑ๋„ ํ‰๊ท  3.11, ์ˆ˜์—… ๋‚œ์ด๋„ ํ‰๊ท  3.10, ํ”ผ๋“œ๋ฐฑ์— ๋Œ€ํ•œ ๋งŒ์กฑ๋„ ํ‰๊ท  3.03, ์ˆ˜์—… ์šด์˜ ๋งŒ์กฑ๋„ 2.95๋กœ ๋‚˜ํƒ€๋‚ฌ๋‹ค. ์ž๊ธฐ ์Šค์Šค๋กœ ์˜๋ฃŒ์ปค๋ฎค๋‹ˆ์ผ€์ด์…˜ ๊ต์œก์— ์ ๊ทน์ ์œผ๋กœ ์ฐธ์—ฌํ•œ ์ •๋„์— ๋Œ€ํ•ด์„œ๋Š” 4์  ๋งŒ์ ์— ํ‰๊ท  2.90์œผ๋กœ ๋‚˜ํƒ€๋‚ฌ๋‹ค(Table 4).

๊ณ ์ฐฐ

๋ณธ ์—ฐ๊ตฌ์˜ ๋ชฉ์ ์€ ์˜์ „์› ํ•™์ƒ๋“ค์˜ ์˜๋ฃŒ์ปค๋ฎค๋‹ˆ์ผ€์ด์…˜ ๋Šฅ๋ ฅ ํ–ฅ์ƒ์„ ์œ„ํ•œ ๊ต์œก ํ”„๋กœ๊ทธ๋žจ์„ ๊ฐœ๋ฐœํ•˜๊ณ , ๊ทธ ๊ต์œก์˜ ํšจ๊ณผ์™€ ๊ต์œก ํ”„๋กœ๊ทธ๋žจ์— ๋Œ€ํ•œ ํ•™์ƒ ๋งŒ์กฑ๋„๋ฅผ ๋ถ„์„ํ•œ ์‚ฌ๋ก€๋ฅผ ํ†ตํ•˜์—ฌ ์˜๋ฃŒ์ปค๋ฎค๋‹ˆ์ผ€์ด์…˜ ๊ต์œก ํ”„๋กœ๊ทธ๋žจ์„ ํšจ๊ณผ์ ์œผ๋กœ ๊ฐœ๋ฐœํ•˜๊ณ  ์šด์˜ํ•˜๋Š” ๋ฐ ๋„์›€์ด ๋  ์ˆ˜ ์žˆ๋Š” ๊ธฐ์ดˆ์ž๋ฃŒ๋ฅผ ์ œ์‹œํ•˜๋Š” ๊ฒƒ์ด๋‹ค.
์˜๋ฃŒ์ปค๋ฎค๋‹ˆ์ผ€์ด์…˜ ๋Šฅ๋ ฅ ํ–ฅ์ƒ์„ ์œ„ํ•œ ๊ต์œก ํ”„๋กœ๊ทธ๋žจ ๊ฐœ๋ฐœ ์ „์— ํ•™์ƒ๋“ค์˜ ์‚ฌ์ „ ์š”๊ตฌ๋„๋ฅผ ๋ถ„์„ํ•˜๋Š” ๊ฒƒ์€ ํ•™์ƒ์ค‘์‹ฌ์˜ ๊ต์œก ํ”„๋กœ๊ทธ๋žจ์„ ๊ฐœ๋ฐœํ•˜๋Š” ๋ฐ ๊ฐ€์žฅ ๊ธฐ๋ณธ์ ์ด๋ฉด์„œ๋„ ์ค‘์š”ํ•œ ๋‹จ๊ณ„๋ผ ํ•  ์ˆ˜ ์žˆ๋‹ค. ์—ฐ๊ตฌ ๊ฒฐ๊ณผ, ์˜์ „์› ํ•™์ƒ๋“ค์€ ์ž…ํ•™ ์ „ ๋Œ€ํ•™์ƒํ™œ์„ ํ•˜๋ฉด์„œ ์ผ๋ฐ˜์ ์ธ ์ปค๋ฎค๋‹ˆ์ผ€์ด์…˜๊ณผ ๊ด€๋ จ๋œ ๊ต์œก์˜ ํ•„์š”์„ฑ์„ ๋Š๋‚€ ๊ฒฝํ—˜์ด ๋งŽ์•˜์ง€๋งŒ ์‹ค์ œ ์ปค๋ฎค๋‹ˆ์ผ€์ด์…˜๊ณผ ๊ด€๋ จ๋œ ๊ต์œก๊ฒฝํ—˜์€ ๋งŽ์€ ํ•™์ƒ๋“ค์ด ์ „ํ˜€ ์—†๋Š” ๊ฒƒ์œผ๋กœ ๋‚˜ํƒ€๋‚ฌ๋‹ค. ํšจ๊ณผ์ ์ธ ์˜๋ฃŒ์ปค๋ฎค๋‹ˆ์ผ€์ด์…˜ ๊ต์œก์ด ์ด๋ฃจ์–ด์ง€๊ธฐ ์œ„ํ•ด์„œ๋Š” ์ผ๋ฐ˜์ ์ธ ์ปค๋ฎค๋‹ˆ์ผ€์ด์…˜๊ณผ ๊ด€๋ จ๋œ ์ดํ•ด์™€ ์ˆ˜ํ–‰๋Šฅ๋ ฅ์ด ์„ ํ–‰๋˜์–ด์•ผ ํ•˜๋Š”๋ฐ, ๋งŽ์€ ํ•™์ƒ๋“ค์€ ์ค€๋น„๊ฐ€ ๋ฏธํกํ•œ ์ƒํ™ฉ์ด์—ˆ๋‹ค. ์‚ฌํšŒ๊ณผํ•™ ์˜์—ญ์—์„œ ์–ผ๋งˆ ์ „๊นŒ์ง€๋งŒ ํ•ด๋„ ์ปค๋ฎค๋‹ˆ์ผ€์ด์…˜ ๋Šฅ๋ ฅ์˜ ์ค‘์š”์„ฑ์„ ์ธ์‹ํ•˜์ง€ ๋ชปํ–ˆ๊ณ , ๊ทธ๋ ‡๊ธฐ ๋•Œ๋ฌธ์— ๊ต์œก์ด ์ด๋ฃจ์–ด์ง€์ง€ ์•Š์•˜๋‹ค[11]. ๋˜ํ•œ ์˜๋ฃŒ์ปค๋ฎค๋‹ˆ์ผ€์ด์…˜ ๊ต์œก์„ ์œ„ํ•œ ๊ต์œก ๋‚ด์šฉ์„ ๊ตฌ์„ฑํ•  ๋•Œ ์ผ๋ฐ˜์ ์ธ ์ปค๋ฎค๋‹ˆ์ผ€์ด์…˜๊ณผ ๊ด€๋ จ๋œ ๋‚ด์šฉ๊ณผ ํ™˜์ž์™€์˜ ์˜์‚ฌ์†Œํ†ต, ์˜๋ฃŒ์ปค๋ฎค๋‹ˆ์ผ€์ด์…˜์˜ ๊ตฌ์กฐ์™€ ๊ธฐ๋Šฅ ๋“ฑ ์˜๋ฃŒ์™€ ๊ด€๋ จ๋œ ๋‚ด์šฉ์„ ํ•จ๊ป˜ ๋ณ‘ํ–‰ํ•˜์—ฌ ๋‹จ๊ณ„์ ์œผ๋กœ ๊ตฌ์„ฑํ•˜๊ณ  ์žˆ์ง€๋งŒ ๋Œ€๋ถ€๋ถ„ ์ผ๋ฐ˜์ ์ธ ์ปค๋ฎค๋‹ˆ์ผ€์ด์…˜ ๊ต์œก ๋‚ด์šฉ์˜ ๋น„์ค‘์€ ์ ๊ฒŒ ํ•  ๊ฒƒ์ด๋‹ค. ์ด๊ฒƒ์€ ์ด๋ฏธ ์‚ฌ์ „์— ์ผ๋ฐ˜์ ์ธ ์ปค๋ฎค๋‹ˆ์ผ€์ด์…˜์— ๋Œ€ํ•˜์—ฌ ์–ด๋Š ์ •๋„๋Š” ์ดํ•ดํ•˜๊ณ  ์žˆ์„ ๊ฒƒ์„ ์ „์ œ๋กœ ํ•˜๊ธฐ ๋•Œ๋ฌธ์ผ ๊ฒƒ์ด๋‹ค. ํ•˜์ง€๋งŒ ํ˜„์‹ค์ ์œผ๋กœ ์˜์ „์› ํ•™์ƒ๋“ค์€ ์ž…ํ•™ ์ „ ์ปค๋ฎค๋‹ˆ์ผ€์ด์…˜์— ๋Œ€ํ•œ ์ง€์›์ด๋‚˜ ๊ต์œก ๊ฒฝํ—˜ ๊ธฐํšŒ๊ฐ€ ๋งŽ์ง€ ์•Š์•˜์œผ๋ฏ€๋กœ ์˜ํ•™ ๊ด€๋ จ ๊ต๊ณผ๋ชฉ ๋‚ด์—์„œ ์ผ๋ถ€๋กœ ์˜๋ฃŒ์ปค๋ฎค๋‹ˆ์ผ€์ด์…˜ ๊ต์œก์ด ์ง„ํ–‰๋  ๊ฒฝ์šฐ์—๋Š” ๊ต์œก๋‚ด์šฉ์„ ๊ตฌ์„ฑํ•  ๋•Œ ์‚ฌ์ „ ์กฐ์‚ฌ๋ฅผ ์‹ค์‹œํ•˜์—ฌ ์ผ๋ฐ˜์ ์ธ ์ปค๋ฎค๋‹ˆ์ผ€์ด์…˜๊ณผ ์˜๋ฃŒ์ปค๋ฎค๋‹ˆ์ผ€์ด์…˜์˜ ๋น„์ค‘์„ ์กฐ์ •ํ•  ํ•„์š”๊ฐ€ ์žˆ๋‹ค. ์˜์ „์›์—์„œ ์˜ํ•™๊ณผ๋กœ ์ „ํ™˜๋˜๋Š” ๊ฒฝ์šฐ์—๋Š” ์˜์˜ˆ๊ณผ๋ถ€ํ„ฐ ์ผ๋ฐ˜์ ์ธ ์ปค๋ฎค๋‹ˆ์ผ€์ด์…˜์„ ๋‹ค๋ฃจ๋Š” ๋ณ„๋„์˜ ๊ต๊ณผ๋ชฉ์œผ๋กœ ๊ฐœ์„คํ•˜์—ฌ ๊ธฐ์ดˆ๋ฅผ ๊ฐ–์ถ”๋„๋ก ํ•˜๊ณ , ์ด๋ฅผ ํ† ๋Œ€๋กœ ์˜ํ•™๊ณผ 4ํ•™๋…„๊นŒ์ง€ ํ•™์Šตํ•  ์ˆ˜ ์žˆ๋„๋ก ํ•™์Šต ๊ฐ€๋Šฅ์„ฑ๊ณผ ์—ฐ์†์„ฑ ๋“ฑ์„ ๊ณ ๋ คํ•˜์—ฌ ๊ต์œก ๊ณผ์ •์„ ๊ตฌ์„ฑ ๋ฐ ์šด์˜ํ•˜๋Š” ๊ฒƒ์ด ํ•„์š”ํ•˜๋‹ค.
์˜๋ฃŒ์ปค๋ฎค๋‹ˆ์ผ€์ด์…˜ ๊ต์œก ํ”„๋กœ๊ทธ๋žจ์˜ ํšจ๊ณผ๋ฅผ ๋ถ„์„ํ•˜๊ธฐ ์œ„ํ•ด ๊ต์œก ์ „๊ณผ ํ›„์— ์ž๊ธฐํ‰๊ฐ€ ๋ฐฉ์‹์œผ๋กœ ์ปค๋ฎค๋‹ˆ์ผ€์ด์…˜ ์ˆ˜์ค€ ๋ณ€ํ™” ์ •๋„๋ฅผ ๋ถ„์„ํ•œ ๊ฒฐ๊ณผ, ๊ด€๊ณ„ ํ˜•์„ฑํ•˜๊ธฐ, ์ •๋ณด ์ˆ˜์ง‘ ๋ฐ ์ •๋ณด ๊ณต์œ ํ•˜๊ธฐ, ์ƒ๋Œ€๋ฐฉ ์ดํ•ดํ•˜๊ธฐ ์š”์ธ์€ ๊ต์œก ํ”„๋กœ๊ทธ๋žจ์„ ํ†ตํ•ด ํ–ฅ์ƒ๋œ ๋ฐ˜๋ฉด ๋Œ€ํ™” ์—ด๊ธฐ, ์˜๊ฒฌ ์ผ์น˜ ๋ณด๊ธฐ, ๋งˆ๋ฌด๋ฆฌ ์ง“๊ธฐ๋„ ํ–ฅ์ƒ๋˜์—ˆ์ง€๋งŒ ํ†ต๊ณ„์ƒ ์œ ์˜๋ฏธํ•˜์ง€๋Š” ์•Š์•˜๋‹ค. ์ด๋Ÿฌํ•œ ๊ฒฐ๊ณผ๋Š” ๊ต์œก ํ”„๋กœ๊ทธ๋žจ์„ ์„ค๊ณ„๋‹จ๊ณ„์—์„œ ํ•™์ƒ ์š”๊ตฌ๋„ ์กฐ์‚ฌ์—์„œ ์š”๊ตฌ๋„๊ฐ€ ๋†’์•˜๋˜ ์‹ ๋ขฐ๋กœ์šด ๊ด€๊ณ„ ํ˜•์„ฑ ๋ฐฉ๋ฒ•, ์˜์‚ฌ์†Œํ†ต ๋ฐฉ๋ฒ•, ์ •๋ณด ์ˆ˜์ง‘๊ณผ ์ „๋‹ฌ ๋ฐฉ๋ฒ•, ๊ณต๊ฐ๊ณผ ๊ฒฝ์ฒญ ๋ฐฉ๋ฒ• ๋“ฑ์— ๋Œ€ํ•œ ๋ถ€๋ถ„์„ ๋‹ค์–‘ํ•œ ๋ฐฉ๋ฒ•๊ณผ ๋ฐ˜๋ณตํ•™์Šต, ์ถฉ๋ถ„ํ•œ ์‹œ๊ฐ„ ๋“ฑ์„ ํ†ตํ•ด ์ˆ˜์—…์„ ์ง„ํ–‰ํ•œ ๋ฐ˜๋ฉด ๋Œ€ํ™” ์—ด๊ธฐ, ์˜๊ฒฌ ์ผ์น˜ ๋ณด๊ธฐ, ๋งˆ๋ฌด๋ฆฌ ์ง“๊ธฐ ์š”์ธ์€ ์ƒ๋Œ€์ ์œผ๋กœ ๋น„์ค‘์„ ์ ๊ฒŒ ๋‹ค๋ฃจ์–ด ํ–ฅ์ƒ ์ˆ˜์ค€์ด ๋‚ฎ๊ฒŒ ๋‚˜์˜จ ๊ฒƒ์œผ๋กœ ์ƒ๊ฐ๋œ๋‹ค. ์ปค๋ฎค๋‹ˆ์ผ€์ด์…˜ ๋Šฅ๋ ฅ์€ ๊ต์œก์„ ํ†ตํ•ด์„œ ํ–ฅ์ƒ๋  ์ˆ˜ ์žˆ๋‹ค[13,14]. ์˜๊ณผ๋Œ€ํ•™์ƒ์„ ๋Œ€์ƒ์œผ๋กœ ์ปค๋ฎค๋‹ˆ์ผ€์ด์…˜ ๊ต์œก์„ ๋ฐ›์€ ๊ตฐ๊ณผ ๋ฐ›์ง€ ์•Š์€ ๊ตฐ์„ ๋น„๊ตํ–ˆ์„ ๋•Œ, ์ปค๋ฎค๋‹ˆ์ผ€์ด์…˜ ๊ต์œก์„ ๋ฐ›์€ ๊ตฐ์ด ์ปค๋ฎค๋‹ˆ์ผ€์ด์…˜ ๊ต์œก ํ›„ ์ปค๋ฎค๋‹ˆ์ผ€์ด์…˜์ด ๋ณด๋‹ค ์›ํ™œํ•˜๊ฒŒ ์ง„ํ–‰๋˜์—ˆ๊ณ [13], ์ปค๋ฎค๋‹ˆ์ผ€์ด์…˜ ํ‰๊ฐ€์ ์ˆ˜๊ฐ€ ๋” ๋†’์•˜๋‹ค[15]. ์ปค๋ฎค๋‹ˆ์ผ€์ด์…˜ ๊ต์œก์„ ํ†ตํ•ด ํ–ฅ์ƒ๋œ ๋Šฅ๋ ฅ์ด ๊ต์œก ํ›„ 12~18๊ฐœ์›”์ด ์ง€๋‚œ ์‹œ์ ์—๋„ ์œ ์ง€๋˜๋Š” ๊ฒƒ์œผ๋กœ ๋‚˜ํƒ€๋‚ฌ๋‹ค[16].
๊ทธ๋Ÿฌ๋‚˜ ํ•™์ƒ๋“ค์ด ์˜๋ฃŒ์ปค๋ฎค๋‹ˆ์ผ€์ด์…˜ ๊ต์œก์„ ํšจ๊ณผ์ ์œผ๋กœ ์ž˜ ๋ฐ›์•˜๋”๋ผ๋„ ๊ณผ๋„ํ•œ ํ•™์Šต๋Ÿ‰๊ณผ ์ˆ˜๋งŽ์€ ์‹œํ—˜, ์‹œ๊ฐ„์˜ ํ๋ฆ„, ๋‹ค์–‘ํ•œ ํ™˜๊ฒฝ ๋“ฑ์— ๋…ธ์ถœ๋˜๋‹ค ๋ณด๋ฉด ์˜๋ฃŒ์ปค๋ฎค๋‹ˆ์ผ€์ด์…˜ ๊ต์œก ํšจ๊ณผ๊ฐ€ ๋–จ์–ด์งˆ ์ˆ˜๋ฐ–์— ์—†๋‹ค. ์ด๋ฅผ ์ง€์†์ ์œผ๋กœ ์œ ์ง€ํ•˜๊ณ  ์ž์‹ ๋„ ๋ชจ๋ฅด๊ฒŒ ๋‚˜์˜ค๋Š” ์Šต๊ด€์ฒ˜๋Ÿผ ๋ฐ”๋ฅธ ์ปค๋ฎค๋‹ˆ์ผ€์ด์…˜ ๋Šฅ๋ ฅ์„ ํ˜•์„ฑํ•˜์—ฌ ๋ฐœํœ˜ํ•  ์ˆ˜ ์žˆ๋„๋ก ์˜์ „์› ๋˜๋Š” ์˜๊ณผ๋Œ€ํ•™์„ ๋‹ค๋‹ˆ๋Š” ๋™์•ˆ์€ ํ•™์ƒ์˜ ํ–‰๋™ ๋ณ€ํ™”๊ฐ€ ์—ฐ๊ฒฐ๋  ์ˆ˜ ์žˆ๋Š” ๋‹ค์–‘ํ•œ ๊ต์œก๊ธฐํšŒ ์ œ๊ณต์ด ํ•„์š”ํ•˜๊ณ , ๊ต์ˆ˜ ์ž์‹ ์€ ํ•™์ƒ๋“ค์˜ ๋ชจ๋ธ๋ง์ด ๋˜๋„๋ก ์ž๊ธฐ๋ฅผ ์ ๊ฒ€ํ•˜๊ณ  ๋ฐœ์ „์‹œํ‚ค๋ ค๋Š” ๋…ธ๋ ฅ์ด ํ•„์š”ํ•˜๋‹ค.
์˜๋ฃŒ์ปค๋ฎค๋‹ˆ์ผ€์ด์…˜ ๊ต์œก ํ”„๋กœ๊ทธ๋žจ์— ๋Œ€ํ•œ ํ•™์ƒ ๋งŒ์กฑ๋„๋ฅผ ๋ถ„์„ํ•œ ๊ฒฐ๊ณผ ์ „๋ฐ˜์ ์œผ๋กœ ๋†’์€ ๋งŒ์กฑ๋„๋ฅผ ๋ณด์˜€๋‹ค. ์ˆ˜์—… ๋‚ด์šฉ, ์ˆ˜์—… ๋ฐฉ๋ฒ•, ์ˆ˜์—… ๋‚œ์ด๋„, ๊ณผ์ œ์— ๋Œ€ํ•œ ํ”ผ๋“œ๋ฐฑ์˜ ๋งŒ์กฑ๋„๊ฐ€ ๋†’์•˜๋‹ค. ํ•™์ƒ ์š”๊ตฌ๋„ ์กฐ์‚ฌ ๊ฒฐ๊ณผ๋ฅผ ๋งŽ์€ ๋ถ€๋ถ„ ๋ฐ˜์˜ํ•˜์—ฌ ์ˆ˜์—… ๋‚ด์šฉ์— ํฌํ•จํ•˜์˜€๊ณ , ์—ญํ• ๊ทน์ด๋‚˜ ์‹ค์ œ ์‚ฌ๋ก€๋ฅผ ๋ถ„์„ํ•˜๊ฒŒ ํ•˜๋Š” ๋ฐฉ๋ฒ•, ์ž๊ธฐ์„ฑ์ฐฐ ๋ณด๊ณ ์„œ ๋“ฑ ๋‹ค์–‘ํ•œ ๋ฐฉ๋ฒ•์„ ํ†ตํ•ด ์‰ฝ๊ฒŒ ์ „๋‹ฌํ•˜์˜€๊ธฐ ๋•Œ๋ฌธ์ธ ๊ฒƒ์œผ๋กœ ์ƒ๊ฐ๋œ๋‹ค. ํŠนํžˆ ์ฃผ๋ณ„ ์ˆ˜์—… ์ข…๋ฃŒ ํ›„ ์ž๊ธฐ์„ฑ์ฐฐ ๋ณด๊ณ ์„œ๋ฅผ ์ž‘์„ฑํ•˜๋„๋ก ํ•˜์˜€๋Š”๋ฐ ์ž์‹ ์„ ๋Œ์•„๋ณด๊ณ  ์„ฑ์žฅํ•  ์ˆ˜ ์žˆ๋„๋ก ๋„์™€์ฃผ๊ธฐ ์œ„ํ•จ์ด์—ˆ๋‹ค. ์ง€์‹๊ณผ ์ˆ˜ํ–‰์— ๋Œ€ํ•œ ์ž๊ธฐ์„ฑ์ฐฐ์€ ์ „๋ฌธ์ง์„ ์–‘์„ฑํ•จ์— ์žˆ์–ด ์ „๋ฌธ์„ฑ ๊ฐœ๋ฐœ์˜ ํ•ต์‹ฌ์ ์ธ ์š”์†Œ๋กœ ๊ฐ•์กฐ๋˜๊ณ  ์žˆ๊ธฐ ๋•Œ๋ฌธ์— ์ตœ๊ทผ ์˜ํ•™๊ต์œก ๋ถ„์•ผ์— ์žˆ์–ด์„œ๋„ ์ž๊ธฐ์„ฑ์ฐฐ์— ๊ธฐ๋ฐ˜์„ ๋‘” ํ•™์Šต๊ณผ ์ˆ˜ํ–‰์— ๋Œ€ํ•œ ๊ด€์‹ฌ์ด ์ฆ๊ฐ€ํ•˜์˜€๋‹ค[17,18]. ๋”ฐ๋ผ์„œ ์˜๋ฃŒ์ปค๋ฎค๋‹ˆ์ผ€์ด์…˜ ๊ต์œก์€ ํ™˜์ž์ค‘์‹ฌ์  ์ง„๋ฃŒ๋ฅผ ์œ„ํ•œ ํ•™์ƒ๋“ค์˜ ์ธ์‹ ๋ณ€ํ™”, ์ž๊ธฐ์„ฑ์ฐฐ์„ ํ†ตํ•œ ์„ฑ์žฅ์ด ์ด๋ฃจ์–ด์ง€๋„๋ก ๋•๋Š” ๊ฒƒ์„ ํฌํ•จํ•˜๋Š” ๊ฒƒ๋„ ๋„์›€์ด ๋  ๊ฒƒ์ด๋‹ค[9].
์ˆ˜์—… ์šด์˜์— ๋Œ€ํ•œ ๋งŒ์กฑ๋„๋Š” ํฌ๊ฒŒ ์ฐจ์ด๋Š” ์—†์ง€๋งŒ ๋‹ค๋ฅธ ๋งŒ์กฑ๋„๋ณด๋‹ค ์•ฝ๊ฐ„ ๋‚ฎ๊ฒŒ ๋‚˜ํƒ€๋‚ฌ๋Š”๋ฐ, ๊ฐ€์žฅ ํฐ ์ด์œ ๋Š” ์ „๋ฌธ์ ์ธ ์˜๋ฃŒ์ปค๋ฎค๋‹ˆ์ผ€์ด์…˜์„ ๋‹ด๋‹นํ•  ์ˆ˜ ์žˆ๋Š” ๊ต์ˆ˜์ง„์˜ ๋ถ€์กฑ์ด๋ผ๊ณ  ์‚ฌ๋ฃŒ๋œ๋‹ค. ์ „๋ฌธ ๊ต์ˆ˜์ง„์˜ ๋ถ€์กฑ์œผ๋กœ 2๋ช…์˜ ๊ต์ˆ˜๊ฐ€ ์ •ํ•ด์ง„ ์‹œ๊ฐ„ ์•ˆ์— ๋‹ค์–‘ํ•œ ๊ต์œก ๋ฐฉ๋ฒ•์„ ์‚ฌ์šฉํ•˜์—ฌ ์šด์˜ํ•˜๊ธฐ์—๋Š” ์—ญ๋ถ€์กฑ์ด์—ˆ๊ธฐ ๋•Œ๋ฌธ์— ์šด์˜ ๋งŒ์กฑ๋„๊ฐ€ ๋‚ฎ์•˜๋˜ ๊ฒƒ์œผ๋กœ ์ƒ๊ฐ๋œ๋‹ค. ์˜ํ•™๊ต์œก์— ์žˆ์–ด ์˜๋ฃŒ์ปค๋ฎค๋‹ˆ์ผ€์ด์…˜ ๊ต์œก์„ ์‹œ์ž‘ํ•œ ๊ฒƒ์ด ์–ผ๋งˆ ๋˜์ง€ ์•Š์•„ ๊ต์ˆ˜์ง„์ด ๋Œ€๋ถ€๋ถ„ ์˜๋ฃŒ์ปค๋ฎค๋‹ˆ์ผ€์ด์…˜์— ๊ด€ํ•œ ์ „๋ฌธ์ ์ธ ๊ต์œก์„ ๊ฒฝํ—˜ํ•ด ๋ณด์ง€ ๋ชปํ•˜์˜€๋‹ค. ๊ต์œก์„ ๋‹ด๋‹นํ•  ๊ต์ˆ˜์ง„๋“ค์˜ ๊ตฌ์กฐํ™”๋œ ์˜๋ฃŒ์ปค๋ฎค๋‹ˆ์ผ€์ด์…˜ ๊ต์œก ๊ฒฝํ—˜ ๋ถ€์žฌ๋Š” ๊ต์œก ์šฉ์–ด์˜ ํ˜ผ์žฌ, ์˜๋ฃŒ์ปค๋ฎค๋‹ˆ์ผ€์ด์…˜ ๊ต์œก ๊ธฐ๋ฒ•์— ๋Œ€ํ•œ ์ˆ™๋ จ๋„ ๋ถ€์กฑ, ํ‰๋ฒ”ํ•˜๊ณ  ์ถ”์ƒ์ ์ธ ํ”ผ๋“œ๋ฐฑ ์ œ๊ณต๊ณผ ๊ฐ™์€ ๋ฌธ์ œ์ ๋“ค์„ ์•ผ๊ธฐํ•˜๊ธฐ ๋•Œ๋ฌธ์—[19] ์˜๋ฃŒ์ปค๋ฎค๋‹ˆ์ผ€์ด์…˜ ๊ต์œก ๋‹ด๋‹น ๊ต์ˆ˜์ง„์— ๋Œ€ํ•œ ๋ณ„๋„์˜ ์„ธ๋ฏธ๋‚˜, ์›Œํฌ์ˆ, ํ•™ํšŒ ๋“ฑ์„ ์ง€์›ํ•˜์—ฌ ์ „๋ฌธ ๊ต์ˆ˜์ง„์„ ๊ฐ–์ถ”๋Š” ๊ฒƒ์ด ๋ฌด์—‡๋ณด๋‹ค๋„ ์„ ํ–‰๋˜์–ด์•ผ ํ•  ๊ฒƒ์ด๋‹ค.
์ž์‹  ์Šค์Šค๋กœ๊ฐ€ ์˜๋ฃŒ์ปค๋ฎค๋‹ˆ์ผ€์ด์…˜ ๊ต์œก์— ์ ๊ทน์ ์œผ๋กœ ์ฐธ์—ฌํ–ˆ๋Š”์ง€์— ๋Œ€ํ•œ ํ‰๊ฐ€๋Š” ๋‚ฎ๊ฒŒ ๋‚˜ํƒ€๋‚ฌ๋‹ค. 2ํ•™๋…„์€ ์ž„์ƒ์‹ค์Šต ์ค€๋น„ ๋‹จ๊ณ„์˜ ํ•™์ƒ๋“ค๋กœ ๋งŽ์€ ๊ธฐ์ดˆ, ์ž„์ƒ์˜ํ•™ ๊ณผ๋ชฉ๋“ค์„ ํ•™์Šตํ•˜๋Š” ์‹œ๊ธฐ๋กœ ์ž„์ƒ์‹ค์Šต์ค‘์ธ ํ•™์ƒ๋“ค์— ๋น„ํ•˜์—ฌ ์˜ํ•™์  ์ง€์‹์˜ ๋ถ€์กฑ์ด๋‚˜ ์‹ค์ œ ํ™˜์ž์˜ ์ง„๋ฃŒ ๊ฒฝํ—˜ ๋ถ€์žฌ ๋“ฑ์œผ๋กœ ํ•™์Šต๋™๊ธฐ๊ฐ€ ์•ฝํ•˜๊ธฐ ๋•Œ๋ฌธ์ผ ๊ฒƒ์ด๋‹ค. ์˜๋ฃŒ์ปค๋ฎค๋‹ˆ์ผ€์ด์…˜ ๊ต์œก์— ๋Œ€ํ•œ ํ•™์Šต๋™๊ธฐ๋ฅผ ๋†’์ผ ์ˆ˜ ์žˆ๋„๋ก ์˜๋ฃŒ์ปค๋ฎค๋‹ˆ์ผ€์ด์…˜ ๊ต์œก์˜ ํ•„์š”์„ฑ์„ ๊ฐ•์กฐํ•˜๊ฑฐ๋‚˜ ๋‹ค์–‘ํ•œ ๋ฐฉ๋ฒ• ๋“ฑ์„ ๊ณ ์•ˆํ•œ๋‹ค๋ฉด ์ฐธ์—ฌ๋„๊ฐ€ ํ–ฅ์ƒ๋  ๊ฒƒ์œผ๋กœ ๊ธฐ๋Œ€๋œ๋‹ค.
๋ณธ ์—ฐ๊ตฌ๋Š” ์ผ๊ฐœ ์˜์ „์› 2ํ•™๋…„ ํ•™์ƒ์„ ๋Œ€์ƒ์œผ๋กœ ์˜๋ฃŒ์ปค๋ฎค๋‹ˆ์ผ€์ด์…˜ ๊ต์œก ํ”„๋กœ๊ทธ๋žจ ๊ฐœ๋ฐœ ๋ฐ ๊ฐœ์„ ํ•˜๋Š” ์‚ฌ๋ก€๋ฅผ ์—ฐ๊ตฌ ๋ฒ”์œ„๋กœ ํ•˜์˜€๊ธฐ ๋•Œ๋ฌธ์— ์ผ๋ฐ˜ํ™”ํ•˜๋Š” ๊ฒƒ์€ ํ•œ๊ณ„๊ฐ€ ์žˆ๋‹ค. ์ถ”ํ›„ ๊ณ„์†์ ์ธ ๊ต์œก ํ”„๋กœ๊ทธ๋žจ์— ๋Œ€ํ•œ ํ‰๊ฐ€์™€ ๊ฐœ์„ ์„ ํ†ตํ•ด ํ‘œ์ค€ํ™”๋œ ์˜๋ฃŒ์ปค๋ฎค๋‹ˆ์ผ€์ด์…˜ ๊ต์œก ๊ณผ์ •์ด ์šด์˜๋  ์ˆ˜ ์žˆ๋„๋ก ๋…ธ๋ ฅํ•ด์•ผ ํ•˜๊ณ , ๋ณธ ๊ต์œก ํ”„๋กœ๊ทธ๋žจ์€ 2ํ•™๋…„ ํ•™์ƒ์„ ๋Œ€์ƒ์œผ๋กœ ํ•˜์˜€๊ธฐ ๋•Œ๋ฌธ์— ์ดํ›„ ์กธ์—… ํ›„๊นŒ์ง€ ์ถ”์  ์กฐ์‚ฌ๋ฅผ ํ†ตํ•ด ๊ต์œก ํšจ๊ณผ์˜ ์ง€์†์„ฑ ๋“ฑ์„ ํ‰๊ฐ€ํ•˜๋Š” ํ›„์† ์—ฐ๊ตฌ๊ฐ€ ์ง„ํ–‰๋˜์–ด์•ผ ํ•  ๊ฒƒ์ด๋‹ค.

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Tableย 1.
Organization of Contents of Medical Communication Program
Week Subject Contents Time Teaching methods
1 Medical communication overview Overview 1 Lecture, communication level evaluation, role play
Communication basic knowledge
Communication skills Communication methods 2 Lecture, role play, demonstration, self-reflective report
Building relationship
Empathy, listening, attitude
2 Understanding oneโ€™s perspectives Understanding oneself and the others 2 Lecture, feedback, MBTI workshop, self-reflective report
Communication with patients and guardians
Communication with fellow medical personnel
3 Clinical communication Structure and function of clinical communication 2 Lecture, role play, demonstration, case analysis, self-reflective report
Clinical communication procedures
4 Medical interview in various situations Medical interview with difficult patients 2 Lecture, role play, demonstration, case analysis, self-reflective report, communication level evaluation, student satisfaction survey
Medical interview dealing with other various situations

MBTI: Myers-Briggs Type Indicator

Tableย 2.
Research of Demand for Medical Communication Education Content
Contents No.
Communication Ways of building reliable relation (trust, rapport, etc.) 19
Ways of communication (tone, expression, question, etc.) 19
Ways of information gathering and communicating 13
Empathy, listening 12
Communication with patients Understanding patients (position, desire, mind) 8
Ways of dealing appropriately with situations (delivering bad news, dealing with difficult patients, etc.) 7
Expressing in patients language 6
An attitude toward patients (manners, the dos and donโ€™ts, etc.) 6
Communication with fellow medical personnel and guardians Fellow medical personnel 2
Patient guardians 1
Tableย 3.
Communication Level Differences between before and after the Education
Factor Pre
Post
t(p)
Mean SD Mean SD
Building relationship 5.28 1.02 5.47 0.93 -2.77*
Opening relationship 5.17 0.77 5.34 0.89 -1.92
Gathering information 4.92 0.88 5.31 0.79 -4.74**
Understanding oneโ€™s perspectives 4.74 0.84 4.99 0.89 -3.16**
Sharing information 4.93 0.83 5.23 0.82 -3.65**
Reach agreement 5.33 0.75 5.37 0.8 -0.52
Providing closure 5.40 0.83 5.56 0.82 -1.82

SD: Standard deviation.

* p<0.05,

** p<0.01.

Tableย 4.
Student Satisfaction Evaluation
Items Mean SD
Overall satisfaction Overall satisfaction 3.07 0.60
Satisfaction with education Contents 3.99 0.67
Method 3.11 0.60
Level of difficulty 3.10 0.61
With feedbacks to the assignments 3.03 0.71
Satisfaction the class management 2.95 0.69
Self-evaluation Degree of voluntary participation 2.90 0.61

SD: Standard deviation.

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