• 한국사회복지학
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• 제61권4호
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• pp.217-241
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• 2009

본 연구는 사회복지사들의 실천지식의 생성과정과 내용 그리고 규범적 실천을 살펴보고 사회복지 지식의 재구조화에 시사점을 찾고자 하는 목적하에 수행되었다. 연구방법으로는 성찰적 내러티브 방법을 원용하였고 연구에는 6명의 현직 사회복지사가 참여했다. 연구결과 참여자들은 기존이론과 지식체계로 설명할 수 없는 현상에 직면했을 때 자기 성찰을 통해 지식을 만들었고 실천을 통해 이를 확인하고 재생산하는 경향을 보였다. 연구결과를 근거로 실천현장에서의 지식개발 방법론으로 귀추 추론 양식, 사회복지교육과정에서 인문학 교육의 강화, 네트워크의 지식공동체로의 재구조화를 제언했다.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제39권
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• pp.26.1-26.10
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• 2017

Background: The impairment of the appearance is a major problem for patients with carcinomas of the oral cavity. These patients want to recover their preoperative facial appearance. Some do not realize that this is not always possible and hence develop a desire for further cosmetic and reconstructive surgery (CRS) which often causes psychological problems. Method: The desire of patients for CRS (N = 410; 26%) has been acquired in this $D{\ddot{O}}SAK$ rehab study including multiple reasons such as medical, functional, aesthetic and psychosocial aspects. They relate to the parameters of diagnosis, treatment and postoperative rehabilitation. Patients without the wish for CRS (N = 1155; 74%) served as control group. For the surgeons, knowledge of the patient's views is relevant in the wish for CRS. Nevertheless, it has hardly been investigated for patients postoperatively to complete resection of oral cancer. In this retrospective cross-sectional study, questionnaires with 147 variables were completed during control appointments. Thirty-eight departments of Oral and Maxillofacial Surgery took part, and 1652 German patients at least 6 months after complete cancer resection answered the questions. Additionally, a physician's questionnaire (N = 1489) was available. Statistical analysis was performed with SPSS vers. 22. Results: The patient's assessment of their appearance and scarring are the most important criteria resulting in wishes for CRS. Furthermore, functional limitations such as eating/swallowing, pain of the facial muscles, numb regions in the operating field, dealing with the social environment, return to work, tumour size and location, removal and reconstruction are closely related. Conclusion: The wish for CRS depends on diverse functional psychosocial and psychological parameters. Hence, it has to be issued during conversation to improve rehabilitation. A decision on the medical treatment can be of greater satisfaction if the surgeon knows the patients' needs and is able to compare them with the medical capabilities. The informed consent between doctor and patient in regard to these findings is necessary.