• Title, Summary, Keyword: patient factors

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Psychological Aspects of Burning Mouth Syndrome

  • Kim, Cheul
    • Journal of Oral Medicine and Pain
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    • v.40 no.1
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    • pp.3-9
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    • 2015
  • The etiopathogenesis of burning mouth syndrome (BMS) seems to be complex and many patients probably involves interactions among local, systemic, and/or psychological factors in the pathophysiologic mechanism. Although there are controversies over whether the psychological factor is a cause or a result of BMS, several studies have supported strong relationships between psychological factors and chronic pain. It has been suggested that somatic complaints from unfavorable life experiences may influence both individual personality and mood changes; however, initiation of BMS symptoms is not necessarily correlated with stressful life events despite their elevated psychological stress. If the psychological distress is not a causal factor of BMS, it seems that BMS patients may be particularly vulnerable to psychological problems, primarily depression, anxiety, and hostility due to the characteristic entities of BMS such as chronic persistent pain itself. It seems likely that both physiological and psychological factors play a role in causing, perpetuating and/or exacerbating BMS; therefore, both two components of the patient's symptoms must be addressed. The acceptance of psychological factors by the patient is often an important element of BMS, management. The evaluation of psychological and emotional status of BMS patient enables clinicians to recognize prolonged negative and subclinical factors which can complicate the management of pain or indirectly perpetuate other physical factors. This evaluation improves the doctor-patient relationships, motivation, and compliance through a correct understanding of the clinical problem. Appropriate emotional and psychological evaluation may be required prior to developing a treatment plan in order to gain the successful treatment outcome.

Quality of life and the related Factors in Cerebrovascular Surgery Patients (뇌혈관 수술 환자의 삶의 질과 관련요인)

  • Kim, Mi-Young;Kim, Keum-Soon
    • The Korean Journal of Rehabilitation Nursing
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    • v.8 no.1
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    • pp.5-12
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    • 2005
  • Purpose: The purpose of this study was to investigate the quality of life and related factors of CVA surgery patients. Method: The subjects were 64 CVA surgery patients who had discharged and received follow up care at the OPD. Data were collected using William's SS-QOL instrument and IADL. And Data were analyzed with SPSS WIN program in which frequency, percentage, t-test, Pearson's correlation and stepwise regression were used to examine the quality of life and related factors. Result: General characteristics related to QOL were marital status and economical status. Depression was the most important factor with influence on QOL in CVA disease patients after surgery. There were further positive correlation between patient's IADL and QOL and between patient's social support and QOL. Meanwhile the patient's depression level was negatively correlated with QOL. Conclusion: Depression was the most important factor with influence on QOL in CVA patients after surgery. Therefore active nursing intervention to decrease depression and to improve patient's physical functional status in needed. And the patient's family should be included in all nursing intervention and patient education so that the patient's quality of life is prompted by the maintenance of optimal wellbeing.

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Perception of Patient Safety Culture and Safety Care Activity of Entry-level Nurses (신규간호사의 환자안전문화에 대한 인식과 안전간호활동)

  • Cho, Seong-Suk;Gang, Moon Hee
    • Korean Journal of Occupational Health Nursing
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    • v.22 no.1
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    • pp.24-34
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    • 2013
  • Purpose: We investigated the relationship between patient safety culture and safety care activity, and identified factors for safety care activity of entry-level nurses. Methods: The subjects of the study were 204 entry-level nurses working at five general and advanced hospitals with over 500 beds located in C and D City. The data were analyzed using descriptive analysis, t-test, ANOVA, Pearson's correlation and hierarchical multiple regression with SPSS/WIN 18.0 program. Results: Perception of patient safety culture had significant correlations with safety care activity. Multiple regression analysis showed that demographic variables of quality of nursing on patient safety and health state of entry-level nurses affected safety care activity. In addition, patient safety culture in ward and communication affected safety care activity. These factors explained 38% of variance. Conclusion: Based on the results of the study, patient safety culture promotion strategies to facilitate supportive work environment and effective communication are needed.

Development and Evaluation of a Patient Garment Based on Functional-Modesty-Aesthetic (FMA) Model

  • Koo, Helen S.;Min, Seoha
    • International Journal of Costume and Fashion
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    • v.14 no.2
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    • pp.67-79
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    • 2014
  • Recent research suggested that hospitals have not responded to consumer demand for the improved aesthetic and comfort of their patient garments. Thus a new patient garment has been developed considering human factors based on the Functional-Modesty-Aesthetics model. Based on the reviewed literature and the model, necessary design requirements were identified. Then the patient garment was evaluated in comparison to existing ones with regard to potential patients' satisfaction levels. As a result, the developed patient garment received better evaluations in the aspects of overall aesthetic satisfaction, color satisfaction, and willingness to wear than the existing patient garments.

A Study on Medical Service Quality affecting Value of Care and Patient Satisfaction - Focusing outpatients in a Large-size Hospital (의료 서비스품질이 진료가치와 환자만족에 미치는 영향에 관한 연구 - 대형 종합병원의 외래를 중심으로 -)

  • Kim, Yang-Kyun;Cho, Chul-Ho
    • Health Policy and Management
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    • v.16 no.1
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    • pp.117-139
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    • 2006
  • The role of medical service quality to provide patients enhances influence on the hospital performance under being severe competition among the large size hospitals and increasing the right of patients. When a large hospital perceived factors of quality that a customer expects and feels value of care and it invests its resources to improve the factors of quality, it can get successful performances. Therefore, the purpose of the study explores the factors of quality affecting the trust of care and the patient satisfaction, and tests relationship among the trust of care, patient satisfaction and revisit intention. When considering the factors, a large size hospital can increase the trust of care and the patient satisfaction, through this process the hospital can assure patients' revisit and increase its revenue. This study uses interview data on outpatients visiting clinics in about 1000 beds sized training hospital located in Seoul. This study uses casual relationship model for the analysis. This study finds that 1) the trust of care and the procedure of care significantly influence the value of care felt by patients, 2) the trust of care, quality of doctors' care, procedure of care significantly influence the patient satisfaction, 3) the trust of care increases the patient satisfaction, and 4) the value of care and the patient satisfaction increase revisit intention.

Factors Influencing Quality of Sleep of Disturbance Factors Sleep by Inpatients (입원환자의 수면 방해 요인이 수면의 질에 미치는 영향)

  • Lee, Mi-Ryon;Nam, Mun-Hee
    • Journal of Korean Clinical Health Science
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    • v.2 no.3
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    • pp.176-187
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    • 2014
  • Purpose. The purpose of this study was to identify the factors affecting quality of sleep and sleep disturbance among inpatient. Methods. A descriptive correlational study was conducted Participants were 200 inpatient in a hospital located in B city. A structured questionnaire was used for data collection. Collected data were analyzed using descriptive statistics, t-test, one-way ANOVA, Pearson's correlation, and stepwise multiple regression. Result. Hospitalized patient's score of sleeping quality was 38.26 on an overall scale of 60, indicating it to be higher than 'Medium (30 points). Almost hospitalized patient in this study suffer from sleep disturbances. As results of univariate analyses, Educational level, Departments, Why hospitalized, Insomnia / depression, Chronic Disease, Scale of pain, physical symptoms, environmental factors, emotional factors, and sleep promoting behavior, disturbed sleep among hospitalized. However, the result of stepwise multiple regression analysis identified that physical symptoms, environmental factors, emotional factors, sleep promoting behavior, and Why hospitalized disturbed sleep and were significant score of sleeping quality for hospitalized and these sleep disturbance factors accounted 46.8% of variance of sleeping quality among hospitalized. Conclusion. These findings suggest that hospitalized patients with poor sleep quality should have their health carefully screened for physical symptoms, environmental factors, emotional factors, sleep promoting behavior, and why hospitalized. In addition, we recommend the development of a nursing program for improving sleep quality.

A Study on the Nursing Organizational Change and Outcome in a General Hospital (일 종합병원 간호부서의 조직구조 재설계 전후 조직성과 비교)

  • Kim, Bog-Ja
    • Journal of Korean Academy of Nursing Administration
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    • v.11 no.2
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    • pp.195-207
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    • 2005
  • Purpose: The purpose of this study was to confirm the change of nursing organizational characteristics and to define the difference of organizational outcome by measuring the organizational commitment and job satisfaction perceived by nursing staffs and patient satisfaction before and after organizational redesign. Method: The structured questionnaires of which contained organizational characteristics, organizational commitment and job satisfaction were developed from previous published studies after modification by researcher. The questionnaires were distributed to 1,200 and 679 nurses before and after nursing organizational change. patient satisfaction were measured before and after organizational change by direct interview with structured questionnaire from 1,566 and 1,291 patients. Results: 1. The organizational characteristics were significantly increased and the leadership of team leader and head nurse was significantly increased among the factors of organizational characteristics. 2. Organizational commitment was showed decreased tendency, but the difference was not significant. Job satisfaction was increased significantly and administration, autonomy, and job tasks were increased significantly in the factors of job satisfaction. Patient satisfaction was also increased significantly. 3. There was significant positive correlation between organizational commitment and job satisfaction and also job satisfaction and nursing organizational characteristics. All factors of organizational characteristics and satisfaction in present working unit were major factors to influence organizational commitment and explained 43.8% in a significant level by multiple regression analysis. The major factor which affect job satisfaction were the factors of nursing organizational characteristic except 'interaction with team leader' and satisfaction in present working unit among general characteristics and these factors explained 58.8% of job satisfaction. Conclusion: In conclusion, the nursing organizational change was very effective to bring about desirable change in nursing organizational characteristics and also to improve job satisfaction and patient satisfaction. Therefore the nursing productivity and comparability would be increased when the nursing organizational change is accomplished by the way of improving the factors of organizational characteristics and it would be followed by the promotion of job satisfaction and organizational commitment.

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Operational Factors Affecting Productivity of Foodservice System in Selected Hospitals (병원급식이 생산성에 영향을 미치는 요인분석)

  • 양일선
    • Journal of Nutrition and Health
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    • v.26 no.3
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    • pp.357-366
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    • 1993
  • The purposes of this study were to investigate the operational affecting productivity in hospital foodservice, and to examine the relationships between operational factors affecting productivity. The 28 hospitals over 400 beds in Seoul were mailed questionnaires assessing the factors that affect productivity in hospital foodservice(23 hospitals responded). Data analyses included descriptive statistics. Pearson product moment correlation analysis, and stepwise multiple regression analysis. The result of Pearson product moment correlation analysis indicated that the percentage of patient meals was significantly correlated to the productivity (r=.5560, p<.01). Stepwise multiple regression analysis indicated that the percentage of patient meals and the average work hours of employees were significant predictors of the operational factors at productivity.

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An Analysis of Factors Affecting Satisfaction of Physical Therapy Patients (물리치료 내원환자의 만족도에 영향을 미치는 요인 분석)

  • Sohn, Ae-Ree;Kim, Mi-Won
    • Journal of Korean Physical Therapy Science
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    • v.9 no.4
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    • pp.63-72
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    • 2002
  • Patient satisfaction is an important factor in evaluating the quality of care. Patient satisfaction may be used to evaluate provider services and facilities, and used to predict the patient returns to a facility. The patients d whether the patient returns to a facility or whether the patient recommends the facility to other people may be affected by a variety of factors of patient satisfaction. Low satisfaction may result in poor compliance with the potential of waste of resources and suboptimal clinical outcome. This study is to identify factors of patient satisfaction that will affect patients decision whether the patient returns or not. A self-administered questionnaire survey was conducted in Seoul, Chung-Joo and Bu-Cheon cities, Survey data was obtained from 743 patients who visited the physical therapy practice at university hospitals, general hospitals and clinics. Response rate was 94.4%. The instrument developed by Goldstein et al. (2000) was used and translated into Korean. Several items were added to the instrument. Patient's opinions of service in each domain measured using 5-point Likert-type scales that ranged from strongly disagree to strongly agree. A multiple-regression analytic approach was used to predict overall satisfaction of physical therapy. Age, kindness, scheduling, convenience of parking, privacy, and waiting time predicted the overall satisfaction of physical therapy. The older patients had higher level of satisfaction with physical therapy compared with the younger patients. Patient satisfaction were more affected by access (scheduling and waiting time), administrative technical management (convenience of parking), and interpersonal management (kindness of physical therapists and other staffs) than clinical technical management (physical therapists' skills).

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Meta-Analysis of Factors Related to Patient Safety Nursing in Nursing University Students (간호대학생의 환자안전간호 관련요인에 대한 메타분석)

  • Seo, Youngseon;Seo, Eunju;Hong, Eunhee
    • Journal of Industrial Convergence
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    • v.18 no.2
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    • pp.9-18
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    • 2020
  • Purpose is to systematically examine the factors related to patient safety nursing of nursing university students in a convergent and complex aspect and to identify the effect size through meta-analysis. The research method used PRISMA(Preferred Reporting Items for Systematic Reviews and Meta-Analyses). Medline, Embases, CINAHL, DBpia, Research Information Service System (Riss), and Korean Studies Information Service (Kiss) were used, while overseas databases were searched using MeSH terms and Emtrees. The search term was [(patient safety or patient harm or safety management) and (students, nursing)] or [(patient safety or patient harm or safety management) and (education, nursing, graduate)].The research found that nursing performance, knowledge, attitude, self-confidence, recognition, and cognition were found to be relevant factors in the order of confidence, attitude, recognition, and knowledge.