• Title/Summary/Keyword: 간호문제

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The Relationship between Quality of Life and Depression, Anxiety in Hemodialysis Patients (혈액투석 환자의 삶의 질과 우울, 불안과의 관계)

  • Jeon, Yeong Ae
    • Journal of Internet of Things and Convergence
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    • v.4 no.1
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    • pp.7-22
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    • 2018
  • This descriptive investigation aims to identify a relationship between QOL, depression, and anxiety in hemodialysis patients. I conducted this research on 130 subjects aged 19 or above who have received dialysis for at least one month in the hemodialysis unit at N hospital in the city of S. However, it came to 112 as I took out those who either quit, died, or filled out a questionnaire in the incorrect manner. In regards to average points of QOL on a 100-point scale, it is 57.77, demonstrating quite low QOL. Concerning average points of depression and anxiety, it is 12.25 and 10.52, respectively, showing quite a high figure. With regard to a correlation, there is a significant correlation between the three factors in hemodialysis patients: there is a negative correlation between QOL and depression (r=-.782, p<.001); a negative correlation between QOL and anxiety (r=-.719, p<.001); and a positive correlation between depression and anxiety (r=.873, p<.001). The outcome of multiple regression analysis on factors affecting QOL shows that depression is the element influencing QOL (β=-.585). Therefore, this study is significant in providing basic data for establishing intervention strategies aiming to reduce levels of depression which has the strongest impact on QOL in the patients and for developing a nursing intervention program intending to improve their QOL.

The Effect of Heath Behavior and Health Status on Suicidal Ideation of Female Baby Boomers : Using the 2017 Korea Health Panel Data (건강행위와 건강상태가 베이비붐세대 여성의 자살생각에 미치는 영향: 2017년 한국의료패널 자료 이용)

  • Park, Min-Jeong
    • Journal of the Korea Convergence Society
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    • v.12 no.12
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    • pp.499-507
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    • 2021
  • The purpose of this study is to analyse suicidal ideation and to identify the effect of health behavior and heath status on suicidal ideation of female baby boomers by using Korea Health Panel Data 2017. The Korea Health Panel Data 2017 were collected from February to June 2017 and included 1,319 people responded to the question whether suicidal ideation. The data were analyzed by chi-square, t-test and multiple logistic regression using SPSS WIN 25.0 program. The ratio of suicidal ideation was 3.1% in female baby boomers. Influencing factors to suicidal ideation in female baby boomers revealed that spouse, eating problem, activity restriction, and presence of depression had more suicidal ideation by 7.21 times(CI=1.15-6.36, p=.047), 4.44 times(CI=2.05-9.61, p<.001), 4.63 times(CI=1.63-13.16, p=.004), 12.12 times(CI=5.36-27.37, p<.001) respectively. Therefore, it is required to develop a suicide prevention program that considers the characteristics of female baby boomers and factors influencing suicidal ideation.

Analysis of health-related quality of life factors in south Korean one-person households (한국 1인 가구의 건강관련 삶의 질 영향 요인 분석)

  • Gu, Hye-Ja
    • Journal of Digital Convergence
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    • v.17 no.8
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    • pp.453-463
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    • 2019
  • The purpose of this study was to investigate one-person household its health-related quality of life(HRQOL) using data from the seventh Korea national health and nutrition examination survey(KNHANES Ⅶ-2) 2017. The subjects were 301. The data were analyzed by frequency, descriptive analysis and linear regression analysis using SPSS complex samples Win 25 program. The HRQOL score was 0.92, and 2.5% of the subjects in the pain and discomfort area had severe problems. HRQOL related to the subject was 0.034, 0.039, and 0.031, respectively, when the household income level was lower, the education level was lower than elementary school graduates, and if they did not drink at present. HRQOL was 0.072, 0.065, 0.103, and 0.040 in perceived health status good or moderate, the absence of activity limitation and arthritis, was explained 43.1%. There is a need to develop interdisciplinary approaches with great interest in improving the one-person households HRQOL.

Effects of Music Therapy Activity on the Stress Change of Alcoholics with Extended Song Sharing (확장된 노래나누기를 중심으로 한 음악치료 활동이 알코올중독자의 스트레스 변화에 미치는 효과)

  • Choi, Kyeong-Yoon;Kim, Sun-Sik
    • Journal of Convergence for Information Technology
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    • v.9 no.9
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    • pp.229-236
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    • 2019
  • This study aims to examine the moderating effect of Extended Song Sharing for helping alcoholics to deal with stress. ESS is structure with non-verbal techniques approaches traditional Song Sharing technique. For this study, 64 alcoholics hospitalized were experimental (n=33) and control groups (n=31). The group was asked to participate in 12 ESS programs twice a week, every 45 minutes for six weeks. During this period, all those who belonged to the experimental and control groups were required to continue to participate in treatment programs prescribed by hospitals. Result: ESS interventional effects on subjects were evaluated using a stress response scale. As a result of the experiment, the WCC score of the experimental group increased 7.3% (p=0.000) but there was almost no change in the control group (1.5% increase, p=0.019). Effects of WCC types were higher in the experimental group, followed by 13.67% (p=0.006) in coping with wishful thinking, 9.66% (p=0.000) in the pursuit of social support, 6.35% (p=0.000) in dealing with problems, and 4% (p=0.000) in coping with emotions. ESS activities have been confirmed to improve the way alcoholics cope with stress.

The Effect of Psychological Intervention for Pain Reduction in Osteoarthritis Patients : A Meta-analysis (골관절염 환자의 통증 감소를 위한 심리적 중재의 효과 : 메타분석)

  • Lee, Chun-Hee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.5
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    • pp.109-117
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    • 2019
  • This study was conducted to provide for the development of psychological interventions through meta-analysis of the effects of psychological intervention for pain reduction in patients with osteoarthritis. R version 3.5.1 program was used to identify the effectiveness of psychological mediating by December 30, 2018, while the Korean and foreign literature published by PubMed, EMBASE, Ovid-MEDLINE, CINAHL, and Korean databases were searched. As a result, 12 studies with a total of 1,847 participants were analyzed in a total of 1,822 literature. The results showed that the overall effect size of psychological intervention for pain reduction in osteoarthritis patients was small effect -0.31(95% CI: -0.50, -0.11, p<.001). In the moderator analysis, the effect size showed a significant difference depending on the intervention type, intervention duration and the intervention provider. The funnel plot analysis was used to analyze the publication bias, and it was visually asymmetric but not asymmetric after the egger's regression test (bias = -3.24, p = .077). The results of this study suggest a standard of efficacy for psychological interventions to improve pain symptoms, which is a major symptom of osteoarthritis, although the number of studies included in the meta-analysis is low and has provided a clinical basis during intervention and intervention providers.

Risk Factors of Predicting Intensive Care unit Transfer in Deteriorating Ward Patients (병동 급성악화 환자의 중환자실 전동 위험요인 분석)

  • Lee, Ju-Ry
    • Journal of Digital Convergence
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    • v.19 no.4
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    • pp.467-475
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    • 2021
  • Purpose: When a patient with acute deterioration occurs in a ward, the decision to transfer to intensive care unit (ICU) is critical to improve the patient's outcomes. However, when available ICU resources limited, it is difficult to determine which of the deteriorating ward patients to transfer to the ICU. Therefore the purpose of this study was to identify risk factors in predicting deteriorating ward patients transferred to intensive care unit (ICU). Methods: We reviewed retrospectively clinical data of 2,945 deteriorating ward patients who referred medical emergency team. Data were analyzed with multivariate logistic regression. Results: The solid cancer that diagnosed at hospitalization (odds ratio[OR] 0.39; 95% confidence interval [CI] 0.32-0.47), when the cause of deterioration was respiratory problem (1.51; 95% CI 1.17-1.95), high MEWS (1.22; 1.17-1.28) and SpO2/FiO2 score (2.41; 2.23-2.60) were predictive of ICU transfer. Conclusion: These findings suggest that early prediction and treatment of patients with high risk of ICU transfer may improve the prognosis of patients.

A Study in the Health Information Use of Immigrants (이민자의 건강정보이용 실태 분석)

  • Jang, Seon Mi
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.12
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    • pp.629-638
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    • 2020
  • This study was designed to investigate the health information usage of immigrants. A questionnaire survey was conducted on 171 immigrants. Data was analyzed for descriptive statistics, chi-square test, and Fisher's exact test. The frequency of migrants' use of health information is low, and the number of respondents who use health information less than once a month is highest. There were statistically significant differences in the frequency of use of health information according to age, occupation, and those who contracted diseases. The main source of health information was the Internet, and there were differences in the sources of health information according to age and whether the Internet was used. Most of the respondents used health information for themselves, and there was a difference in the targets of using health information according having a cohabitee and the perceived health status. It was found that the majority of immigrants do not actively use health information. However, when the age increased or the immigrant was unhealthy, the use of health information increased to solve health problems. Therefore, it is important to provide health information in a variety of ways according to the characteristics of immigrants.

An Analysis of Stakeholder Issues in the Implementation of Telemedicine Services: Based on Grounded Theory (원격의료 서비스 실행과정에서의 이해관계자 이슈 분석: 근거이론 접근)

  • Lee, Sung Kyung;Park, Sang Cheol;Seo, Eun Hui;Koh, Joon
    • Knowledge Management Research
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    • v.21 no.4
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    • pp.1-19
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    • 2020
  • Recently, implementation of telemedicine in Korea has been conducted as one of pilot projects with public health doctors. To manage and expand telemedicine services sustainably, it is necessary to understand the positions of various stakeholders. The purpose of this study is to observe and describe major phenomena around stakeholders related to telemedicine to capture major issues following the implementation of telemedicine. This study interviewed 24 research participants, including public health doctors who participated in the pilot project for telemedicine services. As a result of analyzing the interview manuscript using the grounded theory method, totally 68 concepts were derived at the coding stage, and 19 sub-categories, 11 categories, were proposed through the categorization process. In addition, through the elicitation concepts and categories of this study, conflicts among stakeholders were explained, conceptual models that presented the process of resolving conflicts, and five types of stakeholders were proposed. This study has theoretical and practical implications in that it captures and describes important issues from stakeholders in telemedicine services. The results of this study are expected to give some hints for problem solving to all of the stakeholders who wish to successfully build telemedicine services.

Comparison of Health-related Quality of Life Influencing Factors between Metabolic Syndrome and Osteoporotic Metabolic Syndrome in Korean Elderly People (대사증후군 노인과 골다공증을 동반한 대사증후군 노인의 건강관련 삶의 질 영향 요인 비교)

  • Kim, Eun-Sook
    • Journal of Convergence for Information Technology
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    • v.11 no.3
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    • pp.54-67
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    • 2021
  • This study is a secondary data study that analyzes the factors affecting the quality of life of the elderly with metabolic syndrome and the elderly with metabolic syndrome with osteoporosis using data from the 7th year of the National Health and Nutrition Survey (2018). The subjects of this study were 639 patients with metabolic syndrome and 161 patients with metabolic syndrome with osteoporosis. For data analysis, the composite sample Rao-Scott χ2 test, general linear model t-test, and regression model were used. As a result of the study, the factors that lowered the quality of life of metabolic syndrome were age, cohabitation, strength training, subjective health status, activity restriction, body mass index and depression, and the explanatory power was 50.4% (F=515.96, p<.001). In metabolic syndrome with osteoporosis, age, subjective health status, activity restriction, and stress were the factors that lowered the quality of life, and the explanatory power was 48.6% (F=10.42, p<.001). Based on these results, it is necessary to develop and provide an intensive multidisciplinary program for the elderly with metabolic syndrome accompanied by osteoporosis to solve the problem of activity restrictions and manage stress reduction through positive acceptance of health status, instrumental and social support, and caring support.

Comparative analysis of fusion factors affecting the accuracy of injection amount of remote fluid monitoring system (원격 수액모니터링 시스템의 주입량의 정확도에 영향을 주는 융합인자의 비교 분석)

  • Kim, Seon-Chil
    • Journal of the Korea Convergence Society
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    • v.13 no.3
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    • pp.125-131
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    • 2022
  • Recently, the prevalence of remotely managed patient care systems in medical institutions is increasing due to COVID-19. In particular, in the case of fluid monitoring, hospitals are considering introducing it as a system that can reduce patient safety and nurses' work. There are two products under development: a load cell method that measures weight and a method that detects drops of sap by infrared sensing. Although each product has differences in operation principle, sensor type, size, usage, and price, medical institutions are highly interested in the accuracy of the data obtained.In this study, two prototypes with different sensor methods were manufactured and the total amount of infusion per hour was measured to test the accuracy, which is the core of the infusion monitoring device. In addition, when there was an external movement, the change in the measured value of the sap was tested to evaluate the accuracy according to the measurement method. As a result of the experiment, there was a difference of less than 5% in the measurement value error of the two devices, and the load cell method showed a difference in the low-capacity measurement value and the infrared method in the high-capacity measurement value. As a result of this experiment, there was little difference in accuracy according to the sensor method of the infusion monitoring device, and it is considered that there is no problem in accuracy when used in a medical institution.