• Journal of The Korea Institute of Healthcare Architecture
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• v.5 no.9
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• pp.97-106
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• 1999

Korean society is facing the situation in which it has to dramatically increase the supply of healthcare facilities for the elderly in the near future. Recently many nursing homes and geriatric hospitals have been supplied all over the country. But the data for planning and design of the facilities are very insufficient in Korea. So this paper aims to present the basic data for planning and design of skilled nursing homes. To do this we surveyed and analyzed 10 skilled nursing home facilities, and then present the compiled data from this analyses.

• Proceedings of the Korean Information Science Society Conference
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• 2006.10a
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• pp.464-468
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• 2006

본 논문에서는 모바일 장치 간 협업 환경에 의한 헬스케어 응용에 대해 기술한다. 헬스케어 응용은 병원의 간호사 기록업무를 줄이고, 쾌적한 병실을 위한 가전제어를 위한 응용이다. 이를 위해 모바일 협업 프레임워크에 대해 살펴보고, 이를 기반으로 모바일 협업 환경을 구성하는 센서, 디바이스, 서버간의 상호작용에 대해 기술하였다. 특히, 모바일 장치에 대해 고정형과 이동형 디바이스로 구분하고, 이들간의 상호작용을 위한 정보 교환 방법을 정의하였다. 이를 기반으로 병원의 병실에 대한 물리적인 환경을 기반으로 헬스케어 응용 시나리오를 작성하였다. 또한, 각 병실에 대한 환경 정보와 환자의 건강 정보 수집을 위한 센서 그리고 고정형 디바이스와 이동형 디바이스의 상호작용 그리고 홈 서버와 상호작용에 대한 헬스케어 응용을 구현하여 수행성을 각 GUI를 통해 검증하였다.

• Journal of The Korea Institute of Healthcare Architecture
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• v.21 no.2
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• pp.67-73
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• 2015

Purpose: This study examines areal composition of ward applying to 4 bedroom in provincial medical center. Methods: The existing five-bed patient rooms, general type of multiple-bed rooms in Korea causes many problems for the amenity of patients. We should reconsider their inconvenience carefully and try to provide the right to keep their privacy and enjoy amenity. The number of patients of multi-bed rooms is very critical point to improve the environmental condition of the patient rooms. This study separate 5 bedroom group and 4 bedroom group. Net area from space program was surveyed and analyzed. Results: The result of this study can be summarized into two points. The first one is that Group-4(4 bedroom) ward has more 23% patient's area and -23% convenience area than Group-5(5 bedroom). The second one is that Group-4 has more single bedroom and Group-5 has more dayroom. Implications: Consideration Should be taken into account for the effective bedroom composition and allocation in ward. This Study hopefully may serve as a stepping stone for the standard design of space program in ward.

• Journal of the Korea Institute of Information and Communication Engineering
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• v.13 no.6
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• pp.1167-1174
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• 2009

In the monitoring of a patient in a sickroom, not only the physiologic and environmental data of the patient, which is automatically measured, but also the clinical data(clinical chart)of the patient, which is drew up by a doctor or nurse, are recognized as important data. However, since in the current environment of a sickroom, clinical data is collected being divided from the data that is automatically measured, the two data are used without an effective integration. This is because the integration of the two data is difficult due to their different collection times, which leads the reconstruction of clinical data to be remarkably uncertain. In order to solve these problems, a method to synchronize the continuous environmental data of a sickroom and clinical data is appearing as an important measure. In addition, the increase of use of small machines and the development of solutions based on wireless communications provide a communication platform to the developers of health care. Thus, this paper realizes a remote system for taking care of patients based on a web that uses mobile phones. That is, clinical data made by a nurse or doctor and the environmental data of a sick room comes to be collected by a collection module through a wireless sensor network. An observer can see clinical data and the environmental data of a sickroom through his/her mobile phone, integrating and storing his/her data into the database. Families of a patient can see clinical data made by hospital and the environment of the sick room of the patent through their computers or mobile phones outside the hospital. Through the system,hospital can provide better medical services to patients and their families.

• Journal of The Korea Institute of Healthcare Architecture
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• v.21 no.2
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• pp.17-24
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• 2015

Purpose: This study examines distance from nurse station to bed according to composition of single bedroom. Methods: This study has two groups of target sample ward planes. The first group has diverse patients bedroom. The other group is 36 single bedrooms and 2 3-bedrooms. The guideline of distance measurement was instituted for consistency. This study has 3 main concepts of the guideline. 1) The distance is shortcut from NS to bed. 2) The traffic line is center line between walls and center of door. 3) The start point is center of NS and the end point is bed. Results: The result of this study can be summarized into two points. The first one is that single bedroom has good privacy and longer distance from NS to bed. The second one is that weak point of single bedroom was asked ward operating system and architectural planning like as patients room, bed per unit, location of NS and plan type. Implications: Consideration Should be taken into account for the effective bedroom composition and allocation in ward. This Stuy hopefully serve as a stepping stone for the standard design of space program in ward planning.

• Journal of Internet Computing and Services
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• v.9 no.3
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• pp.25-41
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• 2008

In this paper, we describes a Compact Distributed Object Group Framework(CDOGF) for mobile collaboration service in ubiquitous computing. CDOGF support network connections of sensors and devices, management of mobile computing devices, and grouping of objects for mobile collaboration service according to the logical area. For this, we defined methods for detail functions and interface. And, we classified into four interactions of that sensors and a application, the CDOGF and a application, between the components of the CDOGF, the CDOGF on a mobile device and the DOGF on a server. We also defined mobile collaboration environment by analyzing existing technologies. In this environment we used the TMO scheme for interaction and the TMOSM for distributed middleware. Finally, we implemented u-hospital application that applied this environment. This application collects environment and health information by PDAs in wards. Also, It provides the information service for patient management task.

• Journal of Korean Academy of Nursing
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• v.6 no.1
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• pp.80-90
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• 1976

정신과 영역의 환자를 위해 간호원의 역활을 필요로 한 이래 여러 가지 간호의 개념으로 간호원의 역할이 변화되어오고 있다. 정신과 환자의 안전만이 가장 큰 치료의 중심일 때는 병동열쇠의 위엄에 곁따라 보호관리에만 치중해 왔으며 정신의학에서 약물요법, 전기요법의 치료과정이 생기면서 간호원의 역할 변화 및 지식의 요구를 필요로 하게 되었으며, 환경과 개인의 밀접한 관계를 중시해오면서 치료적 환경속으로 환자의 인간적 치료가 강조되었을 때 의사소통과 대인관계의 인적 환경으로써 또한 간호원의 역활이 중요시 되어왔다. 이런 관점에서 치료적 환경에 대한 정확한 이해는 간호행위과정의 불완전을 제거하며 보다 활발한 정신과 환자간호에 기여하는 일 일 것이다. DR. Bartom은 병실 환경이 비생산적이고 비 치료적일때 성격의 변화는 물론 행동적 특성의 변화까지 가져올 수 있다고 말했다. 즉 무감동적이고, 무조건적 순종이 있으며 솔선하여 행하는 행위가 줄고 장래 계획에 대한 자극이 줄어들고 될대로 되어 가는 상태 그 자체에 머물러 있어 인간의 특징적 의미와 가치를 상실하게 된다는 것이다. 정신과 병실은 잠정적 체류지로 보아야 하겠고 이 체류지에서의 영향이 환자에게 보다 유익하게 끼칠려면 간호원이 지속적으로 치료적 분위기를 유지해야 할 것이다. 치료적 입장으로서의 간호의 활동 초점은 대인관계에서 환자의 의식수준과 자아관련 수준에서의 취급이 무의식 수준에서의 탐구조사보다 바람직하다. 치료적 가치로써 치료적 환경의 이론적 근거를 DR. Sullivan 은 인간의 상호관련 문제에 두고 있다. 즉 상호작용이 존재하는 환경은 어떠한 곳이든 성격에 영향이 있고 이 성격은 대인관계의 복잡성으로부터 결코 떨어질 수 없다는 얘기다. 자아구성 또한 환경의 영향을 받는데 Cumming은 병동환경과 자아구성 재동기간에 밀접성을 시사한바 있다. Visher와 O'sullivan은 정신과적 치료중에서 일상생활에서 경험되어지는 의사소통과 대인관계속에서 학습되어지는 여러 가지가 있기 때문에 매일의 활동획이 치료적 방향으로 계획되어 져야 한다고 말했다. Maxwell Jones 또한 치료적 환경의 유용한 가동은 전 직원의 기여에 있으며 이는 정신건강을 최적으로 올려 줄 것이다. 라고 말했다. 이러한 상황에서 간호원은 의미 없이 환자의 감정 욕구를 깨닫지 못하고 감정지지를 주지 못하며 정서적 긴장을 예방하지 못한 체 환자와의 관계를 유지한다면 현대간호의 개념에서 이탈되어지고 발달되어지지 못한 미숙아 현상이 유지 될 것이다. 보다 바람직한 치료적 환경 유지는 간호로써 환자에게 기여해 주는 일이다. 간호의 역활과 더불어 전문적 태도는 따뜻하고 포용성 있게 그리고 융통성 있게 대함은 물론 간호인 자신의 "자기이용"을 깊이 그리고 치료적으로 이용할 것을 깨달아야 할 것이다. 즉 정신과 병실에서의 간호원 존재 자제가 환자에게 미치는 영향도 고려해야 한다는 것이다. 덧붙여 환자를 위한 일주일 병동 행사표를 Model로 제시하였고 그 안에서의 간호원의 역활을 약술하였다.

• Journal of Advanced Navigation Technology
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• v.19 no.5
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• pp.458-463
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• 2015

This paper suggests detection system for the movement of patient on bed based on IEEE802.15.4 by using pressure pad and guard sensor. The system is designed to detect ordinary activities of patients on bed as well as patients' falling from the bed while sleeping at night. The node that is installed at bed sends data to gather when the pressure pad and sensor of guard detect patients' activities and falling. These data sent to gather are transmitted to monitor at help desk by TCP/IP communication. To remove unnecessary data that occurred due to switch chattering during tossing and turning, timer of MCU is used. Also, Communication module can change transmission power to apply this system to various environments of hospital room. Therefore, the nurse can take care of patients on bed in real time with data about patients' conditions.

• Journal of The Korea Institute of Healthcare Architecture
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• v.22 no.4
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• pp.19-27
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• 2016

Purpose: This study shows a changing tendency of Japanese psychiatric hospitals, presenting "Visions in Reform of Mental Health and Medical Welfare", changed to "Hospitalized Medical Treatment to Living in the Community" and reducing the number of beds since 2004. Methods: This study uses a documentary survey, especially Jananese "Visions in Reform of Mental Health and Medical Welfare System" and a field survey on hospital built for early treatment and return to society after 2004. Results: Change tendencies of psychiatric hospitals are 1) diversification of isolation room and ward, 2) cluster of patient's room, 3) phased organization of space, 4)individualization. Implication: This study will be an important data for researching plan of Korea psychiatric hospital which needs to change by global tendency.

• Journal of Biomedical Engineering Research
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• v.21 no.3 s.61
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• pp.255-260
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• 2000

This paper presents a radio-telemetry patient monitor. which is used for intensive cal?e units. emergency and surgical operation rooms to monitor continuously patients' vital signs. The radio-telemetry patient monitor consists of a vital sign acquisition unit. wireless data transmission units and a vital sign-monitoring unit. The vital sign acquisition unit amplifies biological signals, performs analog signal to serial digital data conversion using the one chip micro-controller. The converted digital data is modulated FSK in UHF band using low output power and transmitted to a remote site in door. In comparison with analog modulation. FSK has major advantages to improve performance with respect to noise resistance with fower error and the potential ability to process and Improve quality of the received data. The vital sign-monitoring unit consists of the receiver to demodulate the modulated digital data, the LCD monitor to display vital signs continuously and the thermal head printer to record a signal.