• Journal of Convergence for Information Technology
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• v.8 no.4
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• pp.9-14
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• 2018

The purpose of this study was to analyse the relationship between the characteristics of the patients who received oral antihyperglycemic drugs and their medical adherence in Korea. The study method was a cross-sectional study using the patient sample data of the Health Insurance Review and Assessment Service for 2016, and it was analyzed with 109 major components of diabetes drug. The medical adherence was slightly higher in male than female. The patriots & veterans(free) type had the highest medication adherence because they have low self burden to access medical institutions compared to other insurance types. It is expect that this study result will be used as a basic data to understand the burden of outpatients with health insurance and establish a policy to reduce of the self outpatients' burden with chronic diseases such as type 2 diabetes.

• The Journal of the Korea Contents Association
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• v.21 no.9
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• pp.609-621
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• 2021

This study investigates the effect of types of usual source of care on medication adherence among the elderly. Using the Korea Health Panel Survey in 2017, this study includes 3,623 elderly people 65 years of age or older taking prescription drugs for treatment of chronic diseases. The type of usual source of care was considered in three aspects: whether having a usual source of care or not, whether having a regular site only or having a regular site and doctor, size of the regular site. The types of usual source of care are heavily associated with medication adherence. Compared to those who have no usual source of care, those who have a regular site only are 1.4 times, and have both regular site and doctor are 1.8 times more likely to comply with the medication guidelines, respectively. The finding shows usual source of care has a positive effect in improving medication adherence of the elderly. The results can provide an evidence for policies for effective management of chronic diseases and efficient use of medical resources.

• Proceedings of the Korean Society of Computer Information Conference
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• 2021.01a
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• pp.309-312
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• 2021

본 연구에서는 약 관리를 효율적으로 할 수 있는 IoT 기반의 스마트 약상자를 개발하였다. 약을 정기적으로 먹어야 하는 사용자에 대해 약 복용 현황 및 남아 있는 약의 상황 등을 모니터링 하여 효과적으로 관리할 수 있다. 이를 위해 약을 보관할 수 있는 상자를 3D 프린터를 이용하여 제작하였으며, 사용자의 복약 현황을 나타내주는 LCD를 전면에 배치했다. 또한, 약상자 내부에 있는 서보모터를 활용하여 정해진 복용 시간에 정해진 양만큼의 약을 제공할 수 있도록 하였다. 제안하는 스마트 약상자를 이용하여 사용자의 복약을 효율적으로 관리할 수 있으며 복약 순응도를 높이고 약물의 오남용을 막는데 도움을 줄 수 있다.

• The Journal of the Korea institute of electronic communication sciences
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• v.8 no.9
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• pp.1391-1397
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• 2013

As Korea is expected to enter an aging society in near future, the number of patients who need a long-term prescription is expected to increase as well. In particular, Korea shows the highest in both the incident rate and the death rate among OECD member nations. The current situation requires more strict monitoring and management for patients' taking medicine, there are a few practical problems such as personnel expenses. In order to realize the efficient management of medicine administration, this paper proposes a smart pillbox that is developed based on IT technologies. Through the experiments in which actual patients participate, it is proved that the smart pillbox is beneficial to the patients taking medicine.

• Journal of Industrial Convergence
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• v.20 no.7
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• pp.97-105
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• 2022

Objectives: This study was performed to analyze the effect of nurse-led education on results for patients with gout. Methods: The face-to-face education was conducted by a specialist nurse. Patient satisfaction and drug adherence, serum uric acid was assessed. Results: Patient satisfaction was significantly higher in the nurse-led education group than in the usual care group. The serum uric acid level on the second visit was lower after patient education. In addition, the mean drug adherence in the nurse-led group was significantly higher than in the usual care group on the second and third visits. Conclusion: The nurse-led education about gout improves patient satisfaction, drug adherence, and serum uric acid level in patients with gout.

• The monthly packaging world
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• s.291
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• pp.50-65
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• 2017

• Research in Community and Public Health Nursing
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• v.23 no.2
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• pp.189-200
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• 2012

Purpose: The purpose of this study is to identify factors associated with the stages of change in medication adherence in patients with hypertension. Methods: Participants were 323 patients with hypertension. Sociodemographic/medication-related characteristics, stages of change, processes of change, self efficacy and decisional balance were self-administered. Results: Stages of change were significantly different according to gender, age, job and living arrangement. A multinominal logistic regression analysis has revealed that gender, age, living arrangement, self-liberation, and self-efficacy were significantly associated with the precontemplation stage. Age and self-liberation were significantly associated with the contemplation stage. Gender, age, living arrangement, and self-liberation were significantly associated with the preparation stage. Gender and helping relationship were significantly associated with the action stage. This model explained 52.0% of the stages of change in medication adherence. Conclusion: The tailored intervention strategies based on the stages of change may be needed for improving medication adherence in patients with hypertension.

• Journal of Korean Public Health Nursing
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• v.28 no.1
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• pp.32-45
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• 2014

Purpose: The purpose of this study was to test the effectiveness of an eight session integrated case management program for improvement of medication adherence, physical function, pain, and depression among medical aid beneficiaries with osteoarthritis. Method: A nonequivalent control group pre-posttest design was employed. Participants were 55 medical aid beneficiaries who agreed to participate in this study, and were assigned to an experimental group (n=28) or control group (n=27). The framework of this research derived from Cox's Interaction Model of Client Health Behavior guided the overall intervention and the components. The program led by a case manager with a medication calendar, motivating interviewing and coaching strategies and collaboration with a pharmacist. Analysis included change in scores, ${\chi}^2$-test, and t-test. Result: The results showed significant increase in medication adherence, physical function and decrease joint pain, joint stiffness and depression in the experimental group compared to the control group. Conclusion: The eight session integrated case management program indicated an effect on medication adherence, pain, physical function, and depression. Partnership with a pharmacist is recommended for medication adherence and conduct of further studies will be needed in order to determine the long-term effect of an extended integrated program on health outcomes.

• Journal of Korean Clinical Nursing Research
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• v.25 no.2
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• pp.170-178
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• 2019

Purpose: The purpose of this study was to determine the mediating effects of self-efficacy and the belief about medication on the association between depression and medication adherence in patients with systemic lupus erythematosus. Methods: 128 patients aged ${\geq}19years$, who were regular outpatients or admitted patients diagnosed with systemic lupus erythematosus at a tertiary hospital in B city, participated in this study. Data were collected by using a self-administered questionnaire. Testing of mediating effects was analyzed by a parallel redundant mediated model using the PROCESS macro for SPSS version 3.3. Results: They scored an average of $16.71{\pm}11.13$ for depression, $694.14{\pm}170.68$ for self-efficacy, $3.05{\pm}4.60$ for the belief about medication, and $90.14{\pm}15.37$ for medication adherence. The direct effect of depression on medication adherence was not statistically significant, but the indirect effects of depression mediated with self-efficacy and belief about medication were statistically significant. Conclusion: It is necessary to develop and apply a nursing intervention program that can not only relieve depression but also promote self-efficacy and the belief about medication with the objective of improving medication adherence among patients with systemic lupus erythematosus.

• Proceedings of the Korean Information Science Society Conference
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• 2011.06b
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• pp.255-257
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• 2011

본 논문은 스마트폰 환경에서 만성질환자의 약복용 순응률을 향상시키기 위한 앱을 모델링하고 구현하였다. 이 앱은 일상생활을 하면서 장기간 규칙적으로 약을 복용해야 하는 환자들을 대상으로 약복용을 지원할 수 있도록 모델링되었다. 또한, 스마트폰을 통해 모바일 환경에 있는 환자에게 약복용 알림, 복약지도, 순응률 조회 등의 모니터링 서비스를 제공한다. 앱 서버는 환자들의 약복용 스케줄 데이터를 관리하며, 이 데이터는 3GS 통신을 통해 스마트폰과 동기화 된다. 순응률은 약복용 알림에 대해 환자의 대응에 따라 자동으로 계산되며 조화될 수 있다. 이 앱 통신은 국제표준 IEEE P11073-10472으로 구현되었다.