• Journal of Digital Convergence
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• v.13 no.8
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• pp.483-493
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• 2015

Industrialization and urbanization have caused health inequality between rural areas and cities. Health care in rural area is insufficient comparing to urban areas. This study examined the effects of social capital, Health Information, and medical communication factors on Health status in rural community using structural equation modeling. First, social capital has an effect on medical communication with physicians and medical communication impacts on health status. Second, health information orientation has an impact on health behavior and Internet health information. Lastly, health information orientation influenced by Internet health information as a mediator affects health status. As a whole, this study contributes to theoretical explanation about determinants of health status in communities by examining structural path of the effects of social factors and communication factors on health status in rural area.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.21 no.7
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• pp.73-81
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• 2020

This study is a single-group study to check the effectiveness of nursing students on their communication credibility, communication confidence and clinical decision-making ability by implementing SBAR-applied simulation training to improve the difficulty of delivering clear information to medical personnel during transition. By combining simulation practices and SBAR training based on emergency situations of mothers and newborns, programs were developed and applied to communicate clearly and briefly to the medical staff about emergencies and to enhance communication skills. The subjects were 91 fourth-year nursing college students from one university in B metropolitan city. The data were collected from Feb. 18, 2019 to Feb. 28, 2019 and were analyzed using the SPSS/WIN 18.0 program as a paired t-test. The results revealed that the communication clarity measured after the simulation exercise (t=-3.99, p<.001), Communication Confidence (t=-8.60, p<.001), Clinical Decision Capacity (t=-4.66, p<.001) Statistically, it has increased significantly. Therefore, the purpose of this research is significant in that it seeks to promote the expertise of nursing college students by developing and applying simulation practical education programs to enhance the communication skills and clinical decision-making skills of nursing college students as prospective medical personnel.

• Design Convergence Study
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• v.17 no.2
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• pp.235-244
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• 2018

The health checkup conducted by the National Health Insurance Corporation is aimed at early detection and prevention of diseases. After the screening, you will receive a result sheet, which is a means for smooth communication between the medical staff and the patient. So far, design improvements have been made to the results. However, it is still pointed out that patients have low understanding and cognitive problems. Therefore, in this study, the opinions of the actual users, the medical examiners, and the designers are investigated to improve the design and to propose convenient checkup result sheets. The research method is to investigate the problems of information design research related to the results of the health examination and the user interviews on the results of the current health examination, and to improve the design of the existing results. In addition, we conducted a questionnaire survey on the results of the existing health checkups and the results of the improved checkups by the researchers, and finally designed them by referring to the results. As a result, I got a positive answer that many of the problems pointed out in the existing results were solved.

• The Journal of Korean Physical Therapy
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• v.17 no.4
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• pp.485-492
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• 2005

환자에 대한 기록은 일정한 형식을 가지고 환자 내원 초기부터 환자 및 의료진의 요구와 관리목적에 부합한 효과적인 평가, 치료계획, 치료적 중재를 수립할 수 있게 만드는 필수적인 일련의 상호관련학적 의사소통 도구임과 동시에 치료사가 환자관리에 포함된 사고 과정을 분석하는 데 도움을 주며 문제해결에 대한 사고를 체계화하는데 있어 중요한 역할을 한다. 본 연구의 목적은 물리치료사의 일반적 특성과 임상기록의 실태, 임상기록의 중요성을 인식하고 임상활동의 문제점을 개선하며 기록의 체계화를 이루어 임상기록의 활성화와 나아가 물리치료의 질적 향상과 물리치료 서비스에 대한 효율성을 높이는데 있다. 이 연구는 전국 의료기관이나 보건관련기관에서 근무하는 물리치료사를 선정하였다. 2005년 7월1일부터 8월30일 사이에 구조화된 설문지 320매를 직접 전달해 치료사가 작성한 설문지 314매를 직접 수거하였다. 분석 방법으로는 백분율과 빈도, Kuskal-Wallis Test. Pearson Chi-Square, Mann-Whitney U로 검정하였다. 잘못 표기한 응답자 1명을 제외한 응답자 총 313명 중 남자 142명 (45.2%), 여자 171명 (54.5%) 이었으며, 25세 이상 29세 이하 연령층이 119명 (37.9%)으로 가장 많이 분포하였다. 근무처에 따른 근무 개월, 일일 평균 환자수는 통계학적 검정으로 유의한 차이가 있는 것으로 나타났다(p<.05). 근무처에 따른 임상기록 작성에서도 통계학적 검정이 유의하였다(p<.05) 임상기록 작성이 효율적인 치료. 치료사 만족도에도 통계학적으로 유의한 결과가 나타났다(p<.05).

• Journal of Digital Convergence
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• v.17 no.9
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• pp.185-192
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• 2019

The introduction of smart technology provides accuracy, safety, and efficiency to both physicians and patients. Although interest in a clear aligner is increasing among users worldwide, the current clear aligner requires a visit to the hospital every one or two weeks for replacement, which is a very cumbersome process. There is also confusion among dentists and patients because about 40 to 80 devices are made, and calibration is done based on the order and duration of the clear aligner. Therefore, this study designed and developed a clear aligner management system so that communication between the patient and dentist can be smoothly performed by inserting the QR code into the transparent correction device. As a result, the size of the QR code was recognized as $6{\ast}6mm^2$ which can be used in the oral and the recognition distance was 100% within 12 cm. Since the dentist can remotely manage the patient with the proposed system and improve the correction effect, it is possible to manage patients abroad, as well as domestically.

• Journal of Korean Academy of Nursing Administration
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• v.3 no.2
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• pp.95-107
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• 1997

For nursing as a science to establish a unique system of knowledge, nursing researchers should include the philosophical activities such as establish of nursing philosophy. For establish of philosophy nursing, the nature and realms and essential characteristics of nursing science should be made clear at first. The purpose of this study identify alienation and the situation of happen to alienation and Martin Buber Philosophy(I and Thou). Understanding of this concept should enlighten nurses to interaction and relationship problems between patients and nurse and thus lead to further toward enhancing these interaction and relationship. The alienation was serious problem in present society which was cultural, political, economical, mechanical, religious classified. The overcome of alienation in nursing situation was caring and interpersonal relationship based on Martin Buber philosophy. The essential philosophy of Martin Buber was "I and Thou" relationship. I and Thou relationship are consist of five characteristics ; 1)mutuality 2)directness 3)presentness 4)intensity 5)ineffability As health care technology becomes more sophisticated, there is a tendency to rely on monitors and machines to assess the patient's status. Therefore focus on the functioning and care of machine can result in less meaningful communication with patients. This study points to the need for health professional and patient relationship based on Martin Buber philosophy(I and Thou). This relationship may suggest that professional shoud have sincerity, concerning, respect and warm emotional toward their patients. Ultimately this study provide the basic information to contribute understanding of "I and Thou" relationship and nursing philosophy development in nursing education.

• Journal of the Korean Society of Radiology
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• v.14 no.5
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• pp.577-584
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• 2020

In this study, the number of non-English speaking visitors is increasing day by day, and accordingly, there was a limitation in language communication and communication during radiographic examination. To this end, after distributing the handbook produced for inspection, the improvement effect of before and after explanation was examined. The score scale was not statistically significant as to whether it was the test site or not, and the degree of discomfort of the test, the degree of understanding of the breathing guidelines, and the satisfaction of the test description were improved and the score scale was improved before and after the description of the guide. Non-English-speaking foreign visitors were more satisfied with explanations in their own text than in English or Korean, and the method was also able to conduct effective inspections by informing the foreign guests when to control their breathing by using the lighting signals in the laboratory. In the future, the quality of medical services and imaging medical examinations can be improved only when communication methods are implemented from various perspectives, such as developing various language interpretation programs, developing guides for various test sites, and developing tools and improving foreign language skills of radiologists and medical staff. There will be. In the future, it may be used as a basic resource to prepare a manual that can be used to examine non-English speaking foreigners who do not understand English or Korean in other radiology labs.

• Korean Journal of Community Nutrition
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• v.27 no.2
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• pp.121-131
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• 2022

Objectives: This study aimed to examine the effectiveness of the intervention of the nutrition support team (NST) on the nutritional status of critically ill patients. Methods: The medical records of 176 adult patients who were admitted to the intensive care unit and received enteral or parenteral nutrition for more than 7 days were retrospectively analyzed. The patients were classified into the NST and non-NST groups according to whether they were referred to the NST or not. The NST group was further classified into the compliance and non-compliance groups depending on their compliance with the NST recommendations. Results: The NST referral rate was 56.8%, and the rate of compliance with the NST recommendations was 47.0%. Significantly higher energy and protein were provided to the NST and the compliance groups than to the non-NST and the non-compliance groups. The proportion of patients who reached the target calories after the initiation of enteral nutrition was significantly higher in the NST and the compliance groups than in the non-NST and the non-compliance groups. The serum albumin and hemoglobin levels significantly decreased in every group, but the changes were significantly lower in the compliance group. The nutritional status at discharge from the intensive care unit compared to the status at admission was significantly worse in the NST, non-NST, and non-compliance groups. However, the status was maintained in the compliance group. The length of stay in the intensive care unit was significantly shorter in the compliance group. Conclusions: Compliance with the NST recommendations was found to provide more calories and protein and prevent the deterioration of the nutritional status of critically ill patients. Therefore, effective communication between medical staff and the NST from the early stages of admission to the intensive care unit is needed to improve referrals to the NST and compliance with the recommendations.