• Title/Summary/Keyword: 일반병원

Search Result 1,123, Processing Time 0.029 seconds

Determinants of Length of Stay in Geriatric Hospitals - Focused on Alzheimer Dementia's Inpatients (요양병원 입원 알츠하이머 치매노인의 재원일수 결정요인 분석)

  • Bang, Hyo-Jung;Lee, Kwang-Soo
    • The Journal of the Korea Contents Association
    • /
    • v.13 no.12
    • /
    • pp.900-909
    • /
    • 2013
  • This study purposed to analyze the determinants of length of stay for patients having alzheimer dementia in geriatric hospitals. Sample data was collected from the National Patient Sample (NPS) produced by the Health Insurance Review & Assessment Service (HIRA) in 2009. Total 538 alzheimer inpatients over 65 years were used in the analysis. Patients were classified into 5 risk groups to represent the case-mix differences of patients. Organizational characteristics of geriatric hospitals such as number of beds, doctors, and nurses were included in the analysis model. In multivariate regression analysis, hospital variables were not statistically significant in explaining the length of stay. Two risk group were statistically significant in analysis, However, their signs of relationship with the dependent variable were opposite to the expectations. These results suggest that the characteristics of patients and hospitals did not have impacts on the length of stay. There will be needs to test the effects of other factor such as social needs which represents the socio-economic status of the family for the patients.

Analysis on infection control of general hospital radiology (종합병원 영상의학과의 감염관리 대한 분석)

  • Shin, Jung-Sub;Park, Cheol-Woo;Jeon, Byeong-Kyou
    • Journal of the Korean Society of Radiology
    • /
    • v.6 no.5
    • /
    • pp.335-342
    • /
    • 2012
  • This study aims to find a way to control infection of community radiology effectively by calculating the degree of contamination, culture and identifying the flora in radiology of five general hospitals in Gyeongsangbuk-do. Staphylococcus, Micrococcus, Pseudomonas stutzeri, Pseudomonas oryzihabitans were identified as surface flora. These are know to be pathogens of hospital acquired infection and there was no radiology-specific flora. Research subject hospitals were conducting similar infection control education but degree of contamination of each hospital showed significant difference. Difference in degree of contamination according to contact sources were analyzed by Contact sources were classified into technologist-using, patients-using and common-using materials. Analysis of each hospital's degree of contamination showed that patient-using materials were significantly more contaminated than technologist-using and common-using materials (p<0.001). Devices which are similar to each other in monthly average frequency of use showed no significant difference in degree of contamination, but general X-ray devices and chest boards which are used most frequently showed higher degree of contamination than others. In addition, hospital A, B and C which have heavier monthly average caseload showed relatively high degree of contamination on irradiation devices which are used by technologists only or by technologists and patients commonly, office desks and doorpulls. Hence it is considered that intensity of infection control education should be different according to the degree of monthly average caseload. This study provided an opportunity to aware that technologists' feeling of contamination is crucial for infection control of radiology, and the Accupoint ATP public hygiene monitoring system which was used in this study for measuring the degree of contamination was proved to be an effective measuring device for hospital acquired infection management.

The Study of Work Environment of Nurses in Long-term Care Hospitals (요양병원 간호사의 근무환경 실태조사)

  • Kim, Hyun-Sook;Kim, Kye-Ha
    • Journal of the Korea Academia-Industrial cooperation Society
    • /
    • v.20 no.2
    • /
    • pp.250-258
    • /
    • 2019
  • The purpose of this study is to investigate the work environment of nurses in long-term carer hospitals and to help in their work environment improvement through these results. A cross-sectional survey was conducted. A convenience sample of 179 subjects including staff nurses and nurse managers over head nurses working in long-term care hospitals located in Gwangju city were recruited. The data were collected from July to December 2015. A structured questionnaires were used as a study instrument, and included questions regarding subjects' general characteristics, hospital-related characteristics, and work environment. All statistical analyses were performed using SPSS ver. 22.0. The results showed that 73.2% of subjects were working in hospitals established by individuals. The most of long-term care hospitals accepted accreditation program. The ratio of nurses to nurse aiders of was 1:2. The numbers of off duty was 8 days, and average annual salary was 2,500~3,000 ten thousand won in nurses of long-term care hospitals. Based on these results, work environment of nurses of long-term care hospitals was not good. Therefore, the results suggest qualitative research to investigate deeply how to recognize on work environment like this for nurses of long-term care hospitals.

A Survey on the General Public's Perception of Korean Medicine Treatment for Traffic Accident Patients during Pregnancy (임신 중 교통사고 환자의 한방치료에 대한 일반인 인식조사)

  • Hwang, Bo-Kyung;Jung, Woo-Jin;Namgoong, Jin;Kim, Soo-Duk;Park, Mi-So;Ku, Seung-Hyeok;Kim, Sung-Hyun;Moon, Hyun-Woo;Baek, Hye-Kyung;Jung, Jae-Joong
    • The Journal of Korean Obstetrics and Gynecology
    • /
    • v.35 no.4
    • /
    • pp.19-36
    • /
    • 2022
  • Objectives: This study was conducted to find out the general public's perception of Korean Medicine (KM) treatment for traffic accident (TA) patients during pregnancy. Methods: A self-developed questionnaire was distributed to outpatients and inpatients between the ages of 19 and 70 at KM hospitals located in Bucheon. The subjects were asked whether they thought KM treatment could be applied to TA patients during pregnancy. The perceptions of acupuncture, pharmacupuncture, herbal medicine, and Chuna treatment during pregnancy were also investigated. Results: 87.50% answered that KM treatment could be applied to TA patients during pregnancy. Most respondents thought that musculoskeletal symptoms of TA could be treated with KM (85.71%). 93.75%, 87.50%, 56.25%, and 52.08% of the respondents said they were willing to recommend acupuncture, pharmacupuncture, herbal medicine, and Chuna treatment to patients after TA during pregnancy. The respondents answered that acupuncture (95.83%), pharmacupuncture (91.67%), herbal medicine (62.50%), and Chuna (66.67%) is effective for pain controlling during pregnancy, and acupuncture (8.33%), pharmacupuncture (12.50%), herbal medicine (45.83%), and Chuna (39.58%) could be affect the risk of premature birth, miscarriage or birth defects. Conclusions: Acupuncture and pharmacupunture treatment are perceived positively, whereas herbal medicine and Chuna treatment are perceived negatively by the general public for the TA patients during pregnancy. In order to establish the correct awareness of KM treatment for TA patients during pregnancy, more clinical studies and case reports on the efficacy and safety of KM treatment during pregnancy are required.

Two Species of Colletotrichum Associated with Anthracnose of Lycium chinense (구기자 탄저병에 관여하는 2종의 Colletotrichum에 관하여)

  • Lee Je Hyeon;Yu Seung Hun;Back Moon Ki;Kim Kwang Suk
    • Korean Journal Plant Pathology
    • /
    • v.2 no.1
    • /
    • pp.31-36
    • /
    • 1986
  • The symptom of anthracnose of chinese matrimony vine (Lycium chinense Mill) was darkbrown to black, water­soaked lesions with acervuli on fruits. Field survey revealed that the incidence rate of anthracnose ranged from $0.8\%\;to\;23\%$. to Colletotrichum gloeosporioides Penz and C. dematium(Fr.) Grove were identified as the causal organisms of the disease. C. gloeosporioides and C. dematium produced severe symptoms on fruits resulting in complete necrosis, but produced no or mild symptoms on leaves and stems of chinese matrimony vine. Of three isolates of C. dematium, isolate I and isolate III caused severe infection on immature fruits and isolate I was the most pathogenic on mature fruits of the plant. Isolates II of C. dematium caused relatively severe lesions on pepper fruit, but C. gloeosporioides was pathogenic on apple fruit.

  • PDF

Development & Outcome of Nutrition Care Process(NCP) for cancer patients (암 환자 임상영양요법 개발 및 성과도출)

  • Lee, Bong-Mee;Yoon, Soo-Jin;Seo, Hye-Youn
    • Quality Improvement in Health Care
    • /
    • v.15 no.2
    • /
    • pp.87-92
    • /
    • 2009
  • 문제: 순천향대학교병원에서 개발된 영양검색도구를 이용한 검색 결과 본원에 입원하는 암환자들의 약 30%가 중등도이상의 영양불량위험을 가지고 있는 것으로 조사되었으나 이들 암환자의 치료 효과를 높이기 위한 전문화된 영양관리과정(Nutrition Care Process NCP)이 순천향대학교병원 영양과에는 마련되어 있지 않다. 목적: 본원에 내원하는 암 환자를 위한 암 영양교육프로그램과 암으로 입원하는 환자에게 제공할 영양식을 개발 적용으로 병원식의 섭취율 향상과 환자의 영양불량 정도가 개선되어 치료효과를 증진시킬 수 있도록 하기 위함이다. 의료기관: 서울시 한남동 소재 순천향 대학교 병원 질 향상 활동: 암과 관련된 전문적인 영양정보제공을 위해 교육자료 개발과 암환자 교육 상담 프로그램, 교육수가 등을 정하여 비급여 수가 교육 항목을 신설하고 입원환자를 위한 암영양식 식단을 개발하여 이를 특이식으로 처방할 수 있도록 마련하였다. 개선효과: 본원 의료진의 암환자 영양상담 의뢰 건수는 개선활동을 시행하기 전 2008년 5~6월에 월평균 2건에서 활동시행 후 8~12월에 월평균 13건으로 증가하였고, 암영양식은 식사를 적용하기 시작한 2008년 8월부터 12월까지 처방건수가 꾸준히 늘어났으며, 8월~9월 암영양식을 섭취한 암환자 그룹과 일반식을 섭취한 암환자 그룹의 병원식 섭취율은 88%, 67%로 암영양식을 섭취하는 그룹에서 더 높게 나타났고 식사에 대한 만족도에서도 (5점척도 기준) 평균 4.2점, 3.1점으로 조사되었다.

  • PDF

Medical Data Based Clinical Pathway Analysis and Automatic Ganeration System (임상데이터기반 표준진료지침 자동 생성 시스템 분석 및 연구)

  • Park, Hanna;Bae, In Ho;Kim, Yong Oock
    • The Journal of Korean Institute of Communications and Information Sciences
    • /
    • v.39C no.6
    • /
    • pp.497-502
    • /
    • 2014
  • In general, all physicians have some standardized diagnosis and treatment methods. However, there are differences in the precise order and examination depending on the hospital size, system, medical equipment, etc. To reduce this difference, the interest about standardized guidelines recently increased and a variety of research is being conducted. The uniform guideline cannot reflect the differences of each situation and environment to meet the hospitals. Therefore, standardized medical guidelines(=clinical pathway) should provide customized guidelines based on the relevant medical data to ensure the quality of the medical service and the doctor's autonomy. In this paper, we will analyze medical data made by two thyroid specialists in the same hospitals. Moreover, this paper mentions the implement of automatic generating clinical pathway system which consider its real hospital situation and result.

The experience of Long term Care Hospital Workers on Sexual Behaviors of the Elderly (노인 요양병원 종사자들의 노인 성행동 경험)

  • Cho, Han A;Sung, Kyung Mi
    • Journal of Digital Convergence
    • /
    • v.20 no.1
    • /
    • pp.317-326
    • /
    • 2022
  • This study is an explorer study to investigate the experience of long term care hospital workers on the sexual behaviors of the elderly. The data were collected from August to October in 2019. The depth interview was implemented with using the semi structured questionnaires. The interview data collected from the participants were analyzed with using qualitative thematic analysis methods. The experience of long term care hospital workers regarding the elderly's sexual behaviors consisted of ten sub-categorized themes from the significant statements and was categorized into following four themes; 'Negative feelings related with elderlys' sexual behaviors', 'Difficulty of maintaining caring roles', 'Recognizing the absence of care for elderlys' sexual behavior', 'Accepting the therapeutic roles for elderlys' sexual behavior'. The findings could be the basic data for developing educational programs that help the long term care hospital workers understand the sexual behavior of the elderly.

Infection Control Knowledge and Standard Precaution Practice among Clinical Nurses in Small and Medium-sized Hospital (중소병원 임상간호사의 감염관리 지식과 표준주의 수행도)

  • Lee, Soon-Hee;Yang, In-Suk
    • Journal of Convergence for Information Technology
    • /
    • v.12 no.2
    • /
    • pp.107-115
    • /
    • 2022
  • The purpose of this study was to investigate the level of infection control knowledge and standard precaution practice and to identify effecting factors on standard precaution practice among nurses in small and midium-sized hospitals. A cross-sectional study was conducted with a sample of 258 nurses from 7 hospitals between July and August 2021. The mean score of infection control knowledge and standard precaution practice was 7.25 and 3.61, respectively. There were significant differences in standard precaution practice according to clinical experience (r=.123, p=.047) and position (F=5.356, p=.005). Infection control knowledge and standard precaution practice were closely correlated (r=.421, p<.001). Position (β=-.187, p=.025) and infection control knowledge (β=.408, p<.001) had an effect on standard precaution practice. It could be possible to enhance the standard precaution practice through convergence education program related to infection control among staff nurses.

Clinical Features and Radiological Differential Diagnoses of Symptomatic Sesamoid Bones and Accessory Ossicles: A Pictorial Essay (증상이 있는 종자골과 부골의 임상적 소견과 영상적 감별진단: 임상화보)

  • Hyun Gun Kim;Hee Young Choi;Ji Seon Park;Kyung Nam Ryu;So Young Park;Wook Jin
    • Journal of the Korean Society of Radiology
    • /
    • v.82 no.1
    • /
    • pp.82-98
    • /
    • 2021
  • Sesamoid bones and accessory ossicles are normal anatomic variants with varying morphological appearances and incidences. They are usually small osseous fragments with well-corticated margins located adjacent to the joint space and bone. Patients with sesamoid bones and accessory ossicles are usually asymptomatic and commonly encountered in clinical practice. These sesamoids and accessory bones are occasionally painful because of fractures, dislocations, degenerative changes, avascular necrosis, accessory bone infections, or abnormalities of the adjacent tissue, such as nerve entrapment, tenosynovitis, or soft tissue impingement. This article aimed to illustrate the imaging features of symptomatic sesamoids bones and accessory ossicles at various anatomic locations and describe their clinical features and radiological differential diagnosis.