• Title/Summary/Keyword: 입원 환자

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Change of Life of the Older due to Social Admission in Long-Term Care Hospital (노인의 사회적 입원으로 인한 요양병원에서의 삶의 변화)

  • Kang, Gun Saeng;Kim, Jeong Sun
    • 한국노년학
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    • v.37 no.1
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    • pp.103-123
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    • 2017
  • The purpose of this study is to explore the phenomenon in-depth with its context that what are changes of life in the older patients with social admission by applying the phenomenological research method, and to understand the essential meanings and structure of change experiences of life in elderly patients with social admission. The participants were 15 patients with chronic disease over 65 ages who were selected by convenience sampling. Data were collected through individual in-depth interviews from April to July 2016, and were analyzed using Colaizzi (1978)'s phenomenological analysis method. The essential meanings and structure of change experiences of life in the older patients with social admission were derived into six clusters of themes as follows: 'A lot of concerns are solved', 'New relationship', 'Life as a ordinary person that it looks nothing like a patient', 'The body and mind are comfortable', 'Fear of discharge','Social isolation'. The results of this study contributed to promoting a deeper understanding of change of life in older patients with social admission, and provided for the basic data of strategic approach in solving the social admission problem in long-term hospital.

특집_당뇨병환자의 감염증 - 당뇨병과 호흡기 감염

  • Lee, Gwan-Ho
    • The Monthly Diabetes
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    • s.240
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    • pp.14-16
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    • 2009
  • 인슐린과 항생제가 만들어지기 전에는 당뇨병환자들은 여러 가지 감염, 특히 폐렴으로 인한 입원과 사망률이 높았었다. 당뇨병환자들은 면역기능이 감소되어 있어서 당뇨병이 없는 환자들에 비하여 호흡기 감염이 여전히 더 잘 생길 수 있고 입원률과 사망률도 일반인에 비하여 더 높다. 우리나라의 중요한 호흡기 감염질환은 폐렴과 폐결핵이다. 이 2가지 질환과 당뇨병과의 관계 및 당뇨병환자에서 독감과 폐렴구균에 대한 예방접종의 효과와 필요성에 대하여 알아보자.

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The effective management of length of stay for patients with acute myocardial infarction in the era of digital hospital (디지털 병원시대의 급성심근경색증 환자 재원일수의 효율적 관리 방안)

  • Choi, Hee-Sun;Lim, Ji-Hye;Kim, Won-Joong;Kang, Sung-Hong
    • Journal of Digital Convergence
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    • v.10 no.1
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    • pp.413-422
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    • 2012
  • In this study, we developed the severity-adjusted length of stay (LOS) model for acute myocardial infarction patients using data from the hospital discharge survey and proposed management of medical quality and development of policy. The dataset was taken from 2,309 database of the hospital discharge survey from 2004 to 2006. The severity-adjusted LOS model for the acute myocardial infarction (AMI) patients was developed by data mining analysis. From decision making tree model, the main reasons for LOS of AMI patients were CABG and comorbidity. The difference between severity-adjusted LOS from the ensemble model and real LOS was compared and it was confirmed that insurance type and location of hospital were statistically associated with LOS. And to conclude, hospitals should develop the severity-adjusted LOS model for frequent diseases to manage LOS variations efficiently and apply it into the medical information system.

Phenomenological Research on Recovery Lived Experience of Stroke Inpatients (뇌졸중 입원 환자들의 회복체험에 관한 현상학적 연구)

  • Song, A-Young;Kim, Su-Kyoung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.7
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    • pp.200-207
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    • 2017
  • The components that influence recovery were investigated to understand the recovery lived experience of stroke inpatients. Using the phenomenological research methodology reported by Giorgi, 3 conversation sessions were performed on 12 stroke inpatients. The conversations were recorded through agreement, in which the data were analyzed according to the scientific phenomenological methods. Sixteen summarized meaning units were integrated to deduct 10 main meanings and 6 themes. The themes of the restoration experience included the burden of help, performance of independent roles, self-overcoming, return to society, psychological support, and enhanced motivation for recovery. This can be used as data to predict the difficulty that stroke patients experience during hospitalization and propose a direction of intervention for restoration. Rehabilitation experts must provide intervention for the restoration of stroke patients based on the formation of a therapeutic relationship to strengthen the psychological support and motivation, and make strategies for self-overcoming and a proper cooperation relationship with their family.

A Study on Drug awareness information, Usage and Misusage on Elderly Inpatients of Veterans Hospital (보훈병원입원노인환자의 약물정보인식, 약물사용 및 오용실태에 관한 연구)

  • Heo, Young Hi
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.9
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    • pp.4326-4334
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    • 2013
  • This study is descriptive research, attempts to determine the status of elderly inpatients of veterans hospital' of drug awareness information, drug use status and drug Misusage. The subjects were 220 patients of aged 65 and over only five metropolitan areas nationwide in drug use in the Veterans Hospital, national merit, the study is from May to June. SPSS Win 18.0 program was used as the data analysis and a statistical statement by mean, standard deviation, t-test and ANOVA, and multiple regression analysis. As a results, there was showed a statistically significant level 'age', 'type of marriage', 'education', 'triage', 'health status' as the general characteristics of the subjects. It showed the 'age' of the variables that influence recognition in the area of drug awareness information, and drug Misusage and drug use status factors seemed to affect the 'health status'. Therefore, It need for a comparative study of elderly inpatients and inpatients of veterans hospital, the research should be qualitative research of veterans medical services to the on reasonable support measures in the Veterans Affairs health care system and national merit.

Risk Factors, Symptoms, and Intervention Analysis of Delirium Subtypes in Hospitalized Patients (입원환자에게 나타나는 섬망 아형별 위험요인과 증상 및 중재 분석)

  • Ryu, Ahyun;Kang, Young-Ok;Song, Rhayun
    • Journal of the Korea Convergence Society
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    • v.12 no.10
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    • pp.353-363
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    • 2021
  • This study aimed to investigate subtypes, risk factors, symptoms and the interventions to inpatients with delirium. The data of 108 inpatients who had the diagnosis of delirium during their hospital stay were collected from Electronic Medical Record at a university hospital and were analyzed by SPSS for Windows V. 26.0 program. As a results, Patients had a high proportion of elderly, male, orthopedic, and with fractures or amputations. The subtypes of delirium were hyperactive (51.9%), hypoactive (6.5%), and mixed (41.7%). Among the risk factors, depression and use of psychotropic agent were more common in those with hypoactive delirium. Among delirium interventions, behavioral symptom management and aggressive behavioral intervention were mainly implemented for those with hyperactive or mixed types, and emotional support was mainly implemented for those with hypoactive or mixed types. The delirium related intervention was more likely given immediately when the patients showed aggressive behaviors. Therefore, intervention strategies and protocol development are required for early detection of delirium in inpatients.

A Study on Design of Hospital bed (의료용 침대 디자인에 관한 연구)

  • 여태영
    • Proceedings of the Korea Society of Design Studies Conference
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    • 2000.11a
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    • pp.78-79
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    • 2000
  • 의료용 침대는 입원을 필요로 하는 환자의 안정과 가료 및 의사와 간호사의 효과적인 치료 행위를 위한 병원 입원실의 필수적인 설비 기구이다. 현대의 의료기술의 발전에 따라 첨단 치료 장비들을 갖춘 병원이 늘어나고 있는 반면 기본적인 설비라 할 수 있는 의료용 침대는 환자를 위한 전문적인 고려가 부족한 낙후된 제품을 그대로 방치해 사용하는 병원이 많은 것이 현실이다.(중략)

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A Study on Regional Variations of Medical Service Utilization of Hospital Inpatients in Korea (우리나라 병원급 이상 의료기관 입원환자의 지역별 의료이용 변이에 관한 연구)

  • Seo, Young-Suk;Lee, Kyung-Soo;Park, Jong-Ho;Kang, Sung-Hong
    • Proceedings of the KAIS Fall Conference
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    • 2009.12a
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    • pp.505-508
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    • 2009
  • 우리나라의 병원급 이상 의료기관을 이용한 입원환자의 지역별 의료이용의 변이와 의료자원의 공급, 도시규모, 소득수준이 지역별 의료 이용의 변이에 미치는 영향을 살펴보기 위해 연구를 수행하였다. 본 연구에서는 이를 위해 2005년 환자조사 자료를 이용하였다. 지역별 의료이용의 변이에 성, 연령과 같은 지역별 인구구조의 차이에 의한 효과는 직접표준화 방법을 이용하여 보정한 다음 지역별 의료이용의 변이 정도를 파악하였다. 연구결과 병원급 이상 의료기관을 이용한 입원환자의 표준화 퇴원율과 표준화 재원일수는 차이가 있었다. 표준화 퇴원율에 영향을 미치는 요인으로는 도시규모, 인구10만명당 병상수가 주요 요인으로 나타났다.

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Sleep patterns and it's influencing factors of hospitalized elderly in long-term care hospital (요양병원 입원 노인의 수면 양상 및 영향요인)

  • Jang, Hyo-Yoel;Kim, Tae-Im
    • Journal of the Korean Data and Information Science Society
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    • v.27 no.3
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    • pp.773-789
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    • 2016
  • This study was conducted to identify the sleep patterns and influencing factors of hospitalized elderly in a long-term care hospital. The sleep patterns of 142 subjects were recorded using Sleep Charts. The average sleep time of subjects was 10.7 hours a day (3.9 hours in daytime and 6.8 hours in nighttime). Sleep regularity among participants were 71.7% in all day (58.1% in day time and 80.5% in night time). The presence of dementia patients in the room (PDPR) has been identified to be a statistically significant predictor of all day sleep, and pain, PDPR, and physical function have been found to be a significant predictors of sleep regularity in all day among subjects. It suggested that elderly patients in a long-term care hospital do not slept well during night, which leads to increase in daytime sleep and decrease the quality of their sleep. Therefore, an intervention program should be developed to promote the quality of sleep among hospitalized elderly.

Relationship between Hospital Use Satisfaction and Medical Service Provision Process (입원환자들의 병원이용 만족도와 의료서비스 제공과정 간의 관계)

  • Ha, Au-Hyun;Park, Ki-Hyeok
    • Journal of Convergence for Information Technology
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    • v.10 no.1
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    • pp.235-242
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    • 2020
  • This study aims to provide direction for improvement of the hospital's management environment for customer satisfaction management, which is ultimately consumer-oriented in practice. this study was analyzed the relationship between hospital use satisfaction relative to expected level and medical service provision process for inpatients. The study method collected data from September 10 to September 30, 2018 for patients with inpatient care at hospitals and general hospitals under 300 beds, and conducted a t-test, ANOVA, and logistic regression. According to the analysis, hospital brands were the most frequently chosen reason for hospitalization, followed by doctor brands. The satisfaction level of the inpatient medical service provision process showed no statistical differences depending on the general characteristics. It has been confirmed that the hospital's satisfaction level relative to the expected level of inpatients has a causal relationship that significantly affects the hospitalized procedure the course of the provision of medical services.