• Journal of Korean Academy of Nursing
• /
• v.48 no.5
• /
• pp.554-564
• /
• 2018

Purpose: This study aimed to construct a management model for patient transfer in a multilevel healthcare system and to predict the effect of counseling with nurses on the patient transfer process. Methods: Data were collected from the electronic medical records of 20,400 patients using the referral system in a tertiary hospital in Seoul from May 2015 to April 2017. The data were analyzed using system dynamics methodology. Results: The rates of patients who were referred to a tertiary hospital, continued treatment, and were terminated treatment at a tertiary hospital were affected by the management fee and nursing staffing in a referral center that provided patient transfer counseling. Nursing staffing in a referral center had direct influence on the range of increase or decrease in the rates, whereas the management fee had direct influence on time. They were nonlinear relations that converged the value within a certain period. Conclusion: The management fee and nursing staffing in a referral center affect patient transfer counseling, and can improve the patient transfer process. Our findings suggest that nurses play an important role in ensuring smooth transitions between clinics and hospitals.

• 건강소식
• /
• v.9 no.12 s.85
• /
• pp.19-22
• /
• 1985

건강관리 사업에서 가장 기초적이며 중요한 분야가 건강 상담과 건강진단 업무라고 할 수 있으며 비교적 쉽게 접근할 수 있으므로 현상 황하에서는 이 사업이 건강관리대책의 중심사업이 될 수 있다.

• The Journal of the Korea Contents Association
• /
• v.17 no.4
• /
• pp.350-364
• /
• 2017

The purpose of this study was to understand and describe the demand of applying an anger management program for university students, based on professor-student counseling activity. 2016, data was collected using five focus group interviews were recorded and transcribed. All interviews were recorded and transcribed, and data were analyzed using qualitative content analysis. We extracted the following 9 categories across 3 main themes: 1) Views on applying an anger management program based on professor-student counseling activity: required or not required; 2) Competence of the professor: trust, counseling expertise, and receptive attitude; and 3) Effective program management plans: separation from the advisor or reducing the role of the advisor, program composition and contents, administrative support from the university, facilitating a supportive environment for counseling. In conclusion, enhancement can be achieved through an anger management program based on professor-student counseling activity by focusing efforts on increasing interactions between professors and students, and improving the counseling competence of professors. Additionally, administrative support from the university and steps to improve awareness in professors, students, and university authorities are necessary.

• Journal of agricultural medicine and community health
• /
• v.25 no.2
• /
• pp.343-352
• /
• 2000

한국의 농촌 보건의료 문제를 해결 하기위하여 일차보건의료가 도입되었으며 일차보건의료에서 핵심적인 역할을 수행하고 있는 보건진료원의 활동을 분석하였다. 분석 목적은 보건진료원의 일반현황과 보건진료원 활동에 대한 구체적인 분석을 통하여 활동개선 방안을 제시하는데있다. 분석방법은 사회조사 방법을 적용하였으며 조사는 1998년 7월과 11월기간에 구조화된 설문지를 보건진료원 전원에게 송부하여 스스로 작성하게 하였다. 1880명의 보건진료원을 대상으로 설문지를 배포하였으며, 1663명의 응답자가 작성한 설문지가 최종분석되었으므로 분석율은 88.5%였다. 분석결과 보건진료원의 일반현황으로 광역사의 보건진료원 평균 연령은 39.7세이며 시지역 보건진료원의 연령이 군지역보다 높았으며 통계적으로도 유의한 차이가 있었다. 총근무기간도 시지역의 보건진료원의 12.4년-13.6년으로 농촌지역보다 걸었으며 통계적으로도 유의한 차이가 있었다. 보건진료원의 평균 관할 인구수는 901명이었다. 보건진료소 관할지역의 노인인구 및 만성질환자의 분포가 매우 높았다. 보건진료소로부터 민간의료기관이 위치한 거리는 시지역 (7.1-11.3km) 보다 농촌지역이 12.1km로서 지리적 접근성이 시지역보다 낫은 것으로 나타났다. 활동건수분석결과 월평균 가정방문수는 평균 47.8건, 일평균 내소자수는 14.1건 및 일평균 전화상담은 5.2건으로 나타났다. 연령별 활동수준은 40세이상이 4세 이하보다 월평균 가정방문수와 일평균 내소자수가 많았으며 통계적요로도 유의한 차이가 있었다. 경력이 많을수록 일평균가정 방문수 및 전화상담 건수가 많았으며 통계적으로 유의한 차이가 있었다. 근무조건에 대한 만족도는 80%정도로 높았다. 연구결과 보건진료원의 활동지역내 노인인구 및 만성질환자의 비율이 높고 민간의료기관의 지리적 접근성도 낮고, 관할인구규모가 적어서 인구규모를 늘리고 노인 및 만성질환자 건강관리 프로그램의 개발이 더욱 요구되며 농촌지역주민의 건강관리자로서 보건진료원의 활동을 강화할 필요가 있다.

• The Journal of the Korea Contents Association
• /
• v.16 no.2
• /
• pp.420-431
• /
• 2016

The purpose of this study was to examine the effect of social support from teachers and friends on the career maturity of students at technical meister high schools. The Social Support Scale adjusted by Kim, Hye-Jin(2006) and the Career Maturity Attitude Inventory Scale produced by Lee, Ki-Hak(1997) were administered. The data from 194 were ultimately included to analyze. Corrlational coefficent and multiple regression analysis were performed using SPSS 21.0 statistical package. The results were as follows. First, perceived teachers' social support was higher than friends. Second, the effect of teachers' social support on career maturity was not significant but the effect of social support from friends was found. Among sub-factors of social support from friends, emotional and informative support were found significant effect on career maturity. The implication of these results were discussed in terms of career counseling and education of technical meister high schools.

• The Journal of the Korea Contents Association
• /
• v.14 no.7
• /
• pp.324-333
• /
• 2014

This study was conducted to investigate the factors affecting the social anxiety in nursing students. A total of 227 nursing students participated in the study. Data were analyzed by frequencies, t-test, ANOVA, Pearson correlation coefficient, and multiple stepwise regression with SPSS WIN 18.0. The mean scores for problem solving ability and social anxiety were at the intermediate level. Problem solving ability negatively correlated with social anxiety. The significant predictors of social anxiety included cognitive reaction within the seven problem solving ability subscales and perceived interpersonal relationship. The regression model explained 22.6% of social anxiety. As a result, to decrease social anxiety in nursing students, nursing educators should develop educational intervention programs to change cognitive distortions presented in unfamiliar social situations and improve interpersonal relationships ability.

• Journal of Genetic Medicine
• /
• v.5 no.2
• /
• pp.131-135
• /
• 2008

Classical galactosemia is an autosomal recessive disorder of galactose metabolism, caused by a deficiency of the enzyme galactose-1-phosphate uridyltransferase (GALT). Buildup of galactose-1-phosphate is toxic at high levels and can damage the liver, brain, eyes, and other vital organs. The case presented here was that of an 11-day-old female infant who had elevated galatose levels upon initial neonatal screening test with persistent cholestatic jaundice, coagulopathy, and hepatomegaly. The patient was transferred due to aggravation of clinical symptoms including bleeding and jaundice. She had a delayed galactose free diet because of an inappropriate diagnosis. We quickly provided her with a lactose/galactose-restricted diet as per her final diagnosis. Clinical and laboratory results were improved after a few days of treatment. For confirmatory testing for classical galactosaemia, we simultaneously analyzed for GALT enzyme activity and allele-specific PCR/fragments for seven mutations and two polymorphisms in the GALT gene. We were able to find several GALT-deficient and compound heterozygous mutations of the GALT gene.

• Journal of Preventive Medicine and Public Health
• /
• v.20 no.2 s.22
• /
• pp.312-321
• /
• 1987

To investigate the maternal and child factors associated with early detection of cerebral palsy, 74 mothers of cerebral palsy children who were born since January 1, 1980 and being treated at Taegu Rehabilitation Center for the Handicapped, Rehabilitiation Center of Taegu University, St. Paul Children's House and Pusan Welfare Association of Cerebral Palsy Children were interviewed from February to April 1987. There is no association between age of child when parents noticed the child's abnormality and educational level of father but it tend to be detected earlier when education level of mother is college or above compared with high school or under. There is a trend of earlier detection of child's abnormality although statistically not significant in case father is professional or managerial worker, monthly income of father is over \610,000, child is first-born, age of the parents is 34 years or under, child is a boy, and child has periodic well-baby check-up. The child's abnormality is detected earlier when mothers had 7 prenatal visits or more compared with those who had 6 visits or less (p<0.05). Parents noticed the child's abnormality first in 85.1% of the cases whereas doctors detected it first in 2.7% and this percentage was not different whether the child had periodic well-baby check-up or not. The first physician's diagnosis of the children was cerebral palsy in 36.5% and the rest was normal, need for observation, uncertain, etc. Parents took the child to doctor for diagnosis 2-3 months after they noticed the child's abnormality and after the child was diagnosed as cerebral palsy parents either took no therapeutic measure or brought the child to physiotherapy or acupuncture or gave herb medicine before they started specific rehabilitative therapy. For early detection of the cerebral palsy children, teaching of evaluation method for child development should be reinforced both in medical school and clinical training course and should train the specialist for diagnosis and treatment of crippling conditions. Also, public education is needed for the importance of early detection of crippling conditions and currently available methods for diagnosis and treatment.