• Title/Summary/Keyword: 환자행위

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IoB Based Scenario Application of Health and Medical AI Platform (보건의료 AI 플랫폼의 IoB 기반 시나리오 적용)

  • Eun-Suab, Lim
    • The Journal of the Korea institute of electronic communication sciences
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    • v.17 no.6
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    • pp.1283-1292
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    • 2022
  • At present, several artificial intelligence projects in the healthcare and medical field are competing with each other, and the interfaces between the systems lack unified specifications. Thus, this study presents an artificial intelligence platform for healthcare and medical fields which adopts the deep learning technology to provide algorithms, models and service support for the health and medical enterprise applications. The suggested platform can provide a large number of heterogeneous data processing, intelligent services, model managements, typical application scenarios, and other services for different types of business. In connection with the suggested platform application, we represents a medical service which is corresponding to the trusted and comprehensible tracking and analyzing patient behavior system for Health and Medical treatment using Internet of Behavior concept.

An Exploratory Study on the Meaning of 'the Patient Trusts the Doctor' (의사-환자 관계에서 '환자가 의사를 신뢰한다'의 의미 고찰)

  • Kim, Min-Jeong
    • The Journal of the Korea Contents Association
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    • v.17 no.6
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    • pp.415-423
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    • 2017
  • Patient's trust in their physician is crucial for relationship between patients and their doctors, treatment outcomes such as satisfaction and adherence or revisits. The purpose of this study is to investigate the meaning of trusting the doctor in the doctor - patient relationship and to examine it through the multidimensional measurement tools. Using the convenience sampling method, 328 respondents in their 20s or older who had visited the hospital within 6 months were used as the analysis data. As a result of the research, it is difficult to define the meaning of the patient's trust in the doctor, but it can be summarized as having at least four meanings. First, the doctor should listen carefully to the patient's story and show communication behaviors expressing interest and forming an atmosphere of dialogue. Second, the patient's health should be considered first to understand the patient and empathize with the patient. Third, it should be honest in the examination and procedures related to the treatment as well as the technical ability. Finally, we should try to cooperate with patients.

A Study of the Relationship among Self-Efficacy, Sick-Role Behavior and Metabolic Control in Diabetic Patients (당뇨병 환자의 자기효능, 환자역할행위 이행 및 대사조절간의 관계)

  • Paek, Kyung-Shin;Kim, Myoung-Hee
    • Research in Community and Public Health Nursing
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    • v.9 no.1
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    • pp.128-142
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    • 1998
  • The purpose of this study was to identify the degree of self-efficacy, sick-role behavior and metabolic control in patients with diabetes and to identify the relationships among those variables. The subject of the study were composed of 204 NIDDM patients from 2 hospitals, who were visiting the outpatient clinic in Taegu. Data were collected from Sep. 18th to Oct. 5th, 1996. In data analysis, an SPSS/PC+ program was utilized for descriptives correlation, T-test, and ANOVA. The results are as follows. 1) The mean scores for self-efficacy were 65.74 (range 30.83-90.68), on a 100 point scale. 2) The mean scores for sick-role behavior were 3.36(range 1.80-4.67), on a 5 point scale. 3) The mean score for metabolic control was 7.63 (range 5.0-13.2). 4) Self-efficacy was significantly correlated with sick-role behavior(r=.3614, p<0.01) but there were no significant correlations with self-efficacy and metabolic control (r=-.1045, p>0.01), sick-role behavior and metabolic control (r= - .1288, p>0.01). 5) There were significant differences in self-efficacy according to sex(t=4.47, p=0.000) and education(F=8.27, p=0.000). 6) There were no significant differences in sick -role behavior according to demographic characteristics. 7) There were significant differences in metabolic control according to the duration of diagnosed diabetess(F=4.13, p=0.007) and complication (t=2.47, p=0.014). These results suggest that for improvement in sick-role behavior nursing intervention needs to be directed at promoting self-efficacy.

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A Study on Support by Families of Patients with pulmonary Tuberculosis and Compliance with Sick Role Behavior (결핵 환자의 가족 지지와 환자 역할 행위에 관한 연구)

  • 서숭미
    • Journal of Korean Academy of Nursing
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    • v.23 no.4
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    • pp.555-568
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    • 1993
  • The purposed of this study was to identify compliance with sick role behavoir and support by families of patients with pulmonary tuberculosis and to identify factors affecting these variables md factors that increase compiance with sick role behavoior This study was a survey design done in K. general hospital from 1992. 7 1 to 1992. 7. 20. The data were collected through personal interviews with 70 subjects who had pulmonary tuberculosis. A questionnaire was used to collect the data. 1. Demographic characteristics of the subjects The factor causing the tuberculosis for 28.6% of the subjects was that they lived with another family member who had pulmonary tuberculosis, 11.4% of the subjects had a family member who died of tuberculosis, 24.3% of the subjects had experienced an adverse reaction to medication. Gastroenteric disorders(28.6%) had the highest rate for this kind of adverse reaction to medication. 2. Support by families for patients with pulmonary tuberculosis The items which showed high support for compliance were taking medicine regularly(80.0% ) eat-ing a balanced diet(80.0%), loving them(84.3%), taking care of them(82.8%), getting the support from people for being sick(81.1%) The items which showed low support for compliance were meeting relatives or clergymen(20%), talking with the people suffering from pulmenary tuberculosis to relieve frustrated because they were not recovering. 3. General characteristics and family support The degree of family support showed that 75 was highest score and 30, the lowest score with 55.5(74. 1%)the average score. The degree of family support appeared similar in cases where the person was married and where the person did not have a family member with pulmonary tuberculosis(P〈.01) 4. The degree of compliance with sick role behavior by patients with pulmonary tuberculosis The degree of compliance with sick role behavior showed that 100 was the highest scoure47, the low-est score and 76.4, the average score out of a Possible score of 100. 5. Correlation between compliance with sick role behavior and family support The compliance with sick role behavior and family support showed a positive correlation(r=.2094 p〈.5) So for patients with pulmonary tuberculosis. compliance with sick role behavior is related to the sup-port given by their families.

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Predictors of Sick Role Behavior in Patients Receiving Radiotherapy for Cancer (방사선치료를 받는 암환자의 환자역할 행위 예측인자에 관한 연구)

  • 김강미자
    • Journal of Korean Academy of Nursing
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    • v.20 no.3
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    • pp.341-356
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    • 1990
  • Cancer is still a threat to human beings. The incidence and mortality rate of cancer have been gradually increasing as the life span has been lengthened. Radiotherapy is one of the most commonly used treatments for cancer. This study explored the influence of social support and stress on sick role behavior of patients receiving radiotherapy for cancer. The subjects for this study were 60 patients undergoing radiotherapy for cancer, selected from the radiotherapy treatment unit of the out patient departments of two major medical centers in Jeonju. Data were collected from February 1 to 28, 1990 by a Likert Scale Questionnaire and an interview schedule designed by the inverstigator. Data analysis included percentages, mean and standard deviation, t or F-test, Pearson Correlation Coefficient and stepwise multiple regression. Results included the following : 1. Support came primarily from sons and daughters (90.1%) ; the type of support was primarily emotional support from friends(60.0%) ; informational support came from health personnel(81.7%) ; and material support was sons and daughters(40.0%) ; satisfaction with support was highest for the spouse(4.02$\pm$.52). 2. Among the patient's demographic status was occupation the was the only socioeconomic characteristic influencing sick role behavior (F=2.91 , p=.029). 3. Directly perveived support was positively correlated with sick role behavior (r=.2374, p=.034). 4. Stepwise multiple regression was used to determine the predictors of sick role behavior. Directly perceived support was the most significant predictor accounting for the hightest contribution to sick role behavior(5.6%). Directly perceived support. socioeconomic status, perceived stress and indirectly perceived support variables together, accounted for only 6.8% of sick role behavior.

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A study on the Difference of Disease Related Knowledge Level, Compliance of Health Behavior, and Educational Needs according to Time in Percutaneous Coronary Intervention Patients (관상동맥중재술 시행 환자의 질병관련지식, 환자역할행위이행 및 교육 요구도에 대한 시기별 비교 연구)

  • Kang, Kyung-Ja;Yoo, Hyun-Jung;Lee, Hee-Joo
    • Korean Journal of Adult Nursing
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    • v.22 no.2
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    • pp.190-199
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    • 2010
  • Purpose: The purpose of this study was to determine the differences in the level of disease related knowledge, compliance of health behavior, and educational needs in relation to time (at discharge and 6 months after discharge) among patients underwent percutaneous coronary intervention (PCI). Methods: Data were collected from January 1, 2006 to September 30, 2006 and a total of 60 patients participated in the study. The survey was conducted in patients underwent PCI at the time of discharge right after discharge education was provided and at a follow up visit which was 6 months after discharge. Results: The level of disease related knowledge (p<.001), the compliance of health behavior (p<.001), educational need (p=.496), the sub-item of sexual life (p<.001), follow up (p<.001), diet (p=.021), stress (p<.001) in compliance of health behavior, and the sub-item of specific character of disease in educational needs (p=.015) were significantly different between discharge and 6 months after discharge. Conclusion: The results of this study suggested that further education should be provided to the patients underwent PCI regarding medication, smoking cessation, daily life and exercise at a time of 6 months after discharge in order to increase patient compliance of health behavior.

A Study on the Correlations among Knowledge, Anxiety and Compliance of Patient Role Behavior of Outpatients with Myocardial Ischemia (허혈성 심질환자의 질병관련지식, 불안 및 환자역할행위 이행과의 관계)

  • Park, Boung-Nam;Kim, Young-Soon;Hyun, Moung-Seon;Yoo, Moon-Sook
    • Journal of Korean Critical Care Nursing
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    • v.2 no.2
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    • pp.18-27
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    • 2009
  • Purpose: This study is to provide effective care to each individual with myocardial ischemia by finding out how the patient's knowledge related to the disease and anxiety level affect his/her compliance of patient role behavior. Methods: The subjects of study were 100 patients diagnosed as ischemic heart disease at a university hospital located in Gyeonggi Province. The data were collected from May 19, 2008 to August 30, 2008. A cross-sectional descriptive survey was done using a structured questionnaires. Results: The average score of knowledge level about myocardial ischemia was $22.24\pm5.07$(out of 31), anxiety level was $54.68\pm9.15$(out of 80), and compliance of patient role behavior was $34.28\pm6.00$(out of 50). A significant correlation between the patient's level of knowledge and his/her compliance of patient role behavior was found(r=0.239 p=0.017). The patients who are females, singles, without occupation, have a long term being diagnosed, under-educated, tend to be excellent in their compliance. Conclusion: The patient with a higher level of knowledge is better in his/her compliance of patient role behavior. Therefore, it is suggested that we need to develop nursing intervention to increase knowledge level as well as consistent educational support.

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A Study on the Relationship between Drug Related Knowledge, Sick Role Behavior and Quality of Life of Patients Taking Warfarin (와파린 복용 환자의 약물지식, 환자역할행위와 삶의 질과의 관계)

  • Jun, Myung Hwa;Lee, Chang Kwan;Lee, Yun Hee;Park, Yu Gyeong;Gang, Seon Mi
    • Journal of Korean Clinical Nursing Research
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    • v.20 no.1
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    • pp.53-63
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    • 2014
  • Purpose: This study was conducted to investigate the relationship between drug-related knowledge, sick role behavior and quality of life of patients on wafarin therapy in an outpatient unit. Methods: The participants were 122 patients. Data were collected using a questionnaire and analyzed using t-test, ANOVA and Pearson correlation. Results: The Duration of wafarin averaged $28.80{\pm}32.99$ months, and 78.7% of participants remembered their blood coagulation value. The mean score for drug-related knowledge was 11.32 points out of a possible 13 points. Sick role behavior of the patients showed a moderate value with a mean of 49.83 points out of 68 points. The mean score for quality of life was rather low at 104.43 out of 175. Drug-related knowledge was significantly correlated to sick role behavior (r=0.39, p<.001), but the relationship between sick role behavior and quality of life was not significant. Also drug-related knowledge was not significantly correlated with quality of life. Conclusion: The resultsindicate that there is a need to enhance the level of drug-related knowledge in order to increase positive behavior as part of the sick role of these patients and thus improve quality of life.

u-DailyCare : Design and Implementation of Prevention and Management Service for Chronic and Adult Disease (u-DailyCare : 만성질환 및 성인병 예방 및 관리 서비스 설계 및 구현)

  • Kim, Dae-Hun;Kim, Sung-Hyun;Cho, Kun-Ryun;Cho, Jin-Sung
    • Proceedings of the Korean Information Science Society Conference
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    • 2012.06a
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    • pp.197-199
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    • 2012
  • 최근에 우리 사회는 불규칙적인 식습관, 부족한 운동, 과도한 스트레스 등으로 만성질환 및 성인병 환자가 늘어나는 심각성이 날로 커지고 있다. 성인병의 심각성은 40대 이상에서 크게 대두 되었던 과거와 달리, 최근에는 20대를 넘어서서 10대 청소년에게까지 성인병을 앓고 있는 환자들이 날로 많아지고 있다. 세계적으로 IT가 크게 발달함에 따라 병원과 환자가 서로 만나지 않아도 24시간 소통이 되는 u-Healthcare 시스템이 크게 대두되고 있다. 이에 따라서 환자 개개인과 주치의가 시 공간에 제약받지 않고 상호 긴밀하게 진료, 검사 및 피드백이 가능하게 된다. 본 연구진은 u-Healthcare 시스템에 부합하고 스마트 폰을 이용하여 만성질환자를 관리할 수 있는 u-DailyCare 시스템을 설계하고 구현하였다. 스마트 폰 사용자로부터 얻어진 생체 정보 데이터 및 행위 데이터들을 수집하여 서버에 보내면, 주치의는 종합된 전체적인 데이터를 실시간으로 확인하여 환자의 상태를 검토 및 진단하여 피드백을 준다. 본 논문에서는 u-DailyCare 시스템의 설계 및 구현과정을 설명할 것이다.

An Explanatory Model for Health-Promoting Behaviors in Patients Living at Home who have Post Stroke Hemiplegia (재가 편마비 환자의 건강증진행위 설명모형)

  • Kim, Mi-Hee
    • Journal of Korean Academy of Nursing
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    • v.36 no.6
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    • pp.1065-1075
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    • 2006
  • Purpose: A structural equation model was analyzed to explore the determinants of health-promoting behaviors in patients living at home in Korea who had post stroke hemiplegia. Method: Demographic characteristics, activities of daily living, religiosity, family support, self-efficacy, acceptance of disability, perceived barriers to health-promoting activities, depression, and health-promoting behavioral data was collected from 239 patients using self-report questionnaires. Result: Variables that have a direct effect on health-promoting behaviors were self-efficacy and family support. Depression, acceptance of disability, perceived barriers, activities of daily living and religiosity also influenced health-promoting behaviors in an indirect way. Conclusion: It is imperative to explore strategies for patients with post stroke hemiplegia to identify and maximize their resources, develop their self-efficacy, improve their emotional state, and enhance their physical activity and spiritual growth, which would maximize health-promoting behaviors.