• Korean Journal of Occupational Health Nursing
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• v.17 no.2
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• pp.202-209
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• 2008

Purpose: This study was designed to find out the related factor of the health promotion behavior of pneumonconiosis patients. Method: Data were collected by questionnaires from 160 patients in a Workers Accident Medical Center. Data were analyzed by Pearson's correlation coefficient and multiple regression. Result: There were positive correlations among health promotion behavior, self-efficacy(r=.674, p=.000), perceived benefit(r=527, p=000) and self-esteem(r-471, p=000). But there was not correlation between the health promotion behavior and perceived health state. Multiple regression analysis showed that the most powerful predictor was self-efficacy, followed by self esteem. Conclusion: This study revealed that important factors such as self-efficacy and self-esteem should be treated for increasing of the health promotion behavior of pneumonconiosis patients.

• Journal of Korean Academic Society of Home Health Care Nursing
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• v.15 no.2
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• pp.106-114
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• 2008

Purpose: We analyzed the self-care behavior and metabolic control rates in diabetic patients based on the National Health and Nutrition Examination Survey in Korea (2005). Methods: The study group included 311 patients who were over 126 mg/dL on the FBS test. Data were analyzed using SPSS PC WIN 12.0. Results: The average score of self-care behavior was $12.08{\pm}1.05$ points, and significantly different according to DM treatment status, disease duration (years), admission experiences (within 1 year) and education about DM. Glucose, total cholesterol, triglycerides were decreased in self care subjects, but not significantly. Conclusion: An educational program for diabetic patients would help maintain metabolic control rates to improve self-care behavior.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.19 no.9
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• pp.174-185
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• 2018

This study was conducted to explore the levels of Middle East Respiratory Syndrome (MERS)-related knowledge, attitudes and preventive behaviors performance and to identify predictors of MERS-related preventive behaviors performance among clinical practice students in a tertiary hospital. The participants were 480 nursing and medical clinical practice students. Data collection was conducted using self-reported questionnaires in June of 2015 and were analyzed using descriptive statistics, independent t-tests, one-way ANOVA, and hierarchical regression using the SPSSWIN 24.0 program. The MERS-related knowledge (9.56 out of 13 points) was high, attitudes towards MERS, such as severity cognition and prevention about MERS was positive (4.15 out of 5 points), and MERS-related preventive behaviors performance level was moderate (3.02 out of 5 points). Female students, having education experience regarding MERS, taking vaccination for influenza H1N1 infection in the last year, having the intention of taking influenza H1N1 in the current year, having fear of MERS infection, higher knowledge and more positive attitudes about MERS were predictors of better MERS-related preventive behaviors performance. These results show that general characteristics associated with MERS-related preventive behaviors performance should be considered to improve preventive behaviors of clinical practice students. Furthermore, this study highlights the need to develop effective and useful MERS education programs that provide essential knowledge and attitude about MERS that clinical practice students must acquire to promote the MERS-related preventive behaviors performance.

• The Journal of the Korea Contents Association
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• v.13 no.3
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• pp.287-298
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• 2013

To develop a technique classifying patients based on computerized clinical data followed by validity verification by comparing with nurse's examination. Class scores were determined by nurses for a day on 348 resident patients in 7 wards of a general hospital according to KPCS-1. The class scores were simultaneously evaluated by reviewing the computerized clinical data acquired from the hospital management information system. These two class scores were both significantly different among different departments as well as disease patterns. Intraclass correlation analysis resulted a very high correlation coefficient of 0.96(p<0.01) between the two scoring methods, but the clinical data scores were somewhat higher. An automated patient classification system seemed possible to be developed in future with further enhancement of the present results based on computerized clinical data without manual scoring, which can be applied for performance evaluation as well as workforce planning.

• Journal of dental hygiene science
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• v.18 no.6
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• pp.357-366
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• 2018

The purpose of this study was to evaluate the validity of dental hygienist job according to judgment standard of medical practice in medical law. In this study, we conducted a self-administered questionnaire survey to evaluate the validity of dental hygienist job for 12 professors of dental college in Gangneung-Wonju National University from November 10 to 20, 2017. We investigated whether the dental hygienist job conforms to the three criteria of medical practice such as disease prevention and treatment, patient care, and health hazard. The response rates were scored and classified into four categories according to the final score. As a result of this study, dental hygienist job are classified into four categories according to judgment standard of medical practice. The higher the level of the category, the higher the degree of difficulty, and the higher the level of expertise and skills required. More than 50% of respondents answered that measuring the gingival pocket, bleeding on probing, professional tooth cleaning, oral health education, counseling after dental treatment are all three criteria for medical treatment. And these were classified into Level 4 group which requires the difficulty and expertise in the final score 4.3. It is necessary to develop and utilize standardized guidelines on the level of knowledge, education, and qualification standards required for dental practice in order to effectively allocate work among the dental personnel while ensuring the health rights of patients in the dental clinic field in Korea. In addition, there is a need to evaluate the various aspects of cost effectiveness, dental health service productivity, and health promotion contribution to dental hygienist jobs, And based on this evidence, it is necessary to continue to expand and adjust the dental hygienist job and to reorganize the dental workforce system.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.16 no.10
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• pp.6495-6503
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• 2015

The purpose of the study was to evaluate patients' compliance with the hemodialysis and to investigate relationships between compliance, physiological parameters, and health-related quality of life. Data were collected from 220 patients at 27 local hemodialysis clinics. Compliance was measured with Sick-role Behavioral Compliance including interdialytic weight gain, serum potassium, and phosphorus. Health-related quality of life was assessed using Medical Outcomes Study Short Form-12. Data were analyzed using descriptive statistics, t-tests, ANOVA, and Pearson correlation. Total compliance scored 2.92 out of 4 points on average. Among fifteen items, 'I keep on my dialysis schedule(time and date)' was the highest score. There were differences in the scores for compliance according to age, marital status, and dialysis period. Statistically significant correlations were found between four compliance items(medication, infection control, sleep, eating vegetable and fruit) and health-related quality of life. The results of the study indicate that a patient-centered approach would be helpful to improve quality of life in patients with hemodialysis. Healthcare providers need to understand the patients' perspectives by identifying what is important to patients and taking patient values and priorities into account.

• The Korean Society of Law and Medicine
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• v.24 no.4
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• pp.103-128
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• 2023

According to the current act of Decision-Marking in Life-Sustaining Medicine, the decision to withhold or discontinue life-sustaining treatment is primarily based on the wishes of a patient in the dying process. Decision-making regarding life-sustaining treatment for these patients is made by the patient, if he or she is conscious, directly expressing his/her intention for life-sustaining treatment in writing or verbally or by writing an advance medical directive and physician orders for life-sustaining treatment. It can be exercised. On the other hand, if the patient has not written an advance medical directive or physician orders for life-sustaining treatment, the patient's intention can be confirmed with a statement from the patient's family, or a decision to discontinue life-sustaining treatment can be made with the consent of all members of the patient's family. However, in the case of an unrelated patient who has no family or whose family is unknown, if an advance medical directive or physician orders for life-sustaining treatment are not written before hospitalization and a medical condition prevents the patient from expressing his or her opinion, the patient's will cannot be known and the patient cannot be informed. A situation arises where a decision must be made as to whether to continue or discontinue life-sustaining treatment. This study reviewed discussions and measures for unbefriended patients under the current law in order to suggest policy measures for deciding on life-sustaining treatment in the case of unbefriended patients. First, we looked at the application of the adult guardian system, but although an adult guardian can replace consent for medical treatment that infringes on the body, permission from the family court is required in cases where death may occur as a direct result of medical treatment. It cannot be said to be an appropriate solution for patients in the process of dying. Second, in accordance with Article 14 of the Life-Sustaining Treatment Decision Act, we looked at the deliberation of medical institution ethics committees on decisions to discontinue life-sustaining treatment for patients without family ties.Under the current law, the medical institution ethics committee cannot make decisions on discontinuation of life-sustaining treatment for unbefriended patients, so through revision, matters regarding decisions on discontinuation of life-sustaining treatment for unbefriended patients are reflected in Article 14 of the same Act or separate provisions for unbefriended patients are made. It is necessary to establish and amend new provisions. In addition, the medical institution ethics committee must make a decision on unbefriended patients, but if the medical institution cannot make such a decision, there is a need to revise the law so that the public ethics committee can make decisions, such as discontinuing life-sustaining treatment for unbefriended patients.

• Journal of the Korea Computer Industry Society
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• v.9 no.1
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• pp.1-10
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• 2008

This treatise wishes to proposal of most suitable about happened patient's disease when a doctor achieves medical treatment action about patient and decision-making methodology that decide treatment does presentation low class informer. That is, when a doctor treats patient, case that do medical examination and treatment to experience about disease at medical examination and treatment process is general. In case is like this, unexpected treatment side effect can be happened doing not consider patient's special quality or conditions. Use a medical decision-making tool to minimize these problem. Treatise that see therefore investigated validity about if arrange medical decision-making system concept, and analyze several tools(decision-making tools) that help in decision-making, and can help in medical examination and treatment decision-making of most suitable.

• Proceedings of the Korea Information Processing Society Conference
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• 2006.05a
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• pp.1467-1470
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• 2006

유비쿼터스 환경중 상황에 따라 필요한 행위를 컴퓨터가 수행하여 사용자 각각의 특성에 따라 서비스를 할 수 있는 가장 좋은 것이 헬스케어 분야이다. 기존 헬스케어 시스템은 클라이언트/서버 환경으로 많은 환자들의 생체 신호 데이터가 실시간으로 서버로 전송될 때 서버의 일정 수용 한계를 넘어서게 되어 심한 경우 서버가 다운되는 현상이 발생할 수 있다. 이는 긴급한 환자의 처리에 대처하지 못하는 심각한 상황을 초래 할 수 있다. 또한 생체 신호를 보내는 모바일 디바이스의 자체적으로 지원되는 자원 부족으로 환자와 병원 중앙 서버와의 원활한 커뮤니케이션의 제공을 보장하지 못하는 단점도 있다. 이런 문제점을 해결하기 위하여 본 논문에서는 중간에서 환자와 병원사이의 중간 역할을 하는 써로게이트 시스템과 멀티 에이전트 시스템을 제안한다. 멀티에이전트 시스템은 중앙집중적 부하를 줄이고 유연성 있고 복잡한 처리가 가능하도록 한다. 이는 하나의 에이전트로 해결하지 못하는 복잡한 문제의 해결을 여러 에이전트의 협동을 통해 작업을 수행한다. 이를 위해서 본 논문에서는 JADE 를 기반으로 하는 에이전트 기술을 적용하였다. 모바일 디바이스에 인가되지 않은 접근을 막기 위한 수단으로서, 모든 메시지는 써로게이트를 통해 전달된다. 또한 써로게이트를 통해 로컬 및 원격의 에이전트를 쉽게 다룰 수 있다

• The Korean Society of Law and Medicine
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• v.20 no.2
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• pp.207-229
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• 2019

It is a general recognition that more serious criminal acts in a certain area of society should be given more serious condemation than the same general crimnal act. In particular, considering the purpose of the medical treatment and the trust relationship between the doctor and the patient, the sexual violence by doctor in medical field can not be placed on the same line as that of the general public. But the special legislation to solve this through criminal legal sanctions is not desirable. The basic principle of criminal law ist ultima ratio, so the principle of supplementality. It means to try to solve by all possible means and finally to enter with punishment. A flat and hasty Reaction without the considering of the speciality of medical treatment will cause serious cracking in that area. In addition, it will not be able to expect desirable results in legal practice by breaking down the legal system. Rather, administrative regulation is more efficient than punishment sanctions. But the best way is autonomous control by members of the medical area. Penalties in criminal law must make an enterance at the last, and administrative regulation should be timely intervene in specific situations through diversification. In conclusion, state interventions should be farthest in order to proceed to autonomous control of medical area.