• Title/Summary/Keyword: 환자행위

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Changes in patient-centered medical services: focused on improvements on communication between doctors and patients (환자 중심의 의료서비스 변화: 의사와 환자의 커뮤니케이션 개선을 중심으로)

  • Kim, Yong
    • Journal of Science and Technology Studies
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    • v.13 no.2
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    • pp.71-110
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    • 2013
  • As a patient has recently been recognized as not a passive object but a subject of medical services, various attempts are being made to strengthen the status of a patient. Medical communication which has been led by a doctor so far is being made with a focus on a patient due to sovereignty of a consumer and activation of medical information. The purpose of this paper is to investigate the process to strengthen the status of a patient as a consumer of health care service through a patient association and consumer movement as medical information becomes public. As the patient centered medical service is creating a variety of health care service market using IT technologies, it has contributed to the improvement on asymmetry of medical information. As the expansion of IT fusion health care market is bringing the fundamental change into the traditional relationship between a doctor and a patient, the medical service market is being re-organized. A patient centered medical service such as expansion of mobile health care model led by a patient is being accelerated.

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The Dementia Knowledge, Attitude and Preventive behaviors of Hemodialysis patients (혈액투석 환자의 치매에 대한 지식, 태도 및 예방행위)

  • Seo, Eun-Koung;Lee, Mi-Ra
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.12
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    • pp.795-804
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    • 2018
  • The purpose of this study was to identify the dementia knowledge, attitudes and preventive behaviors of hemodialysis patients. The participants were 128 hemodialysis patients at the Artificial Kidney Center in G hospital of P city. Data were collected by self-report questionnaires from September 22 to October 10, 2017. Data were analyzed with descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient and Hierarchical regression analysis with SPSS/WIN 23.0. Dementia knowledge was significantly different by education level (F=4.58, p<.01). The attitude toward dementia was different by age (F=3.08, p<.05) and education level (F=6.64, p<.01). The preventive behaviors were different by gender (t=-2.30, p<.05). Dementia knowledge was positively correlated with attitude toward to dementia (r=.189, p<.05) and attitude toward dementia was positively correlated with preventive behaviors (r=.280, p<.01). The influencing factor for preventive behaviors was attitude toward dementia (${\beta}=.319$, p<.01). Therefore, in order to promote dementia preventive behaviors in hemodialysis patients, an education program should be developed to improve dementia knowledge and positive attitude toward dementia.

A Study on the Oral Health Status, PHP Index and Oral Health Behavior of Patients in 'S' College Dental Clinic (S대학 치위생과 실습실에 내원한 환자의 치아우식상태와 구강위생관리능력, 구강건강행위 실태)

  • Kim, Jin;Woo, Hee-Sun;Jung, Moon-Hee
    • Journal of dental hygiene science
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    • v.9 no.1
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    • pp.145-151
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    • 2009
  • The purpose of this study was to examine the correlation of oral health behavior, oral health state and PHP in an effort to facilitate the promotion of oral health and improve oral health care. The subjects in this study were patients who got a scaling at the oral hygiene practice lab in the department of dental hygiene in S college dental clinic from September 5 to December 1, 2007. The collected data were analyzed with SPSS WIN 12.0 program. The findings of the study were as follows: 1. The younger patients had a smaller number of FT index, and the older patients excelled the younger ones in oral health behavior involving the use of oral hygiene supplies, regular visit to dental clinics and dietary control. 2. The patients got 2.62 out of possible five points on oral health behavior, which indicated that their oral health behavior wasn't good enough. Those whose oral health behavior was better had a smaller number of DT index and a larger number of FT index. A better oral health behavior led to a lower PHP index. 3. There was a negative(-) interrelationship between oral health behavior and DT index, and oral health behavior had a positive(+) correlation with FT index. The oral health behavior had a negative(-) correlation to PHP index, which showed that a better oral health behavior led to a lower PHP index. The above-mentioned findings seem to suggest that oral health behavior is one of integral factors to affect oral health status and PHP index, and the kind of oral health education that could change oral health care attitude should be provided during scaling practice after grasping the actual oral health behavior of patients.

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The Legal Interest of Doctor's Duty to Inform and the Compensation to Damages for Non-pecuniary Loss (의료행위에서 설명의무의 보호법익과 설명의무 위반에 따른 위자료 배상)

  • Yi, Jaekyeong
    • The Korean Society of Law and Medicine
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    • v.21 no.2
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    • pp.37-73
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    • 2020
  • Medical practice with medical adaptability is not illegal. Consent to medical practice is also not intended to exclude causes of Illegality. The patient's consent to medical practice is the exercise of the right to self-determination, and the patient's right to self-determination is take shape through the doctor's information. If a doctor violates his duty to inform, failure to inform or lack of inform constitutes an act of illegality of omission in itself. As a result, the legal interest of self-determination is violated. The patient has the right to know and make decisions on his or her own, even when it is not connected to the benefit of life and body as the subject of the body. If that infringed and lost, the non-property damage shall be recognized and the immaterial damage must be compensated. On the other hand, the violation of the duty of information does not belong to deny the compensation for physical damage. Which the legal interest violated by violation of the obligation to inform is the self-determination, and loss of opportunity of choice is recognized as ordinary damage. However, if the opportunity of choice was lost because of the infringement of the right to self-determination and the patient could not choice the better way, that dose not occur plainly bad results, under the prove of these causal relationship, that bad results could be compensated. But the unexpectable damage could not be compensated, because the physical damage is considered as the special damage due to the violation of the right of the self-determination.

Factors Influencing Health Risk Behaviors of the Chronic Mental Illness in the Community (지역사회 만성정신질환자의 건강위험행위 영향요인)

  • Gang, Moonhee
    • Journal of Digital Convergence
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    • v.11 no.1
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    • pp.381-388
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    • 2013
  • The study was done to identify factors influencing the health risk behavior of the chronic mental illness in the community. A cross-sectional study design was used in this study. The sample was 255 chronic mentally ill persons from D city and C province and who agreed to participate in the study. Data were collected on August-september, 2011 and analyzed using the SPSS/WIN 20. Stress event, insight and depression had significant correlations with health risk behavior. Hierarchial regression analysis showed gender (men), diagnosis (schizophrenia), stress event, insight and depression together explained 24% of variance in health risk behavior. Findings of this study allow a comprehensive understanding of health risk behavior of the chronic mentally ill persons in community. It is necessary to integrated health promotion programs designed for this population should focus on these factors for effective behavioral modification.

Gender Differences in Predictors of Health Behaviors Modification among Patients with Cardiovascular Disease (성별에 따른 심혈관질환자의 건강행위에 미치는 요인)

  • Xu, Lijuan;Ryu, Seungmi;Goong, Hwasoo
    • The Journal of the Korea Contents Association
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    • v.15 no.3
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    • pp.280-289
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    • 2015
  • Purpose: The purpose of the study was to investigate the difference of health behavior modification between male and female patients with cardiovascular disease; and to compare the predictors of health behavior between the male and female subjects. Methods: A comparative study design was used in the study. A total of 228 patients(male 114, female 114) with cardiovascular disease were recruited from outpatients clinics in 2 university hospitals in Korea. Data were analyzed using t-test, $X^2$, ANOVA, ANCOVA, Pearson correlation, and multiple regression with SPSS 20.0. Results: There was significant difference of health behavior between male and female patients with cardiovascular disease (F=9.45, p=0.002). The significant predictors of health behavior among male subjects were self-efficacy, perceived barriers, perceived susceptibility, medical support and autonomous motivation, accounting for 45%; the significant predictors of health behavior among female subjects were self-efficacy, medical support and autonomous motivation, accounting for 51%. Conclusions: It is suggested to take different health promotions strategies to maintain the performance of health behaviors among male and female patients with cardiovascular diseases.

Model Patient Safety Management Activities for Nursing Students with Clinical Experience (임상실습 경험이 있는 간호대학생의 환자안전 관리 활동 구조모형)

  • Jae-Woo Oh
    • Journal of Industrial Convergence
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    • v.22 no.3
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    • pp.121-135
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    • 2024
  • This study is a structural equation modeling study that describes patient safety incident management activities for nursing students with clinical practice experience and uses Ajzen's theory of planned behavior and safety culture climate-safety behavior model as conceptual bases, proposes a hypothetical model of nursing students' patient safety incident management activities based on the literature review, and verifies the appropriateness of the model and hypotheses through the collected data. Data were collected from 251 nursing students with clinical practice experience using a structured questionnaire. The results of this study confirmed that the model is appropriate and that patient safety management attitude, patient safety culture, and safety motivation are predictors of nursing students' patient safety management activities. Therefore, in order to improve patient safety management activities, it is necessary to provide effective patient safety incident management education programs for nursing students so that nursing students can perform correct patient safety management behaviors from the clinical practice site to the clinical practice site after graduation, and it is necessary to explore how to continuously lead such education programs to the practice site.

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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Family Member's Perceptions of Side Rail Use in Geriatric Hospital (노인요양병원에서의 침대난간(Side Rail) 사용에 대한 환자가족의 인식)

  • Lee, Keum-Jae;Park, Gyeong-Sook;Park, Yeon-Suk
    • Journal of Digital Convergence
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    • v.14 no.12
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    • pp.503-513
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    • 2016
  • The purpose of this study is to figure out family member's perceptions of side rail use in geriatric hospital by Cavanagh's content analysis with in-depth interview. This finding of the study suggests that the six themes of these perceptions are precautionary safety supervision, movement convenience, ritualistic nursing, physical restraint, danger of wounds, and alternative methods in an older person ward, and that the cause of recognized perceptions is not based on actual events, but rather on relatives' perceived protective value. With the transition of medical industry environment, there is a significant emphasis on efficacy and effectiveness of practice, risk management and evidence-based practice. However, the issue of side rail use and physical restraints remains unsolved in care of older people. Nurses claim the necessity of regimented protocol and clarification from professional organization regarding the side rail use.