• Proceedings of the Korean Institute of Intelligent Systems Conference
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• 2002.05a
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• pp.68-71
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• 2002

의사들은 환자들의 건강 상태와 관련하여 다양한 유형의 정보들을 수집하고 분석하여 개별적인 환자들의 진단을 내리게 된다. 의사들이 한 명의 환자와 관련된 다양한 정보로부터 질환을 결정 내리기까지에는 여러 단계에서 다양한 의사결정이 필요하며 매우 복잡한 과정을 거치게 된다. 그러므로 의사들에게 또는 환자들에게 보조적인 도움을 주고자 많은 의료진단 시스템들이 개발되었다. 현재까지 개발된 대부분의 의료 진단시스템들은 특정한 의사의 경험이나 한 유형의 질환에 고정되어 있다. 그래서 환자들이 급성복통과 같은 여러 가지 유형의 질환에 관련되어 있는 증상을 호소할 때 의사들이 적절한 의사결정을 내리기가 쉽지 않다. 본 논문에서는 급성복통과 관련된 여러 가지 유형의 질환을 진단할 수 있는 시스템을 퍼지 논리를 이용하여 설계하고 구현해 본다.

• Proceedings of the KAIS Fall Conference
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• 2009.12a
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• pp.314-317
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• 2009

본 연구는 국내 당일수술센터 이용환자의 의료서비스 만족도와 관련된 요인들을 규명하기 위해 시도하였다. 설문조사는 2009년 1월 13일부터 2월 13일까지 한 종합병원에서 독립적으로 운영하는 당일 수술센터를 이용하는 환자들로부터 도출했다. 연구결과 당일수술환자는 수술과 입원경험은 적었고 본인의 건강 관심도는 높은 것으로 나타났다. 수술대기시간과 수술시간은 의료서비스 질에 유의한 차이가 있었다(P<0.05). 다중 로지스틱 회귀분석에서 당일수술환자의 인식도에 영향을 주는 것은 연령과 교육수준으로 나타났다(P<0.05). 따라서 당일수술률을 증가하기 위해서 당일수술의 이점에 대한 정보를 제공하고 수술전 교육이 필요하다.

• Journal of Convergence for Information Technology
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• v.7 no.5
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• pp.59-65
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• 2017

The purpose of this study was to research the perception on patient private information protection of 126 nursing students before clinical practice. The mean score of perception on patient private information protection was 4.52 points of full 5. The perception of protecting patient privacy was no significantly differentiated with general characteristics of nursing students. Development and application of patient private information education program for inexperienced nursing students is necessary. Also it is necessary to seek joint plans between medical institutions and universities to improve the awareness of patient privacy.

• Journal of the Korean Applied Science and Technology
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• v.38 no.6
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• pp.1587-1595
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• 2021

The purpose of this study was to investigate the patient safety motivation, patient safety management attitude, and patient safety management behavior and to identify the factors affecting patient safety management behavior of targeted new nurses. Subjects were 127 nurses and data were collected by questionnaires from September 11 to September 30, 2020. Data were analyzed using t-test, ANOVA, Scheffe's test, Pearson correlation coefficients and multiple regression analysis. Patient safety motivation was positive correlated with patient safety management attitude, and patient safety management behavior. Patient safety management attitude was positive correlated with patient safety management behavior. Patient safety motivation, patient safety management attitude and safety education experience were main factors that affect safety management behavior. These results suggest to develop educational program and application that include patient safety motivation, patient safety management attitude in order to improve patient safety management behavior of new nurses.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.21 no.11
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• pp.364-374
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• 2020

This paper describes the experience of the dietary adaptation of patients undergoing peritoneal dialysis due to end-stage renal failure by identifying the meanings and structure of the experience. In the research method, the data from nine patients were collected using individual in-depth interviews and analyzed using Colaizzi's phenomenological method. The experience of the dietary adaptation of participants undergoing peritoneal dialysis was organized into four theme-clusters and 15 themes. These four theme-clusters were characterized as follows: 'the double sufferings of peritoneal dialysis process and dietary adaptation', 'vague and ambiguous diet management', 'the hardship of diet management felt by experiencing diet using one's body', and 'realizing the importance of diet management with peritoneal dialysis, resetting one's goal in life'. This paper describes the dietary adaptation process experienced by peritoneal dialysis patients was a process of adhering to a better life, even though it was the double sufferings of peritoneal dialysis process and dietary adaptation. In conclusion, the findings in this study provide a deep understanding of the lived experience of the dietary adaptation in peritoneal dialysis patients and should help in the development of tailored diet interventions for patients on peritoneal dialysis.

• Journal of Chest Surgery
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• v.37 no.2
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• pp.146-153
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• 2004

As the experience of coronary artery bypass grafting (CABG) has been accumulated, the number of reoperation after CABG is increasing. We analyzed our clinical experience of redo-CABG. Material and Method: Fourteen patients who underwent redo-CABG between Jan. 1994 and Dec. 2002 were included in this study. The mean period from the first operation to reoperation was 66$\pm$56 (3∼157) months, and the average ages were 62.8$\pm$8.7 (51∼78) years. The survivors were followed up 39$\pm$29 (4∼101) months postoperatively. Indications of reoperation were stenosis or occlusion of previous grafts in 11 patients, progression of native coronary artery disease in one patient, and both etiologies in two patients. Result: There were two in-hospital mortalities (14.3%) resulting from low cardiac output syndrome, Postoperative morbidities were perioperative myocardiac infarction in 2 patients (14.3%), mediastinitis in one patient (7.2%), duodenal perforation in one patient, ischemic necrosis of the lower extremity in one patient, gastric perforation after mesenteric infarct in one patient, delayed brain infarct in one patient, and intraoperative splenic rupture in one patient. There was one late mortality at six months postoperatively during the follow up. There was no angina recurrence during the follow up. Conclusion: Although redo CABG demonstrated relatively high operative mortalities and morbidities, postoperative status and clinical outcome of the survivors were favorable.

• Journal of Hospice and Palliative Care
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• v.16 no.1
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• pp.1-9
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• 2013

Purpose: The aim of this study was to investigate nursing students' awareness of biomedical ethics and attitudes toward death of terminal patients. Methods: A structured questionnaire was developed to examine nursing students' biomedical ethics. Their attitudes toward terminal patients' death were measured by using the Collett-Lester Fear of Death Scale. Surveys were conducted with 660 nursing students enrolled at a three-year college located in Daejeon, Korea. Data were analyzed using descriptive statistics, Wilcoxon rank sum test and Kruskall Waills test. Results: Students who have experienced biomedical ethics conflicts, agreed to prohibition of cardiopulmonary resuscitation (CPR) and have no religion exhibited more negative attitudes toward death compared to students without the above characteristics. Of the participants, 81.2% answered that life sustaining treatment for terminal patients should be discontinued and 76.4% replied that CPR on terminal patients should be prohibited. The majority of the correspondents stated that the two measures above are necessary "for patients' peaceful and dignified death". Conclusion: Study results indicate the need to establish a firm biomedical ethics value to help nursing students form a positive attitude toward death. It also seems necessary to offer students related training before going into clinical practice, if possible. The training program should be developed by considering students' religion, school year, experience with biomedical ethics conflicts and opinion about CPR on terminal patients. The program should also include an opportunity for students to experience terminal patient care in advance via simulation practice on standardized patients.

• Journal of Digital Convergence
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• v.12 no.3
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• pp.331-338
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• 2014

Unplanned extubation prevention program (UEPP) was developed and applied to intubated patients hospitalized in a medical intensive care unit (ICU). The number of unplanned extubation was 29 during the preliminary investigation and 23 cases during the prevention intervention program. The general features of the patients and nurses who experienced UE did not have any significant differences between the two periods, with only the number of new nurses in the ICU being significantly different (p=.039). Although the number of new nursing staff in the ICU was high, the mean rate of unplanned extubation, which is the number of UE days per 1000 intubation days, was 8.8 during the prevention intervention program, which was significantly lower than 12.3, the mean rate of UE during the preliminary investigation (t=-2.333, p=.040). The results provide a prevention program that could contribute to the safety of patients by actively preventing unplanned extubation in intubated patients in ICU.

• Tuberculosis and Respiratory Diseases
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• v.61 no.6
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• pp.533-546
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• 2006

Background: The aim of this study was to determine the effectiveness of self-efficacy promoting pulmonary rehabilitation in patients with chronic obstructive pulmonary disease (COPD). Methods: thirty six patients, with clinically stable COPD were randomly assigned: 18 to a rehabilitation group and another 18 as a control group, The subjects participated in a the self-efficacy promoting pulmonary rehabilitation program for 8 weeks. This program consisted of education, breathing retraining, exercise training, relaxation and counseling. The control group received education only. The outcome variables were self-efficacy, dyspnea, exercise endurance, pulmonary function, and quality of life. Dyspnea was measured using the modified Borg scale. Exercise endurance was measured by the six minute walking distance. The quality of life was measured by the quality of life index for pulmonary disease patients. Results: In the rehabilitation group after performing the self-efficacy promoting pulmonary rehabilitation program, the self-efficacy score, exercise endurance, and quality of life score were higher than the control group (p=0.007, p=0.038, and p=0.039, respectively). and the exertional dyspnea score was significantly lower than controls(p=0.045). However, the dyspnea score and FEV1 were similar after performing the self-efficacy promoting pulmonary rehabilitation program. Conclusion: The self-efficacy promoting pulmonary rehabilitation program is effective to in improve self-efficacy, exertional dyspnea, exercise endurance and quality of life in patients with COPD.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.22 no.1
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• pp.445-453
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• 2021

This study investigates the factors influencing quality of life for cancer patients based on demographic characteristics, physical-mental health, and oral health. These factors are analyzed using the results from 235 cancer patients in Korea's 7th national health and nutrition survey. Data were analyzed using PASW Statistics Ver. 18.0. Studies show that cancer patients experienced stress (74.5%), depression (84.3%), and activity limitations (15.3%). In oral health, problems chewing were often experienced in groups with low incomes (3.35±.21), activity limitations (2.71±.31), and depression (3.01±.27). The factors influencing quality of life were higher by 3.43 times in the low-income group and by 8.39 times in the activity-restricted group, by 2.74 times in the high-stress group, by 4.58 times in the depression group, by 2.68 times in the chewing-problems group, and were 4.92 times higher in the speech problems group (p<0.05). To improve quality of life, not only mental and physical health care, but also oral care is necessary. An integrated management plan for medical staff in the treatment process of cancer patients is required to prevent mental, physical, and oral discomfort.