• Title/Summary/Keyword: 환자 경험

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Factors Influencing on Quality of Life in Patients with Liver Cirrhosis: Convergence on the Theory of Unpleasant Symptoms (불쾌증상이론을 융합한 간경변증 환자의 삶의 질 예측요인)

  • Kim, Ji-Suk;Seo, Young-Sook
    • Journal of Digital Convergence
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    • v.13 no.4
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    • pp.271-281
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    • 2015
  • The purpose of this study was to explore convergence on the theory of unpleasant symptom, and factors affecting quality of life of liver cirrhosis patients. A total of 198 liver cirrhosis patients were recruited symptom experiences, physiologic factors, psychological factors, situational factors, and quality of life. Data were collected from March, to May, 2014 and analyzed using one-way ANOVA, Pearson correlations, multiple regressions analysis with PASW (SPSS) 21.0. Variables such as duration of liver cirrhosis(${\beta}=.19$, p<.001), symptom experiences(${\beta}=.19$, p=.032), physical(${\beta}=.15$, p=.008), psychological(${\beta}=.39$, p<.001) and situational factors(${\beta}=.32$, p<.001) explained 51.8% of variance in quality of life(F=15.57, p<.001). The symptom experiences, physiological, psychological and situational factors should be considered for caring liver cirrhosis patients. Symptoms of postmyocardial infarction (post-MI) patients at risk for progression to heart.

Two Cured Cases of Nasal Polyposis Combiend with Chronic Sinusitis by Allergy Therapy (알레르기 치료를 이용한 비용증을 동반한 부비동염의 치험 2례)

  • 박정열;임원호;이영환;임현준;김형곤
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1982.05a
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    • pp.16.3-17
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    • 1982
  • Nasal polyps were apparently common in many parts of the world and treated for nearly three thousand years. Nasal polyps are round, smooth, soft, semi-translucent, yellow or pale glistening structures, usually attached to the nasal or sinus mucosa by a relatively narrow stalk or pedicle. The incidence of nasal polyps is increased in patients with atopic diseases; it varies from 15% to 25% and now increased using allergy therapy for nasal polyposis treatment. Sinusitis is an inflammation of the mucous membranes of the sinuses. Many agents can cause an inflammatory response, including organisms such as bacteria and viruses, physical and chemical trauma, and antigen antibody reactions. The role of antigen antibody interactions (allergy) in simusitis is not completely understood ; however, patients with allergic rhinitis and nasal polyps have a high incidence of sinusitis. Recently authors have experienced two cured cases of nasal polyposis combined with chronic sinusitis by allergy therapy, that cases were treated only allergy thereapy after Caldwell Luc operation with ethmoidectomy and polypectomy. At now cases were not recur of nasal polyps and nasal symptoms. So the cases were reported with a brief review of literature.

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Three Cases of the Foreign Bodies in the Trachea & Bronchus (최근에 경험한 기관 이물 3례)

  • 이용화;이동수;옥흥남;이선철
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1978.06a
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    • pp.3.5-4
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    • 1978
  • Foreign body in the trachea & bronchus is considered as one of the frequently observed accidental cases in the field of E.N.T. and many cases & analysis of them are reported by many authors. We have, recently, experienced three cases of the foreign bodies in the trachea & bronchus and removed successfully through bronchoscopy under general anesthesia. Case A : a kind of plastic reed (2.2CM$\times$0.8CM$\times$0.8CM) was removed from the carina of trachea of a 7 year old female. Case B: a nail (4.9CM$\times$0.3CM$\times$0.3CM) was removed from the right main bronchus of a 2 year old male. Case C : a kind of plastic reed (2.0CM$\times$0.8CM$\times$0.8CM) was removed from the right main bronchus of a 7 year old female.

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Convergence Awareness and Ethical Attitudes about DNR of Nursing Students (간호대학생의 DNR에 대한 융합적 인식 및 윤리적 태도)

  • Oh, Yun Jeong;Lee, Eun Mi
    • Journal of the Korea Convergence Society
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    • v.8 no.2
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    • pp.63-72
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    • 2017
  • This study was identify the awareness and ethical attitudes of DNR in nursing college students and use it as basic data to help patients with DNR. The results of the questionnaire were collected from June 1, 2016 to July 10, 2016 and analyzed using SPSS 23.0 program. As a result of the analysis, the recognition of DNR was in favor of the necessity of DNR, the decision of DNR by patient and family will, and the need for documented guidelines. Ethical attitudes favored decisions made by the patient's will, range of treatment, explanation, and guidance, and opposed decisions made by the primary care physician and reduced provision of basic care. Ethical attitudes according to general characteristics were significantly different according to grade, clinical practice experience, educational experience on ethical values, educational experience on DNR, satisfaction with life, and values for death. Based on the results of this study, more follow - up studies are needed to establish the criteria for DNR.

Nurse and Patient's Experiences Regarding the Use of Electronic Informed Consent in Hospital: A Qualitative Study (의료기관에서 간호사와 환자의 전자동의서 사용 경험: 질적 연구)

  • Kim, Sun Hee;Kang, Hee Sun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.12
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    • pp.619-628
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    • 2020
  • This study examined the experiences of users regarding their use of electronic informed consent in hospital. A qualitative descriptive study was conducted using focus groups and in-depth interviews with 30 Korean nurses and 27 patients. Data were collected from one university hospital. The responses were analyzed by qualitative content analysis. Most participants perceived the use of electronic informed consent as convenient and straightforward, as well as saving space and money. On the other hand, the participants stated that the system was unsatisfactory in part because of the occasional unexpected machinery error or malfunction. Some patients wished for function improvements related to the e-signature, making it more comparable to a handwritten signature, and the adjustability of the font size. The nurses wanted a wider implementation of electronic informed consent because it was not being used for all informed consent cases, resulting in confusion and an additional workload. For the use of an electronic informed consent system, it is important to minimize the inconvenience and to maximize the satisfaction of the users, including nurses and patients.

Relation of Canine-protected Occlusion of Periodontal Index (Canine-Protected occlusion과 Periodontal index와의 관계)

  • Lee, M.H.
    • The Journal of Korean Academy of Prosthodontics
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    • v.17 no.1
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    • pp.79-82
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    • 1979
  • 교정경험, 보철물장착 경험, 교합조정, 상하악골절, 및 전신적 질환이 없는 Angle class I 교합을 갖는 100명(名)의 환자에 있어 1000개의 치아를 임상적으로 평가하여, 그 disclusion pattern과 periodontal disease index와의 상호관계를 조사해 본 결과, 14%가canine protection을 하고, 16%가 progressive disclusion을 하며, 46%가 group function을 하고 나머지 24%가 각각 바른 disclusion pattern을 띤다는 것을 알았다. 여기서 C.P.하는 mouth의 치아가 다른 3group보다도 더 낮은 periodontal disease index를 갖는다는 사실이 유의성 있는 통계자료로써 나타났다.

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Peritoneal Dialysis Associated Peritonitis and Empirical Antibiotics Therapy in Korean Children with Chronic Renal Failure (소아 복막 투석 환자에서 발생한 복막염의 경험적 항생제 치료에 관한 연구)

  • Lee, Sang-Goo;Cho, Joong-Bum;Sohn, Young-Bae;Park, Sung-Won;Kim, Su-Jin;Jin, Dong-Kyu;Paik, Kyung-Hoon
    • Childhood Kidney Diseases
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    • v.12 no.2
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    • pp.213-220
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    • 2008
  • Purpose : This study aims to verify the effectiveness of initial empirical antibiotic choice recommended by the International Society for Peritoneal Dialysis(ISPD) guide among Korean children. Methods : We have collected data on peritonitis from January 2001 to December 2007 in Samsung Medical Center. Results : Of the 42 patients, 48 episodes of peritonitis had occurred in 21 patients. The rate of peritonitis was one episode over 35.3 patient-months. Mean dialysis duration before peritonitis was 18.06$\pm$15.81 months. Gram-positive organisms accounted for 58.3% of all episodes. Of the gram-positive organisms, the most common pathogen was Staphylococcus aureus(29.2%), the next common pathogens were Coagulase negative staphylococcus(14.6%) and Streptococcus species(6.3%). 35.7% of gram-positive pathogens were resistant to 1st cephalosporin. However, in patients younger than 4 years old, 50% of gram-positive pathogens were resistant to 1st generation cephalosporin. 10 episodes of peritonitis were methicillin-resistant and were treated by vancomycin. Of the gram-negative organisms, E. coli was the most common (8.3%). 64.8% of all pathogens were sensitive to cephalothin or ceftazidime. Conclusion : The empirical therapy with 1st generation cephalosporin and ceftazidime can be also effective to peritoneal dialysis associated peritonitis in Korean children. However, in patients younger than 4 years old, glycopeptide should be considered as the first empirical therapy in Korean children.

A Study on the Status for Oral Health Education of Dental Patients (치과에 내원하는 환자의 구강보건교육 실태에 관한 연구)

  • Ju, On-Ju;Park, Chung-Soon;Lee, Heung-Soo
    • Journal of dental hygiene science
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    • v.5 no.2
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    • pp.77-82
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    • 2005
  • The present study accentuate to investigate attitude and behavior about oral health education. The purpose is to provide awareness the importance of oral health education in dental clinics. A total of 350 surveys were over the age of 18 who visited oral health institutes in Chollabuk-Do, Korea. Survey was conducted with self-reported questionnaires from March 22 through April 10, 2004. The results were as follows: 1. The experience to receive oral health education, female, better educated and homemakers made a higher request. 2. Concerning practice they learned, the patients who were female, in there 30s, better educated and government works practiced was it the best. As for why didn't apply learned, they had not concerned about that (62.8%). 3. The greatest rate of respondents had been scaling in content of oral health Dental Patients education (35.3%) and 42.2% were informed flossing except tooth brushing in regarding auxiliary oral hygiene devices. 4. Respondents showed that tooth brushing was more frequently helpful (46.9%) and food control was 10.1% after oral health education. 5. To oral health care by oral health education, there was no significantly different in tooth brushing method and their teeth cleaned every two years (25.7%) and they used floss and the interproximal brush (30.6%).

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Structural Analysis of the Graduate Medical School Student's Perception about 'Good Doctor' (의학전문대학원생의 '좋은 의사'에 대한 인식 구조 분석)

  • Yoo, Hyo-Hyun;Lee, Jun-Ki;Shin, Sein
    • The Journal of the Korea Contents Association
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    • v.15 no.9
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    • pp.631-638
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    • 2015
  • The purpose of this study is to provide developmental direction of medical education by analysing graduate medical school student's perception structure about 'good doctor' and the difference between graduate medical school student's perception structure about 'good doctor' before and after clerkship. Subject of study is medical students in 1st~4th year. NetMiner 4.0 program, which is social network analysis, was used to analyse. Many of the words that students used to describe good doctor were similar. But especially lots of times they used 'patient', 'treatment', 'competence', 'heart' and a word 'patient' showed highest degree centrality. Higher density of network and mean degree centrality were shown in students who experienced clerkship. 'Diagnosis and treatment', 'medical communication', 'attitudes to patients', 'medical knowledge', 'basic competence' these 5 groups were shown in network of students before and after clerkship in common. In the case of students after clerkship, 'lifelong learning ' groups have been added, so were the 6 groups. Considering the fact that social responsibility, professionalism, medical humanities are emphasized in recent medical education, students have lack of perception structure about good doctor, therefore education of this area needs to be strengthened.

Characteristics of Pain Threshold and Pain Experience in Elderly Patients with Dementia (노인 치매 환자의 통증 역치 및 통증 경험의 특성)

  • Bang, Hyeon-Cheol;Park, Ki-Chang;Kim, Min-Hyuk;Lee, Yeong-Bok;Roh, Hyun-Jean
    • Korean Journal of Psychosomatic Medicine
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    • v.21 no.2
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    • pp.140-146
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    • 2013
  • Objectives: We compared the characteristics of the pain threshold and pain experience between demented group and non-demented group. Methods: This study was part of Gangwon projects for early detection of dementia in 2010. We recruited 8302 local resident ages over 65 years old. Of theses, 1259 people who scored low MMSE were selected and 365 of them completed CERAD-K(Consortium to Establish a Registry for Alzheimer's disease). Finally, 90 in non-demented group and 57 in demented group(mild to moderate Alzheimer's disease) were analyzed. Pain threshold was experimentally measured by pressure algometer and we investigated the pain experience, by Brief pain inventory (BPI), a self-report test. Results: In the demographic characteristics, there are more female, higher ages, lower education in the demented group. There was no significant difference between the two groups in the pain threshold. On the BPI results, 'shoulder pain', 'the number of pain' and 'interference of working' were significantly more prevalent in non-demented group. However, there are no significant differences between the groups in the 'pain severity', 'prevalence of pain' and 'pain treatment'. Conclusions: Demented group report less pain experience but, still perceived pain. It support previous studies that patient with dementia have increased pain tolerance but preserved pain threshold. Thus, active pain assessment and treatment for patients with dementia is needed.

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