• Title/Summary/Keyword: 환자 경험

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A Phenomenological Study of Experiences of Family Care Givers of Patient with Head and Neck Cancer (두경부암 환자 가족의 돌봄 경험에 관한 현상학적 연구)

  • Im, Jung-Won;Kwon, Ju-Yeon;Ahn, Son-Hee;Yoon, Eun-Ji
    • The Journal of the Korea Contents Association
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    • v.18 no.10
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    • pp.348-360
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    • 2018
  • Purpose : The purpose of this study was to explore the meaning and essence of experience of family members as care givers of patient with head and neck cancer. Methods : This study was based on the colaizzi's phenomenological method, which describes the experiences about the family care givers. We had in-depth interview with family of five head and neck cancer patients. Results : Data was classified by 24 themes, 9 theme clusters and 4 categories. The categories are as follows: 'Shocking and actuality like a deadly maze', 'Cut off from the world by changes in family's physical image', 'Exhaustion of family', 'Take-off for mature care'. Conclusion : The results of the study provide useful information in understanding care givers' experience of patient with head and neck cancer and establishing effective strategies to support these care givers.

Qualitative Case Study on the Experiences of Care Givers with Dementia Patients after using the Care Farm Program (치매환자의 치유농장 프로그램 이용 후 환자보호자의 경험에 대한 질적 사례연구)

  • Hong, Bo Kyoon;Jung, Min-Ye
    • The Journal of the Convergence on Culture Technology
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    • v.8 no.6
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    • pp.135-140
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    • 2022
  • In this study, we conducted a care farm program that is currently being operated as a pilot in a care farm in Korea, interviewed the experiences and feelings of dementia patients who experienced this as a patient care-giver, and confirmed the strengths and weaknesses of the care farm program. Accordingly, we investigated the points for improvement and the characteristics of the program in the care farm program and operation. In particular, opinions are gathered on the use of a care farm in the early stages of dementia, accessibility issues from residence to the care farm, continuity of various programs and programs, and development of seasonal content. In order to develop a program related to care agriculture for dementia patients by using healing agriculture in future care farms, it is necessary to consider factors such as use problems, accessibility, diversity, continuity, and seasonality of early dementia patients.

Experience of Patients' Having Hypertension and Diabetes Participation in Health Care (고혈압 및 당뇨병 환자의 건강관련 의사결정 참여경험)

  • Lee, Jihae
    • The Journal of the Korea Contents Association
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    • v.21 no.3
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    • pp.552-560
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    • 2021
  • This study attempted to explore the experience of patients' having hypertension and diabetes participation in health care. 11 chronic patients who regularly visited community health centers for more than a year participated in this study. The data was collected through individual interviews and analyzed by thematic analysis method. As a result, 6 sub-themes and 3 themes derived from the data. The themes were 'Trying to utilize short consultation time efficiently', 'Answering within narrow limits to healthcare provider', 'Being lack of continuous motivation for health care'. The result showed the need for nurses to provide accurate and sufficient health information and motivate patients in supportive manner to encourage chronic patients' participation in health care.

The Effect of Dentist's Attitudes on Patient Satisfaction (치과의사의 태도가 환자 만족에 미치는 영향)

  • Choi, Ho-Jung;Jung, Tae-Young
    • The Journal of the Korea Contents Association
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    • v.22 no.7
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    • pp.478-485
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    • 2022
  • This study amis to investigate the effects of dentist's attitudes on patient satisfaction. To achieve research purpose, we used 2020 Medical Service Experience Survey (MSES) carried out by Korea Institute for Health and Social Affairs(KIHASA). The data of 560 patients was analyzed using SPSS Ver. 26.0. The main results are as follows. According to the regression analysis, 'politeness', 'empathize with anxiety', 'enough conversation', and 'easy-to-understand explanation' are influential factors to patient satisfaction. This study is meaningful in that it provided basic data for improving the satisfaction of patients who visited the dentist and the service quality of dental medical institutions.

Concept Analysis of Nurses' Acceptance of Patient Deaths (간호사의 환자죽음 수용에 대한 개념분석)

  • Yi, Mi Joung;Lee, Jeong Seop
    • Journal of Hospice and Palliative Care
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    • v.19 no.1
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    • pp.34-44
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    • 2016
  • Purpose: The purpose of this paper is to identify a theoretical basis of end-of-life care by examining attributes of the concept of the nurses' acceptance of patient deaths. Methods: Walker and Avant's approach to concept analysis was used. A literature study was performed to check the usage of the concept. To identify the attributes of the concept and come up with an operational definition, we analyzed 16 qualitative studies on nurses' experiences of death of patients, published in a national science magazine from 1999 to 2015. Results: The nurses' acceptance of death of patients was identified as having four attributes: acceptance through mourning, attaining insight on life and death while ruminating life, facing with fortitude and practicing human dignity. Antecedents of the concept were experiences of patient's death, confusion and conflict, negative emotions, passive responses, denial of patients' death. The consequences of the concept were found as the holistic end-of-life care and active pursuit of life. Conclusion: This study on the attributes of the concept of the nurses' acceptance of death of patients and it's operational definition will likely lay the foundation for applicable end-of-life care mediations and theoretical development.

Surgical Treatment of the Aortic Aneurysm (대동맥류의 외과적 치료)

  • 김학제;조원민;김태식;이송암;김욱진;손영상;최영호
    • Journal of Chest Surgery
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    • v.31 no.1
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    • pp.13-19
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    • 1998
  • Aortic aneurysm has poor prognosis and high mortality, but the incidence of aortic aneurysm is in increasing state. From July, 1986 to July, 1996, we operated on 25 patients with aortic aneurysm and analysed the clinical results and relations between the duration from symptoms onset to operation(Sx-Op), the duration from admission to operation(Adm-Op), preoperative blood pressure, preoperative heart rate and postoperative mortality, retrospectively. The patients were classified as dissecting aneurysm(10 cases), abdominal aortic aneurysm(9 cases), Marfan's syndrome(3 cases), descending thoracic aortic aneurysm(3 cases). The operative technique were graft interposition in 17 cases, Bentall's operation in 4 cases, aneurysm bypass in 2 cases, and wrapping of aorta in 2 cases. Seven patients died of several causes, bleeding in 5 cases, acute renal failure in 1 case and respiratory failure in another one case. Before 1992, the early stage of operation, 6 mortality among 14 operated patients occurred, and after then 1 mortality among 11 operated patients occurred. Eighteen survivors were followed up from 1 to 118 months(mean 50.6 months), and total follow up was 911 patient-months. During the follow up period one patient died of melena 30 months after operation. The other patients did not complain chest pain or dyspnea. The surgical mortality was improved in the late period, and the major cause of death was intraoperative or postoperative bleeding. The Sx-Op duration, the Adm-Op duration, preoperative blood pressure and preoperative heart rate were proven to have no statistical relations with postoperative mortality.

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The survey on foreign body ingestion and aspiration during the dental prosthetic treatment (치과 보철치료 과정에서 발생하는 이물질의 삼킴과 흡인에 대한 실태 조사)

  • Gi-Tae, Bang;Han-Sol, Jeon;Seon-Ki, Lee;Jae-In, Lee;Jin-Han, Lee
    • Journal of Dental Rehabilitation and Applied Science
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    • v.38 no.4
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    • pp.222-232
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    • 2022
  • Purpose: This study was to investigate the dentists' experience and awareness of foreign body ingestion and aspiration during dental prosthetic treatment. Materials and Methods: A survey of 157 dentists working at 108 dental institutions in Daejeon and Chungcheong provinces was carried out and frequency analysis was conducted. Chi-square test was conducted to find out the difference between the sociodemographic data and experience of foreign body ingestion and aspiration of patients and independent sample t-test was conducted to find out the difference in awareness depending on whether receiving related education. Results: The percentage of dentists experiencing dropping foreign body into patients' oral cavity was 99.4% and the percentage of dentists experiencing foreign body ingestion and aspiration of patients was 53.5%. There were more dentists who experienced foreign body ingestion and aspiration of patients in male than female, longer working career, and general practitioners than specialists (P < .05). 50.3% of the respondents received related education. When they receive related education, they had low degree of concern, high confidence in coping with situations, and low willingness to receive education in the future (P < .05). Conclusion: The percentage of foreign body dropping was 16% higher in prosthetic treatment than general treatment. The percentage of dentists with experience of foreign body ingestion and aspiration of patients was 53.5%. Among them, 92.9% experienced foreign body ingestion of patients and 7.1% of them experienced foreign body aspiration of patients.

Experience of Self-Management Health Information in Patients with Chronic Obstructive Pulmonary Disease (만성폐쇄성폐질환자의 자가관리 건강정보에 관한 경험)

  • Choi, Ja-Yun;Jin, Xin;Ryu, Eui-Jeong
    • The Journal of the Korea Contents Association
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    • v.22 no.9
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    • pp.461-472
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    • 2022
  • Purpose: This study aimed to acquire a better understanding of experiences about health information (HI) for self-management in patients with chronic obstructive pulmonary disease (COPD). Method: The thirty patients with COPD participated in in-depth interviews, until data saturation was reached. The data was analyzed using the content analysis method. Results: Four major themes emerged from the analysis of the self-management HI in patients with COPD such as "self-management practice based on HI", "difficulty in adhering to self-management based on HI", "various attempts to obtain self-management HI" and "satisfaction with provided HI". Conclusion: The majority of patients had no specific educational experience for self-management HI from other staff except for their doctors. Thus, it is necessary to prepare a hospital environment in which various medical staff can provide self-management HI of COPD while also ensuring that accurate and continuous HI could be easily obtained through various media types, family, and acquaintances.

근관치료 의뢰환자의 유형별 해결책

  • 황호길
    • Proceedings of the KACD Conference
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    • 2004.05a
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    • pp.334-334
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    • 2004
  • 최근 대학병원 보존과 환자의 유형을 살펴보면 의뢰환자가 80% 이상을 차지한다. 그 중 대부분의 의뢰환자는 개인의원에서 근관치료 도중 의뢰된 경우가 가장 많고 근관치료 후 임상 제증상이 소실되지 않아 후속진료가 어렵게 되어 의뢰된 경우를 많이 경험할 수 있다. 의뢰된 환자의 특징을 살펴보면 개인의원에서 상급의료기관으로 의뢰되기 때문에 초진 시에 소개된 경우를 제외하고 근관치료 도중이나 후에 장기간 치료 후 의뢰된 경우에는 기존 치과의사에 대한 불신감과 많은 오해를 낳게 된다.(중략)

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Effect of interprofessional education programs in Healthcare (보건의료계열 다직종 연계 교육프로그램의 효과)

  • Jung Hee Park;Hyun Il Kim;Mi Hyang Lee
    • The Journal of the Convergence on Culture Technology
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    • v.10 no.1
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    • pp.81-87
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    • 2024
  • This study aimed to develop an Interprofessinal Education(IPE) program for third-year healthcare students to provide patient safety-oriented services and demonstrate professionalism, and to determine the effects of applying the program for five days on patient safety knowledge and patient safety performance confidence. Key topics included understanding job roles by profession, training in patient risk prediction, scenario-based patient experience, and strategies for identifying improvement. As a result of the study, after the application of the IPE program, the patient safety knowledge decreased statistically significantly from 39 points to 37 points(p=.007). The patient safety performance confidence increased statistically significantly from 6.71 pints to 7.50 points(p<.001). In addition, students who experienced clinical practice had higher patient safety knowledge after applying the IPE program, but there was no difference in patient safety performance. Repeated studies are recommended to prove the effectiveness of the IPE program, and specific measures should be taken to expand and continuously manage the IPE program.