• Journal of Oral Medicine and Pain
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• v.24 no.4
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• pp.387-396
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• 1999

구취를 주소로 내원한 환자 중 구취의 치료 후 객관적인 구취의 감소가 인정되는 데도 불구하고, 계속해서 구취를 호소하며 만족해 하지 못하는 환자들의 심리적 특성을 알아보고자 하였다. 구취를 주소로 서울대학교 치과병원 구강진단과 구취클리닉에 내원하여 검사 및 치료를 시행한 환자 중, 치료 전 객관적 구취의 소견을 보였으나, 치료 후 할리미터 수치의 객관적인 감소를 보이는 40명의 구취 환자를 대상으로 하였다. 치료 전, 모든 환자들은 자신의 주관적 구취 심도 및 그로 인한 불편감 정도를 표시하였고, 간이정신진단검사 (SCL-90-R)를 시행하였으며 할리미터를 이용하여 구강내 휘발성황화합물의 농도를 측정하였다. 치료 후, 구강내 휘발성황화합물의 농도, 주관적 구취 심도 및 불편감 정도를 재측정하였다. 주관적 구취 심도의 감소 정도에 따라 환자들을 두 군으로 분류하여 할리미터 수치와 불편감 정도 및 간이정신진단검사항목을 비교, 분석하였다; A군-주관적 구취 심도가 평균값 이상으로 감소한 환자군; B군-주관적 구취 심도가 평균값 이하로 감소한 환자군. 1. 치료 전후 모두에서 주관적 구취 심도와 휘발성황화합물 농도 사이에는 유의한 상관관계가 없었으며 주관적 구취 심도의 감소 정도 또한 휘발성황화합물의 감소 정도와 상관관계가 없었다. 2. 치료 전 휘발성황화합물의 농도는 치료 후 휘발성황화합물의 감소치와 유의한 상관관계를 보였다 (p < 0.01). 3.구취로 인한 불편감 정도는 주관적 구취 심도와 유의한 상관관계를 보였으며 (p < 0.01), 치료 후 A군에서는 유의하게 감소 (p < 0.01) 하였으나, B군에서는 유의한 감소를 보이지 않았다. 4. B군은 A군에 비하여 간이정신진단검사 항목 중 대인예민성과 우울증의 항목에서 유의하게 높은 수치를 보였다 (p < 0.05).

• The Journal of Korean Academy of Prosthodontics
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• v.46 no.1
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• pp.65-82
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• 2008

Statement of problem : Today's market economy has been changed more and more to consumer concerned. It is owing to not only consumers ' rising standard of living and education, but also purchasers' easy accessibilities to products through various mass media. The consumer centered market system, where customer can choose items with diverse alternatives to satisfy their self esteem, is also applied to the field of medical business, and accelerated by an increasing income level of shoppers and introducing the whole nations' medical insurance system. Today, the medical industry has become competitive due to increasing number of medical institutions and medical personnel, and this offers wide choices to consumers in the medical market place. At this point of time, it is essential to survey on the primary factor of gratification for the patient in the Dental clinic, as well as on the problems and suggestions in medical service. Purpose : The analysis in this study shows essential factors and expected influential elements in satisfaction of the patient in the Dental Hopsital, and strategic suggestions for the provider of dental service, which can be of benefit to the prospective customer as well as can make improvement in the quality of dental treatment service. Material and method : This study had been researched by collecting and analyzing the organized questionnaires, which were filled in directly from 784 patients, who visit Dental Hospital, Yonsei University in Seoul, from January 23rd to April 15th. Result : It can be summarized like the followings. 1. The social and demographical peculiarities of respondents are as follows. Samples of gender and marital status are adequately extracted, but data on occupation and treatment are are under a bias toward students, undergraduates and graduate students, and orthodontics. 2. 74% of patients who answer the questionnaire were highly satisfied with the service of dental clinic in the section of overall satisfaction. 3. The survey result about specific service of dental treatment, within sections of independent variables, is like the followings; Patients are highly gratified with service system, kindness, explanation, explanation on expected waiting hours, reservation system, emergency measures, expert treatment, existence of knowledge of dentistry, size of hospital, disinfection, equipment and parking, but lowly satisfied with expense of treatment, preparatory hours for treatment, waiting hours, treatment hours and the period of subscription. 4. The correlation analysis showed that there is no significant linear relationship between the independent variables. 5. The probit regression analysis showed that 8 out of 34 independent variables explained the dependent variables at the level of 0.01. 6. It shows that 8 independent variables, which can affect customers 'satisfaction, are clearing up of inconvenience, service system, kindness, explanation, treatment hours per attendance, reservation system, existence of knowledge of dentistry, and contentment of equipment in the hospital. Conclusion : The consumer's satisfaction totally relies on subjective evaluations of customers. Providing appropriate service, which can meet the criteria for the customer who demands various wares, pursues luxury goods, and expects high quality of medical service, is essential to fulfill patients' satisfaction. Many medical institutions do their best to satisfy their customer, touch their consumer, and offer patience centered services, and it is also applied to the field of dentistry. Establishing brand new strategic managements and elevating the quality of dental service based on this survey are required to improve the satisfaction of patience in the Dental Hospital.

• Journal of Hospice and Palliative Care
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• v.5 no.2
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• pp.94-100
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• 2002

Purpose : The system to refer terminally ill patients to palliative or hospice care which ultimately give them emotional, psychological, and social support hasn't been fully developed and organized yet in Korea. The controversies concerning the current referral system are being analyzed to present the improvements. Methods : The questionnaires were asked to be filled out by family members of the 76 patients by phone interview, who were referred from the Seoul National University Hospital between April, 2001 to March, 2002. They were referred to the 35 palliative and hospice care-giving institutes and hospitals which were given questionnaires by mail. Results : Of the 76 patient's family members, 47 family members accepted to answer the questionnaire. The first thing that influence to family to determine the referral of patient was solicitation of doctors or nurses (44%). And they were influenced by allowance for the other things such as convenience of patients (32%), convenience of caring family members (24%). In the course of determining of referred institutes, responders had considered at first their dwelling area, and then fame of institutes, the place which patent had wanted to spend last hours or which is suitable for patient's funeral service, and their financial condition. Thirty-eight the 47 responders answered that they had experienced difficulties in referral procedure. The worst among difficulties was unwanted discharge, and followings were lack of information about the referred institutes, concern about patient's suffering, resistance of patient and opposition of other family members, etc. Although they expressed dissatisfaction in referral procedure, most of them answered they had been satisfied with hospice care at referred institute after referral. Merits of referral which responders counted were patient's peace, caring family's comfort and reduced cost in order. Of the 35 referred institutes, 24 institutes' staffs responded mail questionnaires and sent to us in return. Except one responder, the rest approved the referral system and thought that referred patients had been satisfied with their hospice care. And they claimed that systemic support of the government is definitely necessary. The most difficult thing which responders experienced in care of referred patients was lack of information about patients. Besides, there were patient's financial problems, lack of understanding about their institutes of patients or family, and inconvenience of terminal cancer patient's pain control. Conclusion : The development and support of the organized referral system is needed to alleviate the troubles which patients, family members, and palliative or hospice institutes and hospitals have to face through the procedure of the referral.

• Journal of Dental Rehabilitation and Applied Science
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• v.33 no.4
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• pp.299-306
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• 2017

In this case report, immediate loading of an implant-supported single-tooth prosthesis through complete digital workflow. A patient presented for restoration of missing a single tooth in the mandibular first molar. The digital impression was made with intraoral scanner and implant was placed using surgical guide pre-fabricated with pre-operative computed tomography (CT) and scan data. After 1 week later, prefabricated customized abutment and provisional restoration were connected for immediate loading. After 8 weeks later, abutment level impression was taken by intraoral scanner. At 3 months later from implant installation, monolithic zirconia crown were fabricated. This clinical report presents satisfying result in accuracy and patient satisfaction. A completely modeless digital procedure met expectations regarding precision, esthetics, and functionality.

• Journal of Korea Entertainment Industry Association
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• v.15 no.2
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• pp.191-202
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• 2021

The purpose of this research was to investigate the effects of the communication ability, communication type and satisfaction of nursing service on the re-use intention of nursing and care integration services of the hospital. The research subjects were 291 patients who were hospitalized for more than 3 days in the integrated nursing and care service center. Data were analyzed using SPSS 21.0. As a result of the study, the variables that significantly affect the reuse of integrated nursing services in hospitals were satisfaction with nursing services and integrated services. The explanatory power of these variables was 63.4%. Therefore, to increase the intention to re-use integrated nursing and care services of the hospitals, efforts are needed to increase the satisfaction of nursing services. And research on other variables that affect the guarantee is highly recommended.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.18 no.11
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• pp.321-331
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• 2017

This study was conducted to identify communication types of nurses, satisfaction with nursing services and intent to revisit the hospital by hospitalized patients, and to investigate factors influencing intent to revisit the hospital at a time of expansion of comprehensive nursing care service. The subjects consisted of 123 hospitalized patients in sixgeneral hospitals with more than 100 beds in Gyeongsangnam-do. Data were collected by a self-report questionnaire from July 1 to July 30, 2017. The collected data were analyzed by t-test, ANOVA, Pearson's correlation coefficients, and hierarchical regression. There were significant differences in intend to revisit the hospital depending on age(F=9.83, p<0.001), gender(t=-3.82, p<0.001), marital status(t=2.24, p=0.028), education(F=11.92, p<0.001) and days of hospitalization(F=7.81, p<0.001). Intent to revisit the hospital indicated a significantly positive correlation between informative(r=0.609, p<0.001) and affiliative(r=0.536, p<0.001) communication types and satisfaction with nursing services(r=7.97, p<0.001), as well as a significantly negative correlation with authoritative communication types(r=-0.356, p<0.001). Factors influencing intent to revisit the hospital were informational communication type(${\beta}=0.38$, p=0.003) and satisfaction with nursing services(${\beta}=0.84$, p<0.001). Based on these findings, it is necessary to develop various educational programs and conduct systematic education to facilitate effective communication between nurses and patients in order to improve the quality of nursing service and satisfaction of patients admitted to comprehensive nursing care services.

• Korea Science and Art Forum
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• v.36
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• pp.391-400
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• 2018

To ensure a user-centered treatment environment, hospital construction needs an approach that is not centered on functional aspects such as efficiency or economic feasibility but on the consideration of needs as reflected in user psychology and behavior. Patients who are physically and psychologically vulnerable experience psychological pressure when they are placed in an unfamiliar environment. Most of existing studies however focus on the evaluation of the physical environment, without paying attention to the psychological or behavioral approach to anxiety and stress that patients may experience in a special environment that a hospital may be to them. This study examines general hospital inpatients to understand the usage of major space available and their satisfaction with privacy. This study provides useful primary information needed for the user-centered design of general hospital for improved patient health and welfare. For the purpose of the study, literature review, site investigation, and survey were conducted. Major functional space and privacy in general hospitals were studied, and the site investigation was performed to identify the plans and their status. Survey was also performed to understand the usage of functional space and satisfaction with such space usage as well as satisfaction with privacy. The findings were as follows: (1) Space usage was rated as average in general. It was found that patients used their rooms and lobby on a daily basis. By age, the usage was highest in the group in their 40s; the usage was relatively lower in the groups in their 30s or younger. (2) Space satisfaction was above average, indicating that patients were fairly satisfied. Satisfaction was highest in the lobby space designed with distinct features. By case, satisfaction was highest in Case B, characterized by its wide horizontal space in the rural settings. (3) Satisfaction with privacy in hospital was average, indicating that the demand for privacy was relatively higher but what patients receive in return was lower than their expectation. It was also found that satisfaction with privacy was a crucial element that affected the overall satisfaction with hospital.

• The Journal of Korean Society for Radiation Therapy
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• v.14 no.1
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• pp.1-5
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• 2002

I. 목적 : 방사선 치료 시 최적화된 체내 선량분포를 얻는 것은 정상조직의 장애를 줄이고 종양선량을 높여 치료 효율을 극대화하는데 매우 중요하다. 본원에서는 병변 부위가 한쪽으로 치우친 head&neck 환자 치료 시 정상조직(tongue)을 보호하기 위해 tongue displacer를 만들어 사용한다. 이에 본 저자는 tongue displacer사용의 치료 유용성을 평가 하고자 한다. II. 대상 및 방법 : head & neck 치료 환자 중 병변 부위가 인체의 정중선(MSP)을 기준으로 한쪽으로 치우친 환자를 대상으로 하였다. 사용된 실험재료로는 C-T (high speed advantage, GE,US), RTP System (3D RTP system, prowess, US), 치과용 인상제 주입기(caulk system, quixx, japan), tongue displacer 등이 있다. 실험 방법은 모의 치료나 planning C-T를 시행하기 전에 치료 환자에게 사용할 개인용 tongue displacer를 치과용 인상제로 자체 제작하였다. 제작 후 모의 치료를 시행하고 3D plan을 하기 위해 planning C-T를 촬영하게 되는데 이때 tongue displacer사용 유. 무에 따라 각각 촬영을 하였다. 촬영된 두 가지의 CT영상을 prowess를 이용하여 3D plan을 하게 되는데 이때의 plan parameter나 beam direction등 plan에서의 모든 조건은 모두 동일시하고 선량 분포 및 DVH(dose volume histogram)값을 비교하였다. III. 결과 : tongue displace의 사용 유. 무에 따른 3D plan상의 DVH 비교 결과 tumor volume 주위의 다른 organ들은 모두 비슷한 양상의 DVH를 보였으나 tongue에 있어서 큰 변화를 보였다. tongue displacer를 사용 시, 미 사용시 보다 tongue의 위치를 변화시켜 치료 부위 외의 tongue에 받는 방사선 피폭 면적을 줄일 수 있었고 그 결과 DVH상의 $50\%$ volume이 $16\%$ 정도 줄어드는 것이 확인되었다. IV. 결론 : tongue에 방사선을 조사하면 방사선 부작용으로 mucositis, ulcer, hemorrhage등의 pain(동통)이 수반되므로 치료환자의 음식물 섭취불량으로 체증감소 등 전신 쇠약으로 이어질 수 있다. head & neck 환자 중에서 병소 위치가 한쪽으로 치우쳐서 있을 경우 인상제를 이용하여 tongue displacer를 만들어서 사용하면 tongue 의 위치를 변화시켜 방사선 조사 야에서 제외시켜준다. 그러므로 방사선 치료 시 tongue의 부작용을 최소화 할 수 있고 환자의 방사선 치료 만족도를 높일 수 있다고 사료된다.

• The Journal of Korean Academy of Prosthodontics
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• v.61 no.4
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• pp.328-343
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• 2023

Recently, a method of fabricating an esthetic anterior fixed prosthesis by integrating data such as three-dimensional facial scan and jaw motion to form a virtual patient with dynamic occlusion has been introduced. This enables smooth communication with patients during the diagnosis process, improves the predictability of esthetic prosthetic treatment, and lowers the possibility of occlusal adjustment. In this case report, a virtual patient with dynamic occlusion was created in which the results of the treatment were simulated, and esthetic maxillary anterior fixed prosthesis was fabricated. With the aid of the virtual patient, the final restorations were satisfactory both in terms of esthetic and function.

• Journal of the Korean Society of Food Science and Nutrition
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• v.46 no.2
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• pp.251-258
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• 2017

The objective of this study was to analyze patient satisfaction and perception of nutritional counseling services quality. A patient satisfaction and perception survey was conducted for 1,095 patients from 43 tertiary hospitals and 20 general hospitals. The number of returned questionnaires was 656 (response rate: 60.0%). Data from 633 questionnaires were analyzed after the questionnaires with unanswered items were excluded. Five domains were identified from the result of the factor analysis using the maximum likelihood and oblique rotation. The five domains were named empathy, responsiveness, tangibles, reliability, and skill and specialty. Patient perception mean score of nutritional counseling was 4.54/5.00. Patient satisfaction scores were significantly higher in empathy (P<0.001), responsiveness, and skill and specialty (P<0.01) with a college or graduate school education than in patients with a middle school education. There was no statistically significant difference between satisfaction scores in tertiary hospitals and those in general hospitals, but patients in capital hospitals reported significantly higher scores than their local counterparts in empathy, responsiveness, reliability, skill and specialty (P<0.001), and tangibles (P<0.05). In responsiveness, significantly higher (P<0.01) scores were observed in patients who received nutritional counseling only once compared to patients who received counseling two times. Patients perception of nutritional counseling services was significantly correlated with their satisfaction of five domains, reliability (r=0.721), responsiveness (r=0.697), empathy (r=0.690), skill and specialty (r=0.678), and tangibles (r=0.622).