• The Journal of the Korea Contents Association
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• v.17 no.11
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• pp.533-540
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• 2017

The aim of this study was to investigate the effects of Client-centered mental practice on activities of daily living and quality of life with stroke. For 16 persons with stroke, we executed Client-centered mental practice for 4 weeks, five times per week, and 30 minutes each time. Before and after the Client-centered mental practice, the patients were tested with Functional Independence Measure(FIM) and Stroke specific quality of life(SS-QOL). After the Client-centered mental practice, the subjects showed significant changes in the score of FIM and SS-QOL(p<0.05). The results of this study show that Client-centered mental practice for persons with stroke is a useful therapeutic approach by enhancing through improving their activities of daily living and quality of life.

• Journal of Industrial Convergence
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• v.21 no.6
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• pp.61-71
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• 2023

The objective of this research is to examine the mediating roles of nursing professional values and occupational stress in the relationship between self-leadership and patient-centered nursing among nurses employed at COVID-19 designated hospitals. This study were 160 nurses at a COVID-19 designated hospitals, and the data were collected from January 10 to February 30, 2022. The collected data were analyzed by independent t-test, one-way ANOVA, correlation analysis, multiple linear regression analysis, and SPSS PROCESS Macro model No 4 bootstrapping method. The average score for self-leadership was 61.3±8.55, nursing professional values was 95.5±11.66, occupational stress was 51.3±4.76, and patient-centered nursing was 59.3±7.63. The mediating effect of nursing professional values and occupational stress was confirmed in the influence relationship between self-leadership and patient-centered nursing of nurses at COVID-19 designated hospitals. This result suggests that the content related to improve nursing professional values and reduce occupational stress should be considered when applying the patient-centered nursing enhancement program.

• The Journal of the Korea Contents Association
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• v.17 no.3
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• pp.507-522
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• 2017

The aim of this study was to compare perception between patient and nurse on comprehensive nursing care service using SERVQUAL model. To accomplish this goal, the 5 gaps of expectation-perception on comprehensive nursing care service was analyzed. The subjects were 192 nurses and 321 patients who admitted in comprehensive nursing care service wards. As results, patient's satisfaction was higher than patient's expectation and also nurse's performance. Therefore, we found that comprehensive nursing care service would contribute to perform holistic nursing care services in the future. To develop comprehensive nursing care service system sustainably, it needs continuous measurement of patient's expectation and satisfaction using conceptual model of this study.

• Korean Journal of Social Welfare
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• v.39
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• pp.350-373
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• 1999

The patient population of U. S. state mental hospitals has changed drastically since the 1960s, when the deintstitutionalization movement began. This paper is designed to look at what happened to the number of inpatients of state hospitals in California during the last 150 years and, from this, to explore implications for the future of the mental health system in Korea, especially for the viability of mental hospitals. The data had been collected by field research(visits to state hospitals and State Department of Mental Health, and interviews with mental health administrators) and accessing statistical publications and various reports. Since the first state hospital opened in 1851 the statewide inpatient population of individuals who were mentally disabled has grown and peaked at 37,489 in 1959. The number of patients in state hospitals, however, began declining in the early 1960s and was reduced to 10,874 by 1971, and to 4,973 by 1986. As of 1997, there were only 4, 263 inpatients remaining in the state hospital system. This dramatic decrease slowed down somewhat in 1980s and 1990s, but this trend seems irreversible except for the inpatients referred by the court. Now the beds in state hospitals are filled with more and more forensic patients, which constitutes nearly 70% of the total inpatient population. Based on these findings, it is well expected that the number of inpatients of mental hospitals in Korea will also be reduced in a significant way as the community-based mental health care system is gradually replacing the traditional one. Mental hospitals need to introduce more diversified programs for the care of the mentally ill, and concurrently more vigorous aftercare programs are required in the community.

• Journal of Hospice and Palliative Care
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• v.13 no.1
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• pp.24-31
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• 2010

Purpose: A central venous catheterization (CVC) is frequently used for delivering anti-cancer chemotherapeutic agents, blood products, parenteral nutrition, and other intravenous therapy in patients with cancer. Major complications of CVC use are thrombosis, infection, and mechanical complications. The aim of this study was to evaluate the frequency of CVC complications and related factors. Methods: The records of cancer patients who received a CVC at our university hospital from March 2001 to October 2006 were retrospectively investigated. Chi square test was used to determine whether there was a related factor for thrombosis or infection, and Kaplan-Meier analysis for univariate analysis, or Cox-regression analysis for multivariate analysis was used for catheter life span. Results: Three hundred and ten CVCs (235 nontunneled, 75 tunneled) were inserted in 310 patients (157 males, 153 females). Among them, 104 had hematologic cancers and 206 had solid cancers. The mean age of the patients was 52 years (range, 19~82 years). CVC complications occurred in 60 cases (19%). CVC-related thrombosis occurred frequently in patients with infection (P=0.003), whereas diagnosis, catheter type, transfusion, and TPN history did not affect infection or thrombosis. The mean duration of the catheter was 102 days (range, 2~1,330 days), and the duration was prolonged in patients with tunneled catheters (P=0.000), or without transfusion through CVC (P=0.030). Conclusion: The major complications for long-term use of a CVC were infectionand thrombosis. Tunneled catheter was effective tool for long term use, especially in cases without transfusion through CVC. The studies on the prevention or treatment ofthrombosis and infection are, therefore, warranted by using CVC for an extended period of time.

• Asian Oncology Nursing
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• v.6 no.1
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• pp.54-65
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• 2006

목적: 종양환자 및 가족을 위한 환자교육의 필요성은 건강 돌봄의 중심이 완치의 개념에서 삶의 질 개념으로 바뀌어 감에 따라 더욱 대두되고 있다. 이들을 위한 환자교육이 성공적으로 이루어지기 위해서는 환자와 가족들의 교육선호 양상과 일치하는 교육적 전략이 필요하다. 본 연구는 종양환자와 가족들의 교육선호와 일치하는 효과적인 교육적 전략의 기초를 제공하기 위해 시도되었다. 방법: 본 문헌고찰은 컴퓨터 데이터베이스 에 수록된 1990년에서 2002년에 출간된 선행연구 결과를 토대로 분석하였다. 결과: 종양환자와 그 가족은 의료전문인과의 대화, 책자, 시청각 및 인터넷 매체 등의 다양한 방법을 통해 정보를 구하였으며, 이러한 교육 요구 및 선호 양상은 다양한 요인에 따라 매우 개별적이었다. 또한 이들의 교육 준비상태는 질병 경험의 정신 사회적 수용 상태와 밀접하게 연관되어 있었다. 결론: 다양한 교육 방법을 활용한 개별적 접근이 종양 환자와 가족을 위한 환자교육에 적절할 것이며, 이들의 교육 준비상태와 일치하는 환자교육을 제공하기 위해 질병에 대한 정신적 적응과 수용상태를 지속적으로 사정하는 것이 필요하다.

• Journal of Digital Convergence
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• v.18 no.6
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• pp.401-409
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• 2020

The purpose of this study is to develop a convergence inpatient medical service patient experience management model(IMSPEMM) that can help in the management strategy of a medical institution to create a patient-centered medical culture. Using the original data from the 2018 Medical Service Experience Survey, 593 people with medical services inpatient(MSI) over the age of 15 were analyzed. By using the decision tree model, we developed a prediction model for overall satisfaction(OS) with the inpatient medical service experience(IMSE) and the intention to recommend patient experience(RI), and were classified into 4 and 7 types. The accuracy of the model was 68.9% and 78.3%. The OS level of IMSE was the nurse area and the hospital room noise management area, and the RI decision factor was the nurse area. It is significant that the IMSPEMM for MSI was presented and confirmed that the nurse area and the noise management area of the hospital room are important factors for the inpatient experience. It is considered that further research is needed to generalize the IMSPEMM.

• Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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• 2012.10a
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• pp.361-364
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• 2012

Through USN (Ubiquitous Sensor Network) is collected the patient's vital information in real-time, also information collected will be stored in the DB (Date Base), frequent use hospital saved patient's vital information for DB. Stored in the patient's vital medical information stored in the patients with frequent hospital patient to hospital if the patient's vital information is stored in DB. But, stored location is within hospital server or stored in a PC environment, because If utilize other Hospital existing hospitals will need to request. However, Existing hospital have problem for security, authentication, management, cost, manpower, such as, because other hospitals and the exchange of information does not come easily. So, If has the advantage of the patient and the patient's vital information is stored on mobile devices that you can use as DB. It is important to find information quickly and accurately, in this study, Is A study on mobile circulation loop DB systems for patient-centered serbices.

• Journal of Digital Convergence
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• v.19 no.2
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• pp.299-305
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• 2021

This study examined to identify the factors influencing on inpatients' satisfaction with hospitalization and willingness to recommend hospital to others. Data from the 2018 National Patient Experience Survey were used for the analysis. Of the 593 patients experiencing inpatient services, multivariate linear regression analysis was conducted to explore the factors such as physician care, nursing care, facility and administrative support, and healthcare system on inpatients' satisfaction after controlling for their socio-demographic and health related factors. The study found that physician care, nursing care, administrative support and healthcare system were related to inpatients' satisfaction and willingness to recommend hospital. To improve inpatients' satisfaction, it is necessary to improve healthcare professionals' overall patient-centerdness attitude, user friendly hospital facilities and administrative support services and efforts to trust and satisfaction on healthcare system from the patients' perspectives.

• Journal of The Korea Institute of Healthcare Architecture
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• v.2 no.3
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• pp.63-69
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• 1996

This study aims to evaluate the recently built patient-focused ward in korea through experience of patients. Finally, we have analysed the problems of ward-design and demands of patients.