• 제목/요약/키워드: Acute Care

검색결과 981건 처리시간 0.026초

뇌졸중 재활치료에 있어서 병원군집간 의료서비스 제공실태와 치료성과 -일본 뇌졸중 환자 데이터베이스를 이용하여- (Stroke Rehabilitation Performance and Outcomes among Hospitals)

  • 이노우에 유스케;정승원;콘도 카츠노리;서영준
    • 보건의료산업학회지
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    • 제5권3호
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    • pp.53-61
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    • 2011
  • This study was to assess the differences in rehabilitation outcomes between the different facilities in Japan, and to determine if there was any variation in patients' functional recovery at hospital discharge across the different facilities. This study focused on acute patients in the rehabilitation ward using the data of 1,830 patients from 8 hospitals after adjusting for triage at admission obtained from the Rehabilitation Patients Databank in Japan (issued in February, 2011) and compared the therapeutic results of each hospital. We estimate the expected value of levels of activities of daily living(ADL) at discharge for rehabilitation patients using regression analysis and Cluster analysis. There were differences among hospitals in their therapeutic results. The differences in the participation of physicians registered as rehabilitation specialists, amount of exercise, self-exercise without therapist, and exercise in wards, were statistically significant differences between hospitals.

20대 여성 대상 안티에이징 담론 분석 -영패션잡지 『쎄씨(Céci)』를 중심으로- (Anti-aging Discourses Targeted at Women in Their 20s -Young Fashion Magazine 『Céci』-)

  • 신혜영;안진현;하지수
    • 한국의류학회지
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    • 제41권4호
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    • pp.599-614
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    • 2017
  • With the increasing media representation of aging as negative and abnormal, anti-aging products and discourses are spreading to younger generations. This paper analyzes the anti-aging discourse in a fashion magazine targeted towards women in their 20s. It quantitatively analyzes the historical development of the antiaging industry and discourses from 1994 to 2014 in the magazine "$C{\acute{e}}ci$". It also analyzes the patterns of signification associated with aging in the magazine through the use of critical discourse analysis. This paper identifies five major discourses -"segmentation of the definitions of youthful appearance", "scientific and medical discourse", "self-care discourse", "prevention of aging", and "social values of youthful appearances". The paper finds that the construction of anti-aging discourses towards women in their 20s is heavily influenced by the close link between the anti-aging industry and the fashion media. It also confirms the ideology of self-development though a rigorous appearance-management that is strongly imposed on Korean women and subsequently reproduced in an anti-aging discourse towards women in their 20s.

결혼이민 여성에 대한 간호사의 태도 (Nurses' Attitude toward Migrant Wives)

  • 김덕희;김신미;이윤정;박헌례;조명숙;구효진
    • 한국간호교육학회지
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    • 제16권2호
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    • pp.321-329
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    • 2010
  • Purpose: The survey was performed to explore nurses' attitudes toward migrant wives in Korean society. Method: Four hundred thirty-eight respondents were recruited from 2 acute hospitals from 2 different geological areas. The attitude inventory to measure attitude toward migrant wives was utilized, which includes 6 factors such as prejudice, reliability, offensiveness, interests, acceptance, and influence. Result: The overall attitude was slightly positive (3.23) and reliability was the only non-positive scoring factor. Among the general characteristics education level showed a significant difference in 5 factors consistently compared to other characteristics. Conclusion: It can be concluded that Korean nurses tend to take a neutral to slightly positive attitude toward migrant wives. Therefore, any influence from nurses' attitudes related to migrant wives can be ignored. Obstacles or barriers which could hamper nursing care for migrant wives need to be identified and studies of strategies to overcome any existing barriers are called for.

시너(Thinner) 정주로 발생한 급성 폐질환 1례 (Acute Pneumonitis Induced by Intravenous Thinner Injection in a Case of Suicidal Attempt)

  • 이혜지;최병호;김미진;홍정석
    • 대한임상독성학회지
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    • 제13권1호
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    • pp.33-35
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    • 2015
  • A 24 year-old man attempted suicide by injection of 1 cc of thinner into his left antecubital vein; 3 hours later, he visited our emergency room because of left chest pain. We suspected a chemical pneumonitis based on the abnormal findings of his chest X-ray and computed tomography. On the 3rd day after admission, a cellulitis also occurred at the injection area. His symptoms were relieved after supportive care for 2 weeks. There is significant experience with intoxication of thinner inhalation, whereas intoxication of intravenous thinner is rare.

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아마존 모토로 담수가오리(Potamotrygon motoro)의 척추 돌기 독 가시에 의한 손상 1례 (A Case Report of Envenomation and Injury by a Poisonous Spine of A Marble Motoro (Potamotrygon Motoro))

  • 좌민홍;전승호;김덕환;박종수;김수진;홍윤식;이성우
    • 대한임상독성학회지
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    • 제11권1호
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    • pp.46-48
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    • 2013
  • Potamotrygon motoro, also known as the Marble motoro, is a potamodromous freshwater ray native to the basins of the Amazon River. Marble motoros were introduced to South Korea in the 2000s, and, because they are easy to raise, were sold as aquarium fish. The aim of this report is to illustrate a new case involving envenomation by a Marble motoro. A 35-year-old commercial aquarium assistant came to the hospital after being pricked by a Marble motoro. The clinical picture in this case showed acute local pain with minimal systemic manifestations. This patient recovered after receiving symptomatic treatment and wound care. This case of envenomation accentuates the potential for injury among people coming in contact with a venomous Marble motoro.

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신규간호사의 전환충격 측정도구 개발 (Development of the Transition Shock Scale for Newly Graduated Nurses)

  • 김은영;여정희;이경임
    • 대한간호학회지
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    • 제47권5호
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    • pp.589-599
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    • 2017
  • Purpose: The purpose of this study was to develop a scale to assess the transition shock experienced by newly graduated nurses, and test the validity and reliability of the scale. Methods: The initial items were identified through a review of literature and in-depth interviews with nine newly graduated nurses. Content validation of the items was evaluated by five nurse professors and three nurses. Participants were 269 newly graduated nurses who worked at six acute care hospitals in Busan, Ulsan, and Yangsan, South Korea. Data were analyzed using item analysis, exploratory and confirmatory factor analysis, criterion related validity, and internal consistency. Results: The final scale consisted of 18 items and six factors (conflict between theory and practice, overwhelming workload, loss of social support, shrinking relationship with co-workers, confusion in professional nursing values, and incongruity in work and personal life), which explained 71.3% of the total variance. The six subscale model was validated by confirmatory factor analysis. Cronbach's alpha for the total items was. 89. Convergent validity was evaluated by analyzing total correlation with burnout (r=.71, p<.001) and turnover intention (t=5.84, p<.001). Conclusion: This scale can be used in the development of nursing interventions to reduce the transition shock experienced by newly graduated nurses.

수면 무호흡증이 있는 양극성 장애 환자에서 급속 정온요법으로 인해 발생한 급성 호흡 장애 (Acute Respiratory Distress due to Rapid Tranquilization in a Bipolar Patient with Sleep Apnea)

  • 함병주;서용진;김린
    • 수면정신생리
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    • 제8권2호
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    • pp.144-147
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    • 2001
  • Chemical restraint or "rapid tranquilization" is another option in treating patients who are a danger to themselves or others and struggle violently once physically restrained. The most commonly used drugs are benzodiazepines and antipsychotics. The use of benzodiazepines, either alone or in combination with high potency neuroleptics, has increased in recent years. Benzodiazepines are extremely safe but may cause respiratory depression and hypotension. Respiratory depression is more likely with intravenous administration, therefore these medications should be given slowly and titrated to the desired effect. Special care should be taken when sedating patients who are under the influence of alcohol or narcotics and are sleep apneic patients. This report deals with a case of respiratory distress in a patient with sleep apnea syndrome after the rapid tranqulization. All patients receiving chemical restraint must be carefully monitored. For critically ill patients who require sedation or chemical restraint, the constant attendance of a physician may be warranted.

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관상동맥 우회술 후 12개월 환자와 일반인의 삶의 질 비교 (A Comparison of Quality of Life between Patients with 12 Months after Coronary Artery Bypass Graft Surgery and General Population)

  • 송영숙;이정선
    • 임상간호연구
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    • 제14권1호
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    • pp.25-32
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    • 2008
  • Purpose: The purpose of this study was to examine quality of life with patients in 12 months after coronary artery bypass graft surgery, compared with general population. Method: A cross-sectional comparative study was designed. Study participants were 90 adults who had undergone CABG surgery (n=45) in experimental group and general population (n=45) in control group. The subjects were asked the questionnaire (SF-36, Short Form-36) regarding the quality of life. The data were analyzed by the SPSS 13.0 program including frequency, percentage, $x^2$ test, t-test and One-Way ANOVA. Results: There were no significant differences in the quality of life between two groups including physical functioning (t=-.938, p=.351), role-physical limitation (t=-.322, p=.748), bodily pain (t=-.938, p=.351), general health (t=-.1418, p=.888), vitality (t=-.816, p=.417), social functioning (t=.720, p=.474), role-emotional limitation (t=-.710, p=.479), mental health (t=-.431, p=.667). Conclusion: Even though patients in experimental group had operation experience, the quality of life examined on the time of 1 year after bypass surgery is similar in that of general population. We suggest the study change the design as examination of quality of life before and after coronary artery bypass graft surgery.

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플로팅 간호사와 일반 간호사의 간호역량, 자아존중감, 직무 스트레스 비교 연구 (Nursing Competency, Self-Esteem, and Job Stress between Floating Nurses and Clinical Nurses)

  • 주원진;김미영
    • 임상간호연구
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    • 제23권2호
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    • pp.248-257
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    • 2017
  • Purpose: This study was aimed to compare nursing competency, self-esteem, and job stress between floating nurses and clinical nurses. Methods: The data were collected between October $1^{st}$ and December $31^{st}$, 2015, from 43 floating nurses and 57 clinical nurses working at a tertiary care hospital in Seoul. The collected data were analyzed with SPSS/WIN 23.0, using descriptive statistics and the t-test, $x^2$ test, ANCOVA, ANOVA, $Scheffe{\acute{e}}$ test, Pearson correlation coefficients, and Stepwise multiple regression. Results: The nursing competency of clinical nurses was significantly higher than that of floating nurses (F=4.370, p=.039). For both floating and clinical nurses, nursing competency was positively correlated with self-esteem (floating nurses, r=.47, p=.002; clinical nurses, r=.62, p<.001). Also, For both floating and clinical nurses, the most significant predictor of nursi ng competency was self-esteem(floating nurses, ${\beta}=0.45$, p=.001; clinical nurses, ${\beta}=0.60$, p<.001). Conclusi on: Efforts are needed to increase the nursing competency of the floating nurse through the improvement of the floating system, the nursing work environment, and continuous education. Also, as self- esteem is the most effective predictor of nursing competence, nursing intervention is needed to improve self-esteem of the floating nurse.

권력부여(Empowerment)에 대한 개념분석 (An Analysis of the Concept mEmpowermentm)

  • 구옥희
    • 대한간호학회지
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    • 제28권1호
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    • pp.37-46
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    • 1998
  • Recently the concept of 'empowerment' not only attracts attention in the area of management but also is considered as an useful concept in the areas of nursing theory. practice, education, and research. The purpose of this paper is to clarify the meaning of the concept 'empowerment'. More concretely, it is to find the concept that can be applied appropriately to the area of nursing management. This study uses Walter & Avant's(1983) process of concept analysis. The attributes of empowerment based on the concept can be defined concisely as follows : 1. a dynamic and interaction process 2. a partnership which values self and others : power shaving 3. mutual decision-making using resources, opportunities, and authority 4. accept autonomy and responsibility Antecedents of empowerment consist of 1) mutual trust and respect, 2) education and support, 3) participation and commitment. In regard to the consequences of empowerment, it is expected to 1) positive self-esteem, 2) ability to set and reach goals, 3) the promotion of organization's effectiveness and productivity, 4) provide effective and high quality health-care, 5) a sense of hope for the future. The concept of empowerment is certainly believed that it will help future nurses since they needs an integrated technique that can treat acute and chronic patients' nursing, individuals, families, and communities. Therefore. it is necessary to develop the instrument including the defining attributes identified in this study. Also, it is need follow up study of this concept.

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