• Title/Summary/Keyword: Adult Service

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The severity of clinical symptoms according to cancer diagnosis in fever patients visiting the emergency department: a retrospective analysis (응급실에 내원한 발열 환자에서 암 진단 유무에 따른 임상증상의 중증도에 대한 후향적 조사 연구)

  • Eun Seam Lee;Purum Kang;You Kyoung Shin;Geun Hee Seol
    • Journal of Korean Biological Nursing Science
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    • v.25 no.2
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    • pp.105-112
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    • 2023
  • Purpose: This study aimed to understand the general characteristics and biomarkers of inflammation in adult patients who visited the emergency department with fever and to determine whether the severity of clinical symptoms varies according to cancer diagnosis. Methods: Data were collected retrospectively from 4,002 adult patients with fever who visited the emergency department at a tertiary hospital from January 2018 to December 2018 using medical records. Results: On average, cancer patients were older than non-cancer patients (p < .001), and differences were observed between cancer and non-cancer patients in the origin of fever and biomarkers associated with inflammation. A higher proportion of cancer patients than non-cancer patients had a Korean Triage and Acuity Scale level of 1 to 3 (p < .001), and more cancer patients than non-cancer patients met two or more criteria for systemic inflammatory response syndrome (p = .001). More life-saving interventions in the emergency department were required in cancer patients than in non-cancer patients (p < .001), and cancer patients spent more time in the emergency department than non-cancer patients (p < .001). Conclusion: This study showed that the general characteristics and biomarkers of inflammation differed among adult patients with fever depending on cancer diagnosis. Furthermore, among adult patients with fever, cancer patients had more severe clinical symptoms than non-cancer patients. The results of this study are hoped to be helpful as a basis of nursing knowledge for adult patients with fever in the emergency department and as evidence for the classification of severity in patients with fever according to cancer diagnosis.

The Study on the Satisfaction of the Education programs: Focus on Adult Learner at the Lifelong Education Institutes of University (대학부설 평생교육원의 교육만족도와 영향요인에 관한 연구)

  • Choi, Young-Joon;Park, Geum-Ju
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.10
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    • pp.361-367
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    • 2018
  • This study was conducted to survey 1,067 adult learners who are attending lifelong education center in universities in Seoul, Gyeonggi-do, and Chungcheongnam-do in order to understand educational satisfaction and its effects factors. Educational satisfaction is composed the following factors: overall satisfaction, instructor, education contents, education methods, educational facilities and environment, and staff service. Also, we had a conditional factor in educational satisfaction for this survey; for example, the analysis of correlation at the education satisfaction variables between age, region, and gender. The key study results are as follows. First, the overall educational satisfaction was higher than the level of averages in the lifelong institute of the universities. Second, the highest factor was the satisfaction at the adult learners which is instructors in their curriculums among various factors; however, the staff service was the lowest. The third, the main variables influencing educational satisfaction were instructors, education contents, and facilities and environments of the institutes. To be specific, the explanatory power of these three variables was about 36 percent of the total effects on the satisfaction of education. Therefore, the implication for managing the lifelong education institutes for the adult learners are that the institutes and universities should have a priority in these areas: instructors, education contents, and facilities and environments.

A Study on the In-service Education Needs according to Critical Care Nurses' Characteristics (중환자실 간호사의 특성에 따른 실무교육 요구도 조사)

  • Lee, Mi-Mi;Yoo, Cheong-Sook;Chang, Sun-Ju
    • Journal of Korean Critical Care Nursing
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    • v.3 no.2
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    • pp.49-59
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    • 2010
  • Purpose: The purpose of this study was to investigate in-service education needs in order to develop clinical competence of critical care nurses', and to identify contents which have to include in-service education according to nurses' characteristics. Methods: Data was collected using Critical Care Nurse Job Analysis Tool that was modified by professional team. Collected data was analyzed using the SPSS program. Results: Total 148 critical care nurses, who had worked at adult intensive care unit of one tertiary hospital in Seoul, filled out questionnaire. The results showed the participants highly needed education about cardiological nursing practices such as ECMO, pacemaker, cardiac tamponade. And there were significant correlations among in-service educational needs and ICU careers, preceptors experience, and charge nurse experience. Conclusion: It will be necessary for better nursing to develop in-service education is based on critical care nurse's need and their characteristics. Especially, it is important to develop and provide in-service education programs, which consider ICU nurse's differences for their career ladder and nursing preceptors.

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Evaluation of the Quality of Care among Hospitalized Adult Patients with Community-Acquired Pneumonia in Korea

  • Hong, Ji Young;Kang, Young Ae
    • Tuberculosis and Respiratory Diseases
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    • v.81 no.3
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    • pp.175-186
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    • 2018
  • Pneumonia is an important cause of morbidity and mortality. Since 2014, the Health Insurance Review and Assessment Service (HIRA) has assessed the overall quality of care among hospitalized adult patients with community-acquired pneumonia (CAP) provided by all medical institutions in Korea. A committee of the Korea Academy of Tuberculosis and Respiratory Diseases developed the hospital inpatient quality measures set for CAP consisting of eight core measures and five monitoring measures. The composite measure score was calculated. The medical records of hospitalized adult patients ages 18 years or more with CAP from October to December 2014 were evaluated. The data of 523 hospitals (42 tertiary hospitals [8.0%], 256 general hospitals [49%], and 225 hospitals [43.0%]) and 15,432 cases (tertiary hospitals, 1,673 cases [10.8%]; general hospitals, 8,803 cases [57.1%]; hospitals, 4,956 cases [32.1%]) were analyzed. We found large variations among institutions in terms of performance of care measures for CAP. For the composite measure score, the mean value was 66.7 (tertiary hospitals, 98.5; general hospitals, 79.2; hospitals, 43.8). Despite significant differences in measure scores between tertiary, general hospitals and hospitals, no significant differences were found in mortality between hospitals. Further studies are needed to determine the care measures appropriate for CAP.

A Training Scheme of CAD and 3D Printing of Professional Human Resources for Adult Learners (성인학습자를 위한 CAD와 3D프린팅 전문인력 양성방안)

  • Choi, Chul-Jae
    • The Journal of the Korea institute of electronic communication sciences
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    • v.10 no.7
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    • pp.807-812
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    • 2015
  • Lifelong education is a periodic keyword. For a lifelong learner friendly education, university should provide the adult learners with the efficient academic administrative service. A university should support them in learning a series of graded lifelong study and come up with the convenience of continuous learning, maintaining the educational operation as a lifelong education university. A local government induces the regional economy reinvigoration from setting the lifelong learning conditions of the city. In this paper, I suggest a policy management scheme for opening training courses of 3D printing and CAD professionals training module as a non-degree reeducation programs for the lifelong learners that reflects the industrial milieu of the local community.

The Relationship between Risk Perception and Purchasing Behavior of Clothing Gift among Adult Women (성인 여성의 의류선물 구매시 위험지각과 구매행동간의 관계)

  • 김수진;정명선
    • Korean Journal of Human Ecology
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    • v.1 no.1
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    • pp.126-142
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    • 1998
  • The purpose of this study was to investigate the relationship between perceived risk and purchasing behavior of clothing gift among adult women. Data were collected from 258 adult women reside in Kwangiu who have ever been to purchase clothing gift during recent six months using a qusetionaire. Frequency Analysis, Factor Analysis, Correlation Analysis, T-test were carried out in the collected data. The findings were as follows; 1. The types of risks that respondents perceived when they purchased clothing gift were identified as practical-economic risk, the social-psychological risk, the fashionable risk and the time-refunding risk. 2. The higher the self-satisfaction motivation was, the higher the social-psychological risk and the higher the practical motivation was, the higher the practical-economic risk (P<.001). 3. The degree of the perceived risks of the Low Planning Group was higher than that of the High Planning Group (P<.001). 4. When the respondents perceived social-psychological risk high, they considered brand, fashionability, and store type as more important selective criteria and when the practical-economic risk perceived high, practicality, store service were conidered more important (P<.05). 5. When respondents perceived social-psychological and fashionable risk high, they used both personal information and non-personal information high (P<.01). (Korean J Human Ecology 1(1) : 126∼142, 1998)

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Menstrual Cycle Characteristics and Premenstrual Syndrome Prevalence Based on the Daily Record of Severity of Problems in Korean Young Adult Women

  • Kim, Yae-Ji;Park, Young-Joo
    • Journal of Korean Academy of Nursing
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    • v.50 no.1
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    • pp.147-157
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    • 2020
  • Purpose: This descriptive study aimed to identify the menstrual cycle characteristics and premenstrual syndrome (PMS) prevalence in Korean young adult women using the retrospective and prospective Daily Record of Severity of Problems (DRSP). Methods: In the first stage, participants included 151 nursing students studying in a university located in Seoul. Data were collected from April 20 to June 2, 2017, using the questionnaire on menstrual characteristics, pictorial blood assessment chart, and retrospective DRSP. In the second stage, participants included 17 students with PMS, based on the screening conducted in the first stage. Data were collected using the prospective DRSP from May 29 to 2 September 2, 2017. Results: Of the study sample, 104 participants (68.9%) had regular periods. Those with regular periods had 11.97 periods annually with a menstrual cycle of 29.38 days and a period duration of 5.72 days. Fifty-five participants (37.4%) showed menorrhagia. Sixty-four participants (42.4%) were found to have PMS based on their retrospective DRSP. When the ratio of women (52.9%) with PMS shown in the prospective DRSP was used as a positive predictive value, the estimated PMS prevalence was 22.4%. Conclusion: This study provides clinically significant PMS prevalence among Korean young adult women, positive predictive value of the retrospective DRSP, and valid data to basically understand the menstrual cycle characteristics experienced by these women.

Study on service and Use the Actual conditions of Day care Center for the elderly - with A Focus on Adult Day Care Facilities - (노인주간보호시설의 프로그램운영과 공간구성관계연구 - 경기도 노인주간보호시설을 중심으로 -)

  • Kim, Yong-Woong;Park, Kyung-Jin
    • Journal of the Korea Safety Management & Science
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    • v.15 no.2
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    • pp.135-141
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    • 2013
  • As the country's elderly people who are 65 years or older recently exceeded 10% of the total population with development of medical technology and improvement of living standards, Korea has turned into an aging society. Especially in Gyeonggi-do, as of late December 2012, elderly people who were 65 years or older were 1,135,242 persons, taking up 18.98% of the region's population and registering the largest number of elderly people in the nation's cities or provinces. Due to such a sharp rise in elderly population, support for the elderly is increasing the burden on families and communities. The study aims to take as its subjects elderly people staying at authorized elderly welfare facilities, who are weak in mind and body and have difficulty in daily life with disabilities, or adult day care facilities that take care of elderly people during the day or at night, examine the concept of adult day care facilities and instances in foreign countries, and study the status of the adult day care facilities located in Gyeonggi-do, their services, and safety by figuring out space arrangement based on program implementation. Spacial arrangement in program operation should satisfy fuction and purpose from the manager and user's perspective, and a desirable program operation should provide separate spaces for the elderly with Alzheimer's and those without Alzheimer's. Compared to residential care facilities, adult day care facilities incur less financial burden and, compared to other authorized services, have many right functions that can upgrade the quality of users and satisfy their desires. Major countries like Japan, the UK, and Sweden recognize the right functions of day and night care services and aggressively support and utilize adult day care facilities. For adult day care facilities, quality services should be developed and use and choices should be enhanced as regards services. Development of special programs for the elderly with dementia and stroke, instead of simple protective functions of a program, must be actively promoted, while manpower training is required for program operation, conveniences, and safety. By developing and providing space arrangement models that focus on efficiency, convenience, and safety of program operation, adult day care operation can be revitalized, while quality of elderly care may be enhanced and welfare budget can be saved.

A Study on the Impact of the Fashion Customizing e-Service Quality on Customer Loyalty: Focusing on the Mediating Effect of Flow (패션 커스터마이징 e-서비스 품질이 고객충성도에 미치는 영향: 플로우의 매개효과를 중심으로)

  • Kyung-Ha Shin
    • Journal of the Korea Fashion and Costume Design Association
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    • v.26 no.1
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    • pp.111-126
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    • 2024
  • The purpose of this study is to analyze the mediating effect of flow in the quality of customizing e-services and customer loyalty, with a view to providing a realistic strategy for the development of fashion customizing services. For this study, a total of 489 adult women in their 20s and older participated in a survey, and the responses were analyzed using SPSS 23.0 and AMOS 23.0 . The findings of the analysis were as follows. First, the ease of use, privacy, individual designs, order status, and accuracy of orders, which were the factors of fashion customizing e-service quality, had a significant and positive impact on flow. Second, the ease of use, order status, and order accuracy, which were the factors of fashion customizing e-service quality, had a significant and positive impact on customer loyalty. Third, the flow of the fashion customizing service had a significant and positive impact on customer loyalty. Fourth, in the relationship between fashion customizing e-service quality and customer loyalty, flow had a significant mediating effect. The findings of this study are expected to be useful data for the fashion industry providing a set of criteria for optimized customizing e-services for customers.

The Study for the Foundation Build up of the Elderly Welfare Service in Korea. - Focused on the Degree of Life Planning of Aged and Needs of Elderly Welfare Service (우리나라 노인복지서비스 기반 구축을 위한 기초연구 - 노후생활준비와 노인복지서비스 요구도를 중심으로)

  • Park Mee-Sok
    • Journal of Families and Better Life
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    • v.23 no.4 s.76
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    • pp.1-15
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    • 2005
  • Korean society is experiencing rapid changes which are certain to shape the lives of the older people and their families. So, the purpose of this study was to improve the quality of the elderly welfare service in Korea. Even though the interest about the elderly welfare in Korea is rapidly on the increase, the reality of Korean Society still leaves much to be desired, quantitatively as well as qualitatively. Pay attent to this point, now going to grasp the situation of not the handicapped elder people but the general elder people actual life condition and demand for welfare. So this study focused on the demand of not out-of home service but in-home care service. It was based on the data from by Korea National Statistical Office, having observed 6,139 elderly people. The results were as follows. They hope to get the elderly welfare services about health examination service, nursing survice, supporting service for household. That was, the most of them wanted in-home care service than out-of home care service. To ensure effective care to the elderly, it needed development and settlement of welfare service in face of their daily living. And, even though they recognized that they should cover the elderly life expenses themselves, the rate was hit that indicated their adult children as a parents supporter. This means that we should consider not only to the elder people but also to the family which contained the old people as the elderly welfare service. As a remedy, we can find the cooperation between elder welfare service at the social welfare organization and counsel, education at the family strengthen center. To improve the quality of the elderly welfare service in Korea, the elderly welfare service should focus not only on the physical and spiritual health maintenance but also active understanding living environment and growing ability to arbitrate between individual and living.