• 제목/요약/키워드: Improving Compliance

검색결과 165건 처리시간 0.025초

폐렴환자를 위한 간호교육프로그램이 순응도 및 자기효능감에 미치는 효과 (The Effects of Compliance and Self Efficacy on Nursing Education Program for Pneumonia Patient)

  • 강경숙;최한나
    • Journal of Korean Biological Nursing Science
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    • 제22권3호
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    • pp.184-191
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    • 2020
  • Purpose: The purpose of this study was to validate the effects that the structured pamphlet and education through tablets regarding the daily life management and disease nursing education program has towards pneumonia patients in compliance, and self-efficacy. Methods: This study used the quasi-experimental study design based upon the nonequivalent control group pretest-posttest design. A total of 100 patients-50 patients who were hospitalized February 2020 as the control group and 50 patients who were hospitalized March 2020 as the experimental group - were used as material for the statistical analysis. These data were analyzed with a significance level of p< .05 using the SPSS WIN 21.0 program. Results: The patients' compliance, and self-efficacy had no significance difference between the two previous scores, meaning homogeneity in the two groups. Through verifying the experimental group who had disease and daily-life managing nursing education will have higher scores in compliance (t= 20.95, p< .001), and self-efficacy (t= 17.24, p< .001) than the control group who had not received those education, were statistically significantly different leading to all hypothesis being supported. Conclusion: For improving pneumonia patients' compliance, the methods should be simple, easy to understand, effective in numerous clinical situations, require constant education and reinforcement, and periodic nursing education program.

복약지도 만족도가 복약순응도에 미치는 영향 : 외래환자를 대상으로 (Effect of Patient's Satisfaction with Pharmacist's Medication Counseling on Medication Compliance Among Outpatients)

  • 허재헌;김수진;김주혁;허순임
    • 한국임상약학회지
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    • 제19권2호
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    • pp.110-119
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    • 2009
  • Medication compliance is essential to improve person's health status through pharmacotherapy. Since separation of dispensing and prescription has been implemented, the importance of pharmacist's role on medication counseling have been emphasized, especially among outpatients. The objective of this study is to investigate the effect of patient's satisfaction with pharmacist's medication counseling on medication compliance among outpatients. We used the 2005 Korea National Health and Nutrition Survey data to examine medication compliance of persons who visited pharmacy. Ordered logistic regression analysis was conducted to assess whether patient's satisfaction with pharmacist's medication counseling was associated with medication compliance. Overall, 86.17% of study subjects(5,494) reported to take the prescribed medicines correctly and 80.54% of respondents were satisfied with pharmacist's medication counseling. Logistic regression analysis presents patient's satisfaction with pharmacist's counseling is significantly associated with medication compliance after controlling patient's characteristics(proxy-measured by age, family income, educational attainments, comorbid conditions). Interestingly, even patients who are dissatisfied with pharmacist's counseling have slightly higher odds of better compliance to medication therapy than those without pharmacist's counseling. In addition, higher educational attainments and older age groups are associated with better medication compliance. In conclusion, pharmacist's medication counseling appears to be effective in improving medication compliance. Further research that assess medication counseling in detail needs to develop strategies to improve medication adherence.

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관상동맥질환자의 건강정보이해능력과 건강행위이행 (Health Literacy and Health Behavior Compliance in Patients with Coronary Artery Disease)

  • 정은영;황선경
    • 성인간호학회지
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    • 제27권3호
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    • pp.251-261
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    • 2015
  • Purpose: The aim of this study was to identify the levels of and the related factors to health literacy and health behavior compliance in patients with coronary artery disease. Methods: A cross-sectional survey was conducted with a convenience sample of 121 hospitalized patients with coronary artery disease. The structured questionnaires were used to measure the levels of health literacy and health behavior compliance. Results: The average linguistic health literacy score was $32.23{\pm}21.46$, the functional health literacy score was $6.51{\pm}5.08$, and the health behavior compliance score was $61.66{\pm}15.53$. The levels of education (${\beta}$=.35), income (${\beta}$=.27), and perceived health status (${\beta}$=.21) were found significant, explaining 41.8% of the variance in linguistic health literacy. The levels of education (${\beta}$=.23), income (${\beta}$=.27), age (${\beta}$=-.24), and family support (${\beta}$=.22) were found to be significant, explaining 50.9% of the variance in functional health literacy. The levels of education (${\beta}$=.27), family support (${\beta}$=.20), and linguistic health literacy (${\beta}$=.40) were found to be the significant factors, which explained 45.1% of the variance in health behavior compliance. Linguistic health literacy specifically explained 9.5% of health behavior compliance. Conclusion: Health literacy was associated with health behavior compliance, influencing the factors of health behavior compliance. These findings suggest that the interventions for improving health literacy are necessary to enhance health behavior compliance in patients with coronary artery disease.

코막힘으로 인해 양압기에 적응하지 못한 폐쇄성수면무호흡증 환자에서 시행된 코수술 1례 (A Case of Nasal Surgery for a Positive Airway Pressure-Intolerant OSAS Patient Due to Nasal Obstruction)

  • 정재현;선상우;홍승노;최지호
    • 수면정신생리
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    • 제23권2호
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    • pp.97-99
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    • 2016
  • Positive airway pressure (PAP) is currently recommended as a primary treatment for obstructive sleep apnea syndrome (OSAS) and positively affects various subjective and objective parameters related to OSAS, such as the apnea-hypopnea index, excessive daytime sleepiness, and blood pressure. However, PAP also exhibits various adverse effects, including skin breakdown, pressure intolerance, claustrophobia, unintentional mask removal, mouth leaks, and dryness. Especially, unintentional mask removal due to nasal obstruction may result in poor PAP compliance. A 47-year-old male patient with severe OSAS who had low PAP compliance due to nasal obstruction underwent nasal surgery. After the surgery, nasal obstruction was corrected and the patient experienced improved PAP compliance (from 30.4% to 86.7%). This case demonstrates that nasal surgery may be useful for improving PAP compliance in OSAS patients with nasal obstruction.

개별교육이 혈액투석환자의 투석관련 지식, 환자역할행위 이행 및 생리적 지수에 미치는 효과 (Effects of Individualized Education on Knowledge, Compliance, and Physiologic Parameters in Hemodialysis Patients)

  • 김영주;유양숙
    • 성인간호학회지
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    • 제18권3호
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    • pp.367-376
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    • 2006
  • Purpose: This study was designed to explore the effects of providing individualized education for hemodialysis patients on their knowledge of hemodialysis, compliance of patient role behavior, and physiologic parameters. Method: A quasi experimental design with a non-equivalent control group and a non-synchronized design was used. The experiment was conducted with a total of 40 hemodialysis patients (20 in the experimental group and 20 in the control group) at the artificial kidney center, C University Hospital. The experimental group was provided with individualized education, 30 minutes per session, three times per week, for two weeks. Results: The experimental group had significantly higher knowledge of hemodialysis than the control group after the education. The compliance of patient role behavior was more enhanced in the experimental group than the control group. The experimental group showed significantly higher values of blood urea nitrogen, but not the values of blood creatinine, albumin, kalium, and phosphorus. Conclusion: The individualized education was found to be an effective intervention for improving patients' knowledge of hemodialysis and compliance of patient role behavior.

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정보제공이 영구형 심박조율기 이식환자의 불안, 지식 및 치료지시이행에 미치는 효과 (Effect of Providing Information on Anxiety, Knowledge and Compliance of Patients with a Permanent Pacemaker)

  • 이선경;유양숙
    • 성인간호학회지
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    • 제17권3호
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    • pp.484-492
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    • 2005
  • Purpose: This study was undertaken to identify the effect of providing information on anxiety, knowledge and compliance in permanent pacemaker patients. Method: A quasi experimental design with non-equivalent control group and non-synchronized design was used. The subjects of this study were 50 patients who had received permanent pacemaker implantation at a university hospital in Seoul. They were divided into an experimental group of 22 patients who received education and a control group of 28 patients. The education was composed of group education(twice) and individualized reinforcement education(once) using an education booklet. Results: Anxiety decreased in the experimental group. Knowledge significantly increased in the experimental group compared to that in the control group. Compliance significantly increased in the experimental group. Conclusion: It can be concluded that providing information is effective for reducing anxiety, increasing knowledge and improving compliance of the permanent pacemaker patients.

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발주기관 및 공사규모별 산업안전보건관리비 법정 기준의 준수비율 분석 (Compliance Status of OSH Expense Regulation by Client Types and Project Amount)

  • 이규진
    • 한국건축시공학회지
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    • 제15권1호
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    • pp.73-79
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    • 2015
  • 산업안전보건관리비 계상기준은 1988년에 제정된 이래 건설 현장의 안전성 향상에 긍정적인 영향을 주고 있다. 기존 연구에서는 안전보건관리비의 요율이 건설 현장의 안전과 건강을 보장하기에 충분하지 않다 주장되고 있는데, 최근 조사에 의하면 다수의 건설현장에서 그나마도 준수하지 않는 것으로 나타났다. 본 연구는 안전보건관리비 기준의 준수 실태를 알아보기 위해 완성공사원가통계에서 집계된 원가비율을 공사규모와 발주자 유형별로 분석하였다. 그 결과 준수율이 발주자 유형별로 볼 때 대부분의 유형에서 실질적으로 매우 낮은 결과가 나왔다. 이는 최소한의 법적 기준마저 준수되지 않고 있음을 의미하며, 향후 산업안전보건관리비 등을 비롯한 관련 법규정의 준수를 위한 강력한 법집행이 요구된다.

조직의 정보보안 목표 설정과 공정성이 보안정책 준수의도에 미치는 영향 (A Study on the Influence of Organizational Information Security Goal Setting and Justice on Security Policy Compliance Intention)

  • 황인호;김승욱
    • 디지털융복합연구
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    • 제16권2호
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    • pp.117-126
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    • 2018
  • 전 세계적인 정보보안 위협의 증대에 따라 조직들은 보다 전문화된 정보보안 정책 및 시스템을 도입 및 활용에 투자 비중을 높이고 있다. 정보보안은 보안 시스템 및 정책을 이행하는 조직원들의 참여가 무엇보다 필요하며, 조직 내부의 보안 수준을 높이기 위해서는 조직원들의 정보보안 준수의도 향상을 위한 조직의 체계적인 지원이 무엇보다 필요하다. 본 연구는 정보보안 분야에 공정성이론과 목표설정이론을 적용하여 조직원의 정보보안 준수의도를 높이기 위한 매커니즘을 찾는다. 즉, 보안정책 목표설정이 조직원들의 보안관련 공정성 인식수준에 긍정적인 영향을 미치고, 공정성은 준수의도에 긍정적인 영향을 미친다는 연구모델 기반 가설 검증을 실시한다. 연구대상은 정보보안 정책을 도입한 조직의 조직원들이며, 설문조사를 통하여 유효샘플 383개를 수집하였다. 연구가설 검증은 구조방정식 모델링을 실시하였다. 보안정책 목표 요인(목표 난이도, 목표 구체성)이 조직원의 보안관련 공정성 인식을 높이며, 보안관련 공정성(분배, 절차, 그리고 정보 공정성)이 준수의도에 긍정적 영향을 주는 것으로 나타났다. 결과는 조직의 보안 정책에 대한 조직원들의 준수의도 향상을 위한 전략적 접근 방향을 제시한다.

꼬리 지느러미의 유연성을 이용한 로봇 돌고래의 성능 향상 (Improving the Performance of a Robotic Dolphin with a Compliant Caudal Fin)

  • 박용재;조규진
    • 로봇학회논문지
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    • 제9권4호
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    • pp.225-231
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    • 2014
  • Fish generates thrust with a compliant fin which is known to increase the efficiency. In this paper, the performance of a robotic dolphin, the velocity and the stability, was improved using an optimal compliant caudal fin under certain oscillating frequency. Optimal compliance of the caudal fin exists that maximizes the thrust at a certain oscillating frequency. Four different compliant fins were used to find the optimal compliance of the caudal fin at a certain frequency using the half-pi phase delay condition. The swimming results show that the optimal compliant fin increases the velocity of the robotic fish. The compliance of the caudal fin was also shown to improve the stability of the robotic fish. A reactive motion at the head of the robotic dolphin causes fluctuation of the caudal fin. This phenomenon increases with the oscillating frequency. However, compliant fin reduced this fluctuation and increased the stability.

복약순응도 증진을 위한 환자 대상 약물 색채선호도에 관한 기초연구 (A Basic Study on Color Preference of Medicine in Patient for Improving Compliance)

  • 예경남;김민정;김정태;임성실
    • 약학회지
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    • 제59권1호
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    • pp.23-28
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    • 2015
  • Everyone has own color preference and the color preference can affect human psychology in various good or bad ways. Especially patients with chronic diseases often have depressed mood to take pills for their disease treatment. Therefore we evaluate the possibility of their color preference to pharmacotherapy in good way which increases the compliance of pharmacotherapy. We performed this study by a Questionnaire survey for total 150 agreed patients at K University hospital from Aug 7 to Sep 30, 2014. Questionnaire survey was performed to choose color of providing color kit (11 different color range kit) depend on each 16 questions which asked the patient characteristics, health condition, general color preference, color preference for medicine and expectation for drug compliance. In results, most preferred color was blue (20%), whereas disliked color was black (30%) in general life. However, most preferred color for pill was white (32%), for syrup was also white (31%) or orange (28%), and for vitamin was yellow (47%). When we asked the possibility of increasing compliance, if the current taking pill color will be changed for your preference color like a candy bar, 50.4% of respondents marked 4 or 5 of like-scale expressing positive opinion on it. In conclusion, compliance is very important to succeed the treating disease and may apply the psychologic application such as each patient color preference for drug compliance in the future.