• 제목/요약/키워드: Intervention System

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가정 호스피스 대상자와 일반 가정간호 대상자에게 제공된 간호중재 비교 (A Comparison between Home Care Nursing Interventions for Hospice and General Patients)

  • 용진선;노유자;한성숙;김명자
    • 대한간호학회지
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    • 제31권5호
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    • pp.897-911
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    • 2001
  • The purpose of the study was to compare home care nursing intervention activities analyzed by the Nursing Intervention Classification (NIC) system for hospice and general patients. Method: For the descriptive survey study, data was collected by reviewing charts of 151 hospice patients and 421 general patients who registered in the department of home health care nursing at K Hospital. Results: According to the NIC system application, there were 2380 total nursing interventions used for the hospice patients and 8725 for the general home care patients. For both sets of patients (hospice vs. general), the most frequently used nursing intervention in level 1 was the Physiological: Complex domain (40.13 vs. 31.06 percent), followed by the Safety domain; in level 2, the Risk Management class (28.4 vs. 27.70 percent), followed by Tissue Perfusion Management; and in level 3, Vital Sign Monitoring (6.18 vs. 4.84 percent), followed by Health Screening. Conclusion: The study showed that there was a lack of specialized hospice nursing interventions such as emotional, family and spiritual support, and care for dying hospice patients.

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지역약국 약사의 처방중재 활동 평가 (Evaluation of Pharmacists' Intervention Activities in Community Pharmacy)

  • 구현지;성종미;정선영;정경혜
    • 한국임상약학회지
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    • 제34권1호
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    • pp.62-70
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    • 2024
  • Background: Drug-related problems have the potential to threaten patient health, and pharmacists are in a position to prevent such problems through prescription reviews and patient counseling, actively engaging in pharmaceutical care activities. This study aims to categorize and analyze the intervention activities of pharmacists in community pharmacies concerning drug-related problems, following international criteria. Methods: Over a six-month period, prescription interventions completed in a community pharmacy in Seoul were selected as the research subjects. The causes of interventions were classified according to the Pharmaceutical Care Network Europe (PCNE) drug-related problems (DRPs) classification system and the types and frequencies of DRPs were identified. Results: Among a total of 49,334 prescriptions, 527 interventions were completed, constituting approximately 1.07% of the daily average filled prescriptions. Individuals over 60 years of age represented more than 50%. The primary cause of DRPs was prescribing and drug selection issues, comprising 256 cases (48.58%), with specific subcategories including 109 cases of drug selection, 79 cases of treatment duration errors, 47 cases of dose selection, and 21 cases of inappropriate dosage form selection. Patient-related issues accounted for 204 cases (38.71%). Conclusion: The study demonstrated that the pharmacists' intervention in community pharmacies contributes to the safe use of medication by patients.

위암환자를 위한 간호 데이터베이스 개발 (Development of the Nursing Database for Gastric Cancer Patients)

  • 정귀임;이병숙
    • 간호행정학회지
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    • 제7권3호
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    • pp.571-588
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    • 2001
  • Purpose : This study was to develop the nursing database for gastric cancer patients for clinical application. Method : Nursing data that development of this data base is comprehensive connected with gastric cancer patient nursing process frame to foundation as classification. Result : Each stage was processed based on the System Development Life Cycle. At the Strategy Planning stage, gastric cancer patient nursing process were analyzed. At the system Analysis Stage, database flowchart was drawn up based on frame of nursing process was drawn up. At the system Design Stage, a system was developed based on the flowchart and named the Nursing Database. The Nursing Database consisted of the patient's Basic Information, Patient's Nursing History, Discharge summary, Nursing Assessment, Nursing Diagnosis, Nursing Intervention/activity, Nursing Evaluation, Statics, Code Registration. Each element in flowchart was coded and made into a database. Nursing Assessment classified according to Gorden's Health Pattern Typology, and nursing diagnosis draws the standard 27 name of Hanguls and connected with nursing assessment. Nursing intervention and nursing activity draw 192 of thing that present in NIC, connected this with nursing assessment. Nursing evaluation is linked with nursing assessment, diagnosis and intervention by achievement availability of nursing goals. Conclusion : The biggest advantage of this database nursing process that can manage nursing information exactly and rapidly to foundation be.

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보건의료 분야의 제도적 환경 변화와 조직 혁신의 상호작용: 브랜드 공유 병의원 사례를 중심으로 (Institutional Changes and Organizational Innovation in Korean Healthcare Industries: Analysis of the Changes in Networked Clinics)

  • 김광점
    • 한국병원경영학회지
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    • 제spc호
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    • pp.51-60
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    • 2016
  • The forms of healthcare service delivery emerges from the interaction between technological progress and institutional changes. Building a healthcare system which enables effective and efficient patient care is a imperative to a sustainable operation of a society. Identifying of a promising medical technologies and diffusing them consists of the basic tasks of a good healthcare system. Inducing of a promising innovation in healthcare and utilization of the innovation requires a deep understanding of healthcare innovation system and delicate governmental intervention to the effective functioning of the system. Therefore, the support for R&D in healthcare field should be given to social and institutional technologies for the better organization of healthcare delivery and consumption system as well as basic and applied medical sciences.

비콘 기반의 심전도 센서를 이용한 자동 인증 시스템 구현 (Implementation of Automatic Authentication System using ECG Sensor based on Beacon)

  • 이재규;김의창
    • 디지털융복합연구
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    • 제15권5호
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    • pp.217-223
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    • 2017
  • 센서 네트워크와 IoT(Internet of Things)기술의 발달로, 개인의 상황정보를 수집하여 관련된 사용자들에게 맞춤화된 서비스의 제공이 가능해졌다. 현재, 상황정보 시스템은 사용자 특정 행동 특성을 분석하여 인지하고, 이벤트를 생성하는 수준에 있다. IoT 환경에서는 사람이 특정 목적을 갖고 행동하는 것이 아니라 의도하지 않아도 필요한 서비스를 사용자의 개입이 최소화되어 IoT 제품 스스로가 제공해주어야 한다. 본 논문에서는 IoT환경에서 사용자의 개입을 최소화하기 위해 비콘 기반에서 ECG를 이용해 상황정보를 이용한 자동출결 인지시스템을 구현했다. 특정 상황정보가 필요한 환경에서, 기존의 인증기법과 본 논문에서 제시한 ECG 센서를 이용한 인증 기법의 사용자 개입성을 비교 분석하였다. 분석 결과, 본 논문에서 구현한 시스템이 사용자의 개입을 최소화한다는 것을 확인했다.

맞춤형 착석장치를 통한 자세지지가 뇌성마비 아동의 상지 마우스 사용에 미치는 영향: 단일대상연구 (Effect of Postural Support with a Custom Seating System on Upper Extremity Access to Mouse for Children with Cerebral Palsy: a Single Subject Research)

  • 정동훈
    • 재활복지
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    • 제16권2호
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    • pp.287-309
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    • 2012
  • 본 연구는 맞춤형 착석장치를 통한 자세지지가 뇌성마비 아동의 상지 마우스 사용 능력에 미치는 영향을 알아보고자 실시하였다. 단일대상 연구방법의 하나인 ABAB 설계를 실시하였고, 경직성 사지마비로 진단받은 13세 뇌성마비 남아가 참여하였다. 대상자의 중재 전 휠체어 앉기 자세와 자세지지를 통한 중재 자세에서 마우스 클릭을 위한 반응시간과 정확도를 비교하였다. 중재 자세는 현행 임상지침과 상지 운동을 촉진하는 것으로 밝혀진 연구결과를 참고하였고, 대상자의 전형적인 휠체어 앉기 자세에서 도수 평가 후 맞춤형 착석장치를 통해 교정하였다. 연구 결과는 기초선 자세보다 중재 자세에서 마우스 클릭을 위한 반응시간이 감소한 것으로 나타났다. 마우스클릭의 정확도는 모든 단계에서 높게 나타나 분석을 실시하지 않았다. 이는 맞춤형 착석장치를 통한 기능적인 앉기 자세가 뇌성마비 아동의 상지 마우스 사용 능력에 긍정적인 영향을 미친다는 경험적 증거를 제공한다. 향후에는 다른 장애 유형과 더 많은 대상자를 상대로 맞춤형 착석장치가 사용자의 컴퓨터 접근성 향상 등 상지 기능에 효과적이라는 결과를 일반화할 수 있는 연구가 필요하다.

Effect of foam roller, kinesiotaping and dynamic stretching on gait parameters with induced ankle muscle fatigue

  • Suh, Hye Rim;Lee, Su-Young
    • Physical Therapy Rehabilitation Science
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    • 제7권3호
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    • pp.127-133
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    • 2018
  • Objective: The purpose of this study was to investigate the effects of foam roller (FR) stretching, kinesiotaping (KT), and dynamic stretching (DS) on gait parameters after inducing muscle fatigue in the ankle joint. Design: Cross-sectional study. Methods: The subjects were thirty healthy young adults between the ages of 20 and 31 years at Baekseok University who voluntarily participated in this study. The participants were randomly assigned to either the FR group, KT group, or the DS group after inducing muscle fatigue of the ankle joint. Fatigue induction of the ankle joint muscles was performed by alternating a heel up and down exercise with the standing posture on the ground. The speed was maintained at 40 beats/minute using a metronome. Subsequently, the respective intervention was applied to each group. Gait parameters were measured before and after ankle muscle fatigue induction, and after intervention using the GAITRite system. One-way ANOVA was used to compare gait parameters among groups, while repeated measures ANOVA was used to compare gait parameters within each intervention group. Results: The FR group increased significantly in velocity, step length, and stride length except for cadence after intervention compared to after ankle muscle fatigue induction (p<0.01). Furthermore, the KT group showed significant increases in velocity, cadence, step length, and stride length after intervention, especially in cadence group (p<0.05). All intervention groups showed significant increases in stride length after intervention, especially the DS group (p<0.05). Conclusions: Therefore, we suggest that KT, FR, and DS can be an effective intervention on gait parameters when the ankle joint is unstable and injured.

Effects of Occipital Bone Stimulation by Cervical Stabilizing Exercise on Muscle Tone, Stiffness, ROM and Cervical Lordosis in Patient with Forward Head Posture: Single System Design

  • Park, Si Eun;Lee, Jun Cheoul;Choi, Wan Suk
    • 국제물리치료학회지
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    • 제7권2호
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    • pp.989-993
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    • 2016
  • The purpose of this study was to investigate the effects of occipital bone stimulation by cervical stabilizing exercise on the muscle tone, stiffness, ROM, and cervical lordosis in patient with forward head posture(FHP). This study was a case study of a single patient with forward head posture. This study used a ABA' design, A and A' were the baseline phases and B was the intervention phase. The intervention was occipital bone stimulation by cervical stabilization exercise. It was administered once daily for 7 days. The therapist kept hands together, and placed the two index fingers under the subject's occipital bone. The subject performed the chin-in exercise with a maximum isometric contraction for 20 sec.The exercise was implemented by performing the movements 10 times as a set and repeating the set three times. The muscle tone was not significantly changed after intervention. However, the stiffness was decreased and lasted the effect lasted without intervention. The cervical flexion angle was increased, but the cervical extension angle was not significantly changed after the intervention. The left and right lateral flexion angles were increased and the effect lasted without any intervention. However, the left and right rotation angles were significantly changed after the intervention. Cervical lordosis increased not from $37^{\circ}$ to $41^{\circ}$ after the intervention. These results suggest that occipital bone stimulation by cervical stabilizing exercise had a positive effect on cervical stiffness, flexion and lateral flexion ROM, and lordosis in a patient with forward head posture.

수축 이완 중재가 습관적인 나쁜자세를 가진 대상자들의 골반 정렬에 미치는 영향 (Effects of the Contact-Relax (CR) Intervention on Pelvic Alignment in Subjects with Habitual Poor Posture)

  • 김좌준;류제찬;이현승;김민지;이세림;이혜원;임솔;박세연
    • PNF and Movement
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    • 제19권3호
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    • pp.303-310
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    • 2021
  • Purpose: The purpose of the present study was to investigate the effects of the contact-relax (CR) intervention on pelvic alignment in subjects with habitual poor posture. Methods: Fifteen subjects who have habitual poor posture participated in this study. The subjects received an intervention inducing pelvic posterior depression with the elevated pelvic side. Pre- and post-intervention, and two weeks after intervention, the pelvic alignment was measured with a palpation meter (PALM) and a three-dimensional diagnostic imaging system. Results: Measuring with PALM, the pelvic height and anterior tilt angle were significantly decreased immediately after and were still decreased two weeks after intervention, compared to the pre-measurement (p<0.05). Three-dimensional pelvic alignment was also significantly different between measurement points, while the pelvic position (pelvic lateral tilt) was significantly decreased after intervention (p<0.05). Conclusion: By applying the intervention generating CR on an elevated pelvis, frontal pelvic alignment can be improved.

Distribution Network Switching Automation Using Active Web Based Management

  • Choi, Sang-Yule
    • 조명전기설비학회논문지
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    • 제21권9호
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    • pp.81-86
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    • 2007
  • Electric utility companies have the responsibility of providing good electricity for their customers. They have introduced the DAS(Distribution Automation System) to automate the power distribution networks. DAS engineers require state-of-the-art applications, such as a way to actively manage the distribution system and gain economic benefits from a flexible DAS architectural design. The existing DAS is not capable of handling these needs. It requires operator intervention whenever feeder overloading is detected while operator error could cause the feeder overload area to be extended. It also utilizes a closed architecture and it is therefore difficult to meet the system migration and future enhancement requirements. This paper represents a web based, platform-independent, flexible DAS architectural design and active database application. Recent advanced Internet technologies are fully utilized in this new DAS architecture allowing it to meet the system migration and future enhancement requirements. By using an active database, the DAS can minimize the feeder overloading area in the distribution system without operator intervention, thereby minimizing mistakes due to operator error.