• Title/Summary/Keyword: Level of care

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Development of Occupational Therapist Competency Indicators for Occupation-Based Intervention: Delphi Study (작업기반 중재를 위한 작업치료사 역량지표 개발: 델파이연구)

  • Shin, Jae-Yong;Kim, Jung-Ran;Lee, Ji-Sun
    • Therapeutic Science for Rehabilitation
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    • v.7 no.1
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    • pp.37-50
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    • 2018
  • Objective : The purpose of this study was to develop a competency indicators of occupational therapists for occupation-based intervention by conducting a Delphi survey to occupation-based intervention experts. Methods : After analyzing the data related to occupational therapists indicators in korea, the results of Delphi survey were collected three times from October to December 2016. Based on the results, we developed occupational therapists competency indicators for occupation-based intervention through expert panel's opinions. Results : Based on the eight competency elements, the competency indicators were examined by 133 primary and 133 secondary competency indicators. Finally, 131 competency indicators were developed based on 8 components as occupational therapist competence indicators for occupation-based intervention. The results of the third delphi showed a high level of content validity of .95, stability of .10, convergence of 0, and consensus of 1. Conclusion : The developed occupational therapist competence indicators for occupation-based intervention could be used in various clinical decision making such as occupation-based intervention, education training, education development and evaluation.

Comparative Research on Ego, Marriage and Parenting-Related Psychological Characteristics of Mothers of Normal Infants and Mothers of Infants with Developmental Risk: Focus on the 3rd Year Data from the Panel Study on Korean Children (위험 발달군 영아의 어머니와 일반 영아 어머니의 자아, 결혼, 양육관련 심리적 특성 비교연구: 한국 아동 패널 3차년도 자료를 중심으로)

  • Yu, Seung Yeon;Lim, Ji Sun;Kim, Yeon Ha
    • Korean Journal of Childcare and Education
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    • v.10 no.5
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    • pp.211-228
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    • 2014
  • The present study aims to identify the ego, marriage and parenting-related psychological characteristics of mothers of infants with developmental risk, as well as to perform comparative analysis between their psychological characteristics and those of mothers of normal infants. For this purpose, we used SPSS 21 statistical software to calculate the average and standard deviation values, and also conducted frequency analysis and t-tests. The study subjects were mothers of 1584 normal infants and 186 infants with developmental risk, who were classified by Korean Denver II developmental screening test from a total of 1802 families listed in the 3rd year data from the Panel Study on Korean Children in 2010. Our results revealed a significant difference in the martial satisfaction and husbands' parenting participation between two groups, among the marriage-related psychological characteristics. There was also a significant difference in the parenting knowledge, style and stress among the parenting-related psychological characteristics. However, a statistically significant difference was not observed in the ego-related psychological characteristics of mothers. These results are thought to serve as baseline data for the infants with developmental risk at the precautionary level.

The effects of exercise therapy applied in an efficacy expectation promoting program on self-efficacy, cardiopulmonary function and metabolism in type 2 diabetes mellitus patients (제 2형 당뇨병 환자에서 효능기대증진 프로그램을 적용한 운동요법이 자기효능과 심폐기능, 당대사 및 지질대사에 미치는 영향)

  • Hwang, Ae-Ran;Yoo, Ji-Soo;Lee, Hyun-Chol;Hwang, Su-Gun;Kim, Chun-Ja
    • Journal of Korean Biological Nursing Science
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    • v.2 no.1
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    • pp.64-75
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    • 2000
  • This study was conducted to identify the effects of exercise therapy applied in an efficacy expectation promoting program that was based on Bandura's self efficacy model on self-efficacy, cardiopulmonary function and metabolism in type 2 diabetes mellitus patients. The study design was nonequivalent pre-test post-test control design. 34 type 2 diabetes mellitus patients who received follow-up care regularly through the diabetic out-patient clinic were randomly sampled for this study. Twenty patients were assigned to the experimental group and fourteen patients were assigned to the control group. To the experimental group, exercise therapy applied in an efficacy expectation promoting program that is composed of individualized exercise prescription for 12 weeks was provided. In case of the control group, they were instructed to continue their usual lives. Data collection period was from March 1998 to June 2000 Data were analyzed using SPSS/WINDOW 10.0 program. The results were as follows. In experimental group, The score of self efficacy has increased from 64.20 to 66.65 after exercise therapy applied in an efficacy expectation promoting program and it was statistically significant(t=2.07, p=.04). The anaerobic threshold has increased from $18.20\;m{\ell}$/kg/min to $19.07\;m{\ell}$/kg/min and it was statistically significant(t=2.05, p=.04). Level of fasting blood sugar has decreased from $188.20\;mg/d{\ell}$ to $155.55\;mg/d{\ell}$ after exercise therapy applied in an efficacy expectation promoting program and it was statistically significant.(t=-2.69, p=.01). For the lipid metabolism, percent body fat has decreased from 27.16% to 26.57% after exercise therapy applied in an efficacy expectation promoting program. In conclusion, the exercise therapy applied in an efficacy expectation promoting program showed positive effect of self-efficacy, cardiopulmonary function and glucose and lipid metabolism.

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Clinical Usefulness of Preoperative Levels of Leukocyte and D-Dimer in Predicting Perioperative Outcomes of Cardiovascular Disease (심혈관질환의 수술기주위 결과예측에 있어 수술 전 백혈구 수 및 D-dimer 농도의 임상적 유용성)

  • Choi, Seok-Cheol;Kim, Yang-Weon;Hwang, Soo-Myung
    • Journal of Life Science
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    • v.20 no.10
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    • pp.1458-1467
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    • 2010
  • The present study was retrospectively designed to define whether preoperative levels of leukocytes and D-dimer are potentially useful factors in predicting perioperative outcomes of coronary heart disease (CHD). There was no relationship between preoperative leukocyte counts (Pre-OP leukocyte) and preoperative D-dimer levels (Pre-OP D-dimer). Pre-OP leukocyte counts each had positive correlation with cardiac troponin-I, creatine kinase-MB or C-reactive protein (cardiac markers) levels at preoperative and postoperative periods. Pre-OP D-dimer levels were positively associated with each cardiac marker at the same periods. Pre-OP leukocyte counts positively related with aspartate aminotransferase and alanine aminotransferase (liver markers), whereas Pre-OP D-dimer level positively or negatively correlated with bilirubin (liver marker), creatinine (renal marker) or glucose levels at preoperative and/or postoperative periods. Pre-OP leukocyte and Pre-OP D-dimer were inversely associated with Pre-OP high density lipoprotein cholesterol levels or left ventricular ejection fraction. Pre-OP leukocyte counts each had positive correlation operation duration and postoperative mechanical ventilation-time (PMVT), whereas Pre-OP D-dimer levels had positive relationship with PMVT, intensive care unit-staying period and hospitalization. The retrospective data suggest that Pre-OP leukocyte and Pre-OP D-dimer levels may be clinically useful factors for predicting perioperative outcomes in patients with CHD.

A Study on Dental Hygiene Students Knowledge, Attitude and Behavior towards the Elderly in Gyeong-Ju (경주지역 일부 치위생과 학생들의 노인에 대한 지식과 태도 및 행동에 관한 연구)

  • Choi, Sung-Suk
    • Journal of dental hygiene science
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    • v.7 no.2
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    • pp.59-64
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    • 2007
  • As the number of elderly grows in today's modern socity, dental hygienist's role is more emphasized than ever before for hygiene management of the aged. It is also find out college students knowledge, attitude and behavior towards the elderly Form March and May 2007 three monthly during collected. This is study conducted through interview with college students who are majoring in dental hygiene of health care in Gyeong-Ju and will be in charge of oral hygiene According to the interview, this study obtains the following results: 1. The level of undergraduate students knowledge of elderly shows a total score of $8.39{\pm}2.80$. 2. The average score of undergraduate students attitude toward elderly is in a neutral range(50~70), recording $55.1{\pm}8.66$ on a scale of 100. 3. The average score of undergraduate students behavior toward elderly is in a neutral range(43~60), recording $28.7{\pm}6.17$on a scale of 85 and showing negative behavior. 4. Participating in volunteer job lead the significant differences in undergraduate students attitude toward elderly. 5. Participating in volunteer job lead the significant differences in undergraduate students behavior toward elderly, That is undergraduate students volunteer job with the show a positive behavior towards elderly.

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The Influence of Mother's Perfectionism and Parenting Beliefs on Preschooler's Socal Competence (어머니의 완벽주의와 양육신념이 유아의 사회적 능력에 미치는 영향)

  • Park, Young Yae;Kim, Lee Jin
    • Korean Journal of Childcare and Education
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    • v.10 no.1
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    • pp.183-199
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    • 2014
  • The objective of this study was to examine the effects of mother's perfectionism and parenting beliefs on her preschooler's social competence. The participants were 277 mothers residing in Daejeon, Korea. Basic descriptive statistics, Cronbach's ${\alpha}$, t-test, ANOVA, and multiple regression were used for statistical treatment. The results were as follows: First, a mother's perfectionism and parenting beliefs did not differ according to her educational level. One factor of perfectionism, 'holding high standards', alone showed significant difference between highschool graduates and graduate school graduates, the latter's scores being higher than the former's. There were no significant differences in preschooler's social competence by sex or age. However, a few sex and age differences were found in sub-factors of social competence. Girls scored higher than boys on 'showing affection', and 5 year olds scored lower on 'showing affection' and higher on 'leadership' than 3 years olds. Second, a mother's perfectionism and parenting beliefs were able to explain 22.8% of variance in preschooler's social competence, the former showing more predictive power than the latter. Each of the two factors of maternal perfectionism affected five factors of preschooler's social competence in a different manner. 'Holding high standards' of perfectionism positively influenced preschooler's social competence factors such as 'social capability', 'leadership', and 'showing affection', whereas maternal 'fear of failure' had a negative impact on 'showing affection', 'disturbing'(reversed), and 'instability'(reversed). These results were discussed in relation with changes in social atmosphere and value systems, changes in child-rearing behaviors, or the construct and concept of perfectionism itself, It was suggested that these results be utilized in developing parent education programs for preschoolers lacking social competence.

Customer Satisfaction Analysis of Smart Car Features Using the Kano Model: in Control Effect of the Comprehension or Experience of Emerging Technologies (Kano모형을 기반으로 한 스마트 카 기능의 고객 만족도 분석: 신기술 사용경험 유무의 조절효과 중심으로)

  • Kang, Young Tai;Chung, Kyu Suk
    • Asia-Pacific Journal of Business Venturing and Entrepreneurship
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    • v.13 no.4
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    • pp.155-168
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    • 2018
  • This study singled out 30 smart car features and surveyed 250 respondents. Assuming that the relationship between fulfillment of a feature or a customer need and the satisfaction with that feature is not necessarily linear, this study was conducted using Kano's method. Two devices, Timko Deviation(TD) and Kano Distribution Index(KDI), were devised to help evaluate resulting Kano table quantitatively. Previous research based on Kano's original framework showed the limit to the analysis of new or unfamiliar features: more than 85% of the features surveyed turned out to be either Attractive or Indifferent attributes. This study attempted a new empirical approach by applying customer experiences, price conditions, and customer self-stated importance. The results showed that customer experience of the surveyed features affected the overall satisfaction level, signifying that Kano's method should be conducted with care when analyzing emerging technologies such as smart cars. It is expected that this study would be utilized for better understanding of the perception and trends of customers regarding new technologies. This study also suggests a new approach to the analysis of customer requirements by providing price conditions.

Development of Workplace Bullying in Nursing-Consequence Inventory (WPBN-CI) (간호사가 경험하는 직장 내 괴롭힘 결과 측정도구 개발)

  • Lee, Younju
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.2
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    • pp.479-488
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    • 2016
  • This study developed an instrument to assess the effects of the bullying of nurses in the workplace and evaluated the developed instrument. A literature review and a field study were conducted to identify the concepts related to the bullying of nurses in the workplace. These attributes served as building blocks to produce a 28-item WPBN-CI. The content validity was used to determine the content and face validities, and the number of instrument items was reduced to 14. The final WPBN-CI instrument was evaluated using the SPSS 18.0 program with the data collected from October 21-28, 2013 from 458 nurses from general hospitals in the metropolitan area. The WPBN-CI consisted of 13 items covering three distinct factors (physical and psychological withdrawal, poor quality of patient care, and increasing distrust), with a total variance of 62.9%. The convergent and determinant validities for the WPBN-CI were 100% and 89.7%, respectively. The known-groups validity was proven through the mean difference in the level of depression. The satisfied criterion validity for the WPBN-CI was more than 0.70. The reliability of the WPBN-CI was demonstrated by its Cronbach's ${\alpha}$ of 0.90. The WPBN-CI will identify in advance the results due to the bullying of nurses in the workplace and will help to find solutions to the problem and ensure program effectiveness.

10% Pentastarch Versus 5% Albumin Solution for Volume Expansion Following Cariopulmonary Bypass in Patients Undergoing Open Heart Surgery (개심수술후 혈량 증가를 위한 10% Pentastarch와 5% Albumin 용액의 비교연구)

  • 장병철
    • Journal of Chest Surgery
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    • v.27 no.3
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    • pp.177-186
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    • 1994
  • Pentastarch is a hydroxyethyl starch similar to hetastarch, but lower average molecular weight and fewer hydroxyethyl groups which result in enhanced enzymatic hydrolysis and faster renal elimination.This report was performed to compare the clinical efficacy and safety of 10 % pentastarch[Pentaspan , group I] for plasma volume expansion after open heart surgery with that of 5% albumin[Plasmanate, group II]. There were no statistically significant differences between the group I [n=18] and group II [n:19] in the preoperative parameters [age, sex, body weight] and operative parameters[bypass time, aorta cross clamping time]. During the first 24 hours after arrival of the patient in the surgical intensive care unit, colloid solution [500--1000 ml] was infused to maintain left atrial pressure of more than 8 mmHg, or cardiac index of 2.0 L/min/M2 of more. In results, there were 3 complications of hypotension immediately after infusion of 5 % albumin solution and 2 among the 3 patients were excluded for the study. However there was no complication after infusion of 10 % pentastarch solution. Hemodynamic responses to infusion was similar for both groups, although in group I a greater increase in both left atrial pressure[mean 1.8 versus 0.7 mmHg, p< 0.05] and right atrial pressure [mean 2.2 versus 1.7 mmHg, p < 0.05] was observed during infusion of the first 500 ml. There were no significant differences in any of the measured respiratory parameters[PaO2, intrapulmonary shunt, and effective lung compliance]. Homodilution with colloid significantly reduced hemoglobin [mean 1.2 versus 0.8 gm/dl], and serum protein and albumin level[total protein;4.8$\pm$ 0.5 versus 5.2 $\pm$0.5 gm/dl, p < 0.05: albumin: 3.2 $\pm$0.4 versus 3.6 $\pm$0.6 gm/dl, p < 0.05] by 6:00 AM on 1 day postoperatively, however there were no significant differences on 7 day postoperatively. The mean serum colloid osmotic pressure and osmolarity was similar in both group.There were no abnormal findings of liver function and kidney function in all the patients. There were no significant between-group differences in bleeding time, platelets, prothrombin time, activated partial thromboplastin time and amount of chest tube output measured on 1st and 7th postoperative day. These findings demonstrated that 10% pentastarch is more effective and safe for plasma volume expension than 5 % albumin solution with no adverse effects on coagulation. Also 10 % pentastarch is less expensive than 5 % albumin and it would appeare to be a reasonable first choice for plasma volume expansion.

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Factors which Influence Quality of Life(QOL) among Asian Migrant Women in Australia a Cross-sectional Questionnaire Study (호주 이민 아시아 여성들의 삶의 질에 영향을 미치는 요소들 : 설문지를 이용한 단면연구)

  • Park, Kang-hyun;Kang, Eun-Jeong;Jeon, Byoung-Jin
    • The Journal of Korean society of community based occupational therapy
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    • v.8 no.1
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    • pp.11-21
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    • 2018
  • Objective : Migration can be a stressful process to people because they have to adjust a lot of things including habits, routine and cultural behavior. Also, Migrant can negatively impact on participation in daily meaningful occupations. Thus, the purpose of this research is to investigate whether participation in meaningful occupations after immigration and environmental factors impact the QOL in migrant women. Method : Migrant females who live in Australia were invited to participate in the study (n= 9). In this study, participation, environmental factors and QOL were measured using the questionnaire, which was developed by researchers. Purposive sampling was used to select the participants who were then asked to fill out a survey. Both quantitative data and qualitative data were collected. The SPSS program was used to process the quantitative data that was transcribed and coded. Result : Spearman's rank correlation coefficient shows that the total scale of QOL and the total scale of occupational engagement were significantly correlated at the 0.05 level. Conclusion : There was a significant relationship between quality of life and occupational engagements. Migrant women tend to have a lack of participation in meaning occupations thus, it seems to impact on their quality of life.