• 제목/요약/키워드: Medical Support

검색결과 3,071건 처리시간 0.041초

혈액투석환자의 자가간호 역량 및 자기효능감에 대한 연구 (A Study on Self-Care Agency & Self Efficacy of Hemodialisis Patients)

  • 박형숙;조징림
    • 가정∙방문간호학회지
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    • 제9권2호
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    • pp.78-89
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    • 2002
  • The purpose of this study was to identity degree on self-care agency & self efficacy of hemodialisis patients. The subjects for the study consisted of 260 hemodialisis patients and the data were collected from April 1st. 2002 to April 30. 2002. The instruments used for this study were the Self-carer As Inventory Scale(Genden & Taylor. 1998) and Concrete Self Efficacy Scale(Joo-Hyen Kim. 1995). The Self-carer As Inventory translated by So Hyang-Sook and was modified by auther of this study. The data were analysed by using SPSS/WIN program and included number. percentange. t-test, ANOV A and Pearson Correlation Coefficient. The results of the study are summarized as follows. 1. As the average score Self-care agency indicated $132.21\pm19.11$ points and Self efficacy showed $597.33\pm130.95$points. it can be said that Self-care agency and Self efficacy were high. 2. In the relationship between general and hemodialisis cure characteristics and Self care agency were significant difference in age(F=3.065. p=0.018). married(F=3.160. p= 0.029). religion(F=4.128. p=0.003). hemodialisis cure duration(F=2.615. p=0.049). 3. In the relationship between general and hemodialisis cure characteristics and Self efficacy were significant difference in age (F=2.992. p=0.019). married(F=4.427. p=0.013), job(before attack-F=1.926. p=0.044. after attack-F=1.784. p=0.048). incomes (F=2.235. p=0.041), hemodialisis cure frequency (F=1.718. p=0.042). diet practice (F=2.248. p=0.025). 4. Self efficacy was significantly related to Self-care agency(r=0.474. p<(0.001). That is the higher the self efficacy. the higher the level of Self-care agency. The result in the above showed that more concern and endeavors need to improve hope. medical support. self efficacy, self-care agency of hemodialisis patients.

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보건산업에서 협력적 필터링을 이용한 통증 간호중재 지원 방법 (Pain Nursing Intervention Supporting Method using Collaborative Filtering in Health Industry)

  • 류현;조선문;정경용
    • 한국콘텐츠학회논문지
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    • 제11권7호
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    • pp.1-8
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    • 2011
  • 현대사회는 인터넷과 IT융합기술의 발달로 정보의 양이 급속도로 늘어나고 있으며, 이로 인하여 많은 데이터 속에 원하는 정보를 용이하게 획득하거나 검색하는 기술도 발전되고 있다. 의료 관련 시스템통합 또한 다양하게 구축 되어 정보의 누적량이 비약적으로 증가하고 있으나 구축된 자료를 활용한 간호활동의 정보제공 및 지원 내용은 미흡한 실정으로 특히 통증의 중재에 관한 판단은 간호사 개인의 경험적 판단에 의존하게 되는 것이 현실로서 대체적으로 주관적 판단이 내려지게 된다. 본 논문에서는 기존의 의료관련 데이터를 활용, 추출하고 협력적 필터링을 이용한 통증 간호중재 지원 방법론을 제안한다. 제안하고자 하는 협력적 필터링은 유사한 선호도를 기반으로 관련도가 높은 아이템을 추출하는 방법으로 사용자 기반의 협력적 필터링을 이용한 선호도 예측 방법은 피어슨 상관 계수에 의해 사용자 유사도를 구하고, 사용자의 선호도를 기반으로 이웃 선정방법을 사용한다.

중년 여성의 보건소 건강증진 프로그램 이용 실태 및 요구도 (Utilization and Needs Assessment of Health Promotion Programs for Middle-aged Women in Public Health Centers)

  • 최은진;유지수;김희순;오의금;김수;배선형;추상희
    • 한국보건간호학회지
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    • 제21권2호
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    • pp.193-205
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    • 2007
  • Purpose: To evaluate the current status of utilization and implementation of health promotion programs for Korean middle-aged women in public health centers. Methods: Three-phase stratified sampling was done to select 1304 middle-aged women (aged 40-64 years) from all regions of Korea. The data were collected by face-to-face interviews using a structured questionnaire for individual responses and mailed surveys to 126 public health centers. Descriptive statistics and $x^2$-test were done for data analysis. Results: Only 12 of the 126 public health centers (9.9%) implemented health promotion programs for middle-aged women, with the lack of manpower being cited as the main reason for the absence of programs. From individual responses, 11.3% had participated in health promotion programs offered by public health centers. The main reasons for not participating were inconvenient times and lack of information. Significant differences were found in the frequency of participation in programs, exercise programs and diabetes management according to the size of region. The majority of the respondents cited the need for medical services, followed by programs focused on stroke prevention and leisure time management. The responses on the willingness to participate followed a similar pattern. Conclusion: There are gaps between the utilization of health promotion programs by middle-aged women and what is offered by public health centers. The results of this study support the need to develop more health promotion programs focusing specifically on the needs of middle-aged women.

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Six-Box model을 이용한 보건소 조직진단에 관한 융합연구 (A Convergence Study on the Organizational Diagnosis of Public Health Center using Six-Box Model)

  • 이영주;김창규;이보우
    • 한국융합학회논문지
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    • 제11권8호
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    • pp.55-61
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    • 2020
  • 본 연구는 G시의 보건소 직원 168명을 대상으로 2018년 9월 1일부터 2018년 9월 29일까지 조직몰입도와 조직의 산출요소인 임파워먼트를 파악하고, Six-Box Model을 이용하여 조직진단을 알아보기 위한 서술적조사연구이다. Six-Box Model을 이용한 보건소 조직진단에서 지원 영역은 3.62점, 변화에 대한 태도 영역은 3.62점으로 타 영역에 비해 높은 점수를 나타냈다. 성별에 따라서는 관계, 보상, 변화에 대한 태도 영역이 남자에 비해 여자의 점수가 높게 나타났다. 직종에 따라서는 간호직의 목표, 관계, 보상, 지원 영역 점수가 타 직종에 비해 높게 나타났다. 앞으로 보건소는 보건행정 및 의료서비스를 지역사회 주민들에게 제공하는 공공기관으로서, 지속적인 보건소 조직진단을 통해 조직의 역량을 개선해야 할 것이다.

마음챙김 명상관련 국내 임상연구 동향 분석 (Clinical Research Trends on Mindfulness Meditation in Korea)

  • 양영필;송익수;문진석;한창현;박지하;이상남
    • 한국한의학연구원논문집
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    • 제16권2호
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    • pp.57-64
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    • 2010
  • Background : Meditation is one of the healing therapies used to prevent and cure ailments and to improve health through regular practice. Although Meditation is within the paradigm of modern Western medical science, effects on the human body could be possible. Objectives : This study performed a systematic review of the literature published in Korea focused on mindfulness meditation (MM), which is being applied as mind-body therapy around the USA lately. Method : Three hundred sixty six articles were found after searching with keyword, 'mindfulness meditation (MM)' in 6 journals and web databases. Ninety papers related MM were analyzed trend, Seventeen randomized controlled trials (RCTs) and 38 controlled clinical trials (CCTs) were researched by systematic review. Result : Most of them were studies about relationship between MM and syndrome such as stress, depression, anxiety and MM was also applied to some disease like hypertension, temporomandibular joint disorder in some cases. In 55 studies, It was shown that MM has positive effects on various symptoms and sometimes the effect of MM showed at post and follow-up study although there was no significant difference between control group and experimental group in some cases according to outcome measurement. Interestingly, there was no study reported about side effects of MM after the application. Conclusions : MM is being clinically applied at both western and oriental hospital in Korea, but more clinical trials with the high quality are needed to support its scientific basis.

언어 장애인의 언어보조 시스템을 위한 아이콘 언어의 구현 (Implementation of Iconic Language for the Language Support System of the Language Disorders)

  • 추교남;우요섭;민홍기
    • 정보처리학회논문지B
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    • 제13B권4호
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    • pp.479-488
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    • 2006
  • 언어 장애인에게 기존의 키보드에 의한 문자입력 방법보다 원활하고 편리한 의사전달 환경을 제공하기 위한 아이콘 언어 인터페이스를 설계한다. 이를 위하여 활용성이 높은 대화 영역으로부터 구축한 원시 말뭉치를 대상으로 어휘 구사 경향과 특성을 분석하고 형태소, 구문, 의미 분석을 적용하여 아이콘에 부여되는 한국어의 어휘와 의미를 추출한다. 사용자가 직관적으로 인지하고 전달할 수 있는 아이콘 영역을 선별하고 추출한 한국어의 어휘와 의미를 정합시킨다. 이웃하는 아이콘간의 연결로부터 전달하고자 하는 의미적 상황을 만들어내기 위하여, 아이콘 언어의 어휘와 품사, 문법 규칙, 의미체계를 정의하여 아이콘 언어를 설계한다. 아이콘 언어에서 나타날 수 있는 언어적 애매성을 해결하기 위한 방법으로 범용의 한국어 의미사전과 술어 중심의 하위범주화사전으로부터 아이콘 언어에 대한 상황중심의 의미 데이터를 구축한다. 이를 바탕으로 아이콘 언어 인터페이스로부터 한국어를 의미적인 범주에서 생성한다.

전공특성에 따른 대학도서관 주제자료실의 이용태도 및 공간 계획에 관한 연구 (A Study on Usage and Space Planning in Subject Specialization of University Library for Major)

  • 장아리;황연숙
    • 한국실내디자인학회논문집
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    • 제24권4호
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    • pp.143-151
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    • 2015
  • This study was conducted under the premise that the university library's subject specialization room is in need of major modifications in order to accommodate the needs of various majors. The subject specialization room will be able to support university library users who are inclined to use the general reading room. Therefore, the study presents spatial planning for the average university library's subject specialization room by taking into account student majors. This could be a guideline for the construction and renovation of university libraries in the future. The summary of results for this study and the conclusions are as follows: 1)Natural sciences subject specialization room should be, partially connected with the humanities/social science subject specialization room in order to provide an open-concept reference room. In the shared area connecting the two subject specialization rooms needs to be installed a staff counter and subject specialist librarian service booth for users of both subject specialization rooms. 2)For humanities/social sciences subject specialization room, partially connect with the natural sciences subject specialization room. In the connecting area between the two rooms, plan an open-concept lounge for resting and reading. 3)It is best to plan subject specialization room for art/music/physical education majors separate from the subject specification room of other majors. Structurally separate art/music/physical education major subject specialization rooms from the building or plan a separate room in an art/music/physical education building. Users of art/music/physical education majors showed a high preference for a spatially separated and specialized library structure, which proves that an art/music/physical education library need to be planed based on the specialized library structure found in law school libraries or medical school libraries. Plan the center of the room with open-concept based reading room. Use wall-sides, partitions, or shelves to create reading space separate from the shelving area.

재가 중증 장애인의 지속적 재활 관리 실태와 재활 서비스 요구 (The Continuum of Rehabilitation Care and the Rehabilitation Services that are Needed by People with Severe Disabilities)

  • 장숙랑;김완호;이규범;김수경;임재영;이선자
    • Journal of Preventive Medicine and Public Health
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    • 제39권3호
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    • pp.263-269
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    • 2006
  • Objectives: As the number of people with disabilities is increasing and their needs for care are varied, the continuum and comprehensiveness of their rehabilitative care are getting more important. This study was performed to understand the utilization of rehabilitation services and requirements of care among the people with severe disabilities in Korea. Methods: We interviewed 578 disabled persons who had severe extremity and cerebral impairment in the urban and rural areas of Korea. The questionnaire included questions on their general characteristics, the type of disability, their physical function (ADL, IADL), their use of rehabilitation services after discharge and their requirements for rehabilitation care Results: Only 12.6% of people with disability in the community continuously used the available medical rehabilitation care. The associated factors for utilization of rehabilitation services were pain and admission for rehabilitative treatment in the acute phase. There was a great need for rehabilitation services in community and this varied according to gender, the socio-economic status, the functional status and the geographic region. The gap between utilization and need for rehabilitation services was largest in the economic support. The gap of primary health care was larger in the rural area than in the urban area. Conclusions: The needs for rehabilitation service were diverse according to the individual functional status, the regional characteristics and other general characteristics of people with disability. Strategies should be considered to eliminate the barriers to obtain rehabilitation services for the people with disability in the community.

The Association Between Treatment Frequency and Treatment Outcome for Cardiovascular Surgeries

  • Choi, Ji Suk;Park, Choon Seon;Kim, Myunghwa;Kim, Myo Jeong;Lee, Kun Sei;Sim, Sung Bo;Chee, Hyun Keun;Park, Nam Hee;Park, Sung Min
    • Journal of Chest Surgery
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    • 제49권sup1호
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    • pp.20-27
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    • 2016
  • Background: This study analyzed the association between the volume of heart surgeries and treatment outcomes for hospitals in the last five years. Methods: Hospitals that perform heart surgeries were chosen throughout Korea as subjects using from the Health Insurance Review and Assessment Service. The treatment outcome of the heart surgeries was defined as the mortality within 30 postoperative days, while the annual volume of the surgeries was categorized. Logistic regression was used as the statistical analysis method, and the impacts of the variables on the heart surgery treatment outcomes were then analyzed. Results: The chance of death of patients who received surgery in a hospital that performed 50 or more surgeries annually was noticeably lower than patients receiving operations from hospitals that performed fewer than 50 surgeries annually, indicating that the chance of death decreases as the annual volume of heart surgeries in the hospital increases. In particular, the mortality rate in hospitals that performed more than 200 surgeries annually was less than half of that in hospitals that performed 49 or fewer surgeries annually. Conclusion: These results indicate that accumulation of a certain level of heart surgery experience is critical in improving or maintaining the quality of heart surgeries. In order to improve the treatment outcomes of small hospitals, a support policy must be implemented that allows for cooperation with experienced professionals.

Living Arrangements Affect Nutritional Status of the Elderly

  • Kim, Cho-Il;Lee, Haeng-Shin
    • Journal of Community Nutrition
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    • 제3권2호
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    • pp.103-109
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    • 2001
  • With a continuous and steep increase in life expectancies, Korean society is expected to enter the aged society by year 2020. And as the number of elderly increases, the burden of medical and health care expenses for them becomes greater in every developed society. Hence, the preventive approach for chronic degenerative diseases remains to be the best solution for the above-mentioned problem and warranting optimal nutrition would be one of the most important approaches. We performed a nutrition survey on 585 older adults of 50 years of age and older, residing in 3 metropolitan areas including Daejun, Daeku and Kwangju. Anthropometry, including body composition analysis based on the bioelectrical impedance analysis using InBody 3.0 and dietary intake survey by semi-quantitative flood frequency questionnaires, were used in collecting data. As one of the most important factors affecting the health and nutritional status of the elderly, we focused on living arrangements. Analyses were performed on the data from 550 subjects only, after excluding statistical outliers. Three hundred and sixty-eight of them(66.9%) were female and the number of elderly(65 years of age and older) was 485. According to the statistical analyses, the female elderly were more vulnerable to malnutrition than the male elderly. And the older they befame, the less adequate they were in nutrient intake. In addition to this, the elderly living alone showed the poorest patterns of nutrient intake and anthropometry. Although the exact effect of living alone could differ among different sex-age groups, the fact that the elderly living alone is vulnerable to malnutrition would remain concrete. This raises the utmost necessity of nutrition intervention to be devised and directed to the targeted population, namely the living-alone elderly from the government level. The intervention may include nutrition education, nutrition counseling and support In forms of meal service by networking the efforts of central as well as local governments to ensure the good health of the Korean elderly.

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