• Title/Summary/Keyword: Medication Knowledge

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Construction and Application of Nursing Information System Using NANDA-NOC-NIC Linkage in Medical-Surgical Nursing Units (간호진단-간호결과-간호중재 연계를 이용한 내외과계 간호단위 간호정보시스템 구축 및 적용)

  • Ko, Eun;So, Hyang-Sook
    • Korean Journal of Adult Nursing
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    • v.25 no.4
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    • pp.365-376
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    • 2013
  • Purpose: The purpose of this study was to construct, develop, and apply a nursing information system (NIS) using NANDA-NOC-NIC linkage in medical-surgical nursing units. Methods: This study consisted of three phases which were the construction of the database, development of the NIS, and application of the NIS. To construct the database, a questionnaire and nursing record review by an expert group were used. Collected data were analyzed by the SPSS/WIN 13.0 program. Results: In first phase, the database was made up of 50 nursing diagnoses, 127 nursing outcomes and 300 nursing interventions. In the second phase, NIS was developed according to its flow diagram and then tested. In the third phase, the developed NIS was applied to 130 inpatients. Nursing diagnoses frequently used were acute pain, delayed surgical recovery, and deficient knowledge (specify). Nursing outcomes for a nursing diagnosis of 'acute pain' were identified as pain control, pain level and comfort level. Nursing interventions for the nursing outcome 'pain control' were pain management, patient controlled analgesia assistance and medication management. Conclusion: The results of this study will facilitate the use of the newly proposed NIS in nursing practice and provide a guideline for evidence-based nursing.

CDSS: Integration of Social Interaction and Smart Space for Chronic Disease Patients (CDSS : 만성질환 환자들을 위한 사회적 상호작용과 지능 공간의 통합)

  • Fatima, Iram;Fahim, Muhammad;Lee, Young-Koo;Lee, Sung-Young
    • Proceedings of the Korean Information Science Society Conference
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    • 2011.06b
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    • pp.114-115
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    • 2011
  • Chronic disease may leads to other life threatening health complications like heart disease, stroke, diabetes and peripheral vascular disease that diminished quality of life. This paper points out the importance of social interaction and smart space integration in existing CDSS for chronic diseases. Social interaction allows the patients to interact with system, through this continuous learning and digesting patient experience, our CDSS becomes intelligent and dynamically enhanced. Smart spaces automatically provide new knowledge and construct the behavioral profile by monitoring the daily life activities. Through these features, patients can get continuous relevant recommendations from the system, so they can get a chance to improve their health condition which in terms keeping on their quality of life. It also helps the health practitioners in better decision making about medication and living patterns.

Literature Review of Clinical Research Herbal Treatment on Retinal Vein Occlusion - Focusing on Traditional Chinese Medicine's Journals - (망막정맥폐쇄증의 한약치료 임상연구에 대한 문헌 고찰 - 중국논문을 중심으로)

  • Kang, Tae Gyu;Sun, Seung Ho;Lee, Seon Goo
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.30 no.4
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    • pp.209-218
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    • 2016
  • The objective of this study was to investigate the diagnosis and treatment of Retinal vein occlusion such as syndrome differentiation and herbal medicine by reviewing Chinese traditional medicine`s journals. The journal search was carried out using China National Knowledge Infrastructure and Pubmed from January 2000 to December 2014. Searching key words were the various combination of "Retinal vein occlusion", "traditional chinese medicine", "syndrome differentiation". The final selection of 11 studies were selected and summarized by researchers. The effective rate was significantly higher than control but, methodological quality of the trials was generally low questioning their liability. The syndrome differentiation was classified as hyperactivity of liver yang and blood stasis. The most frequently prescribed herbal medication was Hyulbuchookeotang, Boyanghwanotang and Cheomagudeungum. This finding could be widely utilized in future clinical practice and form the basis for the development of clinical practice guidelines in advance.

Review of Medical Dispute Cases in the Pain Management in Korea: A Medical Malpractice Liability Insurance Database Study

  • Kim, Yeon Dong;Moon, Hyun Seog
    • The Korean Journal of Pain
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    • v.28 no.4
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    • pp.254-264
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    • 2015
  • Background: Pain medicine often requires medico-legal involvement, even though diagnosis and treatments have improved considerably. Multiple guidelines for pain physicians contain many recommendations regarding interventional treatment. Unfortunately, no definite treatment guidelines exist because there is no complete consensus among individual guidelines. Pain intervention procedures are widely practiced and highly associated with adverse events and complications. However, a comprehensive, systemic review of medical-dispute cases (MDCs) in Korea has not yet been reported. The purpose of this article is to analyze the frequency and type of medical dispute activity undertaken by pain specialists in Korea. Methods: Data on medical disputes cases were collected through the Korea Medical Association mutual aid and through a private medical malpractice liability insurance company. Data regarding the frequency and type of MDCs, along with brief case descriptions, were obtained. Results: Pain in the lumbar region made up a major proportion of MDCs and compensation costs. Infection, nerve injury, and diagnosis related cases were the most major contents of MDCs. Only a small proportion of cases involved patient death or unconsciousness, but compensation costs were the highest. Conclusions: More systemic guidelines and recommendations on interventional pain management are needed, especially those focused on medico-legal cases. Complications arising from pain management procedures and treatments may be avoided by physicians who have the required knowledge and expertise regarding anatomy and pain intervention procedures and know how to recognize procedural aberrations as soon as they occur.

A Analysis of CPR on prehospital cardiac arrest patients through Chain of Survival by EMT (응급구조사의 병원 전 심폐소생술에 대한 분석 - Chain of Survival 단계 별 -)

  • Park, Jin-Ok;Noh, Sang-Kyun;Lee, Kyoung-Hee
    • The Korean Journal of Emergency Medical Services
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    • v.10 no.2
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    • pp.35-42
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    • 2006
  • Purpose: We studied that EMT took care in prehospital care of cardiac arrest patients by "the chain of survial", we need the data about treatment of EMT in prehospital care of cardiac arrest patients. and then we want to educate EMT for their emergency skill and knowledge of prehospital care of cardiac arrest patients. Method: We studied 162 cardiac arrest patients were transported by EMT in Jecheon province, Chingbuk. Results: 1. Stage of Early Access 96.9% of people who related the cardiac arrest patients used the Jecheon 119 Rescue at their emergency situation. 2 Stage of Early CPR The EMT supported keeping of airway to 148 of 162 cardiac arrest patients. Artificial respiration was 120 of 162 cardiac arrest patients and chest compression was 119 of 162 cardiac arrest patients. 3. Stage of Early AED There were shocked 6 cardiac arrest patients but weren't shocked 156 victims of 162 cardiac arrest patients by AED. 4. Stage of Early ACLS There were reported 3 of 162 cardiac arrest patients. to Doctor or Hospital Emergency Center for medical direction to EMT in prehospital area. There is no advanced airway, IV insertion and medication to the prehospital cardiac arrest patients.

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Mediation Effect of Self-efficacy between Health Status and Drug Abuse Behavior (건강 상태와 약물오남용 행위 사이에서 자기효능감의 매개효과)

  • Park, Kyung Lae;Jang, Ha Young
    • Korean Journal of Clinical Pharmacy
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    • v.28 no.3
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    • pp.238-242
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    • 2018
  • Background: The appropriate use of drugs is very important for a healthy life, as appropriate medication must be taken correctly for successful treatment of a disease. The purpose of this study was to investigate the self-efficacy between health status and drug abuse behavior. Methods: The subjects of this study were selected from 15 workshops located in Seoul, Incheon, Daejeon, and Chungnam, and, convenience sampling was conducted for each employee between September, 2017 and October 2017. A total of 204 questionnaires were analyzed. The questions evaluated health status, self-efficacy, drug abuse behavior, and general characteristics. Results: First, there was no difference in health status according to the general characteristics of the subjects. The self-efficacy varied according to gender, educational background, and monthly income, but not by marital status and residence area. In addition, drug abuse behaviors differed according to gender, residence area, and monthly income, but not by marital status and education level. Second, drug abuse behavior negatively correlated with health status and self-efficacy. Third, regression analysis showed that the self-efficacy between the health status and drug abuse behavior had a partially mediating effect. Conclusion: In patients with poor health status, it is necessary to increase their self-efficacy to reduce reduce drug abuse. Therefore, regular education programs targeting efficacy and drug knowledge are required in the community.

Development and Evaluation of a Joint Health Self-management Program for the Elderly with Knee Osteoarthritis in Communities: Applying the IMB Model (재가 무릎 골관절염 환자의 관절건강 자가관리 프로그램 개발 및 효과: IMB 모델 적용)

  • Kim, Young-il;Park, Jeong Sook
    • Research in Community and Public Health Nursing
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    • v.28 no.1
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    • pp.55-68
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    • 2017
  • Purpose: The purpose of this study is to develop and evaluate a joint health self-management program for knee osteoarthritis elders in communities. Methods: This program was developed based on the IMB (information-motivationbehavioral skills) model. The program methods include education, setting and achieving goals, sharing experiences, telephone counseling, and self-monitoring. The topics of the program include joint assessment, exercise, massage, joint protection, medication, depression management, diet, and healthcare approach. The research was conducted following the principles of the nonequivalent control group pretest-posttest design. Participants were 26 subjects in the experimental group, and 27 subjects in the control group. The experimental group participated in the self-management program, and the control group received general education. Results: Both post-test scores of personal motivation, social motivation, behavior skill, self-management behavior, joint pain, joint stiffness, physical function disability, right knee extension, left knee extension, and depression were significantly different between the experimental group and the control group. Conclusion: The results of the study can be used to develop and standardize a systematic joint health self-management program. Further research is highly recommended to develop a strategy to continuously facilitate self-management of osteoarthritis patients' procedures.

A Study on Female Sexual Dysfunction, Sexual Distress, Sexual Attitude and Knowledge in Korean Women (여성의 성기능 장애와 성 스트레스, 성태도 및 성지식과의 관계 연구)

  • Bae, Jeong-Yee
    • Women's Health Nursing
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    • v.10 no.4
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    • pp.342-350
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    • 2004
  • Purpose: It has been suggested that approximately 40% of women between 40 and 64 years of age cease their sexual activity. The aim of this study was to establish the basic data for FSD(female sexual dysfunction) and FSD-related factors in regional urban and rural areas of Korea. Method: Three hundred twenty five women over 20 years of age and resident in regional urban and rural areas were analyzed by a visit survey with an organized questionnaire. The female sexual function index(FSFI) for measurement of sexual dysfunction was used. The significance between the degree of sexual dysfunction and characteristics of the participants was analyzed by a t-test and ANOVA test. The relationship between the degree of sexual dysfunction and related factors was analyzed by Pearson's correlation coefficient. Results: All analyzing tools including the FSFI had a high validity for measuring. The FSFI in Korean women was $19.97{\pm}4.87$ and ranged from 2 to 29. Old age, menopause, medication, no contraception usage and longer marital duration were significantly related with a lower FSFI score. Pearson's correlation coefficient revealed the significance in degrees of sexual distress (r=-.469, p=.000), sexual attitude(r=.305, p=.000) and a stressful life event(r= -.141, p=.038) with the sexual function index score. Conclusion: Women with sexual dysfunction should be evaluated for these sexual function-related factors in the history taking, and this data can be a basis for study for sexual dysfunction.

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Dietary Guidelines for the Elderly

  • Kim, Cho-Il
    • Journal of Community Nutrition
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    • v.2 no.1
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    • pp.52-61
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    • 2000
  • Dietary guidelines are a distillation of dietary advice from health professionals to the general public. They are based upon current scientific knowledge about the relationships between diet and disease, nutrients available in the food supply of a country, and the profile of morbidity and mortality in that country. With two different sets of dietary guidelines used for more than an decade in Korea. the necessity of revising dietary guidelines has been raised continuously from academia and research. Funded by a grant from the Health Technology Planing and Evaluation Board. Dietary guidelines for each age group were drafted as a research project and the one for the Korean elderly is as follows: Dietary Guidelines for the korean elderly(draft) - Have a variety of easily digestible foods on time; at least 3 meals a day and some snakes. - Be physically active to maintain appetite and/or ideal body weight. ; maintain a balance between activity and what you eat. -Increase consumption of bean-and dairy-and dairy-products. - Consume enough amounts of fresh dark-green and yellow vegetables and fresh fruits. - Consume adequate amounts of assorted kind of animal foods including fish, meat and poultry. - If you drink alcoholic beverages, limit your intake and, drink enough water and other averages; alcohol may interact with your medication and affect your appetite. Aforementioned draft and related contents are expected to be utilized as a neat base in formulating(or revising) dietary guidelines for Korean by the Government in near future.

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Ethnobotanical Studies of Gangwon-do: A Comprehensive Research of the Province and Data Analysis

  • Kim, Young-sil;Chung, Jae-min;Kim, Young Dong
    • Proceedings of the Plant Resources Society of Korea Conference
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    • 2018.04a
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    • pp.70-70
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    • 2018
  • As science and technology has developed, human could be flourished especially at the aspect of agriculture and medicine. However, the traditional knowledge of them has stopped being used, which leads to extinctions of it. Korea National Arboretum had surveyed the ethnobotanical uses of Gangwon-do from 2006 to 2017. 522 taxa were defined as ethnoplants through 21469 sheets thanks to 355 respondents who composed 279 females, 73 males and three refused to answer. Analysis of ethnoplants had conducted to provide the excavation of the new plants for industries of agriculture and medication, as well as the evidence for protection of TK and benefit derived from it. Aster scaber Thunb. had been found as the most citated taxa by 0.6591 RFC figure, Pinus desiflora Seibold & Zucc. was found to have the extensive categories of use. Aralia elata (Miq.) Seem. showed the highest figure of CI value. In the index of RI, Pinus desiflora Seibold & Zucc. appeared again, as well as CV, cultural value. For evaluation of the usages of ethnoplants IAR figures are analyzed. The fiber has shown the biggest figure of IAR, despite the dyes are placed the smallest figure.

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