• 한국통신학회논문지
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• 제38C권12호
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• pp.1095-1105
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• 2013

본 논문에서는 헬스 케어 시스템에서 효율적으로 질병을 관리할 수 있는 RDMS(Rough Set Theory based Disease Monitoring System)을 제안한다. RDMS는 DCM(Data Collection Module), RDRGM(RST based Disease Rule Generation Module), HMM(Healthcare Monitoring Module)로 구성된다. DCM은 바이오센서로부터 환자의 생체 정보를 수집하고, 데이터 처리 절차에 따라 RDMS DB에 저장한다. RDRGM은 RST의 코어와 속성의 지지율을 이용하여 질병 규칙을 생성한다. HMM은 DCM에 의해 수집된 환자 정보를 이용하여 환자의 질병에 대한 위험지수뿐만 아니라 질병에 대한 합병증에 관한 위험지수까지 분석함으로써 환자의 질병을 예측하고, 환자의 위험지수에 따라 환자, 주치의 등에 시각화된 환자의 정보를 전달한다. 또한, RDRGM에 의해 생성된 규칙들에 따라 환자의 의료정보, 현재의 환자건강상태, 환자 가족력 등을 비교분석하여 환자의 질병을 예측하고, 예측결과에 따라 환자 맞춤형 의료 서비스와 의료 정보를 신속하고 신뢰성 있게 제공할 수 있다.

• 한국의료질향상학회지
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• 제23권2호
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• pp.57-66
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• 2017

Purpose:The purpose of this study was to identify the patient's characteristics influencing patient's comprehensibleness of doctor's explanation. Methods: This study was conducted as a secondary data analysis using the raw data of The 6th Korea National Health and Nutrition Examination Survey (KNHANES VI) conducted in 2015. The survey sampled 22,948 adults, and 4,469 of them were included in this analysis. Multiple regression analysis was performed to determine the patient's characteristics influencing patient's comprehensibleness of doctor's explanation. Results: The patient's comprehensibleness of doctor's explanation were more higher as age (t=5.65, p<.001), female (t=4.40, p<.001), subjective good health status (t=3.48, p=.001) were higher. On the other hand, the patient's comprehensibleness of doctor's explanation were more higher education level (t=-6.80, p<.001), not-recent outpatient experience (t=-6.04, p<.001), pain/discomfort (t=-2.64, p=.008), anxiety/depression (t=-2.58, p=.010) were lower. Conclusion:It is necessary to be provided the patients who are higher education level, pain/discomfort and anxiety/depression with applying the doctor's detailed explanation and intervention programs.

• 인터넷정보학회논문지
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• 제23권3호
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• pp.87-95
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• 2022

최근 스마트기술의 발달로 의료정보플랫폼에서 환자의 생체데이터가 실시간으로 측정 및 데이터베이스에 축적되며, 환자의 응급상황을 판단할 수 있다. 또한, 의료진은 이동단말기를 이용하여 간단한 인증 이후 환자정보에 쉽게 접근이 가능하다. 그러나 이동단말기를 이용한 의료정보 접근에 있어 환자상황과 이동단말기를 고려한 인증에 대한 연구가 필요하다. 본 논문에서는 응급상황에서 의료진의 이동단말기를 이용한 의료정보 접근허가를 위해 빅데이터 처리 및 에지컴퓨팅 기반의 자동인증지원 의료정보플랫폼에 대해 연구하였다. 기 연구된 자동인증 시스템은 응급상황에서 사용자인증과 이동단말기인증을 동시에 수행하며, 상위 의료정보 접근권한을 인증된 의료진과 이동단말기에 부여하는 인증 시스템이다. 환자의 고혈압, 당뇨와 같은 환자상태를 고려한 응급상황을 판단하기 위해 빅데이터 처리 및 분석기법을 제안한 플랫폼에 적용하였다. 또한 환자의 빠른 응급상황 판단을 위해 에지컴퓨팅을 의료정보 서버 앞단에 두어 의료정보 서버 대신 에지컴퓨팅에서 응급상황을 판단하도록 하였다. 의료정보 서버는 입력된 환자정보와 축적된 생체데이터를 이용하여 응급상황 판단수치를 도출하고, 에지컴퓨팅에 전달하여 환자 맞춤형 응급상황을 판단하도록 하였다. 결론적으로, 제안한 의료정보플랫폼은 빅데이터 처리와 에지컴퓨팅을 통해 환자상태를 고려하고 응급상황을 빠르게 판단하였으며, 자동인증을 통해 응급상황에서의 신속한 인증과, 환자상황과 의료진의 역할에 따른 접근권한 부여를 통해 환자정보를 보호하였다.

• 간호행정학회지
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• 제16권3호
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• pp.219-228
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• 2010

Purpose: The purpose of this study was to explore the degree of delay in waiting time, and the relationships of waiting time, patient satisfaction, and revisiting intention of outpatient in general hospitals. Methods: The data were collected from June 22 to July 4, 2009. A total of 536 outpatients who visited 21 clinics of a general hospital were subjected to evaluate the waiting time. The survey tools used were the Korea Health Industry Development Institutes (2008) tool for patient satisfaction and Reichheld & Sasser (1990) for revisiting intention. The data were analyzed by SAS version 9.1, descriptive statistics, t-test, ANOVA, and Pearson correlation coefficient. Results: The mean patient's waiting time was $28.3{\pm}30.7\;min$, the revealed mean score of patient's satisfaction was 2.92, and the revisiting intention showed was 4.56. The waiting time was negatively correlated with patient's satisfaction (r=-.10, p<.019). Patient's satisfaction was positively correlated with revisiting intention (r=-.51, p<.001). Conclusion: Waiting time management is an important factor of increasing patient's satisfaction and revisiting intention in general hospitals. It is mandatory that reservation management systems take into account the patient's characteristics of visiting outpatient department in order to shorten the real waiting time.

• 동의신경정신과학회지
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• 제18권3호
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• pp.97-112
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• 2007

Objectives : This study aimed for desirable cure through the investigation of The Patient-Doctor Relationship in Eastern Medicine. Methods : Research materials is data of the patient the doctor and the Patient-Doctor Relationship in Eastern Medicine bibliography except medical theory and clinical contents. Results and Conclusion :. 1. Relatively the doctor's position origin from exorcist has it over patient's that. 2. In spite of clinical doctor, Confucian physician have Confucianism and the ethics so they set The Patient-Doctor Relationship in Eastern Medicine essentially. 3. Each of doctor(the doctor-doctor relationship) emphasize the partnership in the Patient-Doctor Relationship. 4. Patient's choice for doctor is source of the Patient-Doctor Relationship basically and the choice are prudent. 5. The patient must carry into practice psychological and body medical affairs related to health preserving 6. For desirable Patient-Doctor Relationship, doctor's inquire is considered with temper and circumstance and a consultation room are also required stability. 7. Poor Patient-Doctor Relationship are come about when patient is not trust doctor, patient is not follow doctor's order and doctor's indifference to patient.

• 한국간호교육학회지
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• 제25권4호
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• pp.436-447
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• 2019

Purpose: The purpose of this study is to identify the educational effect among nursing students who performed the patient role in women's health nursing simulations. Methods: In this exploratory qualitative study, a sample of 31 third- and fourth-grade nursing students who participated in scenario-based patient roles in clinical performance examination of the women's health nursing simulation practice training. Data were collected through focus group interviews. Qualitative data were analyzed using qualitative content analysis. Results: Three themes emerged from the data analysis. Participants experienced an enhancement of patient-centered nursing competence, deep learning immersion and display of self-regulated learning. The difficulty of performing the patient role contributed additional effects such as the difficulty to perform the patient role in the psychological training environment. Conclusion: It is recommended to utilize nursing students as patients in simulation practice training. On the other hand, the psychological training environment can cause difficulties in performing patient roles, a burden on the role of the patient, and involves the interruption of the role.

• 간호행정학회지
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• 제12권4호
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• pp.541-554
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• 2006

Purpose: The purpose of this study is to provide basic data for the improvement of the quality in the emergency nursing services by investigating the expectation level and actual received level with nursing care and identifying the factors that influence patient satisfaction with the emergency nursing care in the military hospitals. Method: Using a self report questionnaire, data were collected from 150 patients who had been admitted in military hospitals emergency department. The data collection was done between April 17 and April 30, 2006. At least, 145 questionnaires were analyzed and used in this study. Results: The average sum score was 61.93 out of 76 with standard deviation 9.590. The mean of the patient's expectation levels with the overall emergency nursing services was $(3.25{\pm}.504)$ out of the highest score 4. the average sum score was 63.27 out of 76 with standard deviation 9.902. The mean score of the patient's actual levels with the overall emergency nursing services was $(3.33{\pm}.521)$ out of the highest score 4. Conclusion: nursing management strategies must be established to remove patient's dissatisfaction factors and to improve the emergency nursing care quality through continuous measurement and assessment of the patient's satisfaction with emergency nursing services in military hospitals.

• 디지털융복합연구
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• 제18권7호
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• pp.299-306
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• 2020

본 연구는 환자중심성 의료문화 변화에 따라, 데이터마이닝 기법을 이용한 융복합 외래 의료서비스 환자경험조사 연구를 시행하여 환자중심성 의료기관 경영전략에 도움이 될 수 구체적 방안을 모색하고자 하였다. '2018 의료서비스경험조사' 원시자료를 이용하여 외래 의료서비스 환자경험이 있는 만 15세 이상 8,843명을 분석하였다. 의사결정나무분석을 수행하였다. 외래 의료서비스 환자경험에 대한 전반적 만족도 결정요인은 의사와 환자 권리보호였으며 추천의사 결정요인은 의사와 시설의 안락함과 편안함이었다. 여성이 남성에 비해 전반적 만족도에서 경험을 긍정적으로 평가했으며 60세 이상이 전반적 만족도와 추천의사에 대한 경험을 긍정적으로 평가했다. 외래 의료서비스 환자경험 의사결정예측 모형을 제시하고 의사 영역과 환자권리보호 영역, 시설의 안락함과 편안함이 중요한 요인임을 확인한 점이 의의가 있다. '의료서비스경험조사'에 대한 종단적 연구가 필요하며 입원 의료서비스경험에 대한 연구가 필요하다.

• 대한물리의학회지
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• 제6권3호
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• pp.331-339
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• 2011

Purpose : The purpose of this study is to examine the impact of patient's psycological distress on social support in the view of patient's regulatory focus. Methods : For this study 300 questionnaires were distributed to medical institution, Busan from July 19 through August 4, 2010. The contents item divided the general characteristics, social support, psychological distress, and regulatory focus. The collected data were analyzed by t-test and multi-regression analysis. Results : The results show that patient's psychological distress is significantly influenced by physical therapist's emotional support and informational support. Also, there were difference with the effect of psychological distress on social supports in the physical therapists according to patient's regulatory focus. Conclusion : The instrumental support is more important to patient with promotion-focus than patient with prevention-focus. The implication of this research confirmed that physical therapist's social support plays important role in decreasing patient's psychological distress.

• 대한통합의학회지
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• 제7권4호
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• pp.213-222
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• 2019

Purpose : The purpose of this study was to compare stress and psychological status between a stroke and a fracture patient's caregivers. Methods : Data was collected from September to December 2018 and participants of this study were 60 stroke and 61 fracture patient's caregivers. Stress was evaluated with the Global Assessment of Recent Stress scale-Korean Version and psychological status was measured with the Symptom check List-90-Revision. Results : The stroke patient's caregivers scored significantly higher than the fracture patient's caregivers in stress relevant to interpersonal, change in relationship, sickness or injury, financial, change/no change in routine (p<.05). The stroke patient's caregivers scored significantly higher in somatization, interpersonal sensitivity, depression, anxiety, paranoid ideation, and psychoticism than the fracture patient's caregivers (p<.05). Conclusion : It was found that the severity of mental health in the stroke patient's caregivers is necessary to develop a customized mental health improvement program for stroke patient's caregivers.