• Journal of muscle and joint health
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• v.22 no.1
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• pp.48-56
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• 2015

Purpose: The purpose of this study was to verify the effects of visual information on nursing management to elderly total knee arthroplasty (TKA) patients. Methods: A quasi-experimental study with a non-equivalent control group pretest-posttest design was used in this study. Participants of this study were 60 elderly patients with TKA admitted to one hospital: the control group (30) between July and September, 2013, and the experimental group (30) between April and July, 2013. Anxiety and uncertainty were determined at baseline and at 3 days after TKA in both groups. Results: Two days after the visual information, the experimental group showed a significant decrease in anxiety and uncertainty compared with the control group. Conclusion: The results of this study show that providing visual information was effective in decreasing postoperative patient anxiety and uncertainty in elderly TKA patients. Therefore, when an elderly patient is hospitalized for TKA, positive and systematic provision of visual information may provide a positive effect by reducing postoperative patient anxiety and uncertainty.

• Quality Improvement in Health Care
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• v.5 no.2
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• pp.202-215
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• 1998

Purpose : To shorten processing time for variety of medical affairs of the patient at the outpatient clinic of a big hospital is very important to qualify medical care of the patient. Therefore, patient's waiting time for drug delivery after doctor's prescription is often utilized as a strong tool to evaluate patient satisfaction with a medical care provided. We performed this study to investigate factors influencing patient satisfaction related with waiting time for drug delivery. Methods : The data were collected from July 21 to August 12, 1998. A total 535 patients or their families who visited outpatient clinics of Inha University Hospital were subjected to evaluate the drug delivery time and the level of their satisfaction related, which were compared with those objectively evaluated by Quality Improvement Team. The reliability of the scale was tested with Cronbach's alpha, and the data were analyzed using frequency, t-test, ANOVA, correlation analysis and multiple regression. Results : The mean drug delivery time subjectively evaluated by the patient (16.1 13.0 min) was longer than that objectively evaluated (10.9 7.6 min) by 5.2 min. Drug delivery time objectively evaluated was influenced by the prescription contents, total amount or type of drug dispensed, etc, as expected. The time discrepancy between two evaluations was influenced by several causative factors. One of those proved to be a patient's late response to the information from the pharmacy which the drug is ready to deliver. Interestingly, this discrepancy was found to be more prominent especially when waiting place for drug delivery was not less crowded. Other factors, pharmaceutical counseling at the pharmacy, emotional status or behavior of a patient while he waits for the medicine, were also found to influence the time subjectively evaluated. Regarding the degree of patient satisfaction with the drug delivery, majority of patients accepted drug delivery time with less than 10 min. It was also found to be influenced by emotional status of the patient as well as kindness or activity of pharmaceutical counselor. Conclusion : The results show that, besides prescription contents, behavior pattern or emotional status of a patient, environment of the waiting place, and quality of pharmaceutical counseling at the pharmacy, may influence the patient's subjective evaluation of waiting time for drug delivery and his satisfaction related with the service in the big hospital. In order to improve patient satisfaction related with waiting time for drug delivery, it will be cost effective to qualify pharmaceutical counseling and information system at the drug delivery site or waiting place rather than to shorten the real processing time within the pharmacy.

• ETRI Journal
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• v.37 no.2
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• pp.222-232
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• 2015

In this paper, we propose a dual-phase approach to improve the process of heart disease prediction in a mobile environment. Firstly, only the confident frequent rules are extracted from a patient's clinical information. These are then used to foretell the possibility of the presence of heart disease. However, in some cases, subjects cannot describe exactly what has happened to them or they may have a silent disease - in which case it won't be possible to detect any symptoms at this stage. To address these problems, data records collected over a long period of time of a patient's heart rate variability (HRV) are used to predict whether the patient is suffering from heart disease. By analyzing HRV patterns, doctors can determine whether a patient is suffering from heart disease. The task of collecting HRV patterns is done by an online artificial neural network, which as well as learning knew knowledge, is able to store and preserve all previously learned knowledge. An experiment is conducted to evaluate the performance of the proposed heart disease prediction process under different settings. The results show that the process's performance outperforms existing techniques such as that of the self-organizing map and gas neural growing in terms of classification and diagnostic accuracy, and network structure.

• Journal of Korea Society of Digital Industry and Information Management
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• v.7 no.4
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• pp.15-22
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• 2011

U-Healthcare service is a real-time service using the vital signs which are continuously transferred from monitoring sensors attached to mobile patients under the wireless network environments. It should monitor the health condition of mobile patients everywhere at any time. In this paper, we have improved two features of the three layered mobile patient monitoring system with load balancing ability. First, the simulation process has been improved by allowing the number of related nodes to be changed. Secondly, we have modified S node to which queue is added to reduce the loss rate of collecting data from patients during the delay of S node process. And the data from the patient with high priority can be transferred to the server immediately through the filtering function. Furthermore, we have solved the problem of redundancy in sharing information among S nodes by differentiating process time to each S node. By performing a DEVS Java-based system simulation, we have verified the efficiency of this improved system.

• The Journal of the Institute of Internet, Broadcasting and Communication
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• v.20 no.6
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• pp.59-64
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• 2020

As the number of elderly people rapidly increases, needs of patient safety monitoring system also increases in indoor and outdoor medical facilities. With developing technologies related to sensors and information and communication technology, various dementia patient monitoring systems have been proposed. However, previous studies that depend on wearable devices provides limited functionalities. In this paper, we designed an integrated system that includes smart devices to monitor patient's status, user friendly UI/UX, and interaction with hospital information system. Medical teams and carers can receive satus of each patient in real-time and trace the location of dementia patients outdoor as well as indoor by using the proposed system.

• Journal of Information Technology and Architecture
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• v.11 no.1
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• pp.89-97
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• 2014

As ubiquitous computing technologies have advanced rapidly, context awareness technology has been used in the medical part in order to improve patient safety. Nevertheless, as there is no method for managing context awareness information effectively and managing healthcare processes for handling abnormal situations systematically, it is highly required to enhance patient safety in hospital. We propose an innovative system to solve these problems. The proposed system has three main functionalities. Firstly, it enables all situations to be recognized in medical organizations. Secondly, it extracts the meaningful data from data flood by defining data patterns of recognized situations and designing a rule-based system. Lastly, it can manage patients' abnormal situations in process-centric way by integrating the business process management system. It is expected that the proposed system contributes to the improvement of patient safety in u-hospital.

• Journal of the Korea Society of Computer and Information
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• v.25 no.12
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• pp.45-53
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• 2020

The purpose of this paper is to reduce the ratio of the patient accidents that may occur in nursing hospitals. In other words, it determines whether the person approaching the dangerous area is a elderly (patient uniform) group or a practitioner(Casual Clothing) group, based on the clothing displayed by CCTV. We collected the basic learning data from web crawling techniques and nursing hospitals. Then model training data was created with Image Generator and Labeling program. Due to the limited performance of CCTV, it is difficult to create a good model with both high accuracy and speed. Therefore, we implemented the ResNet model with relatively excellent accuracy and the YOLO3 model with relatively excellent speed. Then we wanted to allow nursing hospitals to choose a model that they wanted. As a result of the study, we implemented a model that can distinguish patient and casual clothes with appropriate accuracy. Therefore, it is believed that it will contribute to the reduction of safety accidents in nursing hospitals by preventing the elderly from accessing the danger zone.

• Korean Journal of Adult Nursing
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• v.22 no.6
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• pp.570-581
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• 2010

Purpose: This study was conducted to develop a Cancer Patient Guide with patients involvement using evidenced based practice research. The purpose of this patient guide was to help patients undergoing chemotherapy to manage their nausea and vomiting based on evidence. Methods: The design of the research was a methodological study. The participants consisted of seven cancer patients who were asked about their ' need for nausea and vomiting management, and secondly, 16 expert & 15 cancer patients to evaluate the Cancer Patient Guide using the DESCERN tool. Results: 1) Sixty-four relevant research evidences based articles were reviewed. 2) Patients were interviewed as to their needs in controlling nausea and vomiting. 3) The preliminary Cancer Patient Guide utilizing the research evidenced and the cancer patients interviews was then evaluated and revised by the experts and cancer patients. Lastly, the Cancer Patient which included an overview of chemotherapy, pathophysiology of nausea & vomiting, pharmacological and non-pharmacological interventions was finalized with each intervention supported by research evidence and patients' narratives of their experience. Conclusion: The Cancer Patient Guide was developed using evidenced based research and cancer patients in-put and be used to improve patients' self-management skill of nausea and vomiting in chemotherapy. The guide t also provides evidence based patient friendly information and contributes as a baseline data for developing and evaluating evidence-based guide for patients.

• Journal of Korean Academy of Rural Health Nursing
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• v.15 no.1
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• pp.30-40
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• 2020

Purpose: This study was done to describe a community health practitioner's nursing case management for a terminal cancer patient registered in the public health post. Methods: For this purpose, data were collected through the patient and family through home visits, health clinic offices, and phone calls. The nursing process was carried out from August to November 2019. Results: The patient suffered the most from anorexia and lack of energy. Also he expressed psychologically uncertainty about disease and death anxiety caused by long-term treatment. In order to reduce the death anxiety, Community Health Practitioner (CHP) asked him to express his life stories and listened to him. CHP provided information of appropriate medications and alternative foods for symptoms such as gastrointestinal disorders and anorexia to the patient and family. Observing the situation of the patient and family, CHP guided the patient and family to prepare for death and has confirmed to them that the process was not with the patient alone. Conclusion: CHP's this experience has shown the possibility for CHP to help the terminal cancer patient and family to prepare peaceful death in their communities.

• The Korean Journal of Emergency Medical Services
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• v.21 no.1
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• pp.75-85
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• 2017

Purpose: This study evaluated the effects of knowledge and attitude on confidence about patient safety management among emergency medical technician (EMT) students. Methods: A self-reported questionnaire was completed by 174 EMT students in two cities from May to June 2016. Data were analyzed using PASW WIN 20.0 for descriptive statistics, t-test, one way analysis of variance, and hierarchical multiple regression. Results: The students' confidence about patient safety management was 3.33 (on a 5-point scale). Confidence varied according to average academic grade (p=.015), experience in patient safety education, and experience in writing medical error reports. After adjusting for sex, average academic grade, and experience in patient safety education, knowledge and attitudes about patient safety increased a student's confidence in patient safety management by 19%. Conclusion: Patient safety education should be included in programs on health promotion and be provided as basic information in intervention programs for EMTs.