• 문화기술의 융합
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• 제10권1호
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• pp.81-87
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• 2024

이 연구는 보건의료계열 3학년 재학생을 대상으로 환자안전 중심의 서비스를 제공하고 전문성을 발휘할 수 있도록 IPE 프로그램을 개발하고 5일간 프로그램을 적용하여 환자안전에 대한 지식과 환자안전 수행자신감에 미치는 효과를 확인하기 위해 시도되었다. 주된 내용으로는 직종별 직무 역할 이해, 환자위험 예지 훈련, 시나리오 기반 환자경험, 개선전략 도출 등이었다. 연구 결과 IPE 프로그램 적용 후 환자안전지식은 39점에서 37점으로 통계적으로 유의하게 낮아졌다(p=.007). 환자안전 수행자신감이 6.71점에서 7.50점으로 통계적으로 유의하게 높아졌다(p<.001). 또한 임상실습을 경험한 학생이 IPE 프로그램 적용 후 환자안전 지식이 더 높았으나 환자안전 수행 자신감은 유의한 차이가 없었다. IPE 프로그램의 효과성을 입증할 수 있도록 반복연구를 제언하며 IPE 프로그램의 확대운영과 지속적으로 관리될 수 있는 구체적인 방안을 모색해야 할 것이다.

• 한국임상보건과학회지
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• 제5권3호
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• pp.880-887
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• 2017

Purpose. This study was conducted from the period of April 12th, 2017 to April 26th, 2017. The questionnaires were distributed among a group of 76 adults aged 20 years or older, who participated in the prevention program of the department of dental hygiene at Busan Metropolitan City. The negative questionnaire was finally analyzed. Methods. The SPSS program was used for analysis of this study. The general characteristics of the subjects were t-test and one-way, ANOVA(by Scheffe post-test) for a PHP index (Patient Hygiene Performance index) according to frequency analysis, general characteristics, smoking and drinking behavior, and dietary behavior. Results. As a result of an examination of the PHP index(Patient Hygiene Performance index) ac- cording to smoking and drinking behavior, the amount of alcohol drunk was statistically higher than that of 'soju that was not drunk'(P<0.05). As a result of the PHP index (Patient Hygiene Performance index) according to dietary behavior, 'vegetarians' were statistically higher than 'Carnivorous oriented' individuals (P<0.05). Moreover, individuals who regularly 'drank almost no water' were statistically significantly higher than those who 'drank water steadily'.(P<0.05). Conclusion. As a result, appropriate management is required for oral health of the patient, Oral health education is needed to systematically consider smoking, drinking, and eating habits when taking into consideration the individual oral environment.

• Korean journal of medical education
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• 제30권4호
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• pp.327-337
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• 2018

Purpose: Patient education is a dynamic and continuous process that should be implemented during the entire time of hospital stay and even afterward. Studies have shown the typically poor quality of patient education in Iran and its failure to convey the required knowledge and skills to patients. The purpose of this study was to survey the experience of nursing students in regard to the challenges of patient education in hospitals. Methods: This qualitative study was conducted using the conventional qualitative content analysis approach on a sample of 21 undergraduate nursing students (4th semester and beyond), which was drawn from the Qom Nursing and Midwifery School through purposive sampling with maximum variation. Data were collected through semi-structured interviews conducted over a period of 45 to 75 minutes, and were analyzed using the conventional qualitative content analysis. Results: Results were derived from the experiences of 21 nursing students (nine males, 12 females) about the research subject. The primary themes identified in the study were the student-related, patient-related, instructor-related, education environment-related, and curriculum-related barriers to patient educations. Conclusion: Participants believed that patient education in Iranian hospitals is faced with many challenges. Nursing instructors and curriculum planners should ensure more emphasis on patient education at the initial semesters of nursing education curriculum and make sure that it is included in the evaluation of students. Hospital officials should provide a dedicated education environment with suitable facilities, tools, and atmosphere for patient education. Also, special education programs need to be developed for less educated patients.

• 재활치료과학
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• 제1권1호
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• pp.17-28
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• 2012

목적 : 본 연구의 목적은 과제 지향적 프로그램이 뇌졸중 환자의 균형과 상지기능에 미치는 효과에 대해 알아보고자 단일 사례 연구를 실시하였다. 연구방법 : 연구 대상자는 뇌졸중 진단을 받은 자로 균형검사는 Time up & go 검사, Nintendo Wii Balance Board Test로 실시하였고, 상지기능은 Manual Function Test(MFT)로 측정하였다. 과제지향적 프로그램은 운동처리 기술평가(AMPS)의 표준화된 과제 중 셔츠다리기, 자루걸레로 바닥 청소하기, 창문 청소하기, 손빨래하기를 환자에게 맞게 수정 보완하여 실시하였다. 이에 대한 결과는 다음과 같다. 결과 : 환자의 동적 균형능력은 기초선 평균 51.53에서 42.62로 향상되었고, 정적 균형능력은 기초선에서는 좌우 균형차이가 평균 13.8 났으나, 중재 후 좌우 균형차이가 6.29로 보다 0에 가까워져 좌-우 균형이 안정되었음을 확인할 수 있었다. 또한 상기기능은 MFT 검사결과 평균이 6점에서 7.6점으로의 증가 되었다. 결론 : 일상생활활동 과제로 구성된 과제지향 프로그램은 뇌졸중환자의 균형과 상지기능 향상에 영향을 미칠 수 있다. 따라서 향후 본 연구의 결과를 일반화 시킬 수 있도록 다양한 유형과 특성을 가진 뇌졸중 환자들에 대한 연구가 지속되어야 할 것이다.

• 대한두개안면성형외과학회지
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• 제18권2호
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• pp.97-104
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• 2017

Background: Nasal bone fracture is one of the most common facial bone fracture types, and the surgical results exert a strong influence on the facial contour and patient satisfaction. Preventing secondary deformity and restoring the original bone state are the major goals of surgeons managing nasal bone fracture patients. In this study, a treatment algorithm was established by applying the modified open reduction technique and postoperative care for several years. Methods: This article is a retrospective chart review of 417 patients who had been received surgical treatment from 2014 to 2015. Using prepared questionnaires and visual analogue scale, several components (postoperative nasal contour; degree of pain; minor complications like dry mouth, sleep disturbance, swallowing difficulty, conversation difficulty, and headache; and degree of patient satisfaction) were evaluated. Results: The average scores for the postoperative nasal contour given by three experts, and the degree of patient satisfaction, were within the "satisfied" (4) to "very satisfied" (5) range (4.5, 4.6, 4.5, and 4.2, respectively). The postoperative degree of pain was sufficiently low that the patients needed only the minimum dose of painkiller. The scores for the minor complications (dry mouth, sleep disturbance, swallowing difficulty, conversation difficulty, headache) were relatively low (36.4, 40.8, 65.2, 32.3, and 34 out of the maximum score of 100, respectively). Conclusion: Satisfactory results were obtained through the algorithm-oriented management of nasal bone fracture. The degree of postoperative pain and minor complications were considerably low, and the degree of satisfaction with the nasal contour was high.

• 한국전문물리치료학회지
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• 제25권1호
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• pp.31-38
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• 2018

Background: Patient-centered care has recently become highly recommended, because it can improve health outcomes more effectively than problem-oriented care. The goal attainment scale (GAS) is one of the methods used for patient-centered care. It was originally developed as an outcome measurement tool, but it can also be used as a therapeutic intervention when setting quantifiable patient-centered goals. Objects: We sought to identify the effect of setting patient-centered goals on rehabilitation outcomes in patients with subacute stoke using GAS. Methods: Overall, 46 subjects with subacute stroke were divided into experimental ($n_1=23$) and control ($n_2=23$) groups. Subjects in both groups attended physical therapy sessions five times a week for four weeks. Those in the experimental group set goals using goal-attainment scaling. The mobility of each subject was evaluated using the Rivermead mobility index (RMI); daily-living activities, using the K-modified Barthel index (K-MBI); participation, using the Hopkins rehabilitation-engagement rating scale (HRERS); satisfaction, using the patient-satisfaction scale (PSS). Results: Subjects in the experimental group experienced more significant increases in RMI, HRERS, and PSS than those in the control group (p<.05, p<.05 and p<.01, respectively). After four weeks, GAS scores of the experimental group had increased more significantly than those of baseline (p<.01). Conclusion: Setting patient-centered goals is effective in improving the mobility and satisfaction of patients with subacute stoke. Setting patient-centered goals needs to be performed more frequently in clinical settings.

• 한국실내디자인학회논문집
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• 제25권1호
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• pp.192-200
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• 2016

This study aims to design user-oriented children's hospital by examining the user needs, especially the mothers of child inpatients and the nurses. The subjects participated in a questionnaire survey including the user's characteristics, awareness of patient's room, the preference on ward size, demands, satisfaction and hospital environment assessment. The survey was conducted of the mothers of child inpatients and the nurses in A children's hospital, and the data were analyzed by the SPSS WIN 18.0 Version software. A total of 115 copies of the questionnaire were finally analyzed. The results and conclusions are as follows. 1) The mothers' demand on family-centered space and private spaces were higher than the nurses. 2) The mothers preferred 1-bed-room to 4-bed-room due to safety and privacy. 3) The items of hospital environment assessment was categorized into four factors; 'Aesthetics', 'Accessibility', 'Comfort', and 'Lighting'. The most positive factor was 'Aesthetics', whereas 'Comfort' was the negative factor. 4) The mother's satisfaction was lower than the nurse's. The most influential factors on the satisfaction was 'Accessibility'. To improve the satisfaction of the mothers of child inpatients and the nurses, safety, privacy, accessibility should be considered.

• 한국보건간호학회지
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• 제30권2호
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• pp.300-310
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• 2016

Purpose: The purpose of this study was to understand the role of community health nurse through a nurse practitioner of primary health care post. Methods: An assay, 'Even if we were allowed to look at', written by a nurse practitioner of primary health care post was analyzed with the contents analysis method. Results: In the assay, we checked the following roles: client-oriented, delivery-oriented, and population-oriented roles described and classified by Clark. In particular, direct care such as in-patient care, home visiting nursing care, and drug prescription was frequently performed. Moreover, community health nurse has been listening, counselling, expressing sympathy, and advocating vulnerable elderly people economically and psychologically. Conclusion: The assay gave us a better understanding of the role of community health nurse, and we need more assays delineating the role of community health nurse in others setting as well primary health care post.

• 대한의용생체공학회:학술대회논문집
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• 대한의용생체공학회 1994년도 추계학술대회
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• pp.85-87
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• 1994

In this paper, we present an object-oriented stereotactic radiosurgery planning system, which accepts medical images such as CT and angiography, transforms the coordinates to a reference frame coordinate, calculates dose distributions, and finally displays isodose curves over the images. The user finds an adequate one for radiosurgeries after performing computer simulations on different treatment parameter sets. The object-oriented design concept was fully applied to the system composed of seven manager objects of different classes: a patient information manager, a user-interface manager, a coordinate transformation manager, a blackboard manager, a dose calculation manager, an isodose curve display manager, and a report manager. All the user interactions are carried out through the use of mouse buttons. The performance of the system was verified by four physicians and two medical physicists, and now is being used in two clinical sites.

• 한국콘텐츠학회논문지
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• 제9권11호
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• pp.46-53
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• 2009

본 연구는 무구속 무자각 지향의 센싱 기술을 통해 취득된 환자 데이터를 지능적으로 처리하고 판단하여 개인 맞춤형 의료 서비스를 제공해주는 모바일 기반 휴대형 u-Health 모니터링 시스템을 개발하고자 한다. 이를 위해 USN 기반의 휴대형 모니터링 unit을 구성하였다. 환자의 몸에 부착하여 생체정보를 검출하는 생체계측센서, 그 센서로부터 정보를 수신하고 모니터서버로 정보를 전송하는 휴대용 무선단말기, 그리고 무선 통신망을 통해 전달받은 데이터를 해석하고 처리하기 위한 모니터서버가 그것이다. 또한, 당뇨 및 심혈관 질환 관련 무구속 무자각 지향의 센싱 기술을 개발하고자 한다.