• 근관절건강학회지
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• 제26권1호
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• pp.46-53
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• 2019

Purpose: The aim of this study was to examine the quality of life (QOL) and its associated factors in hepatocellular carcinoma patients with Transarterial Chemoembolization. Methods: A descriptive correlational study was used, 106 hepatocellular cancer patients participated through convenient sampling. Data were collected by self-report questionniares or face to face interviews during the period from June to December in 2014. Satisfaction for pain control, perceived health status, professional support and QOL were measured by Assessment of Patient Satisfaction for Pain Management, Health Self-Rating, Relationship Questionnaire, Functional Assessment Cancer Therapy-General. Results: The mean age of participants was 63.7 years and most of them were male (86.8%) and married (84.9%). The mean score of QOL was 67.42. QOL was significantly different by religion. Number of other disease and perceived health status were positively correlated to QOL. Pain intensity was negatively correlated to QOL. As a result of stepwise multiple regression analysis, perceived health status and religion were explained 41.0% (p<.001) of the variance in QOL. Conclusion: Perceived health status should be considered when developing nursing intervention to improve QOL among hepatocellular cancer patients with Transarterial Chemoembolization.

• 한국치위생학회지
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• 제10권4호
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• pp.595-605
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• 2010

Objectives : A precedent research has documented that occupational stress is closely associated with increased the risk of fatigue and decreased in job satisfaction. This study was conducted in an effort to assess the relationship of occupational stress to self-perceived fatigue and job satisfaction by using job strain model. Methods : The number of respondents was 122 dental hygienist who work in dental clinic and period of the investigation was July 2009 through september 2009. A structured questionnaire was employed to evaluate the participants' sociodemographics, job-related factors, health-related behaviors, occupational stress, job satisfaction and self-perceived fatigue. Occupational stress and self-perceived fatigue were assessed using the Korean Occupational Stress Scale-Short form (KOSS-SF) and the Multidimensional Fatigue Scale (MFS), respectively. Results : In job strain model, the ratio of Q2(High Strain Job) group that more susceptible to disease by stress than other group was 16% and the proportion of high fatigue group(Q3, Q4 group) and low job satisfaction group(Q3, Q4 group) was 48%, 45% respectively. In logistic regression analyses, a High Strain Job group was associated with higher odds of react factor(fatigue, job satisfaction) and the odds was down by 3.3%~7.5% after adjustment for age, smoking, alcohol drinking, regular exercise. So the effective strategy for fatigue, job satisfaction reduction for dental hygienist requires additional program focusing on innovated work environment that provide a enough leisure time and exercise program considering the personality traits. Conclusions : The results of this study suggest that occupational stress is a determinant predictor of self perceived fatigue and job satisfaction. Thus, a stress management program for the reduction of occupational stress, and the promotion of dental hygienist impact assessment health and quality of life is strongly recommended.

• 가정∙방문간호학회지
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• 제8권2호
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• pp.121-134
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• 2001

The purpose of this study were to analyze the home care services and to evaluate the client's satisfaction with the home care services provided by home care service center in the C hospital. The data were collected by reviewing charts of 128 home care clients who were receiving home care services at C hospital from October 1997 to September 2000. The subjects for satisfaction of home care service were 20 clients from July 10 to September 30, 2000. The tool for measurement of present condition of home care service was developed by the researchers. The satisfactions of the home care services were measured by using the instrument developed by Im(997). The data were analyzed by using the SPSS/PC+. The results of this study were as followings : 1. Majority of the subjects was female(61.7%). The average of age was 63.5 years. The service has been used mostly by the elderly 60 years of age or older(71.1%). The economic level of most of subjects was in middle class(94.5%). 2. Majority of the subject had a cancer(55.4%), following stroke(25.0%). The average duration of disease for the subjects was 31 months. The average time of hospitalization for the subjects was 3.3 times. The duration of hospitalization was 10$\sim$30 days(26.6%), 30$\sim$60 days(23.4%) and above of the 210 days(9.4%). 3. Most of the subjects used his/her doctor (47.7%), as a consultant, following his/her nurse (28.1%), other patients or their family (21.9%). Most of reasons for a consultation were supportive management(Infusion or medication, 60.94%), following tube management(L-tube or T-tube, 25%), Foley catheter management (15.63%) etc. 4. 28 types of nursing diagnoses were used by the home care service. The nursing diagnosis altered nutrition: less than body requirement were used mostly by the home care service, following risk for infection, impaired skin integrity, impaired swallowing, ineffective airway clearance altered comfort: pain, impaired physical mobility. By the human-response pattern, exchanging(63.2%), moving(7.5%), feeling(10.4%), knowing(5.2%), communicating (2.6%), relating(0.5%) perceiving(0.4%) and choosing(0.3%). There were 42 nursing intervention types were performed by the home care service. By the NIC(nursing intervention classification. McCloskey. Bulech. 1996). physiologic: complex (30.3%) was the most, safety(28.3%), behavioral(20.0%), physiologic: basic(10.8%) and health system(1.7%). Observation or assessment was the most nursing intervention performed by the home care service. following IV infusion. vital sign observation. infusion management and fluid-electrolyte balance management. 5. The level of client's satisfaction with provided home care services showed considerably high(2.67/ 3).

• 한국방사선학회논문지
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• 제18권4호
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• pp.327-334
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• 2024

본 연구의 목적은 당뇨병 환자의 맞춤형 족부질환 분석 및 관리 시스템 개발로 당뇨병성 족부질환 환자의 발 궤양 예방본 시스템은 영상분석 기술을 활용하여 족압뿐만 아니라, 발목의 변형, 신체의 균형, 발의 상처 여부 등의 다양한 데이터를 통하여 정확한 족부변형 상태 분석이 가능하고, 이를 기반으로 당뇨병성 족부질환 환자의 발의 정확한 변형 상태를 파악하여 맞춤형 인솔 제작을 하였다. 당뇨병 족부질환의 상처를 상태 확인 애플리케이션(App)의 사용 만족도 검사와 당뇨병성 족부질환 환자 및 족부질환 환자의 변성 상태를 파악하여 맞춤형 인솔을 착용하여 인솔 착용 만족도 조사연구이다. 연구 결과로 족저압력 측정 Knee angle은 -0.8 ± 1.3도였으며 최소 -2.4도에서 최대 1.1도의 분포를 보였고, 외반슬은 양쪽 하지 간에 유의미한 차이가 없었다(p = 0.534). 경골 각도는 양쪽 하지에 유의미한 차이가 있었다 (p < 0.001). 발목 각도(Ankle angle)는 왼쪽이 2.6 ± 2.0도였으며 최소 0도에서 최대 6.3도의 분포를 보였고, 오른쪽은 4.5 ± 2.1도였고 최소 1.5도에서 최대 9.1도의 분포를 보였다. 발목 각도는 양쪽 하지에 유의미한 차이가 있었다 (p = 0.011). 족저 압력 측정 애플리케이션에 평균 4.3점의 만족도를 느낀다고 응답하였으며. 맞춤형 인솔 사용에 대해 평균 3.9점의 만족도를 느낀다고 응답하였다.

• Journal of Hospice and Palliative Care
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• 제13권3호
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• pp.153-160
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• 2010

목적: 본 연구는 제주지역에 거주하는 암환자의 요구도와 만족도를 파악하기 위한 조사연구이다. 방법: 2009년 7월 13일부터 7월 30일까지 제주대학교 병원에 내원한 암환자 174명의 의료서비스에 대한 요구도와 만족도를 분석하였다. 보건복지부에서 재가암환자 관리사업 시행 시 제시한 서비스 요구도 및 충족도 조사 항목을 이용하여 조사하였으며, 수집된 자료는 SPSS 12.0 for Windows program을 이용하여 분석하였다. 결과: 대상자는 위암과 대장직장암 등 위장관계 암환자가 33.3%로 가장 많았으며, 52.3%가 진단 후 경과 기간이 1년 이하였으며, 진단 후 5년 이상 경과한 대상자는 5.2%로, 최장기간은 12년이었다. 전체의 60.9%가 암으로 인한 수술 경험이 있었으며, 28.2%가 항암화학요법 경험이 있었다. 요구도가 가장 높았던 항목은 경제적지원(3.38점)이었으며, 치료 계획에 대한 상담(3.22점), 질병에 대한 정보(3.07점), 암 이외의 다른 질병 관리(2.97점) 순이었다. 만족도가 가장 높았던 항목은 종교상담(3.41점)이었으며, 간병보조(3.39점), 직업상담(3.26점), 가족 및 대인관계 상담(3.26점), 물리치료 및 재활치료(3.20점), 보험 상담(3.18점) 순이었으며, 만족도가 가장 낮은 항목은 경제적 지원(1.98점)이었다. 남성의 서비스 만족도는 3.1점으로 여성(2.8점)보다 높았으며, 자녀와 사는 경우 서비스 요구도가 가장 높았으며, 홀로 살거나 자녀와 사는 경우 서비스 만족도가 가장 낮았다. 의료보호 환자 및 암보험에 가입하지 않은 경우 서비스 요구도가 더 높은 것으로 나타났다. 대상자의 연령, 직업, 학력수준, 결혼여부, 종교, 수입에 따른 차이는 없었으나, 60대 및 수입이 높은 그룹에서 서비스 만족도는 가장 높고, 요구도는 가장 낮은 것으로 나타났다. 의학적 진단 및 치료 방법에 따른 서비스 요구도 및 만족도의 차이는 없었으나, 갑상샘암 환자에서 서비스 만족도가 다소 낮았으며, 방사선 치료 및 색전술을 받은 경우 만족도가 다소 낮은 것으로 나타났다. 결론: 암환자들은 경제적 지원 및 치료계획이나 질병에 대한 정보를 얻고자 하는 요구도가 높으며, 실제 경험하는 증상에 대한 관리는 잘 이루어지지 않는 것으로 보인다. 또한, 환자의 지지체계 및 경제적 지원 체계의 확보 여부에 따라 의료서비스에 대한 요구도도 다양하고, 주요 5대암 이외의 암환자에 대한 지원이 다소 부족한 것으로 보인다. 따라서, 의료기관에 내원 중인 암환자 및 재가암환자 모두를 대상으로, 대상자 특성 및 요구도를 고려한 지속적인 정책적 노력이 필요할 것이다.

• 한국보건간호학회지
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• 제35권2호
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• pp.254-267
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• 2021

Purpose: This study aimed at identifying the factors affecting the service satisfaction of urban elderly, focusing on the outreach community health service in Seoul, and suggesting policy directions for the successful implementation of community care. Method: Individuals aged 65 and 70 who used the outreach community health service from July 2017 to June 2019 were eligible for the survey. A total of 2,028 people were sampled using a proportional allocation method for each autonomous district in the survey which covered 25 districts. A multi-level logistic regression analysis was conducted, taking into account the individual's socioeconomic level, health status, type of service provided, and the healthcare-related environment and service provision period of the autonomous district. Result: The results revealed that the health status of the urban elderly, the type of services provided (health screening, linkage to community health center and clinic/hospital, medical checkup results counseling, frailty evaluation), and personal experience of the service were the major factors associated with the satisfaction with the outreach health services. Conclusion: The development of customized health services based on the close relationship between visiting nurses and the elderly may be considered to promote a sustainable community health care model.

• 한방안이비인후피부과학회지
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• 제13권2호
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• pp.140-151
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• 2000

Acne is a common chronic disease which most frequently affects the face, appearing in both males and females near puberty, and in most cases becomes less active as adolescence ends. The intensity and duration of activity vary for each individual. The disease may be minor, with only a few comedones or papules, or it may occur as the highly inflammatory and diffusely scarring acne conglobation. Permanent scarring of the skin and psyche can result from such inaction. The disease, however, has implications far beyond the few marks that may appear on the face. The lesions cannot be hidden under clothing; each is prominently displayed and detracts significantly from one's personal appearance and self-esteem. Recently many of acne patients are visiting to Oriental Medicine Hospitals. They want to receive the treatment of acne related another disease and causes, or worry about side effects of antibiotics and hormone therapy. This study was performed at Pundang Cha Oriental Medicine Hospital Department of Dermatology from March 1, 1997 to February 29, 2000 in 31 patients with recurrent acne. We investigated the clinical findings, included distribution of age & sex, severity of acne, sites on face, related causes, duration of disease and causes of visiting Oriental Medicine Hospital and so on. The results were as follows : The peak age at onset was 20-29 years old in females with 16 cases reported. The 22 total cases patients had severe signs with most frequently sites being forehead & chin. They visited Oriental Medicine Hospital because they want to take the treatment of acne related with another body problems(12 cases) and worry about side effects of antibiotics. Twenty cases were diagnosed 肺熱血熱(20 cases). And given acupuncture treatment, herb-medication and sometimes we used external applications. Relatively, their satisfaction grade was high. Dermatologists are trying to treat new methods in order to remove scar and decrease sebaceous gland secretion,. And we, Oriental Medicine doctors, have to develop and offer to patients the most effective management and successful treatment of this disease.

• 대한간호학회지
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• 제45권4호
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• pp.533-543
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• 2015

Purpose: This study was conducted to develop and test the effects of a motivational interviewing self-management program for use with elderly patients with diabetes mellitus. Methods: A non-equivalent control group pretest-posttest design was used. The participants were 42 elderly diabetic patients (experimental group: 21, control group: 21). The motivational interviewing self-management program for elders with diabetes mellitus developed in this study consisted of a 12-week program in total (8 weeks for group motivational interviewing and education and 4 weeks for individual motivational interviewing on the phone). Data were collected between February 13 and May 3, 2013 and were analyzed using t-test, paired t-test, and repeated measure ANOVA with SPSS/WIN 18.0. Results: For the experimental group, significant improvement was found for self-efficacy, self-care behavior, glycemic control and quality of life (daily life satisfaction, influence of disease) as compared to the control group. Conclusion: The study findings indicate that the motivational interviewing self-management program is effective and can be recommended as a nursing intervention for elderly patients with diabetes mellitus.

• 임상간호연구
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• 제28권2호
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• pp.112-121
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• 2022

Purpose: This study aims to identify the effects of mobile web-based COVID-19 isolation hospitalization management training on patient's uncertainty, anxiety, and nursing education satisfaction. Methods: Patients hospitalized with COVID-19 isolation rooms from August to October 2021, in Medical Center B which is an infectious disease dedicated hospital located in metropolitan city B were included. The total number of subjects was 142, of which 71 were the experimental group and 71 the control group. As an experimental treatment, a total of 5 minutes and 35 seconds of mobile web-based education were provided to the experimental group three times, including the day of, the first day of, and the second day of hospitalization. Existing training conducted on the control group was provided by the nurses in charge of the ward through oral explanation using printed materials. The data were analysed using the IBM SPSS/WIN 26.0 program. Results: Significant differences were observed between the two groups in pre-and post-assessment of uncertainty scores (t=-22.92, p<.001), anxiety scores (t=-15.03, p<.001) and nursing education satisfaction score (t=11.61, p<.001). Conclusion: As a result of the above, mobile web-based education can be used as an effective educational medium in nursing practice to improve the work efficiency and quality of nursing care and contribute to improving the patient's educational satisfaction.

• The Korean Journal of Pain
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• 제20권2호
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• pp.138-142
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• 2007

Background: Depression is a frequent comorbid disease of chronic pain patients. This study was conducted to evaluate the prevalence of depression and to correlate associated factors and depression in patients with lumbar spinal stenosis. Methods: The data of this survey was collected from 97 patients that visited our pain clinic for the management of lumbar spinal stenosis. Depression was examined by a self-reported survey using the Korean version of the Beck Depression Inventory (BDI). The Oswestry Disability Index (ODI) and the life satisfaction scale score were also obtained. Demographic and clinical characteristics (including spouse status, employment status, smoking status, the number of patients with multiple painful areas, the number of patients with combined disease, pain duration, visual analogue scale, Roland 5-point scale and walking distance) were obtained from an interview with the patient. The patients were divided into group N ($BDI{\leq}14$, n = 43) and group 0 (BDI > 14, n = 54) according to the BDI scale. Of the 97 patients, 55,7% had a high BDI score. Results: The patients in group N had a higher rate of employment (48.0%, P < 0.05) and had higher life satisfaction scale scores ($9.4{\pm}2.5$, P < 0.01) as compared to group D patients. The BDI score showed a close correlation with employment status and the life satisfaction scale. Conclusions: Many lumbar spinal stenosis patients had high BDI scores. Employment status and the life satisfaction scale were closely correlated with the BDI score.