• 한국의류학회지
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• 제40권3호
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• pp.516-525
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• 2016

Lumbar discs are one of the first parts of the musculoskeletal system to age in the human body. Lumbar disc for females start to age at twenty years of age and completely age between fifty and sixty. The number of lumbar herniated intervertebral disc patients are increasing rapidly; however, studies on protective inner wear are insufficient. This study was conducted to develop protective inner wear equipment that retains an aesthetic appreciation of the body. The methods and procedures of this study are as follows. First, foreign and domestic lumbar pads were researched and analyzed by visiting medical shops and internet shopping malls that sell lumbar pads. Second, the survey was conducted on forty patients with disc disease in hospitals located in Seoul and surrounding suburbs. The following are the study results and observations. First, the lumbar pads selling on the market had a variety of designs, textiles, and fabrics. The result of the research was to develop additional inner protective equipment for lumbar herniated intervertebral disc patients. Second, the survey results of the forty patients with disc disease were that housewives were the most vulnerable. All patients had experience purchasing lumbar pads. The prevention of pain and stress were the most selected responses for the motivation to buy lumbar pads. Most individuals said that they used lumbar pads for less than 1 year. Dissatisfaction came from fabric, activity and design. 'Being uncomfortable to wear' was the most common complaint. 'Protection and how easy the clothes were to wear' were the most selected for the necessity of developments. The Inner wear shape was the most selected in shape. Except for six respondents, all favored the lumbar protective inner wear design.

• 보건행정학회지
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• 제16권1호
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• pp.117-139
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• 2006

The role of medical service quality to provide patients enhances influence on the hospital performance under being severe competition among the large size hospitals and increasing the right of patients. When a large hospital perceived factors of quality that a customer expects and feels value of care and it invests its resources to improve the factors of quality, it can get successful performances. Therefore, the purpose of the study explores the factors of quality affecting the trust of care and the patient satisfaction, and tests relationship among the trust of care, patient satisfaction and revisit intention. When considering the factors, a large size hospital can increase the trust of care and the patient satisfaction, through this process the hospital can assure patients' revisit and increase its revenue. This study uses interview data on outpatients visiting clinics in about 1000 beds sized training hospital located in Seoul. This study uses casual relationship model for the analysis. This study finds that 1) the trust of care and the procedure of care significantly influence the value of care felt by patients, 2) the trust of care, quality of doctors' care, procedure of care significantly influence the patient satisfaction, 3) the trust of care increases the patient satisfaction, and 4) the value of care and the patient satisfaction increase revisit intention.

• 한국응용곤충학회지
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• 제59권2호
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• pp.139-143
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• 2020

본 연구는 동물병원을 방문하거나 펫 앱을 사용하는 반려동물 소유주를 대상으로 수행되었고, 이들의 사육상황, 식용곤충을 사용하는 사료와 기능성 펫 사료에 대한 인지도와 구매의사를 조사 분석하였다. 조사결과, 조사대상의 89.5%가 개나 고양이와 같은 반려동물을 키우고 있었고, 55.6%가 식용곤충을 이용한 반려동물사료에 대해 알고 있었다. 식용곤충을 사용한 반려동물사료에 대해 구매의사를 물었을 때 48.5%가 구매의사를 보였고, 51.5%가 불구매 의사를 보였다. 구매의 주요 이유로는 낮은 알러지 가능성과 높은 영양성을 언급하였고, 불구매 의사의 주요 이유로는 식용곤충에 대한 거부감으로 조사되었다.

• 호스피스학술지
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• 제6권2호
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• pp.69-78
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• 2006

Purpose: This study was conducted to analysis relationship about quality of life and family burden of the home-based hospice patient families. Method: The subjects consisted of 94 families with home-based hospice patient. The ages of the subjects were 17-73 years with hospice patient who receivedhome visiting care and registered at 4 hospitals in Daegu and Kyung-Buk. The data was collected from March to November 2004. The instruments used for the study were Quality of Life Scale (GLS) and Family Burden Questionnaire (FBQ). The analysis was done using frequency, mean, standard deviation, correlation and stepwise multiple regression with SPSS WIN 11.0. Results: The results were as follows: 1. The mean score of family burden was 3.36 ($\pm0.55$). The highest mean score of family burden 6 factors were wellness of future 3.85($\pm1.10$), and the second was economic family burden 3.63($\pm0.97$). 2. The mean score of quality of life was 3.09 ($\pm0.48$). The lowest score of quality of life 6 factors were economic status 2.86($\pm0.54$), and the second was physical state and function 3.01($\pm0.62$). 3. In the home-based hospice patient families, family burden had significant negative correlation with quality of life(r=-0.25, p=0.012). 4. Emotional status accounted for 11% of family burden in the home-based hospice patient families by means of stepwise multiple regression. 5. Economical status accounted for 18 and age accounted for an additional 11% of quality of life in the home-based hospice patient families by means of stepwise multiple regression. Conclusion: The finding showed that family burden and quality of life of home-based hospice patient families were significantly negative correlation and the highest factor of family burden was wellness of future and the most important factor of quality of life was economic status.

• 대한치위생과학회지
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• 제3권2호
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• pp.1-8
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• 2020

This study investigated the relationship between oral health knowledge, behavior and orthodontic satisfaction in orthodontic patients visiting dental hospitals and clinics and provided suggestions to improve orthodontic patients' satisfaction. This study anayzed structured self-administered questionnaires collected from 245 patients who visited 5 dental clinics in Gwangju Metropolitan City. Regarding oral health knowledge, the highest percentage of correct answers was for the item "Cavities heal themselves over time" (97.1%), and the lowest percentage of correct answers was for the item "Cavity bacteria move from tooth to tooth" (16.7%). Five fluoride items showed a lower percentage of correct answers than those for cavity and gingival diseases. Regarding the survey on oral health behavior, the highest score was found for the item "I brush my teeth with a certain method and order" (3.78 out of 5), and the lowest score was found for the item "I use an electric toothbrush" (1.34 out of 5). Regarding the survey on orthodontic satisfaction, the highest score was found for the item "I would recommend receiving medical treatment at the department of orthodontics" (4.23), and the lowest score was found for the item "Orthodontic cost is reasonable" (3.46). While oral health behavior had on orthodontic satisfaction, oral health knowledge had no effect on it. Oral health behaviors should be improved to enhance orthodontic satisfaction. To improve oral health behavior, it is necessary to develop and activate education programs for tooth brushing and oral care for orthodontic patients.

• 보건행정학회지
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• 제32권3호
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• pp.323-329
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• 2022

Background: This study aimed to identify the characteristics of the referral and return of patients to clinics in the endocrinology and cardiology departments at the National Health Insurance Service Ilsan Hospital to evaluate the "referral and return of patients to clinics" program and reduce the rate of returning patients. Methods: From May 2018 to December 2020, we identified the number of visits to referral hospitals and hospital usage status at Ilsan Hospital after returning to clinics. We also identified the patients who returned to Ilsan Hospital within 6 months, defined as "failure to transport," among those recommended to be transported to clinics of the Medical Cooperation Center. Additionally, we evaluated the characteristics of the "failure to transport" patients. Results: Among the returning patients, the rate of visiting Ilsan Hospital within 6 months was higher in cardiology than in endocrinology (25.1% vs. 16.7%). Older age, more severe disease, and more number of visits to the department were associated with a high rate of failure to transport. The rate of failure to return was low in cases diagnosed with hyperlipidemia/lipoprotein metabolism disorder. With respect to diabetes, the rate of failure to transport differed according to each type of diagnosis of diabetes. Conclusion: The success rate of the "referral and return of patient to clinics" program differed based on each patient's characteristics, department of visit, and diagnosis. Individualizing according to the visit department and diagnosis is required to ensure successful transfers, and infrastructure expansion and institutional arrangements must be facilitated.

• 대한간호학회지
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• 제52권2호
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• pp.157-172
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• 2022

Purpose: This study aimed to construct and test a hypothetical model to explain the predictive factors and causal pathways for exercise levels in patients with ankylosing spondylitis based on the self-determination theory. A conceptual framework was constructed assuming that autonomy support by health care providers would satisfy the three basic psychological needs of patients, which would increase their autonomous motivation for exercise, resulting in its initiation and continuation. Methods: This cross-sectional study included 221 patients with ankylosing spondylitis who were visiting rheumatology clinics in two tertiary hospitals. Health Care Climate Questionnaire-exercise regularly, Basic Psychological Needs Satisfaction scale, Behavior Regulation in Exercise Questionnaire-2, and exercise level were used to collect data. Results: The fitness of the hypothetical model met the recommended level (𝛘²/df ≤ 3, SRMR ≤ .08, RMSEA ≤ .08, GFI ≥ .90, AGFI ≥ .85, NFI ≥ .90, TLI ≥ .90, CFI ≥ .90). The model effect analysis revealed that autonomy support by health care providers had a positive effect on patients' autonomy, competence, relatedness, autonomous motivation, and exercise level. Competence and relatedness had positive effects on autonomous motivation and exercise level, respectively. Autonomous motivation had a positive effect on exercise level. Conclusion: The predictive factors of exercise level in patients with ankylosing spondylitis were autonomous motivation, health care providers' autonomy support, competence, and relatedness. Considering these factors, we recommend the development of an effective program for improving exercise levels in these patients.

• Journal of Acupuncture Research
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• 제39권2호
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• pp.122-133
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• 2022

Background: This study was designed to statistically analyze the data of patients who had Bell's palsy (BP) who visited a Korean Medicine hospital in the last 3 years to determine the tendency or characteristics of their visit. Methods: This study retrospectively analyzed the medical records of 816 patients. Based on the data collected through medical records demographics, condition/disease, and therapeutic characteristics of the patients were analyzed using IBM SPSS Version 23.0. Results: Patients in their teens or younger, and 50s or older had a higher frequency of inpatient treatment, and 20s to 40s had a higher rate of outpatient treatment. The proportion of men who received steroid combination treatment was higher than women. The number of patients with BP, and the total treatment period of the patients has decreased every year. The total treatment period was shorter in the steroid group than the Korean medicine alone group. Inpatients were more likely to receive steroid combination therapy than outpatients. The proportion of patients who received steroid combination therapy was higher than patients with recurrence of BP. Patients with hypertension or diabetes had a higher rate of hospitalization and received more treatments than patients without the condition/disease. Conclusion: Visit characteristics and treatment methods preferred by patients with BP were identified. This research may help to establish a treatment model for BP in Korean Medicine institutions in the future.

• 대한불안의학회지
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• 제15권2호
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• pp.61-67
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• 2019

Objective : This study aimed to investigate the general process from the symptom onset to the psychiatric treatment in Korean panic patients and the effect of improved public awareness on it. Methods : This study has a retrospective design. The subjects were the new patients with panic disorder who visited the psychiatric outpatient clinic in twelve university-affiliated hospitals all across Korea. The medical chart was reviewed retrospectively and the data were collected including chief complaints of symptoms, recent stressors, the time to visit the psychiatric outpatient clinic, and visit of other departments and diagnostic approaches for their symptoms. Results : A total of 814 participants were included in the study. The most common department other than psychiatry the panic patients visited were cardiology (28.3%), general internal medicine (16.0%) and neurology (11.4%). The most frequently used diagnostic tests were a echocardiography (17.9%), 24-hour Holter monitoring (11.2%), and brain MRI (8.2%). Only 37.3% of participants visited psychiatric clinic directly. About 80% of participants visited psychiatric department within 1 year after their first panic symptoms and it took $13.8{\pm}13.7weeks$ on average. Comparing before and after 2012, the number of participants increased who visit directly the psychiatric clinic without visiting other departments (p=0.002) and without visiting emergency room (p<0.001). Conclusions : Our results suggest that a substantial number of patients visit departments other than psychiatry when they experience first panic symptoms. However, most patients begin psychiatric treatment within 1 year after their first symptoms and the number of patient are increasing who visit psychiatric department directly without visiting other departments.

• 한국과학예술포럼
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• 제37권1호
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• pp.87-97
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• 2019

본 연구는 최근 몇 년간 빠르게 성장하는 국제간의 의료관광 및 외국인 환자 유치의 추세에 따라 국내 의료현황을 파악하고자 하는 것에서 시작하였다. 그 중, 국내 수도인 서울에 이어 외국인 환자 유치율 2위를 차지하고 있는 부산의 경우, 지난 8년간, 외국인 환자가 426%가량 증가하는 등 상당한 활성화가 되어있으며, 해상을 통해 입국한 러시아 환자 등의 다국적인 구성이 특징이다. 또한 부산권인 경남지역 중 김해와 창원은 외국인 거주자 수로 경남 도내 1위, 2위를 차지하고 있으며 다양한 외국인노동자들이 거주하고 있다. 종합병원과 같은 의료기관에서는 병원 내 길 찾기가 용이하여야 한다. 또한, 한국어, 영어, 중국어, 혹은 러시아어가 포함된 다양한 언어의 정보를 하나의 매개체 안에 전달해야 하는 공간이다. 이를 바탕으로 본 연구에서는 우리나라 언어에 미숙한 외국인들이 병원을 방문하였을 때 제시된 사인시스템에서 인지를 함에 있어서 쉽게 이해할 수 있도록 도와주는 융합적인 정보 전달을 목적으로 한다. 따라서 본 논문은 국내 제 2의 도시인 부산광역시 소재 대학병원 의료기관 6곳(A, B, C, D, E, F)과 부산권이면서 외국인 거주 비율이 높은 경상남도 김해시 의료기관(G, H), 창원시 대학병원 의료기관(R, J)등 총 10곳을 대상으로 사인시스템(유도사인, 안내사인, 실간판)의 현황을 파악하고 현재 적용되고 있는 다중언어 표기 실태 조사를 이행하였다. 연구결과 및 내용은 다음과 같다. 첫째, 사인시스템 디자인을 분석한 결과는 대체적으로 어두운 회색 및 채도가 높은 파란색 혹은 흰색의 바탕색을 적용한 후 서체는 무채색의 고딕체를 사용, 화살표 및 픽토그램으로 포인트 효과를 주어 일반적인 병원 사인시스템 디자인을 도입하고 있는 것으로 파악되었다. 둘째, 다중언어 실태의 결과는 주로 한국어, 영어와 같이 2가지의 언어만을 사인시스템에 도입하고 있는 곳과 지리적인 위치에 따라 한국어, 영어, 중국어, 러시아어와 같은 4가지의 언어를 적용시킨 곳도 조사되었다. 그러나 대부분의 의료기관은 현재 2가지의 언어(한국어, 영어)만이 적용되어져 있는 상황에 따라 영어권 나라가 아닌 타 국가의 외국인 환자들에게는 언어적인 측면에서 다소 불편한 점이 초래될 수 있다고 판단되었다. 이러한 연구결과를 바탕으로 추후에는 병원 사인시스템 다중언어 사용에서 외국인 사용자 뿐만 아니라 내국인들도 고려한 디자인을 제안하는 연구가 필요하다.