• Journal of Hospice and Palliative Care
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• 제26권2호
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• pp.69-79
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• 2023

Purpose: This study aimed to investigate the involvement of patients who died from hematologic neoplasms in the decision-making process surrounding the withdrawal of life-sustaining treatment (LST). Methods: A total of 255 patients diagnosed with hematologic neoplasms who ultimately died following decisions related to LST during their end-of-life period at a university hospital were included in the study. Data were retrospectively obtained from electronic medical records and analyzed utilizing the chi-square test, independent t-test, and logistic regression. Results: In total, 42.0% of patients participated in the decision-making process regarding LST for their hematologic neoplasms, while 58.0% of decisions were made with family involvement. Among these patients, 65.1% died in general wards and 34.9% in intensive care units (ICUs) as a result of decisions such as the suspension of LST. The period from the LST decision to death was longer when the decision was made by the patient (average, 27.15 days) than when it was made by the family (average, 7.48 days). Most decisions were made by doctors and family members in the ICU, where only 20.6% of patients exercised their right to make decisions regarding LST, a rate considerably lower than 79.4% observed in general wards. Decisions to withhold or withdraw LST were more commonly made by patients themselves than by their families. Conclusion: The key to discussing the decision to suspend hospice care and LST is respecting the patient's self-determination. If a patient is lucid prior to admission to the ICU, considerations about suspending LST should involve the patient input.

• 산업융합연구
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• 제22권9호
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• pp.103-112
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• 2024

본 연구의 목적은 간호·간병통합간호서비스 병동에서 근무하는 간호사의 환자안전간호 경험을 심층적으로 이해하는 것이다. 이 연구의 목적을 달성하기 위해 E대학교병원 간호·간병통합서비스 병동에서 근무하는 임상간호사 9명을 대상으로 2019년 10월 1일부터 2019년 12월 22일까지 일대일 심층 면접을 통해 자료를 수집하였다. 면접은 사전 준비된 반구조화된 질문지를 이용하였으며, 면접 후 녹취 내용을 필사하였다. 필사된 내용은 Colaizzi(1978)의 현상학적 방법을 적용하여 분석되었다. 연구 참여자들의 심리적 부담감, 역할 갈등, 그리고 환자 안전 간호 경험을 반영하여 123개의 의미 단위가 발견되었고, 이를 9개의 주제와 4개의 주제모음으로 도출하였다. 주제모음은 '안전간호의 양면성', '안전사고와 관련된 압박감', '원칙사수를 보완하는 실무경험으로 진보하는 환자안전', '환자와 함께 이루는 안전 간호'로 요약되었다. 결론적으로 간호·간병통합서비스 병동은 환자 안전의 양면성을 가지고 있으며, 이러한 병동에 적합한 환자 안전 체계의 필요성을 인식할 필요가 있다.

• 한국실내디자인학회논문집
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• 제36호
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• pp.76-83
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• 2003

The purpose of this study is to know how to improve environment of multi-bed room by investigating and analysing factors influencing to patients. 1 measured stress and satisfaction degrees about patient room for 4ㆍ5ㆍ6ㆍ7 men of domestic general hospital wards. The results of research show that patients of 4 bed room appeared the fewest stress and highest satisfaction degree among patients of other room styles. The patients positioned between two beds can give us more stress and fewer satisfaction than others. These results have proven that 4 bed room patients are offering comfortable environment than any other room types as a healing environment. When patient room area are more than 7.3$M^2$ per 1 person, bed interval space is more than 120cm, there is curtain between bed, transit space such as a toilet were established in patient room, patients' satisfaction appeared high.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제5권9호
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• pp.7-16
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• 1999

The purpose of this study was to propose and estimate the architectural planning of general hospital in Korea, for the aged society in the near future. Average life expectancy of Koreans has been lengthened and the percentage of the aged populations is expected to be increased sharply. Therefore, the social problems for the aged occur in various levels, especially in healthcare facilities and medical system due to the weak health conditions of the aged. These problems will become more serious in the near future. However, the architectural planning of general hospital in Korea has not been prepared for the aged society yet. The results of this study were as follows the ward of general hospital should be divided into acute and geriatric wards because of the characteristics of geriatric diseases.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제5권9호
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• pp.125-132
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• 1999

The purpose of this study is to suggest various index concerning the nursing services and traffic efficiency between two types of nursing care system - Team Nursing Method and Functional Nursing Method. Through the investigations on activities of 5 day-duty nurses of ward in each general hospital occupying one method of them. So, it can be suggested that the basic data for the archtectural planning of wards in general hospitals must be considered to accept the hospital environmental requests.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제4권7호
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• pp.9-18
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• 1998

Even though the interest to the mental hospital is recently increased, the mental hospitals are not well developed due to the pending arrangement of the concept of returning to the society and the system of local communities. Also, the hospitalism due to the isolation of patients and the long term stay in hospitals has become an issue. Despite the present circumstances, the prototype of mental health care in many field are investigated and progressively fixed. This study attempts to examine the current status of domestic and foreign mental institution and to establish the design guideline of the wards of the mental hospitals.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제16권4호
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• pp.225-232
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• 2013

Children with abnormal liver function can often be seen in outpatient clinics or inpatients wards. Most of them have respiratory disease, or gastroenteritis by virus infection, accompanying fever. Occasionally, hepatitis by the viruses causing systemic infection may occur, and screening tests are required. In patients with jaundice, the tests for differential diagnosis and appropriate treatment are important. In the case of a child with hepatitis B virus infection vertically from a hepatitis B surface antigen positive mother, the importance of the recognition of immune clearance can't be overstressed, for the decision of time to begin treatment. Early diagnosis changes the fate of a child with Wilson disease. So, screening test for the disease should not be omitted. Non-alcoholic fatty liver disease, which is mainly discovered in obese children, is a new strong candidate triggering abnormal liver function. Muscular dystrophy is a representative disease mimicking liver dysfunction. Although muscular dystrophy is a progressive disorder, and early diagnosis can't change the fate of patients, it will be better to avoid parent's blame for delayed diagnosis.

• 성인간호학회지
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• 제22권5호
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• pp.488-498
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• 2010

Purpose: The purpose of this study was to explore clinical nurse's reported conflict experience toward end-of-life medical decision making. Methods: Data were collected by in-depth interviews with eight nurses from three different wards of university hospital in D city of Korea. Conventional qualitative analysis was used to analyze the data. Results: Results were three major themes and twelve categories from the analysis. The three major themes were prioritization of treatment, non-disclosure of diagnosis, and hierarchical and power relations. Conclusion: The results of this study suggest that shared decision making in end of life among patient, family members, physician, and nurse may contribute to improve end-of-life care performance as well as dignified dying of patient in end of life.

• 대한간호학회지
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• 제21권2호
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• pp.168-185
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• 1991

A written association test has been conducted to establish the concept, the meaning and the process of hope. The test consists of the major question : List of three words related to “hope”. The question was given to 55 nurses(rehabilitation /cancer /internal medicine care wards units) and 61 patients. A total of 289 words have been collected, and the collection was analyzed with categorization by the value or meaning of listed words. The analysis yields three major categories, namely, componants of hope, metaphores /symbols, and synonyms. The three major categories may be further partitioned into subcategories. The results are significant to define the nature of the hope and process of the hope. These understanding will facilitate the development of effective methods of nursing or chronic or cancer patients disabled.

• 한국지능시스템학회:학술대회논문집
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• 한국퍼지및지능시스템학회 2003년도 ISIS 2003
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• pp.240-243
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• 2003

In this study, as the preliminary step far developing a multi-purpose Autonomous robust carrier mobile robot to transport trolleys or heavy goods and serve as robotic nursing assistant in hospital wards. The aim of this paper is to present the use of multi-sensor data fusion such as sonar, IR sensor for map-building mobile robot to navigate, and presents an experimental mobile robot designed to operate autonomously within both indoor and outdoor environments. Smart sensory systems are crucial for successful autonomous systems. We will give an explanation for the robot system architecture designed and implemented in this study and a short review of existing techniques, since there exist several recent thorough books and review paper on this paper. It is first dealt with the general principle of the navigation and guidance architecture, then the detailed functions recognizing environments updated, obstacle detection and motion assessment, with the first results from the simulations run.