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A Study on the POE by Residential Characteristics of Child inpatients in a Hospital - Focused on the Caregivers of Child Inpatients - (어린이 환자의 입원기간에 따른 어린이병원 POE 연구 - 어린이 환자의 보호자를 대상으로 -)

  • Ha, Ji-Min;Park, Soo-Been
    • Korean Institute of Interior Design Journal
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    • v.24 no.4
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    • pp.152-160
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    • 2015
  • This paper proposes high quality of healthcare environments for a user-oriented children's hospital by identifying the user needs according to residential characteristics of the child, especially the hospitalization period. Caregivers, mostly parents of children in a children's hospital, participated in a questionnaire survey. The user's demands, satisfaction and hospital environment assessment were measured. A total of 103 copies of the questionnaire were finally collected and analyzed. The data was processed statistically using SPSS WIN 18.0 Version software. The results and conclusions are as follows. 1)The participants were categorized into three groups according to the hospitalization period of the child (less than 7 days, 7-20 days, and more than 21 days). 2)When the patients stayed longer in the hospital, their satisfaction was lower and their demands were higher. The long-term group required a more spacious bathroom for the child inpatients and their caregivers as well as sufficient individual storage spaces that are appropriate for the length of stay. 3)The longer they were hospitalized, the more negative they evaluated the hospital environment. These results suggest that the period of hospitalization is one of the crucial factors that impact the user's satisfaction and demands. Therefore, it is necessary to identify the design factors such as territoriality, privacy, accessability, and aesthetics to improve the satisfaction of the long-term child inpatients and their caregivers.

Effects of Care workers' Job Satisfaction on the Quality of their Stay-at-Home aged Welfare Service (요양보호사의 직무만족이 서비스 질에 미치는 영향)

  • Kim, Seon-Hee;Nam, Hee-Eun;Park, So-Jin
    • The Journal of the Korea Contents Association
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    • v.12 no.4
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    • pp.282-291
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    • 2012
  • This study investigated the job satisfaction of care worker affect on service quality. It was intended to provide the basic information for enhancing the Job satisfaction and making better quality of service. In order to meet the above purpose, the questionnaire method was applied for the care workers who worked at the 16 home care facilities located in Busan metropolitan city. 250 sheets of questionnaire were distributed and the total of 216 sheets were sampled among the collected questionnaire and analyzed. For data analysis, the statistics package of SPSS/WIN 12.0 was employed to perform reliability test, descriptive statistics analysis, correlation analysis, regression analysis. And the obtained results are as follows: As the result of the regression analysis to find out how care worker's job satisfaction will affect towards the quality of the service, service quality increased as the care worker's job satisfaction rate was higher. For the job satisfaction's sub-variables, it showed high service quality as the satisfaction was increased in the order of task satisfaction level and job safety level.

Influential Factors of Post-Traumatic Stress Disorder in Survivors of Intensive Care Units (중환자실 생존자의 외상 후 스트레스장애 발생정도와 영향요인)

  • Kim, So Hye;Ju, Hyeon Ok
    • Journal of Korean Clinical Nursing Research
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    • v.26 no.1
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    • pp.97-106
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    • 2020
  • Purpose: This study was conducted to investigate the incidence and associated factors with post-traumatic stress disorders (PTSD) in patients with intensive care units (ICU) admission experience. Methods: This study is a retrospective observational study using self-reporting questionnaire. Patients who were admitted to ICU more than 72 hours and agreed to participate were enrolled in this study. PTSD were assessed by Korean version of post-traumatic diagnosis scale, and PTSD was defined as 20 points or more. Medical records of participants were reviewed to identify influencing factors of PTSD. To analyzed the data, descriptive statistics, Mann-Whitney U test, Kruskal-Wallis test and gamma regression were utilized using SPSS/WIN 23.0 program. Results: A total of 128 patients participated in the study. Mean age of participants was 58.3±11.7 years and 50 patients (39.1%) were female. Mean duration of ICU stay was 8.43±8.09 days and PTSD was diagnosed in 12 patients (9.4%). In the results of a Gamma regression analysis, Psychiatric history (B=1.09, p=.002), APACHEII score (B=.04, p=.005), CPR experience (B=1.65, p=.017) and physical restraint (B=.68, p=.049) were independently associated with PTSD occurrence. Conclusion: The results of this study suggest that a various factors influencing PTSD should be identified to prevent PTSD in patients who requires ICU care. In addition, post-ICU care programs are required to assess and reduce PTSD.

Risk Factors, Symptoms, and Intervention Analysis of Delirium Subtypes in Hospitalized Patients (입원환자에게 나타나는 섬망 아형별 위험요인과 증상 및 중재 분석)

  • Ryu, Ahyun;Kang, Young-Ok;Song, Rhayun
    • Journal of the Korea Convergence Society
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    • v.12 no.10
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    • pp.353-363
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    • 2021
  • This study aimed to investigate subtypes, risk factors, symptoms and the interventions to inpatients with delirium. The data of 108 inpatients who had the diagnosis of delirium during their hospital stay were collected from Electronic Medical Record at a university hospital and were analyzed by SPSS for Windows V. 26.0 program. As a results, Patients had a high proportion of elderly, male, orthopedic, and with fractures or amputations. The subtypes of delirium were hyperactive (51.9%), hypoactive (6.5%), and mixed (41.7%). Among the risk factors, depression and use of psychotropic agent were more common in those with hypoactive delirium. Among delirium interventions, behavioral symptom management and aggressive behavioral intervention were mainly implemented for those with hyperactive or mixed types, and emotional support was mainly implemented for those with hypoactive or mixed types. The delirium related intervention was more likely given immediately when the patients showed aggressive behaviors. Therefore, intervention strategies and protocol development are required for early detection of delirium in inpatients.

Risk Factors and Clinical Outcomes of Brain Reperfusion Injury after Mechanical Thrombectomy for Ischemic Stroke (기계적 혈전제거술을 시행한 허혈성 뇌졸중 환자의 뇌재관류 손상 위험요인과 임상결과)

  • Moon, Ji Hyun;Choi, Hye-Ran
    • Journal of Korean Biological Nursing Science
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    • v.23 no.3
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    • pp.217-226
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    • 2021
  • Purpose: The aim of this study was to investigate the risk factors for brain reperfusion injury in ischemic stroke patients and to analyze the clinical outcomes. Methods: A retrospective study was conducted in 168 patients who underwent mechanical thrombectomy. The data were analyzed using descriptive statistics, t-test, Mann-Whitney U test, Chi-Square test, Fisher's exact test, and logistic regression with IBM SPSS/WIN 24.0. Results: Brain reperfusion injury occurred in 67 patients (39.9%) with a low favored outcome (𝛘2=6.01, p=.014). On multivariable analysis, blood urea nitrogen (Odds ratio [OR]=1.14, 95% Confidence interval [CI]=1.06-1.23), aphasia (OR=6.16, CI=1.62-23.40), anosognosia (OR=4.84, CI=1.13-20.79), presence of both aphasia and anosognosia (OR=7.33, CI=1.20-44.60), and time required to achieve targeted blood pressure (OR=1.00, CI=1.00-1.00) were identified as risk factors for brain reperfusion injury. A statistically significant difference was detected in clinical outcomes, including hemorrhagic transformation (𝛘2=6.32, p=.012), intensive care unit length of stay (Z=-2.08, p=.038), National Institute of Health Stroke scale score at discharge (Z=-3.14, p=.002), and modified Rankin Scale score at discharge (Z=-2.93, p=.003). Conclusion: This study identified the risk factors and presented the clinical outcomes of brain reperfusion injury. It is necessary to consider these risk factors for evaluating the patients and to establish nursing interventions and strategies.

Impact of an Integrated Infection Control Education Program on Caregivers in Long-Term Care Facilities (장기요양시설 요양보호사를 위한 통합적 감염관리 교육프로그램의 효과)

  • Lee, Gyeong Mi;Jun, Eun-Young
    • Journal of Home Health Care Nursing
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    • v.31 no.1
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    • pp.77-88
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    • 2024
  • Purpose: This study aimed to develop and assess the impact of an integrated infection control education program on the awareness, attitudes, and performance of infection control among caregivers in long-term care facilities. Methods: Participants were recruited from two long-term care facilities with 25 caregivers in both the experimental group and the control group. This study used non-equivalent control group quasi-experimental pre-post design. The effectiveness of a developed Integrated Infection Control Education Program was evaluated based on infection control awareness, attitudes, and performance. Data were analyzed using SPSS/WIN 28.0 through descriptive statistics, chi-square tests, Fisher's exact tests, and independent t-tests. Results: There was a statistically significant difference in the degree of awareness (t=-5.00, p<.001), attitude (t=-4.91, p<.001), and performance (t=-6.66, p<.001) of infection control between the two groups. Conclusion: Given these results, the integrated infection control education program significantly improved infection control awareness, attitudes, and performance among caregivers in long-term care facilities. This study is noteworthy because it provided comprehensive education on infection control practices to caregivers in environments that are particularly susceptible to infections, especially following COVID-19. This educational program is actively utilized and validated in practice, it would enhance the infection control performance of caregivers, thereby reducing infection rates within facilities, shortening the length of stay for elderly residents in long term care facilities, and contributing to the reduction of healthcare costs.

Clinical Characteristics of Oncologic Patients with DNR Decision at a Tertiary Hospital (심폐소생술금지 결정 시점에서의 임상적 특성: 일개 종합병원 종양내과 사망한 암환자를 대상으로)

  • Kang, Na Young;Park, Jeong Yun
    • Journal of Hospice and Palliative Care
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    • v.19 no.1
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    • pp.26-33
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    • 2016
  • Purpose: This study was conducted to identify clinical characteristics of oncologic patients at a point when they signed their do-not-resuscitate (DNR) orders. Methods: From January through December 2014, we retrospectively analyzed the records of 197 patients who passed away after agreeing to a DNR order in the hemato-oncology department of a tertiary hospital. Results: Of all, 121 patients (61.4%) were male and 76 (38.6%) were female, and their average age was 58.7 years. Ninety-four patients (47.7%) had gastrointestinal cancer. The ECOG performance status at admission was grade 3 in 76 patients (36.5%) and grade 4 in 11 (5.6%). The patients' mean hospital stay was 20 days. The mean duration from the admission to DNR decision was 13 days, and the mean duration from DNR decision to death was seven days. Conclusion: Study results indicate that a decision on signing or refusing a DNR order was made by medical staff mostly based on the opinions of patients' guardians rather than the patients themselves. This suggests that patients' own wishes are not well respected. Thus, it is urgent to establish institutional devices to enhance cancer patients' autonomy regarding DNR and to define an adequate timing for withdrawal of treatments.

A Comparative Study on the Relationship between Health Knowledge to Health Attitude and Health Practical Health Behaviors among High School Students in Seoul (서울시내 일부 고등학생의 건강에 대한 지식$\cdot$태도 및 실천행위간의 관련성 비교)

  • Noh, Hang-In;Kim, Myung
    • Korean Journal of Health Education and Promotion
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    • v.21 no.1
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    • pp.115-135
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    • 2004
  • The purpose of this study was to examine the health knowledge, attitude and behaviors of Korea high school students and find out the relationship between knowledge, attitude and behaviors in an effort to lay the foundation for the development of health-promotion programs and health education for adolescents. The subjects were 505 students in their first and second year of high school in Gangnam-gu and Guro-gu, Seoul. After a survey was conducted for seventeen days from April 23 to May 9, 2003, with self-administered questionnaires, the collected data was encoded and analyzed with SPSS Win 11.0 program. The frequency, percentage, mean and standard deviation were calculated, and χ²-test, t-test, ANOVA, Scheffe Post Hoc Tests and Pearson Correlation procedure were employed. The findings of this study were as follows: 1. There appeared significant differences in general traits, family-related characteristics and health-related features between the students in Gangnam and the others in Guro. 2. The collective average of the Gangnam residents in health knowledge was 13.97, and that of the Guro residents was 14.64. The overall collective average was 14.35(total of 22 points), and 65.2 percent of the students investigated had a correct knowledge. The points showed significant differences in the variables of sex, economic status, mother's occupation,and health concerns. 3. The students from Gangnam scored a mean of 77.55 in health attitude, and the others from Guro got an average of 78.75. The overall collective average was 78.22(total of 110 points), and 71.1 percent took a correct attitude toward health. The points showed significant differences in the variables of sex, religion, mother's education level, health concerns. 4. In the field of health behavior, the Gangnam residents got a mean of 63.99, and the Guro dwellers scored a mean of 62.12. There was a significant gap between the two groups, and the overall collective average was 62.94(total of 102 points). 61.5 percent tried to stay fit in a correct behavior. The points showed significant differences in the variables of sex, economic status, parents' education level, father's occupation, health concern of parents, self-perceived health status, health concern, exercise or diet performance for health, health education times for 1yr. 5. Concerning the relationship of health knowledge to health attitude and behavior, the health knowledge showed significantly positive correlation with health attitude(r=0.227, p<0.01), and the health knowledge showed significantly positive correlation with health behavior(r=0.262, p<0.001). But their relationship is comparatively low. The health attitude was not significantly correlated to health behavior.

Development of Evaluation Tool on Music Casting Based on Customer Experience (고객경험을 기반으로 한 인터넷 음악 방송 사이트 평가도구의 개발)

  • 박수정;김현정;변진식
    • Archives of design research
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    • v.17 no.2
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    • pp.289-300
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    • 2004
  • Recently, web casting on the internet has been expanding in number and size. Web Casting is different from the conventional television broadcasting since it can transmit various types of information through multimedia and it also can include interaction between users and broadcasting server. User experience by interaction becomes more important. Therefore, it is needed to win over customers by supplying satisfied experience through creative and different services, especially when there are consider competitions among music casting sites. In order to know how to make customers satisfied, we have to try to inspect what real customers in the Web Sites are acting and thinking, namely 'customer experience'. The 'customer experience' means every experience what users are expecting, doing, thinking and feeling when they stay in the Web site and online. In this thesis, the evaluation Guideline for music casting websites is developed by understanding customer experience on the music casting websites. The process of understanding customer experience was implemented through user observation methods, such as web Diary, group interview, and questionnaire. As a result of the study, 67 evaluation Guidelines with weight rate in 6 categories which are searching music, listening music, music video, music broadcasting, music mailing and other contents are developed. It can be used to analyze strengths and weakness of music casting sites and to establish business strategy for the more satisfied customer experience.

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The Study of Compaction Characteristics of Cataclasite Fill Material using Large and Standard Compaction Tests (대형다짐시험 및 표준다짐시험을 이용한 파쇄암 성토재의 다짐특성 연구)

  • Jeoung, Jae-Hyeung;Ryu, Sang-Hun;Choi, Dong-Yub;Park, Kwang-Sik;Hwang, Sung-Pil
    • The Journal of Engineering Geology
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    • v.26 no.4
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    • pp.439-445
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    • 2016
  • The new airports apply the systematic runway foundation construction to build the high quality runways in order to take the leading position to win future aerial demands and stay ahead of competitors. This study is intended to supplement the weakness of existing standard compaction test to minimize residual settlement of lower weak foundation during operation of passenger berthage. The fill material was sampled from 4 construction sites using the fill material with diameter of 100mm or less, and the standard compacting test (KS F 2312), large circular mold compacting test, and water-replacement field density test (ASTM D 5030) were conducted. The regression analysis of correlation of the field density test and the standard indoor compaction test showed the unreliable value at P-value of 0.05, and the regression analysis of the field density test and the large indoor compaction test showed the high correlation with R value of 0.8878. It is judged that the construction of overall uniform quality can be assured as the site condition is truly reflected only if the compacting test method is selected in consideration of maximum size of fill material when evaluating the maximum dry density used in design and construction.