• Title/Summary/Keyword: care instruction

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The level of expertise and awareness of information on toothpaste in dental hygienists (치과위생사의 치약에 관한 정보 인지도와 전문지식수준)

  • Kwon, Min-Ju;Son, Si-Eun;Kang, Jae-Kyoung
    • Journal of Korean society of Dental Hygiene
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    • v.13 no.6
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    • pp.917-923
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    • 2013
  • Objectives : The purpose of this study was to investigate the level of expertise and awareness of information on toothpaste in dental hygienists and to give patients information on toothpaste. Methods : The subjects was 205 dental hygienists working at dental clinic, dental hospital or college dental hospital in Seoul and Gyeonggi-do. They filled out the questionaire from 13th to 27th April, 2013. Collected data were analyzed by SPSS 21.0 program and significant level was set at p=0.05. Results : The awareness of information on toothpaste was the highest in dental hygienists having under 3 years career and working at dental clinics(p<0.001). The level of expertise on toothpaste was the highest in those having over 5 years career and working at general hospital or college dental hospital(p<0.001). In association with the effect of toothpaste(p<0.05), experienced dental hygienists had a higher knowledge(1.68 point) that those who had no experience(2.27 point). Instruction of the oral care devices included 27.5% of dental floss, 27.1% of toothbrush and 25.4% of proxabrush, and 4.9% of toothpaste. Conclusions : The results revealed that the right choice of the toothpaste would be the best prevention of dental caries and it is necessary to educate the dental hygienists for the toothpaste information.

Review of 2012 Major Medical Decisions (2012년 주요 의료 판결 분석)

  • Lee, Jung Sun;Lee, Dong Pil;Yoo, Hyun Jung;Jeong, Hye Seung
    • The Korean Society of Law and Medicine
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    • v.14 no.1
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    • pp.303-354
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    • 2013
  • In 2012, the major jurisdictions regarding medical cases caused the controversial issues towards medical and legal fields by getting the judgments from the Supreme Court, which admitted the exceptional admissibility on discretionary grant. By regarding the serial negligence of medical organizations as a separate tort, the sentences which made up irrationality, were spoken by the court. As a result, if the treatment was made, which did not follow the entered matters in medical documents attached, the court announced the jurisdiction that presumes the negligence, which provided the evidence of negligence; on the other hand, this gave had the burden to medical branch to take great care for medicinal treatment. To be applicable for the Principle of Trust, the doctors have to give and take the necessary information for the treatment process and symptom decisions, which also commented in the court. Thus, this case made it difficult to apply the Principle of Trust and considered all the conditions as tough ones, which eventually induced lesser faults for patients' care. Moreover, the court confirmed that the medical ads sending the emails to the members belong to the internet portal sites, are not the inducing behavior by considering that the actions are only medical ads. Furthermore, in the case of Namsu Kim, the court's interpretation was rather limited the definition for medical practice that announced limited Erweiterung der Strafbarkeit cases by lower courts. As a consequence, it is very interesting whether the Supreme Court may change their position and concerning the duty of explanation, the trend to expand the contents and scopes for the duty of explanation continues by admitting instruction explanation obligation and all the compensations and so on.

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Influencing factors on oral health behavior and dental clinic use in industrial workers by Andersen model (앤더슨 모형을 적용한 산업체 근로자 직업유형에 따른 구강보건행위와 치과이용에 영향을 미치는 요인)

  • Im, Ae-Jung;Heo, Yun-Min;Kim, Hyoung-Joo;Lim, Hee-Jung
    • Journal of Korean society of Dental Hygiene
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    • v.15 no.2
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    • pp.235-243
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    • 2015
  • Objectives: The purpose of the study is to investigate the oral health and oral health beliefs in industrial workers and to analyze the influencing factors on dental health care utilization. Methods: The subjects were 280 adults from 16 to 64 years old in Seoul and Gyeonggi from June 20 to July 31, 2014, A self-reported questionnaire was completed after receiving informed consent. The independent variables consisted of predisposing, enabling, and need factors. The predisposing factors included gender, age, residence area, number of family. The enabling variables included monthly income, education, occupation, type of employment. The need factors included subjective oral health recognition and oral health belief model. These three variables had a direct and indirect influence on dental clinic use. The types of occupation were classified into desk duties, merchandizing and service duties technology and others by KSCO-6. Results: The relating factors to dental health care utilization were sex, oral health beliefs perceived benefits, perceived barriers, and self-efficacy. Female tended to have the higher oral health beliefs perceived benefits, perceived barriers(p<0.01), self-efficacy(p<0.05). Conclusions: Those who received frequent oral examination and health instruction tended to have a favorable impact on maintenance of oral health status and improvement in quality of life.

The emergency patients analysis of 1339 Emergency Medical Information Center received during the holidays - New Year's Day & Thanksgiving Day of Gwangju & Jeonnam region in 2007 - (연휴동안 1339 응급의료정보센터에 접수된 응급환자 현황 분석 - 광주·전남지역의 2007년 구정과 추석을 중심으로 -)

  • Park, Si-Goo;Park, Hee-Jin
    • The Korean Journal of Emergency Medical Services
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    • v.12 no.1
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    • pp.69-80
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    • 2008
  • During New year's day and Thanksgiving holiday, the 1339 Information Center in Gwangju and Jeonnam received an emergency medical situation and carried out the analysis as follows ; 1. The reason for the higher phone guidance(72%) of the hospital was based on the simple query for the pain control rather than emergency care. This was explained by the unfamiliar environment of the holiday movers. Pharmaceutical guidance(12.6%) in rural area was also given during the holidays. 2. The disease counselling(2.4%) and emergency treatment instruction(First Aid)(1.6%) decreased because of the small number of request for the diseases. This explained the decrease of the disease counselling. 3. The phone calls increased 8-13 times more than usual. Five-day holidays could have more emergency patients than three-day holidays. During New year's day and Thanksgiving day, the number of received phone calls was 6,444(25.7%) and this accounted for one fourth of the total number in 2007. 4. The number of the patients increased on New year's day and Thanksgiving day because most of the medical institutions and pharmacy were off duty. 5. The patients were centered in Internal medicine and pediatrics. This showed the food-borne diseases and air-borne infection such as common cold. 6. During Thanksgiving day, ophthalmologic patients having viral keratoconjunctivitis(Apollo eye disease) increased 8 folds than in New year's day. It was estimated from the continuous epidemic of Apollo eye disease. 7. There broke out the traffic accidents, food poisoning, infectious diseases, dermatological diseases due to seasonal and environmental changes during the holiday move.

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A Study on the U.S. Support Policy for Overseas Soldiers and Families (미군의 해외파병 장병과 가족 지원정책 연구)

  • In-Chan Kim;Mung-Sook Hong;Jong-Hoon Kim;Sang-Keun Cho;Sung-Hu Kang;Sang-Hyuk Park
    • The Journal of the Convergence on Culture Technology
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    • v.9 no.2
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    • pp.333-338
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    • 2023
  • The U.S. military has been developing support policies for the soldiers dispatched overseas and their families since WWI. It is classified by the period nowadyas as follows. Prior to the dispatch, support for money and housing issues is mainly provided. During the dispatch, the DOD level community is formed to strengthen relations between the soldiers and their families, check their children's academic achievements, etc. After returning to the military, the mental and physical health care for not only the soldiers but also their families is provided. Based on these facts, this research proposes that the ROK MND's overseas dispatch instruction upgrade to law in order to provide housing support, even if the families don't live in military houses. Simultaneously, an online community is needed to be open for sharing information between them, their children's educational achievements, etc. More importantly, the mental health care for both the sodiers and their families is provided for a certain period.

결장루형성술 환자 간호를 위한 일 연구

  • 모경빈
    • Journal of Korean Academy of Nursing
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    • v.1 no.1
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    • pp.27-43
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    • 1970
  • This study is designed to find out proper nursing activities for the needs of the colostomy patients, i.e., mental and psychological as well as physical needs for rapid recovery, and to help them build up the follow-up care for proper social adjustment. The study is based on 268 cases out of 381 colostomy patient's records kept in Ewha Womans University Hospital, Yonsei Medical Center, and National Medical Center in between the period from Jan. 1953 to Jan. 1970. The items of study are mainly on etiology, sex, age, duration of hospitalization, mortality rate, seasonal frequency, time from the onset of illness to the admission of the hospital, signs and symptoms. 1. Frequency of onset by etiology: Neoplastic disease 112 cases (42%), Inflammatory disease 33 cases (12%), Congenital malformation 30 cases (11%), Intussusception 25 cases (9.3%), Trauma 24 cases (9%), Volvulus 17 cases (6.3%), and Crohn's disease 6 cases (2.2%). 2. By sex: male 167 cases (62.9%), and female 101 cases (37.1%). So the ratio of portion of male and female 2:1. 3. By age: under 1·year·old 27 cases (10.1%) highest, 41-50 yrs 54 cases (20.2%), 51-60 yrs 42 cases (15.5%), above 71 yrs 5 cases (1.9%). 4. Duration of hospitalization: the shortest is 2-days and the longest is 470 days. 1-20-days 52%, 40-60 days 14%. 5. Mortality rate: Under the 10-days-admission 19.5%, and the beyond 30-days-admission 3.9%. 6. Seasonal frequency: Higher in summer (32% ). 7. Signs and symptoms: abdominal pain (56%), abdominal distention (54%), vomiting (40%), bloody mucoid diarrhea (38%) , pain of anal region (18%), abdominal tenderness, anorexia, indigestion, constipation, disuria, tenesmus, high fever and chilling sensation, bile tingled vomiting. Nursing activities for the patient's physical needs are as follows: Skin care for colostomy region, Prevention of colostomy constriction and depression, Removal of an offensive odor, The use of colostomy bag-selection for, and demonstration of the use of inexpensive colostomy irrigation equipment, Personal hygiene, general skin care, care of hair, finger nails and toe-nails, Oral hygiene, sleep and rest, aquate, Daily activities, etc. Measures for regulation of bowl movement. Keeping the instruction of taking food, Preparing the meal and help for anorexia, Constipation and it's solution, Prevention of diarrhea, helping the removal of mucous, and stretch constricted steam as needed. Nursing activities for pt's socio-psychological needs are as follows; Help the patient to make decision for the operation, Remove pt's anxiety toward operation and anesthesia, To meet the pt's spiritual needs at his death bed, Help to establish family and friends cooperation, Help to reduce anxiety at the time of admission and it's solution, Help to meet religious need, Help to remove pt's anxiety for loosing his job and family maintenance, Follow-up studies for 7 cases have been done to implement the present thesis. The items of the personal interviews with the patients are as follows: Acceptability for artificial anus, The most anxious thing they had in mind at the time of discharge, The most anxious thing they hat·e in mind at present, Their friends and family's attitudes toward the patient after operation, Relations with other colostomy patients, Emotional damage from the operation, Physical problem of enema, irrigation, Control of diet, Skin care, Control of offensive odor, Patient's suggestions to nurses during hospital stay and after discharge. In conclusion, the follow-up care for colostomy patients shares equal weight or perhaps more than the post-operative care. The follow-up care should include the spiritual care for moral support of the patient, to drag him out of isolation and estrangement, and make him fully participate in social activities. It is suggested that the following measures would help to rehabilitate the colostomy patients (1) mutual acquaintance with other colostomy patients if possible form a sort of club for the colostomy patient to exchange their experiences in care (2) through the team work of doctor, nurse and rehabilitation specialists, to have a sort of concerted effort for betterment of the patient.

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Stakeholders' Opinion on the Desired Characteristics of Nursing School Graduates and Factors Concerning Nursing Curriculum Development in Thailand

  • Kittiboonthawal, Prapai;Siriwanij, Wareewan;Ubolwan, Kanyarat;Maneechot, Munthana
    • Asian Journal for Public Opinion Research
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    • v.5 no.4
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    • pp.319-345
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    • 2018
  • Effective higher educational management in undergraduate nursing programs is an important issue from the viewpoint of stakeholders. This qualitative research aimed to examine the characteristics of nursing students and curriculum development of undergraduate nursing education from the opinions of Boromarajonani College of Nursing Saraburi, Thailand stakeholders. The population included 4 groups: 1) the alumni who have graduated within the past 5 years and currently work in primary, secondary, and tertiary care units, 2) the supervisors and colleagues of the alumni, 3) nursing lecturers, and 4) the current nursing students. The respondents who are the alumni, nursing lecturers, and current nursing student were selected using a purposive sampling, for the supervisors and colleagues were selected using snowball techniques. Semi-structured interview questions were used for data collection. Group discussions were conducted until saturation on 55 key informants. The qualitative data was analyzed using content analysis. Results showed the viewpoints of stakeholders on the characteristics of future nurse graduates were comprised of four elements: knowledge that meets standards; essential skills for self-development and lifelong learning process; good morals and professional ethics in providing nursing care; and nurse competencies in teamwork, communication, language, research, management, IT, life skills, and global literacy. The viewpoints on the development of the nursing curriculum focus on four elements: the learner, teaching and learning, course content, and instructor tasks. For learners, the admission criteria should include a minimum not only of knowledge, but also positive attitude, science, and art skills, since the nursing profession is both a science and the art of caring. Teaching and learning elements should be authentic, including exposure to real situations, an integrated network, and activities that improve nursing care. Course content was comprised of an updated curriculum, humanized nursing care, student center, theory and practice with moral integration, case-based study, critical thinking, multidisciplinary work, and love for the nursing profession. Instructor tasks are to elicit student ideas, provide opportunities to learn, support infrastructure, support technology use, and extra-curricular activities to develop the competencies of nursing students. Recommendations were that the curriculum administration should review the selection process of student candidates and instructional management to achieve expected outcomes of nursing characteristics in the future. The nurse lecturer should provide authentic and integrated instruction, decrease lecturing, cultivate a lifelong learning process, and sustain the nursing characteristics.

Development and Effectiveness Analysis of Team Based learning (TBL) for Students Majoring in Skin Care - Focus on Problem Solving Competency and Cooperative Self Efficacy - (피부미용 전공 학생들을 위한 팀기반학습(TBL) 수업 개발 및 적용 효과 분석- 문제해결능력과 협력적 자기효능감을 중심으로 -)

  • Park, Jeong-Yeon
    • Journal of Korea Entertainment Industry Association
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    • v.13 no.7
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    • pp.469-477
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    • 2019
  • The purpose of this study was to develop Team Based Learning (TBL) course for students majoring skin care and analyze the effectiveness as well as derive improvement plans. TBL focuses on putting pre-class learning about learning content and the time saved by it into practice activities that apply what is learned. The ADDIE model and the TBL model were applied as the developmental research methodology, and the 'skin care' subject, which was previously taught by lecture base, was redesigned as a TBL class. In addition, the study developed weekly based pre-class learning materials, quiz items for checking pre-class learning, and the team activities' plan. Then, an experimental study was conducted with 43 university students and the effects of TBL instruction were analyzed as follows. First, students who participated in the TBL class showed higher achievement than those who participated in the lecture class, which is a comparative group, especially in the academic achievement that evaluated the acquisition and application of the major concept. Second, there was no significant difference in pretest and posttest results on problem solving ability and cooperative self-efficacy for TBL students. Third, overall satisfaction with TBL class was 4.0, which is high. The discussion of these findings was described, and three suggestions for improving and researching TBL classes were presented.

The Effects of a Group Educational Intervention on the Prevention of Osteoporosis in Breast Cancer Patients

  • Ma, Bong Hae;Park, Chai-Soon;Baek, Hee Chong
    • Research in Community and Public Health Nursing
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    • v.26 no.4
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    • pp.398-404
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    • 2015
  • Purpose: This study was conducted to examine the effects of osteoporosis prevention education on Korean breast cancer patients' knowledge and health promoting behavior. Methods: The participants in this study included breast cancer patients who were registered at a self-help group organized by the Breast Cancer Center of a university hospital in Seoul, Korea. The intervention group received 60 minutes' didactic instruction followed by 30 minutes' interactive session, and reinforcement education with leaflets was given three weeks after the group intervention. In order to measure the effects of the intervention, this study used valid and reliable scales on the knowledge of osteoporosis and health promoting behavior for preventing osteoporosis. A post-test was conducted 12 weeks after the intervention. Results: The results showed significant improvement in three of the five factors of osteoporosis knowledge including bone physiology, the characteristics of osteoporosis, and preventive behaviors in the intervention group. Overall health promoting behavior for preventing osteoporosis had significantly increased in the intervention group compared to the control group. Conclusion: Osteoporosis preventive education improved breast cancer patients' knowledge of osteoporosis and health promoting behavior for preventing osteoporosis by inducing their voluntary participation in self-care activities.

Effects of Early Exercise Education using Video on Exercise Knowledge and Compliance of Elderly Patients Who Undergo Total Knee Replacement Surgery (동영상을 이용한 수술 후 초기 운동교육이 슬관절 전치환술 노인 환자의 운동지식 및 운동이행도에 미치는 효과)

  • Kim, Yun-Jeong;Kang, Hee-Young
    • The Journal of Korean Academic Society of Nursing Education
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    • v.22 no.3
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    • pp.316-325
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    • 2016
  • Purpose: This study was conducted to identify the effects of early exercise education using videos on exercise knowledge and compliance of elderly patients who undergo total knee replacement surgery. Methods: This is a quasi-experimental study with a nonequivalent control group non-synchronized design. The participants were 70 elderly patients who had total knee arthroplasty in the C university hospital located in G city, Korea. Thirty-five patients were assigned to an experimental group and the other patients were assigned to a control group. After the total knee arthroplasty, the early exercise education accompanied by watching video instruction was conducted on the experimental group at post-operation second and third day for 15 minutes. General exercise education was administered to the control group. The exercise knowledge and compliance of the elderly patients were measured through structured questionnaires. Conclusion: The results of this study indicate that early exercise education using videos has positive effects to improve the exercise knowledge and compliance of elderly patients after total knee arthroplasty. This early exercise education can be used going forward as nursing intervention for elderly patients who undergo total knee replacement surgery.