• Title/Summary/Keyword: compliance characteristics

Search Result 470, Processing Time 0.029 seconds

Therapeutic Compliance and Its Related Factors of Lung Cancer Patients (폐암환자의 치료순응도와 관련요인)

  • Kam, Sin;Park, Jae-Yong;Chae, Sang-Chul;Bae, Moon-Seob;Shin, Moo-Chul;Yeh, Min-Hae;Nam, Si-Hyun
    • Journal of Preventive Medicine and Public Health
    • /
    • v.35 no.1
    • /
    • pp.13-23
    • /
    • 2002
  • Objectives : To investigate the therapeutic compliance and its related factors in lung cancer patients. Methods : The subjects of this study comprised 277 patients first diagnosed with lung cancer at Kyungpook National University Hospital between Jan 1999 and Sept 1999. Of these, 141(50.9%) participated in the study by properly replying to structured questionnaires. The data was analyzed using a simplified Health Decision Model. This model includes categories of variables covering therapeutic compliance, health beliefs, patient preferences, knowledge and experience, social interaction, sociodemographic and clinical characteristics. Results : The therapeutic compliance rate of the 141 study subjects was 78.0%. An analysis of health beliefs and patient preferences revealed health concern (p<0.05), dependency on medicine (p<0.05), perceived susceptibility and severity (p<0.05) as well as preferred treatment (p<0.01) as factors related to therapeutic compliance. Factors from the sociodemographic characteristics and clinical factors that were related to therapeutic compliance were age (p<0.01), monthly income (p<0.05), histological type (p<0.05) and clinical stage (p<0.05) of cancer. Conclusions : In order to improve therapeutic compliance in lung cancer patients it is necessary to educate the aged, low-income patients, or patients who have small cell lung cancer or lune cancer of an advanced stage for which surgery is not indicated. Additionally, it is essential for medical personnel to have a deep concern about patients who have poor lifestyles, a low dependency on medicine, or a high perceived susceptibility and severity. Practically, early diagnosis of lung cancer and thoughtful considerations of low-income patients are important. By means of population-based education in a community, we may promote attention to health and enhance the early diagnosis of lung cancer.

Factors Influencing the Compliance of Cough Etiquette in Nursing Students (간호대학생의 기침예절 이행에 영향을 미치는 요인)

  • Park, Kyung-Hye;Kang, Sook
    • Journal of the Korea Academia-Industrial cooperation Society
    • /
    • v.20 no.6
    • /
    • pp.322-331
    • /
    • 2019
  • This study was conducted to examine the correlations between knowledge and compliance of cough etiquette, and to identify the influencing factors on compliance of cough etiquette in nursing students. This was a descriptive study. Data were collected from september 3 to 14, 2018 in 173 nursing students. Data were collected through personal interviews using a questionnaire. Data were analyzed using t-test, one-way ANOVA, Kruskal-wallis test, Pearson's correlation coefficients, and stepwise multiple regression. Knowledge of cough etiquette according to the droplet infection related characteristics showed significant differences in hand washing. Compliance of cough etiquette according to the droplet infection related characteristics showed significant differences in carrying a tissue, carrying a handkerchief, hand washing, need education for cough etiquette. Knowledge of cough etiquette showed significant positive correlations with compliance of cough etiquette. Knowledge of cough etiquette, carrying a handkerchief, need education for cough etiquette, which accounted for 22% of the variance, were significant predictors influencing compliance of cough etiquette in nursing students. To improve compliance of cough etiquette in nursing students, it is necessary to carry handkerchief and to develop a education program that can raise knowledge with cough etiquette.

Effectiveness of Telephone and Postcard Reminders for the Influenza Vaccination - A Study in the Elderly Who Have Visited a Family Practice Center in a Tertiary Care Hospital - (전화와 우편을 이용한 개별적 인플루엔자 예방접종 권고의 효과 - 한 삼차병원 가정의학과를 방문했던 노인환자를 대상으로 한 연구 -)

  • Oh, Joo-Seop;Han, Seung-Heon;Choi, Chul-Hoon;Song, Yun-Mi
    • Journal of Preventive Medicine and Public Health
    • /
    • v.33 no.1
    • /
    • pp.109-116
    • /
    • 2000
  • Objectives : Routine vaccination against influenza is recommended for all people aged 65 years or more. Without active encouragement to receive the vaccine, the rate of compliance is generally low. A study was undertaken to assess and compare the effectiveness of two reminder systems in improving the influenza vaccination rate. Methods : A total of 2,017 patients aged 65 or over in a tertiary care hospital family practice center were randomly assigned to a control, a telephone reminder, or a postcard reminder group before the influenza season in 1998. The outcome measure, receipt of vaccination, was determined by telephone interview. Demographic and clinical characteristics were checked through the medical chart review. Results : Among the 1,312 patients who actually received reminders and interviewed, the vaccination rate was 46.7% in the control group, 56.3% in the postcard reminder group, and 63.3% in the telephone reminder group. Vaccination compliance was significantly higher in people reminded by telephone (Odds ratio [OR], 2.00; 95% confidence interval [CI], 1.52-2.64) and postcard (OR, 1.55; 95% CI, 1.18-2.02) compared to that in the control group. Of the characteristics investigated, number of high risk co-morbidity was positively associated with vaccination compliance while current smoking was negatively associated. Conclusions : This result suggests that telephone and postcard reminders can significantly improve compliance with influenza vaccination in this group of Korean elderly. However, additional strategies need to be developed to encourage vaccination among noncompliant.

  • PDF

Evaluation of a Back Face Strain Compliance of CT specimen (CT시험편의 Back Face Strain Compliance 평가)

  • Kim, Won Beom
    • Journal of the Korea Academia-Industrial cooperation Society
    • /
    • v.17 no.12
    • /
    • pp.686-691
    • /
    • 2016
  • In welded steel structures, there are many stress concentration sites such as weld beads, and welding defects are likely to occur at the welded parts. When a repeated fatigue load acts on a stress concentration site, fatigue crack occurs and propagates, leading to fatigue fracture. Therefore, it is necessary to understand fatigue life, crack initiation life, and crack propagation life in order to prevent fatigue failure. In this study, a compliance method was derived for use in the study of fatigue crack propagation characteristics. This compliance can be used for automated measurement of fatigue cracks. The compliance was calculated using an in-house FEM program for a CT specimen. The results of this calculation are presented in relation to a/W and compared with calculation results using the J integral and a program from a previous study. In addition, the strain distribution in the upward and downward directions was calculated from the center of the back face of the CT specimen. In this distribution, the strain tended to decrease from the center to the top and bottom. The compliance method was achieved from these calculations and can be used for automatic execution of crack propagation tests.

A Basic Study on Color Preference of Medicine in Patient for Improving Compliance (복약순응도 증진을 위한 환자 대상 약물 색채선호도에 관한 기초연구)

  • Ye, Kong Nam;Kim, Min Joung;Kim, Jung Tae;Lim, Sung Cil
    • YAKHAK HOEJI
    • /
    • v.59 no.1
    • /
    • pp.23-28
    • /
    • 2015
  • Everyone has own color preference and the color preference can affect human psychology in various good or bad ways. Especially patients with chronic diseases often have depressed mood to take pills for their disease treatment. Therefore we evaluate the possibility of their color preference to pharmacotherapy in good way which increases the compliance of pharmacotherapy. We performed this study by a Questionnaire survey for total 150 agreed patients at K University hospital from Aug 7 to Sep 30, 2014. Questionnaire survey was performed to choose color of providing color kit (11 different color range kit) depend on each 16 questions which asked the patient characteristics, health condition, general color preference, color preference for medicine and expectation for drug compliance. In results, most preferred color was blue (20%), whereas disliked color was black (30%) in general life. However, most preferred color for pill was white (32%), for syrup was also white (31%) or orange (28%), and for vitamin was yellow (47%). When we asked the possibility of increasing compliance, if the current taking pill color will be changed for your preference color like a candy bar, 50.4% of respondents marked 4 or 5 of like-scale expressing positive opinion on it. In conclusion, compliance is very important to succeed the treating disease and may apply the psychologic application such as each patient color preference for drug compliance in the future.

A Study on Hip Arthroplasty Patient Compliance of Medical Regimen (인공고관절 치환술 환자의 치료지시 이행에 관한 연구)

  • Ryu, Kyong-Ae;Kim, Young-Hae;Lee, Hwa-Ja;Kim, Myung-Hee;Kang, In-Soon
    • The Korean Journal of Rehabilitation Nursing
    • /
    • v.6 no.2
    • /
    • pp.239-247
    • /
    • 2003
  • Purpose: The purpose of this study is to examine how well patients who had hip arthroplasty comply with medical regimens given to them after the operation. Method: The subjects of the study were patients who had arthroplasty at P Hospital between April 1, 2001 and August 30, 2002. 20 patients of the subjects experienced complications after the operation and the other 20 did not. Data from a survey using the qustionnaire were statistically analyzed in terms of real number, percentage point, mean and standard deviation by using $X^2$-test, t-test and ANOVA. Result: 1) the surveyed patients were significantly different in the compliance of medical regimen among them according to their education background as one of the subjects general characteristics. 2) It was found that the group of complication was higher in the compliance of medical regimen than that of non-complication. The two groups showed statistically significant difference with each other in the degree of compliance with therapeutic instructions than the experimental group in terms of the maintenance of abduction after the operation, training instructions on step-by-step basis, urination cotrol on bed, accurate use of crutch, compliance with medication, balance among medical treatment, training, leisure, rest and nutrition, instructions by physicians, nurses and physical therapists, use of low armchairs and toilet bowels and no bending of the body forward, and use of a non-operated leg in case of go upstairs or downstairs. Conclusion: It seems necessary to develop systematic and sessional education programs for improving the compliance of medical regimen, ultimately reducing complications following hip arthroplasty.

  • PDF

The Relationship among Patients Sick-role Behavior Compliance, Health Belief and Health Locus of Control in Patients with Diabetes Mellitus Visiting Public Health Center (보건소 내소 당뇨병 환자의 건강신념, 건강 통제위성격과 환자역할행위 이행과의 관계)

  • Kong, Kyung-Ja;Tae, Young-Sook;Sahn, Sue-Kyung
    • Journal of Home Health Care Nursing
    • /
    • v.9 no.2
    • /
    • pp.103-113
    • /
    • 2002
  • Purpose: This study was conducted to explore the relationship among health belief. health locus of control and patients sick-role behavior compliance of diabetic mellitus patients visiting public health center. Method: The subjects of this study were 193 of the diabetic patients who were visiting 4 Public Health Center in B city. The instrument used for measuring health belief was Park's(1985). for health locus of control was Wallston. et al's(1978) and for sick-role behavior compliance was Park's(1984). The data were collected with structured questionnaires; total 58 items contained about health belief. health locus of control and sick-role behavior compliance from 1st to 31st July. 2001. The data was analyzed by the SPSS/PC programs using t-test. Pearson's correlation coefficient. ANOVA and Scheffe-test. Result: The average score of the health belief was $57.99\pm9.45$ health locus of control was $66.83\pm9.48$ and sick-role behavior compliance was $42.81\pm7.00$. Statistically significant factors influencing the health belief among social demographic characteristics were family number(F=3.818. p=0.024), monthly income(F=5.153, p=0.002), time of diagnosis(F=3.937. p=0.002) and difficult to control disease(F=5.803. p=0.000). The significant factors influencing the health locus of control were marital status(F=4.669. p=0.010). Also significant factors influencing the sick-role behavior compliance were monthly incomes(F=5.245, p=0.000). the time of diagnosis(F=4.424. p=0.001) and admission to hospital with diabetes(F=9.031. p=0.000). There was negative mild correlation comparatively between health belief and sickrole behavior compliance(r=-0.142, p<0.05) but no correlation in sensitiveness/severity, barrier, benefit(p<0.05). There was no correlation between internal. external. chance health locus of control and sick-role behavior compliance (P>0.05). Conclusion: There was a negative weak relationship between health locus of control and patient's sick role behavior compliance. Therefore further study to investigate the relating factor of the sick role behavior compliance among above of middle aged diabetes mellitus patients is necessary.

  • PDF

Dynamic Characteristics Analysis of a Machine-Tool Spindle System (공작기계 주축계의 진동특성해석에 관한 연구)

  • Kim, Seok-Il;Gwak, Byeong-Man;Lee, Hu-Sang;Jeong, Jae-Ho
    • Journal of the Korean Society for Precision Engineering
    • /
    • v.8 no.2
    • /
    • pp.57-68
    • /
    • 1991
  • In this study, to analyse the dynamic characteristics of a machine-tool spindle system, the spindle is mathematically represented by a Timoshenko beam including the internal damping of beam material, and each bearing by four bearing coefficients; stiffness and damping coefficients in moment and radial directions. And the dynamic compliance of the system is calculated by introducing the transfer matrix method, and the complex modal analysis method has been applied for the modal parameter identification. The influence of the bearing coefficients, material damping factor and bearing span on the dynamic characteristics of the system is parametrically examined.

  • PDF

A Study of the Impact of Knowledge Sharing and Utilization on the Characteristics and Joint Performance of the Participants in an International Joint Ventures

  • Lee, Won-Hee;Moon, Jae-Young
    • Journal of the Korea Society of Computer and Information
    • /
    • v.24 no.11
    • /
    • pp.187-193
    • /
    • 2019
  • The study is to investigate the impact of the knowledge sharing and utilization among the participants in international joint ventures on the characteristics and the joint venment performance of the participants. The specific areas of the investigation for significant impacts of knowledge sharing & utilization by international joint ventures are contract compliance, motivation & willingness for business participation, management autonomy, organizational culture and the joint performances, and the characteristics that are unique to the participants in international joint ventures are empirically investigated as well. The findings of the empirical analysis are as follows: knowledge sharing & utilization has positive impacts on the areas of contract compliance, management autonomy, motivation & willingness for business participation and organizational culture, and, in return, the areas of contract compliance, managerial autonomy, and motivation & willingness for business participation appeared to have positive effects on their joint venture performances.

A study on knowledge, self-efficacy and compliance in Reumatic arthritis Patients (류마티스 관절염 환자의 지식, 자기효능감 및 치료이행과의 관계연구)

  • Kim, Soon-Bong
    • Journal of muscle and joint health
    • /
    • v.5 no.2
    • /
    • pp.238-252
    • /
    • 1998
  • Reumatic arthritis is a disease with joint pain being one of the key symptoms. The patient suffers from the pain, stiff sensation and edema due to the inflammation taking Place In one or more joints. Accompanying these problems are fatigue, unusual exhaustion, fever, tachycardia and weakness. Inaddition, joints are often deformed and muscles shrink along with the progress of edema, coupled with depression and psychological instability resulting from the loss of the mobile function and limitations on the daily life. Some patients become fed up with the long and hard flight with the disease and just give up, which aggravates the symptoms. Others come to the hospital only when the conditions have become serious. We need to prevent these and guide the patients in the right direction. Against this backdrop, this study aims to look into the relations between the knowledge on the part of the patients together with their feeling of self-efficacy and the compliance. The results are expected to help the patients improve their life, In addition to providing useful materials for setting up appropriate plan for nursing intervention. The study was conducted by distributing questionnaire to 88 patients selected from the out-patient department of a university hospital in Inchon, from April 6 to 27, 1998. The following tools were used the yardstick of self-efficacy, developed in 1997 by the Society for the Health of Rheumatism Patients, was used for measuring the levels of knowledge and the feeling of self-efficacy. The degree of compliance was measured by the data collected from documents in addition to the results of the analysis of the interviews with the patients. The reliability of the tools was confirmed. In the analysis, the general characteristics were expressed in figures and percentages. The levels of knowledge, feeling of self-efficacy, and compliance were expressed in the average values and standard deviations. The relations among the variables following the general characteristics were analysed by the t-test and one-way ANOVA. The Pearson correction coefficient was used for the analysis of factors. Multiple-loop analysis was used to identify the variables affecting the compliance. The following are the results of this study. 1. Among the 88 patients, 18 were men and the remaining 70 were women, with a ratio 1 : 3.87. Regarding the age groups, 23 were between 50 and 59 years old, with those between 50 and 69 accounting for 51.1% of the total. High school graduates or higher amounted to 58%. Religious patients was 67% or 59 persons. Fifty nine percent were unemployed, and 58.3% (49 persons) had two children or fewer. The period of suffering from rheumatism varied between 2 months and IS years, with 70% less than years. 2. The average figure In relation to the of knowledge was 17.63 points over 30 or 58. 76%, which means a medium level. 3. The average figure of the feeling of self-efficacy was 60.06 points. 4. The level of compliance was 3.26, which was above average. 5. The relation between the feeling of self-efficacy and compliance showed an "r" value of 0.37, which was significant. It means that the higher the feeling, the greater the compliance points. 6. The analysis of the knowledge level revealed that the difference is found only between the college graduates and junior-high graduates or lower. 7. The feeling of self-efficacy varied along with the age and education level. 8. The general characteristics of patients as discussed above did not show significant difference with the compliance. 9. Regarding the elements influencing the compliance, the number of children, period of suffering, income, age, feering of self-efficacy, knowledge, and compliance had 54% of significance. In conclusion, rheumatism victims can lead a better life if they are appropriately educated, based on efficient training program from the early days of the disease ; if they become able to manage themselves thanks to the training ; and if they are helped by a program focusing on the increase of the feeling of self-efficacy aimed at changing patient's behavior.

  • PDF