• Title/Summary/Keyword: compliance control

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The Effect of a Video Dietary Instruction Program for Hemodialysis Patients (혈액투석환자를 위한 동영상 식사교육 프로그램의 적용 효과)

  • Kim, So Yeun;Kim, Jin Dong;Park, Ae Kyung;Koo, Ja Sun
    • Journal of Korean Clinical Nursing Research
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    • v.20 no.1
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    • pp.134-145
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    • 2014
  • Purpose: The purpose of this study was to develop and apply a video dietary instruction program for hemodialysis patients to understand dietary compliance as well as the effect on the physiological indicator. Methods: This is a quasi-experimental study of a nonequivalent control group pre-post test design. Data were collected from August 6, 2012 to January 10, 2013. Twenty patients were assigned to an experimental group and twenty-one patients were assigned to a control group. A video dietary instruction program was developed and applied only to the experimental group once a week for a total of 8 weeks. Dietary compliance and physiological indicators were subsequently measured. Results: Dietary compliance was improved in both groups over time. There was no significant change in the physiological indicator value in both groups, indicating that there was no correlation between the treatment type and time. Conclusion: The video dietary instruction program could not make a statistically significant change on the physiological indicator value of the experimental group; however, this change was maintained within the allowable limits. Therefore, the video dietary instruction program can be utilized continuously as a standardized nursing intervention program in order to maintain the dietary compliance of hemodialysis patients.

Knowledge and Compliance of the Multidrug-resistant Organisms of Nursing Students with Clinical Practice (임상실습을 경험한 간호대학생의 다제내성균에 대한 지식 정도와 감염관리 이행)

  • Sona, Lee;Hye-Seon, Choi
    • Journal of Industrial Convergence
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    • v.20 no.11
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    • pp.205-211
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    • 2022
  • This study is a descriptive research study to identify the knowledge and compliance of multidrug-resistant organisms of nursing students with clinical practice. Data were collected from 212 nursing students in two nursing schools in D city from 1 November 2020 to 10 March 2021. The collected data were statistically analyzed using the SPSS/WIN 25.0 program. Correlations were found between knowledge and compliance of multidrug-resistant organisms (r=.40, p<.001). Therefore, to enhance the compliance of multidrug-resistant organisms of nursing students, it is necessary to prepare detailed theoretical and practical guidelines for multidrug-resistant organisms in the curriculum and clinical practice and to increase knowledge through multidrug-resistant organisms infection control education.

Association between compliance with dietary guidelines and Alzheimer's disease in Korean elderly (한국 노인의 식생활 지침 실천도와 알츠하이머형 치매의 관련성)

  • Kim, Ji Eun;Shin, Sangah;Lee, Dong Woo;Park, Joon Hyun;Hong, Eun Joo;Joung, Hyojee
    • Journal of Nutrition and Health
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    • v.48 no.3
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    • pp.221-227
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    • 2015
  • Purpose: Confronting the growing burden of dementia requires understanding the causes and predictors of dementia in order to develop preventive strategies. In Korea a large proportion (71%) of dementia is Alzheimer's disease, and the risk factors have not yet been elucidated. Dietary factors may be possible risk factors, however research on the relationship between Alzheimer's disease and dietary behaviors has been insufficient. The purpose of this study was to investigate the association between compliance with the "Dietary Guidelines for Elderly (The Ministry of Health and Welfare, 2011)" and Alzheimer's disease among Korean elderly. Methods: Elderly persons who visited a University hospital or a dementia center of Seoul and agreed to participate in the examinations were selected. Among 277 subjects, 89 Alzheimer patients were selected with diagnosis and 118 subjects were assigned to the control group. Diagnosis of Alzheimer's disease was based on Alzheimer's disease criteria of Diagnostic and Statistical manual of Mental Disorders, 4th edition (DSM-IV) and criteria of National Institute of Neurological and Communicative Disorders and Stroke-Alzheimer's Disease and related Disorders Association (NINCDS-ADRDA). Information on the general characteristics, health related behaviors and compliance with the dietary guidelines for Korean elderly was collected by face to face interview using a structured questionnaire. Anthropometric variables were measured during the survey. Results: Total compliance score of dietary guidelines was significantly lower in the Alzheimer's disease group than in the control group (p = 0.0001). The odds ratio of Alzheimer's disease was significantly decreased in the group with the highest dietary guideline compliance score (OR = 0.47, 95 % CI = 0.18~1.09) compared to the group with the lowest compliance score. Conclusion: The results indicate that increasing compliance with the dietary guidelines could be an effective strategy to decrease the risk of Alzheimer's disease among Korean elderly.

Community-based Hypertension Control Program in Hwachon : Problems and Possibilities (보건소조직을 통한 고혈압관리사업)

  • 이인숙;배상숙
    • Health Policy and Management
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    • v.3 no.2
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    • pp.25-56
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    • 1993
  • Hypertension has already become a serious health problem in many countries. Treatment is effective, however, and the detection and long-term management of those at risk pose sustained challenges. Community programs can be an important strategy for primary prevention of hypertention and for monitoring the progress and promoting compliance of hypertensive patients. Hwachon Health Demonstrain Project has designed community hypertention control program, especially emphasizing role of public health sector, and operate that model from 1990 at Hwachon county, Kwangwon province. This paper appraise the effectiveness of curent activities. Many paper appraise the effectiveness of curent activities. Many hypertensive persons who have not recognized his disease were identified and began hypertension treatment. However about two thirds of patients have not complied continuously with medical advice. Consequently, the project team redirects its efforts. Less emphasis is being placed screening and identification of patients, while more emphasis is being placed on increasing compliance with treatment recommendations. Some approches to improve hypertension control program are also discussed in the context of the field experience and literature on this suvjest.

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A method of compliance control of redundant manipulators

  • Choi, H.R.;Chung, W.K.;Youm, Y.;Yoshikawa, T.
    • 제어로봇시스템학회:학술대회논문집
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    • 1994.10a
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    • pp.76-81
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    • 1994
  • A compliance control method of redundant manipulators is presented. This method is based on the new stiffness model, which allows us to modulate accurate joint stiffness of realizing the end effector stiffness to be varied with task requirements. Control model is developed and by implementing the proposed method in a three-dof(degree of freedom) planar redundant manipulator, its effectiveness is validated.

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An experimental Study on the Development of a Program for the Promotion of the Compliance with Sick Role Behavior in the Hypertensives (고혈압자의 환자역할행위 이행증진을 위한 프로그램개발에 관한 연구)

  • 최부옥;차영남;장효순;김영희
    • Journal of Korean Academy of Nursing
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    • v.19 no.1
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    • pp.5-23
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    • 1989
  • This experimental study was undertaken to gauge the possibility of application and extension of a program for hypertension care to be operated by Community Health Practitioners. Four community health posts were selected. Two places were experimental groups and the other two control groups. The study was carried out from April 1987 to March 1988. In this study the hypertensives were screened form a group of adults who were over 20 years old. The rate of prevalence was 10.7% in the experimental group, and 11.1% in the control group. The hypertension care program was composed of three parts : regular care by CHPs, reinforcement of education and family support for the changing of health beliefs. The data for this analysis is based on 109 the hypertensives, with 78 from the experimental group and 31 from the control group. After the program was completed, the results obtained were as follows ; 1) Sick role behavior compliance in the experimental group were significantly higher than the control group. 2) Blood pressures were decreased in both systolic and diastolic in the experimental group. Diastolic pressure was strikingly decreased from those of the control group and showed statistical significance (p<0.05). 3) In the experimental group, benefits, perceived family support and family support behavior were high, out benefits was significantly higher than those of the control group(p=0.000). Sensitivity, seriousness and barriers were high in the control group, but not statistically significant. 4) In conclusion, it is revealed that hypertension care program developed in this study has an effect of decreasing blood pressure and promoting sick role behavior compliance.

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The Effects of Planned Exercise Program on Metabolism, Cardiopulmonary Function and Exercise Compliance in Type 2 Diabetes Mellitus Patients (계획된 운동프로그램이 제 2형 당뇨병 환자의 대사, 심폐기능 및 운동이행에 미치는 영향)

  • 황애란;유지수;김춘자
    • Journal of Korean Academy of Nursing
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    • v.31 no.1
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    • pp.20-30
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    • 2001
  • This study was conducted to identify the effects of a planned exercise program based on Bandura's self efficacy model on metabolism, and the exercise compliance in type 2 diabetes mellitus patients. The study design was a nonequivalent pre-test post-test control design. Thirty four type 2 diabetes mellitus patients, who received follow-up care regularly through the diabetic out-patient clinic, were randomly sampled for this study. Twenty patients were assigned to the experimental group and fourteen patients were assigned to the control group. In the experimental group, a planned exercise program is composed of an individualized exercise prescription for 12 weeks, an individual education, and even a telephone coach program. In the case of the control group, they were instructed to continue with their usual schedules. The data collection period was from March 1999 to February 2000 Data were analyzed using SPSS/WINDOW 10.0 program. The results were as follows. 1. In the experimental group, the level of fasting blood sugar has significantly decreased from 188.20 mg/㎗ to 155.55 mg/㎗ after planned exercise program (F= 16.86, p=.000). For lipid metabolism, body fat per cutaneous decreased from 27.16% to 26.57% after planned exercise program. The score of self efficacy has increased from 64.20 to 66.65 after planned exercise program and it was statistically significant (F=4.850, p=.040) The functional vital capacity has increased from 3.28$\ell$ to 3.37$\ell$and it was statistically significant(F=7.300, p=.020). 2. In an after effect of a planned exercise program, 35 percent of the subjects who participated in a planned exercise program continued to exercise for another six months. In conclusion, the planned exercise program can improve cardiopulmonary function, glucose, and lipid metabolism. This program was show a positive effect on the self efficacy and exercise compliance.

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An Effect of the Health Camp Program for Promoting Self-efficacy in Juvenile Diabetes Mellitus Patients (소아 당뇨병 환자의 자기효능증진을 위한 건강캠프 프로그램의 효과)

  • Kim, Sang-Soon
    • Research in Community and Public Health Nursing
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    • v.8 no.1
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    • pp.102-115
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    • 1997
  • The purpose of this study was to determine an effect of the health camp program on self-efficacy, sick-role behavioral compliance and glucose metabolism in juvenile diabetes mellitus patients. The quasi -experimental study was designed using a nonequivalent control group pre-posttest design with the framework of Bandura's self-efficacy theory. Forty-two juvenile diabetes mellitus patients participating in this study were selected from outpatients. Of these, twenty-one were assigned to the experimental group and twenty-one to the control group. The period of data collection was from August 8 to December 9 in 1994. The health camp program for the experimental group was carried out over 6 days and the control group did not participate in the program. Collection data was analyzed by means of chi - square test, t - test, ANCOVA, Pearson correlation with SPSS /PC+. The result were summarized as follows: 1. The health camp program was effective in in-creasing the scores of self-efficacy for juven-ile diabetes mellitus patients. 2. The health camp program was effective in increasing the scores of sick - role behavioral compliance for juvenile diabetes mellitus patients. 3. The health camp program was not effective in decreasing the levels of glucose metabolism. 4. The more self-efficacy increased, the more sick - role behavioral compliance increased. 5. Boys showed the higher self-efficacy than girls and the group with diabetes patients whose family members are also patients, showed the higher self-efficacy and sick-role behavioral compliance than the group without diabetic patient among the family members. Thus, it can be concluded that the health camp program was a useful health intervention for juvenile diabetes mellitus patients.

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A Study on Systems Engineering Based Compliance Procedure for A-SMGCS (시스템 엔지니어링을 적용한 A-SMGCS 적합성 검증 방안 연구)

  • Seol, Eun-Suk;Kim, Sang-Hun;Ku, Sung-Kwan;Cho, Jeong-Hyun
    • Journal of Advanced Navigation Technology
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    • v.19 no.1
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    • pp.33-40
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    • 2015
  • Advanced surface movement guidance and control system (A-SMGCS) is a system providing routing, guidance and surveillance for the control of aircraft and vehicles in order to maintain the predetermined surface movement rate under all weather conditions while maintaining the required level of safety. In the present study, system engineering was introduced to develop the compliance procedure for the A-SMGCS. At first, requirements for the level IV A-SMGCS were defined and analyzed from the concept of operations (CONOPS). Then, system architecture and specifications were constructed through the functional analysis and allocation. After that, work breakdown structure (WBS) and related integrated master schedule (IMS) were established. Lastly, compliance checklist (CCL) and test and evaluation master plan (TEMP) were developed to verify and validate the system.

Effects of a Telephone Follow-up Program on Patient Compliance, Urea Kinetic Modeling and Incidence of Infection in Patients with Continuous Ambulatory Peritoneal Dialysis (CAPD) (전화추후관리 프로그램이 복막투석환자의 치료지속이행, 투석적절도와 감염발생도에 미치는 효과)

  • Chon, Si-Ja;Shin, Sug-Kyun;Roh, Young-Sook;Lee, Suk-Jeong;Park, Ai-Hee;Park, Yang-Sook;Park, Young-Mi
    • Journal of Home Health Care Nursing
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    • v.16 no.2
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    • pp.98-107
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    • 2009
  • Purpose: The objective of this study was to identify the effects of a telephone follow-up program on patient compliance, urea kinetic modeling and incidence of infection in patients with continuous ambulatory peritoneal dialysis (CAPD). Method: A pretest-posttest design with a nonequivalent control group was used to examine the effects of a telephone follow-up program for 12 weeks in a group of 39 CAPD patients. The telephone follow-up group of 17 patients received telephone follow-up 10 min once a week for 1 month and 10 min twice a month for 2 months during 12 weeks compared to control group of 22 who patients received usual care. Results: The telephone follow-up group showed no significant changes in patient compliance and urea kinetic modeling, although patients with CAPD receiving a telephone follow-up showed reduced incidence of exit site infection during the intervention compared with the control group. Conclusion: Telephone follow-up program for CAPD patients may decrease the incidence of exit site infection. Future studies with a larger sample be done utilizing diet and exercise reinforcement program combined with telephone follow-up as a nursing intervention for patients with CAPD.

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