• Korea Journal of Hospital Management
• /
• v.21 no.2
• /
• pp.24-36
• /
• 2016

The aims of this study is to investigate the status of nursing care delivery systems and nurse staffing levels and to analyze differences in the quality of nursing care by the type of nursing care delivery system. This research was based on data from 723 nurses working in 55 medical and surgical units in 26 general hospitals. Descriptive statistics on nurse staffing levels and the nursing care delivery system, and multi-level logistic regression were used to estimate the determinants of quality of nursing care. The number of patients per nurse is 17.74 patients in functional nursing care and 15.56 patients in total nursing care. In comparison to hospitals adopting total nursing care, hospitals with functional nursing care had greater patients. The nurses rated units using total nursing care as significantly better quality of nursing care than the units with functional nursing care. Total nursing care or modified total nursing care, rather than functional nursing care, could lead to improvement in the quality of care(total nursing care OR=3.895, modified total nursing care OR=2.475). Patient-centered approaches under proper circumstances can be successfully implemented and the positive effects demonstrated.

• Journal of muscle and joint health
• /
• v.20 no.2
• /
• pp.81-90
• /
• 2013

Purpose: The purpose of this study was to identify factors contributing to health-related quality of life in patients under rehabilitation after stroke. Methods: A descriptive correlational study design was used. Ninety-two stroke patients under rehabilitation from a university hospital were included. Data were collected on March and April, 2013 using structured questionnaires. Hierarchial multiple regression analysis was used to identify factors influencing health-related quality of life. Results: There were significant differences in health-related quality of life according to type of impairment. The health-related quality of life had significant correlations with age, functional dependency, and stress. Factors influencing health-related quality of life for stroke patients under rehabilitation were stress, functional dependency, type of impairment, and age, which explained about 34.5% of total variance. Conclusion: To promote health-related quality of life for stroke patients under rehabilitation, stress and functional dependency should be managed in this population, especially for older adults. Also these results can be utilized in the development of program for helping rehabilitation of stroke patients. The effect of depression and anxiety on health-related quality of life should also be addressed in future research.

• Journal of Navigation and Port Research
• /
• v.43 no.6
• /
• pp.353-360
• /
• 2019

Technology-driven development of a new system makes it difficult for users and stakeholders to identify or intervene in the development process, resulting in systems with unnecessary functions and poor quality services. Applying the software architecture design process to the initial design of the navigation system platform of autonomous ships enables the development of a system that reflects the required functions and service quality of the stakeholders. The design, which includes all of the subsystems that make up an autonomous ship platform, is close to an enterprise architecture. Thus, we strived to design a navigation system platform suitable for the design range of the software architecture. This study analyzed the definition of functional requirements, and quality attributes by applying the software architecture design procedure. This study was conducted to identify the characteristics of the navigation system and platform needs, and the stakeholders were identified. To derive the functional requirements and constraints of the platform, a quality attributes workshop was held engaging stakeholders, and the results of the analysis of functional requirements and quality attributes were listed. Based on the results of this study, the architect can establish the evidence and technical solutions that are integral for the architecture development, and will facilitate the creation of quality attribute scenarios.

• The Journal of Korean Medicine
• /
• v.31 no.1
• /
• pp.1-13
• /
• 2010

Objective: Functional dyspepsia is a prevalent disease. It impedes subjective quality of life. The purpose of this study was to examine the equivalent effect of herb medicine treatment (DA-9701) for functional dyspepsia. Methods: In this randomized, single-blinded, placebo-controlled study, we compared a herb medicine (DA-9701) with standard treatment (mosapride) and placebo for the treatment of functional dyspepsia. 42 volunteers who satisfied the requirements were enrolled in study. Severity of dyspepsia was measured by Nepean Dyspepsia Index (NDI) and Functional Dyspepsia Quality of Life (FD-QOL) before and after treatments. Results: 1. In the DA-9701 group, total key symptoms score was significantly lower and improve rate of key symptoms was higher than in the mosapride and placebo groups, but there were no statistically significant differences between three groups. 2. In the DA-9701 and mosapride groups, "nausea" and "bad breath" were significantly lower compared with the placebo group. 3. In the DA-9701 group, NDI Quality of Life scores were significantly higher, but there were no [other] statistically significant differences between the three groups. 4. In the DA-9701 and mosapride groups, FD-QOL scores were higher compared with the placebo group, but there were no statistically significant differences between the three groups. Conclusion: Herb medicine treatment (DA-9701) is effective to improve the symptoms and quality of life in patients with functional dyspepsia.

• Journal of the Korean Society of Physical Medicine
• /
• v.15 no.2
• /
• pp.109-120
• /
• 2020

PURPOSE: This study was conducted to verify the effects of a functional correction of the pain of patients with chronic low back pain(CLBP), and to examine the effect of dysfunctional factors on health-related quality of life. METHODS: A preliminary survey was first conducted on 90 patients with CLBP after functional orthodontic treatment. Some revised questionnaires were also prepared. The survey was distributed for approximately eight weeks, and 215 copies were used as the final analysis data, except for questionnaires that were inadequate, error or non-response. RESULTS: Path analysis using the structural equation model of CLBP patients showed a positive correlation between all the path coefficients and the potential factors. The multidimensional relationship between pain and dysfunction after orthognathic treatment was confirmed using three subdivisions of the pain variables as independent variables and the dysfunctional variables as the dependent variables. Multiple regression analysis was performed to examine the effects of pain on the dysfunction. To identify the multidimensional relationship between dysfunction and the health-related quality of life, eight sub-factors of dysfunctional variables were set as the independent variables, and multiple regression was analyses were performed with the dependent variables of the health-related quality of life. CONCLUSION: This study examined the structural and influence relationships of the functional correction with pain, dysfunction, and health-related quality of life. The results, suggest that a functional orthodontic treatment can be used as a positive program for the health-related quality of life. In addition, this study is meaningful in that it provieds useful information for intervention such as psychosocial change of patients.

• Journal of Korean Society for Quality Management
• /
• v.41 no.2
• /
• pp.185-196
• /
• 2013

Purpose: This paper is focused on introducing the Automotive Functional Safety International Standard-ISO 26262 and proposing effective countermeasures of ISO 26262. Methods: We studied collected data about ISO 26262 and analyzed the relationship between ISO 26262 and Quality 5 Star of Hyundai Kia Motors for the integrated product development process. Results: Results showed the product development process for the integration plan between ISO 26262 and Quality 5 Star. In addition, we added an entry about the functional safety in the evaluation item of Quality 5 Star System. Conclusion: In order to introduce ISO 26262 effectively, we proposed ISO 26262 requirements and functional safety concept to be added to Quality 5 Star.

• Convergence Security Journal
• /
• v.15 no.5
• /
• pp.29-35
• /
• 2015

The network security encryption type is divided into two, one is point-to-point, second method is link type. The level of security quality attributes are a system security quality requirements in a networked environment. Quality attributes can be observed and should be able to be measured. If the quality requirements can be presented as exact figures, quality requirements are defined specifically setting quality objectives. Functional requirements in the quality attribute is a requirement for a service function which can be obtained through the encryption. Non-functional requirements are requirements of the service quality that can be obtained through the encryption. Encryption quality evaluation system proposed in this study is to derive functional requirements and non-functional requirements 2 groups. Of the calculating measure of the evaluation index in the same category, the associated indication of the quality measure of each surface should be created. The quality matrix uses 2-factor analysis of the evaluation for the associated surface quality measurements. The quality requirements are calculated based on two different functional requirements and non-functional requirements. The results are calculated by analyzing the trend of the average value assessment. When used this way, it is possible to configure the network security encryption based on quality management.

• Journal of Korean Society for Quality Management
• /
• v.19 no.2
• /
• pp.108-116
• /
• 1991

Value Engineering has been recognized by many companies as a powerful and innovative techniques approach for cost down and improvement in function of product and service. Functional evaluation is the most important progress in VE activities. But it is often difficult to evaluate the function of a certain subject because the evaluation of function is very vague. This paper presents a new functional evaluation method using fuzzy theory. The purpose of this proposed method is the improvement in the precision of functional evaluation.

• The Journal of Korean Physical Therapy
• /
• v.22 no.3
• /
• pp.37-44
• /
• 2010

Purpose: The purpose of this study was to describe the functional (mobility, self-care, social ability) and health-related quality of life in children with cerebral palsy (CP). Methods: A cross- sectional survey of 202 children with CP, mean age $5.91{\pm}1.57$ years, was carried out using the Gross Motor Function Classification System (GMFCS), Gross Motor Function Measure (GMFM), Pediatric Evaluation of Disability Inventory (PEDI), and Child Health Questionnaire (CHQ). Results: The functional assessment of children with CP showed that a more severe GMFCS level was associated with lower functional abilities (p<0.05). The health-related quality of life assessment showed that psychosocial well-being was less impaired than physical well-being. The internal consistency of the three instruments was satisfactory (cronbach's ${\alpha}$>0.80). The three different scales were correlated from moderate to strong (r=0.44 to 0.92). It was also found that mobility, tone distribution, and the parents' education level exerted a significant effect on the quality of life of children with CP (p<0.05). Conclusion: These findings suggest that children with CP have reduced function and quality of life and these are influenced by various factors. However, planning and application of various task-oriented functional interventions to childhood CP may be useful.

• Asian Pacific Journal of Cancer Prevention
• /
• v.15 no.13
• /
• pp.5377-5381
• /
• 2014

Purpose: The aim of this study was to investigate the differences in quality of life in patients who received breast conserving surgery (BCS) or modified radical mastectomy (MRM) for breast cancer. Materials and Methods: A total of 100 women with breast cancer who underwent either BCS or MRM between September 2011 and April 2012 at a private health center and completed their chemotherapy and radiation therapy cycles were included in the study. To assess the quality of life, we used a demographic questionnaire, the European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30) and the Quality of Life assessment in Breast Cancer (EORTC QLQ-BR23). Results: Using QLQ-C30, we found that patients who underwent BCS had better functional status and fewer symptoms than patients who underwent MRM. In QLQ-BR23, independent factors improving the functional scales were BCS, higher level of education and marital status (married); independent factors improving symptoms were BCS, higher level of education, younger age and low and normal body mass index (BMI). In QLQ-C30, independent factors affecting the functional and symptom scales were only BCS and higher level of education. Conclusions: We determined that patients who received BCS had better functional status and less frequent symptoms than patients who underwent MRM.