• Title/Summary/Keyword: medical interview

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Working with Low-Income Elders in Korea: An Ethnographical Exploration of u-Health Nurses' Experiences (저소득 노인을 간호대상으로 한 유헬스 간호사에 관한 문화기술지)

  • Choi, Hanna;Kim, Jeongeun;Jin, Meiling;Lee, Jisan;Kim, Sukwha;Jeong, Suyong
    • Perspectives in Nursing Science
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    • v.11 no.1
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    • pp.18-29
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    • 2014
  • Purpose: This study sought to ascertain and describe u-Health nurses (ubiquitous healthcare nurse, tele-nurse)' experiences working with low-income elders in Korea. Methods: Data were collected through semi-structured interview, focus group interviews of 6 nurses and participant observations in community places in public rental housing in the city of Seoul. The ethnographical analysis method, proposed by Spradley, was used to analyze interview data. Results: We identified two major clusters of themes on common issues and concerns experienced by nurses: "work environment" and "daily work life." In addition, ten themes and fourteen sub-themes were extracted from the field work data. Conclusion: The study provided a deeper understanding of the experiences and services of u-Health nurses in Korea, of which much remains to be understood, as the healthcare services they currently provide are limited. Moreover, its findings could empower novice nurses and expand nurse's professional knowledge and competence.

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A study on the Sex Education Status and Needs of Children with Developmental Disabilities Using Focus Groups (포커스 그룹면담을 통한 발달장애아동의 성교육 실태와 요구)

  • Kim, Jong-Sun
    • Journal of the Health Care and Life Science
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    • v.9 no.1
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    • pp.69-76
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    • 2021
  • To investigate the current status of Sex Education for children with Developmental Disabilities and to effectively operate Sex Education programs, 12 teachers working in special education institutions and childcare services for Children with Developmental Disabilities were selected. Focus Groups Interview were conducted to identify opinions and requirements on the three themes through literature review. In the case of Sex Education for Children with Developmental Disabilities, difficulties in operating Sex Education were identified because the direction of education was inconsistent and individual characteristics and needs were not taken into account.

A Study on the Development of Verbal Abuse Scale for Operating Room Nurses (수술실 간호사가 경험하는 언어폭력 측정도구의 개발)

  • Yoon, Ke-Sook;Chung, Hye Seon;Park, Soon-Ae;Jang, Boo-Young;Kim, Hye-Ran;Ohm, Hyun-Sin;Sung, Young-Hee;Nam, Kyung-Dong
    • Journal of Korean Academy of Nursing Administration
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    • v.11 no.2
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    • pp.159-172
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    • 2005
  • Purpose: The Purpose of this study was to development a verbal abuse scale for operating room nurses in Korea. Method: To achieve the purpose of the study, a questionnaire was developed to interview 30 nurses and distributed to 761 nurses who working at 28 general hospital in Korea from september 7 to November 25, 2004. Item analysis and factor analysis were carried out to validate violence predicting scale. Cronbach's Alpha coefficient was used to test reliability of the scale. The data were analyzed by using SPSS/WIN 11.5 program. Result: As a result of the item analysis and factor analysis, 17 items were selected from the total of 30 items, and four factors were labeled as 'self esteem abuse by nurses(7 items)', 'self esteem abuse by physicians(6 items)', 'sexual abuse by physicians(2 items)', 'colleague abuse by physicians(2 items)'. Four factors were explained by 60.8% out of the total variance. The first factor explained 35.456%, second factor explained 12.401% and third factor explained 6.637%. And fourth factor explained 6.304%. Reliability of the factors were tested by Cronbach's Alpha coefficient and result was 0.885. Conclusion: The scale was identified to be a tool with a high degree of reliability and validity. Therefore, this scale can be effectively utilized for assessment of verbal abuse for operating room nurses by nurses and physicians in Korea.

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A Clinical report on insomnia following hospitalization improved by the Chuna Manual Relaxation Therapy (입원 후 발생한 불면증에 추나 수기 이완요법으로 호전된 치험 1례)

  • Han, Chang;Kim, Ji-Hyung;Ryu, Ki-Joon;Ahn, Keon-Sang;Kwon, Seung-Ro
    • Journal of Oriental Neuropsychiatry
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    • v.19 no.3
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    • pp.309-317
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    • 2008
  • For this study, the Chuna Manual Relaxation Therapy, a therapeutic procedure in Oriental Medicine was carried out on patients suffering from insomnia following hospitalization. If a patient with no prior medical history in insomnia should suffer from insomniac symptoms, the following procedure was carried out on thos patients showing 15 points on the Insomnia Severity Index starting on the day when the patient first complains of symptoms associated with insomnia, stages 1, 2 & 3 of the 'JS Cervical Shinyoun Therapy' in accordance with the Korea Chuna medical Index standard was carried out on the patient's bed from 8pm to 9pm everyday for 1 week. After the 1 week procedure, a medical examination by interview was carried out the following day, and the Insomnia Severity Index measured again. (1 being when the patient's state of sleep is at its worst, and 10 being when it is the most satisfactory. In case of 5 patients, Insomnia is disappeared, and the quality of sleep improved. In regards to insomnia suffered after hospitalization, Stage 1,2 and 3 of "JS Cervical Shinyoun Therapy" for relaxing tension showed effective results to the patient.

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Reliability and Validity of the Korean Version of the Combat Exposure Scale (한국판 전투 노출 척도의 신뢰도와 타당도)

  • Kim, Dong Su;Chung, Hae Gyung;Choi, Jin Hee;So, Hyung Seok;Kim, Hae Jung;Go, Chang Min;Kim, Tae Yong;Chung, Moon Yong
    • Anxiety and mood
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    • v.8 no.2
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    • pp.106-112
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    • 2012
  • Objective : In posttraumatic stress disorder (PTSD), it is essential to evaluate the severity of trauma with a reliable instrument. The combat exposure scale (CES) is one of the most widely used measures for the combat-related trauma. The present study was conducted to test the reliability and validity of the Korean version of CES (CES-K). Methods : One hundred and forty-five male Korean veterans of the Vietnam War participated in this study. CES-K, the structured clinical interview for DSM-III-R (SCID), clinician administered PTSD scale (CAPS), and the Korean version life events checklist (LEC-K) were administered. Results : Cronbach's coefficient of CES-K was .85, and the test-retest reliability was .94. The mean [standard deviation (SD)] scores of CES-K were 20.4 (9.0) in the PTSD group and 12.0 (8.6) in the non-PTSD group (p<.001). CES-K showed a significant correlation with LEC-K (r=.31, p<.001) and CAPS (r=.52, p<.001). Only one factor was revealed by the factor analysis. Conclusion : CES-K showed good reliability and validity for assessing the severity of combat exposure. Further, it demonstrated comparable psychometric properties to the previous study. It is expected that CES-K will be a useful tool for evaluating the severity of combat exposure in Korea.

The Effects of Socioeconomic factors on Medical Information resources when Choosing Medical Service (사회경제적 요인이 의료기관 선택 시 사용한 정보원에 미치는 영향)

  • Tak, Yang-Ju
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.12 no.11
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    • pp.4968-4979
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    • 2011
  • The purpose of this study was to investigate the effects of Socioeconomic factors on medical information resources when medical consumer choose inpatient or outpatient services. The target population was 12,249 people aged above 19 in Chungcheongbuk-do. The sample was accrued for the period of 3 months in 2008 by face to face interview of direct visiting from systematic sampling method. There was a significant difference in the use of personal informer and public informer by sex(p<0.001). There was a significant difference in the use of experimental and professional informer by living area(p<0.001). In conclusion, the results suggest that there is relationship between medical information resource and socioeconomic factors of medical consumer.

Clinical Analysis about Diagnosis and Treatment of 86 Hand Paresthesia Cases Using MPS Theory and Pharmacopuncture Therapy (손저림 증상을 호소하는 86명의 환자들에 대한 아시혈 진단법과 약침치료 효능에 관한 연구)

  • Oh, Sung-Won;Jeong, Jong-Jin;Kim, Soo-Yeon;Han, In-Sun;Kang, Hyun-Min;Kwon, Ki-Rok;Kim, Byoung-Woo
    • Journal of Pharmacopuncture
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    • v.10 no.3
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    • pp.121-126
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    • 2007
  • Objectives Hand paresthesia is common syndrome and the cause is more unknown than known reason. The Purpose of this study were investigated the effects of Myofacial Pain Syndrome theory to make diagnosis and treatment by Pharmacopuncture for the patients of hand paresthesia. Method This study was carried out to established the clinical criteria of hand parethesia. The patients who had past history of diabeics, neuropathy induced by alcohol or drug were excluded, and 86 patients who had hand paresthesia related with unknown-reason was selected by the interview process. And the effects of Pharmacopuncture theory were analyzed using VAS score before and after treatment. Results and conclusions 56.9% of unknown-reason patients are positive at diagnosis by MPS theory. While positive group decrease from $62.81{\pm}14.27$ to $25.28{\pm}15.97$, negative group decrease from $55.88{\pm}10.92$ to $48.28{\pm}14.01$ by VAS scores. Positive group was accordingly more effective than negative group. So diagnosis and treatment for hand numbness patients by MPS theory was useful in clinical.

A Study on the Attitude toward Medical Institutions and its Influence on Health Seeking Behaviour (의료기관(醫療器關)에 대(對)한 태도(態度)가 의료(醫療) 추구행위(追究行爲)에 미치는 영향(影響))

  • Choi, Kyong-Woo;Lee, Soon-Rae;Kim, Hyo-Joong
    • Journal of agricultural medicine and community health
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    • v.11 no.1
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    • pp.55-63
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    • 1986
  • In general, patients' health seeking behaviours can be affected by three factors ; psychological factor, economic factor and health delivery system. This study was focused on how the psychological factor affect to health seeking behaviour influenced by the various attitude of residents toward medical resources in their community. A total of 306 households were sampled for the investigation among residents of Banwol-Eup which was an industrial city newly developed. The data has been collected by interview method using close ended questionnaire. The major findings are ; 1) the respondents' attitude toward medical institutions in their community has shown negative responses (rate of negative attitude (a) 81.3%- facilities (b) 40.7% medical expenses (c) 21.1%-kindness of employees of medical facilities (d)59.0%- the degree of thorough explanation to patient on medical examination (e) 58.2%-doctors' practical competency). Above all, they have shown negative response on doctors explanation on results of medical examination and doctors' practical competency. 2) The study indicated a significant difference in health seeking behaviour between the group of positive attitude and that of negative attitude. 3) A big difference between the above mentioned two groups was identified as the attitude toward sub dimension of practical competency.

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Psychometric Properties of the Korean version of the PTSD Checklist-5 in Elderly Korean Veterans of the Vietnam War (월남전 참전 노인에서 한글판 외상후 스트레스 장애 체크리스트-5의 정신측정학적 특성)

  • Kim, Jong Won;Chung, Hae Gyung;Choi, Jin Hee;So, Hyung Seok;Kang, Suk-Hoon;Kim, Dong Soo;Moon, Jung Yoon;Kim, Tae Yong
    • Anxiety and mood
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    • v.13 no.2
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    • pp.123-131
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    • 2017
  • Objective : The PTSD Checklist (PCL) is a self-report screen for posttraumatic stress disorder (PTSD) that can be scored for both diagnostic assessment and symptom severity measurement. The most recent revision of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) contains a number of changes to the definition of PTSD, and the aim of this study was to assess the psychometric properties of the Korean version of the PCL for the DSM-5 (PCL-5-K). Methods : The participants were 204 Korean veterans of the Vietnam War who completed the PCL-5-K, the Mini Mental Status Examination (MMSE), PTSD module of Structured Clinical Interview for DSM-5, Research Version (SCID5-RV PTSD module), Korean version of Impact of Event Scale-Revised (IES-R-K) and Combat Exposure Scale (CES-K). Results : The PCL-5-K demonstrated good internal consistency (${\alpha}=0.972$) and test-retest reliability (r=0.96); the suggested cut-off score for PTSD diagnosis was ${\geq}37$ with 0.88 sensitivity and 0.96 specificity. The PCL-5-K scale correlated highly with the IES-R-K and CES-K. Factor analysis identified only one factor. Conclusion : Among elderly Korean veterans of the Vietnam War, the PCL-5-K demonstrated similar psychometric qualities to those of both the original PCL and subsequent versions. It is expected that the PCL-5-K will be a useful PTSD screening tool.

Physical Functions, Health-Related Outcomes, Nutritional Status, and Blood Markers in Community-Dwelling Cancer Survivors Aged 75 Years and Older

  • Ihira, Hikaru;Mizumoto, Atsushi;Makino, Keitarou;Yasuda, Keisuke;Miyabe, Yoko;Saitoh, Shigeyuki;Ohnishi, Hirofumi;Furuna, Taketo
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.7
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    • pp.3305-3310
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    • 2014
  • Background: A cancer survivor is defined as anyone who has been diagnosed with cancer, from the time of diagnosis through the rest of their life. The purpose of this study was to examine whether physical functions, health-related outcomes, nutritional status and blood markers in community-dwelling cancer survivors aged 75 years and older are different from those who do not have cancer Materials and Methods: Two hundred seventy-five participants were asked by physicians, nurses, and physical therapists, questions regarding cancer history in a face-to-face interview. Data were collected for demographic information, physical functions, such as handgrip strength, knee extension power, abdominal muscle strength, static standing balance, walking speed and the timed-up-and-go test, health-related outcomes, nutritional status, and blood markers. The measured parameters of survivor diagnosed with cancer were compared with those without a history of cancer. Results: Thirty-seven older adults were previously diagnosed with cancer. Female cancer survivors had lower knee extension power (p<0.05), abdominal muscle strength (p<0.05), walking speed (p<0.05), timed-up-and-go test score (p<0.05), and time to spend on walking per day (p<0.05) than older women without a history of cancer. In men, none of the measured parameters were significantly different between cancer survivors and older men with no history of cancer. Conclusions: The present study shows that partial physical function of women cancer survivors aged 75 years and older differs from that in women with no history of cancer.