• Title/Summary/Keyword: patient behavior

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Emergency Nurse-Patient Interaction Behavior (응급실 간호사-환자 상호작용 행위)

  • Kim, Eun Jeong
    • Journal of Korean Academy of Nursing
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    • v.35 no.6
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    • pp.1004-1013
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    • 2005
  • Purpose: The main purpose of this study was to explore nurse-patient interaction behaviors and patient satisfaction with the interaction in the emergency department. Method: This study used video technology to record complete conversations between the nurse and patient, thus obtaining the interactions naturally occurring in a clinical setting. The participants were 28 nurses and 63 patients in the emergency department at one university hospital located in Seoul. The data was collected from November, 2002 to April, 2003. The video recordings were observed for 4 hours for each case and coded using an adapted version of Roter's Interaction Analysis System (RIAS), which yields frequencies of thirty-six types of interaction behaviors. Result: The information exchange related to therapeutic items including medications, simple orientation, and situational positive talk were characterized in the nurses' interaction behaviors. Giving information about one's own condition, questions about therapeutic regimen, and showing worry were characterized in patient interaction behaviors. The patients' satisfaction with the interaction was 37.75.9 (range 9-45). Conclusion: The emergency nurse-patient interaction behavior was task-related. The results suggest that identification of effective interaction behavior in the Emergency department and an interaction skill training program could increase patient satisfaction.

Factors Influencing Compliance of Patient Role Behavior in Elderly Patients Receiving Hemodialysis (혈액투석을 받는 노인 환자의 환자역할행위이행에 영향을 미치는 요인)

  • Heo, Young-Kyu;Lee, Hyun-Ju
    • Journal of muscle and joint health
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    • v.30 no.3
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    • pp.157-167
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    • 2023
  • Purpose: The purpose of this study was to measure the relationship among activities of daily living, ego integrity, social support and the compliance of patient-role behavior in elderly patients receiving hemodialysis, including the effect of these variables on the compliance of patient-role behavior. Methods: A descriptive survey was conducted with 150 elderly patients over 65 years of age who were also receiving hemodialysis. Data was collected from September 28 to November 13, 2021 and analyzed using t-test, one-way ANOVA, Pearson's correlation coefficients, and multiple regression analysis with SPSS/WIN 26.0. Results: The results show that patient compliance had significant correlations with ego integrity (r=.63, p<.001) and social support (r=.28, p=.001). The other factors influencing patient compliance were the sub-domains of ego integrity, such as the acceptance of the past and the presence (β=.46, p<.001) and attitudes toward life (β=.26 p<.001), with an explanatory power of approximately 35.0% (F=17.21, p<.001). Conclusion: This study confirms that the ego integrity of elderly patients receiving hemodialysis has an effect on the compliance of patient role behavior. Nursing intervention programs that improve the ego integrity of elderly hemodialysis patients could help improve the compliance of patient-role behavior, which is an important factor in the disease management process.

A Survey Study of the Nurse환s Helping Behaviors and Patient환s Self-Exploration behaviors (간호원의 돕는 행위와 환자의 자기노출행위에 관한 연구)

  • 김문실
    • Journal of Korean Academy of Nursing
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    • v.16 no.3
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    • pp.97-107
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    • 1986
  • This study was about nurse's helping behaviors and the purpose of the study was to find out the nurse's helping behaviors, to identify the nurse's helping behavior level by the nurses personal back-ground and to find out the relationship between the nurse's helping behavior and patient's self-exploration. The subjects, consisting of 192 adults in-patients who had less acute physical problem and 192 registered nurses working on these ward in 3 hospitals in Seoul and 1 hospital in Kang Won province of Korea. The data were collected from Jan. to rob. 1986 through the descriptive responds and self-reported questionaires. The instruments used for this study were Carkhuff's index of communication. Henderson's Irritating Listening Behavior, revised by the Kim(1984) and patient problem understanding scale, patients trust scale on nurse, developed by the Kim(1984). Analysis of the Data was done by use of mean, t-test, F-test and Pearson correlation coefficients. The results of study are summerized as follows; 1. Mean of nurse's helping behavior was 1.84 out of 4. These point were less than 3.0 which means the minimum points as the facilitative helper. 3. There was no significant differences of nurses helping behaviors to the nurse's personal back-ground (p<.05). 3. There were positive rotation between the nurse's helping behaviors and patient's self-exploration behavior (P<0001). In conclusion, 1 may can give some suggestion, according to the study results: 1. The systematic study about nurse's helping behavior is need all over the Korea. 2. Educational program for the facilitative relationship between nurses and patient must be developed, 3. Further detailed analysis methods are need on the independent variables of patient's self-explorations behavior.

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Comparison of PHP Indexes According To Smoking, Drinking And Eating Habits (흡연, 음주, 식이행태에 따른 PHP index 비교)

  • Kim, Ye-Hwang;Lee, Jung-Hwa
    • Journal of Korean Clinical Health Science
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    • v.5 no.3
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    • pp.880-887
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    • 2017
  • Purpose. This study was conducted from the period of April 12th, 2017 to April 26th, 2017. The questionnaires were distributed among a group of 76 adults aged 20 years or older, who participated in the prevention program of the department of dental hygiene at Busan Metropolitan City. The negative questionnaire was finally analyzed. Methods. The SPSS program was used for analysis of this study. The general characteristics of the subjects were t-test and one-way, ANOVA(by Scheffe post-test) for a PHP index (Patient Hygiene Performance index) according to frequency analysis, general characteristics, smoking and drinking behavior, and dietary behavior. Results. As a result of an examination of the PHP index(Patient Hygiene Performance index) ac- cording to smoking and drinking behavior, the amount of alcohol drunk was statistically higher than that of 'soju that was not drunk'(P<0.05). As a result of the PHP index (Patient Hygiene Performance index) according to dietary behavior, 'vegetarians' were statistically higher than 'Carnivorous oriented' individuals (P<0.05). Moreover, individuals who regularly 'drank almost no water' were statistically significantly higher than those who 'drank water steadily'.(P<0.05). Conclusion. As a result, appropriate management is required for oral health of the patient, Oral health education is needed to systematically consider smoking, drinking, and eating habits when taking into consideration the individual oral environment.

The Effect of Type of Communication by Physical Therapists on Patient Satisfaction and Revisit Intention

  • Kim, Eun-Ji;Sim, Gyeong Seop;Kim, Dong-Hoon
    • The Journal of Korean Physical Therapy
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    • v.33 no.5
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    • pp.245-251
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    • 2021
  • Purpose: This study sought to identify the effect of various types of communication by physical therapists on patient satisfaction and revisit intention. Methods: A total of 212 patients who received physical therapy in Seoul and the Gyeonggi province were surveyed on patient satisfaction and revisit intentions depending on the types of communication by physical therapists. Frequency and correlation analyses were conducted to process the data using the SPSS 22.0 program, and the AMOS 18.0 statistical package was used for confirmatory factor analysis. A structural equation modeling analysis was also performed to verify the model and the hypothesis that was set up in the present paper. Results: The survey showed that patient satisfaction correlates positively and significantly with patient-centric communication, physical factors, and spatial behavior. A significant negative correlation was also found between patient satisfaction and therapist-centered communication. Patient satisfaction positively correlated with revisit intentions. Conclusion: These results showed that there was a positive correlation between the communication of the physical therapist and the satisfaction recognized by a patient. This implies that the patient satisfaction with a physical therapist increases as the communication skills of a physical therapist improve. These findings suggest that a physical therapist must adopt patient-centric communication styles, physical factors, and spatial behavior. This study was important as it generated basic data for the formation of a therapeutic relationship through efficient and promotional communication skills. It recognizes the importance of communication between a physical therapist and a patient as the indispensable factor for interaction.

Effect of Periodic Video Education on Knowledge about Hemodialysis, Patient Role Behavior and the Physiologic Index in Patients with Hemodialysis (주기적 영상교육이 혈액투석환자의 투석 관련 지식, 환자역할행위, 생리적 지표에 미치는 효과)

  • Suk, Yoon Mee;Park, Jong Won;Jeon, Man Joong;Kim, Chang Yoon
    • Journal of Korean Biological Nursing Science
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    • v.15 no.3
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    • pp.122-132
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    • 2013
  • Purpose: The purpose of this study was to evaluate the effect of periodic video education on knowledge about hemodialysis, patient role behavior and the physiologic index in patients with hemodialysis. Methods: One-group pretest-posttest design was applied. A total of 50 patients with hemodialysis at a university hospital hemodialysis unit in Daegu participated. Periodic video education about kidney function, diet, arteriovenous fistula management, medication, and exercise was administered to them for 12 weeks at intervals of 2 weeks. Before and after the education, the participants completed the self-administered questionnaires of knowledge about hemodialysis and patient role behavior and the measures of serum potassium and phosphorus concentration, weight gain between hemodialysis sessions, and adequacy of dialysis (Kt/V). Statistical analysis was performed using paired t-test. Results: Knowledge about hemodialysis and patient role behavior were significantly different between before and after education (p<.01). For the physiologic index, serum potassium concentration and weight gain between hemodialysis sessions were not significantly different but the serum phosphorus concentration and Kt/V were significantly different between before and after education (p<.05). Conclusion: The results suggest that the periodic video education for patients with hemodialysis contributed to the change and improvement in knowledge about hemodialysis, patient role behavior, and the physiologic index.

Analysis of the Impact of Organizational Safety Culture on Radiology Technologists Awareness of Patient Safety and Safety Behavior (조직안전문화가 방사선사의 환자 안전에 대한 의식 및 안전 행동에 미치는 영향분석)

  • Won-Tae Kim;Hyeon-Jin Kim
    • Journal of the Korean Society of Radiology
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    • v.17 no.4
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    • pp.615-623
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    • 2023
  • This study was conducted to examine the effect of organizational safety culture on radiologists' awareness of patient safety and safety behavior. The study was conducted based on the results of the survey, and the survey was divided into three factors: general characteristics, efforts for patient safety, and patient safety culture. As a result of the study, age, work experience, and work satisfaction were influencing factors in general characteristics, and gender, academic background, and work type were not included as factors affecting differences in patient safety awareness. In efforts for patient safety, hospital support and education, patient safety activities, and how to respond to errors were all influencing factors, especially how to respond to errors were more relevant than other items. The patient safety culture was analyzed on two items: teamwork and open communication, and both items were highly related to radiologists' awareness of patient safety.

Model Patient Safety Management Activities for Nursing Students with Clinical Experience (임상실습 경험이 있는 간호대학생의 환자안전 관리 활동 구조모형)

  • Jae-Woo Oh
    • Journal of Industrial Convergence
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    • v.22 no.3
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    • pp.121-135
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    • 2024
  • This study is a structural equation modeling study that describes patient safety incident management activities for nursing students with clinical practice experience and uses Ajzen's theory of planned behavior and safety culture climate-safety behavior model as conceptual bases, proposes a hypothetical model of nursing students' patient safety incident management activities based on the literature review, and verifies the appropriateness of the model and hypotheses through the collected data. Data were collected from 251 nursing students with clinical practice experience using a structured questionnaire. The results of this study confirmed that the model is appropriate and that patient safety management attitude, patient safety culture, and safety motivation are predictors of nursing students' patient safety management activities. Therefore, in order to improve patient safety management activities, it is necessary to provide effective patient safety incident management education programs for nursing students so that nursing students can perform correct patient safety management behaviors from the clinical practice site to the clinical practice site after graduation, and it is necessary to explore how to continuously lead such education programs to the practice site.

Behavior for Protecting Patient Medical Record of Physical Therapists (물리치료사의 환자 의료정보 보호 실천행위)

  • Lee, I.H.;Park, H.J.;Shin, A.M.;Son, C.S.;Kim, Y.N.
    • Journal of rehabilitation welfare engineering & assistive technology
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    • v.3 no.1
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    • pp.15-20
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    • 2009
  • The purpose of this study was to investigate behavior to protect medical record among physical therapists(PTs). This study conducted a survey through the self-written questionnaires from 69 clinical PTs to understanding to protect patient' medical record. The result indicated that the behavior of PTs was not average 1, but the older PTs and healthier PTs, more protective patient's medical record(p<.01). The revision of PTs' behavior attitude and intention subjective was helpful to improve their behavior to protect patent's medical record.

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A Case Report on Korean Medicine Psychotherapy in an Adolescent Patient with Major Depressive Disorder Accompanied by Suicidal Ideation and Behavior (자살생각과 자살행동을 동반한 청소년 주요우울장애 환자의 한의정신요법 활용 1례 보고)

  • Esther Jang;Soomin Jo;Kyeong-Ok Kim
    • Journal of Oriental Neuropsychiatry
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    • v.34 no.4
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    • pp.453-461
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    • 2023
  • Objectives: Major depressive disorder is a severe disease that is associated with suicidal ideation and behavior. In this case, Korean medicine psychotherapy and Korean medicine treatment were used to treat an adolescent patient with major depressive disorder. Methods: The Beck Depression Inventory, Reynolds Suicidal Ideation Questionnaire, and Crisis Triage Rating Scale were used as psychological evaluation scales. Korean medicine psychotherapy focuses on Giungoroen-therapy and IiGyeungByunQi-therapy and Korean medicine treatment combined with acupuncture, moxa, and herbal medicine. Results: Comparison before and after treatment showed improvement in clinical symptoms, Beck Depression Inventory, Reynolds Suicidal Ideation Questionnaire, and Crisis Triage Rating Scale. Conclusions: As a result of applying Korean medicine, psychotherapy and Korean medicine treatment reduces to an adolescent patient with major depressive disorder, depression, suicidal thoughts, and suicidal behavior.