• Title/Summary/Keyword: subjective satisfaction

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Effectiveness of CO2 Fractional Laser on Linear Scars in Children

  • Ji, So young;Lee, Wu Seop;Yang, Wan Suk;Kim, Yong-Min;Baik, Bong Soo
    • Medical Lasers
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    • v.8 no.1
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    • pp.1-6
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    • 2019
  • Background and Objectives A facial laceration is a commonly occurring trauma of children. In addition, appropriate treatment and scar management are very important because the psychosocial impact of facial scars is much greater in children than in adults. Materials and Methods In the authors' hospital, primary closure was conducted targeting a total of 8,924 patients from January 2015 to December 2017. Of these, scar management was conducted on 808 people using a CO2 fractional laser and Q-Switch Nd:YAG laser. To prove the effectiveness of the laser treatment on the linear scar, the patients were divided retrospectively into children and adults and sub-divided into those who received the treatment and those who did not. The subjective satisfaction of patients was evaluated using the Numeric Rating System (NRS). The objective scar scoring was evaluated using the image panel assessment based on the Vancouver Scar Scale (VSS), and the scoring was made by averaging the evaluations of three plastic surgeons. Results Evaluated NRS showed 8.50 ± 1.83 for adults without a laser, 8.51 ± 1.47 for adults with a laser, 7.93 ± 2.10 for children without a laser, and 8.9 ± 1.24 for children with a laser. The image panel assessment revealed 7.06 ± 1.31 for adults without a laser, 6.40 ± 2.37 for adults with a laser, 6.86 ± 1.45 for children without a laser, and 5.93 ± 1.21 for children with a laser. Conclusion When the linear scar is managed using a CO2 Fractional laser, it can be managed in children better than adults, which is believed to be useful because it leads to better satisfaction and prognosis.

The Relationship of Spiritual Well-being and Anxiety, Depression and Quality of Life in Active Old Age (노년기 영성과 불안.우울 및 삶의 질과의 관계)

  • Youm, Hyong-Uk;Cheung, Seung-Deuk;Seo, Wan-Seok;Koo, Bon-Hoon;Bai, Dai-Seg
    • Journal of Yeungnam Medical Science
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    • v.22 no.1
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    • pp.27-42
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    • 2005
  • Background: This study assessed the mental health, in order to determine the effect of the subject's spiritual well-being on anxiety depression and quality of life in active old people, and to verify whether or not spiritual well-being is a new factor for comprehensive health in old people. Materials and Methods: This study selected 184 old people aged over 65 years. The subject's spiritual well-being was assessed by the Korean Spiritual Well-Being Scale (SWS) that was composed of the Religious Well-being Scale (RWS) and Existential Well-being Scale (EWS). The quality of life was assessed using Quality of Life Scale, which was composed of the subjective feeling about life and the subject's satisfaction of their whole life. Results: Among the psychosocial factors, the educational level and physical health, showed significant discriminative score in the SWS. A prior medical history was associated with a significantly low SWS score. Satisfaction with life was associated with a significantly high SWS score. These factors a showed significant discriminative EWS score rather than a RWS. Among the religion factors, the satisfaction with their religion showed significant difference in the SWS. The SWS score especially the EWS affected the anxiety and depression of the Korean Combined Anxiety and Depression Scale (CADS). The subjective feeling of life score was associated with a significantly EWS low score and the subject's satisfaction with their whole life score was associated with a significantly high EWS score. Conclusion: Spiritual well being has significantly effects on anxiety depression and the quality of life in active old age people, and the subject;s spiritual well-being might be a new factor for assessing health in old age.

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The Efficacy of Voice Therapy for the Treatment of Vocal Fold Bowing (궁형 성대를 보이는 환자들에 있어 음성치료의 효과)

  • 신혜정;김진경;김은아;고영민;박애경;정성민
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.14 no.2
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    • pp.94-97
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    • 2003
  • Background and Objectives : Bowing of the vocal fold, a bowed edge of the vocal fold results from various disorder causes glottic incompetence resulting in voice disorders. The results of treatment were not satisfactory even though a variety of methods of treatment were applied. The goal of this study is to evaluate of efficacy of the non-surgical, voice therapy in patients with vocal fold bowing. Materials and Method : Twenty two patients of vocal fold bowing not resulting from vocal fold palsy and sulcus vocalis were analyzed. After voice therapy and medical treatment, parameters of perceptual, acoustic, aerodynamic analysis and stroboscopic findings were compared those of pretreatment results. Results and Conclusion : Jitter, shimmer and maximal phonation time were significantly improved and subjective satisfaction was improved in 73% of patients. In the videostroboscopic examination, vocal fold gap was decreased in 27% of patents. The result of this study indicates that voice therapy alone has effect in treatment of vocal fold bowing. Voice therapy is one of the mainstay of treatment of vocal fold bowing.

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Workers' fear of dental treatment and other factors (근로자들의 치과치료에 대한 공포감과 관련요인)

  • Kim, Kyung-Won;Lee, Kyeong-Soo
    • Journal of Korean society of Dental Hygiene
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    • v.10 no.1
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    • pp.65-79
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    • 2010
  • Objectives : This study was designed to present how to reduce the fear associated with dental treatment by analyzing the fear levels for dental treatment, the influential factors for the fear, the general characteristics of patients and the correlations between trust in dental care professionals and satisfaction with dental treatment. Methods : The subjects were 400 workers at 5 industrial sites, which got health management conducted by health management agencies, among small and medium industrial sites located in the Gyeongbuk region of South Korea during a period of February to March, 2009. Results & Conclusion : 1. Of the subjects, 134 (30.7%) and 303 (69.3%) persons had high and low fear levels of dental treatment respectively. 2. The fear levels of dental treatment were higher in women than men, and significantly high in proportion to the patients' subjective bad health levels and past dental care fear frequencies. 3. The fear associated with dental treatment was significantly correlated to the trust in dentists.

The Clinical Effects of Cupping Therapy at Bedtime for Sleep Disorder Induced by Traffic Accidents (수면 전 부항요법이 교통사고로 유발된 수면장애에 미치는 임상적 효과)

  • Lee, Eun-Jung;Jeoun, Tae-Dong;Yoon, Il-Ji;Oh, Min-Suck
    • Journal of Korean Medicine Rehabilitation
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    • v.20 no.1
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    • pp.193-208
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    • 2010
  • Objectives : The purpose of this study is to investigate the clinical effects of cupping therapy on sleep disorders induced by traffic accidents. Methods : The 46 patients were divided into 2 groups : Exp.group was treated with cupping therapy at bedtime and Con.group was treated except cupping therapy at bedtime. To evaluate the efficiency of cupping therapy, the SMH sleep questionnaire and Visual Analogue Scale(VAS) were applied before treatment and after 7 days treatment. Results : 1. The Exp.group has improved statistical significantly in delaying bedtime and bedtime arousal as compared to the Con.group. 2. The Exp.group was increased in total sleep time but had no statistical significance as compared to the Con.group. 3. The Exp.group was improved in subjective evaluation of satisfaction with sleep, depth of sleep, the overall sleep and difficulty in falling asleep. Conclusions : Cupping therapy at bedtime has clinical effects of improvement of sleep disorder induced by traffic accidents.

Correlation of Assertiveness and Depression in Clinical Nurses (임상간호사의 자기표현성과 우울의 상관관계)

  • Bang, Kyung Sook;Park, Hyun Joo
    • Journal of Korean Clinical Nursing Research
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    • v.14 no.2
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    • pp.93-102
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    • 2008
  • Purpose: The purpose of this study was to investigate the degrees of assertiveness and depression in clinical nurses and identify the relationships between them. Method: The study included 261 clinical nurses working at one university hospital in the Kyunggi province. The assertiveness scale and a micro simple mental diagnosis test were used to assess the variables. Data were analyzed using SPSS. Results: The average assertiveness score was $3.04{\pm}0.38$ and an average depression score $1.23{\pm}0.71$. Statistically significant differences in assertiveness were identified with regards to marital status (p=.034), type of families (p=.005), number of counselling persons (p=.007), and subjective mental health status (p<.001). In addition, the assertiveness scores were statistically significant based on job position(p=.032), and the levels of satisfaction with nursing job (p=.015). There were significant negative correlations between assertiveness and depression of clinical nurses(r=-.237, p<.001). Conclusion: These findings suggest that assertiveness training for clinical nurses is necessary, especially for novice nurses, in order to decrease the level of depression.

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Usability Evalulation of Button Selection Aids for PDAs (PDA 화면 내 버튼 선택을 위한 입력지원방식의 사용성 평가)

  • Park, Yong-S.;Han, Sung-H.;Moon, Jung-Tae;Jeon, Suk-Hee
    • Journal of the Ergonomics Society of Korea
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    • v.24 no.3
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    • pp.1-10
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    • 2005
  • The primary objective of this study is to design input methods for assisting button selection tasks on a PDA screen. Familiar methods in the existing computing environments were investigated to develop aiding methods. Factors manipulated in the experiment included aiding method, button size, and users' prior experience with PDAs. A total of sixteen participants examined the usability of button selection tasks. Two types of button selection tasks were used as experimental tasks; one was selecting a target button, and the other was selecting multiple target buttons consecutively. The results showed that the aiding method and the button size had significant effects on the subjective satisfaction as well as the performance. In addition, users' prior experience with PDAs affected the performance significantly. The interaction between the aiding method and the button size was found to have significant effects on the performance. However, the interaction effect between the button size and the PDA experience was significant on the task performance time only for the multiple button selection tasks. Design considerations were proposed based on the experimental results. These can be applied to the PDA interaction design to make the PDAs more usable.

A Study on the Quality Improvement Activities of Clinical Nurses: Nursing Care Unit level (임상간호사의 의료 질 향상 활동에 관한 연구: 병원 간호병동 수준으로)

  • Yoo, Ji-Yeon;Kim, Kwang-Jum
    • Korea Journal of Hospital Management
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    • v.22 no.1
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    • pp.10-20
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    • 2017
  • Purposes: This study analyzed activities for improvement of quality of care in nursing units to identify group-level success factors of quality improving efforts. Methodology/Approach: Research subjects were 31 general wards of C university hospital, which has 1,200 beds. Data were collected through survey and focus group interview. The mean value of nurses in a ward was converted to unit-level variable value of the ward. The SPSS 24.0 version was used to analyse the data. The units were classified into two groups, high performing and low performing, by the subjective level of quality improvement performance. Findings: The main findings are as follows: 1. The high performing groups participated more in education related to quality improvement and showed more quality improvement cases in progress than that of their counterpart. 2. The high performing group's nurses show more positive perception and attitude on quality improvement activities, and they have positive assessment on the necessity, effect, satisfaction about the quality improvement activities. 3. Middle managers' ability, attitude, motivation, and effective communication across members of the ward played pivotal roles in boosting the quality improvement activities of wards.

A Study of The Adjustment of Elderly Women according to Family Relations (가족관계에 따른 노년여성의 적응에 관한 연구)

  • 강주령
    • Journal of the Korean Home Economics Association
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    • v.29 no.2
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    • pp.185-197
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    • 1991
  • The purpose of this study is to explore family relations of the Elderly influencing adjustment of the Elderly. The Sample was selected from elderly women who are older than 65years living in Seoul. Total sample consisted of 324 elderly women(married women 155, widow 169) finally selected datum sources. Factor analysis, frequency distribution, percentile, Anova, Pearson's Correlation and Stepwise multiple regression were used to take statistics. The main resluts were as follows: 1. The score of the adjustment of urban elderly woman was normal. 2. General characteristic variables such as age, self-reported health, financial status and supply of living expenses have turned out to be significant on the adjustment of the elederly women. 3. General satisfaction of married life, among the subordinate dimensions of the aging Couple relationships, has influence of the adjustment of the elderly women. 4. Among the old parent-Adult children relationships, subjective solidarity and consensual solidarity have influence on the adjustement of the aged. Besides the above two solidarity, objective solidarity has influence on the adjustment, in the case of widow. 5. Among the grandmother-grandchildren relationships, discipliner relations and material provider relations have influence on the adjustment of the married old women. Besides the above two solidarity, surrogate parenting relation have influence on the adjustment, in the case of widow.

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Nursing Students' Experience in Community Health Center Practice (간호학생의 보건진료소 실습경험)

  • Park, Hyun-Joo;Jang, In-Sun
    • Research in Community and Public Health Nursing
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    • v.21 no.2
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    • pp.188-199
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    • 2010
  • Purpose: The objective of this study was to understand the meaning of experience on community health centers (post) practice of nursing students. Methods: This is qualitative research using focus groups. Data were collected through in-depth interviews performed from November 10 to December 11, 2009. The focus group interviews were conducted to 22 nursing students on their subjective experiences. The data were analyzed by the Colaizzi's method, in which the meaningful statements were extracted. Results: Seven theme-clusters were identified from fourteen themes and thirty-one sub-themes. The seven theme-clusters were 1) widening of experiences; 2) feeling of warm heart; 3) feeling of satisfaction; 4) feeling of being unfulfilled; 5) difficulties; 6) new awareness; and 7) good memories. Conclusion: Through a variety of relationships and self-regulation in community health centers (post) practice, the nursing students may have the feeling of worthiness, new awareness of community nursing, and visions for the future to rebuild.