• Title/Summary/Keyword: 보건 의료

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Validity and Reliability of Korean version of Professional Quality of Life Scale-Short Form(ProQOL-K-SF) for Staff of Long-term Care Insurance for Elderly (한국어판 전문직 삶의 질 측정도구-간편형(ProQOL-K-SF)의 타당도와 신뢰도: 장기요양요원을 중심으로)

  • Choi, Hyoung-Shim
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.11
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    • pp.672-681
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    • 2018
  • This study was conducted to test the validity and reliability of the Korean version of the Professional Quality of Life Scale-Short Form (ProQOL-K-SF). Survey data were collected from 191 staff involved in long-term care insurance who worked for National Health Insurance Services. Construct validity using exploratory factor analysis and the internal consistency reliability were determined using SPSS/WIN (21.0). Factor analysis of the ProQOL-K-SF demonstrated that it has a two-factor structure (compassion satisfaction and compassion fatigues) and 13 items that support construct validity. Factor loadings of the compassion satisfaction ranged from 0.70-0.86, factor loading of the compassion fatigues ranged from 0.71-0.82 and the total variance was 60%. The ProQOL-K showed interanal consistency based on Cronbach's ${\alpha}$, with a total scale and two sub scale values of 0.76-0.90. Compassion fatigue and compassion satisfaction of 30 items of the ProQOL-K were positively correlated with those of 13 items of the ProQOL-K-SF. The results support that the ProQOL-K has satisfactory construct validity and is a reliable measure of professional quality of life in Korea.

The Evaluation of Dose Reduction and Quality of Images According to 80 kVp of Scan Mode Change in Pediatric Chest CT (소아 흉부 CT 검사에서 관전압 80 kVp 조건으로 스캔 모드별 방사선량 감소와 화질 평가)

  • Kim, Gu;Kim, Gyeong-Rip;Lee, Eun-Sook;Cho, Hee-Jung;Sung, Soon-Ki;Moon, Seul-ji-a;Kwak, Jong-Hyeok
    • The Journal of the Korea Contents Association
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    • v.19 no.8
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    • pp.284-292
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    • 2019
  • To evaluate the usefulness of pediatric chest CT scans by comparing the dose, examination time, and image quality by applying Helical mode, High-pitch mode, and Volume Axial mode to minimize the radiation exposure and obtain high diagnostic value. Revolution (GE Healthcare, Wisconsin USA) was used to divide PBU-70 phantom into Helical mode, High-pitch mode, and Volume Axial mode. After acquiring images, ROI is set for each image, heart, bone, lung, and back-ground air, and the average value is obtained by measuring CT number (HU) and noise (SD). SNR and CNR were measured and compared with DLP values provided directly by the equipment. Determining statistical significance Statistical analysis was performed using ONE-WAY-ANAOVA using SPSS 21.0. In this experiment, it was possible to inspect at a short time without deterioration of image quality with the lowest dose when using volume axial mode. Although the detector coverage of 16 cm is limited to all pediatric chest CT scans, it is recommended to be actively used in pediatric patients, and further study is needed to apply other test sites in volume axial mode.

A Study on the Problems and Improvement of Long-Term Care Insurance for the Elderly (노인장기요양보험제도의 문제점 및 개선방안에 관한 고찰)

  • Ahn, Myung-Sun;Park, Joo-Hyun
    • The Journal of the Korea Contents Association
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    • v.19 no.8
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    • pp.525-534
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    • 2019
  • Korea is facing one of the fastest aging population problems in the world due to the extension of life expectancy and low birth rates due to economic development and the development of health care. It has become difficult to take care of elderly people in need of long-term care at home, and social problems such as dementia and the increase in stroke cases are serious problems. The government is enacting and implementing the Long-Term Care Insurance Act for the purpose of improving the quality of life for senior citizens subject to long-term care and alleviating the burden of family support in order to solve such social structure and problems for senior citizens. However, as a result of the implementation of the long-term care insurance system for the elderly, the privatization of the facilities and the disorder are causing widespread requests for public accountability of the services and the enhancement of the quality of the facilities. In addition, various arrangements are needed for the production of low-wage medical care workers, tasks for quality improvement, problems regarding financing methods, and so on. In order to maintain and develop the long-term care insurance system for the elderly, the government will consider seeking ways to improve the legal and institutional aspects according to changes in the social environment of the age, as well as seeking mental and psychological measures for the stabilization of old life as well as physical health.

Factors Affecting the Level of Self-core Competencies of Dental Hygiene Students (치위생(학)과 예비졸업생의 핵심역량 자가평가 수준에 영향을 미치는 요인)

  • Bae, Soo-Myoung;Shin, Sun-Jung;Shin, Bo-Mi;Choi, Yong-Keum;Son, Jung-Hui
    • The Journal of the Korea Contents Association
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    • v.19 no.7
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    • pp.402-411
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    • 2019
  • The purpose of this study is to determine critical assessments and core competencies, and to determine the competence and discipline of self-assessment. We surveyed 511 students who graduated from 12 universities. Self-efficacy 24 items were measured on a 5-point scale, 8 core competencies and 52 detailed competencies were self - assessed from 0 to a maximum of 10 points. The higher the score, the higher the self - evaluation competency level. Statistical analysis was performed using SPSS 20.0 Ver., And a statistical significance level of 0.05 was considered. The self - evaluation competency level was the highest at 6.7 points in the clinical dentistry area, and the lowest at the evidence - based decision area of 5.7 points. Self-regulation was found to be positively related to the self-evaluation core competence level among self-efficacy sub-factors. As the students' self-efficacy affects subjective academic achievement and self-evaluation, it is necessary to develop and apply relevant programs to enhance critical thinking in curriculum, apply problem-based learning method, improve self-efficacy and leadership, It should be possible to cultivate.

Study on the Characteristics and Quality Level of Single Subject Researches in the Stroke Patients : The Field of health care ~ (뇌졸중 환자를 대상으로 한 단일대상연구의 특성과 질적 수준에 관한 연구: 보건의료 분야를 대상으로)

  • Sim, Kyoung-Bo
    • The Journal of Korean society of community based occupational therapy
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    • v.8 no.2
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    • pp.15-28
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    • 2018
  • Objective : This study sought to characterize and determine the qualitative level of a single target study for stroke patients. Methods : The National Science and Technology Information Center (NDSL), DBpia (DBpia), RISS (Radical Research Information Service), Korea Research Information (KISS), and the National Assembly Library's original case study from 2002 to 2017. A total of 24 single target research papers were selected through the screening process to analyze the quality level of research methods and research design. Results : ABA design was th most common study design method. One person was the most with 12(50%). and three were the second with 8(33.3%). Imagination was the most used as an independent lawyer. Dependent variables had the highest level of situability and one-sidedness. The study was also conducted with a variety of target behaviors, including 'memory', 'visual attention', 'dysphagia', 'visual-motor coordination', 'balance', 'activity of daily life' and 'edema' behaviors. It also showed a positive effect on all dependent variables. The Qualitative level was found to be above the intermediate level except for one study. Conclusion : It is academic significance that this study analyzes the items to be prepared for in the performance of a single target study and further studies may require the establishment of a weak but good-quality single target study for researchers conducting research in local communities and clinical sites.

Application of Molecular Diagnostics Technology in the Development of a Companion Diagnostics for Malignant Solid Tumors (악성 고형암의 항암제 동반진단 기술에서 분자진단기술의 적용)

  • Kim, Jin-Hee
    • The Journal of the Korea Contents Association
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    • v.19 no.3
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    • pp.365-374
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    • 2019
  • Unlike benign tumors, malignant tumors are capable of metastasis, easy to relapse, poor survival, and low quality of life. In Korea, here is a tendency to treat the tumors collectively according to the General Principles of Cancer Chemotherapy(GPCC) of the Health Insurance Review & Assessment Service (HIRA). But recently, companion diagnostics(CDx) is recommended rather than unilateral medication because biomarker-based molecular diagnostics is possible to predict the drug response of patients before drug treatment. Not only domestic but also overseas Food and Drug Administratio (FDA) recommends the development of the CDx system at the stage of drug development to ensure the responsiveness and safety of medicines. In this study, I focused on the necessity of CDx development direction as well as CDx development status through literature review. Furthermore I also discussed CDx types according to the molecular diagnostic technology such as immunohistochemistry (IHC), polymerase chain reaction (PCR), in situ hybridization (ISH), and next-generation sequencing (NGS) not only in the approved CDx but also in the developing one by US FDA. And I suggested the technology issue of CDx development process such as a selection of molecular diagnostics at the time of release, a clear understanding of the CDx mechanism, and a convergence of drug with CDx development. The necessity of social insurance system also was proposed for CDx development.

Needs for Community Health Promotion Courses of the Traditional Korean Medicine among One Metropolitan Citizens (일개 광역시민의 지역사회 한의약 건강증진 강좌에 대한 수요)

  • Kim, Ae-Ran;Lee, Sang-Hun;Lee, Moo-Sik
    • Journal of the Korea Convergence Society
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    • v.10 no.3
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    • pp.105-113
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    • 2019
  • This study was conducted with 500 citizens of one metropolitan city to prepare foundational data for the opening of health promotion course of traditional korean medicine. A questionnaire examined participants' general characteristics and their experience with and awareness of oriental treatment and a survey on the need for health promotion course of traditional korean medicine were used as the research tools. Results showed that 56.8% of respondents had an experience with oriental treatment over the last year. Participants who responded that oriental treatment was effective accounted for 72.3%. Respondents selected "subject and contents of class" (59.1%) as the important factor in attending the oriental health promotion course, and cardiovascular disease (23.7%) as the disease they wanted to learn about. They considered "self-health care method for diseases" (69.0%) as what they expected most from the class. The results of this study will be useful when planning health promotion course of traditional korean medicine to satisfy the participants' needs.

The Study on the Elderly Homodialysis Patients' Transition of Health Condition and Health-related Quality of Life (혈액투석노인의 건강상태 변화인식과 건강관련 삶의 질에 관한 연구)

  • Shim, Ok Su
    • 한국노년학
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    • v.30 no.1
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    • pp.179-194
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    • 2010
  • The purpose of this study examines the elderly hemodialysis patients' Health-related quality in life(HRQL) and investigates the relationship between HRQL and transition of health condition. The subject were 443 elderly hemodialysis patients(over 65 years old) in Seoul and Gyeonggi province. The Health-related quality of life scale was used in this research, in which were analysed a wide range of statistical descriptive analysis, Pearson's correlation, reliability analysis, multiple regression and the Scheffe test. The results were as follows. The HRQL were statiscally significant difference by Gender, Educational level, Live with spouse, Best supporter, and Number of Disease. Also the factor related to transition of health condition was Number of Disease. The transition of health condition accounted for 13.9% of variance in HRQL and Number of Disease accounted for an additional 7.4% of HRQL. The factors, which influenced finally on the HRQL in the elderly hemodialysis patients, were transition of health condition and number of disease. In conclusion adequate hemodialysis treatment and social services should be provided in accordance with the factors affecting HRQL in order to improve the HRQL for elderly hemodialysis patients.

The Analysis of Factors Affecting Quality of Life of Disabled Persons Living at Home in Rural Community - Using the PRECEDE Model - (농촌지역 재가 장애인의 삶의 질 영향 요인 분석 -PRECEDE 모형을 이용하여-)

  • Kim, Hyunli;Jung, Mi Sook;Ju, Kyoungok
    • 재활복지
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    • v.21 no.1
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    • pp.47-70
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    • 2017
  • The aim of this study was to explore the effects of the epidemiological factor (depression), the behavioral factor (activities of daily living), the predisposing factor (self-efficacy), reinforcing factors (family support, professional support), and enabling factor (resource availability, accessibility) on quality of life in home-dwelling disabled people in rural areas. The conceptual model for this study was established on the basis of the PRECEDE model which was developed by Green and Kreuter. Data were drawn from the "Preliminary Investigation for Community-centered rehabilitation" conducted by a public health center located in the O province in 2011 and 186 of 190 disabled people who participated in the survey were included in the final analysis. Data were analyzed using Direct effects on quality of life arose from latent variables depicting the epidemiological factor (depression)and reinforcing factor (family support, professional support), while indirect effects arose from the behavioral factor (activities of daily living), the predisposing factor (self-efficacy), and enabling support (resource availability, accessibility). This model explained 85.5% of the variance in quality of life among rural disabled individuals. These findings may have shed some light on the necessity of including strategies to reduce depression and to strengthen supports from family and healthcare professionals when performing rehabilitation programs to improve quality of life in home-dwelling disabled people in rural areas. Furthermore, it suggested that it would be useful to develop specific strategies and tactics which might increase self-efficacy and to expand linkages between public health centers and other professional institutions such as hospitals for community-centered rehabilitation services for individuals with disabilities.

Familism Values and Social Welfare Policy Implications of Young Adults' (청년층의 가족주의 가치관과 사회복지정책적 제언)

  • Bae, Na-Rae;So, Kwon-Seob
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.3
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    • pp.394-399
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    • 2019
  • This study examines the familism values of the young generation. This study was conducted on 436 university students living in Daejeon and Chungcheong area. The results of the study are as follows. First, as the socio-demographic characteristics of the subjects, by gender, There were more female students (56.0%) than male students (44.0%). 34.4% of the respondents were under age 20, followed by 21 ~ 22 years old (30.7%) and 23 ~ 24 years old by 17.0%. As for the grade, 61.9% of the first and second graders were more than the third and fourth graders. In the case of religion, 42.7% of the respondents said that they had no religion, followed by Buddhism (29.1%) and Christianity (19.5%). 69.7% of the respondents said that they had two siblings. Second, when looking at the level of familism values perceived by the survey subjects, the Filial piety (4.35) was the highest, followed by Equality Consciousness of husband-wife (3.51) and Sense of Community in Blood Relationship (2.87), Family-First Consciousness (2.64), and succession of Patrilineal Family (2.41). Third, the overall Familism Values according to socio-demographic variables showed a significant difference between the age groups (F = 11.08, P <.001) and the grade (F = 4.70, P <.01).