• Title/Summary/Keyword: 순응도

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A Studyof Psychiatric Treatment Compliance in Referred Patients at a General Hospital (자문의뢰된 입원환자의 특성과 정신과 치료 순응도에 대한 연구)

  • Shim, In-Bo;Ko, Young-Hoon;Lee, Moon-Soo;Kim, Yong-Ku;Han, Chang-Su
    • Korean Journal of Psychosomatic Medicine
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    • v.19 no.2
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    • pp.66-73
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    • 2011
  • Objectives:The present study investigates the status of inpatient psychiatric consultations at a general hospital in order to find factors that contribute to treatment compliance related to psychiatric consultations. Methods:The subjects were 333 patients who were hospitalized at Korea University Medical Center Ansan Hospital from 1 September 2009 to 31 July 2010.The patients were referred for psychiatric consultation during hospitalization. This study investigates demographic data, request department, referral causes, requestor, psychiatric history and diagnosis, andpsychiatric treatment compliance. Treatment compliance was defined as whether or not the patient had accepted psychiatric treatment during hospitalization or outpatient department(OPD) follow-up. This study ascertains the factors that have impact on compliance, by taking binary logistic regression with compliance and other variables. Results:Among the patients that were offered psychiatric treatment during hospitalization(N=310), treatment compliance was 82.9%. Among the patients that were offered OPD treatment(N=111), compliance was 55.8%. Elderly group(>65 years) showed better compliance to treatment during hospitalization than the younger patient group(OR=4.838, p=0.004). Patients with secondary psychiatric disorders showed better OPD follow-up compliance than patients with secondary psychiatric disorders(OR=8.520, p=.008). Conclusion:Elderly patients showed better compliance for psychiatric treatment during hospitalization. However they commonly have disorders such as delirium and mood disorders that have impact on the patient's physical state, hence further active measures should be carried out. Patients referred due to primary psychiatric disorders showed poor OPD compliance. Therefore clinicians have to suggest multidisciplinary interventions that will improve treatment compliance of such patients.

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Therapeutic compliance and its related factors in pediatrics patients (소아 환자의 치료 순응도 및 이에 영향을 미치는 요인)

  • Park, Ki Soo;Kam, Sin;Kim, Heung Sik;Lee, Jeong Kwon;Hwang, Jin-Bok
    • Clinical and Experimental Pediatrics
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    • v.51 no.6
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    • pp.584-596
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    • 2008
  • Purpose : This study was conducted to investigate treatment compliance and related factors in pediatric patients. Methods : Three hundred and fifty-five patients diagnosed with various acute diseases at a teaching hospital or clinic in October 2003 were enrolled. Data were analyzed using the Health Belief Model, which includes items on self-efficacy and family assistance. Results : The study found that 62.9% of pediatric patients adhered faithfully to agreed-upon hospital revisits, 41.6% complied with dose timings instructions, 65.8% precisely took medication, and 27.2% complied with all of these requirements. According to ${\chi}^2$ test analysis, the factors found to be related to therapeutic compliance (the taking of medicines requested) were; susceptibility, severity, benefit, barriers, mother's self-efficacy, and family assistance (P<.05). Multiple logistic analysis and path analysis showed that susceptibility, severity, barriers, and mother's self-efficacy were related to therapeutic compliance (P<.05). Moreover, mother's self-efficacy was identified as the most important factor. Conclusion : To improve therapeutic compliance among pediatric patients, parental education is necessary, and a health care professional must take a thorough history of how the medication was taken before it is assumed that treatment failure is attributable to the medication prescribed. Furthermore, the type of device recommended for dosing should be determined by clinicians. In addition, it is important that pediatric medications be discussed in relation to their palatability and internal acceptability.

Conformance-Based Dynamic Performance Optimization of an Actuator (순응도 기반의 구동기 동적 성능 최적화)

  • Son, Young-Kap
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.36 no.11
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    • pp.1327-1334
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    • 2012
  • This study shows the conformance-based design results of a fourth-order dynamic actuator showing a performance variation caused by variation in the components as well as aero-induced disturbances. The actuator comprises a BLDC motor, spur gear and worm gear assembly, and canard. The actuator performance was evaluated by using time-variant angle information of the canard. Based on the response surface models, critical system variables were screened using F-tests, and then, the performance was approximated as a function of the variables because it is difficult to determine the performance of a high-order dynamic system as a function of system variables through analytical approaches. In this study, the conformance of uncertain performance to the specification was defined as a probability measure. The design variables obtained by optimizing the measure can provide actuator performance conforming to the specifications considered, even though there is a variation in both the components and the aero-induced disturbances.

The Study of Determinants of Tax Compliance (국가간 조세순응의 결정요인에 관한 연구)

  • Choi, Heon-Seob
    • Management & Information Systems Review
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    • v.28 no.2
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    • pp.21-39
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    • 2009
  • This study examines the international differences in tax compliance and relates these differences to selected determinants of tax morale and Hofstede's Cultural dimensions. The findings of the empirical investigation of data from 38 countries during 5 years(2000-2004) indicate that tax compliance is highest in countries characterized by high economic freedom, high effective competition laws, high government transparency, low shadow Economy, and low power distance. It shows that a powerful deterrent to tax evasion is the creation of a tax morale. Where individuals can exercise their economic rights in terms of economic freedom, important equity market and effective competition laws, in a safe environment that improves their quality of life, they are more prone to view tax compliance as less of a burden and more of a citizenship duty. Our results indicate that policymakers should consider cultural values when designing tax compliance legislation and investigating possible behavior irregularities.

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Analysis of Factors Affecting Medication Adherence to Improve Life Care in Patients with Hypertension (고혈압 환자의 라이프케어 증진을 위한 약물 순응도 영향요인 분석)

  • Gil, Eun-Ha
    • Journal of Korea Entertainment Industry Association
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    • v.14 no.2
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    • pp.213-224
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    • 2020
  • Purpose: This study is a descriptive and secondary analytical study that uses panel data to identify the factors of medication adherence to improve life care of hypertensive patients. Methods: The subjects of this study were 2,484 patients who were taking medication after hypertension using Korea Medical Panel 2015 data (β-version 1.0). Data analysis was performed using Chi-Square, Scheffe's test, and logistic regression using SPSS/win 22.0. Results: The level of medication adherence in patients with hypertension was 94.2%. The factors of medication adherence were gender and age in Model I of demographic factors, and the presence of disability, smoking, and drinking in Model II. Model III, which added drug use factors, was identified as drinking, drug duration, side effects, drug satisfaction, and payment of drug costs. Conclusion: In order to improve life care for hypertension patients, education and interventions on the importance of take medication and side effects of medications and how to take them will be needed in the early stages of diagnosis.

Adaptation to Baby Schema Features and the Perception of Facial Age (인물 얼굴의 나이 판단과 아기도식 속성에 대한 순응의 잔여효과)

  • Yejin Lee;Sung-Ho Kim
    • Science of Emotion and Sensibility
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    • v.25 no.4
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    • pp.157-172
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    • 2022
  • Using the adaptation aftereffect paradigm, this study investigated whether adaptation to baby schema features of the face and body could affect facial age perceptions. In Experiment 1, participants were asked to determine whether the test faces that morphed at a certain ratio of a baby face and an adult face were perceived as 'baby' or 'adult' after being adapted to either a baby or an adult face. The result of Experiment 1 showed that after being adapted to baby faces, test faces were assessed as belonging to an adult more often than when being adapted to adult faces. In the subsequent experiments, participants carried out the same facial age judgment task after being adapted to baby or adult body silhouettes (Experiment 2) or hand images (Experiment 3). The results revealed that age perceptions were biased in the direction of the adaptors (i.e., an assimilative aftereffect) after adaptation to body silhouettes (Experiment 2) but did not change after being adapted to hands (Experiment 3). The present study showed that contrastive aftereffects in the perception of facial age were induced by adaptation to the baby face but failed to determine the cross-category transfer of age adaptation from hands or body silhouettes to faces.

Relationship between Depression, Self-efficacy and Treatment Adherence in Peritoneal Dialysis Patients (복막투석환자의 우울, 자기효능감, 치료순응도의 관련성 연구)

  • Ban, MinKyung
    • Journal of the Korea Convergence Society
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    • v.12 no.6
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    • pp.279-287
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    • 2021
  • Purpose: The purpose of this study was to identify the relationships beween depression, self-efficacy and, treatment adherence in peritoneal dialysis patients. Method: Participants were 139 in a hospital located B city Korea. The data were examined using descriptive statistics, t-test, ANOVA, and Pearson's correlation with SPSS 25.0. Results: Self-efficacy had positive correlation with medication(r=.28 p=.001), fluid restriction(r=.23, p=.008), dietary restriction(r=.38, p<.001) in adherence. Depression had a negative correlation with medication(r=-.17 p=.046), dietary restriction(r=-.17, p=.043) Conclusion: Nursing starategies to strengthen the treatment adherence of patients with peritoneal dialysis need to focus on enhacing self-efficacy and alleviating depression.

조위 순응형 Sparbuoy 개발

  • Jeon, Min-Su;Heo, Ju;Kim, Gi-Dam
    • Proceedings of the Korean Institute of Navigation and Port Research Conference
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    • 2011.06a
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    • pp.269-271
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    • 2011
  • 우리나라에서 사용하고 있는 표준형 부표류 중 스파부이는 등부표에 비하여 이출거리가 적고 항만 입출항로 및 협수로에서의 항로표시 기능은 좋은 편이나 강조류나 조차가 큰 해역등에서는 설치운영이 곤란한 실정이다. 이러한 스파부이의 장점을 유지하면서 단점을 보완하는 조위 순응형 스파부이의 개발이 절실한 시점이며, 이러한 항로표지의 요구를 만족하기 위하여 본 연구에서는 조위 순응형 스파부이를 개발하기 위한 전 해역의 환경조건을 검토하여 실제 해역에 적용가능한 스파부이의 구조형식을 제안하였다.

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Study on Health Behavior of Hypertensive Patients and Compliance for Treatment of Antihypertensive Medication (고혈압 환자들의 순응도와 건강행태의 관계)

  • Kim, Joo-Yeon;Lee, Dong-Bae;Cho, Young-Chae;Lee, Sok-Goo;Chang, Seong-Sil;Kwon, Yun-Hyung;Lee, Tae-Yong
    • Journal of agricultural medicine and community health
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    • v.25 no.1
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    • pp.29-49
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    • 2000
  • Objectives: To estimate the prevalence rate of hypertension, the changes of health behavior, and compliance for the drug treatment after diagnosed as hypertension. Methods: 7,030 persons who live in Cheonan City of Chungnam Province were selected by the cluster sampling method, and 5,372 persons were surveyed by questionnaire and health examination. This data is analyzed by Chi-square test on each variable. Results: 49.8%- of men and 38.8%- of women had been diagnosed as hypertension, and the prevalence rate of hypertension was significantly increased with aging in both gender. The prevalence rate tended to decrease in highly educated women group. Unemployed persons or obese persons showed relatively higher prevalence rate. The prevalence rate of hypertension increased in groups with higher total cholesterol levels over 240 mg/dl, and groups with glucose level over 200 mg/dl. 53.1%- of male patients and 66.6%- of female patients showed compliance for antihypertensive treatment. Compliance for treatment was higher in aged group or lower educated group in both gender. Among men, proportion of compliant subjects was higher in unemployed group(49.3%-), and lower in labor or primary industry than the others but among women, there was not any significant difference. And men with compliance for treatment had higher monthly income than the others, but women did not show any. Conclusion : This population had a high prevalence rate of hypertension which may lead to cardiovascular disease. Therefore health education programs and distribution of information must be emphasized in order to increase compliance to treatment and encourage the change of health behavior to promote health.

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