• Title/Summary/Keyword: 외래방문일

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Stigma and quality of life in patients with lung cancer: The mediating effect of resilience (폐암 환자의 스티그마와 삶의 질 : 극복력의 매개 효과)

  • Kim, Inha;Kim, Sook Young
    • Journal of the Korean Data and Information Science Society
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    • v.28 no.6
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    • pp.1371-1382
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    • 2017
  • The purpose of this study was to identify the mediating effect of resilience in the relationship between stigma and quality of life (QOL) in lung cancer patients. Participants were 119 lung cancer patients who visited the outpatient department of a hospital. The subjects completed a questionnaire of stigma, resilience and QOL. Data were analyzed using t-test, ANOVA, Scheffe test, Pearson correlation, three-step regressions to test mediating effect and Sobel test. Stigma was negatively correlated with resilience and QOL. Resilience was positively correlated with QOL. Stigma explained 15.0% of the variance of resilience. Stigma and resilience explained 41.0% of the variance of QOL. Resilience had a partial mediating effect in the relationship between stigma and QOL. The results suggest that a nursing intervention to decrease stigma and enhance resilience is recommended to improve QOL in lung cancer patients.

Informally Patients Prediction Model of Admission Patients (입원환자 데이터를 이용한 예약부도환자 이탈방지 모형 연구)

  • Kim, Eun-Yeob;Ham, Sung-Woo
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.10 no.11
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    • pp.3465-3472
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    • 2009
  • The aims of this study is to medical record data warehouse which had been collected from hospital information systems. continuous patient 2,118 60.5%, informally patient 1,385 39.5%. In using survival factors sex, age, area, insurance, admission-course, medical treatment, out-patient lesson, out-patient form, conference diagnosis, operation, cancer, medical reservation. As a result of making a predictive modeling using the logistic regression, the fitness of the predictive modeling of informally patient was 66.0% and neural network, the predictive was 66.72% and CHAID, the predictive was 63.25%, which is a data mining. The expected modeling of the informally patients, the hospital through the continuous patient management and trust of hospital.

Factors Affecting on Life Satisfaction of Elderly after Total Knee Arthroplasty (슬관절 전치환술을 받은 노인의 삶의 만족도에 미치는 영향요인)

  • Park, You-Jin;Park, Eun-Hee
    • Journal of Digital Convergence
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    • v.14 no.9
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    • pp.563-569
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    • 2016
  • Recently, South Korea senile patients to undergo total knee arthoplasty surgery along with the aging of the population has increased. Hence, this descriptive investigational study is to identify the correlation among the variables including the pain, depression, social support, and the degree of life satisfaction in the senile patients with total knee arthroplasty, and to analyze the factors to affect the degree of life satisfaction. The study subjects were 115 the senile patients, who had been hospital in less than one year or visited the hospital on an out patient basis after getting surgery of total knee arthroplasty at the orthopedics of S hospital located in G Metropolitan City. Data collection period was from September 25, 2015 to October 31, 2015, they were collected using structured questionnaire with the researches describing the research objectives and methods.

Malignant Proliferating Trichilemmal Tumor - A Case Report - (악성 증식성 모낭 종양 - 증례 보고 -)

  • Hong, Ki-Do;Kim, Jae-Young;Ha, Sung-Sik;Sim, Jae-Chun;Cho, Hye-Jae;Choi, Yoon-Ho
    • The Journal of the Korean bone and joint tumor society
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    • v.15 no.1
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    • pp.65-68
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    • 2009
  • Proliferating trichilemmal tumor(PTT) is a rare neoplasm derived from the outer root sheath of the hair follicle. Malignant transformation is rare, but abrupt enlargement of size, infiltrative growth, and non-scalp location are suggestive of malignant PTT. Histopathologic characteristics of malignant PTT are nuclear atypia, pleomorphism, and mitotic figures. Recurrence and metastasis have been documented in malignant PTT. Wide resection of the tumor with the normal tissue and accurate follow-up is the treatment of choice of the both malignant and benign PTT. We report a 51-year-old man with the mass on right 5th finger distal phalanx for 7 years. The tumor was excised with middle phalangiectomy, and based on the histopathologic findings of the tumor, this case was diagnosed as mailignant PTT. We cannot detect recurrence and metastasis because the patient was lost to follow-up.

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Knowledge, Attitudes and Practices in Health Care Professionals and Awareness in the Public toward Propofol (프로포폴에 대한 의료인의 지식, 태도, 실천 및 일반인의 인식정도)

  • Ryoo, Eon-Na;Ha, Eun-Ho;Cho, Jin-Young
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.1
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    • pp.275-284
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    • 2013
  • With the propofol-induced accident such as adverse effects, abuse, death is becoming to the fore as a social issue, there is an increasingly loud call for self-examination about excessive propofol use. The purpose of this study was to identify the knowledge, attitudes and practices in health care professionals and awareness in the public toward propofol. Participants in this study were 359 health care professionals, and 682 publics who is going to undergo endoscopy. The collected data was analyzed using t-test, ANOVA, Scheffe for knowledge, attitude, and practice toward propofol in health care professionals, Pearson Correlation for its correlation. and frequencies, %, mean for others. Scores of knowledge, attitudes, and practices were 7.16 (11), 3.26 (5), 3.95 (5) respectively. Nurses' attitudes toward propofol was much more higher than doctors', doctors' practice toward propofol was higher than nurses'. There was a correlation among knowledge, attitudes, and practices toward propofol. 53.4% of the publics answered that never heard what is propofol. Considering these results, regular customized and standardized-education strategies for both groups need to be developed for the purpose of proper use and management of propofol.

A Survey of the Pain and Quality of Life of the Middle-Aged Women with the Subjective Symptom of Urinary Incontinence (요실금 자각 증상이 있는 중년여성들의 통증 및 삶의 질 정도에 대한 조사)

  • Kim, Eun-Young;Kim, Keun-Jo;Ha, Mi-Sook
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.11 no.11
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    • pp.4382-4394
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    • 2010
  • The objective of this survey was to understand the effect of the subjective degree and pain of urinary incontinence on the quality of life of the middle-aged women with the subjective symptom of urinary incontinence. A questionnaire was carried out to investigate the quality of life in relation to urinary incontinence for 114 patients of chronic musculoskeletal system from Feb. to May in 2010. Overall, the subjects responded that their quality of life was medium(($61.36{\pm}13.2$score) and the pain related to urinary incontinence was low back pain. The degree of pain was between the moderate and a little severe in the VAS (Visual Analogue Scale) range of 4 to 7. It was also shown that the action of the subjects was affected by urinary incontinence in forms of avoidance limitation and psycosocial effect. Since the survey showed that the urinary incontinence and pain substantially affect the quality of life of the middle-aged women, the result may provide basic information in developing a practical intervention program.

Factors Associated with the Diabetes Self-care Activities of the Elderly with Type 2 Diabetes (노인 당뇨환자의 당뇨 자가관리와 관련요인)

  • Kim, KiSook;Ko, JiWoon
    • 한국노년학
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    • v.32 no.4
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    • pp.961-973
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    • 2012
  • The aims of this study are to identify levels of diabetes self-care activities and find associated factors of the elderly with Type 2 diabetes. The participants for this study were 264 elderly Koreans over 65 years old who visited one general hospital in S city in South Korea for their medical treatment. In the results, there are few statistically significant differences in general characteristics and disease related variables according with diabetes self-care activities (DSCA). DSCA showed negative correlation with depression (r=-.278, p=.033) and positive correlation with ADLs(r=.310, p=.013)and IADLs(r=.415, p=.001). Therefore, the findings of this study suggest implementing self-care activities to the elderly with diabetes based on their psychological factors (depression) and functional capacities (ADL and IADL). In addition, the advanced research will be needed for developing tailored nursing educations and interventions to improve diabetes self-care activities of elderly patients.

Factors Related to the Outpatient Visits for Blood Pressure Management in Patients diagnosed with Hypertension (고혈압 진단자의 혈압 관리를 위한 외래 방문 영향요인)

  • Cho, Hyung-Kyung;Lee, Hyun-Ji;Seol, Jin-Ju;Lee, Kwang-Soo
    • Korea Journal of Hospital Management
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    • v.26 no.2
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    • pp.56-67
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    • 2021
  • Background: Regular doctor visits are vital for hypertension patients, especially for who have never received hypertension medication or non-pharmacologic therapy. This study purposed to study factors affecting outpatient visits for patients diagnosed with hypertension. Methods: This study included 59,009 respondents with hypertension over 30 from 2019 Community Health Survey data. Outpatient visits were defined by having hypertension treatments such as medication or non-pharmacologic therapy. Logistic regression was used to examine the factors affecting outpatient visits using SAS ver. 9.3. Results: 57,081(96.73%) patients with hypertension were identified as those having a outpatient visit for hypertension treatments, whereas 1,928(3.27%) patients did not have visits. Patient's characteristics such as gender, age, periods of hypertension, education level, perception of the blood pressure, hypertension management education, place of living, body mass index, depression and diabetes were found to have statistically significant relationship with the outpatient visits. Practical Implications: There is a need to select patients with high blood pressure who are unlikely to visit for hypertension treatments based on the study results. For those, establishing a personalized management plan such as health education and counseling programs will be helpful for the successful implementation of national chronic disease management program.

Sonographic Features of Palpable Breast and Axillary Lesions in Adult Male Patients: A Pictorial Essay (만져지는 유방과 액와부 병변을 주소로 내원한 성인 남성의 초음파 소견: 임상화보)

  • Hyun Kyung Jung;Yun-Jung Lim
    • Journal of the Korean Society of Radiology
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    • v.83 no.4
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    • pp.830-845
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    • 2022
  • The male breast is a non-functional and rudimentary organ, but similarly to the female breast, it can be affected by various diseases. In contrast to female breast cancer, male breast cancer has a low incidence, and there is no established breast cancer screening program for male patients. Therefore, the diagnostic evaluation is usually performed in male patients with symptoms such as palpability or pain in the breasts. Furthermore, most adult male patients who visit breast clinics sometimes present with not only breast symptoms but also axillary symptoms, and both the breast and axilla are usually examined during breast ultrasonography in daily clinical practice. The purpose of this pictorial essay was to present the sonographic features of various palpable breast and axillary lesions in adult male patients.

A Study on Exposure to radiation of the patient who visited an emergency room at a University Hospital (한 대학병원 응급실에 방문한 환자의 방사선 피폭에 관한 연구)

  • Ahn, Buyung-Ju;Lee, Sang-Bock;Lee, Jun-Haeng
    • Journal of the Korean Society of Radiology
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    • v.1 no.3
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    • pp.23-34
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    • 2007
  • To find how much radiation was exposed the patients who visit emergency room, a measurement study was made for radiation amount toward 200 patients selected randomly among visitors to an emergency room in a university hospital from March 16 to 31st, 2006. The results are as follows ; 1. Among the subjects 50 person(25.0%) were transferred from other hospitals, 24 persons(8.3) come after traffic accident, 50 persons for other accident and 76 persons for general medical care. 2. The average frequency of X-ray taking was calculated as 6.4 time per person among transferred patients, 14.5 times per person among patients with traffic accident and 2.6 times per person among general medical care. 3. The radiation exposure amount by kind of X-ray showed 28.9mGyfor general X-ray diagnosis, 84.2mGy for CT scanning and 1.02mGy for other special radiation study. 4. Average radiation exposure amount was calculated as 24.6mGy by transferred patients, 55.2mGy by patients with traffic accident, 17.1mGy by patients with other accidents and 17.0mGy by general patients. 5. Through the comparison of radiation exposure amount among to subject with maximum allowance threshold by International Commission on X-ray Radium Protection, transferred patients exceeded 6 times than allowance in whole body except extremities and joints, blood forming organ, reproductive system, vitreous body of eye, bone, thyroid gland, skin and etc, Patient suffered from traffic accidents were exposed 10 times more than allowance. In conclusion, the radiation exposure amount during X-rat diagnosis re too much and exceeded allowance standard by International Commission on X-ray Radium Protection. So further study and preventive measure to decrease radiation exposure by patients who visit emergency room.

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