• Health Communication
• /
• v.13 no.2
• /
• pp.223-231
• /
• 2018

Background: Many nursing university students were stressed during clinical practice. The purpose of this study was to identify the difference between stress of clinical practice and mental health according to behavioral styles in nursing university students. Methods: The participants of this study were 233 junior and senior nursing students who had experienced clinical practice. Data were collected by self-report questionnaires in online from November 2017 to March 2018. Collected data were analyzed with SPSS/WIN 25.0 using descriptive statistics, t-test, ANOVA, Pearson correlation coefficients. Results: The most frequent DISC behavior style of the subjects was conscientiousness (43.8%), follewed by steadiness (19.7%), influence (18.9%), and dominance (17.6%). The participants'scores for stress of clinical practice and mental health were $3.35{\pm}0.55$ and $1.13{\pm}0.65$. The stress of clinical practice of the subjects was different according to DISC behavior styles(F=2.86, p=.038). The results show that the higher the score of stress of clinical practice was the higher the score of mental health(r=.51, p<.001). Conclusion: This study found that the difference of DISC behavioral styles can be attributed to stress of clinical practice. Therefore, nursing intervention program considering with the subjects'DISC behavior styles needs to be developed to reduce their stress of clinical practice.

• Health Communication
• /
• v.13 no.2
• /
• pp.159-166
• /
• 2018

Background: It is important to investigate patient satisfaction to improve the quality of healthcare. Among the many factors that affect patient satisfaction, perceived health status has been considered as one of the major factors. Therefore, we investigated patient satisfaction through patient experience in outpatient settings according to perceived health status. Methods: This cross-sectional study using questionnaires of patient experience and perceived health status from the Korean National Health and Nutrition Examination Survey 2015 included 4267 people aged over 19 years who met the inclusion criteria. Perceived health status was classified into three: good, fair, and poor. Questions about patient experience consisted of four items: doctor spending enough time with patients, doctor providing easy-to-understand explanation, doctor giving opportunity to ask questions or raise concerns, and doctor involving patient in decisions about care or treatment. Patient experience was classified into two: satisfied and non-satisfied. A multivariate regression model was used to analyze the data. Results: In the good perceived health status group, level of satisfaction was 79.2%, 88.5%, 83.3% and 87.2%, respectively for the four items targeting patient experience. In the poor group, level of satisfaction was 76%, 84.9%, 79.5%, and 83.1%, respectively for the four items. In multivariate logistic regression analyses, the odds ratios of good perceived health status group were 1.775 (1.347-2.338), 1.946 (1.356-2.793), 1.652 (1.218-2.240), and 1.665 (1.193-2.323) compared with the poor group. Conclusion: Perceived health status is associated with patient satisfaction. In particular, the better the perceived health status, the better the patient satisfaction through patient experience.

• Health Communication
• /
• v.13 no.2
• /
• pp.149-158
• /
• 2018

Background: This study was to survey the effect of the degree of spiritual nursing care performance on the spiritual nursing care ability of the nursing students Methods: The researcher sampled 130 nursing students for a questionnaire survey conducted from September 17 until September 27, 2018. The data of analysis used SPSS 23.0 program. Results: The spiritual nursing care ability was $4.4{\pm}0.8$(total score 6) and the degree of spiritual nursing care performance was $2.9{\pm}1.8$(total score 4). The spiritual nursing care ability differed significantly depending on religion(F=7.570, p<.001), the level of spiritual nursing knowledge(F=19.873, p<.001), education type(F=14.626, p<.001), necessity of hospice(t=2.280, p=.024). The degree of spiritual nursing care performance differed significantly depending on spiritual nursing education time(F=2.932, p=.036). The correlation of two variable was statistically significant difference(r=.206, p=.019). The influencing factors on the spiritual nursing care ability was religion, the level of spiritual nursing knowledge, education type, dying experience($R^2=0.378$, Adj $R^2=0.353$), the degree of spiritual nursing care performance was spiritual nursing education time($R^2=0.065$, Adj $R^2=0.043$). Conclusion: These results show that nursing students are not able to perform spiritual nursing care properly to subjects who need spiritual nursing care. Therefore, it is necessary to develope programs to meet the spiritual nursing care needs of nursing students and to provide practical education in accordance with the program by cooperating with the nursing education staff, clergy and clinical nurse etc. And spiritual nursing care should be taught as a required subjects in the curriculum.

• Health Communication
• /
• v.13 no.2
• /
• pp.233-241
• /
• 2018

Purpose: The purpose of this study was to investigate effects of providing written information for coronary artery disease on health behavior compliance related self-efficacy, knowledge of disease, anxiety, and educational satisfaction depending on patients' health literacy. Methods: The participants in this study were 40 patients who underwent coronary angiography or coronary intervention, and depending on the level of health literacy 30 patients were high group and 10 patients were low group. Each group was evaluated on health behavior compliance related self-efficacy, knowledge of disease, anxiety, and educational satisfaction with providing written information. Results: By providing written information in the group with high health literacy, there was a significant difference in health behavior compliance related self-efficacy, knowledge of disease, but there was no significant difference in anxiety variable. On the other hand, there was no significant difference in health behavior compliance related self-efficacy, knowledge of disease, and anxiety by providing written information in the group with low health literacy. Also, there was no significant difference in the educational satisfaction between high and low group of health literacy after providing written information. Conclusion: It is necessary to develop educational materials that can be applied to clinical nursing field with considering health literacy of patients with coronary artery disease. In addition to providing written information, it is also necessary to develop other educational intervention programs such as video and personalized counseling that may be helpful for coronary patients with low health literacy and investigate their effectiveness.

• Journal of Communication Design
• /
• v.57
• /
• pp.256-271
• /
• 2016

We attempted to implement Human Centered Design(HCD) according to the following three steps : (1) deriving user needs, (2) conducting ideation based the derived user needs, and (3) developing design concepts. The research on users and experts requires substantial time and cost, and there has not been an effective and clear-cut means to validate the research results before developing design concepts. We therefore extended the means of usability test to a context-based character. We applied this test for the development of design for Wearable Cardioverter-Defibrillator(WCD). Would this test be applied to various cases in the fields of medical equipment/apparatus development - which relatively takes a longer time to be developed - it would aid in accumulating and categorizing the reference data for variables incorporated for evaluating such cases. Future studies are needed to complement our findings concerning context-based usability tests.

• Journal of The Korea Institute of Healthcare Architecture
• /
• v.21 no.3
• /
• pp.47-55
• /
• 2015

Purpose: While medical standard is rapidly improved, welfare of users and employees in hospitals is not treated correspondingly. Intercommunication of hospital users is thought to be very important for their welfare, and provision of conversation spaces within hospital environment needs to be expanded by architectural design. Space organization methods for the design of conversation space is to be embellished. Methods: Literature and hospital designs are analysed in order to develop the basis of argumentation for the hospital conversation space. 15 hospitals are reviewed and designed spaces for the intercommunication of the users are examined, Space organization efforts and design experiments are identified, and 6 organizational methods are proposed such as: 1) reducing territoriality 2) flowing space 3) categorizing and separating spaces 4) height variation 5) contact with outside and 6) Sun-lighted space. Results: 6 organization methods are confirmed in precedent hospital cases, and these proposed methods are applied in a new hospital design project to verify their usefulness. Implications: A hospital design project is presented based on these proposed methods of organization for the conversation space. Outcomes of this study can be applied for the formulation of human intercommunication spaces in other facilities.

• Proceedings of the Korean Information Science Society Conference
• /
• 2007.06d
• /
• pp.453-457
• /
• 2007

응급환자의 생존 가능성은 응급의료체계가 얼마나 잘 갖추어져 있느냐에 따라 결정된다. 과거의 응급체계가 가장 빠른 시간에 환자의 이송함으로서 치료를 받게 하는데 초점을 두었다면 최근은 RFID등의 기술을 이용하여 환자의 상태를 빨리 파악하여 최적의 치료를 받을 수 있는 병원으로 이송할 수 있는 시스템 도입에 초점을 두고 있다. 따라서 응급 환자의 기본적인 정보를 수집한 후 최적의 병원 전 단계(pre-hospital phase)를 수립하기 위해서는 다양하고 이질적인 정보 자원들을 접근할 수 있어야 한다. 또한 응급환자의 기본적인 사고정보를 가지고 최적의 치료를 받을 수 있는 정책을 수립하기 위해 자율적으로 서로 커뮤니케이션을 할 수 있는 시스템이 필요하다. 본 논문에서는 멀티에이전트 기반의 응급 의료 시스템 모델링을 제시하고, 응급환자에 대한 최적의 병원 전 단계를 수립하기 위한 시퀀스를 설명한다.

• The Journal of the Korea Contents Association
• /
• v.13 no.11
• /
• pp.807-814
• /
• 2013

Because there are growing demands for new information service of Korean medicine (KM) accommodated changes in the paradigm of health communication, we aimed to apply health 2.0 - which shares health information to improve individuals' health - extensively in KM. First we studied about the concepts and characteristics of health 2.0 and analyzed the pros and cons of KM information services. Finally we drew the KM health 2.0 framework from the analyzed results. KM health 2.0 framework is designed to raise the value of KM information through circulation of certified medical information to prevent medical accident. And it is also designed to integrate information through big data analysis technology from the information of individual services to recreate KM contents.

• Journal of Digital Convergence
• /
• v.15 no.1
• /
• pp.301-309
• /
• 2017

The study analyzes the effects of quality factors of health check-up service applied to military officer every year on the value and the behavioral intention of consumers so that it is be able to suggest alternatives to realize a systematic and realistic health check-up system. The survey period was from September 27 to October 4, 2016 and 294 out of 300 patients were finally selected; Frequency analysis, ANOVA analysis, Pearson's correlation analysis and multiple regression analysis were performed. In conclusion, the Age(p<0.05), Number of examinations(p<0.01), Medical communication(p<0.01), Quality of service(p<0.001), Medical Services Value(p<0.001) were drawn as characterized results by sectors regarding health screening service quality and customer satisfaction and behavioral intention. In the future, the military should improve the quality of education and publicity programs to improve the awareness of health checkup system, and improve quality of health checkup service to detect diseases early.

• Journal of Internet of Things and Convergence
• /
• v.2 no.2
• /
• pp.15-20
• /
• 2016

MicroSoft Windows 10 IoT version, released in August 2015, successfully drew consumer interest by introducing the familiar Windows into the IoT market, and enabled an easier system construction of IoT web servers. Meanwhile, overdiagnosis has recently emerged as a controversy in medical society. Establishment of communication between IoT servers and medical devices will send treatment results to users and activate communication between hospitals, greatly reducing this problem. The IoT server, with its limited resources, utilizes lightweight protocols that do not generate traffic and are easy to use. This paper proposes IoT networks which will enable medical devices to easily provide ubiquitous environments to their users, through utilization of the lightweight Simple Service Discovery Protocol (SSDP) and the secure Extensible Messaging and Presence Protocol (XMPP).