• Title/Summary/Keyword: 임상 결과

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Development and Application of Development Principles for Clinical Information Model (임상정보모델 개발원칙의 개발과 적용)

  • Ahn, Sun-Ju
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.11 no.8
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    • pp.2899-2905
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    • 2010
  • To be applicable under electronic health record system in order to ensure semantic interoperability of clinical information, the development principle for clinical information model to reflect objective and function is required. The aim of this study is to develop the development principles for clinical information model and evaluate the Clinical Contents Model. In order to develop the principle, from November 2008 to March 2009, the surveys about 1) definition, 2) function and 3) quality criteria were done, and 4) the components of advanced model were analyzed. The study was processed in 3 levels. Firstly in the development level, key words and key words-paragraph were driven from the references, and the principles were drawn based on the clinical or functional importance and frequency. In the application level, the 3 experts of clinical information model assessed 30 Clinical Contents Models by applying it. In the feedback level, the Clinical Contents Model in which errors were found was modified. As the results, 18 development principles were derived with 3 categories which were structure, process and contents. The Clinical Contents Models were assessed with the principles, and the 17 models were found that they did not follow it. During the feedback process, the necessity of the advanced education of the principle and the establishment of the regular quality improvement strategy to use it is raised. The proposed development principle supports the consistent model-development between clinical information model developers, and could be used as evaluation criteria.

The Effect of Emotional Intelligence and Self-Efficacy on Clinical Competence of the Nursing Students (간호 대학생의 감성 지능과 자기 효능감이 임상수행능력에 미치는 영향)

  • Yang, Sun-Yi
    • The Journal of the Korea Contents Association
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    • v.15 no.6
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    • pp.370-378
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    • 2015
  • The purpose of this study aimed to find the effect of emotional intelligence and self-efficacy on clinical competence of the Korean nursing students. A total of 199 nursing students participated in this study. Data collection was conducted through the use of questionnaires constructed to include Wong & Law Emotional Intelligence Scale (WLEIS), General Self-efficacy Scale, and the Clinical Competence Scale. As a result, emotional intelligence, self-efficacy, and clinical competency of the Korean nursing students were found to be at moderate levels(Emotional intelligence: M=4.7, SD=0.81; Self-efficacy: M=3.2, SD=0.34; Clinical competency: M=3.4, SD=0.56). Also, the nursing students with higher grades and satisfaction on clinical practice were found to have significantly higher emotional intelligence, self-efficacy, and clinical competence. Moreover, there were significant positive correlations between emotional intelligence and clinical competency(r=.566, p<.001), self-efficacy and clinical competency(r=.440, p<.001). The factors affecting clinical competency were emotional intelligence, self-efficacy, and gender. They amounted to 49.3% in clinical competency. These results indicate a need to develop effective teaching methods and learning strategies to promote clinical competency of the nursing students.

Risk Factor for Poor Clinical Outcome in Patients with Retear after Repair of the Rotator Cuff (회전근 개 파열 봉합술 후 재파열 환자에서 불량한 임상 결과의 원인 인자)

  • Lee, Hee Jae;Joo, Il Han;Hur, Jeong Min;Oh, Hyun Keun;Lee, Bong Gun
    • Journal of the Korean Orthopaedic Association
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    • v.56 no.1
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    • pp.61-67
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    • 2021
  • Purpose: To evaluate the prognostic factors affecting poor functional outcomes in patients with retear after rotator cuff repair. Materials and Methods: From January 2013 to December 2018, among 631 patients who underwent arthroscopic repair of a rotator cuff tear, 42 patients, who could be followed-up for more than one year and showed a retear of the repaired cuff on magnetic resonance imaging (MRI), were collected retrospectively. The preoperative demographic data, range of motion, American Shoulder and Elbow Surgeons (ASES) score, fatty degeneration, and tear progression on postoperative MRI, as well as other factors that could affect the clinical outcomes, were analyzed. Patients who scored <80 points on the ASES score were allocated to the poor function group. The risk factors for poor clinical outcomes were compared with the group with ASES scores of 80 or above. Results: The postoperative functional results in the group with retear (n=42) after arthroscopic rotator cuff repair showed significant improvement. Univariate analysis revealed the preoperative visual analogue scale (VAS) score and tear progression to have associations with a poor shoulder function. In addition, subscapularis repair was found to be associated with a good shoulder function. The preoperative VAS score and tear progression except for subscapularis repair were independent factors associated with poor clinical outcomes according to multivariate logistic regression analysis. Conclusion: In patients with retear after rotator cuff repair, the preoperative VAS and tear progression in postoperative MRI are factors predicting a poor functional outcome.

견봉쇄골 관절 탈구의 수술적 치료

  • 이광원;송대화;최원식
    • The Academic Congress of Korean Shoulder and Elbow Society
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    • 1998.03a
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    • pp.33-33
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    • 1998
  • 저자들은 1990년 1월부터 1997년 1월까지 을지의과대학병원 정형외과에서 제3형 급성 견봉쇄골 관절 탈구로 진단받고 Phemister 방법, Bosworth 방법, Weaver and Dunn 방법등으로 수술 받은 70례의 환자에 대하여 이중 1년 이상 추시 가능하였던 60례를 대상으로 하여 임상적 및 방사선학적 분석을 시행하여 다음과 같은 결과를 얻었다. 수상후 평균 오구쇄골간격은 건측과 비교시 평균 7.1mm의 차이를 보였는데 수술 방법에 상관없이 추시시에는 평균 2mm의 차이를 보였다. 임상적 평가에서는 우수 23례$(38\%)$, 양호 31례$(52\%)$, 보통이 6례$(10\%)$를 보여 대부분 좋은 결과를 얻어 오구쇄골 간격 증가가 임상적 결과와 반드시 일치하지는 않는 결과를 가져왔다

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Lung Adenocarcinoma Mutation Hotspot in Koreans: Oncogenic Mutation Potential of the TP53 P72R Single Nucleotide Polymorphism (한국인의 폐선암 돌연변이 핫스팟: TP53 P72R Single Nucleotide Polymorphism의 발암성 돌연변이 가능성)

  • Jae Ha BAEK;Kyu Bong CHO
    • Korean Journal of Clinical Laboratory Science
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    • v.55 no.2
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    • pp.93-104
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    • 2023
  • This study aimed to identify new markers that cause lung adenocarcinoma by analyzing mutation hotspots for the top five genes with high mutation frequency in lung adenocarcinoma in Koreans by next generation sequencing (NGS) analysis. The association between TP53 mutation types and patterns with smoking, a major cause of lung cancer, was examined. The clinicopathological characteristics of lung adenocarcinoma patients with TP53 P72R SNPs were analyzed. In Korean lung adenocarcinoma cases, regardless of the smoking status, the TP53 P72R SNP was the most frequently occurring mutational hotspot, in which the nucleotide base was transversed from C to G, and the amino acid was substituted from proline to arginine at codon 72 of TP53. An analysis of the clinicopathological characteristics of lung adenocarcinoma cases with TP53 P72R SNP revealed no significant correlation with the patient's age, gender, smoking status, and tumor differentiation, but a significant correlation with low stage (P-value =0.026). This study confirmed an increase in TP53 rather than EGFR, which was reported as the most frequent mutations in lung adenocarcinoma in Koreans through NGS. Among them, TP53 P72R SNP is the most frequent regardless of smoking status.

Effects of Preceptorship on Nursing Students' Clinical Competency, Stress of Clinical Practice, and Practice Satisfaction in Clinical Practice (프리셉터십 적용이 간호학생의 임상수행능력, 임상실습 스트레스, 임상실습 만족도에 미치는 효과)

  • Hong, Sung-Jung;Kim, Eunhee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.15 no.10
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    • pp.6204-6214
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    • 2014
  • This study examined effects of preceptorship in a clinical maternity nursing course. The study design was a quasi-experimental, nonequivalent control group post-test design. The control groups (n=70, from July to October, 2012) participated in traditional practice method and the experimental groups (n=70, from December, 2012, to February, 2013) participated by a preceptor who attended a systematic preceptor education program. The data analyzed included the numbers, percentages, mean, standard deviation, and t-test using SPSS 19.0/WIN. In the experimental group, the clinical competency and practice satisfaction showed significantly higher scores, and the stress of clinical practice showed significantly lower scores than control group. Consequently, the preceptorship was effective in clinical maternity nursing education for student nurses and it is necessary to adapt this many areas in the clinical nursing education field for nursing students.

Relationship Between Nursing Students Simulation Practice Education, Clinical Practice Satisfaction, Problem-solving Ability and Clinical Performance Ability (간호대학생의 시뮬레이션 실습교육 경험, 임상실습만족도, 문제해결능력 및 임상수행능력과의 관계)

  • Yang Hyunmi
    • The Journal of the Convergence on Culture Technology
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    • v.10 no.3
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    • pp.219-226
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    • 2024
  • The purpose of this study is to determine the between nursing students simulation pratice education experience, clinical practice satisfaction, problem-solving ability, and clinical performance ability. The research design was a descriptive correlational study, and the participants were third-year nursing students. A total of 197 people were involved, including 95 students from a university with simulation training in the curriculum and 102 students from a university without simulation training in the curriculum. It was composed. Frequency analysis, descriptive statistics, independent t-test, and pearson correlation were used to analyze the collected data. As a result of the study, nursing students who had experience in simulation practice education showed significant differences in clinical practice satisfaction and clinical performance ability during clinical practice. However, there was no significant difference in problem-solving ability. In addition, it was confirmed that there was a correlation between simulation training experience, clinical practice satisfaction, and clinical performance ability. Based on the results of this study, it will be possible to develop and utilize simulation education programs in various situations to increase the effectiveness of clinical practice for nursing students.

Relationship between Academic and Clinical Practice Stress and Major Satisfaction in Nursing Students (간호대학생의 학업 및 임상실습 스트레스와 전공만족도와의 관계)

  • Jeon, Misoon
    • Journal of Convergence for Information Technology
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    • v.11 no.7
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    • pp.272-277
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    • 2021
  • This study aimed to identify the relationship between academic and clinical practice stress and major satisfaction of nursing students. The data was collected from 140 nursing students by the online survey. Data were analyzed using SPSS 18.0. As a result of analyzing the differences in academic stress, clinical practice stress, and major satisfaction according to general characteristics, it was found that academic stress had a difference with religion (F = 14.348, p < .001). And there was a statistical difference in major satisfaction with grade (F = 4.582, p = .004). As for the correlation between academic and clinical practice stress, and major satisfaction, academic stress and clinical practice stress were positively correlated (r = .388, p <.01), and clinical practice stress had a positive correlation with major satisfaction (r=.336, p<.01). Therefore, it is considered that it is necessary to develop a program to lower academic stress in order to improve the satisfaction of the majors of nursing students.

Development of evaluation criteria for dental hygiene intra-school clinical practice operation using CIPP evaluation model (CIPP 평가모형을 활용한 치위생과 교내임상실습 운영 평가기준 개발)

  • Jang, Mi-Hwa
    • Journal of Korean society of Dental Hygiene
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    • v.22 no.2
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    • pp.93-105
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    • 2022
  • Objectives: The purpose of this study was to develop operation management evaluation standards for efficient operation of practical courses conducted on campus and to verify validity and reliability. Methods: The draft evaluation criteria of this study were derived based on the CIPP program evaluation model, in order to verify the validity of the content, the Delphi survey was conducted targeting 30 dental hygiene professors and clinical field dental hygienists who had been in charge of practical education for more than 5 years. Main survey was conducted with 252 professors and clinical field dental hygienists in charge of practical education. Results: Through exploratory factor analysis, a total of 36 questions were confirmed with 7 factors. As a result of verifying the internal consistency of the final evaluation criteria, the degree of internal fit of the items in the entire domain was 0.914. Conclusions: According to the above results, the validity and reliability of the evaluation criteria for evaluating the operation and management of in-school clinical practice were verified to be appropriate, and it is thought that it can be used in follow-up studies related to the operation and management of the practice course in the future.

The Effects of Clinical Practice Satisfaction on Image of Dental Hygienists in Dental Hygiene Students (치위생과 학생들의 임상실습만족도가 치과위생사 이미지에 미치는 영향)

  • Han, Yang-Keum;Kim, Han-Hong
    • Journal of dental hygiene science
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    • v.15 no.4
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    • pp.457-464
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    • 2015
  • The purpose of this study was to examine the relationship between image of dental hygienists and clinical practice satisfaction of dental hygiene students. The subjects in the study were 706 female students who majored in dental hygiene at randomly selected colleges, which were located in Daejeon, Ulsan, and North Chungcheong province. Data were gathered using structured questionnaires from October 20, 2014 to April 13, 2015. The major findings of the study were as follows: The average of satisfaction with clinical practice was 3.32, The average of image of dental hygienists was 3.55. As for clinical practice satisfaction by general and practice characteristics, there were statistically significant difference according to degree of satisfaction for major, as for image of dental hygienists, there were statistically significant difference according to grade, degree of satisfaction for major, number of clinical experience, practice organization and admission motive. The relationship of image of dental hygienists and clinical practice satisfaction was analyzed, and clinical practice satisfaction had a significant positive effect on image of dental hygienists. As a result of analyzing which variables affected image of dental hygienists, it's found that image of dental hygienists were under the influence of number of clinical experience, practice organization and clinical practice satisfaction. Clinical practice satisfaction influenced image of dental hygienists. Therefore, dental hygiene students are given a chance to have positive image through well-structured clinical practice.