• Title/Summary/Keyword: 치료지시이행

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Factors Affecting Treatment Adherence of Kidney Transplantation Recipients (신장이식 환자의 치료지시이행에 영향을 미치는 요인)

  • Lee, Jung A;Kim, Young A;Cho Chung, Hyang-In
    • The Journal of the Korea Contents Association
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    • v.19 no.2
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    • pp.619-628
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    • 2019
  • This study is an explanatory research conducted to analyze the influencing factors of treatment adherence in kidney transplant recipients. The subjects were 132 renal transplant recipients who visited the outpatient department in a university hospital. Data were collected from July 17, 2017, to August 22, 2017, and analyzed using SPSS WIN 24.0. Frequency, percentage, mean and standard deviation, variance analysis, correlation, and regression analysis were performed. The results of the study showed that there was a significant difference in the treatment adherence based on the age, religion, and the time passed since kidney transplantation. The study also found that the treatment adherence had significant positive correlations with social support (r=.54, p<.001), family support (r=.43, p<.001), health provider's support (r=.57, p<.001), and self-care knowledge (r=.21, p=.015). The factors influencing the treatment adherence were health provider's support, the time passed since kidney transplantation, spouse, and religion. The final explanatory power of the model was 41.9%. In conclusion, intervention strategies should be introduced to promote the support of healthcare providers in order to improve the adherence of the kidney transplantation patients.

Relationship between dental care compliance and patients' satisfaction about dental hygienist (치과위생사에 대한 환자만족도와 치과 치료지시 이행도의 관계)

  • Kim, Seon-Yeong
    • Journal of Korean society of Dental Hygiene
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    • v.19 no.6
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    • pp.1015-1024
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    • 2019
  • Objectives: This study aimed to examine the correlation between dental care compliance and patients' satisfaction about dental hygienists who are oral health care experts likely to lead patients' motivation. Methods: From June 11 to September 30, 2019, a questionnaire survey was conducted and a total of 189 people completed a structured questionnaire evaluating patient's satisfaction and dental compliance. Data were analyzed using non-parametric tests such as Mann-Whitney test, Kruskal-Wallis rank test, and Spearman's correlation. Results: There was a statistically significant correlation between dental care compliance and the area of good impression (r=0.187, p<0.001), support for interpersonal support (r=0.346, p<0.001), and dissatisfaction (r=0.304, p<0.001). Conclusions: It is necessary to continuously study and identify ways to enhance dental care compliance and patients' satisfaction.

The Influencing Factors of the Compliance Level with Therapeutic Regimen after the Bone Mineral Densitometry (골밀도 검사 후 치료지시 이행정도에 영향을 미치는 요인)

  • 유영원;이은남
    • Journal of Korean Academy of Nursing
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    • v.34 no.1
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    • pp.63-71
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    • 2004
  • Purpose: This study was to identify the influencing factors of the compliance level to a therapeutic regimen after a bone mineral densitometry test. Method: The sample for the study was 95 people who took the bone mineral densitometry test from March, 2002 to July, 2002. Data was collected by mail using aself reporting questionnaire on the selected variables such as the compliance level, self efficacy, health locus of control, susceptibility, severity, usefulness, barrier, and self esteem. Results: The average compliance level was 63.93. Through multiple regression, three independent variables including chance health locus of control on personality, the result of bone mineral density and self-efficacy were entered in the model as the significant determinants of the compliance level after a bone mineral densitometry test. The coefficients of determination of each variable were 10.9%, 8.3% and 8.1% respectively. Conclusion: The identification of the determinants of the compliance level to the therapeutic regimen after bone mineral densitometry is expected to contribute to the development of an intervention program to improve the compliance level to the therapeutic regimen in osteoporosis patients.

A Survey of Blood Glucose Testing, Medication, Diet, and Exercise Adherence in Korean Patients with Type2 Diabetes (당뇨병환자의 자가혈당검사, 약물, 식이 및 운동 치료지시이행)

  • Kim Hee-Seung
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.10 no.2
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    • pp.181-186
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    • 2003
  • Purpose: The purpose of this study was to investigate the adherence to diabetes control recommendations (blood glucose testing, medication, diet, exercise) in patients with type 2 diabetes at home and to analyse the correlation between adherence and blood glucose level. Method: Participants, numbering 214, were recruited from the endocrinology outpatient department of a tertiary care hospital in an urban city. The data were collected by a self report adherence questionnaire. Glycosylated haemoglobin (HbA1c) was determined by the high-performance liquid chromatography technique and fasting blood glucose was analyzed by the glucose oxidase method. Result: Medication adherence was higher than diet or exercise adherence. The frequency of blood glucose testing was lower for middle school graduates than college graduates. Diet adherence was significantly lower for participants who were obese, who did not have a spouse, and who had hyperglycemia. Medication and diet adherence were negatively correlated with HbA1c. Conclusion: A diet education program should be developed for patients with type 2 diabetes who are obese, who do not have a spouse, and who have hyperglycemia.

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Knowledge, Compliance and Quality of Life of Mothers of Children with Atopic Dermatitis (아토피피부염 아동 어머니의 지식, 치료지시이행 및 삶의 질)

  • Kim, Min-Ju;Choi, Mi-Hye
    • Child Health Nursing Research
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    • v.17 no.4
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    • pp.272-280
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    • 2011
  • Purpose: This study was conducted to survey knowledge, compliance, and quality of life of mothers who have children with atopic dermatitis, and to determine whether above mentioned factors influence each other. Methods: The participants in this study were 165 mothers of children with atopic dermatitis recruited from one out-patient clinic in a hospital in Seoul. The data were collected between March 8, and April 16, 2010 using a structured questionnaire. Results: The mean score for participants' knowledge was 4.17/5, for compliance, 4.27/5 and for quality of life, 3.42/5. Among the five domains of quality of life, emotional status had the lowest score (3.20/5). Knowledge was significantly correlated with compliance (r=.215, p<.005). However, quality of life was not correlated with knowledge (r=-.069) and compliance (r=-.077). Conclusion: Accurate knowledge affects compliance of mothers of children with atopic dermatitis. Therefore, to increase the level of compliance, it is necessary to enhance the knowledge of the mothers. Results also suggest that interventions are needed to improve poor quality of life, particularly the emotional condition of mothers of children with atopic dermatitis.

Mediating Effects of Resilience on the Relationship between Stress and Therapeutic Compliance in Patients with Systemic Lupus Erythematosus (루푸스 환자의 스트레스와 치료지시이행의 관계에 미치는 극복력의 매개효과)

  • Lee, Mi Hye;Min, Hye Sook
    • Journal of muscle and joint health
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    • v.24 no.3
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    • pp.196-204
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    • 2017
  • Purpose: This study was conducted to explore the mediating effect of resilience in the relationship between stress and therapeutic compliance in patients with systemic lupus erythematosus. Methods: The subject (N=145) was a systemic lupus erythematosus patient who visited the D Hospital in B city. Data collection was conducted from January 2016 to August 2016. Twenty-five resilience measurement tools, 20 stress measurement tools, 39 therapeutic compliance measurement tools used to measure resilience, stress and therapeutic compliance levels. The collected data were analyzed using descriptive analysis, Pearson correlation, 3-step regression analysis of Baron and Kenny, and Sobel test in SPSS/WIN 21.0. Results: There was a significant negative correlation between stress and therapeutic compliance, a significant negative correlation between stress and resilience, and significant positive correlation between resilience and therapeutic compliance. Resilience showed a direct effect on therapeutic compliance through stress as a mediating variable. Conclusion: It is necessary to develop appropriate resilience enhancement program to improve therapeutic compliance with systemic lupus erythematosus.

Effect of Providing Information on Anxiety, Knowledge and Compliance of Patients with a Permanent Pacemaker (정보제공이 영구형 심박조율기 이식환자의 불안, 지식 및 치료지시이행에 미치는 효과)

  • Lee, Sun Kyung;Yoo, Yang Sook
    • Korean Journal of Adult Nursing
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    • v.17 no.3
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    • pp.484-492
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    • 2005
  • Purpose: This study was undertaken to identify the effect of providing information on anxiety, knowledge and compliance in permanent pacemaker patients. Method: A quasi experimental design with non-equivalent control group and non-synchronized design was used. The subjects of this study were 50 patients who had received permanent pacemaker implantation at a university hospital in Seoul. They were divided into an experimental group of 22 patients who received education and a control group of 28 patients. The education was composed of group education(twice) and individualized reinforcement education(once) using an education booklet. Results: Anxiety decreased in the experimental group. Knowledge significantly increased in the experimental group compared to that in the control group. Compliance significantly increased in the experimental group. Conclusion: It can be concluded that providing information is effective for reducing anxiety, increasing knowledge and improving compliance of the permanent pacemaker patients.

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The Mediating Effect of the Resilience on the Relationship between Type D Personality and Compliance in Patients with Coronary Artery Disease (관상동맥질환자의 D유형 성격과 치료지시이행의 관계에 미치는 극복력의 매개효과)

  • Cheon, Mi Young;Kang, Jiyeon
    • Korean Journal of Adult Nursing
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    • v.28 no.1
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    • pp.61-70
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    • 2016
  • Purpose: This study aimed to identify the mediating effect of the resilience on the relationship between type D personality and compliance of Coronary Artery Disease (CAD) patients. Methods: The subjects were 236 CAD patients who visited the cardiology outpatient clinics of D University Medical Center in B City in Korea. The type D personality, resilience, and compliance of subjects were measured using structured questionnaires from July to August, 2014. The mediating effect was analyzed by a multiple hierarchical regression. Results: The subjects with type D personality accounted for 30.9% of all study subjects. The resilience and compliance of type D subjects were significantly lower than those of non type D subjects. There was a significant correlation between resilience and compliance. The direct effect of type D personality on compliance was not significant (${\beta}=-.07$, p=.243), while the indirect effect of type D personality on compliance via resilience was significant (${\beta}=.23$, p<.001). Conclusion: On the basis of above results, it can be concluded that the resilience had completely mediating effect on the relation between type D personality and compliance of CAD patients. Further studies need to be done to develop the intervention enhancing resilience of CAD patients with Type D personality.

Correlation between Knowledge of Hepatitis C and Compliance with therapeutic guidelines in Chronic Hepatitis C Patients (만성 C형간염환자의 질병에 대한 지식과 치료지시이행 간의 관계)

  • Sun, Woo Rim;Ju, Hyeon Ok
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.22 no.1
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    • pp.69-77
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    • 2015
  • Purposes: The purpose of the study was to evaluate knowledge of hepatitis C and compliance with therapeutic guidelines and their correlation. Methods: Participants included a total of 197 subjects with chronic hepatitis C from 4 general hospitals. Subjects were asked 25 items of knowledge on hepatitis C and 17 items of compliance with therapeutic guidelines. The collected data was analyzed for frequency, percentage, average, standard deviation, t-test, ANOVA and Pearson's correlation coefficient. with the help of SPSS 21.0 program. Results: The subject's knowledge on chronic hepatitis C expressed as percentage was 67.1%. Compliance of the research participants gained $3.96({\pm}0.76)$ points in general on a 5-point scale. Learned compliance was higher when the patients were 45 years old and over. female and with spouse. There was a statistically significantly positive correlation between knowledge and compliances. Conclusions: Development of educational programs requires consideration of patient characteristics, particularly education on the male patients under 45 years of age.