• Title/Summary/Keyword: 환자참여

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특집 - 참가자40% "식사요법교육이가장도움" - 당뇨캠프 설문조사 -

  • Sin, Seon-Gyeong
    • The Monthly Diabetes
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    • s.215
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    • pp.26-27
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    • 2007
  • 충북 청풍리조트에서 열린 제 10회 성인당뇨캠프에는 100여명이 넘는 사람들이 참가했으며 이중 당뇨병환자는 총 81명이었다. 그중 32명이 남성이었고 49명이 여성으로 올해는 여성 당뇨병환자의 참여율이 더 높은 것으로 나타났다. 또 참가자들의 연령대를 살펴보면 70대 이상이 19명이고 60대가 42명, 60세 이하는 20명으로 60세 이상 연령대의 참여율이 높게 나타났다. 3박4일 간의 일정을 마친 뒤 참가자들의 캠프에 대한 소감을 들어봤다.

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Nurse and Patient's Experiences Regarding the Use of Electronic Informed Consent in Hospital: A Qualitative Study (의료기관에서 간호사와 환자의 전자동의서 사용 경험: 질적 연구)

  • Kim, Sun Hee;Kang, Hee Sun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.12
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    • pp.619-628
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    • 2020
  • This study examined the experiences of users regarding their use of electronic informed consent in hospital. A qualitative descriptive study was conducted using focus groups and in-depth interviews with 30 Korean nurses and 27 patients. Data were collected from one university hospital. The responses were analyzed by qualitative content analysis. Most participants perceived the use of electronic informed consent as convenient and straightforward, as well as saving space and money. On the other hand, the participants stated that the system was unsatisfactory in part because of the occasional unexpected machinery error or malfunction. Some patients wished for function improvements related to the e-signature, making it more comparable to a handwritten signature, and the adjustability of the font size. The nurses wanted a wider implementation of electronic informed consent because it was not being used for all informed consent cases, resulting in confusion and an additional workload. For the use of an electronic informed consent system, it is important to minimize the inconvenience and to maximize the satisfaction of the users, including nurses and patients.

Phase of Nurse-Patient Relationships (인간관계 - 간호에 있어서의)

  • Yoo Kyung Za
    • The Korean Nurse
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    • v.6 no.5 s.31
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    • pp.92-100
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    • 1967
  • Nursing Process의 일련의 합목적적인 성격을 평가할 때 간호계획은 환자의 질병을 자신의 중대한 학습경험으로 만듣는데 필요한 단계를 포함하도록 할 수 있다. 환자 자신의 경험의 의미를 이해한다는 것은 nursing이 교육적이고 치료적이며 또 성숙시키는 힘으로써 기능을 하다록 하기 위해 필요한 것이다. 환자의 곤란(질병등)에 대한 초기의 연상은 분화되고 문제에 포함된 모든 요인들을 정리하고 확대시킬 필요가 있다. 왜냐하면 이들은 환자와 그의 목표에 지대한 영향을 미치기 때문이다. 문제에 대한 태도를 분명히 한다는 것은 새로운 환경의 도전에 의해 재생된 과거와 또는 새로운 욕구와 감정의 표현을 가져온다. 늘 풍부하고도 무조건적인 보살핌을 주는 보조자를 상징하는 nurse와의 동일시는 필요하다고 느끼는 욕구와 자기를 위협하는 문제를 처리하는 한 방편이 된다. 초기의 욕구가 처리되면 이들 욕구는 더욱 성장하여 더 성숙한 욕구가 다시 생기게 된다. 환경이 제시하는 것을 철저히 이용한다는 것은 문제에 대한 새로운 분화를 가져오며 인간관계의 기술을 개선시킨다. 개인적 노력을 통해 새로운 목표는 실현될 수 있다. 병원 환경에서 사회 생활에로 참여하는 것은 N-P relationship의 해결을 필요로 하고 새로운 사회적 상호 의존 관계를 위해 인격의 강화가 필요하다. 환경적 결핍 위에 resolution이 일어났을 때는 환자의 육구는 강화되고 전체적 경험의 동정이 제한된다.

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Group Classification on Management Behavior of Diabetic Mellitus (당뇨 환자의 관리행태에 대한 군집 분류)

  • Choi, Soon-Ho
    • Proceedings of the KAIS Fall Conference
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    • 2010.11b
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    • pp.759-762
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    • 2010
  • 본 연구는 당뇨인지환자들의 당뇨 조절에 관계되는 요인들을 포괄적으로 반영하는 집단으로 분류한 후 이를 기반으로 보다 효율적인 당뇨관리사업을 할 수 있는 기초자료를 제공하기 위해 수행되었다. 연구를 위해 2007년, 2008년도 국민건강영양조사를 통해 검진에 참여한 당뇨인지환자 666명의 자료를 수집하여 분석하였다. 당뇨인지환자의 관리행태에 대한 군집분류는 K-means 기법을 이용하였다. 당뇨인지환자의 군집은 건강행태사업 대상군, 중점관리사업 대상군, 합병증검사사업 대상군으로 분류되었다. 당뇨 조절율을 높이기 위해서는 각 군집의 특성에 따라 보다 특화된 당뇨관리 프로그램이 적용되어야 할 것이다.

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The Level of Fatigue and Motor Performance During Drum Playing Depending on Co-Presence of Singing Tasks in Patients With Chronic Stroke (전자 드럼 연주 시 노래부르기 유무에 따른 만성 뇌졸중 환자의 피로도 및 운동 수행력 비교)

  • Kim, Hyun Ji
    • Journal of Music and Human Behavior
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    • v.14 no.2
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    • pp.71-90
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    • 2017
  • The purpose of this study was to compare immediate differences in fatigue and motor performance during instrumental playing in patients with chronic stroke depending on whether singing task was concurrently presented. A total of 12 patients with chronic stroke were recruited from community and daycare centers for older adults in Seoul. Six subjects were randomly assigned to the experimental group and six to the comparison group. The experimental group was asked to sing while playing the electronic drum, and the comparison group only played the drum. The results of this study showed that statistically significant differences in perceived fatigue and exertion were found between the two groups, while no significant group differences were found in level of engagement in playing or force of tapping during drum playing. This study supports the inclusion of a singing task in instrument playing rehabilitation to effectively decrease perceived fatigue and level of intensity of exercises, although this may not lead to immediate changes in motor function or level of target exercises. The results indicate that singing while instrument playing may help stroke patients shift their attention from the executed motor movements to singing and alleviate the attentional and emotional load from intense movements. This study presents implications for how to select and pattern target movements in music therapy intervention for better motor outcomes.

The Effect of Mental Practice on Gait and Quality of Life in Stroke Patients (상상훈련이 뇌졸중 환자의 보행 및 삶의 질에 미치는 영향)

  • Kim, Jin-Seop
    • Journal of Digital Convergence
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    • v.10 no.4
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    • pp.271-277
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    • 2012
  • The aim of this study was to evaluate the effects of mental practice to improve on gait and quality of life in stroke patients. Participants were randomly allocated to two groups: experimental(n=10) and control (n=10). Both groups received neural development treatment training for 6 sessions 1 hour per week during 6 weeks. Experimental group practiced additional mental practice for 3 session 10 minutes per week 6 weeks. Results were evaluated by spatial-temporal parameter, 10m walk test, and quality of life. There were significantly increased by mental practice in outcomes of the gait performance from the gait velocity, cadence, double support, single support, 10m walk test. There were significantly increased by mental practice in outcomes of stroke impact scale from the strength, social participants, and stroke recovery. In conclusion, the mental practice improves gait performance and quality of life in stroke patients. The results suggest that mental practice training is feasible and suitable to stroke patients.

Factors Affecting the Control of HbA1c in Type 2 Diabetic Patients (제2형 당뇨환자의 당화혈색소(HbA1c) 수치 조절에 미치는 영향요인)

  • Kim, Hee Yeon;Kim, Hye Sook
    • Journal of Convergence for Information Technology
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    • v.8 no.6
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    • pp.75-84
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    • 2018
  • Objects: This study is a descriptive study to identify the factors influencing the glycated hemoglobin control in type 2 diabetes patients. Methods: This study used raw data from the third year of the National Health and Nutrition Examination Survey performed from 2015. The subjects were 285 people who were classified as type 2 diabetes patients among the 7,380 participants of the National Health and Nutrition Examination Survey. Findings: The factors influencing the glycated hemoglobin control in type 2 diabetes patients were found to be age, education level, prevalence period and sleeping time. Improvements: In type 2 diabetes patients, it is very important to have appropriate education on diabetes when they discovered the disease morbidity in the middle age rather than in the aged period and to have enough sleeping time. A practical program to help this education and training should be developed.

Affecting Factors on Performance of Standard Precaution for Healthcare associated Infection Control and Prevention in Nursing Students: focused on Patient Safety Attitude, Empowerment, Awareness (간호대학생의 의료관련감염 관리를 위한 표준주의지침 수행도 영향요인 : 환자안전에 대한 태도, 임파워먼트, 인지도를 중심으로)

  • Park, Min Kyoung;Ahn, Mi Na
    • Journal of the Korea Convergence Society
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    • v.10 no.4
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    • pp.265-275
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    • 2019
  • The purpose of this study was to investigate the relationship between attitude toward patient safety, empowerment and awareness, performance of standard precaution for healthcare associated infection control and prevention and to identify the influencing factors of the performance in nursing students. The participants were 185 nursing students on one college in J city, Data collection was conducted from september 10 to 21, 2018. The collected data were analyzed with independent t-test, ANOVA, Pearson's correlation coefficient and stepwise multiple regression using SPSS Statistics 22.0 program. As a result of multiple regression analysis showed that the factors influencing the performance of the standard precaution were awareness, empowerment, participation in the patient safety campaign and the performance was explained by 51.0%. Therefore, In order to improve the performance of standard precaution for nursing students, various convergent education programs should be applied to raise awareness and improve empowerment, and it is necessary to seek ways for nursing students to participate actively in patient safety campaigns.

Effects of Song Discussion on Depression and Rehabilitation Motivation in Stroke Patients (노래 가사 토의가 뇌졸중 환자의 우울 및 재활동기에 미치는 효과)

  • Jung, Yong Ra
    • Journal of Music and Human Behavior
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    • v.12 no.1
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    • pp.43-64
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    • 2015
  • This study investigated the effects of song discussion on depression and rehabilitation motivation in stroke patients. Older adults with chronic stroke participated in this study: nine for the experimental group and eight for the control group. The experimental group was divided into three subgroups and participated in 12 sessions over 6 weeks. Target lyrics were selected by the investigator among popular songs from the participants' young adulthood. The song-based discussion was facilitated to address issues targeted at supportive, insight-focused, or reconstructive stage. The control group was provided with delayed intervention. At pre and posttest, the short form of Geriatric Depression Scale and the Rehabilitation Motivation Scale were measured. The experimental group showed significantly decreased depression and significantly increased rehabilitation motivation (p < .01), while the control group showed no significant changes. Positive changes were also observed in all subcategories of rehabilitation motivation in the experimental group, particularly in significantly increased task-oriented motivation and decreased amotivation. This study suggests that song discussion will be effectively applied in rehabilitative settings to address psychological issues of older adults with stroke.

Community Participation and Development of their Awareness for AIDS Control (AIDS홍보를 위한 지역주민의 참여와 의식개발)

  • 김명호
    • Korean Journal of Health Education and Promotion
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    • v.5 no.1
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    • pp.25-28
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    • 1988
  • 4000년전 고대 의학시대부터 의학은 환자를 대상으로 발달해 왔지만 실은 지역사회를 토대로 발달해 왔다고 본다. 특히 기원전 500년경 히포크라테스(Hippocrates)가 오늘날의 서양의학의 기반을 닦게 되었는데 그때도 질병 치유의 영역에서 뿐 아니라 예방까지 생각한 것을 알 수 있다. 그후 18~19세기에 와서 전염병의 범세계적인 대유행은 질병의 발생 후의 처치의 어려움에 봉착하자 이와같은 쓰라린 경험은 질병의 예방에 더욱 크나큰 관심과 노력을 가지고 오게 하였다. 동시에 신음하는 환자는 가족의 일원이며, 지역사회 주민의 일원이란 현실이 의학이 사회과학의 영역으로 옮겨질 정도로 사회성을 띠게 하였다.

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