• Title/Summary/Keyword: 환자행위

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Fatigue and Fatigue-regulation Behavior in Hemodialysis Patients (혈액투석 환자의 피로와 피로조절행위)

  • Kim, Hye-Won
    • Journal of Digital Convergence
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    • v.10 no.5
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    • pp.301-305
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    • 2012
  • This study was performed to examine the relationship between fatigue and fatigue-regulation behavior in Hemodialysis(HD) patients. Methods: The subjects for this study were 107 patients on HD who were registered in a hospital in Seoul. The data were collected from August 2 to August 14, 2010. The collected data were analyzed by the SPSS WIN 12.0 program. Results: The mean score of fatigue was 77.1 which means their experience of high level fatigue. Frequency of the fatigue-regulation behavior and the mean of efficiency of the fatigue-regulation behavior was 8.8 and 22.8. Positive correlation was found between fatigue and fatigue-regulation behavior (r=.45, p=.000). Conclusion: It is considered that the study emphasizes for the healthcare providers to recognize fatigue as the important nursing issue for HD patients. And it is necessary to develop an evidence-based nursing intervention program for regulating fatigue in HD patients.

Factors affecting patient safety behavior and performance of infection control among nursing students (간호대학생의 환자안전행위 및 감염관리 수행도에 영향을 미치는 요인)

  • Lee, Suzy;Shin, Gisoo;Cho, Mi-Kyoung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.8
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    • pp.343-352
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    • 2018
  • This study was conducted to identify the factors influencing patient safety behavior and performance of infection control in nursing students. This study was a descriptive survey based on data collected from August 28, 2017, to September 22, 2017 from 174 third and fourth year nursing students at E university located in S city of Gyeonggi. The collected data were analyzed using the PASW 23.0 program to conduct an independent t-test, one-way ANOVA, post-hoc Scheffe's test, Pearson's correlation, and multiple regression. The average scores of patient safety behavior and performance of infection control were $4.00{\pm}0.55$ and $4.31{\pm}0.50$, respectively. Patient safety behavior and performance of infection control showed a strong positive correlation. Patient safety behavior was positively influenced by confidence levels of patient safety and awareness of the infection control, and the explanatory power of the model (R2)[ED highlight - should this be R2? If so, change throughout the paper.] was 55.1%. Predictors of the performance of infection control were patient safety knowledge, confidence levels regarding patient safety, and awareness of infection control, and the R2 was 68.1%. Common factors influencing patient safety behavior and infection control performance were patient safety confidence and development of effective clinical practicum education programs to increase confidence in patient safety and infection control.

The Effect of Physical and Psychological, and Social factors on Health Promotion Behavior among the stroke patients (뇌졸중환자의 신체적, 정신적, 사회적 요인이 건강증진행위에 미치는 효과)

  • Kim, Eun-Ju
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.12
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    • pp.8525-8534
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    • 2015
  • The purpose of this study was to investigate relations among the Health Promotion Behavior, Physically, Psychological, and Social factors of the stroke patients. The subjects include the patients that were Stroke was diagnosed and being admitted to hospital. The data of total 223 stroke patients were used in analysis. Collected data were analyzed with descriptive statistics, t-test, ANOVA, Pearson correlation, and Structural Equation Analysis. As a result, The higher medical support health promotion behavior scores were higher. Health Promotion Behavior had correlations with the subjective health state(r=.56, p=.000), family support (r=.68, p=.000), medical support(r=.65, p=.000), Fatigue(r=.27, p=.004), and behavioral intentions(r=.75, p=.000). Factors Affecting Health Promotion Behaviors of the Stroke patients Physically factors of(${\beta}$=-.156, p=.014), Psychological factors of subjective health(${\beta}$ =.283, p=.001), behavioral intentions((${\beta}$=.362, p=.000), Social factors such as family support(${\beta}$=.219, p=.010), the medical support(${\beta}$=.246, p=.004) was found to be significant influence factors. In conclusion, health promotion behavior in stroke patients is subjective health, behavioral intentions, a family support. The higher medical support health promoting behavior appears score was found to be highly Psychological factors and social factors are important factors in promoting healthy behavior. Therefore, psychosocial personalized approach to maintaining the stroke health promotion, health promotion action program itdaneunde be used as basis for relapse prevention is significant.

The Relationship of Periodontal Health Recognition and Self Oral Hygiene Behaviors of Dental Clinic Inpatient (치과내원 환자의 치주건강인식도와 자기구강위생관리행위의 관련성)

  • Jang, Ji-Eon
    • Journal of dental hygiene science
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    • v.15 no.5
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    • pp.666-672
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    • 2015
  • This paper was trying to investigate the periodontal health recognition and self oral hygiene behaviors and figure out that relationship. The results having analyzed 592 questionnaires returned patient who had visited the dental clinic which is selected randomly were following. There were relationships between the periodontal health recognition and self oral hygiene behaviors. Self oral hygiene behaviors were significantly high when, women did than men did, education level, subjective oral health status, and periodontal health recognition about managements were higher and periodontal health recognitions about treatment were lower. It was the periodontal health recognition that was influential the most in the independent variables. Therefore, knowledge related to the periodontal health should be educated to the patients visiting the dental clinic, and the patients should receive helps to perform self oral hygiene behaviors by inducing the transition of attitude to periodontal health.

Affecting factors of the Drinking Behavior of Liver Cirrhosis Patients The Aspects of Convergence of Drinking Behavior and Disease-related of factors (간경변증 환자 음주행위 관련변인 -음주행위와 질병관련 변인의 융복합 측면-)

  • Seo, Young-Sook;Do, Eun-Su
    • Journal of Digital Convergence
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    • v.13 no.7
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    • pp.249-258
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    • 2015
  • This study was conducted to determine the affecting factors among patients with drinking behavior of liver cirrhosis. Data were collected by questionnaire from 157 patients who were diagnosed with liver cirrhosis at a tertiary hospital located in D-city. Measurements included patients' demographic characteristics, clinical characteristics, disease-related of symptom experience, emotional-factors of anxiety-depression and social-factor of social support. Data were analyzed using t-test, and logistic regression analyses. The incidence rate of drinking behavior was 31.8%. Multivariate analysis revealed that smoking(yes), men, symptom experience, social support and anxiety were more likely to report high level of drinking behavior. Future research should consider managing drinking behavior as an essential component of comprehensive care for patients with liver cirrhosis.

A Criminal Legal Study in the Protecting the Right of Surgical Patients - Self-Determination of Patients - (수술환자의 권리보호에 대한 형사법적 쟁점 - 환자의 자기결정권을 중심으로 -)

  • Yoo, Jae Geun
    • The Korean Society of Law and Medicine
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    • v.16 no.2
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    • pp.3-26
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    • 2015
  • Recently, Practicing of ghost surgery and duty of informed consent of doctors have become a big issue in the medical dispute and lawsuits. The ground of admitting the informed consent and the agreement(self-determination of patients) can be based on the dignity of man and the right to pursue his happiness guaranteed under Article 10 of the constitution in theory. However there are no explicit legal regulations on the duty of the informed consent and there is no substantive legal enactment on the informed consent, but there is a collision between self-determination of patients and the discretionary power of doctors. If the discretionary power on the duty of the informed consent was extended it may result in the infringement of the right of surgical patients, so called arbitrary medical treatment. Relating to this issue, New Jersey Supreme Court held that a patient has the right to determine not only whether surgery is to be performed on him, but also who shall perform it. Moreover it held that a surgeon who operates without the patient's consent engages in the unauthorized touching of another and, thus, commits a battery'. But there are no ghost surgery cases adopting battery theory in Korea, and professional negligence has been considered rather than the battery, regarding an absence of hostile intent to injure patient. Supreme Court of Korea held that a doctor who operates a medical procedure without the patient's valid prior consent based on wrong diagnosis commits professional negligence resulting in injury, and the patient's invalid consent do not preclude wrongfulness'. However, if a health care provider conducts a completely non-consensual treatment or substitute surgeon without consent, the action should be plead in battery, not negligence, but if a health care provider violate his duty of care in obtaining the consent of the patient by failing to disclosure all relevant information (risks) that a reasonable person would deem significant in making a decision to have the procedure, the action should be plead in negligence, not battery. Therefore, the scope of patients' self-determination can be protected by stating clearly the scope of the duty of the informed consent and the exemption of the informed consent legislatively, it is considered that it is valid to legislate the limitation of the discretionary power.

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The influence of Cognitive Coping on Sick Role Behavioral Compliance and Depression, Satisfaction with Life in Hemodialysis Patients (혈액투석환자의 인지적 대처전략에 따른 환자역할행위 이행 및 우울, 삶의 만족에 미치는 영향)

  • Kim, Ji-Hyun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.2
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    • pp.1328-1338
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    • 2015
  • The purpose of the study was to examine the relationships between cognitive coping, sick role behavioral compliance, depression, and life satisfaction of hemodialysis patients based on the stress-coping model. The research is cross-sectional survey, 150 participants were recruited from 4 local clinics in Chungcheongbuk-do. As a results, the cognitive coping scores were significantly related to sick role behavioral compliance, depression, and life satisfaction. The coping strategies explained 20.5%, 10.5%, and 24.6% of the variances in sick role behavioral compliance, depression, and life satisfaction, respectively. The most powerful coping strategy was positive refocusing in sick role behavioral compliance, depression, and life satisfaction. The results of the study indicate that cognitive coping plays an essential role for psychological adaptation of hemodialysis patients. Therefore, the development and application of intervention program to improve adaption of hemodialysis patients are required.

Changes in the Hosptal Length of Stay and Medical Cost between before and after the Applications of the DRG payment system using Health Insurance Big Data (건강보험 빅 데이터를 활용한 종합병원에서의 포괄수가제 적용 전·후 재원일수와 진료비의 변화)

  • Jeong, Su-Jin;Choi, Seong-Woo
    • The Journal of the Korea institute of electronic communication sciences
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    • v.12 no.2
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    • pp.401-410
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    • 2017
  • This study aimed to identify appropriateness and efficiency in the DRG payment system by analysing the hospital length of stay and changes in fees before and after the application of DRG payment system. The subjects of the study were a total of 398 patients consisting of 204 for the fee for service system and 194 for the DRG payment system. They received surgery in the Obstetrics and Gynecology (OBGY) department of a general hospital in G metropolitan city between January and December 2013. The mean hospital length of stay was significantly decreased after application of the DRG payment system(p=0.013). Total fees, insurance charges, and deductions increased significantly(p<0.001), and non-payment charges and total deductions decreased significantly(p<0.001). Application of the DRG payment system reduced length of stay, non-payment charges and total patient's cost sharing and increased out-of-pocket, insurance charges, and total fees.

Factors Affecting the Perception, Knowledge, and Preventive Behaviors of Chronic Pulmonary Disease Patients on Particulate Matter (만성호흡기질환자의 미세먼지에 대한 인식, 지식, 예방행위와 관련 요인)

  • Bang, So-Hee;Hwang, Tae-Yoon
    • Journal of agricultural medicine and community health
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    • v.46 no.1
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    • pp.1-11
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    • 2021
  • Objectives: This research aimed to identify the level of perception, knowledge, preventive behavior, and factors affecting preventive behavior of patients with asthma and chronic obstructive pulmonary disease against particulate matter. Methods: This research was a descriptive survey research, and the subjects were chronic pulmonary disease patients over the age of 19 and under 80 who visited a university hospital in Daegu City. Data was collected by convenience sampling through structured self-administered questionnaire survey from December 2019 to January 2020, and a total of 212 copies were used for analysis. Results: Out of 212 total subjects, 112 were asthma patients (52.8%) and 100 were chronic obstructive pulmonary disease patients (47.2%). The average score (out of 10) of perception, knowledge and preventive behavior of patients with asthma for particulate matter was 7.92, 6.99, and 7.10, respectively, while those with chronic obstructive pulmonary disease scored 7.72, 6.24, and 6.80, respectively. The knowledge score was significantly higher in patients with asthma than those with chronic obstructive pulmonary disease (p=0.007). Factors affecting particulate matter preventive behavior were perception score, knowledge score, and age for asthma patients, and perception score for chronic obstructive pulmonary disease patients. Conclusions: As a result of the above, the factors relate to the preventive behavior of patients with asthma and chronic obstructive pulmonary disease were perception score, knowledge score, and age for asthma, and perception score for chronic obstructive pulmonary disease. Raising the level of particulate matter preventive behavior can prevent the deterioration of chronic pulmonary diseases caused by particulate matter, so the development of arbitration programs considering the characteristics of the patients according to the disease and continuous and repetitive education are required.

Predictive Factors to Health Promotion Behaviors in Breast Cancer Patients Using Pender's Health Promotion Model (Pender의 모형을 적용한 유방암 환자의 건강증진행위 예측요인)

  • So, In-Suk;Jeong, Hye-Sun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.3
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    • pp.258-269
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    • 2017
  • This study was conducted to examine the predictive factors for health promotion behaviors of breast cancer patients, focusing on Pender's health promotion model (1996). Data were collected from 121 patients using a structured questionnaire from September 18 to October 26 in 2015. The data were analyzed with a t-test, ANOVA, Pearson's correlation coefficients, and hierarchical multiple regression analysis using SPSS 20.0 for Windows. The predictive factors for the health promotion behavior of the participants were social support, commitment to a plan of action, prior behavior, activity related effects, perceived self-efficacy, family function, perceived benefits of action, and situational influences. The total explanatory power of these factors was 57.8%. Development and application of a nursing intervention plan that enhances patient compliance with health promotion behavior is needed to enable breast cancer patients undergoing rehabilitation to maintain their optimal health and live a high-quality life. Patients who showed a low degree of predictive factors identified in this study are in particular need of attention.