• Title/Summary/Keyword: 환자행위

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Predictors of Violent Behavior by Patient or Caregiver of Patient in the Emergency Department (응급실 환자 및 보호자의 폭력행위 예측요인)

  • Park, Eun Young;Lee, Eun-Nam
    • Korean Journal of Adult Nursing
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    • v.26 no.5
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    • pp.500-511
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    • 2014
  • Purpose: The purpose of this study was to investigate predictors of violent behavior by patient or caregiver of patient in the emergency department. Methods: Subjects of the study were 447 residents who have visited the emergency department in community P Metropolitan City during the past year. The data collecting period was from June 1, 2012 to August 31, 2012. Data was collected using self-reported questionnaires. Results: Predictors of violent behavior in the emergency department were divided into personal and institutional factors. Personal factors included relationship with patients, presence of alcohol, reports of discontent during and past treatment and responses to deterioration in patient's conditions, institution factors included perceived attitudes toward medical workers' explanations and proficiency of medical workers, and delay in medical treatment hours. Conclusion: Knowledge of personal and institutional factors may permit emergency staff to minimize or prevent potential violence in the emergency department.

A Structural Analysis for Psychosocial Variables related to Sick Role Behavioral Compliance in Hemodialysis Patients (혈액투석 환자의 역할행위 이행과 관련된 사회·심리적 변인들 간의 구조분석)

  • Cho, Young-Mun
    • Korean Journal of Adult Nursing
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    • v.28 no.4
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    • pp.415-423
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    • 2016
  • Purpose: This study was designed to identify the structural relationships among psychosocial variables related to sick role behavioral compliance among patients undergoing hemodialysis. Methods: The subjects were 476 patients from seven major hospitals and twelve dialysis centers located in D and P cities. Data were collected using self-report questionnaires. Data analysis was done by using SPSS/WIN 18.0 and AMOS 18.0 programs for structural equation modeling, to estimate the hypothesized model. Results: This findings support that a modified path model is efficient and appropriate to explain sick role behavioral compliance among hemodialysis patients. These factors account for 80.1% of the variance of sick-role behavioral compliance among hemodialysis patients. The variables having direct effect on sick role behavioral compliance were knowledge related to hemodialysis, social support, attitude, self-efficacy and intention. Conclusion: The modified model explains the integration process of psychosocial and behavior variables for sick-role behavioral compliance among patients undergoing hemodialysis.

Effect of Education of Diabetes Mellitus Patients on Health Behaviors Practice (당뇨병환자 교육이 건강행위실천에 영향을 미치는 요인)

  • Lee, Seong-Ran
    • Proceedings of the KAIS Fall Conference
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    • 2010.05b
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    • pp.1068-1071
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    • 2010
  • 본 연구는 당뇨병환자의 교육이 건강행위실천에 영향을 미치는 요인을 분석하기 위해 시도하였다. 연구대상자는 서울에 소재한 한 종합병원 내과 외래를 방문한 당뇨병 환자를 대상으로 실험군 51명, 대조군 51명인 총 102명이다. 교육 2회 실시 후 2010년 1월 5일부터 2월 5일까지 설문조사하였다. 연구결과 첫째, 당뇨병지식은 실험군에서 교육전 평균은 7.46점에서 교육후 10.12점으로 효과적으로 나타났다(P<0.01). 둘째, 당뇨병관리는 실험군에서 교육전 평균점수는 23.41점에서 교육후 26.17점으로 유의하게 높았다(P<0.01). 셋째, 상관관계 결과 당뇨병지식과 건강실천의지(r=0.26, P=0.03), 건강실천의지와 당뇨병관리(r=0.67, P=0.00)는 유의한 양의 상관관계가 있는 것으로 나타났다. 따라서 당뇨병 예방을 포함한 다양한 당뇨병 지식 내용의 프로그램을 개발하여 집중적인 교육이 필요하다.

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Radiation Safety Management Guidelines for PET-CT: Focus on Behavior and Environment (PET-CT의 방사선안전관리 가이드라인 개발: 행위와 환경을 중심으로)

  • Jung, Jin-Wook;Han, Eun-Ok
    • Journal of Radiation Protection and Research
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    • v.36 no.3
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    • pp.140-147
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    • 2011
  • Our purpose is to specify behavior and environmental factors aimed at reducing the exposed dosage caused by PET-CT and to develop radiation safety management guidelines adequate for domestic circumstances. We have used a multistep-multimethod as the methodological approach to design and to carry out the research both in quality and quantity, including an analysis on previous studies, professional consultations and a survey. The survey includes responses from 139 practitioners in charged of 109 PET-CTs installed throughout Korea(reported by the Korean Society of Nuclear Medicine, 2010). The research use 156 questions using Cronbach's ${\alpha}$ (alpha) coefficients which were: 0.818 for "the necessity of setting and installing the radiation protective environment"; 0.916 for "the necessity of radiation protection", "setting and installing the radiation protective environment"; and 0.885 for "radiation protection". The check list, derived from the radiation safety management guidelines focused on behavior and environment, was composed of 20 items for the radiation protective environment: including 5 items for the patient; 4 items for the guardian; 3 items for the radiologist; and 8 items applied to everyone involved; for a total of 26 items for the radiation protective behavior including: 12 items for the patient; 1 item for the guardian, 7 items for the radiologist; and 6 items applied to everyone involved. The specific check list is shown in(Table 5-6). Since our country has no safety management guidelines of its own to reduce the exposed dosage caused by PET-CTs, we believe the guidelines developed through this study means great deal to the field as it is not only appropriate for domestic circumstances, but also contains specific check lists for each target who may be exposed to radiation in regards to behavior and environment.

"생명윤리 및 안전에 관한 법률", 반드시 개정되어야 한다

  • Lee, Chang-Yeong
    • Health and Mission
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    • s.1
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    • pp.17-20
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    • 2004
  • 다수결 원칙으로 결정될 사안이 아닌 '생명의 존엄성'이 '생명윤리 및 안전에 관한 법률'의 제정으로 흔들리고 있다. 인간배아복제는 난치병 환자들을 치료하기 위한 획기적인 방법으로 포장되고 있으나 결국은 한 인간을 수단으로 이용하는 생명파괴 행위일 뿐이다.

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Relationship between Uncertainty, Sick Role Behaviors, and Quality of Life of Rehospitalized Patients underwent Percutaneous Coronary Intervention (관상동맥중재술을 받고 재입원한 환자의 불확실성, 환자역할행위 및 삶의 질의 관계)

  • Kim, Hye Ran
    • Journal of Korean Clinical Nursing Research
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    • v.20 no.3
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    • pp.279-289
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    • 2014
  • Purpose: This study was conducted to investigate the relationship between uncertainty in illness and the future, sick role behavior with what diet, weight control, no smoking, abstinence, doctor visits, medications, etc, and quality of life of rehospitalized patients after percutaneous coronary intervention in a cardiology ward. Methods: A total of 120 patients participated in the study. Data were collected using a questionnaire and analyzed using t-test, ANOVA, $Scheff{\grave{e}}$ test, and Pearson's Correlation Coefficient. Results: The mean score for uncertainty was $3.45{\pm}1.08$. Sick role behavior of the patients showed a moderate value with a mean of $3.68{\pm}0.79$. The mean score for quality of life was $3.52{\pm}0.64$. Uncertainty in illness and the future was significantly correlated to sick role behavior with that diet, weight control, no smoking, abstinence, doctor visits, medications, etc (r=-.27, p=.002), and quality of life (r=-.35, p<.001), and sick role behaviors were significantly correlated to quality of life (r=.62, p<.001). Conclusion: The results implicate that there is a need to decrease the levels of uncertainty and reinforce positive behaviors by patients in order to improve their quality of life.

Factors Predicting Sick Role Behavioral Compliance in Hemodialysis Patients (혈액투석 환자의 환자역할행위 이행에 대한 예측변인)

  • Cho, Young-Mun;Choi, Mung-Sim;Sung, Ki-Wol
    • Korean Journal of Adult Nursing
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    • v.23 no.3
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    • pp.235-243
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    • 2011
  • Purpose: This study was done to identify factors predicting sick-role behavioral compliance in hemodialysis patients. Methods: The subjects were 133 patients from outpatient dialysis clinics at seven major general hospitals located in D and P cities. Data were collected by self-report questionnaires. For data analysis, SPSS/WIN 14.0 program was utilized including one-way ANOVA, independent t-test, Pearson correlation coefficients, and stepwise multiple regression. Results: This study showed a positive correlation between sick-role behavioral compliance and social support (r=.29 p<.001), knowledge (r=.31 p<.001), self-efficacy (r=.52, p<.001) and age (r=.21, p=.015). The factors predicting sick-role behavioral compliance were self-efficacy (${\beta}$=.46), knowledge (${\beta}$=.25), and age (${\beta}$=.18). These factors accounted for 36% of the variance of sick-role behavioral compliance in hemodialysis patients. Conclusion: The results indicate that it is necessary to increase self-efficacy and knowledge in order to improve sick-role behavioral compliance in hemodialysis patients.

Relation of Health Promotion Behaviors and Metabolic Syndrome in Daytime Workers (주간근로자의 건강증진 실천행위와 대사증후군과의 관계)

  • Ko, Dae-Sik;Park, Bu-Yeon;Seok, Gyeong-Hyu
    • The Journal of the Korea institute of electronic communication sciences
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    • v.8 no.12
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    • pp.1941-1948
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    • 2013
  • This study aims discover the relations between health promotion behaviors and metabolic syndrome in daytime workers, in order to present importance for health promotion behaviors of patients with metabolic syndrome. Based on Year 1 data of the 5th Korean National Health Nutrition Examination Survey, emrolled were 1,034 daytime workers. This study discovered that the prevalence rate of metabolic syndrome of the Korean daytime workers was significantly higher as they got older, they had less education level and smoking more, increasing number of health promotion practice behavior were decrease the metabolic syndrome prevalence. Effective appropriate lifestyle intervention were considered to management and prevention of daytime workers with the metabolic syndrome for low-cost and efficiently.

Alternative Views on Health Care Utilization (보건사업이용에 관한 여러 가지 견해)

  • Suh, Kitack
    • Journal of Korean Academy of Nursing
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    • v.12 no.1
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    • pp.53-66
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    • 1982
  • 본문은 보건사업이용문제를 취급한 국내외의 문헌을 조사하여 사회인구학적. 경제적, 사회문화적(사회심리학적, 조직적 그리고 사회제도적)인 입장에서 보건사업이용문제를 어떻게 설명하는가를 보고저 했다. 사회인구학적 측면에서 볼 때 연령, 성별, 교육수준, 결혼관계, 직업별, 종교, 거주지, 가족의 크기 가족구성등의 요인들이 일면외 연구중에서 정도를 달리하며 보건사업이용에 영향을 미치고 있음이 밝혀지고 있다. 경제적 입장에서는 가구수입, 의료비, 의료보험비와 경제적지위에 관한 다른 여러가지 요인들이 직접적으로 보건사업활용행위에 영향을 주고 있으며 사회문화적 입장에서 생각할 때 보건사업이용행위는 사회계급과 문화적 가치, 인종적차이와 의료적 태도의 상이에 따라 크게 좌우되고 있음을 보여주고 사회심리학적으로서는 보건에 관한, 태도, 믿음 및 지식과 지병으로부터 오는 정신적 압박감과 환자와 의사간의 상호작용등의 요인들이 보건사업이용과 어떠한 상관관계를 가지느냐에 그의 초점을 두는 바 이러한 주요인들이 다소나마 보건사업이용행위에 영향을 가하고 있음을 관계문헌은 말해주고 있다. 조직적 견해로서는 보건사업구조의 어떠한 조직적 변화는 보건사업이용행위에 영향을 준다는 것을 전제하고 있으며 사회제도적 입장에서는 한 개인은 여러 요소들이 상호관계되어 있는 한 제도의 일부요소로 보고한 개인의 보건사업이용행위가 다른 관계된 요소들에 비해서 어떻게 영향을 받고 있는가를 밝히려 하고 있다. 끝으로 보건사업이용에 관한 조사연구자들은 이상에서 말한 여러가지 견해의 접근방법중 단순히 한가지 접근방법만을 접하지 않고 있으며 앞으로도 더욱 종합적인 접근방법에 의해서 보건사업이용에 관한 연구가 이루워 질 때 보다 의미 있는 결과를 얻을 수 있을 것이다.

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A Convergence Study on the Relationships between Self-Efficacy and Health Behavior in eldery women with chronic low back pain (만성 요통을 가진 여성 노인의 자기 효능감과 건강행위간의 관계에 대한 융합연구)

  • Park, Jum-mi;Shin, Na-yeon
    • Journal of the Korea Convergence Society
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    • v.9 no.2
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    • pp.43-50
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    • 2018
  • Purpose: The purpose of this study is to examine the relationships between self efficacy and health behavior of elderly woman with chronic low back pain. Methods: A descriptive correlational design was used and the participants were 130 eldery women patients with chronic low back pain from one general hospital in 2012. The structured questionnaire included Perceived Self Efficacy Scale, Health Behavior Assessment tool of the Korean Elders. Data analysis included t-test, ANOVA and Pearson's correlation. Results: The mean scores were $67.34{\pm}18.32$ for self efficacy, $99.70{\pm}14.46$ for health behavior. There were significant correlations between self efficacy and health behavior(r=.80). Conclusion: The findings suggest that elderly woman with chronic low back pain need nursing interventions to improve health behaviors by promoting self efficacy.