• Title/Summary/Keyword: 환자 경험

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A design of efficient emergency medical information system using heuristic knowledge (경험적 지식을 활용한 효과적 응급의료정보시스템의 설계)

  • Kim, Hyung Hoon;Cho, Jeong Ran
    • Journal of Korea Society of Industrial Information Systems
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    • v.18 no.3
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    • pp.47-56
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    • 2013
  • With the development of the morden medical science technology, the life of the men is keeping by medical technology. But if a proper treatment could not be provided to the patient in pre-hospital phase and the patient could not be transferred to the necessary hospital timely, it can not prevent the serious damage to the patient. In this paper, when an emergency was generated, the emergency medical technician can give the most suitable first aid to the patient by our proposed efficient emergency medical information system using heuristic knowledge.

TREATMENT OF 4 CASES WITH TEST ANXIETY (시험불안증의 치료 : 증례보고)

  • Kim, Haeng-Sook
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.2 no.1
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    • pp.56-62
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    • 1991
  • The author reported treatment experiences of 4 cases with test anxiety. The first one was a 15 year old boy with problem of mild attention deficit which caused test anxiety and academic underachievement around the 8th grade in middle school. The second and the third cases were brother and sister. The test anxiety was caused basically due to the problem of mother child relationship. their mother expected too much of her son and always urged him to study and never left him alone. The mothers practically gave up her whole life to devote to oversee her son's academic achievement and her daughter experienced affectional deprivation. The fourth case, a 16 year old boy, was a borderline personality disorder with extreme anger and hostility toward his parents who controled him too much. Different therapeutic approaches appropriate for different cases were described and the relationship between test anxiety and various psychopathology was discussed.

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Integrated Study on Hospitalization Stress Experience of Schizophrenic Patient (조현병 환자의 입원스트레스 경험에 대한 융합연구)

  • Park, Sun Ah;Park, Keun Woo
    • Journal of the Korea Convergence Society
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    • v.9 no.4
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    • pp.397-408
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    • 2018
  • The purpose of this study is to understand and describe the hospitalization stress experience of patients with schizophrenia. The subjects of this study were 15 inpatients who were hospitalized in three psychiatric hospital closure wards. As a result of the study, the contents of hospitalized stress were classified into five categories, 17 sub-categories and 58 meaningful contents. The five top categories were 'missing and guilt for family', 'discomfort due to poor therapeutic environment', 'not respected of rights Patient's, 'anxiety about life after discharge', 'social prejudice and self-perceived stigma. This study has significant implications for the provision of basic data to mediate hospitalization stress of patients with schizophrenia.

THE DENTAL CARIES, CARIOGENIC MICROORGANISMS AND LEVELS OF SALIVARY IMMUNOGLOBULIN IN SUBJECTS WITH DOWN'S SYNDROME (다운증후군 환자의 치아우식증과 치아우식 원인균 및 타액내 면역항체의 연관성)

  • Kim, Seon-Mi;Yang, Kyu-Ho;Choi, Nam-Ki;Kang, Mi-Sun;Lim, Hoi-Soon;Oh, Jong-Suk
    • Journal of the korean academy of Pediatric Dentistry
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    • v.34 no.1
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    • pp.130-139
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    • 2007
  • This study investigated the relationship between dental caries and various oral factors in subjects with Down's syndrome. We compared 25 subjects with Down's syndrome with 63 healthy control. The dental caries index and plaque index were examined, and the total salivary immunoglobulin A and S. mutans specific salivary immunoglobulin A concentration were measured using ELISA. The S. mutans counts, Lactobacillus counts and buffer capacity were measured with Dentocult test medium. The decayed and filled surface index of deciduous teeth in subjects with Down's syndrome was lower than in controls(p<0.001). The plaque index and total salivary immunoglobulin A concentration showed no difference, S. mutans specific salivary immunoglobulin A concentration and buffer capacity in subjects with Down's syndrome were lower than in controls(p<0.001). There was no significant difference between two groups in the S. mutans counts and Lactobacillus counts. In 9-11 year age group, S. mutans counts in subjects with Down's syndrome was lower than in controls(p<0.001) and S. mutans specific salivary immunoglobulin A concentration was lower(p<0.05). There was a high correlation among deciduous dental caries index and buffering capacity and S. mutans counts.

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A STUDY ON THE PSYCHOTHERAPEUTIC PROCESS OBSERVED IN AN OBSESSIVE COMPULSIVE ADOLESCENT (강박장애 청소년에서 관찰된 정신치료 과정에 관한 연구)

  • Kim, Hak-Riong
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.4 no.1
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    • pp.164-172
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    • 1993
  • By observing the psychotherapy process expressed by an adolescent with obssessive compulsive disorder, the author suggests that the main problem of OCD is not merely a product of an unconscious process as traditionally thought, but a learned problem solving process as a method surviving the more realistic conflicts, and therefore the treatment should be directed to more or less conscious and realistic issues and conflicts, family therapy should be offered too.

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Synchronous Development of Schwannoma in the Rectus Abdominis and Lipoma in the Chest: A Case Report (한 환자에서 발생한 복직근 내 신경초종과 흉부 지방종: 증례 보고)

  • Kim, Ju-Oh;An, Ki-Yong;Bong, Hwang-Se;Lee, Kyu-Jung
    • The Journal of the Korean bone and joint tumor society
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    • v.20 no.2
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    • pp.109-112
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    • 2014
  • We experienced a case of 63 years old male patient who had synchronous rectus abdominis intramuscular schwannoma and chest wall lipoma. Schwannoma is rare benign tumor which derived from nerve sheath and mainly peripheral nerve of flexor part. The authors report rare synchronous schwannoma and lipoma development.

Stabilization in the Anterior Shoulder Instability' Where Do We Stand Today? (견관절 전방 불안정성에서 치료방침의 결정)

  • 이용걸
    • The Academic Congress of Korean Shoulder and Elbow Society
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    • 2004.11a
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    • pp.112-116
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    • 2004
  • 전방 탈구인 경우 첫탈구이거나 생애에 몇번만 탈구를 경험하고 일상생활에 별 지장이 없다면 보존적으로 치료하는 것이 바람직하다. 다만 early surgey가 요구되는 경우는, 첫탈구가 teen aged이면 관절경적 수술을, 골편이 큰 Bankart병변이 있는 첫탈구는 수술하는 것이 좋다. 전방 불안정성인 경우, collision sports는 개방술로, non-athletes이거나 throwing 또는 contact sports는 관절경술로 시행해 주는 것이 바람직하다. 우리가 명심하여야 할 것은 전방 불안정성을 다루는데 환자의 입장에서 서야 한다는 것이다. 의사의 능력 정도나 욕망보다도 환자의 상태, 활동 정도와 환자의 요구에 맞추어 환자를 치료하여야 한다.

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Educational Strategies for Informative and Supportive Patient Education for Oncology Patients and Their Families;a Literature Review (암환자 및 가족의 교육 선호 문헌고찰)

  • Yoon, Soo-Jin
    • Asian Oncology Nursing
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    • v.6 no.1
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    • pp.54-65
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    • 2006
  • 목적: 종양환자 및 가족을 위한 환자교육의 필요성은 건강 돌봄의 중심이 완치의 개념에서 삶의 질 개념으로 바뀌어 감에 따라 더욱 대두되고 있다. 이들을 위한 환자교육이 성공적으로 이루어지기 위해서는 환자와 가족들의 교육선호 양상과 일치하는 교육적 전략이 필요하다. 본 연구는 종양환자와 가족들의 교육선호와 일치하는 효과적인 교육적 전략의 기초를 제공하기 위해 시도되었다. 방법: 본 문헌고찰은 컴퓨터 데이터베이스 에 수록된 1990년에서 2002년에 출간된 선행연구 결과를 토대로 분석하였다. 결과: 종양환자와 그 가족은 의료전문인과의 대화, 책자, 시청각 및 인터넷 매체 등의 다양한 방법을 통해 정보를 구하였으며, 이러한 교육 요구 및 선호 양상은 다양한 요인에 따라 매우 개별적이었다. 또한 이들의 교육 준비상태는 질병 경험의 정신 사회적 수용 상태와 밀접하게 연관되어 있었다. 결론: 다양한 교육 방법을 활용한 개별적 접근이 종양 환자와 가족을 위한 환자교육에 적절할 것이며, 이들의 교육 준비상태와 일치하는 환자교육을 제공하기 위해 질병에 대한 정신적 적응과 수용상태를 지속적으로 사정하는 것이 필요하다.

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Influencing Factors on Alexithymia of Patients with Alcohol Dependence (알콜 의존 환자의 감정표현불능증 영향 요인)

  • Ryu, Seuk-Hwan
    • Korean Journal of Psychosomatic Medicine
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    • v.12 no.1
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    • pp.47-55
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    • 2004
  • Objectives: The aim of this study was to investigate alexithymia, depressive symptoms, and stress response of patients with alcohol dependence. The results were taken as a basic data of ameliorating the quality of life. Methods: 94 patients with alcohol dependence completed stress response inventory, Korea depression scale, and toronto alexithymia scale successfully. Results: 55% of variance of alexithymia of patients with alcohol dependence were explained by the stress response and depressive symptoms and score of ADS, and the stress response had the most explanatory power. Conclusions: The alexithymia of patients with alcohol dependence may be influenced by depressive symptoms, education, frequency of drinking, and stress response. The specialists were identifying symptoms of depression and optimizing the management, therefore increasing the compliance and quality of life of patients with alcohol dependence.

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Nursing Students' First Clinical Experiences of Death

  • Park, Hyoung Sook;Jee, Youngju;Kim, Soon Hee;Kim, Yoon-Ji
    • Journal of Hospice and Palliative Care
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    • v.17 no.3
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    • pp.161-169
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    • 2014
  • Purpose: This study was conducted to comprehensively investigate nursing students' experience of their first encounter with death of a patient during clinical practice. Methods: This study took place from January 27 through March 6, 2012 with eight female senior nursing students enrolled at Pusan National University located in Y city who have experienced patient death. We collected their experience of their first death encounter during their clinical rotation by asking, "What is your first experience of patient's death during the clinical practice?" Husserl's phenomenological approach was applied in this study. Results: In this study, 17 themes, 15 clusters of themes and eight categories were derived. The categories included "Desire to avoid the reality of death", "Powerlessness", "Anticipation for recovery shifted to fear of death", "Various interpretations of death", "Limitations in their nursing practice", "Resentment of lack of nurses", "Longing to better understand death", and "Motivation for inner growth". Conclusion: Through their first encounter with death of a patient, nursing students experienced various emotions and viewed their role as hospice caregiver by projecting themselves as fully trained nurses in future. Participants considered terminal care as a part of nursing care. The result of this study indicates the need to include education of death in the nursing school curriculum.