• 제목/요약/키워드: Clinical health management

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고혈압관리를 위한 의사지원결정시스템의 데이터마이닝 접근 (Data Mining Approach to Clinical Decision Support System for Hypertension Management)

  • 김태수;채영문;조승연;윤진희;김도마
    • 한국지능정보시스템학회:학술대회논문집
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    • 한국지능정보시스템학회 2002년도 추계정기학술대회
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    • pp.203-212
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    • 2002
  • This study examined the predictive power of data mining algorithms by comparing the performance of logistic regression and decision tree algorithm, called CHAID (Chi-squared Automatic Interaction Detection), On the contrary to the previous studies, decision tree performed better than logistic regression. We have also developed a CDSS (Clinical Decision Support System) with three modules (doctor, nurse, and patient) based on data warehouse architecture. Data warehouse collects and integrates relevant information from various databases from hospital information system (HIS ). This system can help improve decision making capability of doctors and improve accessibility of educational material for patients.

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간호대학생의 임상실습 스트레스와 스트레스 대처방식이 대학생활 적응에 미치는 영향 (Effect of Clinical Stress and Stress Coping on College Adjustment in Nursing Students)

  • 이지원;어용숙
    • 보건의료산업학회지
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    • 제7권2호
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    • pp.125-134
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    • 2013
  • The purpose of this study was to identify the influencing factors of college adjustment in nursing students. A quantitative descriptive design was used to study 400 nursing students in Busan and Ulsan, recruited from May 1 to 30, 2011. The instruments used were the clinical stress scale, stress coping scale and college adjustment problem checklist. The data were analysed SPSS program, using descriptive statistics, Pearson correlation coefficient, and simultaneous multiple regression. Findings of the study can be summarized as follows; First, the average of clinical stress was 3.68 points, the problem-solving coping was 2.85 points, the emotional-focused coping was 2.48 points, and college adjustment was 3.03 points. Second, The correlation of the clinical stress and college adjustment relations showed negative correlation in all areas. The correlation of problem-solving and emotional-focused coping and college adjustment showed positive correlation. Third, The significant predictors of college adjustment were satisfaction in major, psychological factors, problem-solving coping, perceived health status, emotional-focused coping, knowledge, skills, assignment/reports. These variables showed explanatory power of 43.2%. The study suggested to help reduce clinical stress and to strengthen problem-solving coping for college adjustment in nursing students.

임상간호사의 간호조직사회화 영향요인 (Factors Influencing Organizational Socialization in Clinical Nurses)

  • 정귀임
    • 보건의료산업학회지
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    • 제11권4호
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    • pp.53-65
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    • 2017
  • Objectives : The purpose of this study was to explore and describe the factors related to clinical nurses' organizational socialization, process and to find out the strategic information for successful organizational socialization. Methods : Data were collected with a structured questionnaires from 300 clinical nurses. The data were analyzed with SPSS/WIN 21.0. Results : First, the average score for the organizational socialization($2.95{\pm}0.37$), organization climate($3.28{\pm}0.43$), autonomy($3.23{\pm}0.43$), role stress($3.21{\pm}0.56$), professional self-concept($3.19{\pm}0.46$), organization value internalization($3.11{\pm}0.59$), and perceptional justice($2.91{\pm}0.50$). Second, influencing factor of organizational socialization of the participant were organizational climate, role stress, professional self-concept, Job esteem, Living arrangement type, collaboration between medical professionals in hospital, the other hospital work experience, role model or Mentor, total hospital career, perceived health status, spouse, perceptional justice, Adjusted $R^2=.702$. Conclusions : These results suggest that organizational socialization of clinical nurses could be enhanced by organizational climate. Thus creating a positive organizational climate are mandated for clinical nurses to have constructive organizational socialization.

Burnout and Workload Among Health Care Workers: The Moderating Role of Job Control

  • Portoghese, Igor;Galletta, Maura;Coppola, Rosa Cristina;Finco, Gabriele;Campagna, Marcello
    • Safety and Health at Work
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    • 제5권3호
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    • pp.152-157
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    • 2014
  • Background: As health care workers face a wide range of psychosocial stressors, they are at a high risk of developing burnout syndrome, which in turn may affect hospital outcomes such as the quality and safety of provided care. The purpose of the present study was to investigate the moderating effect of job control on the relationship between workload and burnout. Methods: A total of 352 hospital workers from five Italian public hospitals completed a self-administered questionnaire that was used to measure exhaustion, cynicism, job control, and workload. Data were collected in 2013. Results: In contrast to previous studies, the results of this study supported the moderation effect of job control on the relationship between workload and exhaustion. Furthermore, the results found support for the sequential link from exhaustion to cynicism. Conclusion: This study showed the importance for hospital managers to carry out management practices that promote job control and provide employees with job resources, in order to reduce the burnout risk.

멀티플랫폼 환경의 만성 질환자 건강관리를 위한 유헬스 서비스 모델 (U-health Service Model for Managing Health of Chronic Patients in Multi-platform Environment)

  • 박동균;김종훈;김재권;정은영;이영호
    • 한국콘텐츠학회논문지
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    • 제11권8호
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    • pp.23-32
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    • 2011
  • 만성질환자가 증가함에 따라서 유헬스 서비스는 특정 질병의 치료 및 관리에서 서비스 대상자에 대한 행동수정기반의 예방서비스로 진화하고 있다. 기존의 유헬스 서비스는 원격진료나 상담을 통한 서비스나 생체정보의 모니터링만을 제공하여 대사증후군 등 만성질환자를 예방하거나 관리하는 것에는 한계가 있다. 이에 본 논문에서는 만성질환자의 건강관리를 위한 멀티플랫폼 기반의 유헬스 서비스 모델를 제안한다. 멀티플랫폼 기반의 유헬스 서비스는 PC와 스마트폰을 통하여 사용자의 위치와 제한없이 지속적으로 건강 정보 및 식이, 운동에 대한 서비스가 가능하다. 또한 임상정보를 바탕으로 CDS(Clinical Decision Support) 모듈을 활용한 처방 서비스를 의사와 간호사에게 제공한다. 의사는 행동수정 프로그램을 통해 서비스 대상자의 생활패턴을 파악하고 맞춤화된 서비스의 제공이 가능하다. 본 유헬스 서비스 모델은 서비스 대상자에게 멀티플랫폼 환경에서 효과적인 서비스를 제공하여 만성질환자의 건강증진에 기여할 것으로 기대된다.

임상간호사의 사회심리적 건강과 건강지각, 건강관련 행위 (Psycho-Social Well-being, Health Perception and Behavior among Clinical Nurses)

  • 김정희;현미열;김영순;김정실;남상옥;송만숙;이라주;이정화
    • 간호행정학회지
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    • 제16권1호
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    • pp.26-36
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    • 2010
  • Purpose: The purpose of this study was to investigate the relationships among psycho-social well-being, and health perception and behavior in clinical nurses. Methods: The data were collected from 362 nurses employed at five general hospitals. A self-reported questionnaire was used to assess demographics and job characteristics, health perception and behavior, depression, and psycho-social stress. The data were analysed using Cronbach's alpha, descriptive statistics, t-test, and ANOVA. Results: While nurses perceived themselves to be in good health, represented by a high mean for health perceptions, actual health behavior was poor as the mean for health behavior was low. Forty two percents of the subjects were categorized as having major depression and high-stress levels. There were statistically significant differences in psycho-social well-being according to age, marital status, years of employment, and monthly salary. Also, there were significant differences in psycho-social well-being according to health perception, regular meals and exercise, sufficient sleep, job related injury and accident, and absences for ill. Conclusion: In order to prevent depression and improve psycho-social well-being among clinical nurses, organizational support and health management needs to be focused on high-risk nurses. Furthermore, it is essential to consider the health perception and behavior of clinical nurses.

간호 대학생의 임상실습 스트레스와 강점인지와 강점효능감이 건강증진행위에 미치는 영향 (The Influence of Clinical Practicum-related Stress, and Awareness, and Self-efficacy on Strength on Health Promotion Behaviors among Nursing Students)

  • 이시진;이지은;이명경
    • 한국간호교육학회지
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    • 제24권2호
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    • pp.160-167
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    • 2018
  • Purpose: This study was conducted to identify the influence of clinical practicum-related stress, and awareness, and self-efficacy on strength on health promotion behaviors among nursing students. Methods: The subjects were 274 students in nursing college who had experience in a clinical nursing practicum. Data were collected from self-reported questionnaires and were analyzed by independent t-test, ANOVA, Pearson correlation coefficient, and multiple regression analyses. Results: Multiple regression analyses showed that strength self-efficacy and self-awareness on strength significantly affected overall health promotion behaviors. Regarding subscales of health promotion behaviors, self-awareness on strength significantly affected health responsibility and stress management in health promotion behavior when controlling for sociodemographic characteristics, while the subscales of clinical practicum-related stress did not affect health promotion behavior. Conclusion: The recognition of an individual's strength and self-efficacy might be a factor in improving health promotion behaviors among nursing college students, although they suffer from stress during clinical nursing practicum.

Comparison of Post-hoc among Petty Merchants of Traditional Markets

  • Shin, Hyun Gyu
    • 대한임상검사과학회지
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    • 제46권4호
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    • pp.124-130
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    • 2014
  • The aim of this study undertook to ascertain the health levels and risk among petty merchants at some traditional markets by way of physical examination and laboratory tests. Data was collected through physical examination and laboratory tests on blood pressure, glucose, cholesterol, triglyceride, LDL cholesterol, and HDL cholesterol. The data was analyzed by Frequency analysis, T-test, One-Way ANOVA using the PASW statistics 18.0 program. By blood pressure on sex, male ($1.89{\pm}0.6$), female ($1.48{\pm}0.6$) appeared (p<0.001). Male levels were higher than in female levels. Additionally TG appeared male levels ($193.4{\pm}129.4$), female levels ($142.7{\pm}80.6$). Male levels were higher than in female levels (p<0.006). By blood pressure as the age increased in more than 70 (2.17) exhibited a statistically significant difference. These merchants did not practice health behaviors nor take institutional health management benefit. Therefore governmental level community based health management services are recommended for them.

가치기반 체계에 근거한 의료기술평가: 영국 NICE의 신뢰 지향적 가치판단 과정을 중심으로 (Health Technology Assessment and Appraisal: Lessons from Reliability-Based Health Technology Appraisal in NICE, England)

  • 이현주;권영대
    • 보건의료산업학회지
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    • 제7권4호
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    • pp.273-288
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    • 2013
  • This paper is a general review contextualizing the state of the domestic health technology assessment. The aim of the paper is to present an overview of health technology assessment in Korea based on examining clinical efficacy as well as cost-benefit analysis, and to suggest the issue of appraisal based on social value. We have included a discussion of a major case study of the technology appraisal process of NICE (the National Institute for Clinical Excellence) in the UK. The review of the existing process of NICE shows that the appraisal both gives interest in health technology a sense of value perspective and raises methodological issues in terms of reliability. Details of the appraisal process and several guidelines for best practice have emerged. Suggestions are listed and their role in assessing is explained as a conclusion.