• 보건교육건강증진학회지
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• 제17권1호
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• pp.81-93
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• 2000

This study is intended to investigate medication compliance and polypharmacy of the diabetic patients by age group in order to determine the major factors that influence their compliance. 198 ambulatory diabetic patients were interviewed, and the sample was divided into three groups based on the age: Young age group under 55, Borderline age group between 55 - 65, Old age group over 65. According to the study results, medication compliance for the old age group was 72.6% whereas 85.1% for the young age group. Medication compliance significantly decreased as the age of the patients increased. Also the degree of polypharmacy, the rate which patients take more than 6 prescription drugs, was 45.9% for the old group, whereas 31.2% for the young group. As the most important factor of polypharmacy, the number of doctors was statistically significant. With regard to prescription factors related to medication compliance, the amount of prescribed medication is statistically significant between the compliance group and non-compliance group. In addition, the amount of information provided to patients by pharmacists was determined to be a very significant factor. Also the level of ease in understanding the medication instructions varied significantly between the compliance group and the non-compliance group. In light of the empirical data and results for the diabetic patients, it is necessary to develop and implement various programs to improve medication compliance and to decrease the level of polypharmacy among the elderly, or "old", diabetic patients. patients.

• 한국지역지리학회지
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• 제19권4호
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• pp.567-579
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• 2013

본 연구의 목적은 최근 사회적으로 큰 흐름으로 자리잡고 있는 로컬푸드 원칙에 대한 인식도와 준수도를 실증적으로 규명하는 것이다. 본 연구의 주요내용을 요약하면 다음과 같다. 첫째, 로컬푸드 인식도에서는 신뢰관계, 지역생산 지역소비가 가장 중요한 요인으로 나타났고, 상대적으로 친환경성의 중요도는 낮게 나타났다. 이는 종사자와 전문가에서 통계적 차이를 나타내지 않는다. 따라서 로컬푸드 개념에서는 공간적 측면과 사회적 측면의 구성요소가 모두 중요하다. 둘째, 로컬푸드 준수도에서는 신뢰관계와 유통단계의 축소는 비교적 잘 지켜지는 반면, 친환경성과 이동거리는 상대적으로 잘 지켜지지 않는 것으로 나타났다. 준수도의 경우 종사자와 전문가의 인식차이는 이동거리 축소에서만 나타나지 않고, 그 외 4개 요소에는 통계적 차이가 나타났다. 셋째, 로컬푸드의 인식도와 준수도의 차이를 살펴보면, 친환경성과 신뢰관계, 그리고 유통단계 축소 등의 사회적 측면은 인식도와 준수도의 차이가 크지 않는 반면, 공간적 측면의 이동거리 축소와 지역생산 지역소비는 인식도와 준수도의 차이가 상대적으로 큰 것으로 나타났다.

• Clinical and Experimental Reproductive Medicine
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• 제42권4호
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• pp.169-174
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• 2015

Objective: To assess compliance with Korean guidelines for embryo transfer, the possible reasons for non-compliance, and multiple pregnancies according to each specific condition in compliant cycles. Methods: A single-institution, retrospective study was conducted of 256 fresh in vitro fertilization cycles during 2012-2014. To assess compliance with Korean guidelines, the maximum recommended number of embryos transferred (according to criteria of age, transfer day, and presence of favorable conditions) was compared with the actual number of embryos transferred. Clinical pregnancy rate (PR) was assessed as the percentage of pregnant women resulting from each set of transfer conditions, including the number of embryos transferred. The multiple pregnancy rate (MPR) was calculated as the percentage of pregnant women with a multifetal pregnancy. Results: The compliance rate with the Korean guidelines was 96.5% (247/256). Non-compliance occurred in nine cycles owing to poor embryo quality, repeated implantation failure, or hostile endometrium. In compliant cycles, the PR was 31.2% (77/247), and the MPR was 27.3% (21/77; 20 twins and one triplet). Higher MPR was noted in two types of transfer conditions: transfer of three cleavage embryos in women aged 35-39 years with favorable conditions (66.7%; primarily from those aged 35-37 years) and transfer of two blastocysts in women aged ${\geq}40$ years with favorable conditions (50%). Conclusion: Under the Korean guidelines, compliance rate was high in our center. Multiple pregnancies occurred primarily in group with favorable conditions. In high-risk groups for multiple pregnancies, reducing number of embryos transferred should be considered than suggested in the guideline.

• Journal of Periodontal and Implant Science
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• 제44권2호
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• pp.65-70
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• 2014

Purpose: The purpose of this retrospective study was to evaluate the effect of patient compliance with supportive periodontal therapy (SPT) on tooth loss in Korean adults. Methods: The periodontal records of 134 patients were reviewed for this study. They completed active periodontal treatment from 1999 to 2001 and were placed on a schedule of periodic follow-up visits for SPT. Patient compliance was classified into complete compliance (CC), erratic compliance (EC), and noncompliance (NC) groups. Re-examinations were carried out $11.0{{\pm}}0.8$ years after the active periodontal treatment. The prognosis for each tooth was determined as good, questionable, or hopeless according to the bone loss observed in pretreatment radiographs. Results: The rate of tooth loss of the CC group was significantly lower than that of the NC group. The tooth loss/patient and the tooth loss/patient/year were not significantly different between the three groups. The rates of tooth loss in the good, questionable, and hopeless prognosis groups were 6.7%, 9.5%, and 13.2%, respectively. For the teeth with a good prognosis, the rate of tooth loss of the CC group was significantly lower than that of the NC group (0.4% vs. 5.1%). For the teeth with a questionable prognosis, the CC group showed a significantly lower rate of tooth loss than did the EC group (4.1% vs. 30.7%) or the NC group (4.1% vs. 25.6%). For the teeth with a hopeless prognosis, the rates of tooth loss were not significantly different among the three groups. Conclusions: Within the limits of this study, the patients who showed a poor compliance with SPT were more likely to lose teeth than were the regularly compliant patients. However, the risk of tooth loss with a hopeless prognosis was high irrespective of the compliance.

• 보건행정학회지
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• 제33권1호
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• pp.65-74
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• 2023

Background: The government should find ways to improve the effectiveness of the policies to control the incidence and mortality of the infectious disease. The purpose of this study is to find out whether the trust in the government's ability to respond to coronavirus disease 2019 (COVID-19) affects the quarantine and hospitalization rate, incidence and mortality rates of COVID-19 and quarantine rules compliance in each region of Korea. Methods: The subject of this study is 250 regions (si·gun·gu) in Korea, and the 2020 Community Health Survey data from the Korea Disease Control and Prevention Agency (KDCA) was used for the trust in the government's ability to respond to COVID-19, quarantine and hospitalization rate and quarantine rules compliance. For the incidence and mortality of COVID-19 and community factors, data was obtained from KDCA and Korean Statistical Information Service. Path analysis was used to find out the degree of inter-variable influence, and community factors (socio-demographic factors, community health factors, and health behavior factors) were used as control variables. Results: The regional disparity in key variables showed that the late pandemic period cumulative incidence and mortality of COVID-19 were large, while the early pandemic period quarantine and hospitalization rate and quarantine rules compliance were small. Path analysis showed that when community factors were controlled, the trust in government was statistically significant in all of the late pandemic period cumulative incidence (p=0.024) and mortality (p=0.017), and quarantine rules compliance (p=0.011). Conclusion: This study revealed that the higher the trust in the government's ability to respond to COVID-19, the lower the COVID-19 mortality and the higher the quarantine rules compliance at the regional level in Korea. This suggests that when the government implements healthcare policies to control infectious diseases, it is necessary to consider trust to improve policy compliance and control the mortality of the disease and maintain high trust through several effective methods.

• Journal of Periodontal and Implant Science
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• 제39권1호
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• pp.59-70
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• 2009

Purpose: The purpose of this study was to investigate the degree of compliance with supportive periodontal therapy(SPT), to determine if any significant differences existed in the characteristics of compliant, erratically compliant and non-compliant patients and to identify reasons for poor compliance. Materials and methods: Four hundred five patients who initially visited between July 2003 and December 2004 and were treated until June 2005 were retrospectively evaluated for their compliance with SPT in terms of attendance for a recommended schedule of visits. Patients' compliance was classified as complete compliance(attended more than 80% of the recommended appointments), erratic compliance(attended less than 80% of the recommended appointments or discontinued) and non-compliance(did not return for SPT). Analysis was made for each group to correlate the degree of compliance with gender, age, smoking, distance between their houses and the hospital, disease severity, type of therapy, implant, plaque control instruction and systemic diseases. Tele research of erratically compliant and non-compliant patients was carried out to identify reasons for their poor compliance. Results: Only 24.7% of the patients were in complete compliance. The highest drop-out rate(32.4%) occurred in the first year. A significantly greater percentage of non-smokers and patients who finished plaque control instruction were in complete compliance. A significantly greater percentage of patients without implant and patients who had been treated by only scaling and root planing were in non-compliance. More males were found to be compliant with SPT, although this was marginally significant. There were no significant differences between compliant, erratically compliant and non-compliant patients with regard to age, distance, disease severity and systemic disease. The survey revealed that the main reasons for poor compliance with SPT were inconvenient location and insufficient time. Conclusion: Patients' compliance with SPT was poor and the highest drop-out rate(32.4%) occurred in the first year. Significant relationships were found between the degree of compliance and smoking, type of therapy, implant, plaque control instruction and gender.

• 가정간호학회지
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• 제25권2호
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• pp.165-174
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• 2018

Purpose: The study investigated the knowledge and compliance on hand hygiene moments among nursing care workers in geriatric hospitals. Methods: A total of 143 nursing care workers at geriatric hospitals were selected. Data collection was conducted from February 20 to March 20, 2017. Results: For all hand hygiene scenarios, the total correct answer rate was 71.5%. On the necessary hand hygiene moments, the compliance rate was 68.3%. With respect to the general characteristics of the participants, knowledge on hand hygiene moments showed a statistically significant difference according to clinical career(p=.001), and existence of infection controller or infection control office in the nursing home(p=.038). Compliance showed differences according to clinical career(p=.023), existence of infection controller or infection control office in the nursing home(p=.033), and training experience in hand hygiene(number of times/year)(p=.035). Knowledge and compliance showed a statistically significant positive correlation(r=.90, p<.001). Conclusions: It is necessary to develop and operate an infection control education program that can improve the knowledge and awareness of hand hygiene moments and considers the individual characteristics geriatric hospitals's nursing care workers.

• 대한전기학회:학술대회논문집
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• 대한전기학회 2007년도 심포지엄 논문집 정보 및 제어부문
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• pp.67-69
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• 2007

Recently, the prevalence rate of diabetes in Korea has been increasing rapidly due to high growth of economy and changes in dietary lifestyle. Vascular complication is one of diabetic complications which have frequently occurred by obesity, hyperglycemia and impaired glucose metabolism. Photoplethysmogram(PPG) measured from finger and toe is very useful for evaluation of vascular aging and sclerosis level since the PPG signal represents characteristics of peripheral vascular. Several researchers have reported that second derivative of the finger PPG waveform was useful to evaluate vascular compliance and developed various analysis methods for vascular compliance. However, peripheral vascular compliance study for diabetic patient was never evaluated by using second derivative of PPG. Therefore, we aimed to objectively compare and to assess normal and diabetic group vascular compliance using the second derivative of PPG waveform in this study. The evaluated factors of second derivative of PPG are 'a', 'b', 'c', 'd', 'e' and b/a represents vascular compliance. Study found out that when vascular compliance is decreased, b/a is increased, the absolute value of b/a is decreased. The average vascular compliance of 50 diabetic patients with neuropathy is statistically lower than the normal group(p<0.05). We suggest an objective evaluation of peripheral vascular compliance for diabetic patients and prevention of vascular complication.

• 보건교육건강증진학회지
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• 제7권1호
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• pp.64-71
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• 1990

The purpose of this study is to identify the main factors influencing breast cancer self-examination, a preventive health behavior, thereby increasing self-examination compliance for early detection of the disease. The data on which this study was based were collected from a survey of 601 ladies, aged 20∼59 years and residing in Seoul, employing such mehtods as X²-test, ANOVA, t-test, F-test, Person's Correlation Coefficient and Stepwise Multiple Regression. The resulting conclusions are as follows; 1. Discrepancies in self-examination compliance rate are found in accordance with the differences of general characters of the surveyed persons. For instance, those who are well educated and better off are better compliers than those who are not (p<0.001), and those around whom breast cancer patients are better ones than who are not (p<0.01). 2. Self-examination compliers have higher health belief than non-compliers. Compliers have more knowledge in health and have higher susceptibility, barriers and health concern (p<0.001), and higher benefits (p<0.01), and higher seriousness (p<0.05) than non-compliers. 3. Whereas those who have loftier health belief show higher compliance rate (p<0.001), seriousness turned out to have no correlationship with self-examination compliance. 4. Stepwise Multiple Regression portray that following factors influence self-examination compliance in arder named. (1) barriers (2) susceptibility, (3) health concern, (4) age, (5) benefits, (6) education level. Even so, it turned out that these factors alone can explain only 20％ of self-examination compliance. Therefore study for the other factors ought to be continued. I submit following suggestions ending this study. 1. Since breast cancer self-examination is an essential health behavior needed for early detection of the disease, efficient and proper health education program eyed for regular and periodic self-examination is required to be developed, thus reducing the deaths and pains caused by the disease. 2. Proper policies of the government for the prevention of breast cancer is strongly urged to be formed in concrete manner. 3. Continuous study of the other factors affecting self-examination compliance must be carried on.

• 디지털융복합연구
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• 제13권7호
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• pp.269-282
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• 2015

본 연구는 혈액여과투석 환자의 치료이행을 측정할 수 있는 지표와 분류기준을 개발하고 치료이행 정도를 측정할 수 있는 전문가의 의견이 반영된 융합형 도구를 개발하고자 시도되었다. 총 300명의 혈액여과투석 환자를 대상으로 자료가 수집되었으며, 저유량 혈액투석, 고유량 혈액투석 치료이행과 불이행에 대한 선행연구 결과 및 전문가 그룹, 임상전문가 그룹의 구성타당도, 내용타당도를 거쳐 혈액여과투석 지표와 분류기준을 개발하였다. 개발된 혈액여과투석 치료이행 지표와 분류기준의 판별분석력을 정준상관판별분석으로 검증한 결과 3가지 지표의 혈액여과투석 치료이행 판별분석력은 95.6%(wilks ramda=.256, p=.002)이었다. 또한 임상형 혈액여과투석 치료이행 측정도구는 91.7%의 판별력을 가진 것으로 검증되었다. 혈액여과투석 치료이행은 환자의 건강상태 악화와 합병증 발생 전 단계에서 환자교육과 간호중재가 이루어질 수 있다는 점에서 의미가 있으며 본 연구의 결과는 향후 혈액투석환자의 합병증 예방을 위한 간호중재의 기초자료로 활용될 수 있을 것이다.