• 제목/요약/키워드: Consultations

검색결과 262건 처리시간 0.023초

불면증(不眠症)에 이침(耳鍼) 시술(施術)을 한 환자(患者) 20례(例) 임상고찰(臨床考察) (Clinical study on 20 cases of insomnia patients with auricular acupuncture therapy)

  • 안대종;왕덕중;이순이;강형원;김진우
    • 동의신경정신과학회지
    • /
    • 제15권1호
    • /
    • pp.219-230
    • /
    • 2004
  • OBJECTIVE: This study is aimed to evaluate the clinical improvement of insomnia and patients' original disease after the therapy of auricular acupuncture. METHODS: A questionnaire regarding patients' sleeping behavior was executed to secure the objectivity. 20 patients were selected from 55 patients in Joong Hwa oriental medicine hospital. 20 patients who had undergone auricular acupuncture for insomnia for 6 days were asked before the first therapy to fill in a form regarding their sleeping behavior and retrospectively after 6 days a questionnaire regarding the success of therapy. Auricular acupuncture therapy consisted of 3 consultations at an interval of 2 days. RESULTS: 12 patients were good conditions, 5 were same conditions and 3 were rather poor conditions of 20 patients after auricular acupuncture therapy. CONCLUSIONS: 60% of object improved insomnia after auricular acupuncture therapy. Auricular acupuncture therapy can be applied and adapted individually, furthermore it is economical and small side effects.

  • PDF

계층화 분석법(Analytic Hierarchy Process)을 활용한 한의사 업무량 산출 (Measurement of Physician's Work for Korean Medicine Services Using Analytic Hierarchy Process)

  • 임병묵;권혁상;한창호;신병철
    • 대한예방한의학회지
    • /
    • 제13권1호
    • /
    • pp.105-115
    • /
    • 2009
  • Background: The resource-based relative value scale has been applied to Korean medicine services as part of the National Health Insurance, yet the proper scoring method for physician's work needs to be developed. Objectives: To measure physician's work for Korean medicine services using Analytical Hierarchy Process(AHP) and to compare results abstracted by AHP with those by Magnitude Estimation method. Methods: We developed the AHP questionnaires for Korean Medicine services and administered it to 12 Korean medicine insurance experts. Weighted scores were calculated and were converted into physician's work scores. Results: In AHP measurement, the physician's work scores for acupuncture activities, especially special acupunctures, far increased, while those for diagnosis and basic consultations decreased. Variations in the scores enlarged. Conclusions: As an alternative, AHP method can be considered for measuring the physician's work for Korean medicine services with careful management of scoring variation.

  • PDF

장애인 거주시설 평면변경 안에 대한 유효성 검증에 관한 연구 - 심층인터뷰와 VAE기법을 통한 분석 - (Validation Studies on Plans of Refurbished Disabled Homes with VAE Analysis and Interview Investigation)

  • 손동화;김경원;최재필
    • 한국주거학회논문집
    • /
    • 제28권2호
    • /
    • pp.13-21
    • /
    • 2017
  • A well designed disabled home needs to consider various design principles and variables. It should consider not only physical accessibility but also psychological aspects. Previous research studies have shown that barrier-free/universal designs which were primarily focused on physical access and usage of facilities and building operations. This research paper will examine, a selection of refurbished disabled homes, introduced by the Korean Disabled People's Development Institutes in 2013. The plan samples are to be analyzed using the Visual Access and Exposure spatial analysis program coupled with supporting information extracted from consultations and feedback from experienced professional disabled home staff members. This research paper aims to propose the usage and viability of VAE Analysis in the design and planning of disabled home layouts. The purpose of this study is to specify the differences in visual spatial relationships between the plans before and after refurbishment in accordance to staff and user requirements. This will ensure a bettered environment for the users and ensuring an optimized of spatial programming and building operation and usage.

청소년 금연 프로그램에서 추후관리의 효과 (The Effects of Follow-up Support in the Adolescent Smoking Cessation Program)

  • 이주열;유호신
    • 지역사회간호학회지
    • /
    • 제14권1호
    • /
    • pp.36-44
    • /
    • 2003
  • The purpose of this study is to investigate the effects of follow-up support in the adolescent smoking cessation program. In this study, a model for an effective adolescent anti-smoking program, which includes follow-up support, is based on the method of cognitive-behavioral therapy. The study lasted for 7 weeks, while information on smoking including materials to be analyzed, were provided to the subjects. Meanwhile, the state of the smokers was studied while consultations on anti-smoking was also carried out in the 7th week. At first, the quantity of cigarettes smoked between groups made no difference, but there was an obvious difference in the rate of people who stopped smoking and in the quantity of cigarettes smoked between group I(managed for 7 weeks) ,group II (managed for only 4 weeks) and group III (not managed at all after anti-smoking class). According to the results of the study, we can conclude that the follow-up support plays a big role not only in raising the rate of success in the level of reformed smokers, but also in lowering the quantity of cigarettes smoked.

  • PDF

입원환자의 간호사에 대한 치유적 관계형성 경험에 관한연구 (Patient한s Experiences about their Nurses한 Healing Relations)

  • 이지희;지성애
    • 대한간호학회지
    • /
    • 제23권3호
    • /
    • pp.356-368
    • /
    • 1993
  • The purpose of this study was to understand how patients experience their nurses, healing relation-ships. The 33 participants were patients who had been admitted to a general nursing unit of a university hospital in Seoul for more than one week, understood the study purpose and agreed take part, were fully conscious, able to communicate and over 20 years of age , their health was improving and they were ready for discharge. The data for this descriptive study using ground theory approach were collected by direct interviews with patients using five main questions derived from the literature and clinical experiences about their experiences of their nurses, healing relationships during hospitalization. Van Kaam’s method was used to analyse the data audio-recorded. Interpretation was enhanced consultations with two supervisors and one head nurse with a master’s degrees in nursing science, one nursing professor and one nursing docotoral candidate. Twenty - four patients said that they had formed a healing relationship with a nurse and nine said their relationship was not healing relationship. Six categories emerging from the characterizations of the healing relationships were valuable gratifying comforting trusting close and sympathetic. Descriptions of non - healing relationships were classified as none and poor. For this group of hospitalized patients nurses’ healing relationships were defined as valuable gratifying comforting trusting close as sym-Pathetic. Since the data suggest a change in the experiences during hospitalization, a gronded theory approach is recommended for further study.

  • PDF

소아외과에서의 Henoch-Sch$\ddot{o}$nlein 자반증 (Henoch-Sch$\ddot{o}$nlein Purpura in Pediatric Surgery)

  • 김대연;김성철;김인구
    • Advances in pediatric surgery
    • /
    • 제6권1호
    • /
    • pp.45-49
    • /
    • 2000
  • Henoch-Sch$\ddot{o}$nlein purpura is a systemic vasculitis of unknown etiology that is probably related to an autoimmune phenomenon. Henoch-Sch$\ddot{o}$nlein purpura is characterized by a purpuric rash, arthralgia, nephritis, and gastrointestinal manifestations. We reviewed 169 children hospitalized with a diagnosis of Henoch-Sch$\ddot{o}$nlein purpura between 1989 and 1998. One-hundred thirty-nine (82.2 %) had gastrointestinal findings including abdominal pain, nausea, vomiting and gastrointestinal bleeding. Surgical consultations were obtained for ten children, and laparotomy was performed in five. Three children suspected of having appendicitis underwent appendectomy. None had appendicitis. One child thought to have been intestinal strangulation was found to have hemorrhagic edema of the proximal jejunum and of the distal ileum. Another child underwent resection for an hemorrhagic infarct of the distal ileum. A high index of suspicion of this disease entity in the differential diagnosis of abdominal pain in children can avoid unnecessary laparotomy in most cases. However, life-threatening gastrointestinal complications may occur in low percentage of cases. Prompt recognition and adequate radiologic evaluation of the abdominal manifestation of this entity is necessary for early surgical intervention.

  • PDF

노인복지관 간호사를 위한 간호사정조사도구 개발 및 적용 (Development and Application of a Nursing Assessment Tool for Senior Center Nurses)

  • 고하나;송미순
    • Perspectives in Nursing Science
    • /
    • 제13권2호
    • /
    • pp.96-109
    • /
    • 2016
  • Purpose: The purposes of this study were to develop a nursing assessment tool for senior center nurses, and to test its feasibility and content validity. Methods: The study utilized a psychometric test design. Preliminary items were developed based on geriatric health needs and Gordon's 11 domains of functioning health. Initially, the tool was evaluated for content validity and feasibility. Then, it was administered among 195 older adults in a senior center by a gerontological nurse practitioner. Data were analyzed to describe the nursing problems of the senior center older adults. Results: The final version of the nursing assessment tool consisted of 27 items. The internal consistency, measured with the Cronbach's ${\alpha}$, was .74. The result of the assessment showed that senior center older adults had high nursing needs in the area of management of chronic diseases (hypertension, diabetes, and lipids), dental care, community relations, safety, elder abuse, health behaviors (such as drinking), mental health (depression, suicide, and cognitive function), and health consultations. Conclusion: The new tool was feasible for use with senior center participants, and it was evaluated as having high content validity by senior center nurses.

저위전방절제술을 받은 직장암 환자의 불안, 우울, 저위전방절제증후군, 삶의 질과의 관계 (Relationships between Anxiety, Depression, Low Anterior Resection Syndrome, and Quality of Life Following Lower Anterior Resection for Rectal Cancer)

  • 이은;김금순
    • Perspectives in Nursing Science
    • /
    • 제11권1호
    • /
    • pp.74-85
    • /
    • 2014
  • Purpose: The purpose of this study was to investigate the relationships between anxiety, depression, low anterior resection syndrome, and quality of life after lower anterior resection for rectal cancer. Methods: The participants of this study were 105 rectal cancer patients who visited the outpatient department of a hospital in Seoul for treatment or follow-up consultations. Data were collected using self-reported questionnaires and clinical records. To measure the variables, the Hospital Anxiety and Depression Scale, Low Anterior Resection Syndrome Score, and Quality of Life Questionnaire-Core 30 were utilized. Data were subsequently analyzed using the SPSS/WIN 20.0 program. Results: Low anterior resection syndrome was more severe among patients whose cancer was located closer to the anus, and had a greater range of resection in those who received neoadjuvant treatment. When anxiety, depression, and low anterior resection syndrome score were higher, quality of life scores were lower. Conclusion: These results suggest that low anterior resection syndrome may negatively impact quality of life. Therefore, it is necessary to provide patients with symptom management support/assistance through evidence-based nursing interventions, and evaluations of low anterior resection syndrome to relieve anxiety and depression, and thus enhance quality of life.

  • PDF

Depression in family caregivers of elderly people with dementia

  • LVAREZ, Yanelys Taset A;TORNES, Alisa Natividad Delgado;LEON, Diurkis Yarenis Madrigal
    • 식품보건융합연구
    • /
    • 제6권3호
    • /
    • pp.31-41
    • /
    • 2020
  • The caregivers of elderly people with dementia suffer an affectation in the psychological and social order due to the low probability of total rehabilitation of the elderly and the progressive course of this pathology. In the municipality of Guisa, Granma Province there is a health problem regarding this problem since family caregivers of the elderly with dementia constantly go to the Psychology and Psychiatry consultations, in search of specialized help because they report feeling depressed. For this reason, this research was carried out with the objective of determining the main manifestations of depression in these caregivers. The results emanating from the triangulation of methods (scientific observation) and techniques (questionnaire, interviews and inventory Beck), employees at three stages of work where it was found that the main manifestations of depression of these caregivers are: poss of interest or the ability to enjoy activities that were previously pleasurable, loss of emotional reactivity to pleasant environmental events and circumstances, sleep disturbances, marked loss of appetite, weight loss, irritability, muscular tension, feelings of sadness unmotivated that produces discomfort and sufferings, ansiety, entities of handicap, blame, loss of self-confidence and feelings of inferiority, gloomy perspective of the future.

Gyeonggi Provincial Free Uniform Support Project on the Usability through the Cooperation of 'Good School Uniform'

  • Park, Hye-Sook
    • International Journal of Advanced Culture Technology
    • /
    • 제9권3호
    • /
    • pp.68-73
    • /
    • 2021
  • The 'Good School Uniform' development project was conducted in consultation with Gyeonggi-do and the Gyeonggi Provincial Office of Education. The aim is to find various ways to supply school uniforms reflecting the latest trends at low prices using high-quality textile materials produced in Gyeonggi-do. From 2015, when the 'Good School Uniform' development project started, to the present, various events and fairs are making great progress. However, there are several problems in actually wearing each middle and high school student. In order to satisfy the characteristics of each school and the satisfaction of parents and students together, it is necessary to not only conduct practical research such as closer customer satisfaction surveys, industry-academia-research networks, expert interviews, and surveys, but also several supplements such as consultations between practitioners. There are many domestic studies on the development of school uniform design, but the research on the revitalization plan according to the free school uniform support is very insufficient. Moreover, it is not easy to find recent studies on the development of 'Good School Uniforms'. This study intends to study how to build a system so that the Gyeonggi-do 'Good School Uniform' development project can be used as a role model. In addition, it is expected that this study will be used as basic data for building a nationwide system such as public brand development and collaboration with small domestic companies.