• International journal of advanced smart convergence
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• 제10권4호
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• pp.141-148
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• 2021

This study was tried to explore the mediating effect of workplace learning and self-efficacy on the relationship between technostress and job satisfaction in convalescent hospital nurses. Data were collected from 149 nurses working at one of 10 convalescent hospitals located in Korea's D region and between July 20 and August 12, 2019 and analyzed using SPSS 24.0. The mediating effects of workplace learning and self-efficacy in the relationship between technostress and job satisfaction were investigated by conducting hierarchical regression analysis and testing for significance based on bootstrapping p values. We found that workplace learning had a complete mediating effect, and self-efficacy a partial mediating effect, in the relationship between technostress and job satisfaction in convalescent hospital nurses. Exploring diverse factors and environmental features affecting job satisfaction in convalescent hospital nurses is highly relevant to clinicians, especially given the gradually increasing number of convalescent hospitals, changes during the era of technology fusion, and the strategic demands arising from an aging society.

• 보건의료산업학회지
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• 제13권3호
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• pp.39-51
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• 2019

Objectives: This study aimed to investigate the effect of satisfaction among convalescent hospital staff members on patient safety and quality of care after the certification of the medical institution. Methods: A survey was conducted on seven convalescent hospitals in Gwangju, South Jeolla Province, and North Jeolla Province, which were certified as medical institutions for convalescent hospitals by the end of May 2017, The study period lasted from July 24, 2017 to August 22, 2017. Results: There was a statistically significant correlation between staff member satisfaction and patient safety and quality of care (r = 0.586, p<0.001). Regression analysis showed that staff member satisfaction (${\beta}=0.531$, p<0.001) had a statistically significant effect on patient safety and quality of care and showed 46.9% explanatory power. Conclusions: The satisfaction of the convalescent hospital staff after the certification of the medical institution positively affected patient safety and quality of care.

• 대한영양사협회학술지
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• 제22권1호
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• pp.53-69
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• 2016

The purpose of this study was to analyze the importance-performance of clinical nutrition management in convalescent hospitals. The research was carried out based on questionnaires administered from March to April, 2015 to 73 dietitians at 40 convalescent hospitals in the Gyeongnam area. There was a statistically significant difference between the mean scores for importance (4.01/5.00) and performance (2.95/5.00) of clinical nutrition management. The importance and performance grid analysis showed that participation in a nutritional management committee, administration of patients using a cooperation program among hospital departments, cooperation with a medical team on patient's nutrition status, nutrition initial assessment, nutrition care process for patients showing malnutrition, nutrition care process for tube feeding patients, management of a therapeutic diet, meal management using dietary slip instructions including a therapeutic diet, and explication of a therapeutic diet for patients scored high regarding importance and performance (doing great area). Medical records on patient's nutrition management, and nutrition counseling for requested patient scored low regarding the importance and high regarding performance (overdone area). Participation in medical rounds, personal nutrition education for patients, group nutrition education for patients, nutrition education for medical teams, development of a menu for therapeutic diet and standardized recipes, and provision of information on diet therapy for patients after discharge scored low regarding importance and performance (low priority area). Accreditation of convalescent hospitals and interest of medical professionals in clinical nutrition management were effective variables for the importance-performance gap of clinical nutrition management. In conclusion, the accreditation process and positive awareness of medical professionals with regard to clinical nutrition management had positive effects on reduction of the importance-performance gap in clinical nutrition management at convalescent hospitals. The strength of clinical nutrition management in the accreditation and development of an education program for increasing medical team or administrator interest in clinical nutrition management could lead to improvement of clinical nutrition management for elderly patients in convalescent hospitals.

• 혜화의학회지
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• 제13권1호
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• pp.211-223
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• 2004

Objective : This study was designed to investigate causes, symptoms and treatments for the convalescent thamuria of children with oriental medical literatures. Methods : We surveyed the oriental and western medical books from to recent published books that have articles on thamuria from one's illness. Results and Conclusions : The symptoms of convalescent thamuria of children is frequency of urination and no pain. The causes of convalescent thamuria of children are the deficiency of the spleen and pulmonary qi, the weakness of the kidney qi and inner heat caused by the deficiency of yin. The methods of treatment are tonifying the spleen and pulmonary(補益脾肺), warming the kidney and tonifying qi(溫補腎氣) and tonifying yin and removing heat(滋陰淸熱). The herbal-medications for treatment are Bojungikqitang and Onpaetang (補中益氣湯合溫肺湯), Wuquihwan(右歸丸) and Jayinganghwatang(滋陰降火湯).

• 한국간호교육학회지
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• 제22권2호
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• pp.202-209
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• 2016

Purpose: The purpose of this study was to examine the effects of hand massage on depression, self-esteem and vitality in elderly patients in convalescent hospitals. Methods: This study employed a nonequivalent control group pretest-posttest design. The subjects were 24 elderly patients in the experimental group and 25 in a control group in a convalescent hospital located in G city. Data were collected using a questionnaire that relied on the geriatric depression scale (short form) by Sheikh and Yesavage; the self-esteem scale by Rosenberg; and the vitality scale used by Johnson and revised by Oh. The experimental group were treated with a general hand massage using only carrier oil on both hands for 10 minutes a day for seven days. The control group was given no treatment. The collected data were analyzed using t-test, $x^2$-test, and Fisher's exact test with SPSS Win Version 18.0. Results: The results are as follows: The experimental group showed a significant improvement in depression, self-esteem and vitality than the control group. Conclusion: The results showed that hand massage was an effective intervention program for depression, self-esteem and vitality of elderly patients in convalescent hospitals.

• 디지털융복합연구
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• 제18권8호
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• pp.293-299
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• 2020

본 연구는 요양병원의 간호사의 간호역량에 미치는 융복합적 영향을 파악하기 위하여 시도되었다. 구조화된 자기보고식 설문지를 사용하여 2019년 7 월부터 2019년 8월까지 D 시 8개 요양병원 간호사 161명으로부터 자료를 수집하였다. 자료분석은 SPSS / WIN 25.0 프로그램을 활용하여 Descriptive statistics, Independent t-test, One-way ANOVA, Scheffé 사후검증, Pearson's correlation coefficient, Multiple regression을 적용하였다. 단계적 다중회귀분석에서 요양병원 간호사의 일가치감, 조직커뮤니케이션 만족, 대학원(교육수준), 휴직경험 없음, 2 교대 근무형태가 간호역량을 55% 설명하는 것으로 나타났다. 이에 요양병원 간호사의 간호 역량을 증진시키기 위해서는 일에 대한 가치감과 조직커뮤니케이션 만족을 증진하고 전문적인 교육기회와 재취업간호사를 위한 교육프로그램을 제공할 필요가 있음을 논의하였다.

• 보건행정학회지
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• 제31권4호
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• pp.451-461
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• 2021

Background: Readmissions related to lack of quality care harm both patients and health insurance finances. If the factors affecting readmission are identified, the readmission can be managed by controlling those factors. This paper aims to identify factors that affect readmissions of convalescent rehabilitation patients. Methods: Health Insurance Review and Assessment Service claims data were used to identify readmissions of convalescent patients who were admitted in hospitals and long-term care hospitals nationwide in 2018. Based on prior research, the socio-demographics, clinical, medical institution, and staffing levels characteristics were included in the research model as independent variables. Readmissions for convalescent rehabilitation treatment within 30 days after discharge were analyzed using logistic regression and generalization estimation equation. Results: The average readmission rate of the study subjects was 24.4%, and the risk of readmission decreases as age, length of stay, and the number of patients per physical therapist increase. In the patient group, the risk of readmission is lower in the spinal cord injury group and the musculoskeletal system group than in the brain injury group. The risk of readmission increases as the severity of patients and the number of patients per rehabilitation medicine specialist increases. Besides, the readmission risk is higher in men than women and long-term care hospitals than hospitals. Conclusion: "Reducing the readmission rate" is consistent with the ultimate goal of the convalescent rehabilitation system. Thus, it is necessary to prepare a mechanism for policy management of readmission.

• Journal of Hospice and Palliative Care
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• 제24권3호
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• pp.154-164
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• 2021

Purpose: The purpose of this study was to examine the effects of a death preparation education program for nurses working in convalescent hospitals on death anxiety, death attitudes, and attitudes toward end-of-life care. Methods: This was a quasi-experimental study with a non-equivalent control group, pre-test and post-test design. Among 53 participants, 26 were assigned to the non-equivalent experimental group and 27 to the control group. The program was performed in the formats of lectures, video-watching, group discussions, and sharing, and consisted of 10 sessions held twice a week, for 5 weeks (90 minutes per session). Data were analyzed using descriptive statistics, the t-test, and the chisquare test in SPSS version 21.0. Results: Significant differences between the experimental and control groups were observed in death anxiety (t=7.62, P<0.001), death attitudes (t=-7.58, P<0.001), and attitudes to end-of-life care (t=-10.30, P<0.001). Conclusion: It was confirmed that the death preparation education program reduced death anxiety and had a positive effect on death attitudes and attitudes toward end-of-life care. Based on the results of this study, it is expected that specialized and systematic education that can increase the implementation and stability of death preparation education in various fields, including nursing, will have a positive effect on both hospice patients and members of society more broadly.

• 대한지역사회작업치료학회지
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• 제4권1호
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• pp.1-10
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• 2014

목적 : 본 연구의 목적은 지역사회와 시설에 거주하는 뇌졸중 환자의 시간 사용과 삶의 질을 비교 분석하고자 한다. 연구방법 : 연구 대상은 요양병원에 입원 중이거나 외래로 재활치료 중인 뇌졸중 환자 74명을 대상으로 하였다. 일반적 특성, 작업 설문지(Occupational Questionnaire: OQ), 뇌졸중 환자 삶의 질(Stroke Specific Quality of Life: SS-QOL) 평가를 통해 조사하였고, 대상자 선정 기준에서 부적합한 8명을 제외한 총 66명을 대상으로 비교 분석하였다. 결론 : 거주 환경에 따른 시간 사용을 비교 분석한 결과 일상생활(p<.05), 휴식(p<.05)에서 유의한 차이가 있는 것으로 분석 되었다. 또한 삶의 질은 가족(p<.05), 자조관리(p<.05), 사회적 역할(p<.05)에서 유의한 차이가 있는 것으로 분석되었다. 결론 : 지역사회 거주 뇌졸중 환자가 시설 거주 뇌졸중 환자보다 일상생활과 휴식에 소비되어지는 시간을 효율적으로 사용을 하였고, 삶의 질 또한 높은 것으로 나탔다.

• Annals of Clinical Neurophysiology
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• 제3권1호
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• pp.9-14
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• 2001

Background : Bell's palsy(BP) is defined as an idiopathic peripheral facial paralysis of acute onset, accounting for more than 50% of all cases of facial paralysis. Different theories on the etiology of BP have been proposed. Herpes simplex virus-1(HSV) has been the most suspicious causative agent, but varicella zoster virus(VZV) also is suspected. Objectives : We evaluated the serological changes of IgG and IgM titer of HSV and VZV to know the causative agent of BP. Materials and Methods : Subjects consisted of 35 patients who developed acute idiopathic unilateral facial palsy(16 men and 19 women from 9 to 78 years old) within a week of onset. We took the serum of the acute and convalescent stages, respectively. Serum IgG and IgM titer of HSV and VZV were measured in acute and convalescent stages by EIA method. Results : Only the HSV IgG titer showed statistically significant elevation in the convalescent stage(p=0.0291). Others did not show any significant change between the acute and convalescent stage. Conclusion : We concluded that HSV may be related to the causative agent of BP.