• 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.

• 대한예방한의학회지
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• 제17권3호
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• pp.115-128
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• 2013

Objectives : This study was aimed to investigate burn out degree of K.M.D.s(Korean medicine doctors) who work at convalescent hospitals and to find contributional factors for the result. The relationship between burn out and job performance was also studied. Methods : 77 K.M.D.s(Male 49(63.6%), Female 28(36.4%)) participated in this survey that has 62 main questions about burn out, job performance, job environment and Social demographic characteristics. Survey was conducted from 19th Aug. 2013 to 6th Nov. 2013. Results : Average of burn out degree of K.M.D.s was 2.62 out of 5. Emotional exhaustion was highest (2.80) and depersonalization was lowest(2.20) among subordinate concepts of burn out. Work place location and average income of the subjective which are subordinate concepts of social demographic characteristics showed significant correlation with job performance. Role conflict, relation of co-worker, workload were significant factors for emotional exhaustion and meaning of the job, will of patient, challenge were significant factors for lack of feeling of accomplishment by multiple regression analysis. Relation of co-worker, aggression of patient and meaning of the job were also significant factors for depersonalization. Conclusion : Emotional exhaustion and lack of feeling of accomplishment among subordinate concepts of burn out were high in the subjective who participated this study. Significant factors that contribute to burn out of this study, shows different result compare to the studies that show other factors contribute to burn out who works at convalescent hospital or other place.

• 대한영양사협회학술지
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• 제20권3호
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• pp.199-211
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• 2014

The increasing elderly population has created an urgent need for well-managed convalescent hospitals, which should provide appropriate clinical nutrition services. The new accreditation policy requiring participation of all convalescent hospitals since 2013 may promote improvement of clinical nutrition services. This study examined whether or not the accreditation policy has increased practice level and dietitians' perception of the importance of clinical nutrition management. Of the 177 convalescent hospitals accredited by January 30, 2014, dietitians from 73 hospitals (41.2%) completed the survey questionnaire. The pre-tested questionnaire surveyed general characteristics of the hospital and dietitians, current status of clinical nutrition management, and changes in the perception and practice levels of various aspects of food and clinical nutrition management. In average, dietitians with more than 5 years of work experience (68.1%) provided food and clinical nutrition services (71.2%). After accreditation, dietitians' perception of the importance and practice level of clinical nutrition service increased (P<0.001). Level of perception, however, was significantly (P<0.001) higher than practice level before and after accreditation. During perception and practice level of initial nutrition assessment, a compulsory accreditation item, notably and significantly (P<0.001) improved after accreditation. The significant difference between perception and practice level disappeared after accreditation. In conclusion, the accreditation process had positive effects on clinical nutrition management in terms of dietitians' perception and practice levels. Making more accreditation items compulsory and providing motivation and professional education to dietitians in convalescent hospitals could lead to additional improvements.

• 한국산학기술학회논문지
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• 제17권8호
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• pp.407-414
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• 2016

본 연구의 목적은 일 지역 내 소재 요양병원에 입원하고 있는 일당정액제 환자의 입원일수 및 진료비 특성을 파악하고, 요양병원 입원일수 및 입원진료비 관련 현황을 분석하여, 향후 요양병원의 입원진료에 대한 적정성 방안을 찾기 위해 필요한 기초자료를 제공하는 것이다. 본 연구의 대상은 2014년 1월부터 12월까지 1년 간 대전, 충남, 충북, 세종 소재 요양병원 입원 환자가 건강보험심사평가원에 청구한 월별 청구자료 중 요양병원 1일당 정액수가제에 해당하는 44,037건이었다. 분석결과 연구대상자의 일반적 특성과 주 진단명 상위 15위 간의 정준상관분석 결과 7개의 정준함수가 도출되었으며, 그 중 6개의 정준함수가 통계적으로 유의한 것으로 나타났고(p<0.001), 정준함수 1에서는 카이제곱 값이 5955.49이고 자유도가 98일 때 p<0.001 수준에서 유의하게 나타났다. 본 연구에서는 지역사회 내 보건 복지서비스를 확대하면 사회적 입원을 줄일 수 있을 것으로 판단된다. 보건 복지서비스의 확대는 고령의 노인들에 대한 삶의 질을 향상시킬 수 있으며, 아울러 요양병원 입원일수를 단축시키고 총 진료비를 절감시켜 증가 일로에 있는 국민의료비의 지출 감소에도 기여할 것으로 판단된다.

• 대한중풍순환신경학회지
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• 제9권1호
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• pp.14-18
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• 2008

Objectives : This study was done to investigate the relationship of differentiation of the patten identification in stroke patients between acute and convalescent stage. Methods : In the time of period Apr. 1st 2007 to Sep. 29th 2008, 903 patients with stroke admitted in the department of Internal Medicine of Kyungwon University Oriental Medical Hospital, Kyunghee University Oriental Medical Hospital, Dongguk University Oriental Medical Hospital were included. Patients were hospitalized within a month after the onset of stroke. Stroke patients were interviewed by doctors who studied standard operation procedures. A questionnaire was completed by a question-and-answer form between patients and doctors after explanation details to patients and the agreement of patients. Results : The frequency of fire-heat patten was the highest in acute stage of stroke and the one of deficiency of Yin group was the highest in convalescent stage of stroke. This result doesn't have statistical significance. (p<0.05) Conclusions : In this study, we found the relationship of differentiation of the patten identification in stroke patients between acute and convalescent stage. Further, we have concluded that this difference should be considered in the management for stroke patients.

• 한국콘텐츠학회논문지
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• 제15권12호
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• pp.285-293
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• 2015

본 연구는 요양병원 의사 및 간호 인력 대상으로 차등등급에 따른 의료서비스 질 향상 및 만족도, 병원운영성과에 대하여 어떻게 인지하고 있는지를 파악함으로써 차등등급제도가 효율적으로 운영되기 위한 기초자료를 제공하기 위하여 수행되었다. 본 연구의 결과는 다음과 같다. 의사 등급과 간호 인력 등급에 따른 차이분석을 위해 독립표본t검증을 실시한 결과, 의사2등급에서 환자권리향상과 경영 효율성이 높다는 것을 알 수 있었고, 간호 인력 2등급에서 환자안전향상, 진료향상, 환자권리향상이 높다는 것을 확인하였다. 의사 및 간호 인력 등급에 따른 차이분석을 위해 ANOVA분석을 실시한 결과, 환자안전향상, 병원재정, 병원위상에서는 의사 1, 간호 인력 2등급에서, 환자권리향상 및 자기계발에서는 의사 2, 간호 인력 1등급에서 높다는 것을 확인하였다. 전반적으로 의사, 간호 인력의 등급은 높지만, 1등급과 2등급 간의 차이는 각 부문 별로 상이한 결과가 나와 향후 요양병원 차등등급제의 의사 및 간호 인력 1, 2등급 간의 산정기준 개편을 고려할 필요가 있을 것이다.

• 대한통합의학회지
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• 제8권2호
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• pp.187-198
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• 2020

Purpose : This study was conducted to provide basic data for the association's policy management and to improve the activity areas by investigating Gyeonggi-do physical therapists' recognition of the national responsibility for dementia. Methods : A total of 1,839 physical therapists participated in this survey, and the data from a total of 29 questionnaires were analyzed using SPSS 22.0 windows. Results : Among the physical therapists in Gyeonggi-do, 61.1 % had low awareness of the national responsibility for dementia, and the recognition of the center for dementia was also low. On the other hand, there was a remarkably high opinion that the physical therapist was a necessary workforce, and positive responses to dementia-related work and education participation were also high, 51.9 % and 68.5 %, respectively. Those with a high educational background, annual salary, clinical experience, or dementia-related institutions, such as nursing homes and physical therapy, had a high awareness of "dementia national responsibility", awareness of "center for dementia" and "participation in dementia-related work and education". On the other hand, "work participation" and "education participation" were found to be inversely related to age and clinical experience. Conclusion : Physical therapists based in Gyeonggi-do showed an awareness of dementia policy. This result will help the association's policy management and protect the physical therapist's rights and interests.

• PNF and Movement
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• 제10권4호
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• pp.33-40
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• 2012

Purpose : The purpose of this study was to investigate the effects of PNF on active lumbar flexion ROM and difficulty of activity of daily living for adult scoliosis with low back pain. Methods : A 23-aged adult scoliosis with diagnosed herniated lumbar disc. The patient was treated by PNF for 30 minutes a day, 2 times a week during six weeks. Active lumbar flexion ROM and difficulty of activity of daily living were evaluated by the Modified-Modified Schober test and Oswestry Disability Questionnaire every week after treatment including the pretest of the first day of treatment. Results : There were a significant improvement in active lumbar flexion ROM between pretest and the last test. There were significant decreased in difficulty of activity of daily living positive between pretest and the last test. Conclusion : PNF will be useful for increasing active lumbar flexion ROM and decreasing the difficulty of activity of daily living positive for adult scoliosis with low back pain.

• 대한물리의학회지
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• 제18권2호
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• pp.103-114
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• 2023

PURPOSE: This study compared the effects of computer-based and virtual reality-based cognitive rehabilitation programs on the cognitive function, upper limb function, activities of daily living, and their impact on the prefrontal cortex in convalescent stroke patients. METHODS: Ten recovering stroke patients were assessed for their cognitive function, upper limb function, and daily living activities using the Neurobehavioral Cognitive Status Examination, the Korean version of the Fugl-Meyer Assessment, and the Korean version of the Modified Barthel Index. The prefrontal cortex activity was measured with functional Near Infrared Spectroscopy. The virtual reality-based cognitive rehabilitation group utilized a program of daily living activities delivered via a laptop and Oculus Rift. The computer-based cognitive rehabilitation group performed various cognitive tasks on an all-in-one PC. Both groups underwent cognitive rehabilitation training for 30 minutes per day, three times a week, for six weeks, with identical conventional rehabilitation therapies in the hospital. RESULTS: Both programs positively impacted the cognitive and physical functions. On the other hand, the virtual reality-based cognitive rehabilitation program had a larger influence on improving the cognitive and physical functions of convalescing stroke patients. CONCLUSION: The virtual reality program suggests its potential to enhance cognitive and physical functions in convalescent stroke patients through increased engagement, focus, real-time feedback, and game elements, making it a promising rehabilitation approach.

• 한국산학기술학회논문지
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• 제21권10호
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• pp.334-344
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• 2020

본 연구는 요양병원 간호사의 감정노동, 간호정보역량 및 간호근무환경이 간호업무성과에 미치는 영향을 확인하기 위한 서술적 조사연구이다. G광역시에 소재한 100~200병상 미만 요양병원 간호사 149명이 설문조사에 참여하였고 131부가 최종 분석되었다. 수집된 자료는 SPSS statics 18 프로그램을 사용하여 분석하였다. 일반적 특성 및 연구 변수의 분포는 빈도분석과 기술통계 분석을 실시하였다. 감정노동, 간호정보역량 및 간호근무환경과 간호업무성과의 상관관계는 Pearson correlation으로 분석하였으며, 영향요인은 위계적 회귀 분석을 실시하였다. 연구 결과 간호업무성과 정도는 평균 65.5(±8.5)점, 감정노동은 평균 27.2(±5.6)점, 간호정보역량은 평균 91.3(±15.7), 간호근무환경은 평균 88.2(±16.0)점으로 나타났다. 요양병원 간호사의 간호업무성과는 간호정보역량(r=.32, p<.001), 간호근무환경(r=.25, p=.005) 두 변인과 양의 상관관계를 보였다. 그러나 감정노동은 간호업무성과와 유의한 상관관계를 보여주지 못했다. 간호정보역량은 간호업무성과에 가장 큰 영향을 미치는 요인이었으며 간호근무환경은 유의한 영향요인이 아니었다. 일반적 특성 중 결혼상태, 직위 또한 간호업무성과에 영향을 미치는 것으로 확인되었다. 회귀모형에 대한 설명력은 35.2%였고 통계적으로 유의하였다(F=9.815,p<.001). 이상의 결과에서 요양병원 또한 간호업무성과를 향상시키기 위해서는 사회적 변화, 병원 정보화정책에 맞추어 간호사들이 간호정보역량을 갖추어야 하고 기관은 이를 위해 충분한 지원을 해야 함을 확인할 수 있었다.