• 제목/요약/키워드: Disease Data Collection

검색결과 270건 처리시간 0.033초

단일기관에서 이중 질량 분석법(tandem mass spectrometry technology)을 이용한 선천성 대사이상 검사의 위양성율에 대한 연구 (Investigation of False Positive Rates Newborn Screening using Tandem Mass Spectrometry (TMS) Technology in Single Center)

  • 김현수;신손문;고선영;이연경;박성원
    • 대한유전성대사질환학회지
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    • 제16권1호
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    • pp.18-23
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    • 2016
  • TMS가 확산되고 검사가 많아짐에 따라 위양성 건수도 증가하고 있다. 본 연구에서는 2012년 1월 1일부터 2014년 12월 31일까지 단일 기관에서 출생한 신생아를 대상으로 시행한 TMS의 위양성율을 조사하고 관련된 요인들을 분석하였다. 총 검사 대상자 중 남아는 8,942명(51.7%), 여아는 8,350명(48.3%)이었고, 평균 제태연령은 $38.6{\pm}1.7$주 였다. 평균 출생 체중은 $3,155.6{\pm}502.4g$, 평균 출생 신장은 $49.1{\pm}2.9cm$, 평균 체질량지수는 $13.0{\pm}3.8kg/m^2$ 이었다. 질식 분만은 9,713 (56.2%)건, 제왕절개는 7,579 (43.8%)건이었다. 평균 검사 시행일은 $2.8{\pm}1.1$일이었다. 위양성을 포함하여 TMS에서 양성으로 확인된 224명은 전체 대상자의 1.3%였다. 다중 로지스틱 회귀분석을 통해 분석한 결과 27주 이하의 초미숙아에서 위양성으로 나타날 odds ratio가 6.957 (95% CI: 1.273-38.008), 1,000 g 이하의 극저체중아에서 5.616 (95% CI: 1.134-27.820)로 나타났다. 위양성 대상자들 중에서는 지방산 대사이상 질환(fatty acid oxidation dis-orders)이 104명(47%), 아미노산 이상질환(amino-acidopathy)가 75명(34%), 유기산 이상 질환(organic aciduria)가 43명(19%)이었다. 전국적인 자료를 모아 평가한다면 국내 발생률에 대한 정확한 평가 및 접근이 가능할 것으로 생각한다.

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병동형 호스피스 대상자를 위한 전인적 호스피스 간호중재 프로그램의 개발 (Development of Wholistic Hospice Nursing Intervention Program for In-patient of Hospice Palliative Care Unit)

  • 강은실;최성은;강성년
    • 호스피스학술지
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    • 제7권1호
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    • pp.29-45
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    • 2007
  • People in the end of life and their families suffer in their physical disease and other aspects as a whole person. They need hospice care to palliate their total suffering in physical, emotional, social and also spiritual aspect through professional hospice team. To care their whole personal needs, hospice team must be a multi-discipline team which consists of medical doctors, nurses, social workers, pastors and volunteers. Recently those who die in hospice palliative care unit have trend to increase more than in home year by year. So it is necessary to develop the nursing intervention program to be performed by multi-discipline team approach for in-patient of hospice palliative care unit. The purposes of this study were to develop of wholistic hospice nursing intervention program for inpatient of hospice palliative care unit. The subjects of study were collected from 30 patients those who were over 18 years old and admitted in hospice palliative care unit of S hospital in P city with agreement in hospice palliative care in their terminal disease. The period of data collection was from December 15, 2003 to March 15, 2004. The result were as follows : 1. The result of Wholistic Hospice Nursing Program's development was as follow : A Wholistic Hospice Nursing Program was developed by me in this study is one of the service program for hospice palliative care unit. It was named as ‘Rainbow Program’ to be approached easily by hospice patients. The purposes of it are to improve the quality of life of the terminal patients with their dignity, to help them live in abundant and meaningful in their lives, to care them in peaceful in dying process with understanding them in whole personal, and also to palliate the grief and suffering of the bereaved. It was provided by hospice professionals(nurses, medical doctors, social worker, pastors, art therapists) and volunteers those who were educated in hospice for multi-diciplinary team approach to collaborate with each role play I 20-30 minuters of each through visiting their rooms individually and a place of hospice palliative care unit of S hospital in P city. The subjects of it were the terminal patients those who admitted hospice palliative care unit and their familes. with agreement in hospice palliative care in their terminal disease. The characteristics of it were multi-disciplinary team approach, whole personal care, individual care and total care according to their needs in their condition. The contents of it were pain control, symptom control, counseling patient, counseling family, hair cutting, hair shampooing, bed bath, recreation, taking a walk, event of culture(screen, recital, festival of praises, exhibition and so on), pastoral counseling, ritual service in bed, praying, service in bed, sing a worship praise, listening to the music, sharing remembrance of life, individual visiting music service(sing and praying), meditation Bible, art therapies(dance and drawing), social worker's counselling, confessing and sharing love and thanksgiving. The experimental group subjects participated in Wholistic Hospice Nursing Program which takes 120 minutes per session, total 10 sessions(total 1,200 minutes) altogether. In conclusion, this Wholistic Hospice Nursing Intervention can be used actively for whole personal well-being of the patients in hospice palliative in hospice palliative care unit and also applied in hospice practice as an useful model of multi-disciplinary team approach by hospice professionals.

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외래 간호인력 업무활동 수행도와 중요도 분석;종합병원${\cdot}$종합전문요양기관 중심으로 (A Study on the Performance and the Importance of Ambulatory Nursing Activities)

  • 황혜영;박정혜;김지수;전인숙;배경옥;서미숙;양우정;정문영;채지선;홍지연;김문실
    • 간호행정학회지
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    • 제13권1호
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    • pp.109-117
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    • 2007
  • Purpose: This study focused on analysing the performance and the perception of importance about workload of ambulatory nurses and nurse-aides for quality of nursing. Method: The subjects of this study were 126 ambulatory nurses and 117 nurse-aides in 6 secondary and 4 tertiary hospitals. The method of data collection was used the questionnaire. Result: As a result, First, nurses' activities that the performance score is above 3.0 are reception, guidance, reservation, confirm, checking medical record, operating report, explanation of disease, explanation of examination discuss with medical part, discuss with supporting part, solving patient problem environment management, and paper work. And the other side, those of nurse-aides are reception, guidance, reservation, preparation for clinic, assistant for clinic, preparation for examination, material transfer & receipt, confirm, checking medical record, and arrangement. Second, nurses-aids perceive above 3.0 performance score activities to be important for themselves. Finally, nurses perceive three categories of patient education/counselling, patient advocacy and quality improvement to be more important and higher performance when compared with nurse-aides. Conclusions: Ambulatory nurse's important nursing activities are therapeutic care, patient education/counselling, patient advocacy, communication, personal management, quality improvement.

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여성건강을 위한 개념적 모형 (Conceptual Model for Women s Health)

  • 이경혜
    • 대한간호학회지
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    • 제27권4호
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    • pp.933-942
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    • 1997
  • There has recently been an increased interest in women's health from, various disciplines, with different perspectives presented according to each profession's academic background. This has led to many instances of incorrectly defining, or misinterpretation, of the issues even among professionals. Nurse scholars as well as practitioners who work in women's health care need to have a clear conceptual understanding of women's health in order to build a body of knowledge, delineate curricular activities, and set directions for professional nursing interventions. In addition, a conceptual model that may be directly utilized in practice is needed to maintain and promote women's health issues. The purpose of this study was to apply a Hybrid model, analyzing conceptual definitions and discussions related to women's health gathered from review of the literature. Further to compare analyticals the concepts and properties observed from field work, so as to present a final definition of women's health and, build a conceptual framework for a united comprehensive perspective on the concept as well as on nursing practice. Data collection and analysis consisted of a theoretical stage, field work stage, and final analysis. A heterogeneous group of professionals and lay persons, 39 in all, participated in the field work. Study findings Include several subconcepts under the concept of women's health : a woman's whole life, holistic health, quality of life, awareness of being a woman, individual nursing, self care ability, reproductive health, and family health. Thus, a comprehensive definition was built, 1. e., "Women's health care be defined as improvement in the quality of life of women through attainment of holistic health throughout the life span. With reproductive health at the core, the concept is directly related to family and national health, and includes taking care of one's own health based on awareness of being a woman and utilizing self care activities. Women's health care issues are unique and allow various responses, therefore women's health professionals need to apply individual approaches to reach solutions in attaining holistic health and improving quality of life." The constructual factors of women's health were found to be reproductive functions, diseases more common in woman, self actualization, mental health, women's health policies, sexuality, midlife changes, and marital relations, with each factor having more than three properties. Positive factors affecting women's health were found to be a normal childbearing process, a healthy lifestyle, active health management, health information, support, and resources, and interpersonal relationships. Negative factors were found to be overwhelming role stress, cultural oppression, gender inequality, distorted sexual identity, economic difficulties, misuse and/or abuse of substances, and stress. The model of women's health may be visualized as a balance scale set upon a woman's life, supporting 4 concentric circles. The innermost circle and second circle incorporate conceptual definitions of women's health, and the outer two circles represent the constructional factors and properties of women's health. Each circle has its own color that symbolizes the conceptual meaning. Positive and negative factors are represented as weights at either end of the scale, and are affected by nursing intervention, i. e., health and wellness increase when positive factors are stronger, whereas disease and illness increase when negative factors are stronger. This model is only a preliminary effort and requires much discussion and testing to be further developed. Continuous research is also required.

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한방클리닉에 내원(來院)한 감기환자에 대한 조사연구 (A Study on Common Cold Patients utilizated of Korean Medical Clinic)

  • 홍윤정;채덕원;박형순;금경수;이시형
    • 대한한의정보학회지
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    • 제19권1호
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    • pp.1-34
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    • 2013
  • Objectives : A common cold is a viral disease. There exists only allopathy for it depending on symptoms because of no cure. Korean medicine has taken a serious view of common cold patients with digestive problems as well as patients of the common cold. Accordingly, this study is aimed at finding out the traits of patients with digestive problems among common cold patients. Methods : A survey was conducted with 62 cold patients who got medical treatment in Korean medicine clinics located in small cities and towns including metropolitan cities. The SPSS for Windows( 19.0 Version) was used for statistical analysis. Results : Depending on which clinic common cold patients decided to go to, there was a significant difference in the number of sick days. The group of patients who decided to go straight to oriental medicine clinics had fewer sick days. Only 9.7% of the group of patients who got treatment in Koean medicine clinics had more than 6 sick days. The group of common cold patients with digestive problems had more sick days than the group with no digestive problems, which showed that there was a significant correlation between digestive problems and sick days. When it came to digestive problems depending which clinic common cold patients decided to go to, there was no significant value because of little data collection. However, while 41.9% of the group who went to hospital at first and then to Koean medicine clinic had digestive problems, 24.2% of the group who directly went to Koean medicine clinic had digestive problems. On the whole, 66.1% of the entire common cold patients were shown to have digestive problems. Conclusion : There are relatively many patients with digestive problems among common cold patients, and there is a significant correlation between digestive problems and sick days on common cold.

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1형 당뇨병 자녀를 둔 부모의 불안, 당뇨관련 스트레스 및 외상 후 성장 (The Anxiety, Diabetes-Related Distress and Posttraumatic Growth of Parents Who Have Child with Type 1 Diabetes)

  • 김미영;강현주
    • 한국산학기술학회논문지
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    • 제18권7호
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    • pp.257-268
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    • 2017
  • 본 연구의 목적은 1형 당뇨병 자녀를 둔 부모의 불안, 당뇨관련 스트레스 및 외상 후 성장의 정도에 대해 알아보고, 일반적 특성 및 질병관련 특성에 따른 차이와 각 변수의 관련성을 알아보고자 하였다. 서술적 조사 연구로 자료수집은 2016년 1월 4일부터 29일까지 1형 당뇨 인터넷 카페에서 온라인 설문으로 이루어졌고 77명이 최종 분석에 포함되었다. 측정변수는 불안, 당뇨관련 스트레스, 외상 후 성장이었다. 통계분석은 t-test, Mann-Whitney U test, Kruskal-Wallis test와 Pearson correlation coefficient로 분석하였다. 연구결과 부모가 종교가 있는 경우 외상 후 성장이 유의하게 높았고(p<.05), 자녀의 연령이 6세 미만인 경우(p<.05), 저혈당 경험이 있는 경우(p<.05)와 당화혈색소가 높은 경우(p<.05) 부모의 불안과 스트레스가 높았다. 그 외의 변수에 따라서는 유의한 차이가 없었다. 상관관계에서는 불안과 스트레스가 정적 상관관계(r=.684, p<.001), 불안과 스트레스와 외상 후 성장은 부적 상관관계(r=-.401, p<.001; r=-.327, p<.05)를 보였다. 본 연구의 결과를 통해 외상후 성장은 부정적인 정서를 감소시키는 역할을 할 수 있을 것으로 생각되며, 외상 후 성장을 도모할 수 있는 중재와 불안과 스트레스를 낮출 수 있는 중재가 필요한 것으로 판단된다.

건강믿음모형을 이용한 공무원의 생활습관병에 대한 건강행동 요인 (Factors Affecting Health Behaviors for Lifestyle-related Diseases of Public Officials Using Health Belief Model)

  • 강정숙;조영채
    • 한국산학기술학회논문지
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    • 제18권11호
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    • pp.239-251
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    • 2017
  • 연구는 일부 공무원들의 생활습관병에 대한 건강행동과 HBM을 구성하는 인자(생활습관병에 대한 취약성, 중대성, 건강행동의 유효성, 장벽, 가족력, 매스컴으로부터의 정보, 사회적 지원 네트워크)와의 관련성을 규명하고자 시도하였다. 조사대상은 D광역시에 소재하고 있는 정부 공공기관의 행정공무원 729명으로 하였으며, 자료 수집은 2016년 2월 1일부터 3월 31일까지의 기간 동안에 구조화된 무기명 자기기입식 설문지를 이용한 설문조사에 의하였다. 연구결과, 생활습관병에 대한 건강행동점수는 생활습관병에 대한 취약성, 건강행동의 유효성 및 매스컴으로부터의 정보와 유의한 양의 상관관계를 보인 반면, 생활습관병에 대한 건강행동의 장벽과는 유의한 음의 상관관계를 보였다. 또한, 공분산구조분석 결과, 생활습관병에 대한 건강행동에 영향을 미치는 요인으로는 생활습관병의 취약성 및 중대성이 가장 큰 요인이었으며, 다음으로 생활습관병의 가족력 및 매스컴으로부터의 정보, 건강행동의 유효성 및 장벽, 수단적 지원 및 정서적 지원의 순이었다. 위와 같은 연구결과는 HBM을 구성하는 각 인자(생활습관병의 취약성 및 중대성, 건강행동의 유효성 및 장벽, 생활습관병의 가족력 및 매스컴으로부터의 정보, 수단적 지원 및 정서적 지원)는 생활습관병에 대한 건강행동을 실천하는데 중요한 요인이 되고 있음을 시사한다. 따라서 앞으로 생활습관병에 대한 효과적인 예방 지도를 위해서는 대상자 개개인의 생활습관병에 대한 건강행동 실천에 관련된 요인을 정확히 파악하여 지속적으로 관리해 나가는 것이 중요하다고 생각된다.

2011 동아시아 간호포럼(EAFONS) 초록분석을 통한 아시아 간호연구의 동향 분석 (Nursing Research Trends Analysis Using 2011 East Asian Forum of Nursing Scholars (EAFONS) Abstract)

  • 최명애;방경숙;김남초;김신정;김용순;김화순;류은정;박영임;소향숙;신성례;오경옥;이경숙;이선옥;이은자;정재심;조미경
    • 한국간호교육학회지
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    • 제18권2호
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    • pp.332-344
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    • 2012
  • Purpose: The purpose of this study was to identify the current status of Asian research and suggest a direction for the future development of nursing research in Asian countries Methods: To examine the current status of Asian nursing research, 539 abstracts presented at the 2011 East Asian Forum of Nursing Scholars in Seoul were analyzed according to the structured analysis format. Results: The results showed that most of the studies (77.6%) were quantitative design, but qualitative design was also conducted. Most of quantitative studies were quasi experimental designs and questionnaires are most frequently used for data collection. Only 8.5% of the studies used physiological measures. Key words were categorized into four nursing metaparadigms: clients, environment, health and nursing. The most frequently mentioned domain was health. Main themes of research were elderly, chronic disease, health promotion, and nurse/nursing management. Most frequently used key words were elderly, social support, depression, and stress. Conclusion: Major trends were similar in Asian countries, and mostly conducted with quantitative designs. Research topics were varied and major interests in nursing research topics were elderly, health promotion, and mental health in all countries. We need to develop nursing science based on closer communication and cooperation among Asian countries.

일부 지역 치위생학과 학생들의 감염방지에 관한 인식 조사 (Research on Cognition of Infection Control by Dental Hygienics Student's in some Areas)

  • 문선정;구인영
    • 한국콘텐츠학회논문지
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    • 제12권12호
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    • pp.313-320
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    • 2012
  • 치과진료실은 다양한 종류의 병원성 미생물에 항상 노출되어 있으며, 환자의 분비물과 에어로졸 형태의 여러 경로를 통해 실내가 오염될 경우 교차감염의 매개 장소가 될 수 있다. 교차감염의 위험이 산재되어 있는 치과진료와 치과진료실에서 교차감염 방지의 주체자는 치과위생사이다. 치과위생사는 임상 전문가로 활동하기 전에 감염방지에 대한 올바른 인식을 가지고 있어야 되며, 이러한 감염방지 인식수준은 임상실습에서부터 영향을 받는다. 이에 감염방지의 인식을 조사하고자 일부 4년제 대학교 치위생학과 교육과정 중 3학년 과정에 임상실습이 정규과목으로 정해져있는 학생 314명을 대상으로 자기기입식 설문조사를 실시하였다. 자료 수집은 2011년 12월 9일부터 2012년 2월 22일까지 수행하였고, 수집된 자료 중 응답이 불성실한 11부의 설문지를 제외한 303부를 SPSS WIN 20.0을 사용하여 최종 분석하였고, 다음과 같은 결론을 얻었다. 감염질환에 관한 인식 영역에서 교내 외 실습 경험군은 감염질환 인지의 중요성 문항에서 4.89점, B형간염 예방접종 의무의 문항에서는 4.65점, B형간염 예방접종 필요성 인식의 문항에서는 4.77점, 문진 실시하여 감염방지를 실천할 수 있는지에 대한 문항에서는 4.71점, 감염방지 교육의 도움에 관한 문항에서는 4.76점으로 가장 높았으며, 유의한 차이를 보였다. 치위생학과 학생들을 위한 체계적이고 다양한 감염방지 교육 프로그램 개발과 학년에 따른 차별적인 교육이 필요하다고 사료된다.

The Effects of Emotional Happiness on Aging Preparation

  • Jung, Hae-ok;Kim, Jung-ae
    • International Journal of Advanced Culture Technology
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    • 제6권3호
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    • pp.59-68
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    • 2018
  • This study was a cross-sectional descriptive study of the effects of emotional happiness on aging preparation for 45-60 year olds. Participants of this study were 312 volunteers and data was collected online, the collection period was from May 15, 2018 to May 31, 2018. The tools used in the research were the emotional happiness developed by Watson et al (1988) et al., the aging preparation developed by JH Lee (2009). Analysis was done using t-test, ANOVA, Pearson correlation, and regression by SPSS 18.0. As a result of the analysis, 84.0% of participants felt physically healthy and 89.8% felt mental health. The spouses of participants were physically 83.4% healthy and mentally 82.7% healthy. The correlation between emotional happiness, health cognition and aging preparation showed that physical health had a correlation with mental health (r = .482, p <0.01) and emotional happiness (r = .369, p <0.01), economic aging preparation (r = .411, p <0.01), social aging preparation (r = .119, p <0.01). Mental health was correlated with emotional happiness (r = .491, p <0.01), economic aging preparation (r = .411, p <0.01) and social aging preparation. Difference between emotional happiness and retirement preparation according to presence or absence of disease, emotional happiness (t = -4.503, p <0.01) and economic aging preparation (t = -4.960, p <0.01) were statistically significant. Emotional happiness affects the preparation of old age, emotional happiness affects to physical aging preparation under statistical significance (F=25.191, p<0.01), economic aging preparation (F=1131.783, p<0.01), and social aging preparation (F=147.672, p<0.01) which were sub components of aging preparation. Emotional happiness showed a 7.5% effect on the preparation of physical aging, 78.4% on economic aging preparation and 32.3% on social aging preparation. Based on the above results, it can be concluded that physical health and mental health are related to emotional happiness, economic aging preparation, and social aging preparation. And also these results can be inferred that the illness causes emotional less feeling of happiness and economic difficulty. Based on the results of this study, emotional well - being influences the retirement preparation significantly at statistical significance. Therefore, if the concept of emotional happiness is introduced to the old-age preparation program, it will be more client centered program.