• Title/Summary/Keyword: Follow up program

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Factors for Completing Case Management of Suicide Attempters: A Coihort Follow-Up Study Based on Data From Case Management of Emergency Room-Based Suicide Attempters (자살시도 환자의 지속적 관리 완수 요인: 응급실 기반 자살시도자 사후관리 사업 자료를 기반으로 한 코호트 추적 연구)

  • Ryou, Jae Hyun;Heo, Yoon Kyung;Kim, Da Seul;Kim, Sun Mi;Han, Doug Hyun;Min, Kyoung Joon
    • Korean Journal of Psychosomatic Medicine
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    • v.29 no.2
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    • pp.176-183
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    • 2021
  • Objectives : The purpose of this study was to find out how demographic factors, suicide attempt patterns, psychiatric history and management of suicide attempters affect the completion of emergency department (ED) based case management program. Methods : Among the patients who attempted suicide and visited the emergency department of Chung-Ang University Hospital from June 1, 2018 to May 31, 2021, 661 patients who agreed to case management were studied. After being discharged from the emergency department, subjects were registered for an eight-week follow-up service program. Hierarchical logistic regression analysis was conducted with demographic factors, suicide attempt patterns, psychiatric history and management as independent variables, and completion of case management program as dependent variables. Results : Suicide attempt pattern had the most significant influence on the completion of case management program, followed by demographic factors, psychiatric history and management. Those who completed the case management program were significantly more likely to have suicide plans in the future, more authentic in suicide attempts, and had higher proportion of past suicide attempts than those who did not complete the program. Conclusions : To ensure that the subjects complete the follow-up project program and get connected to community services, an individualized approach with consideration of suicide attempt patterns, demographic factors, and psychiatric history is needed.

Pilot Study Results of a Longitudinal Integrated Clerkship in a Single Institution (일개 의과대학 장기추적통합임상실습 시범과정 운영경험과 고찰)

  • Yoon, Hyun Bae;Moon, Sang Hui;Myung, Sun-Jung;Park, Jun-Bean;Park, Wan Beom
    • Korean Medical Education Review
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    • v.20 no.1
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    • pp.15-19
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    • 2018
  • The longitudinal integrated clerkship is an innovative approach in medical education that emphasizes continuity as a key principle to provide student-centered experiences and learning. Seoul National University College of Medicine decided to adapt longitudinal integrated clerkships to the new curriculum beginning in 2018, and therefore conducted pilot studies in 2016 and 2017. This study aimed to analyze the program evaluation results of the two pilot programs and discuss issues related to the successful implementation of longitudinal integrated clerkships in Korea. We conducted a focus group interview with nine students who participated in the 2016 pilot program and 13 students who participated in the 2017 pilot program. We also conducted a focus group interview with 11 faculty members who either participated in the pilot program or will participate in the main program. From the 2016 experience, we found that it is not appropriate to assign each patient to a single student and let the students contact their patients personally for feasibility and safety reasons. In the 2017 pilot program, we assigned each patient to a group of students, which made it more feasible for the students to follow-up with their patients. The students were satisfied with their new experience of longitudinal patient follow-up and regular meetings in the pilot program. Faculty emphasized the importance of establishing the course objectives and holding an orientation for the students and the faculty. Further study is planned to evaluate the early outcomes of the main longitudinal integrated clerkship.

The Effect of Tailored Health Care Program Based on Sasang Constitution for Vietnamese (사상체질에 기반한 베트남 맞춤형 건강관리 프로그램 효과)

  • Kwon, Ji-Hye;Kim, Yun-Young;Park, Ki-Hyun;Lee, Si-Woo;Yoo, Jong-Hyang
    • Journal of Sasang Constitutional Medicine
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    • v.25 no.2
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    • pp.98-107
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    • 2013
  • Objectives This study aimed to develop the tailored health care program based on Sasang constitution for Vietnamese and evaluate the effect of them. Methods This research was executed from Sep. $1^{st}$ 2012 to Nov. $30^{th}$ 2012 in Vietnam Hanoi National Hospital of Traditional Medicine. All of 50 vietnamese subjects participated in the tailored health care program for 8 weeks after constitutional diagnosis. During the applicable period of the 8 weeks program, follow-up visits was conducted after 1 week, 4 week, and 8 week from the first visit, and Quality of life, Anxiety, Fatigue and Sleep Quality were measured. Results The tailored Health Care Program was applied to the subjects for eight weeks. The quality of life scores of Physical Functioning (p=0.006), Pain (p=0.003) and Physical Component Score (p=0.009) were significantly increased, and the sleep quality of subjects was improved after the tailored health care program is applied. Conclusions The tailored health care program based on Sasang constitution affected to some items about the quality of life and sleep quality of the subjects. however, this result can not be generalized to all Vietnamese, and various follow-up studies are needed.

The Effect of Resiliency Training Program for Child Protection Agency Counselors to Prevent Secondary Traumatic Stress (아동보호전문기관 상담원을 대상으로 한 이차외상스트레스 예방을 위한 레질리언스 훈련 프로그램의 효과 연구)

  • Hyun, Jinhee;Kim, Heeguk
    • The Journal of the Korea Contents Association
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    • v.19 no.4
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    • pp.532-545
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    • 2019
  • The objective of this study is to find out the effect of the secondary traumatic stress prevention program for counselors at child protection agencies. The quasi-experiment design was used for pre-test, post-test, and for follow-up test, performed 3 months after the program. Experimental group consisted of 9 counselors, while the comparison group consisted of 10 counselors. As a result, it was revealed that secondary traumatic stress prevention program was effective in decreasing the secondary traumatic stress and depression of the counselors, and also effective in increasing stress coping even though it was not statistically significant. Follow-up test did not present statistically significant changes in secondary traumatic stress, depression, and stress coping. It was found that, to achieve continued effect of the program, much longer and sustained program is required. Based on these findings, the necessity and application of the secondary traumatic stress prevention program were suggested.

Directions for Muti-institutional Cooperation in Follow-up Management of Prostatic Disease Screening for the Low-income Group in Gangwon-do (강원도 저소득층의 전립선질환 검진사업과 사후관리를 위한 유관기관 협력방안)

  • Jang, Sungok;Lee, Jongseok
    • Korean Journal of Health Education and Promotion
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    • v.30 no.4
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    • pp.99-110
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    • 2013
  • Objectives: This study aimed to investigate factors related to prostate disease and follow-up procedure on health examination program in Gangwon-do. Methods: The studied population was 16,501 male aged 40 or more, who underwent screening tests for prostatic disease in 2011 health examination program designed for the low income residents in Gangwon-do. The screening tests included prostate specific antigen (PSA), international symptom score (IPSS), and maximal flow rate (Qmax). We conducted chi-square test for trend, two independent samples t-test, and binary logistic regression to find out the relationship between prostate cancer or benign prostatic hyperplasia and risk factors such as age, PSA level, and IPSS. Results: The number of subjects who turned out positive for PSA level (> 3.8ng/ml) was 971 men accounting for 5.9%. The result of post survey on them showed that 511 subjects (52.6%) got the urology check-up: 156 (30.5%) were diagnosed as normal, 286 (56.0%) as benign prostatic hyperplasia, and 69 (13.5%) as prostate cancer. The detection rate for prostate cancer was 8.8% when PSA level was between 3.81 and 9.99g/ml, and was 30.6% when PSA level was more than 10.00ng/ml. The rates of further testing varied depending on the communities from 26.7% to 68.2%, which was mainly affected by the role of local health center. Conclusions: Our findings indicate that enhanced quality control of local health center and empowerment of screening agency would increase the effort of coupled institutions between public and private sectors.

Effects of Personality Education Program for University Students (대학생을 위한 인성교육 프로그램 효과)

  • Park, Eun-Min
    • The Journal of the Korea Contents Association
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    • v.12 no.7
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    • pp.497-509
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    • 2012
  • The purposed of this study was to evaluate the effects of psycho-social maturity personality improvement program for university students. This program based on the book written by Lee et al.(2010) to improve the personality for university student was used. The program consisted of a total of 13 session and every session consisted of a 50 minutes lecture and 100minutes activity program. The researcher carried out the pre-test, post test and follow up test regarding psycho-social maturity and conducted Mann-Whitney U test and the ancova. The results showed who had participated in counseling groups reported significant improvement of psycho-social maturity total scores and sub scores, while the control group did not report any significant improvements. After 10 weeks follow-up point, these changes experienced by the experiment group on the improvement of the psycho-social maturity. Finally the personality program helped improve the psycho-social maturity.

Development and Effects of a Simulation-Based Convergence Practicum Education Program for Nursing Seniors (간호대학생 대상 시뮬레이션 기반 융합실습교육프로그램 개발 및 효과)

  • An, Minjeong;Cho, Hang Nan;Dordunoo, Dzifa;Hwang, Yoon Young
    • Journal of Convergence for Information Technology
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    • v.9 no.10
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    • pp.16-27
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    • 2019
  • The purpose of this study was to develop and evaluate the effects of a simulation-based convergence practicum education program among senior nursing students. A repeated measure experimental design was used. A total of 77 senior nursing students were recruited from a university located in G city. Data was collected at baseline, program completion, and 2 month following completion of the practicum. Repeated measure ANOVA was used to evaluate the effects of the program. There were statistically significant improvements between baseline and program completion and between the baseline and 2 month follow-up. However, there was no significant differences between the program completion and 2 month follow-up. The study demonstrated that simulation-based convergence practicum education was an effective strategy to increase study outcomes and reduce clinical practice stress among senior nursing students. Further studies are needed to evaluate the effects of the program using randomized controlled trials.

A Caring Program for Health Promotion among Women Who Have Experienced Trauma: A Quasi- Experimental Pilot Study

  • Kim Goun;Kim, Heejung;Park, Jeongok;Kang, Hee Sun;Kim, Soojin;Kim, Sunah
    • Journal of Korean Academy of Nursing
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    • v.53 no.5
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    • pp.500-513
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    • 2023
  • Purpose: Women are more vulnerable to post-traumatic stress (PTS) than men, causing several health problems. Nurses should understand and work with women who have experienced trauma and provide interventions to promote their physical, social, and mental health. Methods: This quasi-experimental pilot study used a one-group pre-test/post-test design. Data were collected from 14 women recruited between December 2019 and May 2020 from a self-sufficiency support center in South Korea for sexually-exploited women who had experienced trauma. The program consisted of six one-on-one intervention sessions per week for six weeks. Each session averaged 60~120 minutes. Participants were assessed at pre-test, post-test, and one-month follow-up. Changes in outcome variables over time were analyzed using the Wilcoxon signed-rank and Friedman tests. Results: The caring program for health promotion was divided into six sessions: understanding the self, sharing traumatic events and negative emotions, reframing the meaning of traumatic events, identifying thoughts and physical and emotional responses, developing health promotion activities, and maintaining a positive attitude during the process of change. As a result of the caring program, PTS (F = 36.33, p < .001), depression (F = 24.45, p < .001), health-promoting behaviors (F = 7.06, p = .004), and self-esteem (F = 19.74, p < .001) among the participants differed significantly at pre-test, post-test, and follow-up. Conclusion: This study provides foundational information for the implementation of a theory-driven program by nurses in clinical and community settings to provide comprehensive care for women who have experienced trauma.

The Effects of Proprioceptive Neuromuscular Facilitation Exercise on the BMD, Balance and Lower Muscular Strength in Patients with Osteoporosis (고유수용성신경근촉진법 운동이 골다공증 환자의 골밀도, 균형 및 하지 근력에 미치는 효과)

  • Lee, Dong-Kyu;Kim, Young-Nam
    • The Journal of Korean Physical Therapy
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    • v.24 no.5
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    • pp.313-318
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    • 2012
  • Purpose: This study examined the effects of an exercise program involving the Proprioceptive Neuromuscular Facilitation (PNF) lower-extremity patterns on the Bone Mineral Density (BMD), balance and lower muscular strength in patients with osteoporosis. Methods: The participants were allocated randomly to 2 groups: experimental group and control group. To evaluate the effects of exercise, the subjects were evaluated using the BMD and Time Up & Go Test and One Leg Stance Test for balance, and the Sit To Stand for lower muscular strength. Results: After the 8 week study, the experimental group showed a significant difference in all items compared to the control groups. Conclusion: These results suggest that a PNF exercise program is effective in patients with osteoporosis. Furthermore, an exercise program involving these patterns can be used in a follow-up program for patients with osteoporosis. Overall, more study will be needed to develop and apply more efficient exercise programs for such patients.

An Effect of Inquiry Activity-based Environmental Education Class on Elementary School Students' Environmental Attitudes - Focusing on the Intelligent Life of the Second Grade - (기초 탐구 활동 중심 환경 수업이 초등학생들의 환경적 태도에 미치는 효과 - 초등학교 2학년 슬기로운 생활을 중심으로 -)

  • Cho, Won-Sil;Kim, Yong-Guen
    • Hwankyungkyoyuk
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    • v.22 no.3
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    • pp.83-96
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    • 2009
  • This article extracted feasible elements for an environmental education program from the 'Intelligent Life', an integrated subject of the 7th elementary school curriculum, and designed a program for second graders in the elementary school and applied it to them in order to examine how the students' environmental altitudes changed. In the controlled class, the instruction followed the lessons specified in the 7th national curriculum faithfully while for the experimental class 1, only the inquiry activity-based environmental education program was applied. Moreover, in experimental class 2, the inquiry activity-based environmental education program was implemented and wrap-up activity was performed as well with the products. To verify the program, questionnaires on the change of environmental altitudes were distributed and analyzed total three times in the pretest, posttest 1(right after the program), and posttest 2(30 days after the program). T-test was carried out with the SPSS 12 program to verify the effect of the applied program. To make up for the quantitative analysis, qualitative analysis was also conducted. The followings show the results gained after the program was implemented. First, This program showed a significant difference(p<.05) in the students' formation of environmental altitudes. Second, it was verified that the inquiry activity-based environmental education class that reorganized the second grade elementary students' 'Intelligent Life' subject had a more positive effect in the cultivation of environmental altitude than the class that followed the present curriculum as it was. It will be necessary to perform follow-up researches on the relativity between curricula for kindergarteners and lower grade elementary school students.

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