• Title/Summary/Keyword: Follow-up support

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Predictors of Health Status in Patients with Hemodialysis: A Two-year Longitudinal Study (혈액투석 환자의 건강상태 예측요인: 2년 종단연구)

  • Cha, Jieun
    • Journal of Korean Clinical Nursing Research
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    • v.22 no.3
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    • pp.359-367
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    • 2016
  • Purpose: The purpose of this study was to examine the effects of physical, psychological, and social factors on the health status of patients undergoing hemodialysis using longitudinal data. Methods: Two surveys were conducted within a period of two-year. A total of 75 patients participated in both surveys. Eight variables including symptoms, treatment belief, hope, meaning-focused coping, family support, friend/peer support, healthcare provider support, and health status were measured. Data were analyzed by paired t-test, Pearson's correlation coefficients, and hierarchical multiple regressions. Results: The mean age of the participants was 47.31 and the average duration of dialysis was 8.27 years. There was no difference in scores on perceived health status between the two year-interval surveys. The two-year follow-up on perceived health status was correlated with baseline perceived health status, friend/peer support, meaning-focused coping, hope, and symptoms. As the result of the regression analysis, friends/peer support (${\beta}=.31$, p=.013) and baseline perceived health status (${\beta}=.30$, p=.020) were found to be significant predictors of subsequent health status which explained 39.0% of the variance. Conclusion: This study suggests the importance of psychosocial resources for positive health outcomes in patients with a chronic illness. Nursing interventions aimed to provide renal peer support need to be developed and tested.

A Study on the Mediating Effect of Job Stress, Job Attitude, and Social Support in the Relationship between Client Violence and Social Worker's Job Response (클라이언트 폭력과 사회복지사의 직무반응 관계에서 직무스트레스와 직무태도, 사회적 지지의 매개효과)

  • Il-Hyun, Yun
    • Journal of the Korea Safety Management & Science
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    • v.24 no.4
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    • pp.15-23
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    • 2022
  • This study investigated the effects of job stress, job attitude, and social support on the relationship between client violence and social worker job response. The multi-mediating effect of job stress, job attitude, and social support between client violence and social worker job response was empirically analyzed. 257 social workers in social welfare facilities were analyzed using SPSS. The following conclusions were drawn. First, there was a significant correlation between client violence, job stress, job attitude, social support, and job response variables. Client violence was affecting variables related to social worker job response. Second, job stress, job attitude, and social support had multiple mediating effects. The parallel mediation effect and the serial mediation effect were verified. Third, job attitude was found to be a variable of multiple mediating effects. Fourth, job stress and social support were found to be double mediating effect variables. In response, programs and manuals suitable for the type of social welfare facilities and the policy basis for preparing countermeasures for social workers were limited, and follow-up studies on various variables were suggested.

The Effect of a Telephone follow-up on the Self-care and the Satisfaction on Nursing Care in G-I Surgical Patients (전화추후관리가 위,장관계 수술환자의 자기간호수행 및 환자만족도에 미치는 효과)

  • Na, In-Jae;Lee, Byung-Sook
    • Journal of Korean Academy of Nursing Administration
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    • v.5 no.2
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    • pp.355-368
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    • 1999
  • This study was a quasi-experimental study to investigate the effect of a telephone follow-up on the self-care and the satisfaction on nursing care in G-I surgical patients. The subjects of the study were 38 patients, 19 in experimental group and 19 in control group, who discharged after gastrointestinal surgery at a university hospital in Taegu between August 11. 1998 and October 16, 1998. The telephone follow-up program for the experiment was developed by the researcher, which contained consultation, support and encouragement for self-care after discharge. Number of the instruments used for measurement of the outcome variables were 5, self-care after discharge, satisfaction(1)${\sim}$(2) on Nursing care. intention to visit the hospital again. intention to recommend the hospital to others. The results of this study were as follows ; 1. The first hypothesis, "The subjects of experimental group will show a higher level of self-care than the subjects of control group" was rejected (F=.48. p=.4937). 2. The Second hypothesis. "The subjects of experimental group will show a higher level of satisfaction than the subjects of control group" was accepted partly as follows. 1) The hypothesis 2-1, "The subjects of experimental group will show a higher level of satisfaction(1) than the subjects of control group" was accepted(F=4.04. p=.0496). 2) The hypothesis 2-2. "The subjects of experimental group will show a higher level of satisfaction(2) than the subjects of control group" was accepted(F=8.48. p=.0064). 3) The hypothesis 2-3, "The subjects of experimental group will show a higher level of intention to visit hospital again than the subjects of control group" was rejected(F=1.95. p=.1723). 4) The hypothesis 2-4. "The subjects of experimental group will show a higher level of intention to recommend the hospital to others than the subjects of control group" was rejected(F=1.43. p=.2411) . From the results of this study, the telephone follow-up can be regarded as an effective nursing intervention for the discharged patients.

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Two-Year Follow Up Study of Change in Satisfaction Level and Mental Health among North Korean Defectors (북한이탈주민의 삶의 만족도와 정신 건강 실태 변화에 대한 2년간 추적 연구)

  • Lee, Hye Rin;An, Ji Hyun;Yoon, Se Chang;Jeong, Seo Hyun;Chang, Hye In;Hong, Jin Pyo
    • Anxiety and mood
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    • v.15 no.2
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    • pp.109-114
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    • 2019
  • Objective : The purpose of this study was to investigate changes in the satisfaction levels and mental health among North Korean defectors over two years. Methods : At the beginning of the study, the subjects were comprised of 300 North Korean defectors registered with a regional adaptation center (the Hana Center) in South Korea. Participants reported self-questionnaires including socio-demographic variables and self-rating scales for satisfaction levels, depression symptoms, trauma-related symptoms, resilience and alcohol use behavior. In the follow up study after two years, 189 North Korean defectors participated in an online survey, responding to the same questionnaires as at baseline. Results : The self-rated scores for satisfaction with one's overall life (p=0.008), sense of autonomy (p=0.001), sense of physical health (p<0.001), and expected life satisfaction five years later (p<0.001) had all decreased significantly at follow-up after two years. Depression symptoms (p<0.01) and trauma-related symptoms (p<0.001) increased significantly over two years, and the resilience score (p<0.01) decreased significantly during the same period. No significant differences in alcohol use behavior (p=0.059) were observed at follow-up. Conclusion : Satisfaction levels among North Korean defectors gradually decreased over the follow-up period, and this may be due to the difficulties encountered in the process of assimilating to daily life in South Korea. Economic, medical, and psychological support is needed for successful assimilation of North Korean defectors.

Effects of the Health Support Network Project on Musculoskeletal Disorders of Females (근골격계 질환 여성의 건강지원 네트워크 사업 효과)

  • Kim, Deok-Ju;Han, Hee-Jung;Yang, Yeong-Ae
    • The Korean Journal of Health Service Management
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    • v.9 no.1
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    • pp.169-178
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    • 2015
  • This study implemented a health support network project to improve the quality of life of women with musculoskeletal disorders. These activities were intended to analyze the effects of the impact on the quality of life of women with musculoskeletal diseases, continuing to base their future needs for materials and practice so as to provide a method for this purpose. On August 19, 2013 through December, a survey of 320 people living in Seoul included 31 women with symptoms of musculoskeletal disorders. Another, 16 weeks led to a total of 127 people with housewives screened as a subjects for social support networks projects. After the research, the health support network project was implemented, and most musculoskeletal pain was reduced, depression levels were reduced, and a quality improvement was noted in health-related life activities. In particular, mental- health-related quality of life was found to increased. As incidental factors that may cause musculoskeletal disorders, marital status, living with family, low income, and a high depression index were related to low health-related quality of life. Future studies can support continued health at the local business community level rather than with smaller samples. This work can also be supported by follow-up studies to evaluate the effectiveness of program.

The Mediating Role of Self-esteem between Spousal Support and Infertility-related Stress among Infertile Couples: Actor Effects and Partner Effects (난임 부부의 배우자 지지와 난임 스트레스의 관계에서 자아존중감의 매개효과: 자기효과와 상대방효과를 중심으로)

  • Lee, Ka Yeon;Kim, Seong Hee
    • Human Ecology Research
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    • v.59 no.4
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    • pp.465-475
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    • 2021
  • The purpose of this study was to examine actor and partner effects among infertile couples in determining whether self-esteem affects the degree of infertility-related stress via perceived spousal support. The sample comprised 219 couples who experienced infertility, each of whom completed an online survey. To analyze the data, descriptive statistics, t-test, correlation analysis and APIM (Actor-Partner Interdependence Model) were performed using SPSS 25.0 and Mplus 7.3 program. The main results were as follows. First, the actor effect of spousal support on self-esteem was significant in both husbands and wives. Second, the actor effects of spousal support on infertility-related stress and self-esteem on infertility stress were significant only in husbands. Third, in the association between husbands' and wives' spousal support and infertility-related stress, three mediating pathways via husband's self-esteem were found to be significant. Based on these results, the necessity for a couple-level analysis in infertility research, psycho-emotional interventions for infertile couples, and implications for follow-up studies were discussed.

Neonatal jaundice (신생아 황달)

  • Lee, Sang Lak
    • Clinical and Experimental Pediatrics
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    • v.49 no.1
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    • pp.6-13
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    • 2006
  • Jaundice is one of the most common gastrointestinal conditions found in neonatal period, and most jaundice is benign. But because of the possibility of bilirubin toxicity, every newborn infants must be examined to identify the development of severe hyperbilirubinemia. To prevent the development of severe hyperbilirubinemia, promote and support successful breast-feeding, perform a systemic assessment before discharge for the risk of severe hyperbilirubinemia, provide early and close follow-up program, and treat with phototherapy or exchange transfusion or other therapeutic modalities, if indicated, are recommended.

The role of fecal calprotectin in pediatric disease

  • Jeong, Su Jin
    • Clinical and Experimental Pediatrics
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    • v.62 no.8
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    • pp.287-291
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    • 2019
  • Fecal calprotectin (FC) is a calcium- and zinc-binding protein of the S100 family, mainly expressed by neutrophils and released during inflammation. FC became an increasingly useful tool both for gastroenterologists and for general practitioners for distinguishing inflammatory bowel disease (IBD) from irritable bowel syndrome. Increasing evidences support the use of this biomarker for diagnosis, follow-up and evaluation of response to therapy of several pediatric gastrointestinal diseases, ranging from IBD to nonspecific colitis and necrotizing enterocolitis. This article summarizes the current literature on the use of FC in clinical practice.

The Effect of Corporate Entrepreneurship on Organizational Effectiveness of Medical Institutions : Mediating Effect of Motivation to Participate in The In-house Innovation & Start-up Contest and Moderating Effect of Support from a Dedicated Organization (사내기업가정신이 의료기관의 조직유효성에 미치는 영향 : 사내 혁신·창업 공모전 참여동기의 매개효과와 전담조직 지원의 조절효과)

  • Jae-Hoon Han;Byung-Jin Park
    • Korea Journal of Hospital Management
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    • v.28 no.3
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    • pp.68-86
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    • 2023
  • Purpose: The purpose of this study is to explore the relationship between corporate entrepreneurship and organizational effectiveness among employees of medical institutions. In addition, we aim to investigate the mediating effect of motivation to participate in the In-house Innovation & Start-up Contest and the moderating effect of support from a dedicated organization. Methodology/Approach: A survey was conducted on participants in the 3rd in-house contest held in 2023 at Granum Sinapis Center of Seoul St. Mary's Hospital. A total of 122 people responded to the survey. The collected data were analyzed PLS-SEM(Partial Least Squares-Structural Equation Model) using SmartPLS 4.0 program. Findings: First, 'Corporate entrepreneurship' had an effect on 'Participation motivation in in-house contest'. Second, 'Corporate entrepreneurship' had an effect on 'Organizational Effectiveness'. Third, 'Participation motivation in in-house contest' mediated the relationship between 'Corporate entrepreneurship' and 'Organizational Effectiveness'. And last, 'Support from a dedicated organization' had no moderating effect on the relationship between 'Corporate entrepreneurship' and 'Organizational Effectiveness'. Practical Implications: Since the dedicated organization is in the early stages of operation, there may be no moderating effect on organizational effectiveness. If follow-up research is conducted after the dedicated organization's system has been supplemented, the moderating effect may appear differently.

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Clinical and Radiological Results after Arthroscopic Superior Capsular Reconstruction in Patients with Massive Irreparable Rotator Cuff Tears

  • Yoon, Jeong Yong;Kim, Paul Shinil;Jo, Chris Hyunchul
    • Clinics in Shoulder and Elbow
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    • v.21 no.2
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    • pp.59-66
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    • 2018
  • Background: Massive, irreparable rotator cuff tears (RCTs) are a challenging clinical problem in young patients. In recent years, arthroscopic superior capsular reconstruction (ASCR) is a popular treatment in the massive, irreparable RCTs. However, studies reporting clinical results of ASCR are rare in the literature. Methods: Between 2013 and 2015, six patients underwent ASCR. One patient treated with dermal allograft, while five patients with autogenous fascia lata graft. Demographic data, as well as preoperative and last follow-up clinical data including pain, range of motion (ROM), strength, American Shoulder and Elbow Surgeons system, the Constant system, the University of California at Los Angeles system, the Simple Shoulder Test, and the Shoulder Pain and Disability Index system were obtained. Acromiohumeral distances and Hamada classification were measured on standard anteroposterior x-ray. Results: All patients were men, and the average age was $59.5{\pm}4.18years$ (range, 53-65 years).The minimum follow-up was 18 months with a mean follow-up was $27.33{\pm}7.58months$ (range, 18-36). All patients had postoperative improvement in pain scores and functional scores. The ROM and strength did not improve after surgery. The Hamada score progressed of radiographic stage in 2 patients. In the case of dermal allograft, there was graft failure 6 weeks after ASCR. Conclusions: Our results support the ASCR as a viable treatment for surgical salvage in massive, irreparable RCTs. This treatment option may provide patients with decreased pain and increased function. And studying our case of dermal allograft failure provides opportunities to decrease graft failure in ASCR using dermal allograft.