• Korean Journal of Clinical Pharmacy
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• v.25 no.3
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• pp.145-150
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• 2015

Objective: Pain is very common in the elderly, so there is a high prevalence of analgesic use among this population. The purpose of this study was to assess patterns of analgesic use and evaluate factors associated with analgesic use in elderly patients. Method: The subjects of this study were patients over 65 years old hospitalized in a teaching hospital located in Chuncheon-si, Korea between January 1, 2014 and March 31, 2014. Data collection regarding analgesic prescriptions and baseline characteristics was conducted using computerized hospital database by medical information team. Logistic regression analysis was used to identify factors related to analgesic use. Results: A total of 2,394 patients were finally included. Among these patients, 700 (29.2%) took analgesics; 521 (74.4%) out of these 700 patients were received opioid analgesics and 179 (25.6%) were received only non-opioid analgesics. The most frequently prescribed opioid analgesic was pethidine (45.7%), and the most frequently prescribed non-opioid analgesic was acetaminophen (44.1%). Fracture was associated with increased odds of opioid analgesic prescriptions (OR = 2.766, 95% CI = 2.019-3.790, p < 0.001) and any analgesic prescriptions (OR = 2.394, 95% CI = 1.766-3.244, p < 0.001). Stroke or cerebral infarction was associated with decreased odds of opioid analgesic prescriptions (OR = 0.636, 95% CI = 0.471-0.858, p = 0.003). Conclusion: A significant proportion of hospitalized elderly patients use analgesics. Health care professionals should consider factors associated with analgesic use in this population to improve pain management.

• Journal of the Korea Convergence Society
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• v.11 no.2
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• pp.75-83
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• 2020

This study aimed to understand the differences in general characteristics, principal diagnosis, injury-related characteristics, and types of transportation accidents between young-old and old-old patients who were hospitalized owing to injury based on data from the Korean National Hospital Discharge In-Depth Injury Surveys. We used a complex sample cross tabulation analysis (chi-square test) and complex sample generalized linear model (t-test). Therefore, the primary focus of healthcare professionals working with the old-old should prevent falls in the home and increase the available medical care, financial aid plans, and psychosocial support for aging. Additionally education on traffic accident prevention and road safety is particularly important for old-old patients.

• Korea Journal of Hospital Management
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• v.23 no.1
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• pp.28-40
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• 2018

Purpose: The purpose is to understand the perception of medical providers at tertiary hospitals in Seoul on the importance-performance of the reform on a doctor-designation system, and to provide the policy suggestion of the perception on such a system. Methodology: To achieve the purpose, this study utilized structured survey tools to conduct a questionnaire survey of nursing, administrative and medical technology professionals at six tertiary hospitals in Seoul. An importance-performance analysis was utilized for an analysis that showed the perception of the reform on a doctor-designation system. Findings: First, it was identified that those medical providers had the highest perception of the importance about the performance of the reform on a doctor-designation system. Second, according to the result of action grid of an importance-performance analysis (IPA), it can be identified that in the 2nd stage of 'Concentrate here' included are the items as to design and effect of medical care quality and subsidies & patient infection and safety and control fees, effect of income security of the method for compensating for loss established by the government and offering sufficient information on general medical services and doctor-designation medical services. In the 1st stage of 'Keep up the Good Work', and the 2nd stage of 'Concentrate here' included is the item as to the performance of patients of the reform on a doctor designation system. Practical Implications: There could be identified the effect of the reform bill on the perception of medical providers. It is expected that a better environment would be provided for patients to use a hospital and for medical providers to offer medical services, if the goverment makes efforts to improve methods for compensating for loss and continuous monitoring of the performance of patients.

• Journal of the Korea Convergence Society
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• v.9 no.6
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• pp.347-355
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• 2018

A convergence study was conducted to identify effect size, intervention characteristics, and tendency of laughter therapies on depression for Korean older adults. Of the 486 studies searched in 10 databases, 20 studies in the inclusion criteria were selected. The risk of bias was assessed by SIGN's tool, and the data were analyzed using CMA 3.0 software. Overall effect size of laughter therapy on depression of older adults was medium (standardized mean difference [SMD]=-0.57, 95% CI: -0.70~-0.44, p<.001), and heterogeneity was small ($I^2=18%$). Subgroup analysis showed that the effect sizes of institutionalized group, mixed group, 4-6 weeks of duration, and group intervention were higher than the compared groups. Findings of this convergent meta-analysis would be helpful for health professionals to provide more effective laugher therapy sessions. Further replicative studies in long-term care facilities and more randomized controlled trials of laughter therapy are needed.

• The Journal of the Korea Contents Association
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• v.12 no.12
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• pp.702-713
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• 2012

The purpose of this study was to evaluate the quality of internet information about childhood fever and fever management. A total of 48 web sites with information about childhood fever and fever management in Korea were analyzed. Each web site was evaluated in terms of degree of the latest, creator, source, disclosure, and the accuracy of information. Accuracy of information was checked by comparison with published childhood fever management guidelines and current best evidences. The quality of internet information about fever and fever management was generally poor and not consistent. Moreover, it did not reflected current scientific evidences. It is important that parents should aware of these deficiencies and internet information can not substitute for consultation with health care professionals. Moreover, there was an urgent need to improve evidence-based fever management information on the internet.

• Journal of The Korean Society of Integrative Medicine
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• v.4 no.3
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• pp.101-108
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• 2016

Purpose : The primary objective of this study was to examine the status of continuing education, and to identify the current state and employment status of these physical therapists. Moreover, the study also aimed to provide basic data for establishing improvement measures in various continuing education programs to enhance the quality of physical therapists, thereby providing high quality service to patients and contributing to the increasing productivity of hospitals. Method : The present study analyzed the basic data obtained from KPTA regarding the 671 physical therapists throughout Korea. Questionnaires were sent by mail to from direct visits were used in the final data analysis. The questionnaire consisted of 45 questions in 3 categories: general characteristics, continuing education. Collected data were analyzed using frequencies, percentages, means, and standard deviations. Result : Subjects 88 (87.1%) indicated that they continuing education, showing that most had taken continuing education courses. The importance and necessity of continuing education was much higher for those with doctoral degrees than for those who graduated from college, or who possessed bachelors or master's degrees. Conclusion : A necessary follow-up study using these findings would contribute to providing a high quality medical service and to enhancing the quality of physical therapists. Moreover, systematic management of continuing education is necessary to devise comprehensive and effective measures for the development and acquisition of updated skills by health care professionals.

• Journal of Agricultural Extension & Community Development
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• v.12 no.1
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• pp.29-44
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• 2005

The objectives of this study were: a) to analyze the upbringing policy for woman farmers in Korea, b) to find out the needs for the policy related to women's roles in decision making of farming activities, and c) to promote the programs in agricultural system for supporting rural women according to their role types and needs. This study was based on a literature review and discussions with the panel of experts witness and professionals including rural women. The major findings and conclusions from this study were as follows: 1 ) First of all, the policy for upbringing woman farmers had been improved. however, policy measures were still inadequate and were plenty of room for development. 2) Government policies were not focussed directly to meet the actual needs of rural women according to their various roles. 3) More government efforts should be enhanced to modify the policy and social system for rural women, and should be organized into the practical programs after careful considerations on the status of woman farmers according to their role types. 4) The five-year upbringing plan for woman farmers should be expanded to include strengthening economic power, widening woman farmers' influence. development of intellectual capacity and strengthening of self-enlightenment better health care and welfare services. and providing equal opportunities for women farmers.

• The Korean Society of Law and Medicine
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• v.14 no.2
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• pp.261-280
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• 2013

Recently several hospitals have established a new nursing position so called, 'the nurse in charge of education (NCE).' The job description of NCE is to give a detail explanation on examination or test introduced to patients or a guide for those who are not familiar to hospital facilities at the out-patients level. The motivation of NCE position is the quality improvement in patient education on the sophisticated procedures or the follow up care for medical purposes to improve their compliances, as well in delivering services for outpatients or visitors in more informative and efficient way. The application of NCEA has been turned out positive and effective in patient satisfaction and unit management. However, special attention is brought to the scope and depth of the contents of education delivered by NCE which might overlap with the duty of physicians by the Medical Act. It is needed to clarify the role and job description of NCE in the context of Medical Act. The engagement of NCE to the Advanced Nursing Practitioner (ANP) is one of the possible solutions for a duty charge on patient education since ANP is a legislatively official position with higher license of RN at master level. Further discussion is needed to elaborate and arrange the details on the scope and content of patent education among health science professionals including RN, ANP and physicians.

• Journal of the Korean Home Economics Association
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• v.44 no.1 s.215
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• pp.87-99
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• 2006

This study investigated the degree to which young children's mothers needed a parent education program on home safety, the preferred goals, contents, methods, and evaluation of a parent education program on home safety, and whether or not the needs for a parent education program on home safety varied according to mothers' age, education background, and job. This study also analyzed the experience of their participation in any parent education program on home safety and its effect according to mothers' age, education background, and job. The data were collected from 569 mothers of young children and analyzed by $X^2$ and F tests. A questionnaire was developed based on the research of Peterson and Mori (1985) and Jung et al. (1992). The conclusions of this study were as follows: 1. The majority (92.8%) of mothers recognized the need for a parent education program on home safety and 97.5% indicated an intention of participating in a parent education program on home safety. 2. Mothers rated the most important goal of a parent education program on home safety as protecting young children from injuries. Mothers in their 30's responded to the need for understanding of young children's development characteristics and safety guidance as the highest while mothers in their 20's responded methods of first aid the highest. 3. The preferred methods of a parent education program on home safety were activities or learning by experience and the preferred instructors were safety professionals majoring in child development and family studies or early childhood education. The preferred practice methods of a parent education program on home safety were 5 sessions, with 25-29 participants, at young children's institute, on weekday afternoons, for one and a half hours per session, and with evaluation through questionnaire. 4. Nearly half (44%) of mothers had participated in a parent education program on home safety during the previous 3 years and 77.6% of them responded that a parent education program on home safety was effective on their safety lives. Mothers in their 30's had more experiences of a parent education program for home safety more than mothers in their 20's.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.18 no.10
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• pp.309-322
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• 2017

The purpose of this qualitative study was to describe the experience of mothers who have had children with cancer. Participants were seven mothers who had children diagnosed with cancer between 3 to 36 months. Data were gathered through in-depth interviews and analyzed by Colaizzi's phenomenological methodology. Overall, 216 significant statements, 62 formulated statements, 16 themes and five theme clusters were identified. The five theme clusters were 'heartbreaking sadness', 'arduous journey of battling', 'protect my child', 'feeling varying between gratitude and disappointment', and 'suffering and wishing to be with family'. Mothers who have had children with pediatric cancer receiving chemotherapy have experienced strong emotional fluctuations as well as hope as they cope with their ill child. However, they try to become strong women and embrace their family to cope with their situation. The results of this study will support for health professionals to understand mothers who have had children with cancer and to consider the supportive nursing care in considering mothers' emotional fluctuation.