• Title/Summary/Keyword: Health outcome

Search Result 1,552, Processing Time 0.028 seconds

The Preliminary Study for the evaluation of the Rehabilitation Nursing Program integrated with Day Care Program of Stroke Survivors (뇌졸중환자의 낮 병동 재활간호프로그램의 적용평가를 위한 예비연구)

  • Suh, Moon-Ja;Kang, Hyun-Sook;Lee, Myung-Hwa
    • The Korean Journal of Rehabilitation Nursing
    • /
    • v.3 no.1
    • /
    • pp.98-107
    • /
    • 2000
  • A Preliminary study for the evaluation of the Rehabilitation Nursing Program(RNP) implemented to the 25 stroke survivors at the Day Care Program Center of National Rehabilitation Hospital in Seoul was done at 1999. The purposes of this study was to assess the psychological effects as outcome-variables such as depression, powerlessness and self efficacy of the stroke survivors who were discharged from acute care hospitals. The Rehabilitation Nursing Program (RNP) integrated with the Day Care Program for rehabilitation was implemented and the psychological outcome variables were measured by 3 psychologic instruments of Zung Depression Scale, Millers's powerlessness and the Bandura's self efficacy scale. These instruments were translated into Korean and the contents validity and the reliability were tested. The subjects were 17 males and 8 females and 52% were aged over 51 years old and 24% were from 31 to 50 years old. Most of them (72%) had been educated more than high school level. The contents of RNP were 8 sessions composing of self-introduction, individualized assessment, health contract and feedback, management of depression, shaving experiences, effective communication, self efficacy teaching, health information, and daily care activities. This study found that the level of depression and the powerlessness were within average level and had not been changed the level of self efficacy after RNP were somewhat higher than before, but it was not changed significantly. According to the results, the psychological state of the subjects were not changed significantly. Only the level of self efficacy was a little improved after having the RNP. Based on theses results, the RNP should be focussed on the psychological nursing care and the psychological outcome variables were retested strictly with the enough sample size.

  • PDF

Impact of an Early Hospital Arrival on Treatment Outcomes in Acute Ischemic Stroke Patients (급성 뇌경색 환자의 증상 발현 후 응급실 도착까지의 시간이 치료 결과에 미치는 영향)

  • Kwon, Young-Dae;Yoon, Sung-Sang;Chang, Hye-Jung
    • Journal of Preventive Medicine and Public Health
    • /
    • v.40 no.2
    • /
    • pp.130-136
    • /
    • 2007
  • Objectives : Recent educational efforts have concentrated on patient's early hospital arrival after symptom onset. The purpose of this study was to evaluate the time interval between symptom onset and hospital arrival and to investigate its relation with clinical outcomes for patients with acute ischemic stroke. Methods : A prospective registry of patients with signs or symptoms of acute ischemic stroke, admitted to the OO Medical Center through emergency room, was established from September 2003 to December 2004. The interval between symptom onset and hospital arrival was recorded for each eligible patient and analyzed together with clinical characteristics, medication type, severity of neurologic deficits, and functional outcomes. Results : Based on the data of 256 patients, the median interval between symptom onset and hospital arrival was 13 hours, and 22% of patients were admitted to the hospital within 3 hours after symptom onset. Patients of not-mild initial severity and functional status showed significant differences between arrival hours of 0-3 and later than 3 in terms of their functional outcomes on discharge. Logistic regression models also showed that arrival within 3 hours was a significant factor influencing functional outcome (OR=5.6; 95% CI=2.1, 15.0), in addition to patient's initial severity, old age, cardioembolism subtype, and referral to another hospital. Conclusions : The time interval between symptom onset and hospital arrival significantly influenced treatment outcome for patients with acute ischemic stroke, even after controlling for other significant clinical characteristics. The findings provided initiatives for early hospital arrival of patients and improvement of emergency medical system.

Hip Labral Repair versus Reconstruction: Meta-analysis

  • Jean Tarchichi;Mohammad Daher;Ali Ghoul;Michel Estephan;Karl Boulos;Jad Mansour
    • Hip & pelvis
    • /
    • v.36 no.3
    • /
    • pp.168-178
    • /
    • 2024
  • The purpose of this meta-analysis is to compare the postoperative outcomes and complications of labral repair with those of labral reconstruction. An electronic search strategy was conducted from 1986 until August 2023 using the following databases: PubMed, Cochrane, and Google Scholar (pages 1-20). The primary objectives included the postoperative clinical outcomes determined by the number of patients who reached minimal clinical important difference (MCID) on the visual analog scale (VAS), modified Harris hip score (mHHS), Hip Outcome Score-Sports Subscale (HOS-SS), Hip Outcome Score-Activities of Daily Life (HOS-ADL), and International Hip Outcome Tool-12 (iHOT-12). In addition, analysis of the rate of revision arthroscopy, the rate of conversion to total hip arthroplasty (THA), the postoperative VAS, mHHS, HOS-SS, HOS-ADL, iHOT-12, nonarthritic hip score (NAHS), patient satisfaction, lower extremity function scale (LEFS), and the SF-12 (12-item shortform) was also performed. Any differences arising between the investigators were resolved by discussion. Seventeen studies were relevant to the inclusion criteria and were included in this meta-analysis. A higher rate of patients who reached MCID in the mHHS (P=0.02) as well as a higher rate of revision arthroscopy was observed for labral repair (P=0.03). The remaining studied outcomes were comparable. Despite the greater predictability of success in the reconstruction group, conduct of additional studies will be required for evaluation of the benefits of such findings. In addition, labral reconstruction is more technically demanding than a labral repair.

The Development of a Program Outcomes Assessment System for Utilization of Information and Communication Technology and the Latest Healthcare Technology in Nursing Education (정보통신과 최신 보건의료기술 활용에 관한 간호교육 프로그램 학습성과 평가체계 개발)

  • Jeong-Mi Jeong;Mi-Ra Nam
    • Journal of the Health Care and Life Science
    • /
    • v.11 no.2
    • /
    • pp.289-302
    • /
    • 2023
  • This study is a methodological research aimed at developing a program outcome assessment system for 'Utilization of Information and Communication Technology and the Latest Healthcare Technology' as required for nursing education accreditation. To ensure the theoretical validity of the assessment system, Kim's evaluation model (2009) and Zimmaro's rubric development stages (2004) were applied. The program outcome assessment system for information and communication and healthcare technology was developed, encompassing performance criteria, performance level, achievement goals, curriculum, evaluation methods, criteria, and the Close-the-Loop. The resulting assessment system is anticipated to be effectively utilized in nursing education, demonstrating broad applicability. This study is significant in providing specific directions for the development of program outcome assessment systems in undergraduate nursing programs. Further research is expected to evaluate and analyze program outcomes based on the applied assessment system.

Impact of Information and Communication Technology on Economic Growth and Population Health in Malaysia

  • AFROZ, Rafia;MUHIBBULLAH, Md.;MORSHED, Mohammad Niaz
    • The Journal of Asian Finance, Economics and Business
    • /
    • v.7 no.4
    • /
    • pp.155-162
    • /
    • 2020
  • The paper aims to examine the association between information and communication technology (ICT), economic growth and population health based on health production model in Malaysia. This theoretical health production function is represented as follows: where the output is an individual health outcome, and the inputs are determinants of health, such as income, education, health care costs, medical facilities, the environment, and lifestyle. The development of information and communication technologies are represented as of mobile cellular subscriptions (per 100) and fixed telephone subscriptions (100) using time series data from 1993-2017 from the World Bank database. Using the bound testing technique of cointegration, this study finds that ICT affects population health significantly and positively in the long- and short-run. This is because ICT inclusion improves human health and longevity. Whereas, economic growth has no significant impact on the population's health both in the short- and long-run. The findings indicate that a weak global economy affects Malaysia's economic growth and reduces the health expenditure per capita. The results of this study suggest that policymakers must develop policies that improves public health by increasing health literacy, disseminating health information and facilitating medical facilities. This study also suggests that health care systems should to concentrate on digital inclusion.

The Relationship between Optimistic Bias about Health Crisis and Health Behavior (성인의 건강위기에 대한 낙관적 편견과 건강행위 간의 관계)

  • Park, Su-Ho;Lee, Sul-Hee;Ham, Eun-Mi
    • Journal of Korean Academy of Nursing
    • /
    • v.38 no.3
    • /
    • pp.403-409
    • /
    • 2008
  • Purpose: This study was performed to identify the relationship between optimistic bias about health crisis and health behavior of Korean adults in a crisis of health, and to prepare baseline data for developing a health education and promotion program. Methods: Study subjects were 595 aged from 19 to 64 who live in Korea. Data were collected through questionnaires administered by one interviewer. Descriptive statistics and Pearson's correlation coefficient were calculated using the SPSS program. Results: The average score for optimistic bias about health crisis was 2.69, and that for health behavior was 107.05. The optimistic bias about health crisis showed a significantly positive correlation with health behavior (r=.187, p=.000). Conclusion: To make our results more useful, it is necessary to identity the causal relationship between health attitudes as an explanatory variable and optimistic bias as an outcome variable. In addition, a relatively low score in optimistic bias from this research compared to other studies must be explained through further studies considering unique Korean cultural background. Moreover, research of the relationship between optimistic bias about health crisis and health behavior looking at people who don't have good health behaviors is needed.

Trends in Research on Adolescent Suicide Interventions (청소년 자살 중재연구 동향)

  • Cho, Hun Ha;Kang, Jung Mi;Kim, Won Soon
    • Child Health Nursing Research
    • /
    • v.24 no.4
    • /
    • pp.393-406
    • /
    • 2018
  • Purpose: This study was designed to analyze recent trends in adolescent suicide intervention research in Korea and to suggest future research directions in this area. Methods: Studies Thirty-four studies selected from http://www.riss4u.net over the for last 20 years were analyzed by field and design of the study, study participants, and the outcome variables used in intervention studies. Results: Nineteen (55.9%) of the 34 studies were conducted in the fields of welfare (9), psychology (5) and nursing science (5). Ordinary adolescents were the most frequently studied participants. A nonequivalent control group pretest-posttest design was used in twenty one (61.7%) of the 34 studies. The most frequently measured outcome variables were depression, suicidal ideation and self-esteem. Conclusion: These results suggest that research on adolescent suicide intervention programs is expanding with a focus on ordinary adolescents as and subjects. In order to prevent suicide, research on family, teachers, and friends, who all are important parts of a teenager's support system, is needed. It is also necessary to develop a post-management intervention program to prevent recurrence in high-risk teenagers who have attempted suicide.

A Concept Analysis of the Rearing (양육의 개념 분석)

  • Lee Soo Yeon
    • Child Health Nursing Research
    • /
    • v.4 no.1
    • /
    • pp.76-85
    • /
    • 1998
  • Rearing is important to the growth and development of the child. Traditionally, nurturing is a maternal role which is expressive role. Maternal role was composed of mothering and maternicity. Rearing is a key concept of psychology, education and sociology discipline. Knowledge of the rearing is an essential component for the development of nursing as a science and a profession. The first thing to study a concept is thought to be a concept analysis. So, in this study, concept analysis of the rearing was performed to clarify a concept of the rearing as a basis for the study of rearing afterward. The approach used for the concept analysis was the approach presented by Walker and Avant (1993). The defining attributes of rearing, identified in this study were (1) a series of caring activities in parent-child relation, (2) an essential of the growth and development of a child, (3) changeable according to time, place and object, (4) effort is necessary to the rearing, (5) positive or negative aspects (6) attitude, behavior, environment is sub-concepts of the rearing concept. The identified antecedents of the rearing was child-birth. The identified consequences of rearing were desirable or undesirable outcomes. Desirable outcome was the emotional satisfaction and growth in parent-child relation. Undesirable outcome was the emotional disorder and social maladaptation of the child. The empirical referents of the rearing could be the caring phenomena in parent-child relation.

  • PDF

The Surgical Management of Traumatic C6-C7 Spondyloptosis

  • Keskin, Fatih;Kalkan, Erdal;Erdi, Fatih
    • Journal of Korean Neurosurgical Society
    • /
    • v.53 no.1
    • /
    • pp.49-51
    • /
    • 2013
  • A case of traumatic spondyloptosis of the cervical spine at the C6-C7 level is reported. The patient was treated succesfully with a anterior-posterior combined approach and decompression. The patient had good neurological outcome after surgery. A-51-year-old female patient was transported to our hospital's emergency department after a vehicle accident. The patient was quadriparetic (Asia D, MRC power 4/5) with severe neck pain. Plain radiographs, computerize tomography and spinal magnetic resonance imaging (MRI) showed C6-7 spondyloptosis and C5, C6 posterior element fractures. Gardner-Wells skeleton traction was applied. Spinal alignment was reachived by traction and dislocation was decreased to a grade 1 spondylolisthesis. Then the patient was firstly operated by anterior approach. Anterior stabilization and fusion was firstly achieved. Seven days after first operation the patient was operated by a posterior approach. The posterior stabilization and fusion was achieved. Postoperative lateral X-rays and three-dimensional computed tomography showed the physiological realignment and the correct screw placements. The patient's quadriparesis was improved significantly. Subaxial cervical spondyloptosis is a relatively rare clinical entity. In this report we present a summary of the clinical presentation, the surgical technique and outcome of this rarely seen spinal disorder.

A Review of Studies the Job Stress Management Interventions(SMIs) conducted from 1991 to 2004 (직무스트레스관리중재에 대한 논문 분석(1991-2004))

  • Kim, Jeong Hee
    • Korean Journal of Occupational Health Nursing
    • /
    • v.16 no.1
    • /
    • pp.15-27
    • /
    • 2007
  • Purpose: This study was conducted to identify patterns and trends of studies of SMIs from 1999 to 2004, and to suggest the directions of future research activities. Method: 38 research studies of SMIs were selected and classified according to the sample characteristics, and the types of SMIs and outcome variables. Results: The number of SMIs studies has been increased since 1991, but it was more smaller than descriptive studies. They tended to be conducted more without the conceptual framework or randomization. Nurses were the most popular subjects and GHQ was more prevalent than other instruments. SMIs studies used confusedly in "job stress" terms. The outcome variables, most frequently measured were "anxiety and depression". 46 interventions were conducted in 38 studies. Most of them were individual worker-focused intervention and CBT was most frequently conducted. There were wide variations in duration, and intervals of SMIs. Conclusions: These results of this study will be used to guide the development of SMIs. And it was needed to identify and debate on 'stress' terms among the authors and to develop the SMIs. Also, it will be needed research that evaluate the effect of Job SMIs and experimental studies must be conducted rather than descriptive studies.

  • PDF