• 성인간호학회지
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• 제22권5호
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• pp.509-518
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• 2010

Purpose: The purpose of this study was to examine the state of unmarried cohabitation and to compare the differences of loneliness and family function among university students with cohabitation experience and those with no experience in Korea. Methods: A convenience sample of 213 university students was recruited from three universities located in G city and the Chonnam area of Korea. Data collection methods included: (a) a demographic questionnaire, (b) a questionnaire related to cohabitation, (c) UCLA scale: 20 items on a 4-point scale (c) Family APGAR questionnaire: 5 items on a 3-point scale. SPSS/WIN 17.0 was used for descriptive analysis, ${\chi}^2$ test, t-test, and Pearson correlation. Results: In this study, 21.1% of the subjects had experiences of unmarried cohabitation. The cohabitation experience was related to gender, age, and monthly income. There was significant differences in family function between the two groups. Loneliness scores were significantly correlated with family function scores in the non-cohabitation group. Conclusion: To improve sex life of the university students, healthcare providers including school nurses may consider family function.

• 한국임상약학회지
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• 제22권1호
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• pp.41-46
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• 2012

Adverse drug reaction (ADR) is a global problem of major concern in health care. ADRs can be accrued in any organs or systems. However, cardiovascular ADRs could be a more serious problem if they are irreversible or severe. For this reason, this study was conducted to analyze pattern and severity of cardiovascular ADRs, and suspicious medication. Total 646 reports including cardiovascular ADRs reported to the KFDA between January and June 2010 were analyzed. Amlodipine besylate (36 reports, 3.3%), iopromide (29 reports, 2.7%), tramadol HCl (28 reports, 2.6%) were most suspicious drugs that occurred cardiovascular ADRs. The most common cardiovascular ADRs were hypotension( 236 reports, 33.1%), palpitation (134 reports, 18.8%), and hypertension (89 reports, 12.5%). The most frequent ADRs were occurred in the age group of more than 60. This result could be of help to prescribers and other healthcare providers to predict and prevent cardiovascular ADRs. Also this study suggested that patients with cardiovascular ADR risk factors should be intensively monitored during the medications.

• 한국보건간호학회지
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• 제32권1호
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• pp.96-108
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• 2018

Purpose: This study the mediating effects of marital intimacy the relationship between depression and marital satisfaction of infertile women. Methods: 165 infertile women visiting a hospital in Gyeonggi-do and Busan, Korea from January 2016 to April 2016. The data was analyzed the SPSS WIN 22.0 program. Results: Depression, marital satisfaction, and marital intimacy averaged $1.51{\pm}.32$ (range of scale 0~3), $3.50{\pm}.56$ (range of scale 1~5), and $3.74{\pm}.65$ (range of scale 1~5), respectively. Depression had a negative correlation with marital satisfaction (r=-.361, p<.001) and marital intimacy(r=-.183, p<.001). Marital intimacy also had a positive correlation with marital satisfaction (r=.637, p<.001). Marital intimacy partial mediating effects between depression and marital satisfaction (${\beta}=.591$, p<.001). Conclusion: the intimacy of couple can alleviate the causal consequences that lead to a decrease in the marital satisfaction due to depression. Therefore, healthcare providers for infertile women should screen depressed women and help support infertile women from negative values for marriage depression. In addition, it is necessary to include interventions for maintaining and enhancing the intimacy of couples during infertility treatment.

• 말소리와 음성과학
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• 제5권1호
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• pp.27-38
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• 2013

Healthcare providers in Korea are using conservative pharmacological treatment for Alzheimer's disease (AD) to delay the progress of the disease or to mitigate its behavioral and neurological symptoms. However, there is a growing need for interventions using practical non-pharmacologic treatment, as the effects of pharmacological treatments has faced limitations. This research provided a cognitive rehabilitation program to 3 AD patients and used a multiple baseline design across subjects to examine the effects. Performing reality orientation therapy (ROT) for 1 cycle (4 weeks) resulted in a slight increase in accuracy and responsiveness on an orientation task, mainly with patients with mild cases of AD. Also, in the sub-domain of the Korean-Mini Mental Status Examination performed to examine changes in cognitive ability, there were minimal changes in place orientation. In functional communication, however, there were no significant differences before and after the intervention. In conclusion, we found that ROT was an effective intervention for improving accuracy and responsiveness in the orientation of patients with mild cases of AD. In future studies, the effect of non-pharmacological interventions can be evaluated more reliably by examining the interaction effects of sample size, length of the intervention, outcome measurements, and pharmacological intervention.

• 대한산업공학회지
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• 제39권1호
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• pp.20-29
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• 2013

Medical errors such as adverse drug event, improper transfusion, wrong-site surgery, mistaken patient identity and so on commonly occur at health care practice. Information technology, like Drug Utilization Review(DUR) system which reviews, analyzes, and interprets medication data when prescribing, can play a key role in reducing such medical errors and improving patient safety. Korean Government has guided all hospitals to implement concurrent DUR(cDUR) system, which is the first case worldwide in that all healthcare providers have to use cDUR system when prescribing. This paper introduced a case study that a tertiary hospital has integrated the cDUR system into its comprehensive Hospital Information System(HIS) and analyzed the whole prescription data during a week right after adoption of cDUR system. Considering technical strength and weakness, the cDUR system was integrated into the HIS, using Broker Servers for minimizing doctors' anxiety. As the quantitative analysis of the whole prescription data, DUR conflict events, which mainly included duplicate medications and contra-indicated drug interactions for outpatients, were 2.77%. Although only 0.7% is for the contra-indicated drug interactions, it will be greatly devoted to achieve the purpose of DUR such as improving patient safety.

• 성인간호학회지
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• 제27권2호
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• pp.170-179
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• 2015

Purpose: To examine the relationships between self-care, social support, and biological markers in liver transplant recipients. Methods: The participants included 118 liver transplant recipients who visited outpatient clinic at Y University Hospital in Seoul from April to May, 2013. Questionnaires consisted of self-care and social support scales. The biological markers were collected by reviewing electronic medical records. Data were analyzed with descriptive statistics, t-test, ANOVA with Scheff$\acute{e}$ post-hoc test, and Pearson's correlation. Results: The self-care score was significantly higher in a patient group within 6 months post-transplant when compared to a patient group post-transplant 3 to 5 years (F=3.10, p=.018). The self-care showed positive correlation with social support with statistical significance (r=.36, p<.001). Conclusion: As the self-care in liver transplant recipients had a positive correlation with social support from family and healthcare providers, the development of comprehensive long-term nursing intervention systems including counseling, education, and support in consideration of progress of time period after transplantation is necessary to enhance self-care behaviors among this population.

• 산경연구논집
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• 제9권12호
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• pp.7-14
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• 2018

Purpose - The core objective of the research is to explore the quality of services provided by the Nigerian health care sector that lead to know the satisfaction levels of the consumers. Research design, data, and methodology - After a meticulous literature review, the researchers administered a two part questionnaire to know the service gaps and satisfaction levels of the customers. The research carried out with a sample of 400 respondents but received only 150 responses from the residents around Adamawa state. The collected data was edited, coded, and analyzed with the SPSS latest version with the descriptive and inferential statistical tools. Results - Majority of the respondents expressed their discontentment over the responsiveness of the service providers when compared to tangibility and reliability quality variables. There is no relationship between the quality variable tangibility and overall satisfaction. Related to the overall satisfaction, 42 percent of respondents have neutral perspective indicated that they are either satisfied or dissatisfied as against the 43.3 percent of dissatisfied customers. Conclusions - This research proffers invaluable information to the entire Nigerian health-care sector to review their existing delivery of services to improve patient satisfaction. This research is first of its kind concentrated to know the quality of health-care services and customers overall satisfaction in Nigeria.

• 동서간호학연구지
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• 제23권2호
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• pp.171-179
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• 2017

Purpose: The purpose of current study was to investigate nurses and physicians' attitudes towards withdrawal of life-sustaining treatment (LST) and knowledge about withdrawal of LST guideline by Korean Medical Association. Methods: Data were collected from 345 nurses and 88 physicians using a self-report questionnaire and analyzed using descriptive statistics, independent t-test or ${\chi}2$ test. Results: Participants' attitudes towards withdrawal of LST were positive and there was no significant difference between nurses and physicians. Nurses' knowledge of the guideline for withdrawal of LST was significantly higher than that of physicians, whereas physicians' knowledge of the purpose of the guideline was significantly higher than that of nurses. Conclusions: Nurses and physicians' knowledge of and attitudes toward withdrawal of LST may affect the quality of life of patients and their families. The result of this study may be helpful to design a program for improving the perception on LST of healthcare providers.

• 대한간호학회지
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• 제39권2호
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• pp.217-228
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• 2009

Purpose: Guided by Newman's theory of health as expanding consciousness, this study was done to explore the health experience of adolescents having depression. Methods: The researcher engaged in six to eight in-depth interviews with six adolescents. To begin the dialog, the researcher asked each participant to recount the first important memory he/ she had. All the narrative and diagram sharing between the researcher and participants were summarized according to recognized patterns and later elaborated in following interviews based on Newman's praxis methodology. Results: The significant individual pattern of early health experience was during the binding stage. At the turning point, individual patterns for participants revealed a personal journey of self-discovery and then emergence of reflecting behaviors. After the turning point, the participants changed as they evolved from the initial period of disruption and disorganization to organization at a higher level. The results suggest that adolescents who are depressive find new ways of relating to friends, family, healthcare providers, and the community by expanding their consciousness. Conclusion: Newman's praxis methodology is a good way of helping and studying adolescents with depression because it emphasizes participant-nurse/researcher partnership and pattern recognition as nursing practice.

• Asian Pacific Journal of Cancer Prevention
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• 제16권18호
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• pp.8345-8349
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• 2016

Background: Although the incidence of colorectal cancer in Malaysia is increasing, awareness of this cancer, including its symptoms, risk factors and screening methods, remains low among Malaysian populations. This survey was conducted with the aim of (i) ascertaining the awareness level regarding colorectal cancer symptoms, risk factors and its screening among the general populations and (ii) assessing the public preference and willingness to pay for colorectal cancer screening. Materials and Methods: The questionnaire was distributed in eight major cities in West Malaysia during the World Health Digestive Day (WDHD) campaign. Two thousand four hundred and eight respondents participated in this survey. Results: Generally, awareness of colorectal cancer was found to be relatively good. Symptoms such as change in bowel habit, blood in the stool, weight loss and abdominal pain were well recognized by 86.6%, 86.9%, 83.4% and 85.6% of the respondents, respectively. However, common risk factors such as positive family history, obesity and old age were acknowledged only by less than 70% of the respondents. Almost 80% of the respondents are willing to take the screening test even without any apparent symptoms. Colonoscopy is the preferred screening method, but only 37.5% were willing to pay from their own pocket to get early colonoscopy. Conclusions: Continous cancer education should be promoted with more involvement from healthcare providers in order to make future colorectal cancer screening programs successful.