• 간호행정학회지
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• 제7권2호
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• pp.205-221
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• 2001

It will become more and more popular to use the long-term care facilities and home health care services with the chronic disease increasing. It depends on how much the consumers would pay and purchase the services. They might get more benefits from that kind of services than from ordinary hospitalization. So far, the study of determining the medical service price has focused most often on the efforts from the providers' view. But it must be reasonable to include the consumers' value for the service. This study was performed to assess WTP(Willingness to Pay) for home health care service in order to apply to the determination of nursing price in a reasonable manner. In this study, respondents were asked if they would pay for the service's intangible benefits under the four different types(open-ended minimum WTP, open-ended maximum WTP, bidding WTP, referendum WTP). The contingent valuation method is a potentially useful tool in understanding how people value the benefits of the service. As a result, average open-ended minimum WTP was W16,015 per day among 65 respondents. Average open-ended maximum WTP was W29,154 per day among 65 respondents. Average bidding WTP was W26,300 per day among 65 respondents. Average referendum WTP was W22,200 per day among 70 respondents. The results of regression analyses were also consistent with theoretical prediction, e.g., increasing WTP with consumers' value for the service, state of patients, and household income. This study demonstrated that it was more reasonable to consider the consumers' value in determining the services' price. In addition, a further study is needed to test the validity of this CV method and to determine a proper nursing price based on the consumers' view.

• 대한물리치료과학회지
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• 제21권1호
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• pp.45-52
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• 2014

Purpose : This study is to research about the need of a home visiting physical therapy for children with disabilities. Methods : We surveyed the guardians related to it and one hundred and three questionnaires of one hundred and twenty were returned and analyzed. The results are listed below. Results : First, there are many opinions that a need of physical therapy is necessary, but many people suffer from financial problem to use this service. Second, most of opinions using a home visiting physical therapy of children with disabilities are positive. People who need this service prefer it to manage by national public organization. They also want physical therapists who have worked more than five years to treat them and one hour for treatment time required with about twenty thousand won and At last, in the survey, people ranked solving the inconvenience of coming and going hospitals as a highest expectation and avoiding discharge by force due to long-term hospitalization as a lowest one. Conclusion : To sum it up, high demand and expectation of effectiveness of a home visiting physical therapy for children with disabilities mean that study and analysis are essential to establish this system through implementation on a trial basis within a certain period of time for verifying the effectiveness of this service.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제40권
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• pp.29.1-29.11
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• 2018

Background: For proper recovery from craniofacial fracture, it is necessary to establish guidelines based on trends. This study aimed to analyze the patterns and causes of craniofacial fractures. Methods: This retrospective study analyzed patients who underwent surgery for craniofacial fractures between 2010 and 2017 at a single center. Several parameters, including time of injury, region and cause of fracture, alcohol intoxication, time from injury to surgery, hospitalization period, and postoperative complications, were evaluated. Results: This study analyzed 2708 fracture lesions of 2076 patients, among whom males aged 10 to 39 years were the most numerous. The number of patients was significantly higher in the middle of a month. The most common fractures were a nasal bone fracture. The most common causes of fracture were ground accidents and personal assault, which tended to frequently cause more nasal bone fracture than other fractures. Traffic accidents and high falls tended to cause zygomatic arch and maxillary wall fractures more frequently. Postoperative complications-observed in 126 patients-had a significant relationship with the end of a month, mandible or panfacial fracture, and traffic accidents. Conclusions: The present findings on long-term craniofacial fracture trends should be considered by clinicians dealing with fractures and could be useful for policy decisions.

• 간호행정학회지
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• 제10권3호
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• pp.375-386
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• 2004

The purpose of this study was to identify the present use of caregiver services, to evaluate the degree of satisfaction with the services according to type of caregiver service, private or public, and to provide data for the development of a plan which will provide good quality service with less economic and psychological burden to the patients and their families. Survey data were collected from 130 patients in 4 general hospitals in Seoul, and their families. Data were collected during April, 2004, using a questionnaire which included the patient satisfaction scale developed by Jun (2001). Data were analyzed using frequencies, percentages, means and standard deviations, $X^2$ analysis, t-test. The SPSS computer program was used to facilitate analysis. The results of this study are summarized as follows; The total score for satisfaction was high for both groups. For the private caregiver group it was $52.38{\pm}11.08$, and for the public caregiver group, $58.14{\pm}9.64$. This difference was significant(t=-3.391, p=.001). In all of areas, the scores for satisfaction of the public caregiver service group were higher than private caregiver service group, ie. caregivers' attitude, role, confidence, performance, and service charge, and all the differences were significant. In conclusion, it was found that long-term hospitalization of older patients with high dependence resulted in more caregiver service. There were more severe patients in the public caregiver group, but the service charges, additional costs and paid holidays were less. Based on these results, patients and their families were significantly more satisfied with public caregiver service because it was not only less expensive but also had a high quality of service. Thus, caregiver services should be systemized so that patients and their families will get the best quality caregiver service

• 대한치과마취과학회지
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• 제11권2호
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• pp.146-152
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• 2011

Background: Elderly patients with progressive dementia including Alzheimer's disease (AD) are more and more often scheduled to undergo general anesthesia for various pathologies including dental problem. But, there is high risk of deterioration of underlying mental diseases and other co-morbidities. So it is important to implement preventive strategies and take adequate measures to minimize negative perioperative events in these patients. Methods: We reviewed the 17 cases of 11 patients with AD who underwent ambulatory general anesthesia for dental treatment at the clinic for the disabled in Seoul National University Dental Hospital. Results: The mean age was 68 (57-81) years. All of them were diagnosed with AD and some had hypertsnsion, bronchiectasis, urinary incontinence. For anesthesia induction, 3 cases (1 patient) was needed physical restraint, but others showed good or moderate cooperation. Drugs used for anesthesia induction was thiopental (11 cases), propofol (3 cases) and sevoflurane (3 cases). All patients received nasotracheal intubation without difficulties. Mean total anesthetic time was 3 hour 44 min ${\pm}$ 60 min and staying time at PACU was 83 ${\pm}$ 34 min. All the patients except one who showed hypertension discharged without any complication. There was no death or long term hospitalization because of severe complications. Conclusions: If general anesthesia is needed, pertinent diagnostic tests and workup about other medical problems, and appropriate anesthetic planning are essential for safety.

• 사회복지연구
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• 제39호
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• pp.57-81
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• 2008

알코올 중독자의 동기가 치료의 효과에 미치는 영향은 매우 중요한 것으로 알려져 왔다. 본 연구는 알코올 중독문제를 가진 개인들의 치료에 대한 동기를 나타내는 지표로서 입원치료에 대해 환자자신이 동의하였는지의 여부에 주목하였다. 자의입원환자와 타의입원환자는 치료에 대한 동기수준이 다르다고 볼 수 있으므로 치료의 효과성에 대한 지표로서 퇴원후 단주기간에도 차이가 있을 것으로 생각되었다. 이러한 연구목적을 가지고 알코올문제로 진단을 받고 입원치료중인 환자 66명을 대상으로 조사를 실시하였다. 이들의 퇴원후 단주기간은 1차 조사후 8개월 시점에서 전화로 추적조사 하였다. 연구결과, 자의입원환자가 타의입원환자에 비하여 유의미하게 오랜 기간 동안 단주를 유지하는 것으로 나타났으며, 단주기간을 예측하는 요인으로 자의입원 외에 환자가 인지하는 가족지지 역시 유의미한 요인임을 알 수 있었다. 이러한 연구결과는 알코올 중독자들의 입원치료에 있어서 환자들의 자발적 의지가 매우 중요함을 다시 한번 보여주는 것이라 하겠다.

• Clinical and Experimental Pediatrics
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• 제61권12호
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• pp.387-391
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• 2018

Purpose: Subgaleal hemorrhage (SGH) is a rare but potentially fatal condition in newborns; however, few studies have reported on this condition. We aimed to identify the clinical characteristics and prognostic factors of SGH. Methods: We retrospectively reviewed the medical records of 20 neonates diagnosed with SGH between January 2000 and June 2017. Enrolled neonates were clinically diagnosed when they had tender fluctuant scalp swelling that crossed the suture lines. Results: Among 20 neonates with SGH, 12 were boys and 7 were girls; median hospitalization duration was $9.7{\pm}6.9days$. Fourteen neonates (70%) were born via vacuum-assisted vaginal delivery, and 4 via vacuum-assisted cesarean section. Of the neonates enrolled, half of them initially showed unstable vital signs, including apnea, desaturation, and cyanosis. Ten neonates had acidosis and 3 had asphyxia (pH<7.0). Intracranial lesions associated with SGH were observed in 15 neonates (75%), including subdural hemorrhage (50%), subarachnoid hemorrhage (15%), intraventricular hemorrhage (5%), cerebral infarct (15%), skull fracture (30%), and cephalohematoma (20%). Twelve neonates (60%) required transfusion, 5 (25%) had seizures, and 3 (15%) died. Eight neonates (40%) had hyperbilirubinemia (mean total bilirubin, $13.1{\pm}7.4$). The mean follow-up period was $8.4{\pm}7.5months$. At follow-up, 10 neonates (58.8%) were healthy with normal development, whereas 7 (41.2%) had neurological deficits. Conclusion: The morbidity rate was 41.2% due to severe metabolic acidosis. Anemia, hyperbilirubinemia, low Apgar scores, and subdural hemorrhage did not affect the prognosis. The long-term outcomes of neonates with SGH are generally good. Only arterial blood pH was significantly associated with death.

• The Korean Journal of Pain
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• 제35권4호
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• pp.468-474
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• 2022

Background: The new type of corona virus has a wide range of symptoms. Some people who have COVID-19 can experience long-term effects from their infection, known as post-COVID conditions. The authors aimed to investigate prolonged musculoskeletal pain as a symptom of the post-COVID-19 condition. Methods: This is a descriptive study on the patients who were diagnosed with COVID-19 in a university hospital, between March 2020 and March 2021. Patient records and an extensive questionnaire were used to obtain relevant demographic and clinical characteristics, including hospitalization history, comorbidities, smoking history, duration of the pain, the area of pain, and the presence of accompanying neuropathic symptoms. Results: Of the diagnosed patients, 501 agreed to participate in the study. Among the participants, 318 had musculoskeletal pain during COVID-19 infection, and 69 of them reported prolonged pain symptoms as part of their a post-COVID condition which could not be attributed to any other cause. The mean duration of pain was 4.38 ± 1.73 months, and the mean pain level was 7.2 ± 4.3. Neuropathic pain symptoms such as burning sensation (n = 16, 23.2%), numbness (n = 15, 21.7%), tingling (n = 10, 14.5%), stinging (n = 4, 5.8%), freezing (n = 1, 1.4%) were accompanied in patients with prolonged musculoskeletal pain. Conclusions: Patients with COVID-19 may develop prolonged musculoskeletal pain. In some patients, neuropathic pain accompanies it. Awareness of prolonged post-COVID-19 pain is crucial for its early detection and management.

• 임상간호연구
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• 제15권3호
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• pp.157-170
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• 2009

Purpose: This quasi-experimental study was conducted to investigate the effects of supportive nursing management on postpartum depression in the mothers with premature infants. Methods: The subjects were 21 mothers who delivered premature babies in a university hospital. The experimental group of 10 mothers was provided with supportive nursing management program by nurses in neonatal ICU and the control group of 11 mothers was provided with usual management only. The designed programs were given 4 times to the experimental group while their babies were hospitalized, and telephone consultation was provided 3 times after discharge. The stress, anxiety, identity, support from their husbands & family members, and postpartum depression were measured 3 times using Edinburgh Postnatal Depression Scale (the 4th day of premature's hospitalization, the day of discharge and the day of 4 weeks after discharge). Results: There was no significant difference in general characteristics and the influential factors of postpartum depression between the two groups, so they were homogeneous. There was no significant difference in depression (F=0.01, p=.917). However there was significant difference over time (F=6.74, p=.003) and the interaction between measurement time and treatment (F=3.59, p=.037). Conclusion: The supportive nursing management on postpartum depression of mothers with premature infants is considered effective and useful in reducing postpartum depression. Further research is warranted to investigate paternal depression and the program's long-term effects.

• Journal of Chest Surgery
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• 제35권2호
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• pp.144-148
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• 2002

본 연구는 광투시 전동형 정맥적출술의 안정성과 임상적인 유용성을 알아보기 위하여 2001년 2월부터 2001년 7월까지 본원에서 하지정맥류로 진단받고 광투시 전동형 정맥적출술을 시행받은 104명의 환자를 조사 대상으로 하였다. 또한 1992년부터 2000년 12월까지 정맥결찰 및 제거수술을 시행받은 환자 90례를 대조군으로 하여 후향적으로 수술시간 및 재원기간, 부작용등을 비교하였다. 총 104명의 환자중 여자는 72명 남자는 32명이었으며, 팽대된 정맥류는 2~3mm정도의 작은 피부절개창을 낸 후에 TrivexTM Irrigated illuminator(Smith ＆ Nephe $w^{ R}$) system으로 생리 식염수를 주입하여 수성박리(hydrodissection)을 시행한 후 TrivexTM Resector(Smith & Nephe $w^{R}$) system을 이용하여 제거하였다. 제거된 정맥의 파편은 흡입기를 이용하여 흡인한 후 패드를 이용하여 압박하여 출혈을 효과적으로 줄일 수 있었다. 수술부작용은 정맥염, 하지부종, 피부천공 등 3.84%이었으며, 평균 피부절개는 3.24개, 평균수술시간은 65.9%이었다. 환자는 평균 1.86일간 입원하였다. 하지 정맥류의 수술적 치료에 있어서 광투시 전동형 정맥적출술은 수술시간 및 합병증의 발생에 있어서 기 존의 수술적 치료방법과 비교하여 우수하며, 환자의 시간적, 경제적 부담이 적으며 재발의 위험이 적고, 미용적으로 우수한 좋은 치료방법이다.의 위험이 적고, 미용적으로 우수한 좋은 치료방법이다.