• 제목/요약/키워드: Medical Care Assistance

검색결과 113건 처리시간 0.027초

간호력(Nursing History)을 통해 본 내과 입원환자의 간호요구 (A Study of the Nursing Needs of Hospitalized medical Patients by Means of Nursing History Form)

  • 전경애
    • 대한간호학회지
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    • 제7권2호
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    • pp.1-10
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    • 1977
  • Personalized Patient centered nursing care is increasingly difficult to achieve despite the fact that it remains one of our consistent goals. So, we must find away to individualized nursing care. One means, to achieve this is by use of the nursing history form, which has been developed to help the nurse make maximum use of her limited time with the patient, by obtaining systematically the information needed to plan his nursing care. The nursing history form can be used to collect data about individual nursing needs but also it lends itself to the collection of epidemiological data relevant to the needs of patient population. So this study was undertaken in an attempt to describe the general characteristics of the population studied, to find out their perceptions and expectations related to their illness and hospitalization, to find out specific basic needs and to examine the relationship between the patients nursing needs and demographic characteristics through the responses to the nursing history questions. The study population defined and selected was all the patients (70) who were admitted to Yonsei University Hospital from October 1 - 15, 1975. The direct interview method was used and the data were categorized by the investigator, according to the nature of responses to each question and were subjected to the percentile and the chi- square tests. The findings can be summarized as follows 11. General characteristics of the study population ; The population was made up mainly of urban patients who were highly educated. The age was equally distributed. 2. Patients, perceptions and expectations related to illness and hospitalization ; 88.6% of the patients knew about the reason for hospitalization but 64. 5% could state symptoms only. 37.5% recognized the cause of illness. Approximately three fourth of the patients expressed on expectation for early recovery. 60.0% of the patient responses indicated, that they expected less than 10 days of hospitalization. Of the total responses regarding hospitalization, 45.7% were negative about the post -hospitalization expectation, 45.7% expected to return to work. As a result of these findings, we can see that there is a great educational need, a psychological need and environmental need for adaptation to the hospital and a socio- economic need for the post - hospitalization period. 3. Specific basic needs : The physical needs include the problem of getting sufficient sleep (50.0%), difficulty in food intake(47.1%), problems with hospital diet (47.0%), abnormal condition of the skin(44.3%), problems with bowel elimination(35.7%), assistance with bathing(35.7%), pain(30.0%), difficulty in walking(30.0%) , difficulty in seeing(30.0%) problems in urinary elimination(20.0%) , and difficulty in hearing(10.0%), 4. Nursing needs and epidemiological characteristics ; Age distribution was related to the rendition of the mouth but no significant differences were observed statistically with the patients responses to the other nursing history questions according to the epidemiological variables of age, sex, education and residence.

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치과위생사의 수행업무에 대한 인식도 및 실태조사 (A study on the job awareness of dental hygienists and their job performance)

  • 심수현;황윤숙
    • 한국치위생학회지
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    • 제7권2호
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    • pp.153-166
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    • 2007
  • The job of dental hygienists is specialized, and they have to be capable of performing their primary duties including prevention of oral diseases, oral prophylaxis, and oral health education. To ensure their successful job performance, dentists should have an accurate understanding of their duties and need a change of mind-set about them. And there should be written legal and concrete regulations on the coverage of their work in order to let them boost their job performance with pride and a sense of responsibility. The purpose of this study was to examine the actual roles and job performance of dental hygienists in clinical field in an attempt to discuss the substantial job performance of dental hygienists and their job enlargement. It's basically meant to help enhance the efficiency and quality of medical services. The subjects in this study were 471 dental hygienists in dental clinics, dental hospitals, university hospitals and general hospitals across the nation, on whom a survey was conducted in person from March 2 to 25, 2005. The collected data were analyzed with SPSS Win 12.0 program, and the findings of the study were as follows: 1. The major jobs they currently performed included oral health education, hospital management, simple duties, extensive dental hygiene duties and joint treatment assistance. They hoped to continue to be responsible for oral health education, preventive treatment and extensive dental hygiene duties. 2. As for their current job by age, extensive dental hygiene duties, preventive treatment, joint treatment assistance, preserving treatment, prosthetic treatment and pediatric treatment were most conducted by the dental hygienists who were at the age of 26 to less than 31, and those who were at the age of 31 and up were most responsible for hospital management and simple duties. 3. As to job awareness by workplace, their workload was statistically significantly different according to their workplace. The hospital employees took care of more work than those in clinics. 4. Concerning job awareness by age, the younger dental hygienists suffered more role conflicts and were given a less free hand in work handling, the middle-aged group's job was uncertain. Legal regulations about the coverage of their work should be prepared in detail as a measure to stir up their responsible job performance and pride. In order to take advantage of experienced dental hygienists, their duties should be more differentiated and specialized, and their working conditions should be improved to boost their job satisfaction. That is, they should be given ample chances for promotion and serving as a middle manager and be given fair treatment according to their career. If their work is accurately darified and specialized based on career, it will boost the efficiency of dental treatment. Dental hygienists also should direct sustained efforts into self-development in order to become a skilled and professional oral health personnel.

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체임피던스 방법을 이용한 PDA 기반의 휴대용 체지방 측정 및 진단 시스템 개발 (Development of the PDA Based Mobile System for Body Fat Measurement and Diagnosis Using Bioelectrical Impedance Method)

  • 권세윤;이상민;김재환;우지환;김인영;이형기;방석원;김선일
    • 대한의용생체공학회:의공학회지
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    • 제25권1호
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    • pp.21-26
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    • 2004
  • 최근 건강에 대한 관심이 증가함에 따라 많은 사람들은 일상생활 중 언제 어디서나 체지방과 같은 자신의 건강 상태를 지속적으로 확인하고 싶어한다. PDA(Personal Digital Assistance, 개인 휴대용 단말기)는 휴대용 무선 장치의 특성으로 인해 그 수요가 점점 증가하고 있으며 휴대용 계측 시스템으로의 응용이 가능하다. 본 연구에서는 PDA 크래들 형태의 측정 모듈 및 WindowCE 운영 체제를 사용하는 소프트웨어 모듈로 구성된 PDA 기반 체지방 측정 시스템을 제작하였다. 또한 20∼32세 사이의 63명의(남 53, 여 10) 건강한 피검사를 대상으로 임상 실험을 통해 제지방량 산출 선형 회귀식을 도출하였다 (제지방량(kg) : 0.0005*신장$^2$ - 0.016*인피던스 + 0.3920*체중 - 0.0684*나이 - 5.8141*성별 + 25.984). 체지방 측정에 있어 본 연구에서 제작된 기기와 기존의 시판 중인 bionet사의 HTM1000plus (KFDA 승인) 기기와의 강호 상관 계수는 0.928로써 체지방 측정에 있어 본 기기의 신뢰성을 간접적으로 나타내었다. 이와 같은 결과는 본 연구에서 제작된 기기가 PDA 크래들 형태의 소형화 된 시스템임에도 우수한 성능을 보임을 알 수 있었다.

빈곤층의 물질적 궁핍, 실태와 영향요인 분석 (Material Hardship of the Poor Families in Korea: The Distributions and Determinants of Material Hardship)

  • 이상록
    • 사회복지연구
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    • 제42권3호
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    • pp.233-265
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    • 2011
  • 본 연구에서는 물질적 궁핍의 측정 및 분석이 빈곤에 대한 다각적 이해에 유용할 뿐 아니라 빈곤층의 경제적 어려움 해소를 위한 대책 마련에도 주요한 정책적 시사를 제공할 수 있음에 주목하여, 한국사회 물질적 궁핍의 전반적 실태와 더불어 빈곤층의 물질적 궁핍의 양상 및 관련 영향 요인을 분석하고자 하였다. 분석에서 물질적 궁핍은 기본욕구 충족과 밀접히 관련된 음식(food), 주거(housing), 생활필수공공재(utilities), 의료서비스(medical care)에의 결핍 경험으로 정의, 측정하였으며, 분석자료로 한국복지패널조사자료를 활용하였다. 분석결과에서는, 물질적 궁핍을 경험한 가구의 비율은 전체의 17.0%로 나타나 최소수준의 기본욕구조차 충족치 못하는 가구들이 적지 않음을 확인할 수 있었다. 둘째, 소득계층 및 빈곤지위별 분포를 분석한 결과에서는 물질적 궁핍이 하위 소득계층(34.8%) 및 빈곤층(40.7%)에서 높게 경험되고 있지만, 중간 소득계층(18.0%) 및 비빈곤 차상위층(36.6%)에서도 적지 않게 경험되는 것으로 확인되었다. 셋째, 빈곤층을 대상으로 관련 요인들의 영향을 분석한 결과, 가구소득(욕구대비소득)은 별다른 영향이 없는 반면 소비지출 관련 요인(주거형태, 가족형태, 건강상태) 및 여타 경제적 자원(재산, 기초보장수급), 가구주의 취업지위 등은 유의미한 영향을 미치는 것으로 확인되었다. 본 연구의 결과는 소득빈곤의 분포와 물질적 궁핍의 분포가 일치하지 않음을 보여주어, 물질적 궁핍의 측면에 대한 분석이 한국사회 빈곤의 다면성을 파악함에 유용할 수 있음을 시사하여 준다. 또한, 빈곤층의 물질적 궁핍 실태와 양상은 국민기초생활보장제도에 대한 적극적 개선 및 보완이 요청됨을 시사하여 준다.

에이전트기반 개방병원 간호기록시스템 설계에 관한 연구 (A Study on Design of Agent based Nursing Records System in Attending System)

  • 김경환
    • 지능정보연구
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    • 제16권2호
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    • pp.73-94
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    • 2010
  • 개방병원에 환자의 입원을 의뢰한 담당 의사들은 환자들의 상태와 제대로 된 간호서비스를 받고 있는지에 대한 정보를 간호기록을 열람함으로써 확인할 수 있다. 하지만 간호기록은 병원의 내부자료로써 외부기관에 쉽게 공개할 수 없는 자료이고 표준화가 확립되어 있지 않아 병원별로 다르게 작성되고 있어 필요한 정보를 공유하는데 많은 어려움이 따른다. 따라서 본 연구에서는 개방병원 간호기록의 작성과 공유를 지원하기 위한 시스템을 개발하고자 하였다. 본 시스템은 우선 간호기록을 실제로 작성하는 간호사의 편의성을 고려하여 간호기록항목사전을 설정하게 하고 간호사와 의사간의 지능형 에이전트를 이용한 협상으로 작성과 공개의 항목을 확정하도록 하였다. 이 모든 과정은 의료기관간의 네트워킹을 지원할 수 있도록 웹기반시스템으로 설계되었고 실제 구현을 통하여 실현가능성을 확인하였다.

입원 환자의 낙상실태 및 위험요인 조사연구: 국내 500병상 이상 종합병원을 중심으로 (Characteristics of Fall Events and Fall Risk Factors among Inpatients in General Hospitals in Korea)

  • 최은희;고미숙;유정숙;김미경
    • 임상간호연구
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    • 제23권3호
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    • pp.350-360
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    • 2017
  • Purpose: The purpose of this study was to investigate the present status of falls among inpatients in general hospitals and to identify the fall risk factors that reflect the characteristics of domestic hospitals. Methods: Data were collected between December 15, 2016 and January 15, 2017 from 32 Korean hospitals having 500 or more beds. First, 42 risk factors were extracted based on literature review and expert opinions. Then the importance of each factor was evaluated by 223 nurses from medical and surgical adult ward and intensive care units in 40 hospitals. Results: The incidence rate of falls in 18 hospitals was 3.87 per 1,000 total discharged patients and 0.55 per 1,000 patient-days, and the rate of injury-related falls was 40.5%. Major risk factors for falling were identified as the following: being over 65 years of age, history of falls during admission, physical mobility disorders requiring assistance, physical factors (dizziness or vertigo, unstable gait, general weakness, walking aids, visual problems), cognitive factors (delirium, lack of understanding on limitations), neurological disease, CNS medications Conclusion: The findings provide information that can be in the development of a fall risk assessment tool for inpatients in general hospitals in Korea.

임상간호 가치관에 관한 일 조사연구 (Study on Value Conceptions in fundamentals of Nursing)

  • 한윤복;김영매
    • 대한간호학회지
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    • 제3권1호
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    • pp.97-104
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    • 1972
  • This study was designed to investigate differences in some aspects of value conceptions in fundamentals of nursing functions between nursing service personnel and nurse-educators. The purpose of the study was to identify the difference of value conceptions between the hospital nurses and school instructors, to contribute as a reference in strengthening the educational program in establishing nay hinder professional growth. The questionaries of this study were focused in the following aspects: 1) establishment of nursing service management system, 2) strengthening of the professionalization of nursing service, 3) hindrance in accomplishment of independent nursing functions, 4) communication skills in nurse-patient relationship, 5) activities directly related to nursing care planning, 6) communication skills in nurse-doctor relationship, 7) attitude towards taking responsibilities for patient- centered nursing approach, and 8) nursing educational approach towards preparation of professional competence in practicing independent nursing functions. 265 graduate nurses from 14 general hospitals and 88 nursing instructors from 18 schools, collegiate and diploma, were sampled. The main findings of the study were as follows; 1. Both groups responded highly in the lack of public recognition of nursing profession and hospital administrators support in establishment of nursing service management system. Further investigation is needed to define some relationship between the intrinsic and extrinsic factors which might give influence to the professional development. 2. while hospital nursing personnel responded on environmental pressure such as a heavy nursing load as the factor giving hindrance to independent nursing functions, the nurse educators responded highly on lack of nursing competence of individual nurses. An emphasis should be placed on the development of nursing interaction through professional education. If the professional model is not well established, nursing function will be limited to medical assistance. 3. 3. The patient-centered approach for nurse-patient communication had given positive respond for both group, tut lacks in team concept in problem solving process. There exist a social distance between nurses and other professional co-workers in the hospital hierarchy. 4. It was indicated that, as an intrinsic factor in the development of nursing service and nursing education, building up a philosophical basis is an utmost importance. This question is opened for further and extensive study to clarify whether existence of philosophical absence or philosophical stasis in nursing profession hinders the development.

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광주광역시 치과위생사의 직무분석에 관한 조사 연구 (A study on the job analysis of dental hygienist in Gwangju)

  • 하명옥;윤혜정
    • 한국치위생학회지
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    • 제10권5호
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    • pp.807-817
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    • 2010
  • Objectives : The purpose of this study was to analyzes the job implementation of dental hygienist at dental hospital(university), dental clinic and general hospital in the city of Gwangju. Methods : The subjects in this study were dental hygienists who worked at dental hospital(university), dental clinic and general hospital in the city of Gwangju. A survey was conducted by post from June 10 to August 10. Out of the collected data, 204 answer sheets were analyzed. Results : 1. 'Medical & Dental history taking', 'Extra & Intra oral examination' and 'Dental hygiene care plane' in dental clinic were significantly higher than dental hospital(university) and general hospital(p<0.001). 'Remove of extrinsic stain' and 'Treatment of hypersensitivity tooth' in dental clinic and general hospital were significantly higher than dental hospital(university)(p<0.001). 'Preventive dental caries treatment' and 'Diet control' were shown the low frequency of job implementation. 2. Almost task elements of dental assistance duty shown that dental hygienists under the 24 years old were significantly higher dental hygienists over the 30 years old(p<0.05) and dental clinic and general hospital were significantly higher than dental hospital(university)(p<0.05) in frequency of job implementation. 3. 'Dental staff supervision', 'Patient management' and 'Dental chart arrangement' shown that dental hygienists over the 30 years old were significantly higher than dental hygienists under the 24 years old in frequency of job implementation(p<0.05). 'Infection control' of dental hygienists over 30 years old was significantly lower than dental hygienists under the 24 years old(p<0.001). Conclusions : The results of this study indicate that a scope of dental hygienists' job need to extend also in order to accomplish a job efficiently, is suggested that the effort is necessary to improve a quality of dental hygienist and to change of recognition of the dentist about dental hygienists' job.

시스템다이내믹스를 이용한 산업재해율 분석 (System Dynamics Modeling for Policy Analysis of Occupational Injuries)

  • 정희태
    • 디지털콘텐츠학회 논문지
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    • 제16권3호
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    • pp.417-424
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    • 2015
  • 산업의 고도화 및 새로운 기계의 도입, 화학물질 사용 등 산업재해의 다양한 양상과 더불어 생산설비들의 자동화, 대형화로 인해 산업재해 발생의 양상이 점차 다양해지고 있다.국내 산업재해는 OECD(Organization for Economic Cooperation and Development) 경제협력개벌기구대비, 상대적 하위수준에 있어 기업 발생 산업재해는 근로자들의 심리적 및 치료와 보상 손실에도 타격이 되어 기업 총 생산과 이윤 추구에도 중요문제가 야기되고 있다. 더불어, 장애자와 사망유족들의 증가로 생활 안정문제 등 사회적 문제도 제기된다. 이러한 동기에서 본 논문은 산업재해 통계와 산재예방사업을 분석하고, 시스템다이내믹스 법론을 이용하여 산업재해율을 예측하고 평가하는 모델을 개발하였다. 모델은 근로자수 모델, 재해자수 모델, 재해율 모델 등 총 12개의 모델로 구성되었고, 규모별 분석에서는 근로자수를 기준으로 12개 그룹으로, 업종별 분석에서는 제조업, 건설업 등 총 10개의 업종으로 구분하여 개발하였다. 개발된 모델을 토대로 업종별 규모별 산업재해율을 예측하고 산재예방사업을 다각도로 평가하는 방법론을 제시하였다.

독거노인의 사회안전망에 대한 활성화 방안 - 광양시 무선페이징시스템 대상자 중심으로 - (Activation plan of social safety network of the aged living alone - Focused on the aged using wireless paging system in Gwangyang-si -)

  • 이재민
    • 한국응급구조학회지
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    • 제13권3호
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    • pp.41-58
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    • 2009
  • Objective : The purpose of this study is to identify actual operations and issues of wireless paging system operation for the aged living alone as the end users of wireless paging system primarily in Gwangyang city, and thereby to explore possible advanced and integrated ways to promote social safety network for the aged. Methods : The survey tool used in this study was a structured questionnaire form consisting of question items. The researcher hereof conducted this survey by means of direct visit and interview during two seasons, i.e. from February to August, 2008 and from December 2008 to March 2009, respectively. Results : 1) For general demographic characteristics, it was found that 90.9% of all respondents were women and 61.2% of all respondents were at age 75 to 84. for health conditions, it was found that more than 90% of all respondents often took medicines due to their unhealthy body, and most of respondents suffered from musculoskeletal diseases 79.3% and circulatory diseases 61.6%. for walking capacity, it was found that 45.5% of all respondents used walking aids, and disable respondents (11.5% of all respondents) were represented primarily by those with physical disability (52.6% of disable respondents). for actual use of medical institutions, it was found 47.3% of all respondents relied on local clinics, since they preferred neighborhood hospitals or clinics they can trust for medical care. for social activities and supports, it was found that 43.6% respondents had 'needs for assistance at times' and 33.9% respondents have 'no need for assistance'. And it was found that the major difficulties in living alone at old age were represented primarily by health problems 37.8% and economic difficulties 33.5%. 2) For characteristics related to wireless paging system, it was found that 90.3% respondents used wireless paging system recommended by firemen, and 28.5% respondents used this system. and it was found that 59.6% respondents used this system once, and 85.2% respondents used it because of acute or chronic diseases. more than 90% respondents thought that they knew about wireless paging system and considered themselves safe, but 83.6% respondents didn't attach a remote control on their upper clothes, and even 49.1% respondents turned off the power of wireless paging system due to their concern about electricity bill and noise. 3) It was found that 83.6% respondents felt it necessary to use wireless paging system, and wireless paging users felt more satisfied with using the system than non-users, and 50.7% showed high satisfaction at certain psychological benefits like 'confidence in coping with critical situations' and 'a sense of relief'. In addition, it was found that some respondents who answered that 'they didn't turn off the paging system as they knew how it works' and those who answered that they knew 'how to use it' showed relatively high satisfaction. And some respondents who kept it well and felt it necessary also showed high satisfaction. 4) It was found that the level of satisfaction our respondents felt with using wireless paging system varied significantly availability($x^{2}$ = 12.759, p = .002), psychological advantages($x^{2}$ = 12.174, p = .002), knowledge about how to use system($x^{2}$ = 7.021, p = .016), power on/off($x^{2}$ = 13.221, p = .001), level of knowledge about system($x^{2}$ = 21.002, p = .000), maintenance($x^{2}$ = 9.871, p = .007) and level of necessity($x^{2}$ = 34.939, p = .000) on the statistical basis.

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