• 제목/요약/키워드: Medical My Data

검색결과 78건 처리시간 0.025초

심근경색증 환자의 증상발현과 치료추구행위에 관한 연구 (Treatment-seeking Behavior among those with Signs and Symptoms of Acute Myocardial Infarction)

  • 김조자;김기연
    • 대한간호학회지
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    • 제29권3호
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    • pp.605-613
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    • 1999
  • The main purposes of this study were to determine the time interval between the onset of symptoms of myocardial infarction and treatment-seeking time and to identify the factors related to the interval time. This study used a retrospective design. The sample consisted of 45 patients aged over 30 who were diagnosed with an acute myocardial infarction at two large university affiliated medical center from September 1, 1997 to June 30, 1998. Data was collected by using questionnaries, which included demographic data, permonitory clinical signs and symtoms of myocardial infarction, and a measure of the severity of the signs and symptoms. Also semi-structured interviews and chart reviews were used to obtain information related to treatment-seeking time. The results of this study are summarized as follows ; 1. The most frequent premonitory clinical symptom was chest pain(92.9%), the second, was perspiration(81.0%), and the next were nausea(40.5%) and dyspnea(38.1%). Thirty two patients reported having more than four premonitory signs and symtoms. Patients described the characteristics of chest pain as “somethings very heavy pressing down”(26.2%), “felt like my chest would burst”(24.4%), or “sharp pain”(16.7%), Over 95% of the sample reported having chest pain. 2. Twenty two (52.4%) patients reported to have “very severe” premonitory pain. 3. The mean time interval between the onset of signs and symptoms and the arrival at the medical center was 6.39$\pm$10.80 hours in 42 samples, the mean time from the onset to arrival at a local hospital was 3.27$\pm$5.39 hours and for transfer from a local hospital to the medical center was 4.75$\pm$9.87 hours in patients who had arrived at medical center via local hospital. 4. The severity of premonitory signs and symptoms did not differ significantly according to existence of premonitory signs and symptoms. 5. There was no significant relationship between treatment-seeking time and age, gender, marital status, economic status, occupation, or residence. But education had significant relationship(r=-0.51, p=0.01). Analysis of difference of the time interval according to the premonitory signs and symptoms showed that the time was shorter in patients who experienced nausea or dyspnea(U=115.50, p=0.01, U=132.00, p=0.04), however the severity of premonitory signs and symptoms did not have statistical significance.

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일부지역 노인의 구강건강 실태에 관한 조사 연구 (A study on the status of the senior citizens' oral health in some areas)

  • 이태정;정정옥;이경희
    • 한국치위생학회지
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    • 제12권4호
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    • pp.801-815
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    • 2012
  • Objectives : To obtain necessary fundamental data for the development of oral health improvement programs for senior citizens in the manner of investigating the Status of their oral health. Methods : Data were collected from 346 senior citizens aged 65 years or older who had lived in Seoul and Gyeonggido province, Republic of Korea. This study was conducted for 3 months from April 2011 to June 2011. Excluding those obtained from 34 respondents who gave inadequate responses to given questions, the data from 312 respondents were analyzed. Results : 1. The number of senior citizens who chose 'Sometimes' to as an answer to the question about the self-perception of their own oral conditions such as mastication, swallowing, gingiva hemorrhage, dry mouth, and/or oral malodor was the largest. As an answer to the question about the presence of interpersonal avoidance, 'No' accounted for the largest proportion. The number of respondents choosing gingiva treatment regarding the perception of the necessity for medical interventions was the largest. 2. In regard to the knowledge of oral health care, the percentage of correct answers was the highest for 'I brush my tooth before each meal' ($0.69{\pm}0.156$), while the lowest percentage of correct answers was seen for 'Gingival diseases can be improved by medications' ($0.33{\pm}0.472$). Conclusions : Based upon the above mentioned results, the author conclude that developing relevant national programs and support policies at a national level as well as implementing proactive and systematic home-visiting oral health programs at the levels of local autonomous entities or communities will lead to significant improvements in senior citizens' oral health and QoL (quality of life).

응급구조(학)과 학생의 메르스에 관한 지식, 태도 및 예방행위와의 관계 (Correlation between knowledge, attitudes and preventive behaviors regarding the MERS of a student in the Department of Emergency Medical Technology)

  • 김성령;유영건
    • 한국산학기술학회논문지
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    • 제21권5호
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    • pp.401-408
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    • 2020
  • 본 연구는 응급구조(학)을 전공하는 학생들의 메르스에 관한 지식, 태도 및 예방행위와의 관계를 파악하여 메르스 예방교육에 대한 기초자료를 제공하고자 하였다. 연구방법은 2019년 11월 8일부터 2019년 11월 30일까지 P시 3년제 대학 응급구조과에 재학 중인 167명을 대상으로 하였고, 연구도구는 구조화된 설문지를 이용하였다. 연구결과는 SPSS/WIN 23.0을 사용하여 분석하였다. 대상자의 메르스 교육 경험은 경험자 74명(44.3%), 비 경험자 93명(55.7%)으로 경험하지 않은 대상자가 많은 것으로 나타났으며, 메르스에 관한 태도 항목에서는 '메르스 환자를 다룰 때는 반드시 개인보호장비를 착용해야 한다'에서 평균 4.54±0.87로 높게 나타났으며, 메르스에 관한 예방행위항목에서는 '평소보다 더 자주 손을 씻었다'에서 평균 3.82±1.06으로 높게 나타났다. 메르스에 대한 상관관계분석 결과 '친구 모임, 외식, 스포츠 관람, 쇼핑 등을 취소하거나 미루었다' 한 항목에서 r=-.63, p<.004로 음(-)의 상관관계를 제외하고 모두 태도가 높을수록 예방행위 수준이 높았다. 따라서 본 연구의 결과를 토대로 메르스에 대한 교육수준 및 지식수준을 향상시킬 수 있는 교육 프로그램의 개발이 필요하며, 메르스에 대한 체계적이고 반복적인 교육이 필요하다고 사료된다.

의·보건 계열 대학생의 음주문화 인식에 관한 연구 (A Study on the Awareness of medical and Health-Related Majors on Drinking Culture)

  • 김광환;한진숙
    • 한국산학기술학회논문지
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    • 제12권11호
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    • pp.5043-5048
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    • 2011
  • 본 연구는 의 보건 계열 학생의 음주 인식을 파악하여 음주인식이 음주에 어떤 영향을 미치는지 알아보고자 실시되었다. 지방의 두 도시에 소재한 의 보건 계열 대학생 153명을 랜덤 샘플하여 의학 계열 86명과 보건 계열 67명에게 구조화된 자기기입식 설문지를 이용하여 조사하였다. 조사기간은 2011년 5월 1일부터 2011년 9월 20일까지 실시하였다. 그 결과 의 보건 계열 학생들이 음주로 인해 지난 1년간 생활에 지장을 받은 경우가 75.8%로 매우 높았으며, 음주 인식도가 음주량에 미치는 영향에서는 '술은 사람의 기운을 북돋워 준다' (p<.001), '술을 먹으면 숙면을 취한다'(p<.01), '친한 친구들과 자주 과음 한다', '해장술은 숙취에 도움을 준다', '술은 간에 제일 영향을 준다' (p<.05)의 음주 인식도가 음주량 상태에 유의한 영향을 미쳤으며 이 모든 변수들이 43.4%의 설명력을 나타내었다. 결론적으로 음주가 인체에 미치는 영향을 직간접으로 학습한 의 보건 계열의 대학생들은 음주량이 적고 폭음하는 경향이 적다. 이들의 인체와 음주에 관한 지식을 활용하여 음주 교육의 자원으로 활용하는 것이 바람직하다.

의과대학생들의 게임행위에 관한 사례연구 (A Case Study on the Game Behavior of Medical School Students)

  • 차명희;상종열
    • 한국융합학회논문지
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    • 제10권5호
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    • pp.279-286
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    • 2019
  • 본 연구의 목적은 의과 대학생들이 탈 게임하는 요인이 무엇인지를 탐색하여 학문적인 기초자료와 게임의존으로 자신의 생활이 파괴되는 사람들에게 탈게임 할 수 있는 융 복합적인 토대를 마련하는 것이다. 이러한 목적을 달성하기 위하여 탐색적 사례연구 방법으로 접근하였다. 연구참여자는 Q의과 대학교의 R동아리에서 자발적 동의에 의해 모집되었으며 자료수집을 위하여 FGI와 1대1 심층면담으로 자료를 취합하였다. 자료의 분석은 반복하여 읽고 의미단위별로 분류하며 본질적 의미를 도출하였다. 연구결과 '게임을 해도 내 할일은 함', '분별력의 중요함을 인식'이라는 2개의 본질적 주제와 7개의 드러난 주제가 도출되었다. 분석결과, 의과 대학생들의 게임행위는 성장과정에서 체험된 자기효능감으로 인하여 탈게임이 가능하였다. 타인이나 자신이 정한 기대가 충족되어 자기강화로 보상이 되면, 자기효능감으로 작용하여 자기규제와 자기통제가 가능하다는 것을 알 수 있었다. 따라서 건전한 게임문화의 정착과 융 복합적 전략으로서의 게임을 활용하는 방안과 게임을 조절하는 기제로 작용한 자기효능감 향상 방안을 제언으로 제시하였다.

혈액투석환자의 이행과 건강관련 삶의 질 간의 관계 (Relationships between compliance and health-related quality of life in patients with hemodialysis)

  • 차지은
    • 한국산학기술학회논문지
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    • 제16권10호
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    • pp.6495-6503
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    • 2015
  • 본 연구는 혈액투석환자의 이행 수준을 파악하고 이행과 생리적 지표, 건강관련 삶의 질 간의 관계를 조사하였다. 지역 투석의원 27곳에서 220명의 혈액투석환자로부터 자료를 수집하였다. 이행은 투석 간 체중증가, 혈중 칼륨과 인과 함께 환자역할행위이행 도구로 측정하였고 건강관련 삶의 질은 MOS-SF 12로 측정하였다. 자료는 서술통계, t-test, ANOVA, 피어슨 상관계수로 분석하였다. 이행의 평균 점수는 4점을 기준으로 2.92점이었고, 전체 15개 이행 항목 중 투석스케줄 지키기에서 가장 높은 점수를 보였다. 이행 수준은 연령, 결혼상태, 투석기간에 따라 유의한 차이가 있었으며, 이행 항목 중에서 복약, 감염관리, 수면, 야채와 과일섭취가 건강관련 삶의 질과 유의한 상관관계를 보였다. 본 연구결과는 혈액투석환자의 삶의 질을 향상시키기 위해 환자중심 접근이 도움이 될 것임을 시사한다. 건강돌봄제공자들은 환자에게 중요한 이행을 확인하고 환자의 가치와 우선순위를 고려함으로써 환자들의 입장을 이해할 필요가 있다.

Type-Specific Human Papillomavirus Distribution in Invasive Squamous Cervical Carcinomas in Tunisia and Vaccine Impact

  • Ennaifer, Emna;Salhi, Faten;Laassili, Thalja;Fehri, Emna;Alaya, Nissaf Ben;Guizani, Ikram;Boubaker, Samir
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권15호
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    • pp.6769-6772
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    • 2015
  • Background: High risk human papillomaviruses (HPVs) are the leading cause of cervical cancer (CC) and Pap smear screening has not been successful in preventing CC in Tunisia. HPV vaccination that targets HPV16 and 18 offers a new efficient prevention tool. Identification of HPV types in CC is thus essential to determine the impact of HPV vaccine implementation. The aim of this study is to provide specific data from Tunisia. Materials and Methods: A total of 89 histological confirmed paraffin embedded samples isolated from patients with CC diagnosed between 2001 and 2011 were collected from five medical centres from Northern and Southern Tunisia. HPV DNA was detected using a nested PCR (MY09/MY11-GP5+/GP6+) and genotyping was assessed using a reverse blot line hybridisation assay that enables the detection of 32 HPV types. Results: HPV DNA was detected in all samples. Twelve high risk types were detected; HPV16 and/or 18 were predominant, accounting together for 92.1% of all the CC cases (HPV16: 83.1%). Single infections accounted for 48.8% of the cases and were mostly linked to HPV 16 (32.6%) and less frequently to HPV 18 (2.4%). The other high risk HPV single infections were linked to HPV 35 (4.6%), 45 (4.6%), 58 (2.3%) and 59 (2.3%). Multiple infections with mixing of 2 to 4 genotypes predominately featrued HPV16 and/or 18 with HPV 35 and 45 (96.6 %) and less frequently with HPV 59, 40, 66, 73 and 58. There was no statistically significant variation in the relative distribution of HPV types with age. Conclusions: These results strongly indicate that prophylactic HPV vaccines can have a major impact in preventing CC in Tunisia.

청소년들의 건강상태와 건강행위 인지에 관한 연구 (A study of teenager's perceptions of health behavior and health status)

  • 조원정;김모임
    • 보건교육건강증진학회지
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    • 제4권2호
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    • pp.32-45
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    • 1987
  • This research attempted to identify basic data related to the nursing of teenagers that would aid in the establishment of nursing care that would meet their health needs, and further to identify which health related activities, are carried out by teenagers, so that appropriate nursing service and health care can be planned for them. The subjects of the study were students at one seoul boys high school and one seoul girls high school. Data was collected between December 16 and. December 19, 1986. The tool used in the study was a questionnaire about the health needs and concerns of teenagers developed at John's Hopkins University and translated and standardized for Korean students. The date was coded fer analysis using' the SPSS program and percentages, mean scores' with standard deviations, Chi square test, and ANOVA, were used for analysis. The following results were obtained : 1. The health status of teenagers : Looking at the health status of teenagers, it can be seen from this study that over half of the teenagers questioned replied that they do not get enough sleep, further that even though they are feeling sick they go to school. However, when asked what they thought of their health, the majority replied that they were healthy, and although they thought about their bea1th was not a concern when they were planning other activities. With regard to health status, there was a significant difference between male and female students concerning whether they were handicapped with regard to sleep, their opinion about their own health, and the amount of time lost from school for illness over the past month, whether in comparison with those of the same age they had more sickeness of not, and whether they had to think about their health when planning other activities. There was also a significant difference according to the age of the students as to whether they worried more about being sick than other members of their age group. 2. Health Realted Activeties of Teenagers : Most of the students in the study reported that they did not get regular physical examinations of health check ups, nor did they get legular examinations when they were sick. Few students reported that they smoked. Most of the students reported taking part in activities that promoted health but about half also reported that they were involved in activities that they knew were detrimental to their health. Further on statistical analysis, there was a significant difference between male and female students regarding health related activities and problems of teenagers and whether they were examined by a medical person when they were sick. 3. The degree of interest and responsibility of teenagers for their own Health: In the section on responsibility for health, the teenagers replies were highest, 4. 5, for the statements, "My health is dependent how much I pay attention to it" and "My health is responsibility" and lowest, 3. 9, for the statement "I am healthy because I have cared for my health so far." With regard to interest in their own health, the majority of the teenagers in the study were more concerned about their studies, high score of 4. 4, than in matters directly related to health. The use of drugs, birth control and masturbation were low on the interest scale. The more involvement in health related activities, the higher the score was for responsibility and this difference was significant, but this did not apply to interest in health. Similarly there was also a significant difference regarding participation in activities known to be detrimental to health and responsiblity for health, but not for interest in health.

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일부 치과위생사들의 일반적 특성에 따른 의료기사법 개정에 대한 인식, 필요 및 요구도 (Awareness, need and demand for the amendment of medical device law according to the general characteristics of some dental hygienists)

  • 이현정;곽지원;이동하;이현희;정혜미;주수연;성미경
    • 대한치위생과학회지
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    • 제1권1호
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    • pp.23-36
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    • 2018
  • This research has been conducted from June 1, 2017 to August 25, 2017 for the dental hygienists working in Busan and Gyeongnam area, to provide necessary basic data for the purpose of revision of the relating laws from the analysis of their understanding and perspective on such laws through 262 subjects' questionnaire. Its analysis of their perspectives are as follows. 1. The common characteristics of the subjects are that 40.1% of them are under 25, and their working period was under three years with the 38.9%, and as for their marital status, 70.2% were single, the final education of 80.2% were associated degrees. Their working areas are centered in Gyeongsangnam-do province with 91.2%, the workplace type is for the dental clinic with 80.2%. 2. The comparison of the view point of the medical(technician) law according to the characteristics of the research subjects differed only whether or not the completion of the education, and as a result of the comparison according to the characteristics of those subjects understanding the details of the medical(technician) law, there was a significant difference saying "the current law has clear job description" depending on the working area or "the job duty is definite" depending on the job experience and job details. As for those saying "the job duty is definite", there was also significant difference depending upon marital status, final education and work details. There was no significant difference in all characteristics from findings of the necessity of legal system according to the subjects not understanding the medical(technician) law. 3. As a result of comparing the necessity of the medical(technician) law according to the characteristics of the research subjects, it was found that all the subjects accepted the necessity of the medical law revision including the dental hygienist in the medical person. The "necessity of the professional dental hygienist system" showed a significant difference depending upon the final education and medical institution type. Among the triggering factors in its amendment, there showed significant difference in the "cooperation of other organizations" and "solution of medical law problems" only in the final education. 4. As a result of comparison of the needs of the medical(technician) law revision according to the characteristics of the research subjects, it was found that the significant traits related to the age and job details showed "Legal responsibility would be increased" when the medical law is revised, in case that "it will help broaden the job extension", there showed a significant difference in career, final education, and working institution, and job details. "Legal protection is possible" showed significant difference except the age group and working area, and "it help the system settlement" showed in the final education. There was a significant difference in career, final education, and job details that "I can regulate the education and field practice", and the same in "my status will be improved" depending upon the final education, work area, and job details. Accordingly, in this research, for the establishment of more professional and comprehensive dental health service as suggested from the demand and necessity toward the medical(technician) Law by the dental hygienists.

병원구매업무에 있어서의 전자상거래 도입에 관한 연구 - 구매부서 관리자의 인식도를 중심으로 - (A Study on the Introduction of Electronic Commerce for Purchasing Section in Hospitals - Focused on the Understanding of Purchasing Managers -)

  • 황은범;남상요;하호욱;이창은
    • 한국병원경영학회지
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    • 제6권3호
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    • pp.69-89
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    • 2001
  • This study is focused that the electronic commerce(EC) on the purchasing section may improve the efficiency and transparency of the hospitals management. After reviewing the purchasing activity of hospitals, I study the introduction, expected effects, and problems of EC. So, I am going to provide basic information for activating EC. The samples are managers of 170 hospitals, which are located on Seoul. As a result of collection this survey, I analyze 79 hospitals. For data analysis, I use $X^2$-test and ANOVA for purchasing management and the relevance of EC according to the level of care. The results of this study are 1. The problems on the management of purchasing section are: firstly, they don't have sufficient time to study market. Secondly, it is difficult to find competitive suppliers. And, lastly, they cannot gather a lot of information about the price of products. 2. There are many answers of the needs on the introduction of B2B. However, some hospitals think they don't need it. But, the most answers are that the EC will be settled within 4 years. So, we can realize that these hospitals are getting interested on the EC. On the other hand, I find that they prefer outside EC companies for the introduction of EC. 3. On the expected effects on EC, first is the effectiveness of the market survey. The next is to collect information of adequate price of products owing to clear transaction, find easier new suppliers and gather useful data. 4. On the external problems of the introduction of EC, there is low credibility related to the security and the weakness of suppliers' information system. Especially, on the Real Transaction Price Payment system, the bigger bed size, the higher understanding on these problems. On the internal problems of the introduction of EC, first is the burden of the introduction of EC and operating cost. Especially, on the burden of the disclosure of revenue source, the smaller bed size, the higher understanding on this problem So, this is a point which deserves my attention statistically. However, this shows relatively little understanding about incomplete the standard of product category and the weak information system of hospital. Through this study, I am going to suggest 3 points for the activation of the introduction of EC on hospitals. 1. The reform of the Real Transaction Price Payment System on medical supplies and materials for medical treatment 2. The establishment of the standard of product category 3. The promotion of information system based on network.

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