• Title/Summary/Keyword: Mental healthcare

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Patient-Centredness, Job Satisfaction and Psychological Distress: a Brief Survey Comparing Oncology Nurses and Doctors

  • Chan, Caryn Mei Hsien;Ahmad, Wan Azman Wan;Yusof, Mastura MD;Ho, Gwo Fuang;Krupat, Edward
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.16
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    • pp.6895-6898
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    • 2015
  • Background: We aimed to explore whether levels of patient-centredness, job satisfaction and psychological distress varied between oncology nurses and doctors. Materials and Methods: In a cross-sectional study using self-administered questionnaires, a total of 24 nurses and 43 doctors were assessed for patient-centredness, psychological distress, and job satisfaction using the Patient-Practitioner Orientation Scale, Hospital Anxiety and Depression Scale, and Job Satisfaction Scale. Data were analysed using descriptive statistics, independent samples t-test and MANCOVA, with p<0.05 considered significant. Results: Overall response rate was 95.6% (43/45) for physicians and 85.7% (24/28) for nurses. Even after adjusting for known covariates, our principal finding was that doctors reported greater psychological distress compared to nurses (p=0.009). Doctors also reported lower job satisfaction compared to nurses (p = 0.017), despite higher levels of patient-centredness found in nurses (p=0.001). Findings may be explained in part by differences in job characteristics and demands. Conclusions: Mental health is an important concern not just in cancer patients but among healthcare professionals in oncology.

Improving Cognitive Abilities for People with Alzheimer's Disease: Application and Effect of Reality Orientation Therapy (ROT) (알츠하이머병 치매 환자의 인지재활: 현실감각훈련(ROT)의 적용과 효과)

  • Kim, JungWan
    • Phonetics and Speech Sciences
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    • v.5 no.1
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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.

Establishment of Ministry of Health: Reform of Central Government for National Disease Control and Healthcare System (보건부 설립)

  • Park, Eun-Cheol
    • Health Policy and Management
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    • v.30 no.3
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    • pp.265-269
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    • 2020
  • Korea has failed to respond to the Middle East respiratory syndrome of 2015 and the early phase of coronavirus disease 2019 (COVID-19) of 2020. This is due to the structural problems of the Ministry of Health and Welfare that has been more increased manpower and budgets of the welfare part relative to those of the health part, and the ministers were appointed welfare experts, not health experts. In 21 (56.8%) of the Organization for Economic Cooperation and Development countries, the Ministry of Health operates independently, and these countries have been relatively well coping with COVID-19. The importance of the Korean health sector is increasing even further. Korea faces on the emerging infectious diseases, chronic infectious diseases such as tuberculosis that has been being a huge burden, and rapidly increasing non-communicable diseases, suicide and mental disorders, and some diseases due to fine dust and climate change. In addition, the rapid advancement of the aging society, the entry of an era of ultra-low fertility and low-economic growth, and the unification of the Korean peninsula are calling for a health policy reform. Therefore, the Ministry of Health should be established and systematically responsible for health policy, disease policy, medical policy, and medical security policy. Ministry of Health will be the control tower for K-Disease Control, K-Bio, and K-Health.

Root cause analys is and improving strategy of suicidal sentinel events (의료기관 내 자살사건의 근본원인분석과 개선전략)

  • Lim, Hun-Sun;Kim, Hong-Soon;Yum, Ho-Kee
    • Quality Improvement in Health Care
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    • v.19 no.2
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    • pp.50-64
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    • 2013
  • Objectives : Suicide is a serious sentinel event in healthcare organization. Suicide and suicidal attempt are fatal and long lasting mental and physical damage to themselves, family, and medical staffs. To develope the system to prevent suicidal accident in hospital, we reviewed and analysed one case of suicidal sentinel event. Methods: The risks of suicidal sentinel event were evaluated and analysed through the root cause analysis and failure mode effects analysis. Result: We found several root causes such as initial assessment of oldest patient and security issues. Couple of action plans to fix the problems were done immediately. According to failure mode, we evaluate the risk priority number to modify the action plans. Conclusion: To reduce the risk of sentinel events, we reviewed the suicidal event and established the new system and action plan to prevent sentinel events.

Real-Time Sink Node Architecture for a Service Robot Based on Active Healthcare/Living-support USN (능동 건강/생활지원 USN 기반 서비스 로봇 시스템의 실시간 싱크 노드 구조)

  • Shin, Dong-Gwan;Yi, Soo-Yeong;Choi, Byoung-Wook
    • Journal of Institute of Control, Robotics and Systems
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    • v.14 no.7
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    • pp.720-725
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    • 2008
  • This paper proposes a system architecture for USN with a service robot to provide more active assisted living services for elderly persons by monitoring their mental and physical well-being with USN environments at home, hospital, or silver town. Sensors embedded in USN are used to detect preventive measures for chronic disease. Logged data are transferred to main controller of a service robot via wireless channel in which the analysis of data is performed. For the purpose of handling emergency situations, it needs real-time processing on gathering variety sensor data, routing algorithms for sensor nodes to a moving sink node and processing of logged data. This paper realized multi-hop sensor network to detect user movements with biometric data transmission and performed algorithms on Xenomai, a real-time embedded Linux. To leverage active sensing, a mobile robot is used of which task was implemented with a priority to process urgent data came from the sink-node. This software architecture is anticipated to integrate sensing, communication and computing with real-time manner. In order to verify the usefulness of a proposed system, the performance of data transferring and processing on a real-time OS with non real-time OS is also evaluated.

Position Value for Relative Comparison of Healthcare Status of Korea in 2017 (2017년 한국 보건의료의 상대적 위치와 추이: 경제협력개발기구 국가와 비교)

  • Lee, Hyeon Ji;Oh, Sarah Soyeon;Park, Eun-Cheol
    • Health Policy and Management
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    • v.30 no.1
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    • pp.131-138
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    • 2020
  • The purpose of this study was to compare the health status of South Korea with those of Organization for Economic Cooperation and Development (OECD) countries and examine the trends. Position vAlue for Relative Comparison (PARC) was used as a gauge for comparison, and five sectors of the health care system were measured: demand, supply, accessibility, quality, and cost. The Mann-Kendall test was used as a statistical analysis method to examine trend of PARC values obtained from 2000 to recent years. According to the results, the demand, supply, accessibility, and quality sectors were higher than the OECD average, while the cost was lower than the average. However, there is a recent trend of sharp increases in health care costs. Some indicators: health employment, quality of primary care and mental health care were lower than the OECD average, and health determinants showed a worsening trend. Therefore, policy-makers need to take this into account and make efforts for sustainable health care.

Suitable Health Pattern Type Mapping Techniques in Body Mass Index

  • Shin, Yoon-Hwan
    • Journal of the Korea Society of Computer and Information
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    • v.21 no.2
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    • pp.105-112
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    • 2016
  • In this paper, we propose a technique that can be mapped to the most appropriate type of health patterns, depending on the health status of health promotion measures to establish a body mass index (BMI). When used as a mapping scheme proposed in this paper it is possible to contribute to effective healthcare and health promotion. BMI is widely used as a simple way to assess obesity because body fat increases the status and relevance. Despite normal weight determined by this and because of the social atmosphere has increased prefer the skinny tend to try to excessive weight loss. Since health can affect the health maintenance and promotion of the rest of your life, depending on whether and how much weight perception and health can be considered as very important. Therefore, this paper identifies the differences in perception and in this respect for the body mass index (BMI). And physical, mental and map the appropriate type of pattern in the relationship between body mass index (BMI) in order to facilitate the social and health conditions. Proposal to give such a mapping technique provides the opportunity to increase the efficiency of health care and health promotion.

Prospects of Geriatric Nursing Application Based on Robot Technology (로봇 테크놀로지 기반의 노인간호 활용전망)

  • Oh, Jin Hwan
    • Journal of Korean Gerontological Nursing
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    • v.20 no.sup1
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    • pp.127-136
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    • 2018
  • Purpose: The purpose of this study was to investigate the possibility of using intelligent robot based nursing practice as discussed in previous research and also, to propose directions for robot care for elders. Methods: For this study 28 previous researches using robots in health care field were reviewed and related research trends introduced. Results: Robot applications in the healthcare field were mainly for rehabilitation, surgery, interaction, and nursing assistance through robotics. Especially types of robot include pet type robots, humanoid robots, surgical robots, rehabilitation robots, robot suit and entertainment robots with monitors. The research participants were patients with dementia and institutionalized elderly people. It was found that a human-robot interaction was effective from physical, mental, emotional and social aspects. Conclusion: Robots can be used for various purposes such as nursing assistance, patient health promotion and education. It is necessary to reduce the human burden of care work using robots and to introduce robot care programs which can meet the needs of elders. Therefore, korean nurses should make efforts to change their practice to new geriatric nursing through repeated research based on the scientific data.

Factors associated with the self-rated health of married immigrant women in South Korea. (국내 결혼이주여성의 주관적 건강상태에 영향을 미치는 요인)

  • Chae, Duckhee;Kang, Kyeong Hwa
    • Journal of Korean Public Health Nursing
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    • v.35 no.2
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    • pp.224-238
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    • 2021
  • Purpose: This study aimed to identify factors associated with the self-rated health of married immigrant women in South Korea. Methods: Data, collected in August 2018, were derived from the 2018 National Multicultural Family Survey. Study subjects were 9,230 married immigrant women. Data were analyzed using logistic regression. Results: Of the study subjects, 23.2% rated their health as poor. Results showed that individual factors (age, ethnic affiliation, duration in South Korea, and depressive symptoms); social and community networks (relationship with spouse, parenting efficacy, Korean proficiency, perceived discrimination, social support, and social activities); and living and working conditions (life satisfaction and unmet heath needs) were associated with health. Married immigrant women in their 50s or older, living in Korea for more than 15 years, experiencing depressive symptoms, low life satisfaction, and having unmet health needs were especially at high risk of poor health. Conclusion: More detailed health policy that considers age, length of stay, and country of origin. To prevent the rapidly deteriorating health of married immigrant women after middle age, mental health support should be given priority, and systematic improvement is needed to increase accessibility healthcare services.

An Overview about Treatment of Gestational Diabetes Mellitus: A Short Communication

  • Maqbool, Mudasir;Zehravi, Mehrukh;Maqbool, Rubeena;Ara, Irfat
    • CELLMED
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    • v.11 no.3
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    • pp.12.1-12.5
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    • 2021
  • Gestational diabetes mellitus (GDM) has become one of the major public health problems for both mothers and children globally. Internationally, the frequency of excess weight and obesity has risen dramatically in women of childbearing age. There seems to be a greater risk of having GDM in overweight or obese women, resulting in problems during pregnancy, birth and neonatal development. Hospital management is a problem for obese pregnant females with GDM and places extra burdens on the healthcare sector. GDM can result in possible risks to the wellbeing of the mother, fetus, and infant, as well as clinically significant negative effects on the mental health of the mother. For females and their developing babies, diabetes may cause problems during pregnancy. Unsatisfactory diabetes control enhances the risk of complications and other birth related issues during pregnancy. It may also cause a woman to suffer severe complications. Numerous maternal and fetal effects are associated with GDM and multiple detection and management methods are also pursued globally in order to reduce the burden of health. An overview of gestational diabetes treatment is given in this review.