• 보건교육건강증진학회지
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• 제23권1호
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• pp.125-141
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• 2006

Objective: Today The human need for health promotion and maintenance is increasing. Health professionals have a great responsibility for helping clients to practice good health behavior. We need to define compliance which is best fit in the philosophy of the health discipline. The purpose of this study is to clarify the concept of compliance. Methods: Concept analysis is the act of examining parts, phenomenon and the interrelated parts of a whole. The process of concept approach described by Walker and Avant (1995). Is this study, a concept analysis of compliance was performed to comprehensively understand and develop effective health intervention methods: Result & Conclusion: The defining attributes of compliance identified in this study are as follows; the ability to complete or perform what is needs, to be malleability, to take initiative, to be adaptability and to be flexibility. 1) Be gentle and easily changeable (Malleability) 2) To take the initiative, a first step, or move towards an end or aim (Initiative) 3) Be able to change their ideas and behavior in order to deal with new situation (Adaptability) 4) Be able to change easily and adapt to different conditions and circumstances (Flexibility) Finally, the implication of these findings for further research and health promotion intervention are discussed.

• 한국병원경영학회지
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• 제11권4호
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• pp.37-62
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• 2006

This study investigates the antecedents of knowledge sharing behavior focusing on the individual level factors in an assumption that the behavior is initiated from the individual level decisions. A hypothesis that the relation between personality trait and behavior is mediated by the social-cognitive constructs contained in the Theory of Planned Behavior(TPB) is tested. For the study, we suggest a TPB extended model that extends original TPB model by including conscientiousness facet of FFM(Five Factor Model). This study uses a cross-sectional design. Data were collected from a self-reported survey on 197 nurses in a tertiary hospital. The results showes a significant positive relationship between the conscientiousness facet of FFM and knowledge sharing behavior. In the TPB extended model, the conscientiousness facet has significant direct effects on all the constructs of original TPB model. Of the TPB exogenous constructs, the social norm construct alone has a significant effect on intention and the perceived behavioral has a direct significant effect on the knowledge sharing behavior. These results confirm the importance of conscientiousness in predicting knowledge sharing behavior and clarify the characteristics of knowledge sharing behavior as a contextual, job oriented behavior in a workplace. We conclude that personality trait as conceptualized in the FFM needs to be integrated into TPB model in explaining the knowledge sharing behavior. Based on these results theoretical and practical implications are discussed.

• The Korean Journal of Pain
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• 제30권2호
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• pp.142-150
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• 2017

Background: There have been few studies about pain using a big data. The purpose of this study was to identify the prevalence of pain, and trends of pain associated with chronic diseases and personal out-of-pocket medical expenditures over time. Methods: Subjects were 58,151 individuals, using the Korea Health Panel from 2009 to 2013. Chi-square and multinomial logistic regression were conducted to identify the prevalence and odds ratios (ORs) of pain. Repeated measures ANOVA was used to find the trend over these 5 years. Results: Prevalence of mild and severe pain was 28.1% and 1.7% respectively. The ORs of mild and severe pain were 1.6 and 1.4 in females compared with males. From 2009 to 2013, numbers of chronic diseases producing mild pain were 2.1, 2.4, 2.8, 2.9, and 3.1 and those producing severe pain were 3.0, 3.4, 3.9, 4.2, and 4.4, respectively. After applying the average South Korean inflation rate by year over 5 years, the annual, personal out-of-pocket medical expenditures (unit: ￦1,000) for mild pain were 322, 349, 379, 420, and 461, and those for severe pain were 331, 399, 504, 546, and 569, respectively (P < 0.0001). Conclusions: The pain prevalence was 29.8%. The numbers of chronic diseases and the personal out-of-pocket medical expenditures revealed increasing trends annually, especially in those with pain. Therefore, to eliminate and alleviate the pain, there needs to be further study for developing a systemic approach.

• 보건교육건강증진학회지
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• 제17권2호
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• pp.165-181
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• 2000

Even though enormous governmental expenses and scientists' efforts to find out definite causes and treatment methods of senile dementia have been investigated, little has been known in this area. Along with knowledge development of the etiology and treatment of the dementia, researchers have started to focus on improving the quality of life of the older adults with dementia through psychosocial intervention. This study was designed to propose a theoretical framework for establishing therapeutic environment for the older adults with dementia and for developing principles and strategies of caring. The results of this study were expected to help family members of the older adults with dementia to understand behavioral problems of the demented persons. The results can be utilized for health professionals to provide nursing interventions to reduce family caregivers' burden and to improve the quality of life of the older adults with dementia and their family. Caring principles developed from this study were as follows: 1. To minimize the stressors that can stimulate older adults with dementia. 2. To assess demented person's needs for safety and provide intervention based on the assessment. 3. To provide therapeutic environment for older adults with dementia to reduce confusion and to improve orientation. 4. To organize simple regular daily activities that older adults can anticipate. 5. To enhance demented person's self-esteem and self-confidence by providing supportive care. 6. To promote social interaction of the older adults with dementia by utilizing adequate activity programs.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제16권3호
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• pp.49-56
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• 2010

In Japan, a lot of elderly housing types have been developed in order to meet various needs of the older person and the change of social situations. Elderly housings can be divided into three categories elderly housings for healthy older persons, elderly care homes for the healthy and elderly care facilities for the unhealthy. Elderly housings include public and private rental housings. Sometimes they can be designated only for the elderly. Elderly care homes for the healthy elderly include full fee charging elderly housing, elderly homes, low fee charging elderly homes and care houses. Elderly care facilities for the unhealthy elderly consist of full fee charging elderly care homes, group homes for the dementia, elderly health facilities, nursing homes, elderly hospitals, and so on. However "elderly care facilities" have been proved not to be efficient for the delivery of elderly welfare services nor satisfactory to the frail older person. Therefore, based on the concept of the "Normalization", daily services have been provided for the elderly in order that they can live at their own home in the community for themselves. As a result, Japan aims not only to reduce elderly welfare expenses but also to increase elderly users' satisfaction. Emphasis on non-institutionalization and in-home services, regional characterization, harmony between Hard and Soft, user oriented services, substantiality, universal design and so on are sought for the sake of those goals.

• 근관절건강학회지
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• 제4권2호
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• pp.262-276
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• 1997

The purposes of this study are 1) to modify a self-help program for patients having fibromyalgia, 2) to revise instruments to measure the self-efficacy and impact of fibromyalgia; and 3) to test the effects of the program in terms of self-efficacy, physical activities, and clinical symptoms. The subjects of this study were persons diagnosed as fibromyalgia at a university hospital. For the first two purposes, six patients were selected. Twenty three subjects for the third purpose were selected and assigned to experimental and control group on the base of their residence. Thirteen were assigned to the experimental group, while 10 to the control group. Instruments selected for revision were self-efficacy scale and fibromyalgia impact profile. On the basis of the text developed by Arthritis Foundation, a program for patients with fibromyalgia was tentatively developed. Instruments for measurement of self-efficacy and impact of fibromyalgia were revised to show high reliabilities. Results obtained by utilization of the program were as follows : 1) There were no increase of self-efficacy and physical activities. 2) There were no improvement of the number of tender points and pain. 3) There were improvement of depression, fatigue and sleep impairment. These findings indicate the needs for modification of the program with emphasis of exercise for relaxation of tender points, increases of enactive action and vicarious learning.

• 한국실내디자인학회논문집
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• 제16권6호
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• pp.47-55
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• 2007

The purpose of this study is to evaluate environmental characteristics of maternity rooms. The method of this study is a field survey on 8 samples of postpartum care centers in Seoul. The plan, colors, materials, furniture and environmental characteristics of maternity rooms are analyzed. The characteristics of maternity rooms environment were categorized into four items; comfort, privacy, communication and dwelling. The results are as follows: Western-style and rooming-separation system of maternity rooms are used. Maternity rooms are generally good for dwelling quality but insufficient for communication. There are a lack of supply to control a temperature Individually in maternity rooms. It demands to make the type of one-sided public space between maternity room and living room for privacy. All of the maternity rooms surveyed are furnished with TV, radio, and telephone but, to improve communication with visitors, it is recommended that more convenient supplies such as audio and video system, chairs, and table be equipped. There are needs for sky-light windows in maternity rooms. It is necessary to research more about the space of living room, nursing room and service area, and we need more study about baby, nurser and owner' spaces.

• Asian Pacific Journal of Cancer Prevention
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• 제17권6호
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• pp.2983-2988
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• 2016

Recognizing cancer patients' preferences to obtain health information can help improve and reform the methods of communicating and providing proper services and consequently lead to effective patient education. The present cross-sectional study to prioritize the preferences of cancer patients regarding the acquisition of health informationwas conducted on cancer patients referred to hospitals affiliated to Semnan University of Medical Sciences in 2015. An anonymous self-administered questionnaire was developed. In the field of side effects of medications, 50 (46.7%) reported knowing about weight change, in the area of achieving relative health, 62(57.9%) announced awareness about diet, and 45 (42.1%) reported physical complications as a first regarding information needs. In the area of obtaining information, 50 (46.7%) tended to take their information through means outside of the hospital setting. These results can help with design of clinical information systems, as they inform the most relevant and useful coverage designed for cancer patients. Providing useful information through healthcare providers, the media and clinical information systems can act as a major source of social support for cancer patients.

• 근관절건강학회지
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• 제28권2호
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• pp.161-173
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• 2021

Purpose: This study examined: 1) what it meant for patients to have multimorbidity 2) how they manage their illness using health care facilities, and 3) what contextual backgrounds exist regarding the health care system. Methods: This qualitative research obtained individual in-depth interviews from 22 patients. Participants were selected by purposive sampling among those who saw physicians more often than the national average from the 2013 medical-claim data. The transcribed data were analyzed using Ground theory. Results: Multimorbidity patients suffered from "chain-like serial symptoms" and "pain without a breakthrough". They expressed themselves as "indeed patients among patients", "my body is a general hospital", and "an incompletely normal person". There was a demand to resolve the anxiety arising from the situation in which the body keeps getting sicker without showing any signs of recovery. In a state of reduced social support and a lack of trust in the doctor, their desire to be healed led them to receive a temporary relief through dependence on medical institutions. Conclusion: This research recognized the desire of multimorbidity patients to seek temporary relief through dependence on medical institutions. A more patient-centered directed care plan, specific to the needs of the patients with multimorbidity is required.

• Journal of Information Technology Applications and Management
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• 제29권2호
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• pp.27-37
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• 2022

This study was attempted to identify the effects of physical and mental health on quality of life in middle-aged adults by gender. The Data were analyzed for 4,511 adults (2,260 men, 2,251 women) aged 45 to 65 who had no missing values in major variables based on the data of the 2016 Korea Health Panel. According to the data, the quality of life in middle-aged adults was .92 (±.08) for men and .91 (±.10) for women, which was significantly higher than that of women (t=3.54, p<.001). Factors affecting the quality of life in middle-aged men were subjective health status (β=.40, p<.001), stress (β=-.17, p<.001) and education level (β=.10, p<.001), and these variables explained 23% of the quality of life (F=227.28, p<.001). Factors affecting the quality of life in middle-aged women were subjective health status (β=.40, p<.001), stress (β=-.11, p<.001), education level (β=.05, p=.011) and anxiety (β=-.05, p=.022), and these variables explained 21% of the quality of life (F=145.42, p<.001). Based on the results of this study, the group with low level of education in middle-aged adults needs health management, education on how to relieve stress, and intensive management to improve the quality of life. In addition, the differentiated approach should be required to reduce anxiety in middle-aged women.