• Quality Improvement in Health Care
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• v.5 no.2
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• pp.176-189
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• 1998

This study was conducted to evaluate the subjective ideas about the determinants of quality in ambulatory care unit among outpatients and medical staff of a university hospital, and to compare the differences of the ideas, between patients themselves and hospital staff. A self-administered questionnaire survey was conducted covering 799 outpatients and 190 hospital staff in March, 1998. The questionnaire included general characteristics and 26 determinants of ambulatory care quality. The following are summaries of the findings: 1. Both of outpatients and hospital staff perceived, "Physician's knowledge" as the most important determinant of medical care quality. 2. In respect of 7 determinants related to physician's knowledge and skill, both outpatients and hospital staff perceived "physician's knowledge and skill" as important determinants. The scores of determinants such as, "Not doing unnecessary examinations", and "Assignment of adequate number of patients and duty schedule for the physician" were significantly different between outpatients and hospital staff. 3. In respect of 4 determinants related to doctor-patient relationship, both outpatients and hospital staff perceived "attention to patient's complaints" as the most important determinant. The scores related to the determinants such as "kindness of physician" and "explanation of treatment outcome" were significantly different between outpatients and hospital staff. 4. Among the amenities related determinants, "Modern facilities and equipments" were perceived as the most important determinant in both group. 5. In respect of 8 determinants related to non-financial accommodation, outpatients perceived, "Waiting hours for treatment" as the most important determinant, and hospital staff perceived, "Kindness of hospital staff". 6. In respect of 4 determinants related to financial accommodation, outpatients perceived, "Fare account of medical cost" as the most important determinant, and hospital staff perceived, "Increasing reimbursements". Further comprehensive research should be made on the evaluation of perceptions of medical care quality, both of outpatient and inpatient care, among patients and hospital staff. So good quality in medical care will be achieved based on clients' needs.

• Journal of the Korean Institute of Landscape Architecture
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• v.35 no.3
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• pp.1-12
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• 2007

This study aims to examine the existing conditions of elderly housing facilities and to understand the characteristics and types of outdoor living environments utilized by the elderly. To achieve this, this study relied on two methods: a descriptive method of researching publications and related scholastic writings, and an empirical study that included a survey of present conditions and interviews with the elderly and their nursing care providers. Additionally, evaluation of usage patterns and physical traces were carried out in twelve cases. First, the study showed that all of the facilities, which are fixed in particular areas, had difficulty providing spatial diversity that met the needs of residences. This means that these areas lack flexibility. Activity programs were, however, carried out in a lively manner in well-equipped spaces. Second, an evaluation of outdoor living environments showed that basic facilities were more than adequate, in general. Consideration of resident's physical strength and taste, however, was evaluated as low, indicating that facilities and spaces should be considered to reflect the ages, physical capacity, diverse tastes and hobbies of the elderly, as well. Third, examining the usage patterns of outdoor living activities of residents, the purposes of using outdoor spaces of elderly housing facilities were mainly 'to take a walk' and 'to engage in simple physical exercise' and the walkway, simple sports facilities, and building entrances were highly utilized. The importance of outdoor living environments values was a mean of 4.07 and satisfaction was 4.17. This indicates that residents thought that outdoor living environments are very important and currently satisfied with them.

• Industry Promotion Research
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• v.3 no.2
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• pp.41-51
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• 2018

This study is to see the problem of child abuse as a social problem and sees that the society as a whole needs to find a solution and suggest solutions. The results of this study are as follows. First, legal supplement should be given priority. This can be solved through legal amendments to relevant laws and legislative amendments. Second, institutional complement should be done. Physical and psychological treatment is more urgent for school children than school education for victim child. In the future, children's welfare facilities should be expanded to include child counseling centers for children who are living in homes rather than nursing homes but who have problematic behaviors and treatment facilities for children who need professional treatment. Third, measures should be taken against abused children. Results of action for affected children include home care, separation protection, home return, and death.

• Journal of the Korea Convergence Society
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• v.6 no.6
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• pp.271-277
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• 2015

The purpose of this study was to investigate the association between Suicidal ideation and Neighborhood environment among some adolescents. The G city 4,509 people which is suitable for this research at was aimed against the adolescents among the survey data collected. On the area neighborhood environment recognizes was good 1,805 people, was not good was 2,704 people. Suicidal ideation was where the neighborhood environment was bad 12.9%, good 8.8%. And in multiple logistic analysis, neighborhood environment was bad more significantly likely to be Suicidal ideation (OR=1.40, 95% CI=1.14-1.71). Therefore the residential zone environment needs to be monitored through the participation style local resident program. And it is regarded to find the plan that it lowers the suicide idea through the material and emotional converge support to the youth on the area where the residential zone environment is unable to be good in the national dimension.

• Journal of Physiology & Pathology in Korean Medicine
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• v.28 no.2
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• pp.223-232
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• 2014

Most of salivary cortisol are an unbound free form reflecting physiological function later. Thus, it is used frequently to evaluate the HPA-Axis and physiological function. Although the needs of salivary cortisol measurement in Korean Medicine is higher and higher, there are not many studies, because the reliability of salivary cortisol measurement is not high. To make the reliability high and encourage to use it in Korean Medicine, the goal of this study is to suggest the standard method of saliva collecting for cortisol measurement through the review of previous studies using salivary cortisol and to encourage to use it in clinical fields in Korean Medicine. The results are as followed; First, salivary cortisol has many benefits, i. e. easy collecting, non-invasive collecting, and reflecting the physiological function. Second, the collecting time and method are kept sternly, because the methods of saliva collecting vary depending on the goal of study. Third, the specific tools for saliva collecting are recommended to prevent contamination. In conclusion, if the standard methods of saliva collecting is kept to measure salivary cortisol, it would be very useful in many fields of Korean Medicine.

• 한국호스피스완화의료학회:학술대회논문집
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• 2000.12a
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• pp.162-174
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• 2000

The purpose of this hermeneutic study was to investigate the meaning of "good dying" of Chinese terminally ill cancer patients in Taiwan; the factors related to this morning; and the strategies cancer patients used to ensure "good dying". Indepth unstructured interviews, prolonged participant observations, and review of clinical records were selected as the methods for data collection. In the four and one-half month period of data collection, the researcher was in the role of a full time clinical nurse specialist who directly took care of the subject patients in 4 hospitals and in patients' homes. The 20 subject were selected purposively according to selection criteria and various demographic backgrounds. Interview transcripts and field notes comprised the data for analysis. The results were composed by 3 constitutive patterns and 12 themes. Achieving inner peace appeared to herald the good dying state. The "good dying" for Chinese terminally ill cancer patients in Taiwan meant peace of body, peace of mind, and peace of thought. The constitutive pattern of peace of body included 4 themes: (1)minimizing the agony of physical symptoms; (2)short period of dying process without lingering death; (3) cleanliness, neatness, and integrity of the body; and (4) mobility. The constitutive pattern of peace of mind included 5 themes: (1) yielding; (2) non-attachment; (3) not to be lonely; (4) settle down all affairs; and (5) being in a preferred environment and enjoying nature. The third constitutive pattern of peace of thought included 3 themes: (1) getting through day by day without thinking; (2) meaningful life; and (3) expectation that the suffering would be ending. Through understanding of the terminally ill cancer patient' needs in their meanings of "good dying", recommendations can be made for humanistic care. The findings of this study have recommendations for care givers daily contact with dying patients and for medical and nursing education.

• Journal of radiological science and technology
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• v.13 no.2
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• pp.1-14
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• 1990

As the institute of education teaching radiologic technology in Korea, different from others, junior college is the only institute which has been managed for it as a two-year educational course for 27 years since 1963 when it was established for the first time in our country irrespective of the needs of the times. But according to the development of medical equipment, variety of medical skill, increase of medical demands now a days, the supply of radiologic technology in modern medicine not only makes it advance as an inevitable factor but also broadens the area of its business systematically. Therefore, we got the following results after we had considered the necessity to lengthen the term of education and searched for the most reasonable way. 1. The term of study of the radiologic technologists in junior college must be lengthened to 3 years from 2 or 3 years regulated in the law of education. 2. In three-year curriculum, the subjects like basic medical science, science and engineering and ultramodern science, etc., which are lated to the new radiologic science must be taught in the junior colleges, and hospital practice also must be a compulsory subject in curriculum. 3. As the school years becomes longer, a lot of programs to make the study effective must be searched, researched and propelled forward.

• The Korean Nurse
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• v.28 no.3
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• pp.83-93
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• 1989

This study analysed marital comflicts, related factors, and adjustments to those conflicts described by urban Korean women. The purpose was to discover directions for resolution that would enhance the helpfulness of volunteers or prfessionals working with women in counselling settings. The investigator interviewed 20 married women, all mothers and housewives living in Seoul, attending marriage encounter programs and the Lifeline telephone counselling service. An interview schedule using six open-ended questiona guided the data colleciton which took place between May 31 and December 29, 1988. Content analysis of the data revealed, in order of reported frequency, the following areas of conflict: relationships between husband wife, relationships with children, relationships between the wife and her mother-in-Law, unsatisfied sexual needs, the husband's extra marital relationships, lack of self actualization and finacial matters. Analysis of the data suggested the following factors were related to the conflicts: reasons for marriage, traditional views about marriage and divorce including to accept a marriage arranged by the parents, the husband's traditonal attitude toward the sex role of the wife, the husband's patriarchical authoritarianism, and his attitude toward the wife;s empolyment outside the home. The women thought these conflicts severely affected their relationships within the famaily, particularly with their children. Literature suggests links with such poor parent-child-family relationships and adolescent or young people's social problems. Volunteers or professionals working with married women in counselling situation need to be conscious of the possibility of these conflict during assessment, and direct their guidance toward such conflict resolution. The researcher makes several suggestions which include the need for the husband to give emotional supports to his wife, to recognize the worth of housework, to share the work of the home, to fine ways to enhance the wife's self-actualization and to ease dreary housework routines by prviding modern appliances.

• Journal of the Korea Institute of Information and Communication Engineering
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• v.6 no.6
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• pp.923-930
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• 2002

This study aims at developing dialog system to improve the quality of life of the elderly with a dementia. The proposed system mainly consists of three modules including speech recognition, automatic search of the time-sorted dialog database, and agreeable responses with the recorded voices of caregivers. For the first step, the dialog that dementia patients often utter at a nursing home is first investigated. Next, the system is organized to recognize the utterances in order to meet their requests or demands. The system is then responded with recorded voices of professional caregivers. For evaluation of the system, the comparison study was carried out when the system was introduced or not, respectively. The occupational therapists then evaluated a male subjects reaction to the system by photographing his behaviors. The evaluation results showed that the dialog system was more responsive in catering to the needs of dementia patient than professional caregivers. Moreover, the proposed system led the patient to talk more than caregivers did in mutual communication.

• Journal of the Korean Society of School Health
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• v.9 no.2
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• pp.239-248
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• 1996

This descriptive study was done to investigate the degree of knowledge and attitudes, the need of health education, and the relationship between knowledge and attitudes concerning AIDS in senior high school students. The data was collected from 386 senior high school students(200 boys, 180 girls) in K city. The data was gathered by a self reporting questionnaire, from Nov. 22nd to the 30th, 1995. Data was analyzed using the descriptive statistics methods: t-test, F-test, Pearson-Correlation Coefficient, GLM with the statistical computer package, SAS. The Result of this study were as follows : 1. The mean score of knowledge about AIDS was 42.70 from a total score of 58, showing significant differences between boys and girls (p<0.0001). 2. The mean score of attitudes about AIDS was 29.95 from a total score of 40, showing no significant differences between boys and girls. 3. The selected contents that the students want to learn were prevention, etiology, transmission, symptoms, and treatment of AIDS in that order. 4. The relationship between knowledge and attitude about AIDS show a positive correlation and is statistically significant(r=0.27, p<0.0001). The information obtained from this study will provi a useful data to develop a practical health education program about AIDS for senior high school students.