• 제목/요약/키워드: Nursing care satisfaction

검색결과 913건 처리시간 0.03초

뇌질환아 어머니의 스트레스와 대처방법 (A Study on Stress and Coping Methods of Mothers of Children with Brain Disease)

  • 윤정희;조결자
    • 대한간호학회지
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    • 제24권3호
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    • pp.389-412
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    • 1994
  • This study was done to investigate stress and coping methods of mothers with brain disease children. The subjects for this study were obtained by taking a sample of mothers with brain disease children hospitalized in neurosurgery ward of K medical center in Seoul from Nov. 20, 1992 to Mar. 10, 1993. The collected date were analized by S.P.S.S. program(frequency, percentage, mean, t-test, ANOVA, Pearson Correlation). The results of the study were as follow. 1. The mean of the degree of mothers' stress was 3.681. Of the stress categories, illness treatment (4.216) was highest, and the next were in order of ill-ness status and prognosis(4.154) , family relation-ships and personal roles(3.202), interpersonal relationships(2.916). 2. The mean of the degree of mothers' coping method was 2.930. Of the coping method categories, communication with medical team or parents in similar situations(3.332) was highest, and the next were in or-der of family cooperation and optimistic thought about the situation(3.241), reforcement of self esteem and maintenance of psychological stability(2.538). 3. There was not seen a stastically significant correlation between stress factors and coping methods of mothers. But with categories, the higher the stress to illness status and prognosis was, the hight coping methods' degree of communication with medical team or parents in similar situations was shown a positive correlation, if not high (r=.2776, P=.046) . And the higher the stress to illness treatment was, the higher coping methods' degree of communication with medical team or parents in simial situations was shown a positive correlation, if not high (r=.2727, P=.049). 4. With the difference of stress according to mothers' general characteristics, religion and monthly income shew a statically significant difference. The mothers' group who have a religion shew the higher degree of stress(t=-3.17, P=.003), The group who get the most income shew highest degree of stress (F=.4693, P=.0156). With the difference of coping according to mothers' general characteristics, the most support-ing person, satisfaction with husbands and mothers' own health status shew a statistically significant difference. The group who get the most support from parents-in-law(F=3.7508, P=.013), the group who are much satisfied with husband(F=3.589, P=.016), and the group whose health status are good(F=3.3675, P=.046), shew the highest coping degree. 5. There were no significant difference in degree of stress and coping by children's characteristics The significance of the study will be concluded as follows. 1. Investigating the stress factors, which mothers are perceiving, it will be utilized as the basic materials of nursing plan so as to reduce the stress of mothers. 2. In searching for the ways of mothers' more helpful coping methods, it shows the necessity of the active nursing intervention for the mothers in the process of coping with their stress. That is, the nurse should serve the earnest nursing as counselor, supporter, educator, and information - provider. 3. Recogning mothers as well as children with brain disease as a client, the nurse will be able to help the mother, who is taking care of the children, cope with the stress situation well, and to make a contribution to the recovery, rehabilitation, and health of the children and to the enhancement of the family' health.

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병원 호스피스센터-보건소 연계를 통한 지역사회 재가암환자 관리 프로그램 평가 (Evaluation of a Community-Based Cancer Patient Management Program: Collaboration between a Hospice Center and Public Health Centers)

  • 이해숙;박선희;정영순;이부경;권소희
    • Journal of Hospice and Palliative Care
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    • 제13권4호
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    • pp.216-224
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    • 2010
  • 목적: 본 연구는 말기 재가암환자 관리를 위한 병원호스피스센터와 보건소 간의 연계 프로그램을 평가함으로써 보다 효율적이고 효과적인 재가암환자 관리체계를 구축하고자 시도되었다. 방법: 호스피스센터-보건소 재가암관리 연계 사업은 1) 협약체결, 2) 재가 말기암환자 발굴 및 등록, 3) 가정호스피스 방문 서비스 제공, 4) 만족도 조사의 단계로 전개되었다. 일 호스피스센터와 지역의 3개 보건소가 협약을 체결하였고, 2009년 2월 1일에서 12월 31일까지 11개월 동안 43명의 환자에게 605건의 가정호스피스 방문을 실시하였다. 방문기록지 분석을 통해 서비스 대상자의 특성과 제공된 서비스의 종류와 내용을 분석하였고, 이 중 20명에게 서비스 만족도 조사를 실시하였다. 결과: 대상자의 76.7%가 60세 이상이었고, ECOG 전신 수행상태 점수는 0점과 1점이 각각 37.2%, 39.5%이었다. 환자가 병식이 있는 경우는 90.7%, 호스피스 동의서에 서명한 경우는 62.8%였다. 초기방문 시 환자의 주 호소는 전신쇠약감(86.0%)과 식욕부진(72.1%)이 가장 많았다. 평균 총 서비스 기간은 144.42일이었고, 총 605건의 방문 중 간호사 방문이 371회로 가장 많았다. 각 방문중 정서적 지지와 건강상담이 가장 빈번하게 제공되었고, 서비스 전반에 대한 만족도는 5점 척도로 측정하였을 때 평균 4.45점이었다. 결론: 본 연구는 지역사회 내에서 실제적이고 체계적인 재가 말기암환자 관리 프로그램 구축을 위한 중간평가로서의 의미가 있다. 본 연구에서 의뢰된 대상자는 입원형 호스피스보다 기능 상태가 양호하고 서비스 제공기간이 길었으며, 서비스에 대한 만족도, 특히 정서적지지와 환자상태 설명에 대한 만족도가 높았다. 그러나 방문횟수와 빈도, 임종기 관리, 병원입원 재입원하는 환자관리에 대한 기준과 서비스 표준마련은 앞으로의 과제로 제시되었다.

Research on Current Execution of Customer Support Knowledge Management System of Medical Appliances Industry

  • Chung, Yi-Chan;Tsai, Chih-Hung;Tien, Shiaw-Wen;Lin, Lin-Yi
    • International Journal of Quality Innovation
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    • 제8권3호
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    • pp.46-70
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    • 2007
  • Customer Support Knowledge of Customer Support Organization is one of the important assets of enterprises and "Customer Support Knowledge Management" is also the critical aspect of Business Knowledge Management; however, the attributes of Customer Support Knowledge are complicated, diverse, renewed rapidly and difficult to be managed. Thus, in order to design a successful Customer Support Knowledge Management System, apart from the consideration of "human" and "information technology" aspects, the concerns of attributes and Customer Support Knowledge and industry characteristics should be involved for meeting the requirements of Customer Support Organization and allowing the organization to acquire the competitive advantage of "Differentiation Service". This research used the "Customer Support Knowledge Management System" in a high-tech industry as an example and treated the end users of medical instruments in different types of hospitals in Taiwan which have received the support service of our company in recent six months as the population. The end users were mostly the nursing executives or ultrasonic wave technical personnel in intensive care unit and they had similar educational background and incomes and adopted the medical instruments such as physical supervision system, ultrasonic wave system, heart start or ECG machine produced by our company; the research method was to randomly treat the investigation results of the telephone customers' satisfaction from respective 30 end users in the population three months before and after this system execution as the samples and use hypotheses to validate if the end users' customer satisfaction significantly improved in terms of "Remote Support," "On-site Support," "Service Turn Around time," "Technical Competence" and "Manner" in order to understand the influence and managerial significance of execution of "Customer Support Knowledge Management System" on Customer Support Organization.

필리핀 뚜게가라오 지역에서의 마을보건원 훈련 프로그램 개발 사례 (Development of Village Health Worker Training Program in Tuguegarao, Phillipines)

  • 김정민;이혜연;박대진;옥철호;전만중;유병철;고광욱;이용환
    • 농촌의학ㆍ지역보건
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    • 제33권3호
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    • pp.324-334
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    • 2008
  • Objectives: The purpose of this study was to develop and execute the village heath worker(VHW) training program which based on short term overseas medical volunteer and medical mission. Methods: Through case studies of previous VHW program and review articles about the state of medical volunteer and medical mission, we developed the VHW training program. Pilot test of the program was carried out in Tugeugarao city, Phillipines on July, 2008. The subject were 32 persons from 15 villages around Tuguegarao city. After training we surveyed regarding the satisfaction of training and the degree of getting knowledge and skills. Results: Through article review, we got the common subjects of previous VHW training program and the limitations of overseas medical volunteer and medical mission. We developed VHW training program aiming to community health promotion through community participation and community change. The main text was "Where There Is No Doctor" of Hesperian Foundation. The program executed through 1 day intensive lecture and practice. The satisfaction of the program was 8.95±1.70 on 10 point rating scale. Conclusions: We strongly expect VHW training program can be available as new model of short overseas medical volunteer as well as medical mission if we could systemize it with the confirming subject before training , management after training and continuous support through connection with the field.

폭염특보 인지도와 기상특보 활용도 분석 ; 대학생들의 인지 (Analysis of the Perception of Extreme Heat Watch Warning and Usefulness of Special Weather Reports ; Focus on the Perception of University Students)

  • 박종길;오진아;정우식;김은별;최수진
    • 한국환경과학회지
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    • 제19권10호
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    • pp.1237-1246
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    • 2010
  • This paper aims to analyze the perception of university students for the extreme heat watch warning and suggest the usefulness of special weather reports. For this, we have made up a descriptive questionnaires including the perception, mass media, usefulness and satisfaction of special weather report. Using the SPSS 17.0 program, descriptive statistics, t-test, ANOVA and Scheffe test were used to analyze the collected data. The result are as follows; The perception of extreme heat watch warning was some low as 59.1 percentile, we think it needs education and public relations about the extreme heat watch warning. The usefulness of special weather report was 66.6 percentile and of girl students of university that was educated about health care was higher than one of boy students of university, it needs continuous education of these students in order to upgrade satisfaction of special report and mitigate the hazard of extreme heat according to climate change. The main media to get the meteorological information of university undergraduate students were TV and Internet, it needed education and development of new contents. From these findings, suggestions are presented to help improve the extreme heat watch warning.

만성질환자의 공유의사결정 개념분석 (Shared decision-making in Patients with Chronic Disease : Concept Analysis)

  • 유지연
    • 한국융합학회논문지
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    • 제10권11호
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    • pp.543-555
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    • 2019
  • 본 연구의 목적은 만성질환자의 공유의사결정에 대한 개념의 속성을 명확히 정의하기 위함이다. 개념분석의 절차는 Walker and Avant의 방법에 근거하여 학제간 융합적 분석을 시도하였다. 분석결과, 만성질환자의 공유의사결정의 속성은 자기돌봄 전문가로서 인정, 자기 결정권, 번복 가능한 협상, 환자중심 돌봄으로 정의되었다. 선행요인은 비슷한 치료방법 중 선택해야 할 필요성이 있는 상황, 의사결정 갈등, 환자, 가족, 의료제공자의 참여 의지, 충분한 시간과 기회이다. 만성질환자의 공유의사결정의 결과는 의사결정 갈등 감소, 환자결과와 만족도 및 삶의 질의 향상, 장기적인 환자의 자기관리 및 자기 효능감 향상, 질병을 수용하는 삶의 태도이다. 본 연구는 만성질환자의 공유의사결정에 대한 명확한 개념을 제공하고, 관련 간호중재 개발을 위한 이론적 근거 형성에 기여할 수 있을 것이며 만성질환자를 위한 공유의사결정 측정도구 개발 연구의 수행을 제언한다.

도시 가족계획요원의 직무수행에 영향을 미치는 요인에 관한 연구 -서울특별시 동단위 가족계획카드관리요원을 중심으로- (A Study on the Factors which Influenced the Performance of Urban Family Planning Health Personnels' Function - Around the FP health personnels in the Seoul metropolitan city-)

  • 이명숙;문형화
    • 한국보건간호학회지
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    • 제3권2호
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    • pp.143-156
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    • 1989
  • This study was done in order to analyze the factors which influenced the performance level of urban family planning health personnels' task. Interview survey was done during the period May, 1989. Interviewee were 130 family planning health personnels among total of 140 family planning health personnels in Seoul metropolitan city area. The internal consistency reliability was tested by Cronbach’s Alpha and the construct validity of the survey tool was tested by Factor analysis. Multiple stepwise regression analysis was used to identify major factors influenced to perform family planning health personnels' task. The results of this study were summarized as follows: 1. The internal consistency reliability was high and very significant (Cronbach's Alphs=0.8445, p<0.0000). 2. The construct validity was high and very significant. This analysis was contained 5 factors; registering and keeping of eligible woman records, health educating for FP & MCH, referral for vasectomy and tubal ligation and loop, supplying contraceptive appliances, sending moved-out eligible woman records. 3. Among a total of 15 contents of their functions recording of daily report and monthly report (76.2%), classifying and keeping of records(66.2%), registering of eligible woman records(60.85ti), distribution of leaflets and pamplets(54.6%), counselling & supervision about family planning(53.8%) were actively performed. Sending moved-out eligible woman records(60.8%), health education for community people(49.2%), referring contraceptors' side-effects were poorly performed. 4. The factors which influenced the performance level of urban family planning health personnels' function were age, marital status, educational level, certification, number of residents, number of eligible women, job car-eer, work responsibility, job satisfaction knowledge, position, cooperation of community people, cooperation of Dong Office, cooperation of Health Center. These 14 variables were able to explain job function from 21.4% of follow-up care of contraceptor to 9.1% of classifying & keeping of eligible woman records.

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병원 근무 간호사가 자각하는 피로 (Subjective Symptoms in Fatigue in Hospital Nurses)

  • 김신정;성명숙
    • 대한간호학회지
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    • 제28권4호
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    • pp.908-919
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    • 1998
  • The purpose of this study was to get some basic data for health care for working women, especially or hospital nurses. The number of subjects was 796 nurses from one general hospital and four private educational hospitals. The data were collected from February to April, 1988 using the questionnaire "Symptom Table on Fatigue Perception" designed by the Research Committee of Industrial Fatigue in Hygienic Association of Japan Industry. The collected data were analyzed using means and standard deviations for the subjective symptoms of fatigue and each item as an independent variable was analyzed by T-test and ANOVA test. The results are as follows 1) The mean score for degree of fatigue was 1.89 and the degree of fatigue for physical symptoms had highest score of 2.04, the next was psychological symptoms at 1.89, and neuro -sensory symptoms were the lowest at 1.74. Among the fatigue symptoms, the item scored most frequently was "Legs feel heavy" with a mean score of 2.40 and the least frequent item was "My hand and foot trembled" with a mean score of 1.40. 2) With the respect to the general characteristics of subjects, there were statistically significant difference according to age (F=17.039, p=.000), state of marriage(t=5.381, p=.000) presence of children(t=5.134, p=.000), clinical experience (F=16.663, p= .000), present position(F=18.204, p=.000), working place(F=12.598, p=.000), duty time(F=9.068, p=.000), monthly wages(F=7.361, p=.000). satisfaction about the pay and treatment at work(t=-5.511, p=.000), relation the doctors(t=-4.593, p=.000) the doctors(t=-4.593, p=.000)

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Investigating Sexual Function and Affecting Factors in Women with Breast Cancer in Iran

  • Shandiz, Fatemeh Homaee;Karimi, Fatemeh Zahra;Rahimi, Nafiseh;Abdolahi, Mahboubeh;Anbaran, Zahra Khosravi;Ghasemi, Mina;Mazlom, Seyed Reza;Kheirabadi, Aghileh Nasaghchi
    • Asian Pacific Journal of Cancer Prevention
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    • 제17권7호
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    • pp.3583-3586
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    • 2016
  • Background: Since the breast is strongly relevant to sexual desire, and physical and sexual attractiveness, the high prevalence of breast cancer (BC) in Iran and long-term survival of patients experiencing side effects means that measures to identify associated sexual problems are necessary. Therefore, this study was conducted to assess sexual function and affecting factors in women with BC. Materials and Methods: This cross-sectional study was performed on 94 women with BC, referred to Imam Reza (AS) Hospital, Mashhad, Iran, in 2014. The data were collected through demographic and clinical questionnaires and also a sexual function questionnaire and analyzed using SPSS version 16. Results: The total score of women's sexual function was about $24.3{\pm}4.41$. Of the total, 63 (71.3%) reported sexual dysfunction, for example reduced satisfaction or more pain. Age was the only significantly related factor. Conclusions: Breast cancer can adversely affect women's sexual function and decrease quality of life. Thus, taking measures to overcome women's sexual problems are necessary.

CSFT-구축 수요도에 관한 조사 연구 (A Survey Study on Needs for the Construction of the CSFT (Cluster with a Strongpoint for Field Training))

  • 이재홍;강규헌;권원안;김기철;김창태;민동기;이진환
    • PNF and Movement
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    • 제11권1호
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    • pp.27-33
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    • 2013
  • Purpose : The purpose of this research was to research on Needs for the Construction of the CSFT(Cluster with a Strongpoint for Field Training) on students and professors of health-related majors. Methods : We investigated 164 students and professors using a self-reporting method with experience of Field Training. A statistical analysis was performed using SPSS 17.0 for window version. Results : It showed that educational satisfaction had scored 4.05 in curriculum, 4.00 in environment, 3.52 in schedule, 3.71 in evaluation and 3.71 in teaching and 3.84 in industrial-college systems for Field Training. Needs for the Construction of the CSFT had scored 4.17 in $mean{\pm}standard$ deviation. Conclusion : Characterization of Nursing, Department of Health and local health care environment and conditions, if you think the quality of education for the Department of Health Nursing, gradually, the acquisition and improvement of the base hospital is necessary. Therefore, it is considered to be institutionalized by installing the strongpoint hospital at least one in each region, so that they can contribute to the improvement of people's health.