• 한국의료질향상학회지
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• 제3권2호
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• pp.86-97
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• 1997

Background : It is a primary goal for hospital personnel to improve the quality of patient care. In Korea the concept of quality assurance has been spread over the last five years. Many hospitals have implemented quality assurance programs that fit their own philosophy and needs. As a result, they are supposed to have different experiences and attitudes toward quality assurance. To investigate their diversity will be helpful to have a direction to the future and to enhance the quality assurance activities in Korean hospitals. Objectives : The aim of this study is to obtain information about hospital personnel's attitude and opinion toward quality assurance in hospitals. Methods : A questionnaire was developed which consisted of five parts; the general characteristics of respondent, the concepts of quality assurance, need for quality assurance program, current status of quality improvement activities, and participation in programs. Using the registry of Korean hospitals, 102 hospitals with more than 400 beds were selected. Questionnaires were mailed to hospital staffs of each hospital; top managers, clinical department heads, registered nurses, medical recorders, and administrators. Results : Of 2038 questionnaires sent, 877 were returned, giving response rate of 44%. Most respondents(70%) regarded quality assurance as efforts to provide patient with care in highest quality and to improve effectiveness or resource utilization. Ninety-nine percent of respondents agreed to need for quality assurance in their hospitals. There were current quality improvement programs implemented in the department of 553 respondents(62%), and most of the(85%) have participated in at least one program. Lack of motivation was pointed out as a barrier to implement the programs. Conclusion : Although most respondents have known of the concept and need for quality assurance, this study suggests that education and motivation of hospital personnel be needed to activate the quality assurance programs in hospitals.

• 한국치위생학회지
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• 제11권6호
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• pp.951-959
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• 2011

Objectives : The author has studied the effects of behavior of preventive treatment on job satisfaction in dental hygienist. Methods : The hygienists who had worked from June 27th to August 1st in 2011 were explained about this research objectives and only the hygienists who agreed with this research participation were conducted a self-administered Questionnaire survey and the results were collected immediately. The collected questionnaire was 297, but the final 250 questionnaire were decided as a target except for the trustless ones. This analysis was extracted using SPSS(SPSS 12.0 for windows, SPSS Inc, Chicago, USA). Results : 1. Preventive treatment of dental hygienist was shown as this order - Educational needs 4.25, Importance 4.12, Usefulness 4.09, Perform 3.42. Job satisfaction was reached the moderate level. 2. Analysis of preventive treatment of hygienist was shown as this order - Basic brushing education 4.72 was ranked the highest, Taking patient history and Incremental dental health care 4.58 was held the second place. Dental caries activity tests 3.30 was shown the lowest figures. Response of preventive treatment conducting was like this order - Taking patient history 4.30, Dental prophylaxis 4.28, Basic brushing education 4.11, Incremental dental health care 4.04. Dental caries activity tests 2.05 was shown the lowest figures. 3. General characteristics in behavior of preventive treatment was resulted in this case that the respondents who have worked for less one year in current job than the ones who have worked for more than five years was shown such a low level, this was taken as a meaningful difference.(p=0.008) 4. It was shown that the higher fulfillment of preventive treatment(${\beta}$=0.340, p<0.001) and the greater earnings(${\beta}$=0.194, p=0.001) and usefulness of preventive treatment(${\beta}$=0.130, p=0.042), the higher job satisfaction. Conclusions : Considering these results, environment where the hygienists can concentrate on preventive treatment which is their proper job should be built up as soon as possible. And through this environment, the atmosphere where hygienists, as oral health professionals, can play a role to improve the oral health of the people by boosting job satisfaction should be created. Also It is thought that an institutional, actual improvement-changing the social awareness towards hygienists and dentists, the recognition of scope of the hygienists' work - should be established urgently.

• 대한소아치과학회지
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• 제45권3호
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• pp.280-289
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• 2018

이 연구는 소아치과 행동조절 영역에서 역할극 수업에 참여한 학생들의 만족도와 성취도를 분석하여 역할극 수업의 효용성을 평가해보고자 하였다. 93명의 학생은 19조로 나누어져 의사, 환자, 해설자, 보호자, 진료 보조자군으로 역할이 무작위적으로 배분되었다. 역할극 후, 역할극 수행점수가 부여되었으며, 학생들은 설문지를 작성하였다. 모든 학생들은 지필고사에 응시하였으며, 강의와 역할극 중 효과적이었던 수업을 선택하도록 하였다. 결과는 Mann-Whitney U test, Independent T-test, Kruskal-Wallis test로 분석되었다. 역할극이 행동조절 영역의 지식습득에 효과적이었다고 평가한 68명(73.1%)의 학생들은 강의 선택군보다 높은 만족도를 보였으나, 역할극 수행점수와 지필고사에서는 차이가 없었다. 환자 관련 시나리오에 참여한 학생들은 보호자 관련 시나리오 학생보다 지필고사 서술형영역과 역할극 수행점수에서 높은 성취도를 보였다. 역할에 따른 차이는 없었다. 역할극에 대한 만족도는 구성 및 참여한 시나리오의 성격에 따라 달라질 수 있지만, 학생들이 흥미를 가지고 적극적으로 참여할 수 있는 효과적인 교육방법으로 활용될 수 있을 것으로 보인다.

• 대한한방내과학회지
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• 제29권2호
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• pp.443-455
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• 2008

Objectives : This study was designed to research whether HRV can yield a suitable diagnosis for activity of autonomic nerve system on functional dyspepsia. Methods : The testing of HRV was carried out at the Oriental Medical Center of Dong-Eui University with the participation of 28 functional dyspepsia patients, 25 dyspepsia caused by organic disease patients and 33 control group people. We checked HRV of the three groups for 5 minutes and compared HRV index(frequency domain analysis: HF, LF, VLF, LF/HF Ratio, TP) between groups. Results were as follows : 1. In the frequency domain analysis, HF, LF, VLF, and TP were significantly lower than the control group in the functional dyspepsia patients and dyspepsia caused by organic disease groups. HF, LF, VLF, LF/HF ratio, and TP were not significantly different between functional dyspepsia group and dyspepsia caused by organic disease group. 2. Age in dyspepsia patient group was significantly higher than in the control group. 3. In the frequency domain analysis, LF, VLF, and TP were significantly lower in the functional dyspepsia group than the control group in age 20-30 years. HF, LF, VLF, LF/HF ratio, and TP were not significantly different between the control group and dyspepsia caused by organic disease group in ages 20-30 years. HF, LF, VLF, LF/HF ratio, and TP were not significantly different between functional dyspepsia group and dyspepsia caused by organic disease group in age 20-30 years. Conclusion : According to this study, autonomic nerve system and parasympathetic nerve system decreased more in the functional dyspepsia patient group compared with the control group.

• 한국의료질향상학회지
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• 제14권1호
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• pp.49-54
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• 2008

Background : This study was to reduce incidence of falls by analyzing actual problem and drawing out improvement plan applicable to the clinical practice through operation of the staff nurses-centered fall peer review group. Method : The fall peer review group was composed of 8 nurses having patient nursing experience for over 5 years, and each of fall cases was reviewed and the root cause was analyzed. As a result, it was found that the patients and their families did not fully understandthe content of the education, and the staff nurses did not completely inspect the risk factors of falls and perform immediate intervention when patient's condition changed. Based on the above-mentioned results, improvement activity was conducted for the purposes of consolidating patients education method and supplementing computerized system to support nurses' decision making as well as devices and facilities. Result : As a result of conducting improvement activity in the aspects of education for patients, support of nurse's decision-making, and devices and facilities through operation of the staff nurses-centered fall peer review group, falls decreased by 9.5% compared to before improvement activity. Conclusion : It is concluded that operation of the clinical nurses-centered fall peer review group played a role of promoter to draw out practical and applicable improvement plan to the clinical practice and apply directions of the field-centered, and increased nurses' interest in falls and ultimately, reduced incidence of falls. Therefore the Center will continue to operate the staff nurses-centered peer review group, and recommends participation of nurses who actually take the charge of nursing patients in further analysis of patients' safety accidents.

• 대한치과보철학회지
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• 제54권4호
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• pp.379-386
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• 2016

목적: 본 연구에서는 전통적 인상채득과 디지털 인상채득을 모두 경험한 환자들의 만족도를 조사하여 다양한 항목에 대하여 비교 분석하고자 하였다. 재료 및 방법: 구강 내 디지털 인상채득의 방법을 사용하는 5개의 치과병원에서, 보철 치료를 위해 기존의 인상재를 이용한 방법과 디지털 인상채득을 모두 경험한 만 20세 이상의 성인 환자 170명을 대상으로, 2015년 10월부터 2016년 4월까지 설문조사를 실시하였다. 총128부의 설문지를 분석 자료로 이용하였으며, 빈도분석, 다중응답 빈도분석, 기술통계, 비모수 검정, 교차 분석을 시행하였고, 유의수준은 0.05로 설정하였다. 결과: 디지털 인상채득의 이유는 '임플란트치료'(43.8%), '크라운치료'(30.5%), '인레이치료'(15.6%) 순서로 나타났다. 전통적 인상채득의 평균 만족도보다 디지털 인상채득의 평균 만족도가 유의하게 더 높았다 (P<.05). 재선택하고 싶은 인상채득 방법으로는 전통적 인상채득(11.7%) 보다 디지털 인상채득(60.2%)이 더 높게 나타났다. 디지털 인상채득을 재선택한 이유로는 '구토반사가 없어서'(35.1%), '3D디지털 스캔이라 신뢰가 가서'(33.8%), '시간이짧아서'(33.8%) 순으로 나타났다. 결론: 환자 만족도 및 다시 선택하고 싶은 인상채득의 방법으로 전통적 인상채득 보다 디지털 인상채득의 선택이 더 높게 나타났다.

• Asian Pacific Journal of Cancer Prevention
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• 제15권14호
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• pp.5523-5528
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• 2014

Objective: To evaluate the implementation of screening colonoscopy amongst first-degree relatives (FDRs) of patients with colorectal cancer (CRC) in Turkey. Materials and Methods: A total of 400 first-degree relatives (mean(SD)age: 42.5(12.7) years, 55.5% were male) of 136 CRC patients were included in this cross-sectional questionnaire based survey. Data on demographic characteristics, relationship to patient and family history for malignancy other than the index case were evaluated in the FDRs of patients as were the data on knowledge about and characteristics related to the implementation of screening colonoscopy using a standardized questionnaire form. Results: The mean(SD) age at diagnosis of CRC in the index patients was 60.0(14.0) years, while mean(SD) age of first degree relatives was 42.5(12.7) years. Overall 36.3% of relatives were determined to have knowledge about colonoscopy. Physicians (66.9%) were the major source of information. Screening colonoscopy was recommended to 19.5% (n=78) of patient relatives, while 48.7% (n=38) of individuals participated in colonoscopy procedures, mostly (57.9%) one year after the index diagnosis. Screening colonoscopy revealed normal findings in 25 of 38 (65.8%) cases, while precancerous lesions were detected in 26.3% of screened individuals. In 19.0% of FDRs of patients, there was a detected risk for Lynch syndrome related cancer. Conclusions: In conclusion, our findings revealed that less than 20% of FDRs of patients had received a screening colonoscopy recommendation; only 48.7% participated in the procedure with detection of precancerous lesions in 26.3%. Rise of awareness about screening colonoscopy amongst patients with CRC and first degree relatives of patients and motivation of physicians for targeted screening would improve the participation rate in screening colonoscopy by FDRs of patients with CRC in Turkey.

• 대한치과보철학회지
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• 제19권1호
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• pp.39-45
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• 1981

Distal-extension removable partial dentures have long been implicated in the increase in mobility and the destruction of the supporting structures of the primary abutment teeth. Various clasping systems have traditionally been used to retain distal extension removable partial dentures, and other designs have been proposed to minimize torquing forces on the abutment teeth. Most recent studies investigating the effects of removable partial dentures on abutment teeth have been performed in it laboratory setting. Results obtained from in vitro research have given dentists insight into removable partial denture design, but laboratory test model cannot be constructed that simulates actual functional or parafunctiona1 movements and forces. The purpose of this study was to clinically evaluate the degree of tooth mobility produced by two clasping systems (suprabulge type and infrabulge type) used for distal extension removable partial dentures. Akers clasp and R.P.I. system were selected for the evaluation, and four patients required a distal extension removable partial denture on the mandibular arch were selected for participation in the study. Two partial dentures were constructed in the same condition expect the design of clasp. All abutments in the study were mandibular first or second premolars. Measurements of mobility were made with a research tool designed by $M\"{u}hlemann$. This instrument, periodontometer, measures tooth mobility in the mouth by means of a dial gauge accurated to 0.01mm when the tooth is stressed with a force meter. Lingual and buccal deflection of abutment tooth was measured using buccal and lingual pressure. The amount of force applied was 500gm. Tooth mobility tests were made at four key stages; 1. Before insertion of the first removable partial denture, baseline mobility was establsihed. 2. After wearing of the first prosthesis, measurement was made at weekly intervals for 4 weeks. 3. The removable partial denture was then taken from the patient, and tooth mobility was measured again at weekly intervals until the patient's established baseline mobility had returned. 4. The second prosthesis of different clasp design was worn for a month and evaluated in the same manner as the first. The sequence of placement of clasping system was alternated between patients. The following results were obtained from this study; 1. The mobility of abutment tooth increased during the initial stage of wear and returned to baseline mobility after removal of removable partial dentures. 2. The mobility of abutment tooth showed no difference between Akers clasp and I-bar clasp during the 4-week test period. 3. All teeth tested showed greater mobility toward the buccal than the lingual direction.

• 호스피스학술지
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• 제5권1호
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• pp.50-62
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• 2005

The elderly people was over 8.3% in 2003. This seament is projected to grow to 14.4% by 2019(Aged society) and over 20% by 2026(Super aged society). As the elderly population is increasing and young population is declined social issues around elderly care are emerged in Korea. As a result of that, they are in the condition of poor system of the welfare of the old and it is the worst one in Korea. And because of the worst financial independence and difficulty in Korea, welfare facilities and medical instruments are so insufficient and deteriorated, so the quality of service is getting low. Furthermore the mortality of cancer is rapidely increased in recent years. So it is expected that the number of families who are caring for terminal cancer patient will be increased. We can not solve those problems only with government's policy such as to secure ample budget and to enlarge the aged welfare institutions. Definitely, to acheve the suggetions persistence concern about old people is most important, and family, community and national government should be linked to accomplish to goal. Accordingly, for this study attempts to provide conceptual framework of the respite care, spiritual care and home hospice, nursing home for the elderly. And this study is to discuss the necessity and effect about the construction of housing welfare infrastructure and to make a cooperation and linkage system among the aged welfare institutions, government and the aged welfare programs. As is well known, the issue of the increasing aged people is neither a matter of individuals nor of the family, but rather a complex matter of whol society. Therefore it can be resolved by the active participation of government. Conclusively this study tries to provide an direction of the improvement with regard to the welfare policy for the elderly. The study is as follwos: Chapters 1: The theological base, conception, essentiality, respite care, spiritual care and home hospice, nursing home for the elderly. Chapters 2: Definitions of respite care, spiritual care, hospice, patient of termina cancer and quality of life. And relations between respite care and nursing home. Chapters 3: The necessity of long-term care insurance and the perspectives of spiritual care. Chapters 4: Conclusions and summarizing(The directions of improvement of welfare policy for the elderly). To sum up, the problems of the aged people has not effects only to the aged people. This means that the problems of aged is the problems of the young generation today. Because young generation will be the old generation in the near future.

• 대한영양사협회학술지
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• 제5권2호
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• pp.194-204
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• 1999

The objectives of this study were to assess the current practices of implementing selective menus and to identify the perception of foodservice manager and customer on selective menus for hospital foodservice would be fulfilled. Two types of questionnaires for hospital foodservice managers as well as customers were developed. Questionnaires were distributed to managers of 8 hospital foodservice department and 317 customers of patient meal service, and 6 managers and 139 customers were responded. The data were analyzed using frequency and t-test. The results of this study can be summarized as follows : 1. In hospital foodservice operations, the selective menu pattern was first introduced by L hospital on June 1994 in Seoul and recently 8 hospitals were currently implementing selective menus. But using rate of selective menus by patients were relatively low(23.2%), ranging from 15% to 32%. 2. Customers' needs for selective menus were rated significantly higher in the group of patients(4.24/5) who chose the selective menus than their counterpart(3.88/5). 3. The main reason not choosing selective menus was identified by patients as 'not knowing the implementation of selective menus'(52.6%), inconvenient factors in using selective menus for customer were also identified as orders : 'lack of nutrition information on menu item'(38.6%), 'complexity in procedure'(29.8%), and 'lack of menu variety'(26.3%). However managers considered 'managerial burden' and 'limited human resource' as main obstacle to implement the selective menu pattern. 4. Customers indicated 'variety of menu', 'active public relations' as effective methods to enhance using rate of selective menus, however, foodservice manager indicated 'variety of menu'(50%), 'improvement of quality'(16.7%), and 'simplicity in procedure'(16.7%). Based on the results of this study, following recommendations have been suggested : Managers in patient meal service should recognize customer needs for implementing selective menus and pay more attention in implementing selective menus and activating this program. For more effective implementation of activating selective menu program, the foodservice department should establish action plan on 'active publicity work', 'simplicity in procedures', 'variety of menu' and 'improvement of quality'. Especially nutrition informations on meals should be provided for customers in order to elevate participation rate.