• Title/Summary/Keyword: Patient Related Management

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Health Behaviors in Hypertensive Patients (고혈압 환자들의 건강형태)

  • 황정희;강복수;윤성호;김석범;이경수
    • Korean Journal of Health Education and Promotion
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    • v.17 no.1
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    • pp.115-130
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    • 2000
  • This study was conducted to examine health behaviors in hypertensive patients and the factors that would affect these healthy life-styles. and to provide basic data for effective and continuous hypertension control in private medical facilities. Among those patients diagnosed as hypertension who had visited the Department of Internal Medicine of Yeungnam University Hospital during the two month period from August 2 to September 30, 1999, the present study included 222 patients who were in more than one month after the initial diagnosis of hypertension and those who had hypertension for less than 10 years. Using a structured questionnaire, the present study was conducted by a self-administered survey method, and the obtained data were analyzed with t-test, $x^2$-test and one-way analysis of variance using the SPSS statistical program. The scores on knowledge related to hypertension were higher as the education level of a patient was higher(p〈0.05). As for occupation, those who performed office or management jobs showed higher scores than those who were into manufacturing jobs, and as for economic status, although those patients who were in middle class showed highest scores, however, no statistical significance was observed. The scores of knowledge on hypertension was higher when the family history of hypertension was present(p〈0.05). The scores of health-related behaviors were higher with higher education level and higher economic status, higher in those with family history of hypertension, and higher in those with office or management jobs than those who had manufacturing jobs(p〈0.05). Blood pressure measurement on regular basis was performed most frequently in those who were between 50-59 years old with 83.3% and was least frequent in those who were older than 70 years old with 50%(p〈0.05). The frequency of regular blood pressure measurement was higher with higher education level, higher economic status, higher in those with family history of hypertension, and the highest in those with management position with 93.5%, however, on statistical significance was observed. Changes in health-related behaviors after hypertension diagnosis were higher with higher education level, higher economic status, and in those patients performed office or management work. In particular, diet change was observed in female and higher economic status and smoking cessation was observed in 60-69 years old. Housewives and office workers or managers have taken exercise more regularly and those who had management jobs and had high scores on knowledge related to hypertension would participate health education program more actively. Thus, for improving health-related behaviors for continuous management of hypertension, changes in health-related behaviors can be followed through conduction health education to improve understanding of knowledge related to hypertension as the method of helping to improve changes in health life-styles in those with little education and those in low economic status.

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Medical image control process improvement based on Cardiac PACS (Cardiac PACS 구축에 따른 의료영상 관리 프로세스 개선)

  • Jung, Young-Tae
    • Korean Journal of Digital Imaging in Medicine
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    • v.16 no.1
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    • pp.35-42
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    • 2014
  • Heart related special images are classified as Cardiac US, XA, CT, MRI. Several Problem is caused by image compression, control and medical support point, so most big hospitals have created a Cadiac PACS differentially in past years. For this reason, create a conflict in inner colleague and patient, protector that result from 2 data processing server operating independently in 1 medical center area. For this reason, we sugges an alternative model of best medical control process together with understand the current situation on medical facility.

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Pandemic Confirmed Patient Management, Virus-Related Information Provision Service (Application) (팬데믹 확진자 관리 어플리케이션)

  • Jo, Jang-Hwan;Lim, Hyun-Sung;Yoon, Seung-Jun;Im, Jae-Min;Lee, Sung-Chul
    • Proceedings of the Korea Information Processing Society Conference
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    • 2022.11a
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    • pp.328-329
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    • 2022
  • 어플리케이션을 통해 전염병 및 감염병등을 쉽게 알려줌으로써 전염과 감염에 앞장서서 예방하고 또한 각종 정보들을 빠르게 알려주는 어플리케이션

Role of artificial intelligence in diagnosing Barrett's esophagus-related neoplasia

  • Michael Meinikheim;Helmut Messmann;Alanna Ebigbo
    • Clinical Endoscopy
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    • v.56 no.1
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    • pp.14-22
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    • 2023
  • Barrett's esophagus is associated with an increased risk of adenocarcinoma. Thorough screening during endoscopic surveillance is crucial to improve patient prognosis. Detecting and characterizing dysplastic or neoplastic Barrett's esophagus during routine endoscopy are challenging, even for expert endoscopists. Artificial intelligence-based clinical decision support systems have been developed to provide additional assistance to physicians performing diagnostic and therapeutic gastrointestinal endoscopy. In this article, we review the current role of artificial intelligence in the management of Barrett's esophagus and elaborate on potential artificial intelligence in the future.

Characteristics of Subgroups on Patients with Hypertension for Hypertension Management - Based on Knowledge, Attitudes, and Behavior Related to Medication and Health Lifestyle - (고혈압관리를 위한 고혈압환자 유형별 특성 - 투약과 건강생활양식의 지식, 태도, 행위를 기반으로 -)

  • Ahn, Yang-Heui
    • Research in Community and Public Health Nursing
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    • v.18 no.1
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    • pp.112-122
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    • 2007
  • Purpose: The purpose of this study was to identify and profile distinct subgroups of patients with hypertension based on knowledge, attitudes, and behavior regarding their medication and health lifestyle. Method: A descriptive-exploratory research design was employed. Two hundred and twenty-three patients with hypertension using W Public Health Center were randomly recruited on the basis of being over 30 of age. Upon the receipt of their written consents, direct interview with a structured questionnaire were conducted by a public health nurse. Descriptive statistics and $X^2-test$ were utilized. Results: Three subgroups were identified. Group I members had a low score on all three factors including knowledge, attitudes and behavior related to medication and health lifestyle. Group II members had a low score on one or two of the factors. Group III members had a high score on all three factors. The three subgroups were significantly associated with education level, economic status, non-smoking and non-drinking. Conclusions: Further research should be conducted to validate these findings and test tailored nursing intervention for patient compliance.

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Surgical Treatment of Patent Ductus Arteriosus in Preterm and Infants with Severe Heart Failure and Cardiac Cachexia (중증 심부전 또는 심인성 악액질을 동반한 미숙아및 영아기 동맥관개존증에 대한 수술요법)

  • 이석재
    • Journal of Chest Surgery
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    • v.26 no.12
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    • pp.915-919
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    • 1993
  • The management of Patent Ductus Arteriosus[PDA] with heart failure and cardiac cachexia in premature infants have been a disturbing and controversial problem in the field of pediatric cardiovascular surgery.We analysed our experiences to determine the rationale of surgical closure of PDA in infants . During a period of 7 years from January 1986 to December 1992, 12 infants under 2 months of age underwent operations for "hemodynamically significant" PDA which had caused severe heart failure.There were 6 male and 6 female patients. Their mean gestational age was 33.8 weeks and their mean body weight was 1990 g. ranged from 710 g. to 2900 g. Mean age at operation was 28.5days. Seven patients had history of Indomethacin trial. All patients were operated with double ligation technique under general anesthesia.There was no mortality and blood transfusion was not necessary in any patient during the operation.In all cases, we could confirm the complete closure of PDA after operation by follow-up echocardiography.Two patients died during their hospital stay and 1 patient died at 6 months after operation. The causes of death were sepsis with congestive heart failure, necrotizing entero colitis and pneumonia respectively.We can not detect any operation related complication which resulted in permanent sequelae as well as delayed complications related to nerve damage. These results indicate that surgical ligation of PDA in infants with severe heart failure is relatively safe and effective.effective.

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Patient Flow Monitoring System based on Rheumatic Patient History Data (류머티스 환자 이력 데이터에 기반한 환자 플로우 모니터링 시스템)

  • Kim, Jun Woo;Lee, Sang Chul;Park, Sang Chan
    • The Journal of the Korea Contents Association
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    • v.14 no.10
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    • pp.10-19
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    • 2014
  • In recent, hospital information systems are widely used to electronically record, manage and share the data collected in hospitals. Such systems have contributed greatly to improving the work efficiency in modern hospitals, however, the collected data concerning the patients should be appropriately processed and reused to provide the healthcare service providers with decision supports. Especially, this paper proposes the patient flow monitoring system for the operations management of the outpatient department for patients with chronic diseases, and discusses the related issues. The proposed system visualizes the standard process model extracted from the patient history data and various performance measures, and this enables the managers to evaluate and enhance the operations of the outpatient clinic. In this paper, the patient flow monitoring system is applied to the rheumatology clinic, and the prototype system optimized for I-pad is illustrated.

The Convergence Research on Waiting Time, Hospital Image, and Patient satisfaction in Dental Care Consumers (치과 의료소비자의 대기시간과 병원이미지 및 환자만족도간의 융합적 연구)

  • Ji, Min-Gyeong;Lee, Mi-Ra
    • Journal of Convergence for Information Technology
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    • v.8 no.4
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    • pp.27-35
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    • 2018
  • This study aimed to analyze the association among dental care consumers' responses to waiting time, hospital image, and patient satisfaction and provide basic data that could help qualitative waiting conditions management related to health care service. A survey was conducted from May 18 to June 20, 2016 in adults who had spent waiting time at dental hospitals or clinics, and the following conclusion was drawn: Hospital image was associated with the changes in reliance on dental care centers in case of long wait, the changes in reuse intentions, and the reservation system, and patient satisfaction was associated with gender, explanation of expected waiting time, the changes in reliance on dental care centers in case of long wait, the changes in reuse intentions, and the reservation system. The positive responses to waiting time was positively correlated with hospital image and patient satisfaction; the negative reaction to waiting time was negatively correlated with hospital image and patient satisfaction; and hospital image was positively correlated with patient satisfaction.

The Effects of Organizational Commitment and Perceived Patient Safety Culture on Patient Safety Nursing Activities among Nurses in Comprehensive Nursing Care Units (간호·간병통합서비스 병동 간호사의 조직몰입과 환자안전문화인식이 환자안전간호활동에 미치는 영향)

  • Noh, Sook;Kim, Tae Im
    • Journal of Korean Clinical Nursing Research
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    • v.27 no.1
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    • pp.12-22
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    • 2021
  • Purpose: The purpose of this study is to identify the effects of organizational commitment (OC) and perceived patient safety culture (PPSC) on patient safety nursing activities (PSNA) among nurses in comprehensive nursing care units. Methods: Participants were 173 nurses working at five general hospitals in Chungcheong area. Data were analyzed using descriptive statistics, 𝑥2 test, t-test, ANOVA, Pearson's correlation coefficient, and multiple regression analysis with SPSS/WIN 23.0 programs. Results: The mean scores of the OC and PPSC were 3.28±0.50 and 3.85±0.35, respectively. The mean score of PSNA was 4.55±0.41, and PSNA was significantly different by the experience of participating in hospital's safety culture campaigns (t=2.70, p=.008). The results of the multiple regression analysis showed that 'patient safety knowledge and attitudes' (β=.27, p=.006) and 'unpunished environment to error' (β=.22, p=.004) as the sub-categories of PPSC were affecting factors on PSNA with an explanatory power of 26.0% (F=6.40, p<.001). Conclusion: The results of this study suggest that in order to promote PSNA among nurses in comprehensive nursing care units, it is necessary to develop a program to enhance patient safety-related knowledge and attitudes. In addition, the hospital's organizational efforts such as operating safety campaigns and creating an unpunished environment to error should be needed.

Structural Equation Modeling of Self-Management of Liver Transplant Recipients (간이식 수혜자의 자기관리 구조모형)

  • Jeon, Mi-Kyeong;Park, Yeon-Hwan
    • Journal of Korean Academy of Nursing
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    • v.47 no.5
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    • pp.663-675
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    • 2017
  • Purpose: The purpose of this study was to construct and test a structural equation model of self-management of liver transplant recipients based on self-determination theory. Methods: Participants were 275 outpatients who received liver transplantation. A structured self-report questionnaire was used to assess health care providers' autonomy support, transplant-related characteristics, illness consequence perception, autonomy, competence, family relatedness, depression and self-management. Collected data were analyzed using SPSS/WIN 24.0 and AMOS 24.0 program. Results: The modified model showed a good fitness with the data: GFI=.96, RMSEA=.06, CFI=.96, NFI=.93, TLI=.93, PGFI=.43, PNFI=.49. The health care providers' autonomy support, competence, family relatedness and depression were factors with a direct influence on the self-management of liver transplant recipients. The health care providers' autonomy support and illness consequence perception had an indirect influence through competence, family relatedness and depression. However, the transplant-related characteristics and autonomy did not have a significant effect on self-management. This model explained 59.4% of the variance in self-management. Conclusion: The result suggests that continuous education must be done to promote the competence of liver transplant recipients and to encourage the patient to positively perceive their current health condition with a view that enhances one's self-management. Additionally, the liver transplant recipients should be screened for depression, which would affect self-management. Most of all, health care providers, who have the most influence on self-management, should improve therapeutic communication and try to form a therapeutic relationship with the liver transplant recipients.