• Title/Summary/Keyword: Patient-area

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A study on the architectural planning of the spatial area composition in ward (종합병원 병동부 면적구성에 관한 건축계획적 연구)

  • Kim, Khil Chae
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.9 no.1
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    • pp.35-41
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    • 2003
  • The evaluation of economy of wards is based on the building area. The parameters are nursing area per bed, occupied area per patient, and the portion of movement area. Three areas such as patient area, nurse area, and corridor area are devided. The results of analysis are as follows. At first, allocation of patient area has the highest priority. Even though nurse area is small, the patient area is relatively large. Secondly, the patient area is mostly determined by the type of rooms, such as single, double, etc.. Finally, the type of alley on the floor is important to economy. The single corridor type is the most economical followed by the double corridor type. the single loaded type shows the worst economy.

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A Study on the Development of Predictive Model for Patient Visibility in Korean Intensive Care Units (ICUs) - Focused on "Corridor or Continental" type units

  • Ullah, Ubaid;Park, Jae Seung
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.22 no.3
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    • pp.27-34
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    • 2016
  • Purpose: The purpose of this paper is to develop a predictive model for patient visibility in Korean ICUs (corridor or continental type). Methods: The measures of static visibility were used to quantify the patient visibility (upper third part of the patient bed) from the nurse station. The measure of space programme and area distribution (patient zone percentage, staff zone percentage and departmental gross square meter per patient bed) were calculated by using AutoCAD and MS Excel programs. Regression analysis was conducted for visibility as dependant variable with independent variables of patient area percentage, staff area percentage as well as departmental gross square meter per bed by using IBM SPSS. Results: (1) Average patient visibility and percentage of patient area in ICU shows a strong negative correlation ($r^2$=0.66), p=0.01. (2) Patient visibility in Korean ICU (corridor or continental type) can be calculated as below with the given conditions: Y= $-1.449(X)+124.3{\pm}6$, Y is the total visibility of the ICU (corridor or continental type) and X is the percentage of patient area in the unit. Conditions:1. Given that the unit has a mixed programme of open bed and closed patient rooms and 2. The unit have a minimum of 20% patient rooms. Implications: This study may contribute to the visibility analysis of existing and future ICU design (corridor or continental type) in Korea to achieve maximum patient visibility and reduced patient mortality.

A Study on the Guideline of Spatial Composition and Circulation in Triages and Entrances Area in Emergency Departments for Efficient Infection Control (응급부 진입구역과 환자분류구역의 감염관리를 위한 환자동선과 공간구성 계획에 대한 연구)

  • Kang, Jeeeun;Kwon, Soonjung
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.25 no.1
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    • pp.41-49
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    • 2019
  • Purpose: After Mers breakout in 2015, major hospital in Korea have been renovated the emergency department to make a separate infection control zone for high-risk patient with potential infection and to improve a triage area and an entrance area for efficient patient evaluation. However, there are no specific design standards to reinforce infection control for patients and staffs safety. Therefore, it is important to establish of initial design factors in the triage and entrance area as a guideline. Methods: 5 cases which had been recently renovated are selected to analyze patient circulation and spatial composition in a triage area and an entrance area. The partial floor plans of each case are represented as bubble diagrams to help understanding of different patient circulation flows. Based on this analysis, significant design factors which should be considered in planning stage for infection control have been extracted. Results: 13 design factors are established. Using these design factors, patient circulation diagram is generated to provide an optimized suggestion for efficient infection control. Implications: This suggestion provides basic databases to start to establish design guideline in the triage area and the entrance area to minimize infection spreading in the emergency department.

Usefulness of fractal analysis for the diagnosis of periodontitis (치주질환 진단시 프랙탈 분석의 유용성에 관한 연구)

  • Cha Sang-Yun;Han Won-Jeong;Kim Eun-Kyung
    • Imaging Science in Dentistry
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    • v.31 no.1
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    • pp.35-42
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    • 2001
  • Purpose: To evaluate the usefulness of fractal analysis for diagnosis of periodontitis. Materials and Methods : Each 30 cases of periapical films of male mandibular molar were selected in normal group and patient group which had complete furcation involvement. They were digitized at 300 dpi, 256 gray levels and saved with gif format. Rectangular ROIs (10×20 pixel) were selected at furcation, interdental crest, and interdental middle 1/3 area. Fractal dimensions were calculated three times at each area by mass radius method and were determined using a mean of three measurements. We compared fractal dimensions at furcation and interdental crest area of normal group with those of patient group. And then we compared ratio of fractal dimensions at furcation area, interdental crest area to interdental middle 1/3 area. Results: Fractal dimension at interdental crest area of normal group was 1.979±0.018 and that of patient group 1.971±0.012 (p>0.05). Fractal dimension at furcation area of normal group was 1.986±0.024 and that of patient group 1.974±0.015 (p<0.05). The ratio of fractal dimension at interdental crest area to interdental middle 1/3 of normal group was 1.003±0.015 and that of patient group 0.993±0.018 (p<0.05). The ratio of fractal dimension at furcation area to interdental middle 1/3 of normal group was 1.006±0.018 and that of patient group 0.994±0.018 (p<0.05). Conclusion : The ratio of fractal dimension at interdental crest and furcation area to interdental middle 1/3 area showed a statistically significant difference between normal and patient group. In conclusion, it is thought that fractal analysis might be useful for the diagnosis of periodontitis.

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A Case of the 1st Metatarsal Bone Fracture in a Patient with Chronic Kidney Disease Treated by Acupuncture with Complex Korean Medical Treatment (침 치료 중심의 한의 복합 치료로 호전된 만성 신부전 환자의 제 1지 중족골 골절 치험 1례)

  • Jae-Hoon Son;Min-Jeong Kim
    • Korean Journal of Acupuncture
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    • v.41 no.3
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    • pp.110-117
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    • 2024
  • Objectives : The objective of this study is to report a case of a patient with a fracture of the 1st metatarsal bone, whose symptoms improved after receiving Complex Korean Medical treatment mainly focused on acupuncture. Methods : During admission treatment, the patient received 2 sessions of acupuncture treatment, 1 session of pharmacopuncture treatment, and electromoxibustion daily. To assess the patient's condition regarding the 1st metatarsal bone fracture, X-rays were performed on the affected area of the patient on a weekly basis, along with a daily follow up on the Numerical Rating Scale (NRS), degree of swelling (measured in cm via measuring tape), and the temperature of the affected area. The Foot Function Index (FFI) and Health Assessment Questionnaire (HAQ) were also used to add credibility in assessing the patient's current condition. Results : After 4 weeks of hospital admission treatment, the NRS of the pain in the affected area decreased from 4 to 1, with the night pain NRS of the affected area also being reduced from 8 to 0. There was a general improvement in the swelling and temperature of the affected area, as well as the FFI and HAQ of the patient. Conclusions : The study shows that complex Korean medical treatment can be effective in treating patients with bone fractures even without interventions involving traditional Korean herbal medicine.

A Study on the Area and Clearances around Patient Bed Space in Intensive Care Unit (중환자실 병상주변공간의 면적과 간격에 관한 연구)

  • Lee, Hyunjin;Kwon, Soonjung
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.25 no.3
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    • pp.47-55
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    • 2019
  • Purpose: This study tries to propose the dimensions and area related to patient bed and surroundings in ICU considering nurses' observation and medical care. Methods: Literature survey, 11 Case studies, some Interviews with nurses and measuring of medical equipments' dimension in ICU have been mobilized in order to deepen the ICU bed area standards. Results: 0.3m clearance between head wall and patient bed is necessary for emergency cases. The minimum distance at the foot of the bed should not be less than 0.9m for EMR cart and medical tray. The clear floor area of one bed and surroundings in open ward is $10.2m^2(3m{\times}3.4m)$. In a single-bed patient room, the minimum clear floor area is $16.0m^2(4m{\times}4m)$. Considering the control of cross infection in ICU, Single bed patient room is recommended. Implications: The result of this study can be applied to the design of ICU and legislation of ICU standard.

A Study on the patient satisfaction for nursing care in a general hospital. (일 종합병원 간호사의 간호행위에 대한 환자 만족도 조사연구)

  • Kang, Ik-Wha
    • Journal of Korean Academy of Nursing Administration
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    • v.3 no.2
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    • pp.137-150
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    • 1997
  • This study was done to evaluate patient satisfaction with nursing care. The study subjucts were 164 patients admitted in a general hospital in Incheon province. The instrument used in this study was developed by Risser (1975) and Lim Hae Kyoung (1980) based on classification of nursing care area and modified by Chow Kwang Nam (1995). The relaiability alpha of this tool was 0.93695. The survey method was applied to collect data and the period of data collection was total 30 days from April Ist to April 30th in 1997. The data was analyzed by statistical method of %, mean, t-test and ANOVA through SAS program. 1. The highest scores of satisfaction were shown in the area of reliance, area of treatment, area of environment and area of education in order. 2. The crossed analysis of patient general characteristics and satisfaction of nursing care showed a signficance in the department of patient's admission and the highest satisfaction score was found in the general surgery ward (p<0.05). 3. General characteristics of patients which influence on the satisfaction showed a significant response according to the department of patient's admission in the treatment area, education area and environment area of nursing.(p < 0.05). Recommendation The followings are deriven from the above study results. 1. Area of nursing education which showed the lowest satisfaction should be empathized by making improvement of nursing care approach because the area in the basis to achieve nursing goal. 2. The development of systematic and objective instrument is necessary for evaluation of nursing quality and the evaluation should be performed in the area of patient satisfaction, hospital facility and hospital environment as well.

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A Study on the Change of Area and Space Organization Ratio of General Hospital Wards in Busan and Gyeongnam (부산 경남 지역의 주요 종합병원 병동부 면적 및 공간 구성 비율의 변화에 관한 연구)

  • Park, Byeongjun;Lee, Jangmin
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.18 no.4
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    • pp.7-16
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    • 2012
  • Purpose : The purpose of this study is to look into the change of area and space organization percentage of wards in main general hospitals in Busan and Gyeongnam. Method : Patient area, nursing area, service area, training area, common area were classified for functional space organization. Patient area was reclassified to bedroom and comfort area, and common area was reclassified into vertical circulation, horizontal circulation and facility area. Also, method of area calculation was chosen standard to wall center-lines following building act 911 and functional space area of each hospital was estimated and comparatively analyzed. Result : For hospitals completed before 2000, area ratio by functional space for patient area, nursing area, service area and common area showed 53.6%, 10.2%, 0.8%, and 35.3% respectively. For hospitals completed after 2000, area ratio by functional space for patient area, nursing area, service space, and common area showed 49.2%, 12.6%, 1.1%, and 37.2% respectively. Implications : Through this study, change of percentage of space organization of main general hospitals in Busan Gyeongnam can be understood. Also because most studies on area organization of general hospital wards were focused on the capital area, this study provides basic material for future studies related to area of general hospital wards in Busan Gyeongnam.

Convergence outpatient medical service patient experience research using data mining (데이터마이닝 기법을 이용한 융복합 외래 의료서비스 환자경험조사 연구)

  • Yoo, Jin-Yeong
    • Journal of Digital Convergence
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    • v.18 no.7
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    • pp.299-306
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    • 2020
  • The purpose of this study is to find out specific measures that can help the management strategy of patient-centered medical institutions by conducting research on patient experience surveys of convergence outpatient medical services using data mining techniques according to changes in patient-centered medical culture. Using the raw data of the 2018 Medical Service Experience Survey, 8,843 people over the age of 15 who had patient experience in outpatient medical services were analyzed. Decision tree analysis was performed. The determinants of satisfaction with outpatient medical services patient experience were the doctor's area and patient's rights protection area, and the determinants of intention to recommend outpatient medical services were the doctor's area and facilities comfort. Women evaluated the experience positively in overall satisfaction as compared to men, and those over the age of 60 positively evaluated the overall satisfaction and intention to recommend. It is significant that the outpatient experience decision-making model is presented, and that the doctor's area, patient's rights protection area, and facility comfort are important factors. Long-term research on the 'Medical Service Experience Survey' is needed, and research on the inpatient medical service experience is needed.

A Study on Awareness Levels of Personal Information Protection in Health Care Workers (개인정보 보호에 대한 의료기관 종사자들의 인식수준에 관한 연구)

  • Hong, Ju-Youn;Kim, Hwan-Hui
    • Journal of Korea Entertainment Industry Association
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    • v.13 no.8
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    • pp.647-659
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    • 2019
  • The purpose of this study was to examine the relationship between the awareness of health care workers on the protection of patient health information and their practice of it in an attempt to provide some information on the policy setting of health care institutions about medical information protection. As a result, the awareness of the health care workers on the protection of patient health information and their practice of it were both the best in the communication area, followed by the patient health information management area and the area of direct contact with health information. As for the variables linked to their awareness and practice of patient health information protection, the type of the health care institutions, job satisfaction, religion and the departments in which they worked were significantly related. To determine what factors affected the patient health information management area, a multiple regression analysis was carried out by selecting the area of direct contact with patient health information and the communication area as independent variables and by selecting the patient health information management area as a dependent variable. And it's found that the patient health information management area became better when the area of direct contact with the information and the communication area were better.