• 가정∙방문간호학회지
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• 제20권1호
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• pp.5-15
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• 2013

Purpose: This study aimed to investigate the self-care education experience, self-care performance, and home care service needs of patients with rare and incurable diseases who use a home ventilator. Methods: From2 ventilator rental companies and 5 hospitals, records of 162 subjects were collected to obtain data regarding self-care education experience (23 items) and home care service needs (25 items). Results: Of the subjects, 65.4% were male and 55.6% had a myotrophic lateral sclerosis. The items with the highest and lowest levels of self-care education experience were "using the ventilator"(94.0%) and "community-available resource information"(27.0%), respectively. Meanwhile, self-care was performed well in terms of "personal hygiene"(59.6%) but not performed well in "community-available resource information"(23.7%). "Health status assessment" had the highest need(88.2%) of home care services. Generally, the need of home care services was higher for the patients using invasive ventilators than that for those using non-invasive ventilators. Conclusion: Home care nurses need to not only provide physical care for the patients but also strengthen their roles of enhancing patient access to and utilization of various community resources to provide systematic and individualized training and care.

• 한국보건간호학회지
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• 제30권3호
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• pp.420-433
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• 2016

Purpose: This study was performed to identify the nursing needs of home-dwelling breast cancer patients based on counseling contents. Methods: Descriptive research was conducted with content analysis. This study included 185 patients who underwent treatment for breast cancer in a tertiary hospital. The data were collected using personal counseling via telephone or face-to-face between March 2011 and July 2013. A total of 536 counseling contents were used in the analysis. Inductive content analysis was used to analyze the contents related to nursing counselling. Results: According to the results. the most frequently reported nursing needs was symptom management, followed by information needs and supportive intervention needs; symptom management needs included symptoms related to chemotherapy, daily living, surgery, and medication side effects; information needs included treatments, medication, clinical tests, and alternative therapies; and supportive intervention needs were related to emotional and social aspects. Conclusion: Our findings suggest that nursing interventions for home-dwelling breast cancer patients should be designed and provided with a consideration to these relevant nursing needs.

• 디지털융복합연구
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• 제14권12호
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• pp.65-72
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• 2016

개인건강기록(PHR) 서비스는 기본적인 병원 진료 환경 외에 특수한 통원 치료 관리가 필요한 당뇨나 암환자 관리에 적절한 시스템이다. 본 논문에서는 항암화학요법 진행 중인 암 환자의 치료 과정에 맞춘 PHR 수집 및 분석 시스템을 개발하여 항암 치료 과정의 효율성을 효과적으로 향상할 수 있는 방법을 제안한다. 제안하는 암 PHR 서비스 플랫폼은 스마트 디바이스의 애플리케이션을 활용하여 항암화학요법 진행 중인 환자로부터 치료와 관련성이 가장 높은 통증 및 부작용 데이터를 입력 받고, 실제 병원에서 사용하는 의무 기록 형태로 정리한 통계 자료로 요약하여 의료진에게 제공한다. 의료 차트와의 연계에 적합한 형태로 제공되는 최종 분석 자료로 환자는 빠른 시간 내에 가장 적절한 처방을 받을 수 있다. 또한 통증 및 부작용 상태에 대한 정보를 의사에게 전할 수 있다. 의료진은 약물처방과 요양급여 등에 필요한 주요 객관적 자료들을 확보함으로 환자 진료의 질을 개선하는 효과가 있다.

• 대한간호학회지
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• 제7권1호
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• pp.30-38
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• 1977

Breast cancer is one of the most feared health problems in women ; Recent studies revealed that it had come up to be the second most in this country and high prevalent disease in the western countries among breast disease in women. However, early detection of the cancer mass is known to be easier than in many other malignancies. This study was performed to investigate the various characteristics of patients of breast cancer ; by the structural variables, menstrual, marital, and child bearing, and also their understandings and attitude towards the disease. A hundred any in- and out- patients of 51. Mary's Hospital and National Atomic Institute, Seoul were sampled. Data were gathered through direct interview by the researcher from February 1976 to January 1977 and the clinical records were used as references. Results are as follows ; 1. Breast cancer revealed to be most prevalent in the forties ; average age of 45.2 years. 2. The average age of menarche revealed to be 15.4 years ; the largest group were the 16-20 years (N=75, 68.2%). In 55 cases (50%) menstruation were normal, 38 (34.5%) postmenopausal and only in 17 (15.5%), menstruation revealed irregularity. 3. The average marital age revealed to be 22.3 years ; the largest group were 21-25 group (N=43, 39.1%). The average duration of marital life revealed to be 24.7 years ; 11-20 years group were the largest (M=34, 30.9%). 4. Most of the patients revealed to have pregnancy experiences(N=100, 90.9%) ; the average rate of experience were 5, 3 times the largest group were 3.4 times group(N= 32, 29.1%). 54 patients (49.1%) revealed to have had abortion experience ; the average were 3.4 times. 5. The largest group(N=77, 70%) had been breast feeding : followed by mixed feeding (N=12, 10.9%) and artificial feeding(N=10, 9.1%). 6. Personal health history revealed that in 20 patients (18.2%) revealed to have the past history of Purulent mastitis, 5 patients(4.5%) of breast cancer and 3 patients(2.7%) of uttering cancer family history. 7. In the one half (N=56, 50.9%, they had some information about breast cancer :27 (24.5%) by mass media, 12 (10.9%) through personal contacts and 17 (15.5%) were not able to classify the source of information. 8. In 55 cases (50%) the canoe, mass were discovered incidentally, in 39 cases (35.5%) by manual detection by self, in 10 cases (9%) by others and in 6 cases(5.5%) by observing subjective symptoms. 9. The average duration lapsed between the discovery of cancer mass and the visit to the hospital revealed to be 9.4 month. Chief reason for the delay revealed to be the non-chaplaincy due to the absence of pain(N=50, 45.5 %) followed by the administration of herb and commercial medication (N=19, 17.3%). 10. The left side breast was more affected than the right side breast, represent by 60 cases in the left and 39 cases in the right. The most frequent site of the breast cancer was the upper- outer quadrant in 53 cases (47.7%), and followed by the center in 20 cases(18 %), and the upper inner quadrant, in 19 cases (17.1%). There was / cases of bilateral carcinoma. The most prominent symptom was painless mass.

• Journal of Information Processing Systems
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• 제8권1호
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• pp.67-84
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• 2012

An important amount of clinical data concerning the medical history of a patient is in the form of clinical reports that are written by doctors. They describe patients, their pathologies, their personal and medical histories, findings made during interviews or during procedures, and so forth. They represent a source of precious information that can be used in several applications such as research information to diagnose new patients, epidemiological studies, decision support, statistical analysis, and data mining. But this information is difficult to access, as it is often in unstructured text form. To make access to patient data easy, our research aims to develop a system for extracting information from unstructured text. In a previous work, a rule-based approach is applied to a clinical reports corpus of infectious diseases to extract structured data in the form of named entities and properties. In this paper, we propose the use of a Boolean inference engine, which is based on a cellular automaton, to do extraction. Our motivation to adopt this Boolean modeling approach is twofold: first optimize storage, and second reduce the response time of the entities extraction.

• 치위생과학회지
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• 제17권2호
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• pp.99-107
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• 2017

개인정보보호에 대한 관심이 높아지고 있는 현재, 치과종사자의 개인정보보호에 대한 지식, 실천 인식 정도를 파악하기 위하여 치과 종사자 550명을 대상으로 자기기입식 설문조사를 시행하였고, 그 중 총 506부(92.0%)가 자료 분석에 사용되었으며 본 연구의 결과는 다음과 같다. 개인정보보호법에 관한 치과종사자의 정답률은 전체 평균 64.2%로 나타났으며 일반적 특성에 따른 개인정보보호법에 관한 지식의 차이는 연령, 근무경력 문항에서 통계적으로 유의한 차이가 나타났다. 일반적 특성에 따른 환자 개인정보보호행위에 관한 인식도에서는 성별, 학력, 근무경력, 근무기관에서 차이가 있었고, 실천도에서는 연령, 성별, 학력, 근무경력, 근무기관, 직종에서 유의한 차이가 있었다. 직종에 따른 개인정보보호법에 관한 인식의 차이에서는 개인정보처리자 인식, 개인정보보호 책임감 문항에서 직종 간 통계적으로 유의한 차이가 있었다. 개인정보보호 교육 관련요인은 교육 참여 횟수, 교육방법에서 직종 간에 유의한 차이가 있었다. 개인정보보호법 인식에서 치과의사는 가장 높게 나타났으며 치과위생사는 가장 낮은 인식도를 나타냈고, 개인정보보호 교육경험이 1번 있는 치과의사는 54.5%로 다른 직종보다 높게 나타났으며 반면에 치과위생사의 50.2%는 교육경험이 없는 것으로 나타났다. 개인정보보호에 관한 지식, 인식과 실천과의 상관관계는 인식이 높을수록 실천이 높은 것으로 나타났다. 결론적으로 치과종사자들은 다른 종사자들에 비해 지식, 교육경험, 인식에 비해 실천도가 낮았으며 그 중 치과위생사는 전반적 부분에서 낮은 점수를 나타냈다. 몇 년간 지속되어온 개인정보 유출의 심각성에 대해서 인식은 하고 있으나 진료실에서 체감하는 개인정보보호에 대한 인식이 부족하고 대부분 병원 내에 개인정보보호에 대한 가이드라인이 명확히 규정되어 있지 않으며 원내교육이나 보수교육 등 교육기회와 교육경험의 부족으로 생각된다. 이에 치과종사자들은 접수를 포함한 모든 진료 과정에서의 개인정보보호 필요성을 인식해야 하며 개인정보보호 실천을 위한 체계적이고 효과적인 반복교육과 그에 따른 노력이 필요하다고 생각된다.

• Journal of Information Processing Systems
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• 제10권3호
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• pp.395-411
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• 2014

Temporal medical data is often collected during patient treatments that require personal analysis. Each observation recorded in the temporal medical data is associated with measurements and time treatments. A major problem in the analysis of temporal medical data are the missing values that are caused, for example, by patients dropping out of a study before completion. Therefore, the imputation of missing data is an important step during pre-processing and can provide useful information before the data is mined. For each patient and each variable, this imputation replaces the missing data with a value drawn from an estimated distribution of that variable. In this paper, we propose a new method, called Newton's finite divided difference polynomial interpolation with condition order degree, for dealing with missing values in temporal medical data related to obesity. We compared the new imputation method with three existing subspace estimation techniques, including the k-nearest neighbor, local least squares, and natural cubic spline approaches. The performance of each approach was then evaluated by using the normalized root mean square error and the statistically significant test results. The experimental results have demonstrated that the proposed method provides the best fit with the smallest error and is more accurate than the other methods.

• KSII Transactions on Internet and Information Systems (TIIS)
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• 제15권1호
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• pp.323-342
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• 2021

Personal health records (PHRs) is an electronic medical system that enables patients to acquire, manage and share their health data. Nevertheless, data confidentiality and user privacy in PHRs have not been handled completely. As a fine-grained access control over health data, ciphertext-policy attribute-based encryption (CP-ABE) has an ability to guarantee data confidentiality. However, existing CP-ABE solutions for PHRs are facing some new challenges in access control, such as policy privacy disclosure and dynamic policy update. In terms of addressing these problems, we propose a privacy protection and dynamic share system (PPADS) based on CP-ABE for PHRs, which supports full policy hiding and flexible access control. In the system, attribute information of access policy is fully hidden by attribute bloom filter. Moreover, data user produces a transforming key for the PHRs Cloud to change access policy dynamically. Furthermore, relied on security analysis, PPADS is selectively secure under standard model. Finally, the performance comparisons and simulation results demonstrate that PPADS is suitable for PHRs.

• Asian Journal for Public Opinion Research
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• 제6권1호
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• pp.18-30
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• 2018

Patients with advanced cancer cope with various issues, especially psychological symptoms, such as anxiety about death. Previous research from various countries indicates that most advanced cancer patients perceive distress before death, which means they cannot accept death peacefully. The purpose of this study was to examine the factors associated with death acceptance of Thai patients with advanced cancer. The participants were 242 adult patients with advanced cancer from three tertiary hospitals in Bangkok, Thailand. The research instruments consisted of 7 questionnaires: a personal information questionnaire, the death anxiety questionnaire, Buddhist beliefs about death questionnaire, the unfinished task questionnaire, general self-efficacy scale, family relationship questionnaire, and death acceptance scale. These instruments were tested for their content validity by a panel of experts. All instruments except the first one were tested for reliability, and their Cronbach's alpha coefficient were .86, .72, .74, .74, .89, and .70, respectively. Descriptive statistics, Pearson's correlation, Point-biserial correlation coefficient, and stepwise multiple regression were used to analyze the data. The results revealed that a total of 42% of variance of death acceptance among Thai patients with advanced cancer was explained by death anxiety, Buddhist beliefs about death, and self-efficacy. Knowing these factors provides further information for nurses to help patients to cope with their death. From this crucial knowledge, nurses can develop interventions in decreasing or controlling anxiety about death, promoting Buddhist beliefs about death, and enhancing self-efficacy of advanced cancer patients. Therefore, a better quality of life and good death can be achieved.

• 대한간호학회지
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• 제4권2호
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• pp.17-31
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• 1974

Today, over seventy five percent of nursing in Korea provide a psychiatric experience in the basic curriculum. The psychiatric affiliation presents numerous major problems of adjustment to the student. The Importance of positive attitude toward the nursing care of psychiatric patients is recognized by the nursing profession. I have fined out the unfavorable attitude of non collegiate nursing students toward psychiatric nursing affiliation by previous research. This study was undertaken in response to a felt need to explore the use of several devices which might yield information about attitudes toward psychiatric nursing as a basis for future planning of the program offered at a selected hospital. This study is designed to meet the following objectives; (1) In order to find out the expressed attitudes of fifty·three collegiate nursing students toward their psychiatric affiliation. (2) To compare responses given by selected group of collegiate and non collegiate nursing students to same questionnaire (3) To determine the relationship between the attitudes of nursing students toward psychiatric nursing and the type of instructions where experience was obtained. A questionnaire, a Korean translation of the "Psychiatric Nursing Attitude Questionnaire" by Moldered Elizabeth fletcher, was administered to fifty-three collegiate nursing students who had completed a four-week psychiatric affiliation in a S hospital psychiatric ward during May 7, 1973 to Dec. 16, 1973. - The questionnaire of 100 statements was administered in the following way; (1) Part Ⅰ, Preconceptions, was, given in individual conferences with each subject, during the first few days of their affiliation, and again during the final week of affiliation. The responses to Part I were oral. (2) Part Ⅱ, Expectations, Part Ⅲ, Personal Relations, Part Ⅳ, Personal Feelings, and Part V, Attitudes and Activities of Patients were given to all of the subjects in a group meeting during the second week of the affiliation, and again, during the fourth week at the termination of the affiliation. Responses to Parts Ⅱ, Ⅲ, Ⅳ·, and V, were written. Each of the 100 statements of the questionnaire was considered to be either Positive or Negative. A favorable response was assigned the positive value of 1 and an unfavorable response was assigned the Negative value of O. The coefficient of correlation was computed between the two sets of scores for the fifty-three nursing students, The mean score, the standard deviation, and the differences in the means on each of the five parts of the questionnaire were computed and the relationships calculated by at-test. The results of the study were as follows; 1. There was no significant correlation between the two sets of the scores for the fifty-three nursing students during the four-week psychiatric affiliation. (r= 0.36) 2. There was no significant difference in the mean scores between the first and final tests for any of the questionnaire. 3. The Part Ⅰ, Preconceptions, data indicated collegiate nursing students have positive attitudes in preconceptions than non collegiate nursing students and preconceptions toward the psychiatric affiliation which affect their psychiatric nursing experience. 4. The Part Ⅱ, Expectations, data indicated more appropriate expectations of collegiate nursing students related to pre psychiatric affiliation orientation and sufficient theory learning than non-collegiate nursing students. 5. The Part Ⅲ, Personal relations, data indicated some students have negative attitudes in personal relations with normal people in respect to psychological security and social responsibilities. 6. The Part Ⅳ, Personal feelings, data indicated nursing students have psychological insecurity & inappropriateness. 7. The Part V, Attitudes and activities of patients, data indicated collegiate nursing students have more positive attitudes to the psychotic behavior of certain situations due to sufficient theory learning. 8. The data indicated collegiate·nursing students have more positive attitude than non-collegiate nursing students. 5. The Part Ⅲ, Personal relations, data indicated some students have negative attitudes in personal relations with normal people in respect to psychological security and social responsibilities. 6. The Part Ⅳ, Personal feelings, data indicated nursing students have psychological insecurity & inappropriateness. 7. The Part V, Attitudes and activities of patients, data indicated collegiate nursing students have more positive attitudes to the psychotic behavior of certain situations due to sufficient theory learning. 8. The data indicated collegiate·nursing students have more positive attitude than non-collegiate nursing students through psychiatric affiliation.