• Title/Summary/Keyword: Patterns of care

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A Comparative Study on Weaning Patterns and Methods of Health Care of Infants and Toddlers in the Farming Area and City, Bores (도시와 농촌에 있어서의 영유아의 양육 및 보건에 관한 비교연구 -이유와 이유식을 중심으로-)

  • 차옥희
    • Journal of Korean Academy of Nursing
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    • v.3 no.3
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    • pp.111-118
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    • 1973
  • The study was conducted during the period of July, 1972 to June, 1973 in Seoul city and Choong Chung Buk Do area. The purpose of this study was to find out tile Weaning Patterns and investigate the habits of health care of the babies. The conclusions obtained were as follows: 1. 65 percent of the infants were sufficiently fed by mothers'milk. But, the other 35 percent were not enough to be breasted. 2. Over 50 percent of the mothers started the weaning when tile infants became 9-12 months of age. The period of time needed for weaning was between 6-18 months of age. 3. Majority of the mothers preferred to give infants corns as the major diets. 4. It was noted that many mothers did not know the importance of weaning. And it was felt that public health nurses have to instruct these mothers who are bringing up the babies why weaning is necessary. 5. Only half of the babies who were investigated were found to be regularly vaccinated with all the necessary preventive inoculation at Public Health Centers both in farming and city areas.

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The Role of Stress and Health Care Patterns in Predicting Sleep Quality of College Students in 3 Regions

  • Hong, Yeon Ran;Yoon, Hee Jeong;Gun Ja Jang
    • International Journal of Advanced Culture Technology
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    • v.12 no.2
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    • pp.409-415
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    • 2024
  • This study aims to investigate the effecst of stress and health care patterns on sleep qualtity of college students in three regions. The data was collected from September 7 to December 8, 2023, and 454 samples of data were used for analysis. Data was analyzed by descriptive statistics, Pearson's correlation, and multiple regression anlysis. The results of this study are as follows; Firstly, 42.3% of the subjects spent an average of 30 minutes to less than 1 hour in sunbathing, 37.7% of the subjects walked more than 7,000 steps a day on averag, 35.5% of the subjects did not do moderate aerobic exercise at all, 63.9% of the subjects had more than 1 hour of blue light exposure before going to sleep, and the majority of subjects' sleep quality was 'not sleeping well' (74.0%). Secondly, factors that affect the quality of sleep were found to be grade, average daily walking steps and stress. Through this results, it is necessary to make efforts to increase walking and manage stress which affect the quality of sleep for college students.

The Effect of Participation on Health Care Patterns in a disease Aged Physical Activities (신체활동이 노인성 질환의 건강관리에 미치는 영향)

  • Kim, Yong-Nan;Ru, Jae-Mon
    • Journal of the Korean Academy of Clinical Electrophysiology
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    • v.2 no.2
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    • pp.51-59
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    • 2004
  • The purpose of this study was to analyze. The effect of participation physical activities on health care patterns in the aged. The subject of the study was selected by multi-stage stratified cluster random sampling among the aged center and aged club to participate program whose age were 65 and over year old among inhabitant the Kwangju metropolitan area. The data were collected through a questionnaire adapted from Payne and Hahn's(1986) 'Understanding Your Health-A personal profile; Evaluating Your Health'. The pilot test was executed after the questionnaire was translated into Korean.

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A Comparison of Patterns of Emergency Care Between Resident and Staff (전공의와 전문의의 응급진료 형태에 대한 비교 연구 - 전공의 파업기간을 전후로 -)

  • Lee, Jeong-Heon;Shin, Im-Hee
    • Quality Improvement in Health Care
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    • v.10 no.1
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    • pp.20-27
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    • 2003
  • Background : The doctors' strike was not only a manmade disaster but also a chance to apply a new pattern of emergency medical service for patients. We hope to propose a new pattern of emergency medical service by comparing the patterns of emergency medical service given by resident and staff during the doctors' strike. Methods : We reviewed the medical records of patients who received emergency medical service in the Emergency Department(ED) of Deagu Catholic University Hospital during 3 days a week prior to the residents' strike (July 21-23, 2000) with those of patients receiving emergency medical service during the first 3 days of the residents' strike (July 28-30, 2000). We evaluated the patient's severity, the cause of the ED visit, the performance on the laboratory study, ECG, and radiological study, the disposition, and the length of ED stay. Also, we compared the collected data by presenting doctor and by patient's severity. Results : The staff performed fewer tests admitted fewer emergent and non-emergent patients than the residents. Also, the length of ED stay was shorter in both the emergent (212.76 vs. 321.40 minutes) and the non-emergent groups (117.68 vs. 171.39 minutes) for patients presenting to staff. Conclusion : It is desirable that emergency medical service is given by staff, not by resident.

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Comparison of Health Care Utilization Patterns and Length of Stay Determinants between Fracture Patients with Workers' Compensation Insurance and National Health Insurance (건강보험 환자와 비교한 산재환자의 의료이용 행태와 재원일수 결정요인: 일부 골절환자를 중심으로)

  • Youn, Kyung-Il
    • The Korean Journal of Health Service Management
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    • v.9 no.4
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    • pp.131-144
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    • 2015
  • Objectives : This study investigated the health care utilization patterns and length of stay (LOS) determinants of fracture patients with workers' compensation insurance (WCI) and national health insurance (NHI). Methods : The discharge summary data of 4,394 WCI fracture patients were compared to 28,874 NHI patients. Health care utilization characteristics were compared with a logistic regression analysis, and the LOS determinants were identified with linear regression analysis. Results : The average LOS of the WCI fracture patients was 2.4 times higher than that of the NHI patients. WCI patients used more small or medium sized hospitals, and were more frequently admitted through the emergency room. Females, older patients and patients admitted through emergency room had a significant positive impact on LOS. Conclusions : Healthcare utilization by the WCI fracture patients may include medically unnecessary hospital stays. Therefore, policy makers need to respond appropriately to the inefficient use of health resources by WCI patients.

Difference in Outpatient Medical Expenditure and Physician Practice Patterns between Medicaid and Health Insurance Patients (건강보험환자와 의료급여환자 간 의원 외래 의료이용 차이와 공급자 진료행태)

  • Joo, Jung-Mi;Kwon, Soon-Man
    • Health Policy and Management
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    • v.19 no.3
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    • pp.125-141
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    • 2009
  • The purpose of this study was to examine the role of provider practice patterns in the difference in health expenditure between the two types of patients: Health Insurance and Medical Aid type 1. The study used the outpatient claim data for all Medicaid and health insurance patients of hypertension who received medical services from 8,454 primary care physicians during the first half of 2006. The data were stratified by patient's gender and age for the two groups of patients who received care from the same physician. The dependent variables were the differences in medical expenditure per case, patient days per case and medical expenditure per patient day between Medicaid patients and health insurance patients. Empirical results showed that physician characteristics, such as physicians under age 50, greater proportion of pediatric Medicaid patients, lower proportion of new Medicaid patients and the greater number of comorbidity of Medicaid patients are associated with the greater difference between the two types of patients (i.e., greater expenditure of Medicaid patients relative to health insurance patients). This study shows that factors associated with provider practice patterns need to be taken into account in Medicaid policy.

Impact of Perfectionism and Testing Anxiety on the Menstrual Cycle during Test Evaluations among High School Girls (완벽주의와 시험불안이 시험기간 중 여고생의 월경양상 변화에 미치는 영향)

  • Lee, Hae-Kyung
    • Women's Health Nursing
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    • v.14 no.4
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    • pp.314-322
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    • 2008
  • Purpose: Dysmenorrhea is one of the most common gynecologic complaints of young women. This study investigated the changes in the menstrual cycle during test evaluations according to perfectionism and testing anxiety among high school girls in order to provide information for care of dysmenorrhea. Method: Data collection was done from July 14 to 18, 2008 by self administered questionnaires with 300 high school girls. Result: The subjects experienced amenorrhea(35.3%), changes in the menstrual cycle(66.3%), changes in menstrual duration(50.0%), changes in amount of menstruation(47.7%), and increases in menstrual pain during testing evaluations. There were significant differences in changes of menstrual patterns, physical symptoms, and menstrual pain during test evaluations between a high perfectionist group and low perfectionist group. Also, there were significant differences in changes of menstrual patterns, physical symptoms, and menstrual pain during test evaluations between a high testing anxiety group and low testing anxiety group. Perfectionism and testing anxiety showed a positive relationship with changes in menstrual patterns, physical symptoms, and menstrual pain. Conclusion: As perfectionism and testing anxiety seem to contribute to changes in the menstrual cycle during test evaluations, school health-care providers should screen routinely for dysmenorrhea and give more attention to health education on this topic to girls.

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Health related behavior patterns and associated factors among marriage immigrant women using latent class analysis (잠재계층분석을 활용한 결혼이주여성의 건강관련행동 군집유형과 영향요인)

  • Cho, Wonsup;Yoo, Seunghyun;Kim, Hyekyeong
    • Korean Journal of Health Education and Promotion
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    • v.32 no.5
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    • pp.17-31
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    • 2015
  • Objectives: This paper aims to identify the health related behaviors patterns and its associated factors among marriage immigrant women in Korea, and discusses their application to health promotion strategies. Methods: The study participants were 7,591 immigrant wives in Gyeonggi province who participated in health examinations conducted by the Korea Association of Health Promotion in 2011-2013. The participants completed self-administered questionnaires on sociodemographics, psychological characteristics, health status and health care factors, and health related behaviors. Results: A 3-latent-class model of health behaviors was identified related to 'lack of physical activity', 'abnormal diet', and 'not experienced medical check-up': 'high risk class', 'middle risk class', and 'low risk class'. Most of the participants belong to 'middle risk class'. Country of origin, age, length of stay, number of children, work status, health insurance status, and unmet health care needs were associated with problematic health behaviors in middle risk health behavior class. Conclusions: Health promotion and intervention programs for marriage immigrant women and their family members need to consider the health behavior patterns of physical inactivity, abnormal diet and no medical check-up and develop multiple behavior intervention with pre-existing program modification.

Effects of the Abbreviated Cognitive Behavioral Therapy for Chronic Insomniacs (만성불면증 환자에게 적용한 단기 인지행동중재의 효과)

  • Choi, Su-Jung;Yi, Young-Hee
    • Journal of Korean Critical Care Nursing
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    • v.1 no.1
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    • pp.19-31
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    • 2008
  • Purpose: This study was conducted to exam the effects of the Abbreviated Cognitive Behavioral Therapy(ACBT) on chronic insomnia. Methods: Study was one-group interrupted time series study that involved 13 adults(mean age=51.7, aged 25-77 years) with chronic primary insomnia who visited sleep disorder clinic of S Hospital from November 2004 to October 2005. The subjects received 2-session individual ACBT with 2 week-interval($1^{st}$: 1.5- 2hrs, $2^{nd}$: 20-30min). To measure the subjective insomnia severity and sleep patterns, 3 times of insomnia severity index and sleep logs were completed(before ACBT, after ACBT, and 3-month after ACBT). The main outcomes were subjective insomnia severity and sleep patterns(sleep onset latency, waking after sleep onset, and total sleep time, sleep efficiency). The data were analyzed with SPSS 10.0 version program by Friedman test, Wilcoxon signed rank test with Bonferroni correction. Results: There were statistically significant decrease in insomnia severity index, sleep onset latency, and waking after sleep onset, and increase total sleep time and sleep efficiency. Conclusion: ACBT was effective in reducing subjective insomnia severity and improving sleep patterns. Sleep improvement was better sustained over time with ACBT.

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Comparison of Oral Care Patterns Before and During the Pregnancy (임산부의 임신 전과 임신 중의 구강건강관리 행태 비교)

  • Park, Ji-Hyun;Lee, Kyeong-Soo
    • Journal of dental hygiene science
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    • v.11 no.3
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    • pp.273-278
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    • 2011
  • This study was performed to compare the status of oral care knowledge, oral care practice, and the patterns of the oral health care utilization before and during the pregnancy. It was conducted on the basis of a survey of 291 pregnant women who were in 9 post-natal care centers for post-natal care after delivery located in Daegu Metropolitan city and Changwon city of Gyeongsangnam-do from April 1st till April 29th on 2010. Forty five percent of them were experienced with the gum bleeding before pregnancy and 55.7% were experienced during pregnancy. The number of average tooth brushing per day was 3.05 times before pregnancy and 2.99 times during pregnancy in the survey. The patients who were experienced in dental health care during pregnancy out of the subjects for study were 51 for 17.5%. The score for the dental health knowledge was 7.82 for 10 grade scale and 5.38 before pregnancy and 5.14 during pregnancy for 10 grade scale in the actual performance scoring for dental care. Pre-dental care, experience in activity restriction due to dental disease, concern about oral health and regular visit to dental clinic were significant associated with use of dental care services during pregnancy.