• Title/Summary/Keyword: Questionnaire Diagnosis

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A Study on Nursing Diagnoses, Interventions, Outcomes Frequently Used and Linkage to NANDA-NOC-NIC in Major Nursing Departments (간호 대상자별 다빈도 간호진단, 간호중재, 간호결과 및 연계 체계조사)

  • Kim, Jong-Kyung
    • Journal of Korean Academy of Nursing Administration
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    • v.16 no.2
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    • pp.121-142
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    • 2010
  • Purpose: The purpose of this study was to identify NANDA, NIC, and NOC frequently used and their linkages in major nursing departments for development of the nursing process and nursing management system. Methods: This study was a descriptive study. Data were collected from 123 nurses who worked in medical, surgical, pediatric, gynecologic, and psychiatric department. The questionnaire was based on the NANDA, NOC, NIC, and NANDA-NOC-NIC linkage system. This research was analyzed by an EXCEL program and SPSS $Pc^{+}15.0$. Results: Nursing diagnoses frequently used were 'anxiety', 'disturbed sleep pattern', 'activity intolerance', 'social isolation', 'nausea', 'ineffective airway clearance', 'chronic pain', nursing outcomes frequently used were 'thermoregulation', 'bowel elimination', 'pain control', 'vital sign status', 'pain level', and nursing interventions frequently used were 'nausea management', 'airway suctioning', 'bowel elimination management', 'diarrhea management', 'medication management'. NANDA-NOC-NIC linkages in major nursing departments were recognized, and these results were similar to the results of other researches. Conclusion: The results of this study will be provided as a guideline to apply to the nursing process and development of the nursing process system with the NANDA-NOC-NIC linkage in major nursing department.

Discriminant Modeling for Pattern Identification Using the Korean Standard PI for Stroke-III (한국형 중풍변증 표준 III을 이용한 변증진단 판별모형)

  • Kang, Byoung-Kab;Ko, Mi-Mi;Lee, Ju-Ah;Park, Tae-Yong;Park, Yong-Gyu
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.25 no.6
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    • pp.1113-1118
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    • 2011
  • In this paper, when a physician make a diagnosis of the pattern identification (PI) in Korean stroke patients, the development methods of the PI classification function is considered by diagnostic questionnaire of the PI for stroke patients. Clinical data collected from 1,502 stroke patients who was identically diagnosed for the PI subtypes diagnosed by two physicians with more than 3 years experiences in 13 oriental medical hospitals. In order to develop the classification function into PI using Korean Stroke Syndrome Differentiation Standard was consist of the 44 items (Fire heat(19), Qi deficiency(11), Yin deficiency(7), Dampness-phlegm(7)). Using the 44 items, we took diagnostic and prediction accuracy rate through of discriminant model. The overall diagnostic and prediction accuracy rate of the PI subtypes for discriminant model was 74.37%, 70.88% respectively.

A Survey of Utilizing Status and Demand for Medical Devices in Traditional Korean Medicine (한방의료기기 사용 현황 및 개발 수요에 대한 조사 연구)

  • Nam, Dong-Hyun
    • The Journal of Korean Medicine
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    • v.34 no.1
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    • pp.69-79
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    • 2013
  • Objectives: The aim of this survey was to investigate utilization, intended use, problems with and demand for medical devices by surveying members of the traditional Korean medical society. Methods: We distributed questionnaires to 13,957 traditional Korean medical doctors via e-mail, and received replies from 1,225. The questionnaire consisted of 4 multiple-choice questions for survey respondent information, 8 multiple-choice questions about the status of medical devices utilizing, and a short answer question about the demand for medical devices. Results: Use of medical devices in traditional Korean medical clinics is common. Diagnostic medical devices are mainly used to assess the patient's condition and to establish a close rapport with clients. In case of therapeutic medical devices, they are usually used for secondary treatment. Issues with traditional Korean medical devices currently in use were ineligibility for national health insurance, low reliability, uncertain validity, and high price. In development of traditional Korean medical equipment, the need for diagnostic medical devices was greater than for therapeutic, and the need for the recording and analysis of medical image data and visualization of medical information was great. Conclusions: There is growing demand for facilitating the development and commercialization of traditional Korean medical devices. To satisfy this demand, research on evaluation indicators that reflect functional and structural clinical information and how to clinically assess the indicators should proceed.

Comparison of the Results of Clinical Diagnostic Assay according to Sasang Constitution Classification (사상체질에 따른 임상적 진단검사 결과 비교)

  • Park, Jee-Won
    • Korean Journal of Adult Nursing
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    • v.15 no.2
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    • pp.215-225
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    • 2003
  • Purpose: Sasang constitutional medicine is Korea's creative medical science, that has attracted public attention. But for lack of indices in objectifying constitutions, there are difficulties for most of health professionals in approaching Sasang medicine. The purpose of this study was to compare the results of clinical diagnostic data according to the type of Sasang constitution. Method: The subjects were 195 examinees who had a general health check-up at A hospital. The instrument used for this study were Questionnaire of Sasang Constitution Class II(QSCCII) program for personal computer developed by Kim Sun Ho et al. Result: The distribution of constitutions of the subjects were the So-eum 46.7%, the Tae-eum 36.9% and the So-yang 16.4%. The level of body compositionrelated indices(body weight, obesity) of the Tae-eum were significantly higher than those of other constitutions. In heart-related indices, systolic BP were the highest in the Tae-eum. In liver-related indices, the level of triglyceride, SGPT were significantly higher in the Tae-eum. But the hematologic indices and lung-related indices were not showed significantly difference among any constitutions. Conclusion: The results of this study showed that there were significant difference of clinical diagnostic data according to Sasang constitutions, especially in the Tae-eum. So, to understand the human nature of nursing clients, nurses need to apply the oriental based medical theory, like Sasang constitution, to the discipline of nursing.

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Analysis of Clinical Research Trends on Cold-Heat Pattern Identification in Korea - Focused on Quantitative Indicators for General People (한열변증의 국내 임상연구 동향 분석 - 일반인의 정량지표를 중심으로)

  • Yeo, Min Kyung;Lee, Young Seop
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.31 no.2
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    • pp.145-152
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    • 2017
  • The purpose of this study was to investigate the clinical research of Cold-Heat of pattern identification(PI) focused on quantitative indicators for general people in Korea, through the review of OASIS, KISS, DBpia, NDSL database. Ten clinical researches were analyzed in this study. These research gradually started from 2004 to 2009 but there was no research after 2010. Diagnosis of Cold-Heat PI all was done through a questionnaire, 7 or most researches had not used the intervention methods. Quantitative indicators related to the Cold-Heat PI mentioned in the selected 10 researches are seven, these indicators include heart rate variability(HRV), electroencephalogram, Yangdorak, respiratory index, electrogastrography, acoustic analysis index, western health test index. Related to the HRV were 3 researches, but correlation of significant indicators was a few levels(R=0.026-0.090). So far, studies regarding at the quantitative indicators of the prior the Cold-Heat PI were few, and the results of the study showed that low statistical precision, a lack of biological basis. Refer to the current state, in the future, we expect that research of quantitative indicators of scientific evidence-based through calculated and precise research concerning Cold-Heat PI be regarded as important in Korean Medicine.

Development of Korean Medicine Data Center(KDC) Teaching Dataset to Enhance Utilization of KDC (한의임상정보은행 활용도 제고를 위한 교육용 데이터 개발)

  • Baek, Younghwa;Lee, Siwoo
    • Journal of Sasang Constitutional Medicine
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    • v.29 no.3
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    • pp.242-247
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    • 2017
  • Objective Korean medicine Data Center (KDC) has established large-scale biological and clinical data based on Korean medicine to demonstrate and validate its theory. The aim of this study was to develop KDC teaching dataset and user guideline to improve utilization of the KDC. Method KDC teaching dataset were selected using stratified random sampling according to the Sasang constitution (SC). This dataset included 72 variables of 500 sample subjects. The user guideline described how to conducted eight statistical analysis methods using the teaching dataset. Results The KDC teaching dataset was sampled from 200(40%) Taeeumin, 125(25%) Soeumin, and 175(35%) Soyanain. It was consisted of questionnaire (basic, habit, disease, symptom), physical exam (body measurement, blood pressure), blood exam, and expert' SC diagnosis. The usage guidelines provided instruction for users to perform several statistical analysis step by step with KDC teaching dataset. Conclusion We hope that our results will contribute to enhancing KDC utilization and understanding.

Information Needs on Patients with Cancer in Korea (암 환자의 정보요구 분석)

  • Kim, Gi-Yon;Hur, Hea-Kung
    • Korean Journal of Adult Nursing
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    • v.14 no.1
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    • pp.135-143
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    • 2002
  • Purpose: To explore what particular types of information were important to patients diagnosed with cancer. Methods: Seventy three patients with cancer at an outpatient clinic and hospitalized patients in W Christian Hospital Korea, responded. The structured questionnaire developed by the investigator based on previous studies. Results: There was a significant negative relationship between age and the score of informational need (r=-.307, p<.05). Level of education, and level of monthly income were related to level of informational need. The top three informational priorities according to the time since diagnosis were 'Self care during treatment', 'Health food and diet', 'Likelihood of recurrence', 'Follow up care' and 'Side effects'. The top three informational priorities for patients with breast cancer were 'Likelihood of recurrence', 'Metastasis possibility', 'Treatment options', and 'Side effects. For patients with stomach cancer, they were 'Follow up care', 'Healthy food and diet', 'Likelihood of recurrence', and 'Metastasis possibility', and for patients with colon/rectal cancer, they were 'Side effects', 'Healthy food and diet', 'Likelihood of recurrence', and 'Self care during treatment'. Conclusion: The assessment of information needs based on demographic factors and disease-related factors is critical in helping patients with cancer to manage their illness.

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Fibromyalgia Syndrome Combined with Insomnia and Depression Disorder Managed with Korean Medical Treatment: A Case Report (한의학적 치료로 호전된 불면과 우울을 동반한 섬유근통 증후군 환자 치험 1례)

  • Kim, Eui-su;Shin, Min-koo;Kim, Tae-ryun;Oh, Jae-seon;Ma, Young-hun;Le, Young-su
    • The Journal of Internal Korean Medicine
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    • v.36 no.3
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    • pp.400-409
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    • 2015
  • Objectives The study aimed to evaluate the therapeutic effect of Hyungtonghaeul-tang along with Korean medicine treatment for fibromyalgia syndrome. Methods A patient with fibromyalgia syndrome was treated with Hyungtonghaeul-tang as well as Korean medical treatment including acupuncture, electro-acupuncture, bee venom therapy, chuna, aromatherapy, and physical therapy. The counts of tenderness points, widespread pain index (WPI), symptom severity scale score (SS scale score), digital infrared thermal imaging (DITI), Ryodoraku diagnosis, visual analogue scale (VAS), fibromyalgia impact questionnaire (FIQ), and beck depression inventory (BDI) were measured. Results After treatment, the counts of tenderness point, WPI, SS scale score, VAS, FIQ, and BDI were decreased. The DITI and the Ryodoraku pattern recovered normally. Conclusions Hyungtonghaeul-tang along with Korean medicine treatment can be used in the treatment of fibromyalgia syndrome.

Factors Influencing the Xerostomia Symptoms in the Patients with Temporomandibular Disorders

  • Kim, Ki-Mi;Byun, Jin-Seok;Jung, Jae-Kwang;Choi, Jae-Kap
    • Journal of Oral Medicine and Pain
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    • v.41 no.3
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    • pp.99-109
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    • 2016
  • Purpose: This study investigated factors influencing the xerostomia symptoms in the patients with temporomandibular disorders (TMDs). Methods: Eighty-six participants over the age of twenty were randomly enrolled from patients with TMDs. The patients were diagnosed by Diagnostic Criteria-TMD (DC-TMD). Intensity of the pain and level of stress of the patients were recorded using TMD pain visual analogue scale (VAS) and stress VAS, respectively. The Symptom Checklist-90-Revised (SCL-90R), dry mouth symptom questionnaire, unstimulated salivary flow rate (USFR) and oral moisture were measured. Results: The patients who had above the mean of the TMD pain VAS had significantly higher scores on the stress VAS, subjective dry mouth symptoms and T-score of somatization. The patients who suffered from pain more than three months had significantly higher TMD pain VAS, subjective dry mouth symptoms and T-score of somatization. There were no significant differences in xerostomic symptoms according to the diagnosis of TMDs. Moreover, TMD pain VAS and the stress VAS did not correlated to USFR and oral moisture. Conclusions: The level of individuals' TMD pain and stress significantly affect their subjective dry mouth symptoms, however, it did not affect USFR and oral moisture.

A Study to the Coping Patterns of Cancer Patients (암환자의 대처양상에 관한 연구)

  • 김복련;김영혜;김정순;정인숙;김주성
    • Journal of Korean Academy of Nursing
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    • v.33 no.3
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    • pp.321-330
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    • 2003
  • Purpose: This was to describe the emotions that patients face when diagnosed with cancer to know the problems and coping styles that cancer patients experience during the treatment. Method: The qualitative method was used for this study. The participants were 90 cancer patients at five general hospital in Pusan, Korea. Data were collected by interviews with a semi-structured questionnaire from November 2000 to June 2001, and were analyzed using the modified constant comparative method. Result: The most common emotions on the diagnosis of cancer were shock(36.7%), followed by despair(25.6%), acceptance(24.4%), denial(l8.9%), complaint(16.7%), and fear(8.9%). The problems identified were the unpleasantness and physical discomfort related with the treatment(50.0%), the feelings of burden(41.1%), finance/occupation(38.8%), and fear of the future(26.6%). Coping styles to problems that the subjects have faced on the course of the treatment were compliance(36.6%), health care(31.l %), positive thinking(22.2%), despair/avoidance( 15.5%), seeking social support( 6.6%), information seeking(3.3%) and self-control(2.2%). Conclusion: It is very important to develop nursing interventions which can mitigate shock that patients experience, can help cancer patients to have hope for the future and to positively cope with cancer.