• Title/Summary/Keyword: Specialized hospitals

검색결과 177건 처리시간 0.023초

요양기관에 입원중인 진폐증 환자에서 고독감과 삶의 만족도와의 연관성 (Loneliness and Life Satisfaction in Pneumoconiosis Patients Hospitalized in Long-term Care Facilities)

  • 배문혜;추진아;한금선
    • 한국직업건강간호학회지
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    • 제18권2호
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    • pp.185-193
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    • 2009
  • Purpose: Loneliness may be a typical psychological consideration in chronically ill patients, linking with low life satisfaction. We aimed to determine if loneliness would be independently associated with life satisfaction in pneumoconiosis patients hospitalized in long-term care facilities. Methods: We recruited 164 patients from 3 pneumoconiosis-specialized hospitals in M and S cities, South Korea, and measured loneliness and life satisfaction by using the University of California Los Angeles loneliness and life satisfaction index-Z scales. The Multiple regression analysis was performed to examine an independent association between loneliness and life satisfaction after adjustment for age, the levels of dyspnea and bronchitis-emphysema symptom, length of institutionalization, marital status, previous coal work experience, perceived socioeconomic status, and presence of caregivers. Results: The mean of loneliness was 46.4. We found a significant association between loneliness and life satisfaction (standardized beta=-0.16, p=0.049), independent of all the covariates. Conclusions: Loneliness was an independent associate of life satisfaction in patients with pneumoconiosis who were institutionalized in long-term care facilities. Thus, a nursing intervention strategy for relieving loneliness is needed to increase life satisfaction in these patients.

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진폐 노인환자의 삶의 질에 관한 연구 (A Study on the Quality of Life in Pneumonconiosis Elderly Patient)

  • 이영희;고미순
    • 성인간호학회지
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    • 제17권1호
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    • pp.12-22
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    • 2005
  • Purpose: The purpose of this study was to find out the quality of life and to identify the related characteristics for nursing care in pneumconiosis elderly patients. Methods: The subjects for this study were 206 elderly patients who received pneumoconiosis treatment in the two pneumoconiosis specialized hospitals located in Gangwondo, Korea. The instrument used for this study was Quality of Life Index Pulmonary version III. The data was collected from February 17 to March 10, 2003, and analyzed by t-test, ANOVA, Duncan test using SPSS. Results: The results of this study were as follows : 1. The highest frequency in chief complaints was dyspnea, 91 subjects(44.2%), and complications was tuberculosis, 88 subjects (42.7%). 2. The total mean score of the level of quality of life was $14.49{\pm}2.18$. 3. The score of quality of life showed higher in good family relationship group than the other after diagnosed pneumoconisis(F=5.486, P=0.001). 4. The comparison of quality of life was significant according to oxygen use(t=2.674, P=0.008), bronchodilators use(t=2.678, P=0.008), and prospect of future health status concerning pneumoconiosis(F=2.960, P=0.021). Conclusions: In conclusion, adequate nursing intervention as effective management of respiratory symptoms and improvement of family support will be needed to improve the quality of life in pneumoconiosis elderly patients.

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전산화단층촬영 검사 시 인체에 미치는 방사선피폭선량 분석연구 (Study of radiation exposure on human body using of Computed Tomography)

  • 선종률;유세종
    • 대한안전경영과학회지
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    • 제17권4호
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    • pp.193-198
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    • 2015
  • This study analyzed the total number of 19,636 patients and radiation technologists, 11,433 of male and 8,203 of female by examined body parts, age, types of detectors, the using contrast enhancement and working condition of the technologists, regular staffs or rotation-duty staffs, based on the K-DOS program distributed by FDA with the DLP value of diagnostic evaluation. The result shows that the effective radiation dose was 0.7mSv~41.7mSv for each region and male patients had more radiation exposure than females. And the amount of exposure was also affected by the types and the method of detectors. Furthermore, the regular staffs took the role of helping the patient to get reduced amount of radiation exposure than rotation duty-staffs. Computed tomography (CT) use has increased dramatically over the past several decades. In this reason, to support the patients and the workers' health in the field, the hospitals should apply specialized regular working radiation technologist system and manufacturing companies of those CTs should develop low medical radiation exposure devices.

시뮬레이션 기반 신생아 응급간호 교육 프로그램 개발을 위한 요구도 조사 (Educational Needs in the Development of a Simulation Based Program on Neonatal Emergency Care for Nursing Students)

  • 유소영;김성희;이자형
    • Child Health Nursing Research
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    • 제18권4호
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    • pp.170-176
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    • 2012
  • Purpose: The purpose of this study was to identify the current status and needs in neonatal emergency training for nursing students in Korea and to obtain preliminary information to develop a simulation based educational program on neonatal emergency care for nursing students. Methods: Structured questionnaires were distributed to five hospitals and ten nursing schools during April and May, 2012. Data were collected from 59 nurses who worked in the nursery or Neonatal Intensive Care Units and 13 nursing educators who had specialized in pediatric nursing. Results: Most nurses (86.4%) reported that they had experienced an emergency situation with newborns. Most nursing educators (84.6%) claimed that more intensive training with newborns is needed for nursing students. In particular, training in neonatal resuscitation (72.2%), respiratory distress (59.7%), and neonatal seizures (18.1%) were highly recommended as simulation based training for nursing students. Conclusion: A significant need for neonatal emergency educational programs was found. More efforts should be made to provide nursing students with knowledge and skills for working with neonates. The findings of this survey will ultimately provide a basis for developing a simulation based educational program on neonatal emergency care for nursing students.

민간부문의 건강증진 사업과 연구 현황, 발전방향과 과제 - 한국건강관리협회의 건강증진 사업과 연구를 중심으로 - (Challenges and Future Directions for Health Promotion Practice and Research in Private Sectors: Focusing on the KAHP Experiences)

  • 조한익
    • 보건교육건강증진학회지
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    • 제29권4호
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    • pp.39-56
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    • 2012
  • Objectives: This paper aims to discuss the current situation of and future directions for health promotion practice(HPP) and research in private sectors in Korea. Methods: Publications and web-site information of public health organizations, WHO-Health Promoting Hospitals member institutes, health/medical academic societies, and professional unities were collected and reviewed. Activities of Korea Association of Health Promotion(KAHP) were described in detail considering its leading role in health examination and promotion field in Korea. Results: The most common HPPs in private sectors were health education and public health campaigns for the prevention and management of diseases. Tailored health promotion programs for lifestyle changes and longitudinal follow-ups were the routine process for managing high risk groups at KAHP. Health promotion research in private sectors have focused on identifying health problems and behavioral determinants, and planning, implementing and evaluating health promotion programs. The most serious issues in HPPs of the private sectors were limited budget and manpower along with a lack of public recognition and a system-level support. Conclusion: To promote HPPs and research in private sectors, a system for financial sustainability should be introduced. They also need scientific evidence from research. 'Borderline medicine', a discipline specialized in management of high risk borderline group, could lead HPPs to sustainable private practices.

전 병상 1인실 구조인 중환자실에 근무하는 간호사의 경험 (Experiences of Nurses Working in a Single-Room-Structured Intensive Care Unit)

  • 윤정희;신영미;신수진;홍은민
    • 중환자간호학회지
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    • 제14권3호
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    • pp.1-13
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    • 2021
  • Purpose : This study aims to provide basic data for effective nursing interventions and improvement of nurses' work by exploring their work experiences in single-room-structured intensive care units (ICU) through focus group interviews. Methods : Data were collected through two focus group discussions conducted from March to November 2020 with 13 ICU nurses. Interviews were audio-recorded and analyzed thematically by investigators. Results : Through content analysis, 15 sub-categories and 6 categories were formed. Two themes, "positive experiences patients care in an independent space" and "difficulties in nursing work according to space separation of patients" emerged. There are positive aspects of single-room-structured ICUs, but it was found that practicing nurses had difficulties and required specialized nursing competencies. Therefore, efforts to reduce the burden of nurses in single-room-structured ICUs are necessary. Conclusion : The limitation of this study is that it was conducted in a single hospital because single-room-structured intensive care units are uncommon in Korea. However, this study is of great significance as a basis for establishing guidelines on the efforts required from nurses, hospitals, and governments single-room-structured ICUs in the future.

응급실 간호사의 소아응급간호 업무 및 간호수행자신감 분석 (An Analysis of Pediatric Emergency Nursing Practice and Nursing Competence among Emergency Department Nurses)

  • 전희경;임여진
    • Child Health Nursing Research
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    • 제25권2호
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    • pp.143-153
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    • 2019
  • Purpose: The purpose of this study was to examine the frequency, perceived importance and competence of pediatric emergency nursing practice (PENP) in nurses who cared for pediatric patients in the emergency department. Methods: This cross-sectional descriptive study analyzed 175 emergency department nurses caring for pediatric patients at 7 university hospitals with more than 500 beds, located in Seoul and Gyeonggi Province. The measurement tool was modified from the Classification of Standard Nursing Activities to measure the frequency, importance of PENP, and nursing competence. It comprised 143 items in 16 domains of PENP. Results: The most frequent nursing practice was the domain of 'nursing records and environmental management' and the least frequent practice was the 'research and consulting' domain. The nursing care domain perceived to be most important by nurses was 'specialized intensive nursing care'. The nursing care domain with the highest level of nursing competence was 'hygiene care', and the domain with the least level of nursing competence was the 'research and consulting'. Conclusion: These results will be utilized as basic data for future pediatric emergency nursing education initiatives and for establishing priorities of nursing policy to improve health care for children admitted to the emergency department.

병원간호사의 죽음에 대한 인식과 삶의 의미 관계에 미치는 자아존중감의 조절효과 (The Moderating Effect of Self-esteem in the Relationship between Hospital Nurses' Perception of Death and the Meaning of Life)

  • 박선희;이가언
    • 한국직업건강간호학회지
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    • 제32권2호
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    • pp.68-78
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    • 2023
  • Purpose: This study aimed to determine the moderating effect of self-esteem on the perception of death and the meaning of life among hospital nurses. Methods: The participants were 167 nurses working in two tertiary general hospitals located in city B. Data were collected from September 8 to 21, 2022. SPSS/WIN 29.0 was used for analysis along with t-test, ANOVA, Pearson correlation coefficients, and hierarchical multiple regression. Results: The study showed that the meaning of life was significantly correlated with the perception of death (r=.34, p<.001) and self-esteem (r=.31, p<.001). Self-esteem significantly moderated the relationship between the perception of death and the meaning of life (F=16.00, p<.001). Conclusion: Self-esteem may moderate the relationship between the two factors. This means that nurses with higher self-esteem have a greater tendency for their perception of death to positively impact their meaning of life. Therefore, for hospital nurses to discover the meaning of life, it is necessary to develop and apply a self-esteem enhancement program specialized for each clinical career.

Three Dimensional(3D) Education Game Development for Treatment Assistance with High-Functioning Autism

  • Tae-In Jang;Hyung-Joon Baek;Sojeong Lee;Hayoon Jo;Yuri Yoon;Janghwan Kim;R. Young Chul Kim;Chaeyun Seo
    • International Journal of Advanced Culture Technology
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    • 제12권3호
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    • pp.309-316
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    • 2024
  • Due to rapid socio-economic development and environmental changes, particularly autism spectrum disorder (ASD) in the context of Attention Deficit Hyperactivity Disorder (ADHD) and high-functioning autism, has become a significant social issue. This issue is increasingly recognized from a societal perspective rather than just an individual or family problem. But there remains a lack of information in frontline education. Traditionally, treatment for ASD has been conducted in specialized institutions, or by professional doctors, therapists, and counselors. There are still several challenges such as 1) accessibility to hospitals and transportation for children with ASD, 2) the maturity and competence of therapists, and 3) the lack of appropriate educational content. To solve these problems, we propose a supplementary 3D educational game process for children with high-functioning autism that utilize speech recognition technology and games designed for continuous and repetitive learning. Our proposed game content can be used at home, which incorporates Speech-To-Text (STT) technology and mini-games to help children indirectly experience and learn to handle unexpected real-life situations. With this approach, we will expect that the children can develop social skills and enhance the efficiency of their treatment.

서울시내 동물병원의 애완견 진료와 관리시스템에 관한 연구 (Study on Companion Dog Practice and Management System on Animal Hospital in Seoul City)

  • 강동준;정병현;허정;강정부
    • 농업생명과학연구
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    • 제43권2호
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    • pp.39-46
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    • 2009
  • 동물병원에서 행해진 진료현황, 총 41,305건에 대해 WHO의 질병분류법(ICD)에 따라 검증한 결과 예방의학이 42.2%, 피부질환이 16.4%, 소화기계가 12.0%, 이과(耳科)가 8.5%, 호흡기계 질환이 4.3%이었다. 내과질환에서는 내원한 진료 중에서 소화기계 질환이 호흡 52.9% 기계 질환이 18.9%, 순환기질환이 13.2%, 종양이 4.4%순이었다. 피부질환 총 6,774건 중에서 농피증이 50%, 외부기생충증이 12.2%, 피부사상균증이 11.0%, 알레르기성 피부병이 9.8%이었다. 동물병원의 수입을 진료부분과 용품 판매, 애견 미용 등 크게 3부분으로 구분하였을 때 전체 매출의 71.6%가 진료부분, 용품의 판매가 16.9%, 애견 미용이 11.5%를 차지하였다. 동물병원의 홍보 형태는 인터넷 웹사이트를 통한 홍보가 47%로 가장 많았으며, 지역광고지가 23.5%, 전단지와 전화통신 서비스가 11.8% 순이었다. 동물병원의 인적구성에서는 수의사가 절반정도인 45.5%를 차지하였으며 전문적인 교육과정을 거친 수의테크니션은 없었다. 동물병원의 시설구획에서는 평균 진료실은 2.7실, 입원실은 1.7실, 격리입원실은 0.5실이었고 이외 수술실과 방사선촬영실을 병용하는 동물병원도 있었고 일반 처치실의 시설은 미흡하였다.