• Title/Summary/Keyword: Standard of Care

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중환자실 간호사의 요통 영향요인 (Factors Affecting Low Back Pain in Nurses in Intensive Care Unit)

  • 성미혜;서동희;엄옥봉
    • 기본간호학회지
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    • 제17권3호
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    • pp.343-350
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    • 2010
  • Purpose: This study was conducted to identify the factors that influence low back pain in nurses in Intensive Care Units (ICUs). Methods: A descriptive-correlational design was used, with a convenience sample of 116 nurses from one university hospital in Seoul. The data collected were processed using SPSS Window 17.0 Program for actual numbers and percentages, differences in the dependent variable according to general characteristics, and mean, standard deviations, correlation coefficients and multiple regression analysis. Results: The factor influencing low back pain in nurses in ICUs was functional ability (${\beta}$=.652). This one factor explained 41.9% of low back pain in nurses in ICUs. Conclusion: These results show that functional ability was related to nurses' low back pain in nurses in ICUs. These results further suggest that more research is needed to develop program involving functional ability to prevent and management of low back pain in nurses in ICUs.

병원감염 방지를 위한 중환자부의 건축계획적 연구 (A Study on the Architectural Planning for Prevention of Nosocomial Infection in Intensive Care Unit)

  • 김상복;양내원;김홍기
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제10권2호
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    • pp.29-37
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    • 2004
  • Recently the hospital infection with misappropriation of the antibiotic and absence of knowledge is aincreaseing trend. For this, medical treatment is confronting infection management guide. But so far there is no accurate standard or countermeasures. Since early 1990 Nosocomial Infection has not been looked over, although there is serious problem. After 90's understanding seriousness of Nosocomial Infection, many investigations have been done, but the relations of medical facilities were hardly investigated. This thesis shows the relation between facilities and Nosocomial Infection by documental references and the direction for intensive care unit through survey the recent general hospitals.

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어린이집 영아반 및 유아반 교사의 제3차 어린이집 표준보육과정에 대한 인식과 편성·운영 실태 (Recognition, Organization and Management of the Third Standard Childcare Curriculum of Teachers of 0 to 2-year-olds and 3 to 5-year-olds In Child Care Centrer)

  • 김현주
    • 한국산학기술학회논문지
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    • 제17권8호
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    • pp.389-396
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    • 2016
  • 본 연구는 "제3차 어린이집 표준보육과정"에 대한 영아반 및 유아반 교사들의 인식 및 편성 운영 실태를 분석하여 어린이집 표준보육과정 적용과 운영의 실제 변화를 위한 기초 자료를 제공하여 보육의 질적 향상에 기여하고자 하는데 그 목적이 있다. 이를 위해 제3차 어린이집 표준보육과정에 대한 영아반 및 유아반 교사들의 인식, 편성 운영 실태는 어떠한지와 영역별 실행정도는 어떠한지를 연구문제로 설정하였다. 연구방법은 제3차 어린이집 표준보육과정에 대한 인식 및 편성 운영 실태에 관한 질문지를 구성하고 경상남도의 보육교사들을 연구대상으로 총 300부의 질문지를 배부하여 267부를 선정하여 분석하였다. 수집된 연구자료는 t 검증 및 일원변량분석을 실시하였다. 연구결과 첫째, 어린이집 영아반 및 유아반 교사들은 대체로 제3차 어린이집 표준보육과정을 인식하고 있었다. 둘째, 어린이집 영아반 및 유아반 교사들은 대체로 제3차 어린이집 표준보육과정을 적절히 편성 및 운영하고 있었다. 셋째, 영아반 교사와 유아반 모두 제3차 어린이집 표준보육과정을 영역별로 실행하고 있었지만 영역별 실행도는 차이가 있었다.

Nature Death Act -Taiwan Experience-

  • Lai, Enoch Y.L.
    • 한국호스피스완화의료학회:학술대회논문집
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    • 한국호스피스완화의료학회 2008년도 하계학술대회
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    • pp.19-21
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    • 2008
  • Hospice movement in Taiwan emerged early in 1983. There was a nurse visiting terminal cancer patients by herself in Taipei city. It was ceased after one year. This stage of hospice movement might be called as "compassionate era". In early 1990, the first in-patient hospice ward was set up in north Taiwan. She demonstrated high touch in the high technology medical atmosphere. There was a great echo in Taiwan society to this action. In the following years, quite a few new hospice settings were founded. Medical professionals were aroused again to talk and think about life and death, dignity of dying and holistic care. This stage of hospice movement might be called as "ethical stage". Around 2000, obstructions were discovered in our development. We do need system and rules. Standard of setting and care, Curriculum of education and training, Accreditation system and specialist system and Nature Death Act are some of the systems we approached. This stage of hospice movement might be called as "Act stage". Among the "Act stage", the Nature Death Act is actually the mile stone in our history. What listed below are the translated one for the reference:

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지속가능한 의류관리를 위한 최적 세탁코스 연구 - 세탁코스, 세탁성, 섬유손상도, 세제농도를 중심으로 - (Optimal washing course for sustainable laundering and care - Focusing on the washing course, detergency, fabric damage and detergent concentration -)

  • 백성필;박세은;박명자
    • 한국의상디자인학회지
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    • 제24권4호
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    • pp.1-9
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    • 2022
  • The purpose of this research is to improve sustainable clothes care by comparing household washer's standard course and quick course. Detergency at each course was classified by laundry weight, detergent concentration, and soils. Also, fabric damage from each course was compared. Washing experiments were carried out using two types of washing machines and three types of detergents. Using the standard soiled fabrics of EMPA 108 set, detergency was compared by laundry weight, soil, and detergent concentration. Additionally, fabric damage was evaluated using the mechanical action of MA-40. The results of the research were as follows. First, a standard course, having more working time exhibited better detergency than a quick course. However, the detergency deviation under 6kg laundry weight was as low as 9.0%. Second, detergency by the type of soil was more effective in standard course than in a quick course, but hydrophilic protein soils had a small detergency deviation at 7.6%. Moreover, hydrophobic oil, complex, and particulate soils had a higher deviation at 19.7% Third, fabric damage was in proportion to operating time. Fourth, a quick course showed approximately 80% detergency regardless of the type of detergent. in the case of using 50% of the recommended allowance by the detergent manufacturer. In conclusion, reducing the operating washing time and detergent concentration is in accordance with increasing sustainability, in the case of washing with lightly soiled fabrics under 6kg of laundry weight.

Caries Management by Risk Assessment (CAMBRA) 모형에 따른 임상 예방치과 및 치위생 진료 (Clinical Preventive Dental and Dental Hygiene Practice by Caries Management by Risk Assessment (CAMBRA))

  • 조영식
    • 치위생과학회지
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    • 제12권6호
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    • pp.545-557
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    • 2012
  • Dental caries is biofilm induced disease throughout life and is recognized significant oral health problem. This article reviewed new trends in dental caries management by risk assessment, including history, protocol/guideline, and collaborated model. Dental caries prevention and treatment according to caries management by risk assessment (CAMBRA) model is patient-centered, risk-based, evidence-based practice. Team approach is necessary and clinician need to integrate science, practice and product. Dental hygienist take a important role in implementing CAMBRA. CAMBRA model could be incorporated into clinical dental hygiene education based on dental hygiene process of care as standard of dental hygiene practice and education. Dentist and dental hygienist able to provide scientific and ethical care managing dental caries by risk assessment.

정신보건센터 재활프로그램 참여.비참여 만성정신장애인의 자가관리 및 가족부담감 비교 연구 (A Comparative Study on Self-care of the Chronically Mentally Disabled Participating and Those not Participating in Rehabilitation Programs in Mental Health Centers and Their Families' Feeling of Burden)

  • 백영숙;정안순
    • 가정간호학회지
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    • 제18권1호
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    • pp.5-12
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    • 2011
  • Purpose: This study propose basic materials to prepare the mentally disabled for rehabilitation nursing mediating plans, by comparing the degree of self-care of the chronically mentally disabled residing in community mental health centers between those who participate in daytime rehabilitation programs and those who do not as well as the degree of perceived burden of the two groups' families. Method: The subjects of the study were 51 chronically mentally disabled men, who participated in daytime rehabilitation programs in three mental health centers in Gyeonggi-do and their families, and 53 in-house chronically mentally disabled men, who did not participate and their families. The measuring instrument for self-care consisted of ten spheres (65 questions and 5 points a standard). To quantify the feeling of burden of families, the measuring equipment developed by Montgomery et al. was used. Results: The degree of self-care of chronically mentally disabled men participating in rehabilitation programs in community mental health centers were higher than that of men not participating, and there was a significant difference between them. Families in the group not participating in rehabilitation programs had higher score than those in the group participating, but there was no significant difference. Conclusion: The participation of the chronically mentally disabled in rehabilitation programs influenced improvement of self-care and also lessened a feeling of burden of families somewhat.

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재입원 환자의 특성연구 (A study of the Characteristics of Readmitted Patients in an University Hospital in Korea)

  • 홍준현
    • 한국의료질향상학회지
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    • 제2권2호
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    • pp.56-71
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    • 1996
  • Background : Review of readmissions in health care facilities is necessary from the viewpoint of both economic concerns and quality considerations. To identify the characteristics, factors, and causes of multiple admissions in comparison with single admissions is essential for both providers and payers in order to assure quality care and efficient use of medical resources. Methods: All discharges from an university hospital in 1993 were analyzed, and the characteristics of multiple admissions were identified and were compared with those of single admissions by using the data bases of the discharge abstract and billing for reimbursement. Medical records of patients readmitted within 6 days after the previous discharge were reviewed to identify the reasons for such prompt readmission. Statistical analysis between groups of patients were performed by using SPSS. Result : The mean age was higher in multiple admissions than those of single admissions, and the average length of stay was longer in multiple admissions than in single admissions. The hospital cost per day is higher in single admissions while the cost per case is higher in multiple admissions. More than half of readmissions occurred within one month after the preceding discharges. Above 15% of the readmission within 6 days after the preceding discharges seemed to have close relationship with quality of care provided during the preceding hospitalization. The death rate of the patients readmitted within 6 days was the highest in comparison with multiple admissions and single admissions. Conclusion : Potential preventable readmissions should be reduced by identifying characteristics of multiple admissions, especially unplanned readmission, and by applying some interventions such as standard predischarge assessment or careful follow-up care after discharge for high risk readmission groups. As the results of these efforts, health care facilities could achieve quality improvement in medical care, and effective use of hospital resources.

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취업주부의 가사노동시간에 관한 연구 (Time Spent on Housework by Employed Wives)

  • 한경미
    • 가정과삶의질연구
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    • 제7권2호
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    • pp.1-13
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    • 1989
  • The purpose of this stud is : (1) to figure out the amount of time being usually spent on the housework performed by the employed wives and (2) to find out factors influencing the total and the specified housework time. The major findings are the following : 1) A employed wife spends 374 minutes(6.2 hours) on the average a day on the housework. Compared with research results of the past, this shows little difference, and less 157 minutes than full time homeworker. Time connected with meals is 123minutes, clothing (68), management and marketing(64), family care(61), and housing care(58). 2) Family environment variables (the wife's education level, wife's employment status, income, young child's age and presence of employed housekeeper) significantly differentiates the housework time. In general, a wife with higher SES level spends less time for housework except family care. 3) Housework related variables (planning, preference, performance competency, and performance stand rd) significantly differentiate the specified houseworks. High planning, preference, and performance competency do not necessarily diminish the housework time except routine houseworks. High performance standard causes her to spend more time. 4) A wife' sex-role attitudes and a husbands attitudes perceived are more traditional, she spends more time.

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진료지속성이 의료이용에 미치는 영향 : 융복합 성향점수매칭 방법 적용 (Effects of the Continuity of Care on Hospital Utilization : Convergence A Propensity Score Matching Analysis)

  • 안이수
    • 디지털융복합연구
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    • 제13권9호
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    • pp.323-332
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    • 2015
  • 본 연구는 고혈압 환자의 일차의료 지속성 수준을 파악하고, 일차 의료 지속성 수준이 환자의 입원 및 응급실이용에 미치는 영향을 실증하는 융복합적 결과연구(outcome research)이다. 후향적 코호트(retrospective cohort study)연구로써 건강보험 청구자료를 사용하여 고혈압을 주상병으로 진단받은 315,791명을 3년 동안 추척 관찰하였다. 지속성지표는 MFPC, MMCI, COC를 적용하였고 결과변수는 입원 및 응급실 방문을 고려하였다. 일차의료의 지속성 수준과 입원 및 응급실이용의 위험도를 분석한 결과, 지속성 낮은 군이 지속성 높은 군 보다 입원 할 위험도가 1.655배(95% CI: 1.547-1.771), 응급실이용은 1.669배(95% CI: 1.465-1.903) 높았다. 따라서 우리나라 고혈압 환자의 진료지속성을 높이는 정책은 급증하는 만성질환 의료비를 줄일 수 있을 것이다.