• 보건교육건강증진학회지
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• 제21권1호
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• pp.285-295
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• 2004

Purpose： The purpose of this study was to investigate the expectations toward a tele-health surveillance system by residents of an information network village. Method： A descriptive study was conducted using interviews with a questionnaire. Of the households in the village, 24 were selected for inclusion in a pilot study. All of the residents from these households, for a total of 67, participated in the survey. Result： Expectations for promotion of health by a tele-health surveillance system were higher in residents with higher level of education. Expectations for effectiveness of disease management and promotion of health status by a tele-health surveillance system were higher in residents with family history or experience with emergencies. The higher scores for health knowledge and health concerns were associated with higher expectations for effectiveness of disease management and promotion of health by a tele-health surveillance system Conclusion： Analysis of the characteristic of the residents should precede implementation of a tele-health surveillance system in any location as expectations for tele-health surveillance system differ according to the characteristics.

• PNF and Movement
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• 제20권3호
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• pp.307-319
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• 2022

Purpose: This study aimed to investigate the perceptions of tele-physical therapy of health and non-health majors. It can provide basic research data for the provision of medical services in the future by identifying the level of awareness of the need for tele-physical therapy and the factors that affect it. Methods: The subjects were adults aged 20 to 29 in Korea, with 199 participants consisting of 83 health majors and 116 non-health majors. The survey was conducted over a period of 14 days. The survey comprised 19 questions, including 10 questions about general characteristics and 9 questions about tele-physical therapy recognition. The results were statistically analyzed using a statistical package program. Results: There was a significant difference between the two groups regarding the recognition of tele-physical therapy, with an average of 2.64 points in health majors and an average of 1.71 points in non-health majors, showing a low overall score. There was no significant difference in perception of the necessity of tele-physical therapy, with an average of 3.71 points in health majors and an average of 3.49 points in non-health majors, showing a high score, which was defined as a score of 3 or higher. Conclusion: Health and non-health majors showed low awareness of tele-physical therapy. A high level of perceived necessity for tele-physical therapy was shown. In the perception of tele-physical therapy in health majors, 'awareness', 'health improvement', and 'convenience' affect the perception of the necessity of tele-physical therapy. In non-health majors, 'knowledge and skills', 'health improvement', 'expected treatment satisfaction', and 'resolving restrictions on hospital visits' affect the perception of the necessity of tele-physical therapy.

• The Journal of Korean Physical Therapy
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• 제35권1호
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• pp.1-7
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• 2023

Purpose: This study sought to investigate the perceptions and service needs of tele-physical therapy among people in their 50s and older in Korea. Methods: Subjects were inducted during a 14-day survey of 104 people over the age of 50 in Korea and were administered a questionnaire consisting of 14 questions about their general characteristics and another 14 questions about tele-physical therapy. Results: The general characteristics of the participants (participants' gender, whether they were single or married, number of cohabiting families, final education, major, job, physical therapy experience, tele-physical therapy experience, presence of a physical therapy worker among relatives, subjective health awareness, chronic disease conditions if any, frequency of drinking, and smoking) were investigated. Among the perceptions of the subjects about tele-physical therapy, the score of 'awareness' was the lowest, and that of 'resolving restrictions on hospital visits' was the highest. In an analysis of the correlation between perceptions and needs, there was a significant correlation with factors other than 'awareness' and 'information protection' factors. The regression analysis of necessity and factors revealed that the awareness of necessity increased as the intention to use, health improvement, and time efficiency improved. Conclusion: These findings presented the perception and necessity of tele-physical therapy for adults in their 50s or older in Korea. These results will help confirm the demand for tele-physical therapy in this age group in Korea and the need to improve the available physical therapy services.

• 지역사회간호학회지
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• 제28권2호
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• pp.129-143
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• 2017

Purpose: The purpose of this study is to explore factors which influence adoption, implementation and continued use of tele-healthcare systems. Methods: Qualitative research was conducted by in-depth interviews with 17 professionals from various fields of organizations involved in developing and implementing tele-healthcare systems. Data were analysed thematically, using a conceptual model of diffusion of innovations. Results: The system users were reacted positively to the 3 attributes out of 9 which decided the adoption of innovation. In addition, it is required to redesign the tele-health care system simpler and easier so that the system users can access to the system much more easily regardless of space and time limitations. From the design stage on an individual level, it is necessary to conduct detailed needs analysis and listen to users who are at the center of innovation diffusion. On an organizational level, it is necessary to actively prepare for possible problems during system implementation, educate the users and build communication channels continuously. Conclusion: This study has identified the factors affecting the innovation of tele-health care systems and contributed to the understanding of the operation of tele-health care systems by the diffusion of innovation theory in community health posts.

• 한국지능시스템학회논문지
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• 제20권5호
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• pp.659-664
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• 2010

본 논문에서는 바이오인식기반 원격의료시스템에 있어서 바이오정보를 포함한 개인 프라이버시 정보를 보호하기 위한 프레임워크를 제시한다. 바이오인식은 편의성 및 의료 환경의 특수성으로 원격의료시스템에 적합한 인증수단 일수 있지만 바이오정보가 분실되거나 다른 사람에 의해서 도용되었을 경우 비밀번호나 ID처럼 사용자 요구에 따라 쉽게 변경하기가 어렵다는 치명적인 단점을 지니고 있기 때문에, 바이오정보를 이용한 인증시스템 구축 시 민감한 프라이버시 정보의 한 유형인 개인 바이오정보를 보호하기 위한 정보보호 프레임워크에 기반 하여 원격의료시스템이 구축되어야 한다. 먼저 바이오인식 시스템의 구성요소와 동작을 살펴보고 바이오인식기반 원격의료 시스템이 만족해야할 특화된 보안 요구 사항 대한 정의를 내린다. 이어서 바이오인식기반 원격의료 시스템의 모델을 정의하고 프라이버시 정보와 바이오정보가 공격당할 수 있는 보안 위협과 이에 대처할 수 있는 대응방안을 제시한다. 본 논문에서는 다양한 보안 위협 요인들에 대처하기 위하여 2단계인증 프로토콜을 제시한다. 마지막으로 바이오 인식기반 원격의료 프레임워크를 적용한 시스템의 구성요소에 대한 기능 요구사항을 기술함으로서 바이오인식기반 원격의료 보안 대책에 기반 시스템 구축 시 사용자의 개인정보를 보호함과 동시에 높은 보안능력을 갖는 고성능의 개인인증용 바이오인식 시스템을 구축에 도움을 줄 수 있다.

• Physical Therapy Rehabilitation Science
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• 제12권2호
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• pp.105-114
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• 2023

Objective: The study examined the validity and reliability of tele-assessment of cervical range of motion (ROM) through video conferencing. Design: A cross-sectional study Methods: The study included 22 healthy adults as subjects and 10 physical therapists as evaluators. The subjects underwent both face-to-face and tele-assessment of cervical ROM. The CROM (Cervical Range of Motion) device was used for reference measurements in the face-to-face assessment. The evaluators assessed the subjects' ROM through visual inspection (VI) and using a Universal Goniometer (UG) in the tele-assessment. Results: The results showed a significant correlation between the face-to-face and tele-assessment measurements for all ROM contents. The correlation coefficients ranged from r=0.54 to 0.71 (p<0.05), indicating concurrent validity. In terms of inter-rater reliability, the ICC values for both VI and UG assessments in the tele-assessment were high, with ICCs of 0.93 and 0.92, respectively. Additionally, the study investigated the usability of the tele-assessment method and environment. The satisfaction of the participants and evaluators was assessed using the Telehealth Usability Questionnaire (TUQ), which evaluates perceptions, usability, and satisfaction with telehealth services. Conclusions: In conclusion, tele-assessment of cervical range of motion using video conferencing was valid and reliable. Also, investigated participant and evaluator satisfaction and opinions, providing insights into the clinical value of tele-assessment. It is important to note that the study was conducted only healthy adults, and further research may be needed to validate the tele-assessment method in populations with cervical dysfunction or neck pain. These findings support the potential effectiveness of telerehabilitation services in assessing and managing musculoskeletal disorders.

• Journal of Korean Biological Nursing Science
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• 제6권2호
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• pp.31-42
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• 2004

Purpose: This study was undertaken to investigate bio-medical and behavioral risk factor of stroke according to the level of blood pressure among the prospective tele-health users. Method: A descriptive study was conducted using interviews with a structured questionnaire. Of the households in the village, 24 households were selected for inclusion in the study. Among all of the residents from these households, a total of 48 residents who completed all the blood tests as well as the questionnaire. Results: Among bio-medical risk factors including demographic characteristics, physiologic variables, and health history, only triglyceride(TG) was significantly different among normal, prehypertension, and hypertension groups(F=3.78, p<.05). However, regarding behavioral variables, those who were classified as prehypertension and hypertension group reported more frequent drinking, those who were in prehypertension group reported highest scores of stress and lowest frequency of exercise, and those who were in normal and hypertension group showed higher scores of interest on health and lower scores of perceived seriousness of disease and health knowledge than those who were in prehypertension group. Conclusion: Identification and implementation of modifiable risk factors of stroke according to the level of blood pressure are crucial for health care utilizing tele-medicine.

• 재활복지
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• 제22권3호
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• pp.169-188
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• 2018

본 연구의 목적은 원격재활서비스를 소개하고, 지역사회 장애인에게 적용하여 그들의 건강증진과 삶의 질에 미치는 영향을 알아보고자 함이다. 본 연구에서의 원격재활서비스는 재활훈련 프로그램과 원격상담으로, 최종 참여자는 천안시 C 장애인 자립생활센터 뇌병변장애인 3명이다. 연구 방법은 혼합연구로 양적 연구로는 대상자 간-다중기초선 실험설계, 질적 연구로는 원격상담을 통한 이야기식 면접을 이용하였다. 기초선, 참여 중, 참여 후의 주관적 건강수준변화, 상지기능/근력, 관절가동범위검사를 일정 간격 시행하고, 참여 전후에 삶의 질 검사를 수행하였다. 연구 결과, 첫째, 심리 사회적 건강증진 요소가 향상되었고, 둘째, 신체적 건강증진(상지기능/근력, 관절가동범위) 요소가 유지 및 향상되었으나 변화가 적었다. 셋째, 삶의 질은 사전보다 사후의 평균값이 높았다. 질적 연구에서는 주관적 건강상태, 정서적 안정감, 유익성, 자기효능감에서 긍정적 변화를 경험하고 있었으며, 서비스참여에 만족을 보였다. 이로 보아, 원격재활서비스 참여가 지역사회 장애인의 건강에 긍정적 영향을 주는 것으로 나타났고, 국내 지역사회 장애인을 대상으로 한 원격재활 서비스 구축과 프로그램 개발 및 확산에 대한 기초자료로 활용하고자 한다.

• 한국멀티미디어학회논문지
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• 제1권1호
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• pp.45-55
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• 1998

원격의료정보 시스템에서는 멀티미디어 정보의 전송을 위한 광대역 통신망과 멀티미디어 원격 의료 정보를 쉽게 사용할 수 있게 하는 단말장치가 기본적으로 구성되어야 한다. 특히 멀티미디어 원격 의료정보 시스템의 단말기에는 의료진이 쉽게 사용할 수 있도록 병원의 기존 진료 절차와 거의 동일한 형태의 진료업무가 실행될 수 있는 멀티미디어 GUI 환경이 제공되어야 한다. 본 논문에서는 ATM/B-ISDN을 기반으로 한 멀티미디어 원격의료정보 시스템에서의 PC용 멀티미디어 원격진료 GUI(TeleMe야_GUI)를 구현하였다. ATM/B-ISDN 통신망 환경에서 워크스테이션을 멀티미디어 데이터베이스 서버로 두고, 각 의료진이 사용하는 PC의 TeleMe야_GUI에서 멀티미디어 진료 자료들을 원격 검색 할 수 있도록 하기 위한 클라이언트/서버간의 통신 프로토콜을 제안하였다. 이러한 ATM 통신망과 통신 프로토콜을 기반으로 하여 PC용 GUI를 구현하였다. 본 논문에서 제시하는 TeleMedi_GUI를 이용하면 의사는 X-ray/CT와 같은 영상정보나 X-ray 판독소견과 같은 음성정보를 이용하여 환자를 효율적으로 진료할 수 있다. 이 연구결과는 1차 진료기관과 2차 종합 진료기관간의 의료정보 서비스망으로 활용될 수 있으며, 병원 내부에서도 멀티미디어 진료시스템 개발에 활용될 수있다.

• 지역사회간호학회지
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• 제20권4호
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• pp.391-402
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• 2009

Purpose: This study was to show the effects of a Physical activity promotion program with tele-coaching on physical fitness (grip strength, static and dynamic equilibrium) and quality of life in the frail elderly. Methods: Data were collected from May 30 to October 19, 2008. The subjects were divided into 2 groups, an experimental group (n=27) and a control group (n=26). The experimental group participated in the Physical activity promotion program, and the control group did not participate in any Physical activity promotion program. Results: The results of this study supported the hypothesis that "the experimental group will have higher physical fitness (right grip strength, left grip strength and static equilibrium except dynamic equilibrium) and quality of life than the control group." Conclusion: Physical activity promotion programs with tele-coaching are strongly recommended as health promotion for the frail elderly.