• 기본간호학회지
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• 제13권2호
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• pp.285-293
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• 2006

Purpose: This study was conducted to identify the spiritual well-being and spiritual care of hospice team members. Method: Between December 2005 and February 2006, a questionnaire was given to 192 hospice team members. The instruments used in this study were the Spiritual Well-Being Scale(SWBS) developed by Paloutzian, & Ellison(1984), and a Spiritual Care Performance Scale developed by the authors. Results: The levels of spiritual well-being were relatively high: significantly lower in the 25-29 years old, in the unmarried, and in the 1-2 million won income groups, and significantly higher in Protestants, Catholics, clergy, and volunteers. The levels of performance of spiritual care were intermediate; significantly higher in clergy, and those with 10 or more years of experience. There was a positive correlation between: levels of spiritual well-being and age; levels of spiritual well-being and performance of spiritual care; and levels of performance of spiritual care and age. The factors affecting the levels of spiritual well-being included religion, age, and performance of spiritual care. The factors affecting the levels of performance of spiritual care were the years of hospice experience and spiritual well-being. Conclusion: Because there was a positive correlation between levels of spiritual well-being and performance of spiritual care, there is a need to develop a strategies to increase the spiritual well-being of hospice team members.

• 한국의료질향상학회지
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• 제7권2호
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• pp.156-167
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• 2000

Background: Emphasis in healthcare during the 1990s has been to provide both optimal wellness and function with quality in a Cost-effective manner. Critical pathway was developed to meet the need to guide clients along the continunm of care and to achieve continuity of care. The purpose of this study is to review and analyze articles related to the critical pathway that had developed and applied in Korea and abroad from 1995 to 1999. Methods: Total 39 studies were analyzed in terms of group of application, need of development, horizontal axis: time frame, vertical axis : items of care, task force team, identification of preliminary critical pathway, validation of preliminary critical pathway, types of final critical pathway, a person who coordinates and effects on critical pathway. Results: In the aspect of group of application, there were various diseases in the overseas than in Korea. In domestic and overseas, the horizontal axis included mainly the time from the start of hospitalization to discharge and vertical axis of the critical pathway included commonly the following nine items : tests, diet, medications, consultations, activity, assessments, treatments, education, discharge planning. Preliminary critical pathway was mainly drawn up through chart review in both. Types of final critical pathway were mostly for medical team use in Korea and were for medical team and patient use in abroad. A person who coordinates critical pathway was mostly nurse in abroad. There was positive effects on critical pathway in both. Conclusion: Staff education and information about critical pathway are needed to use it effectively.

• 융합정보논문지
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• 제10권6호
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• pp.8-13
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• 2020

본 논문에서는 혼자하는 헬스케어가 아닌 지인 또는 가족과 함께하는 헬스케어 시스템을 구축하는 것으로 능동적인 건강관리가 가능한 스마트 헬스케어 기기에 대한 연구한다. 노부모를 모시는 젊은 사용자를 타겟으로 놀이형 건강관리 시스템으로 직관적인 UI 설계를 통해 남녀노소 상관없이 가족단위의 건강관리 서비스 개발한다. 건강정보 자동수집 및 실시간 피드백이 가능하고, 중계기를 통한 데이터 종합 및 분석할 수 있다. 또한 체계화된 데이터베이스를 빅데이터의 형태로 활용할 수 있다. 제시한 서비스를 활용하면 건강관리를 통한 질병예방효과와 의료비에 대한 절감효과를 누릴 수 있고, 자동관리로 사용자의 편의 극대화와 수요 증가 효과를 기대할 수 있다. 이를 기반하는 기술을 응용한 제품의 개발기간 단축 및 저가격화와 경쟁력 강화를 통해 핵가족화되어 가는 시대에 세대간의 소통을 이끌어 낼 수 있다는 장점을 가진다.

• Physical Therapy Rehabilitation Science
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• 제8권2호
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• pp.67-73
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• 2019

Objective: The purpose of this study was to compare the differences in the length of hospital stay between hemorrhage stroke survivors with health insurance and those with medical care after controlling all factors except for the type of medical insurance by using the propensity score matching (PSM) method. Design: Retrospective cohort study. Methods: Data from the Korean National Centers for Disease Control and Prevention's In-Depth Discharge Injury Survey between the years 2006 and 2012 were used for analysis. A total of 4,538 cases were defined as persons with hemorrhagic stroke (I60-I62) based on the block of categories in the International Classification of Diseases (10th). In order to analyze the inpatient period differences depending on the type of health care, which reflects one's socio-economic level, the chi-square and t-test was conducted. Results: Frequency and percentage were presented, and regression analysis was used to determine the factors affecting the inpatient period. Age, severity of disease, treatment outcome, and post-discharge status were no longer statistically significant after matching. The inpatient period of the persons receiving medical aid benefits was found to be significantly longer than those with national health insurance (p<0.05). Conclusions: The factors influencing the inpatient period of hemorrhagic stroke survivors were treatment outcomes, severity of disease, hospital admission process, and the type of health care. It is necessary for systematic and comprehensive governmental management for persons with hemorrhagic stroke to be transferred to long-term care facilities.

• 한국보건간호학회지
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• 제11권2호
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• pp.131-140
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• 1997

School health aims to guide and manage growing students in order to grow healthily through the formation of healthy life habits, the self-control health management guide and the making of pleasant school health environments. The purpose of this study is to clarify the concepts, to draw common features, and develop a new approach for school health diagnosis through literature review. School health diagnosis is defined as the identification of actual and potential health problems in school health problems in population. It is a label that both describes a situation and implies an ethiology. Although it is widely acknowledeged that school health diagnosis is an essential precursor to school health nursing intervention, it still has ambiguous definition, unmeasurable goal. and a tenuous structure. In addition, the eclipse of school health diagnosis theory in the literature is so complete that some texts even exclude diagnosis as a stage of the nursing theory has not developed sufficiently to guide school nurses in the application of the nursing diagnosis with in the school. The Neuman's systems model provided the conceptual framework for this study and offered school health nursing the sort of clear structure that will assist them to clarify their work to nursing colleges and also to the client group with whom they will work. The Neuman model is fully congruent with today's health care philosophy by taking a wellness-orientaed approach, involving clients III their health care with prevention as intervention.

• 정보처리학회논문지:컴퓨터 및 통신 시스템
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• 제4권8호
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• pp.253-258
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• 2015

u-헬스케어 관점에서 볼 때, 심박수(heart rate)는 아픈 사람의 질환을 관리하는 일리스(illness)나 건강한 사람의 건강을 지속적으로 관리하는 웰니스(wellness) 분야에 모두 유용하게 사용된다. 이는 심박수가 질환의 증상을 판단하거나 운동 부하의 지표로서 모두 사용될 수 있기 때문이다. 최근에 착용형 센서(wearable sensors)를 이용하여 상시적으로 심박수를 모니터링하여 이에 기반하여 현재 몸 상태를 점검해볼 수 있는 다양한 심박계(heart rate monitor)와 이와 연동하여 심박수를 이용한 다양한 운동관리 스마트폰 앱이 개발되어 출시되고 있다. 그러나 이러한 스마트폰 앱은 모두 개인 용도로 제한된다. 논문에서는 여러 사람들의 심박수를 동시에 실시간으로 모니터링할 수 있는 시스템을 설계하고, 이를 적용할 수 있는 안드로이드 앱을 개발한다. 개발된 앱의 주요 기능은 다수 이용자에 대한 동시적 심박수 모니터링으로 피트니스 센터에 효과적으로 적용 가능하다.

• 한국정보통신학회논문지
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• 제22권3호
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• pp.443-450
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• 2018

삶의 질의 향상으로 인하여 건강관리는 현대인의 주요 관심 사항이며 자연스럽게 헬스케어 시스템에 대한 요구가 증가하고 있다. 그러나 인터넷 상에는 다양한 의료 관련 정보가 존재할 뿐만 아니라 이 정보들의 신뢰성 또한 가늠하기 힘든 것이 현실이므로, 특정 사용자에게 적합한 맞춤형 웰니스 정보 제공은 어려운 것이 현실이다. 본 연구에서는 빅데이터를 텍스트 마이닝으로 분류하여 사용자 맞춤형 의료정보를 제공함으로서 단순 검색기능이 아닌 사용자에게 적합한 맞춤 서비스를 제공할 수 있는 사용자 중심의 서비스 제공 방법을 제안한다. 효율적인 빅데이터 분석을 위해 하둡 슬레이브 노드를 증가하면서 데이터 처리시간을 실험하였다. 기존 시스템보다 빅데이터 시스템을 구축하는 것이 효율적임을 확인하였다.

• Journal of Preventive Medicine and Public Health
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• 제56권2호
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• pp.154-163
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• 2023

Objectives: Systemic lupus erythematosus (SLE) or lupus patients usually experience various physical and psychological challenges. Since the coronavirus disease 2019 pandemic, these challenges have become even harsher. Using the participatory action research approach, this study evaluated how an e-wellness program (eWP) impacted SLE-related knowledge and health behaviors, mental health, and quality of life among lupus patients in Thailand. Methods: A 1-group, pretest-posttest design study was conducted among a purposive sample of lupus patients who were members of Thai SLE Foundation. The 2 main intervention components were: (1) online social support, and (2) lifestyle and stress management workshops. Sixty-eight participants completed all the study requirements, including the Physical and Psychosocial Health Assessment questionnaire. Results: After being in the eWP for 3 months, participants' mean score for SLE-related knowledge increased significantly (t=5.3, p<0.001). The increase in sleep hours was statistically significant (Z=-3.1, p<0.01), with the percentage of participants who slept less than 7 hours decreasing from 52.9% to 29.0%. The percentage of participants reporting sun exposure decreased from 17.7% to 8.8%. The participants also reported significantly lower stress (t(66)=-4.4, p<0.001) and anxiety (t(67)=-2.9, p=0.005). The post-eWP quality of life scores for the pain, planning, intimate relationship, burden to others, emotional health, and fatigue domains also improved significantly (p<0.05). Conclusions: The overall outcomes showed promising results of improved self-care knowledge, health behaviors, mental health status, and quality of life. It is recommended that the SLE Foundation continues to use the eWP model to help the lupus patient community.

• 대한한방소아과학회지
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• 제32권1호
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• pp.83-91
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• 2018

Objectives This study aims to build the baseline data for promoting school health care program by identifying satisfaction level and improvement point through the satisfaction survey after Korean medicine doctor's student health and wellness program in 2016. Methods An association of Korean medicine doctor in Seongnam city conducted Korean medicine doctor's student health and wellness program for 12 middle schools, 6 high schools and 1 special-need school in Seongnam city in 2016. The participating Korean medicine doctor visited each school for 8 times and conducted health consultations, health education classes and Korean medicine treatment for the school students and the school employees. Teachers and administrators from the participating schools answered the self-reported satisfaction questionnaires and the results were analyzed by SPSS 22.0. Results 35 people responded the program satisfaction questionnaires, the overall satisfaction average was $9.40{\pm}0.88$ (out of 10). In the course of the program, satisfaction average regarding the student's health check-ups was $9.05{\pm}0.88$, satisfaction average regarding the informatory brochures for the parents was $9.08{\pm}1.09$, satisfaction average regarding the participation enrollment process was $9.06{\pm}1.16$, and the satisfaction average regarding the questionnaire statistics and the result reports was $8.86{\pm}1.93$. The satisfaction average of the program was as follows: health consultation ($9.20{\pm}1.08$), treatment ($9.31{\pm}0.90$), and health education classes ($8.78{\pm}1.68$). Some of the good things about program were 'Telling students about their physical condition' (57.1%), 'Curing the sick student quickly' (48.6%), 'Providing students with useful information about the health' (48.6%), 'Teaching students how to manage their health and how to manage symptoms' (42.9%). Average satisfaction about sustainability and needs of the program was $9.15{\pm}0.91$, and the participant teachers wanted to learn more about how to manage internet addiction (22.9%), stress (45.7%), atopy (28.6%), neck pain (42.9%), allergic rhinitis (37.1%), and low back pain (34.3%) from the future wellness programs. Conclusions Student health care is one of the most important issue in national health policies. We have designed a bridge model that a local community, school, and doctors can work together to develop. After the implementation of the program, the results of the satisfaction survey showed a very high satisfaction level. This study can be the basis for further improvement of the bridge program as well as the expansion of the program in other settings.

• 한국콘텐츠학회:학술대회논문집
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• 한국콘텐츠학회 2015년도 춘계 종합학술대회 논문집
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• pp.343-344
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• 2015

최근 생활수준의 향상과 높은 삶의 질을 추구하고자하는 현대인들이 늘어나면서 사회구조의 변화와 건강관리의 다양한 영역까지 영향을 받고 있다. 이에 본 논문에서는 단순히 건강에 대한 데이터 변환 기술과 공급자 중심의 일방적인 정보표현 방법을 다양한 장치를 통해서 사용자 중심의 인터페이스를 강조하는 개인 맞춤형 웰니스를 공급하여 현대인에 맞는 편리한 생활환경을 제공하고 건강한 삶과 질을 높일 수 있는 웰니스 서비스 표현이 가능한 웹 포털 서비스를 개발하였다.