• Title/Summary/Keyword: absence of care

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Perceptions regarding the multidisciplinary treatment of patients with severe trauma in Korea: a survey of trauma specialists

  • Shin Ae Lee;Yeon Jin Joo;Ye Rim Chang
    • Journal of Trauma and Injury
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    • v.36 no.4
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    • pp.322-328
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    • 2023
  • Purpose: Patients with multiple trauma necessitate assistance from a wide range of departments and professions for their successful reintegration into society. Historically, the primary focus of trauma treatment in Korea has been on reducing mortality rates. This study was conducted with the objective of evaluating the current state of multidisciplinary treatment for patients with severe trauma in Korea. Based on the insights of trauma specialists (i.e., medical professionals), we aim to suggest potential improvements. Methods: An online questionnaire was conducted among 871 surgical specialists who were members of the Korean Society of Traumatology. The questionnaire covered participant demographics, current multidisciplinary practices, perceived challenges in collaboration with rehabilitation, psychiatry, and anesthesiology departments, and the perceived necessity for multidisciplinary treatment. Results: Out of the 41 hospitals with which participants were affiliated, only nine conducted multidisciplinary meetings or rounds with nonsurgical departments. The process of transferring patients to rehabilitation facilities was not widespread, and delays in these transfers were frequently observed. Financial constraints were identified by the respondents as a significant barrier to multidisciplinary collaboration. Despite these hurdles, the majority of respondents acknowledged the importance of multidisciplinary treatment, especially in relation to rehabilitation, psychiatry, and anesthesiology involvement. Conclusions: This survey showed that medical staff specializing in trauma care perceive several issues stemming from the absence of a multidisciplinary system for patient-centered care in Korea. There is a need to develop an effective multidisciplinary treatment system to facilitate the recovery of trauma patients.

An Exploratory Study on the Experience of the female Elderly using a Long-Term Care: Centering on Users of Home-Visit Bath (장기요양보호를 이용하는 여성노인의 경험에 관한 탐색적 연구: 방문목욕 이용자를 중심으로)

  • Shin, Gun-cheol
    • 한국노년학
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    • v.30 no.4
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    • pp.1345-1357
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    • 2010
  • This research, with the participants of the female elderly using a home-visit bath among long-term care services, made an in-depth analysis of what they experience while getting a home-visit bath. We conducted in-depth interviews with 8 elderly people. According to the result, the female elderly experienced the absence of a caregiver, difficulty in carrying out daily life due to physical diseases, getting what they need by themselves, getting comfortable in body and mind, accepting their given situation though feeling shame at getting a bath, and expressing their desires. In addition, they had a close relationship with a care helper. On the basis of the results, a systematic training system which could intensify the professionalism of care helpers was suggested. For the enhancement of the elderly's emotional stability in a long-term care, an integrated case management system was also suggested, which supports the family by organizing an integrated network by region between a long-term care service, home-visit care service, welfare center, and the National Health Insurance Corporation.

Characteristics, Motivation of Choice and Childbirth Experience of Women Who Selected Delivery at Midwifery Clinic (조산원 분만을 선택한 여성의 특성, 선택동기 및 출산경험 조사)

  • Lee, Sun Hee;Lee, Mi Ok
    • Korean Parent-Child Health Journal
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    • v.16 no.1
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    • pp.1-10
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    • 2013
  • Purpose: This study is descriptive research to identify characteristics and childbirth experience of women who selected delivery with midwives. Methods: The research methods included structured questionnaires, open questions and charts and data were collected from March 2009 to May 2010 at one midwifery clinic. The 108 data of primipara and multipara were analyzed using descriptive statistics and grouping in same meaning. Results: The general characteristics of participants were age of 31~35, housewife, college or university graduate, religion 'yes', and economic state 'middle'. The obstetric characteristics of participants were abortion rate of 23.1%, none complication to pregnancy and delivery of 97.2%, and none postpartum complication. This study was analyzed using positive experiences of 3 categories, that is 'comfortable and natural childbirth', 'satisfaction and trust to personal care of midwives', and 'experience of baby-and-family-centered childbirth' and negative experiences of 3 categories, that is 'improvement of healthcare environment', 'insufficient facilities and nursing care', and'burden of cost'. Conclusion: This study is significant, since it investigates in the absence of domestic research on the characteristics of women who delivered at midwifery clinic. Thus, this study provided basic data on the characteristics of women who delivered at midwifery clinic.

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The Influence of Hearing Ability of Ordinary People on the Quality of Life (일반인의 청력이 삶의 질에 미치는 영향)

  • Kim, Seok-Hwan;Oh, Ji-Young
    • Health Policy and Management
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    • v.28 no.2
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    • pp.162-167
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    • 2018
  • Background: In this research, we conducted an analysis to grasp the relationship between hearing and quality of life and to prepare effective troubleshooting. Methods: In this study, we analyzed using the data of the 6th term of the National Health and Nutrition Survey of the Disease Management Headquarters. And, out of 7,380 people, 3,598 adults over the age of 40 years who participated in the hearing test were selected as final research subjects and analyzed. Results: It was confirmed that the result of the analysis affects the quality of life based on hearing. The quality of life associated with hearing loss was unpleasant, motor ability, anxiety/depression, and everyday life affected in order of self management. And factors having an effect on the quality of life of the study subjects were found to be gender, elderly, unmarried, low hearing, low household income, absence of economic activity, and low teaching standards. Conclusion: The conclusion is that strengthening education for realistic management and prevention rather than treatment for unconditional hearing impairment will overcome low self esteem and loneliness and alleviate any uncomfortable life that people with hearing loss give. It is expected to be possible.

Discussing Sexuality with Cancer Patients: Oncology Nurses Attitudes and Views

  • Oskay, Umran;Can, Gulbeyaz;Basgol, Sukran
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.17
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    • pp.7321-7326
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    • 2014
  • Background: Sexual health and function frequently are overlooked by healthcare professionals despite being identified as an essential aspect of patient care. Patients with cancer have identified sexuality issues as being of equal importance to other quality-of-life issues. Objectives: The aim of this study was to determine the views and attitudes of oncology nurses caring for cancer patients regarding sexual counseling. Participants and Methods: A descriptive cross-sectional study was conducted on the web site of the Turkish Oncology Nurses Association. With the participation of 87 nurses from oncology departments, the study determined that most nurses do not evaluate and counsel patients regarding their sexual problems and many difficulties prevent them from focussing on sexual health. The most important reasons for ignoring sexual counseling were the absence of routine regarding sexual counseling in oncology departments, the belief that the patient may become ashamed and the nurses' self-evaluation that they have insufficient skills and education to counsel in this subject. Conclusions: The most important variables in sexual evaluation and counseling are long years of service in the profession and a postgraduate degree.

Towards Sustainable Agriculture in Korea : Theoretical Backgrounds and Practical Challenges (지속가능한 농업으로의 전환: 실천을 위한 이론과 과제)

  • Rhew, Chan-Hee;Kim, Soo-Suk;Cho, Won-Joo
    • Korean Journal of Organic Agriculture
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    • v.28 no.1
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    • pp.1-30
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    • 2020
  • This study argues that expanding the multifunctionality of agriculture (MFA) may mitigate existing agricultural problems. To do that this study redefines the concept and scope of the MFA and presents practical tasks to achieve it. Theorizing the MFA begins with the theory of sustainability and first identifies the link between sustainability and MFA. Later, considering the limitations of the existing sustainability theories, we examined where the false linkages leading to the destruction of environmental and social relations originated, and employed the (Re)productivity [(Re)produktivitat] theory in order to obtain alternatives. Research shows that welfare effects of the MFA on humans and the environment are not less than those derived from the agricultural products supplied to the real market, but the values are not recognized. The absence of proper care and compensation is the basis of agricultural problems in Korea. Therefore, this study acknowledges that the MFA is as much worthy as real agricultural production, and insists that appropriate compensation and care should be given to humans (farmers) and nature (agricultural ecosystem) in order to maintain and expand the MFA. In other words, a virtuous cycle between sustainability and the MFA means that the process spreads sustainable farming methods to expand the MFA, forms social consensus on it, and pays fair remuneration for agriculture from the public sector. Transition to such a virtuous cycle requires re-establishing the definition and scope of the MFA, implementing targeting policy, motivating policy targets, strengthening human capacity, and arranging maturity time.

Study on low-level laser therapy device according to the obesity development (비만치료기 개발에 따른 저준위레이저에 관한 연구)

  • Lee, Sang-sik;Kim, Jun-tae;Jeong, Jin-hyoung;Kim, Nam-Sun
    • The Journal of Korea Institute of Information, Electronics, and Communication Technology
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    • v.9 no.1
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    • pp.82-89
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    • 2016
  • And by entering into an aging society with economic growth "beautiful and healthy desire to live', aesthetics industry as promote interest in 'Anti-aging' is emerging as a promising business increased significantly the skin care market. However, the management of the hospital or the temporal order to receive professional care providers, spatial, and cost constraints caused many companies to solve this problem began to approach the Home Care Area. Global trends in personal skin care market has been activated, the domestic has been activated at low cost, private market due to the recession. We have performed this test in order to develop a skin care device for home in order to compensate for this point.In this paper, we develop a low-level laser to create a personal skin care products and sought to incorporate them into the skin cosmetic.Expand the pores by using the low-level laser to the skin by to the dermal layer of the skin was penetrated aim experiment the ampoule, and by a comparison of the medical low-level laser reliability and determine the effectiveness or absence of the performance and efforts to commercialize.

Determining Nursing Care Priorities among Women in the High Risk of Coronary Heart Disease (일 건강검진센터에 내원한 여성을 대상으로 심혈관질환 위험요인을 활용한 고위험군 간호의 우선순위 설정)

  • Youm, Soon Gyo;Han, Yong Hee
    • Journal of Korean Clinical Nursing Research
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    • v.14 no.1
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    • pp.125-137
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    • 2008
  • Purpose: This study was designed as a epidemiologic study for determining priorities of nursing care in women with high risk groups of coronary heart disease(CHD) using risk factors. Method: Subjects were 1015 women who received health screenings at a hospital in Kyunggi, Korea, over one year period from January to December 2006. Results: The 37.9% of women had multiple risk factors for developing coronary heart disease. The most significant risk factors on CHD were the age older than 70 years (OR=11.45), the age between 60-69 (OR=4.65), the age between 50-59 (OR=3.20), having $HbA_1C$ over 7% (OR=2.38), high risk groups of L/H ratio (OR=1.98), and the waist to stature ratio (WSR) over 0.5 (OR=1.33). Conclusion: The findings suggest that women older than 50 years should be considered as an overt target population for CHD prevention, even in the absence of other risk factors. Also, $HbA_1C$ and WSR can be efficient indicators for CHD screening.

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The Role of Ballooning in Patients with Post-tuberculosis Bronchial Stenosis

  • Kwon, Yong Soo;Kim, Hojoong;Kang, Kyung Woo;Koh, Won Jung;Suh, Gee Young;Chung, Man Pyo;Kwon, O Jung
    • Tuberculosis and Respiratory Diseases
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    • v.66 no.6
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    • pp.431-436
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    • 2009
  • Background: In order to access the role of ballooning in patients with post-tuberculosis bronchial stenosis (PTBS), medical records of patients who underwent the procedure were reviewed. Methods: Twenty-nine PTBS patients underwent balloon dilatation between May 1999 and November 2000 at Samsung Medical Center. The median age was 28 (range 16~62 year) and most patients were female (n=27, 93%). The mean number of ballooning procedures was 2.4 (range 1~8) and the interval between ballooning procedures was 76.2$\pm$69.7 days. Results: In general, the $FEV_1$ was improved after ballooning (from 66.2.$\pm$11.9% predicted to 73.5$\pm$13.0% predicted, p=0.0004). Among 29 patients who underwent ballooning, a clinically successful outcome was observed in 16 patients (55%). Comparison between the successful and unsuccessful groups showed that favorable factors for a successful outcome were a higher pre-9ballooning $FEV_1$ (71.1$\pm$8.1 vs. 60.2$\pm$13.3% predicted), higher post-9ballooning $FEV_1$ (89.2$\pm$7.8 vs. 63.4$\pm$9.2% predicted) and absence of left upper lobe collapse. The clinical outcome was unsuccessful in all eight patients with a pre-9ballooning $FEV_1$ $\leq$57% of predicted or with complete left upper lobe collapse. Conclusion: In conclusion, ballooning appears to be helpful in patients with PTBS, especially when the pre-ballooning $FEV_1$ >57% of predicted and there is no complete left upper lobe lung collapse.

Nursing Work Related to Low Back Pain in Intensive Care Unit (중환자실 요통관련 간호업무특성)

  • Jaehee Lee;Youngshin Song
    • Journal of Industrial Convergence
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    • v.21 no.10
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    • pp.103-110
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    • 2023
  • This study is a descriptive comparative study to identify personal characteristics and nursing work characteristics according to the presence or absence of back pain of nurses in intensive care units in general hospitals and to explore major factors that affect back pain induction. A survey was conducted on nurses in the intensive care unit of a general hospital located in D City, and a total of 100 copies were used for analysis. For data analysis, descriptive statistics, chi-square test, Fisher accurate test, and logistic regression analysis were performed using IBM SPSS 24.0. The study found that 69% of intensive care unit nurses had back pain, 65.2% of which experienced back pain for more than three months in the past year, and 84.1% had back pain after working in the intensive care unit. In the back pain intensity score measured by NRS, 49% answered that they experienced 4 or more points. As factors related to back pain, gender (p=.03) were significant variables in personal characteristics, in the characteristics of nursing work, the number of patient assistance (p=.03) and the number of patient exchanges (p=.01), heavy lifting (p=.04), satisfaction with the condition of the shoes (p=<.001) was found to be a significant variable affecting back pain induction. It is considered that hospital organization and national policies are needed to prevent and manage low back pain in intensive care unit nurses.