• 한국컴퓨터정보학회:학술대회논문집
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• 한국컴퓨터정보학회 2021년도 제64차 하계학술대회논문집 29권2호
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• pp.503-506
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• 2021

본 연구에서는 적은 힘으로도 누워있는 환자의 자세를 바꾸어 줄 수 있는 침대 모형을 만들었다. 시중에서 판매되고 있는 변형 환자 침대는 침대의 변형을 수동으로 바꾸거나 침대에 연결되어 있는 구동기로 단순히 환자의 자세를 바꿀 수 있다. 본 연구에서 만들어진 침대는 침대를 다리 하단 / 다리 상단 / 상체 파트로 나누어 따로 또 병렬로 자세를 바꿀 기능을 구현하였을 뿐 아니라, 스마트폰 앱에 의한 제어 구동도 가능하고, 편안한 자세를 이루는 각 파트의 각도를 편리하게 기억시킬 수 있고, 버튼 한번 누름으로 기억된 형태로 구성이 가능하다. 또 누워있는 환자가 관절을 사용하지 않아 굳는 형태를 방지하기 위한 운동 기능이 추가되어 파트별로 운동을 시킬 수 있도록 하였다.

• 한국융합학회논문지
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• 제8권12호
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• pp.63-69
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• 2017

본 연구는 침상의 인체 위치와 생체신호를 검출할 수 있는 스마트 침상제어시스템의 개발에 관한 것이다. 침상제어 시스템의 메인 제어보드는 인체 감지부, 모터 구동부, MCU로 구성된다. 여기서, 침상의 인체존재 확인의 신뢰성을 높이기 위해 맴브레인 센서에 의한 인체위치 검출부와 EMFI 센서의 생체신호 검출부를 인체감지부로 결합하였다. 또한 검출된 두 신호를 원격으로 앱 모드의 응용 프로그램에 연결하여, 침상위 인체정보를 모니터링할 수 있는 앱모드의 활용이 가능하도록 하였다. 본 연구에서 블루투스 통신에 의해 침상 인체 정보를 모니터링하는 원격 기능은 병원 및 요양기관의 낙상 및 침상부재사고 예방기법으로 활용될 수 있을 것이다.

• 한국컴퓨터정보학회논문지
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• 제22권1호
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• pp.57-62
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• 2017

Children need oral care according to their developmental stage and accordingly, the appropriate dental treatment is different, which requires parents to have an active attitude and the applicable oral knowledge. As there is so much unreliable oral care information and PR, it is hard to find accurate information and parents are in need of a preventative oral healthcare mobile application for healthy oral care. Also, pediatric adolescent care should be focused on prevention rather than treatment and children should be instructed and educated to eat cariogenic foods as little as possible as well as told to brush before going to bed. This study designed a smart application for oral health care education to provide information and knowledge regarding oral health care for infants, oral health education, and oral health care prevention for parents of young children.

• 가정∙방문간호학회지
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• 제7권1호
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• pp.5-14
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• 2000

This study was conducted during the time period of September 1997 to February 1999. in order to provide data concerning important facets of horne care nursing and the degree to which practicing hospital and public health nurses believe themselves to be competent in each area. The study subjects consisted of 610 hospital nurses, 158 public health nurses and 21 other nurses from Seoul and the province of Kyunggi. Korea. Data was collected through self-reporting questionnaires which was used by Kim et al.(1999) to evaluate the status of home health nursing and the varying ideas of self-competence that practicing nurses have. The results of the study were as follows: 1) The mean scores of perceived important components and competencies on home health nursing measured on the Likert 4 point scale were $3.15{\pm}0.36$ for importance. and $2.56{\pm}0.36$ for competency. Of the four categories regarding nursing services, the 'Nursing skill' factor had the highest importance and competency. 2) There were significantly higher scores for hospital nurses' importance components and competencies of home care nursing as compared to those scores for public health nurses. 3) The significant factors of the importance component of home care nursing listed in order of priority were 'general infection control', 'bed sore care skill', 'rehabilitation care', 'keeping maintenance of the client's confidentiality', 'malpractice', 'diabetes patient care', 'ability for problem solving' respectively. In contrast, of low priority in the importance components of home care nursing were 'referring nursing as a job to others'. 'record keeping', 'family dynamics', 'medical equipment', 'economic problems', 'environmental assessment', 'suture removal', 'multidisciplinary coordination' respectively. 4) The high priority of the degree to which practicing nurses believe themselves to be competent in home health nursing were the 'blood sugar test', 'enema skill', 'injection skill', 'skin care', 'bed sore care skill', etc. In contrast, lower competence for home care nursing as perceived by nurses were 'AIDS care', 'family violence care', 'substance abuse care', 'mental health care' respectively.

• 대한간호학회지
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• 제35권8호
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• pp.1493-1499
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• 2005

Background. Adequate staffing is necessary to meet patient care needs and provide safe, quality nursing care. In November 1999, the Korean government implemented a new staffing policy that differentiates nursing fees for inpatients based on nurse-to-bed ratios. The purpose was to prevent hospitals from delegating nursing care to family members of patients or paid caregivers, and ultimately deteriorating the quality of nursing care services. Purpose. To examine nurse staffing levels and related factors including hospital, nursing and medical staff, and financial characteristics. Methods. A cross-sectional design was employed using two administrative databases, Medical Care Institution Database and Medical Claims Data for May 1-31, 2002. Nurse staffing was graded from 1 to 6, based on grading criteria of nurse-to-bed ratios provided by the policy. The study sample consisted of 42 tertiary and 186 general acute care hospitals. Results. None of tertiary or general hospitals gained the highest nurse staffing of Grade 1 (i.e., less than 2 beds per nurse in tertiary hospitals; less than 2.5 beds per nurse in general hospitals). Two thirds of the general hospitals had the lowest staffing of Grade 6 (i.e., 4 or more beds per nurse in tertiary hospitals; 4.5 or more beds per nurse in general hospitals). Tertiary hospitals were better staffed than general hospitals, and private hospitals had higher staffing levels compared to public hospitals. Large-sized general hospitals located in metropolitan areas had higher staffing than other general hospitals. Occupancy rate was positively related to nurse staffing. A negative relationship between nursing assistant and nurse staffing was found in general hospitals. A greater number of physician specialists were associated with better nurse staffing. Conclusions. The staffing policy needs to be evaluated and modified to make it more effective in leading hospitals to increase nurse staffing.

• 간호행정학회지
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• 제7권1호
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• pp.53-64
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• 2001

The study was done to evaluate patient satisfaction with nursing care. The study subjects were patients admitted in a general hospital in Gangwon province. The instrument used in the study was developed by Lamonica. The reliability alpha of this tool 0.8596. The survey method was applied to collect data period of data collection was total 21days from September 4rd to September 24th in 2000. The data was analysed by statistical method of %, mean, ANOVA, Pearson's Correlation Coefficients though SPSS program. The follows are the summaries of results of the study. 1. The highest scores of satisfaction was shown in the area of technical professional nursing and the lowest scores was shown in area of nursing education. 2. The crossed analysis of patient general characteristics and satisfaction of nursing care showed a significance by marriaged status(p<0.05) but no significance by factors of sex, ages, education, religency. 3. Job satisfaction of nurses showed 2.79 in average on the basic of 5 marks. 4. The significant Correlation were found between job satisfaction degree and bed rotation rates , number of patients by one nurse, experience of nurse(p<0.05). 5. The significant Correlation were found between nursing satisfaction degree and ages, job satisfaction, bed rotation rates, number of patients by one nurse(p<0.05), experience of nurse(p<0.01). On basis of the above findings the following recommendations are made : to suggest to improve environment of nursing unit. And to suggest to improve job satisfaction for improvement of nursing satisfaction in practice.

• 대한물리치료과학회지
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• 제9권4호
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• pp.131-139
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• 2002

The proportion of the aged people in Korea has increased rapidly by more than 7% in 2000. A survey says that the changing rate from the aging society to the aged is the highest among the OECD countries. The prevalence rate of the aged population is on the increase. Chronic diseases such as arthritis and strokes limits their body's functions and activities of daily living. It is necessary that functional training. ADL training and continuous treatment be provided by Physical or Occupational Therapists. Discontinuance of treatment can cause the aged people to be in a bed state. The aged people need a variety of home care services at their convenience. Occupational and Physical therapist should play a major role in providing the rehabilitation-base home care services. Further they are expected to contribute to the extension of health care services such as home care and nursing home programs.

• 보건의료산업학회지
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• 제6권3호
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• pp.95-106
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• 2012

This study was described and analyzed health care system in Lao Cai, Vietnam. We analyze organization and delivery of health care system, health care resources, heath care facilities, heath care finances, and health index in Lao Cai, Vietnam. Lao Cai Province is a mountainous region located on the Chinese border in North-West Vietnam, with numerous ethnic minority groups. Health care organization and delivery system in Lao Cai Province is well formed Province-District-Commune level with Vietnam Government's Socialism. However, health care personnels are concentrated in the major city and is lacking in commune level. Lao Cai province has only two general hospital and is lacking number of beds. Lao Cai province's health care sector is insufficient financial support because the primary goal of the Vietnam government is economic development. Ethnic minority groups in Lao Cai have a dual burden of disease and health. To solve this problem, it is dispatched health care personnel to the commune level taking advantage of the well health care organization and delivery system in Lao Cai. It is also necessary to modernize hospital and improve number of bed. In conclusion, it will be improved the quality of life of residents and be able to achieve fairness among district through the enhancement of the health care system in Lao Cai province.

• 대한간호학회지
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• 제31권4호
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• pp.619-630
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• 2001

Purpose: The purpose of this study was to analyze the differences in terms of services and cost between CVA without typical diseases (Group I), and CVA with typical diseases (Group II), in their Hospital-based home health care. Method: The subjects of this study were 308 CVA patients who used home care nursing during the second phase demonstration project of their hospital-based home health care. Results: The results of the study was as follows 1. Group II had more home visit (15.3/12.7) (p>0.05), and cases of death when home care (16.8/11.4) (p<0.05). 2. Group II needed more services than Group I such as bladder irrigation, skin care, bed sore care, glycerin enema, finger enema, lung care, urine sugar test, monitoring and surveillance of fluid infusion and R.O.M exercise (p<0.05). 3. The variables that showed statistical significance in the regression analysis were family style, OPD visit, level of consciousness, patient's state on termination of home care, and some extend of home health care services (R2=0.373, 0.205). Conclusion: Home nursing care needs to be planned by severity in Hospital-based home health care for CVA patients.

• 보건행정학회지
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• 제3권1호
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• pp.1-24
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• 1993

This study is designed to find clues to make a plan for efficient hospital bed utilization. Author has tried to estimate the level of appropriateness and to find out factors affecting intra-hospital variation of inappropriate bed utilization using modified Appropriateness Evaluation Protocol of which criteria are based on service intensity and patients' conditions. Systematic random sampling was done from the population of inpatients during one month in on university hospital. Data were collected by concurrent and retrospective medical record review and analysed by multiple logistic regression. In medical services, 83.5% of admission reveals appropriate and the level of inappropriate admission shows significant differences by patients' residence, type of department admitted to, admission 개\ulcorner, and length of stay. In surgical services, 97.3% and 34.7% are appropriate in location and timing of surgery respectively. Inappropriate timing of surgery differs significantly depending on patients' age, type of department admitted to, admission route, and length of stay. Sixty two percent of hospital days shows appropriate and the level of inappropriateness show marked differences by patients'age, type of services, admission routes, part of the month, part of the stay, and length of stay. Inappropriate hospital days are due to inappropriate level of care, premature admission, improper scheduling of diagnostic or therapeutic procedures, and problems in scheduling surgery in sequence. In conclusion, substantially high proportion of inappropriate hospital bed utilization was confirmed. To reduce it, it is necessary to develop alternative services with which can replace inpatient services, and to introduce utilization management system which may include internal peer review.