• 제목/요약/키워드: compliance center

검색결과 459건 처리시간 0.024초

일 농촌지역 고혈압 환자들의 건강행태와 약물복용 이행도에 관한 연구 (A Study on Health Behaviors and Medication Compliances of Hypertensive Patients in a Rural Area)

  • 김금이
    • 지역사회간호학회지
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    • 제13권1호
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    • pp.49-56
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    • 2002
  • This study was performed to identify the health behaviors and medication compliances of hypertensive patients in a rural area, from May 1 to July 31. 2001. The subjects were 100 hypertensive patients who were registered at the Health Center in Goeje City. The data was collected by face-to-face interviews with a 25-item questionnaire on health behaviors, and analyzed by the Chi-square test on each variable. The results were as follows: Approximately 76% of the subjects were currently taking drug medication. In the comparison of health behavior rates between male and female, there were statistically significant differences in smoking (p< .000), alcohol(p< .003), low salt diet(p< .014), and the health behavior rates of female were higher than those of male. In the comparison of socioeconomic factors by medication compliance, there was statistically significant difference in sex(p< .001), and the medication compliance rate of female was higher than that of male. In the comparison of subjects' perception by medication compliance, there were statistically significant differences in seriousness of hypertension (p< .001) and medication period for hypertension care (p< .004), The medication compliance rate of the group of subjects who took the threat on their hypertension seriously was higher than that of the group who didn't, and the medication compliance rate of the group who knew that they should take medication for the rest of their life was higher than that of the group who didn't. These results suggest that community health education programs and distribution of information must be emphasized in order to increase medication and to encourage behavior changes for promoting health.

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아동병동 간호사의 병원감염 표준주의에 대한 인지도와 이행도 (Study on Pediatric Nurses' Attitudes and Compliance with Hospital Infection Standard Precautions)

  • 신혜연;김경희;김기숙
    • Child Health Nursing Research
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    • 제17권4호
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    • pp.238-246
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    • 2011
  • Purpose: The purpose of this study was to identify pediatric nurses' attitudes to, and compliance with, standard precautions in the prevention of hospital infections by enhancing their practice of standard precautions. Methods: The participants were 206 nurses who worked in pediatric nursing departments of a general medical institution in Seoul. The questionnaire was a modification of Kim (2008) and consisted of 18 questions about hand washing, personal protective equipment, sharps, linen and patient care equipment. Collected data were processed using SPSS 15.0 WIN. Results: Mean scores for attitudes to standard precautions and for compliance with standard precautions were 4.43 (${\pm}0.83$) and 4.22 (${\pm}0.44$) respectively. This difference was statistically significant (t=3.368, p=.001). The nurses' compliance with standard precautions differed significantly according to the general characteristics of age (F=8.705, p<.001), total clinical experience (F=9.426, p<.001), current department experience (F=6.555, p<.001), and education experience (t=0.616, p<.043). There was a positive correlation between attitudes to, and compliance with, standard precautions (r=.156, p=.025). Conclusion: The results of this study indicate that educational programs and policy on infection control and standard precautions for pediatric nurses are needed. Also these results should contribute to baseline data for establishing appropriate clinical policy on infection control.

Multiple pregnancy after single or multiple embryo transfer performed according to Korean guidelines

  • Han, E Jung;Kim, Seul Ki;Lee, Jung Ryeol;Jee, Byung Chul;Suh, Chang Suk;Kim, Seok Hyun
    • Clinical and Experimental Reproductive Medicine
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    • 제42권4호
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    • pp.169-174
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    • 2015
  • Objective: To assess compliance with Korean guidelines for embryo transfer, the possible reasons for non-compliance, and multiple pregnancies according to each specific condition in compliant cycles. Methods: A single-institution, retrospective study was conducted of 256 fresh in vitro fertilization cycles during 2012-2014. To assess compliance with Korean guidelines, the maximum recommended number of embryos transferred (according to criteria of age, transfer day, and presence of favorable conditions) was compared with the actual number of embryos transferred. Clinical pregnancy rate (PR) was assessed as the percentage of pregnant women resulting from each set of transfer conditions, including the number of embryos transferred. The multiple pregnancy rate (MPR) was calculated as the percentage of pregnant women with a multifetal pregnancy. Results: The compliance rate with the Korean guidelines was 96.5% (247/256). Non-compliance occurred in nine cycles owing to poor embryo quality, repeated implantation failure, or hostile endometrium. In compliant cycles, the PR was 31.2% (77/247), and the MPR was 27.3% (21/77; 20 twins and one triplet). Higher MPR was noted in two types of transfer conditions: transfer of three cleavage embryos in women aged 35-39 years with favorable conditions (66.7%; primarily from those aged 35-37 years) and transfer of two blastocysts in women aged ${\geq}40$ years with favorable conditions (50%). Conclusion: Under the Korean guidelines, compliance rate was high in our center. Multiple pregnancies occurred primarily in group with favorable conditions. In high-risk groups for multiple pregnancies, reducing number of embryos transferred should be considered than suggested in the guideline.

수술실 간호사의 혈행성 감염 예방지침 수행 영향요인 (Factors Influencing for the Compliance of Preventing Bloodborne Infection for Operating Room Nurses)

  • 최옥희;이가언
    • 한국직업건강간호학회지
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    • 제15권1호
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    • pp.30-39
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    • 2006
  • Purpose: The purpose of this study was to examine factors influencing for the compliance of guidelines of preventing bloodborne infection for operating room nurses. Method: Data was collected through questionnaires from March 16 to April 12, 2005. The subjects of this study were consisted of 208 operating room nurses, who had been working at 4 university hospitals and 10 general hospitals in Busan. The Instrument for the compliance of guidelines for preventing bloodborne infection was 24-item questionnaire. It was revised based on the Standard Precaution of CDC and Bloodborne Pathogen Standards of OSHA. In addition, to find out the knowledge level of AIDS, hepatitis B and hepatitis C, 15-item questionnaire was used, which had been made by researcher based on Kim(1999) et, al. Results: The affecting factors of compliance for preventing bloodborne infection were work skill(${\beta}=.27$), operating room education on infection prevention(${\beta}=.25$), knowledge on infection(${\beta}=.19$), readiness of using personal protective equipment(${\beta}=.18$), and posting a notice of infected surgery patients(${\beta}=.16$). Theses 5 factors account for 28.5% on the compliance of guidelines for preventing bloodborne infection for operating room nurses. Conclusion: According to the results, to increase the compliance level of operating room nurses, personal efforts should be made to improve work skills and infection knowledge. In addition to organizational efforts on practical education and management of environment were required.

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PID 적응 제어기를 이용한 컴플라이언스 로보트에 대한 연구 (A Study on Compliance Robot Using a PID Adaptive Controller)

  • 김승우;강문식;고재원;박민용;이상배
    • 대한전자공학회논문지
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    • 제27권2호
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    • pp.105-110
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    • 1990
  • 본 논문에서는 PID 적응 제어기를 이용한 컴플라이언스 로보트 제어알고리듬을 제안하였다. 조립작업, 표면가공 등과 같이 환경과 접촉해야 하는 작업을 수행할 때 컴플라이언스 로보트이 적합하며, 제어방식으로는 하이브리드 로보트 제어 방식을 사용한다. 하이브리드 제어방식은 힘과 위치를 함께 제어하는 방식으로 두개의 독립적인 궤한 폐 루프를 형성한다. 환경과의 접촉으로 인하여 컴플라이언스 로보트 역학에 독립적인 PID 적응 제어기를 컴플라이언스 로보트에 적용했다. 2축 로보트의 평면 가공 작업의 시뮬레이션을 통하여 제안된 컴플라이언스 제어 알고리듬을 분석, 확인했다.

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급성심근경색증 환자의 증상 인지와 건강행위 이행이 내원시간에 미치는 영향 (Effects of Symptom Recognition and Health Behavior Compliance on Hospital Arrival Time in Patients with Acute Myocardial Infarction)

  • 한은주;김정선
    • 성인간호학회지
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    • 제27권1호
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    • pp.83-93
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    • 2015
  • Purpose: This study was to investigate the relationship among the symptom recognition, health behavior compliance, and the hospital arrival time to identify factors influencing the hospital arrival time in patient with acute myocardial infarction (AMI). Methods: The subjects of this study were 200 patients with AMI in C hospital in D city. Data were analyzed using descriptive statistics, independent t-test, One way ANOVA, Pearson's correlation coefficients, and stepwise multiple liner regression tests. Results: Level of symptom recognition and health behavior compliance was low. The median value of hospital arrival time was 4.48 hours (ST-segment Elevation Ml was 2.43 hours and Non ST-segment Elevation MI was 7.83 hours). Among the studied factors, only symptom recognition had a statistically significant positive correlation with health behavior compliance (r=0.38, p<.001). Factors influencing the hospital arrival time were MI classification, diabetes mellitus (DM) and transport vehicle to the 1st hospital, and they accounted for 13% of the variance for hospital arrival time in AMI patients. Conclusion: To prevent the delay of hospital arrival time in MI patients, a more robust nursing strategic intervention according to MI classification and DM is necessary; further education on the importance of transportation utilization is also mandated.

동적 벌점함수 유전 알고리즘과 다단계 설계방법을 이용한 공작기계 구조물의 설계 최적화 (Multi-step design optimization of a high speed machine tool structure using a genetic algorithm with dynamic penalty)

  • 최영휴;배병태;김태형;박보선
    • 한국정밀공학회:학술대회논문집
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    • 한국정밀공학회 2002년도 춘계학술대회 논문집
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    • pp.108-113
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    • 2002
  • This paper presents a multi-step structural design optimization method fur machine tool structures using a genetic algorithm with dynamic penalty. The first step is a sectional topology optimization, which is to determine the best sectional construction that minimize the structural weight and the compliance responses subjected to some constraints. The second step is a static design optimization, in which the weight and the static compliance response are minimized under some dimensional and safety constraints. The third step is a dynamic design optimization, where the weight static compliance, and dynamic compliance of the structure are minimized under the same constraints. The proposed design method was examined on the 10-bar truss problem of topology and sizing optimization. And the results showed that our solution is better than or just about the same as the best one of the previous researches. Furthermore, we applied this method to the topology and sizing optimization of a crossbeam slider for a high-speed machining center. The topology optimization result gives the best desirable cross-section shape whose weight was reduced by 38.8% than the original configuration. The subsequent static and dynamic design optimization reduced the weight, static and dynamic compliances by 5.7 %, 2.1% and 19.1% respectively from the topology-optimized model. The examples demonstrated the feasibility of the suggested design optimization method.

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일 농촌지역 고혈압 환자의 치료적 요법의 이행수준 - 약물복용과 생활습관을 중심으로 - (Compliance Level with Therapeutic Regimen of Medication and Life Style among Patients with Hypertension in Rural Communities)

  • 안양희
    • 한국보건간호학회지
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    • 제21권2호
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    • pp.125-133
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    • 2007
  • Purpose: To identify the compliance level with therapeutic regimen among patients with hypertension residing in rural communities. Method: A descriptive-retrospective research design was employed. One hundred patients with hypertension using 8 Primary Health Care Posts under W Public Health Center were randomly recruited on the basis of being over 35 years of age. After obtaining written consent, the patients underwent direct interviews with a structured questionnaire carried out by 8 public health practitioners. Descriptive statistics and binary logistic regression were utilized. Results: In a binary logistic regression model adjusted for age, sex, education, income, and occupation, those who were receiving medication (OR=5.34), were undergoing a weight control program (OR=4.45), restricted alcohol (OR=9.93), or smoking cessation (OR=25.59) as recommended by medical or health professionals were more compliant (p<.05) while those under a low salt diet, exercise, and stress management were not significant statistically (p>.05). Conclusions: Further research should be conducted to validate these findings so as to facilitate the development of nursing intervention strategies for improving the compliance of hypertensive patients in respect to medication and life style modification.

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인공 슬관절 치환술 후 치료순응도와 경과기간에 따른 회복 양상 (Recovery According to Follow-up Period and Compliance in Osteoarthritic Patients after Knee Replacement Arthroplasty)

  • 박수아;강현숙;최진이
    • 동서간호학연구지
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    • 제16권2호
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    • pp.164-171
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    • 2010
  • Purpose: The aim of study was to investigate relationship between compliance and recovery of patients with osteoarthritis of the knee patients after knee arthroplasty. Methods: 193 patients living in Seoul were participated in this study. Data were collected using the Knee Society Clinical Rating System and Medical Outcomes Study Short Form 36(SF-36) and analyzed by ANCOVA, t-test, and repeated measure ANOVA. Results: There was a significant difference of physiological recovery based on the number of co-morbidity patients have. Physical recovery level was different according to age, religion, and the number of co-morbidity. Age and education level of patients were different in emotional recovery. The level of physiological and physical recovery were significantly different consistent with compliance. Compared to preoperative scores, physiological and physical scores showed significant improvement at six weeks, three months, and six months after surgery while emotional scores did not showed significant improvement. Conclusion: The results of this study suggest that nursing interventions to increase compliance are needed for better recovery of patients after knee arthroplasty.

직무 스트레스가 안전 순응 및 참여 행동에 미치는 영향 관계에서 직무 만족과 직무 몰입의 다중 매개 효과 분석 (Analysis of Multiple Mediation Effects of Job Satisfaction and Job Commitment in Relationship of Job Stress on Safety Compliance and Participation Behaviors)

  • 이지숙;옥승용
    • 한국안전학회지
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    • 제39권1호
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    • pp.114-122
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    • 2024
  • This study aimed to identify the multiple mediation effects of job satisfaction and job commitment on the relationships between job stress and workers' safety behavior in terms of compliance and participation, in which the multiple mediation effects are a hybrid of parallel and serial mediating relationships. The multiple mediation model was analyzed using the bootstrapping method through the PROCESS macro tool in SPSS. The results showed that job stress negatively affects job satisfaction, job commitment, and workers' safety behavior, and the relationship between job stress and safety behavior is mediated by both job satisfaction and job commitment. The serial mediation effects of job satisfaction and job commitment were also found to be statistically significant in the regression relationship between job stress and safety behavior. Further analysis of the compliance and participation subdimensions of safety behavior showed similar results. Specifically, the serial mediation effects of job satisfaction and job commitment on participation and compliance behavior were further supported; however, the mediation effect of job satisfaction was not significant, whereas that of job commitment did remain significant. Further research is needed to determine if the mediation effect of job satisfaction found in this study can be extended and generalized to workers in various fields and industries.