The healthcare environment today is changing rapidly with factors of healthcare consumers in selecting medical institutions also altering at a fast pace under the circumstances. In this study, the theory of consumption values established by Sheth in 1991 is adopted in order to examine particular value affecting consumer selection of healthcare institutions. For the purpose of this study, healthcare consumers were surveyed using questionnaires developed based on the five values of Sheth supplemented by value of effort to acquire hospital information and value in health. Consequently, 24 consumption values affecting selection process were confirmed through discriminant analysis. As a result of regression analysis on factors affecting consumer selection of healthcare institution, effort to acquire hospital information and age among demographic characteristics of respondents are determined important predictors for consumer selection of general hospitals over clinics or small-sized hospitals. Further, service, reputation scale of healthcare institution among functional values and importance of health and effort to acquire hospital information among value in health are identified as significant predictors for consumer selection of large-sized general hospitals over clinic or small-sized hospitals. This study suggests not only vital implications for marketing strategy of healthcare institutions, but also methods to promote positive image for healthcare providers. In addition, this study closely examines the cause of the leaning phenomenon of healthcare comsumers toward large-sized general hospitals.
This study was to examine relationships among health belief of emerging infectious disease and self-efficacy for healthcare and identify the factors that influence on self-efficacy for healthcare in the general hospital nurses. The data were collected from 150 nurses working in the three general hospitals, located in S and Y city using self-administered questionnaires. Data was collected from January 11, 2021 to January 22. Among sub-factors of the health beliefs, perceived benefit (β=.17, p=.040), perceived sensitivity (β=.19, p=.020), and age (β=.21, p=.005), and these variables explained 14.0% of self-efficacy for healthcare(F=4.28, p<.001). Through this study, it is necessary to develop educational program self-efficacy for healthcare is needed for improving perceived benefit and perceived sensitivity among general hospital nurses.
The present study aimed to assess and compare the quality characteristics and antioxidant activities of apple juice and blueberry juice at hourly intervals over a period of time based on the presence or absence of vacuum blending (0 and 800 hPa) using a household blender. Measurement of the dissolved oxygen content revealed that the removal rates of dissolved oxygen were approximately 83% and 86% in the apple and blueberry juice samples, respectively, after vacuum blending. Moreover, compared with general blending, there was little change in the antioxidant property and degree of browning over time with vacuum blending. Furthermore, hourly assessments revealed that the decrease in the polyphenol and flavonoid contents in the apple and blueberry juice samples was significantly lesser with vacuum blending for 3, 6, and 12 h than with general blending. Assessment of the change in ferric reducing antioxidant power (FRAP) activity over time revealed that the rate of decrease in FRAP activity over time was lower with vacuum blending than with general blending for both juice samples. ABTS and DPPH radical scavenging assays performed to determine the change in free radical scavenging activity revealed inhibitory activity at 0, 3, 6, and 12 h and confirmed that vacuum blending resulted in long-lasting antioxidant activities in both apple and blueberry juice samples. Taken together, the present results confirmed that vacuum blending is associated with superior quality maintenance and antioxidant properties in comparison with general blending.
Background: When cells are damaged by nicotine, cellular senescence due to oxidative stress accelerates. In addition, stress-induced inflammatory response and cellular senescence cause the accumulation of damaged organelles in cells, and autophagy appears to remove them. Conversely, when autophagy is reduced, harmful cell components accumulate, and aging is accelerated. This study aimed to determine the association between nicotine-induced cellular senescence and autophagy expression patterns in human gingival fibroblasts. Methods: Cells were treated with various concentrations of nicotine (0, 0.1, 0.5, 1, 2, and 5 mM) and 10 nM rapamycin was added to 1 mM nicotine to investigate the relationship between autophagy and cellular senescence. Cell viability was confirmed using WST-8 and the degree of cellular senescence was measured by SA-β-gal staining. The expression of the inflammatory proteins (COX-2 and iNOS) and autophagy markers (LC3-II, p62, and Beclin-1) was analyzed by western blotting. Results: The cell viability tended to decrease in a concentration-dependent manner. COX-2 showed no concentration-dependent expression and iNOS increased in the 0.5 mM nicotine treated group. The degree of cellular senescence was the highest in the 1 mM nicotine treatment group. In the group treated with rapamycin and nicotine, the conversion ratio of LC3-II to LC3-I was the highest, that of p62 was the lowest, and the level of Beclin-1 proteins was significantly increased. Furthermore, the degree of cellular senescence was reduced in the group in which rapamycin was added to nicotine compared to that in the group treated with nicotine alone. Conclusion: This study provides evidence that autophagy activated in an aging environment reduces cellular senescence to a certain some extent.
Sun-Young Min;Tae Hyun Kim;Sang Gyu Lee;Suk-Yong Jang
Korea Journal of Hospital Management
/
v.28
no.4
/
pp.1-22
/
2023
Purposes: The purpose of this study is to identify and analyze the factors that affect patients reusing non-face-to-face treatments at tertiary general hospitals. Methodology: We retrospectively analyzed a patient's reuse of non-face-to-face treatment from February 1, 2020, to December 31, 2021, at a tertiary general hospital in Seoul within one year of the first non-face-to-face treatment. A frequency analysis was conducted to identify the study subjects' demographic characteristics, treatment type characteristics, disease characteristics, and hospital use type characteristics. Also, across-analysis was conducted to verify the difference in non-face-to-face treatment reuse according to the characteristics a multiple logistic regression analysis was conducted to identify the factors affecting the reuse of non-face-to-face treatment by non-face-to-face treatment patients. Findings: The results of this study can be interpreted as indicating that the following groups are more likely tore use the non-face-to-face treatment: women, children, the elderly, Patients living far from the hospital, psychiatric patients, pediatric patients, medical benefits recipients, chronic patients, patients with mobility difficulties, and patients with high loyalty to hospitals. Practical Implications: When developing a non-face-to-face treatment system in the future, based on the results of this study, it is possible to target patients who prefer non-face-to-face treatment. And this study will be research material for vitalizing non-face-to-face treatment. In addition, the activation of the non-face-to-face treatment system will be an effective means for improving the quality of medical services and generating profits in hospitals in the future.
The purpose of this study is to provide a set of fundamental data for the oral hygiene education for the elderly as a result of the survey on the oral hygiene and subjective oral health of the elderly in an aged society. For this purpose, 269 elders who dwelled in Gyeongsangbuk-do region were randomly selected in an arbitrary selection process, followed by a survey on their oral hygiene and health. The collected data were coded and processed by using SPSS 15.0 software. As for the analysis of the data, the general characteristics and the basic items concerning the management of the oral health were analyzed for their frequency and percentages, while the general characteristics and the awareness on the oral health were processed with Chi-square validation to show a set of results as follows; Firstly, among the items on the oral health, the satisfaction on the current condition of their oral health was below average. Secondly, concerning the oral hygienic behaviors, the majority of the samples answered that they were brushing their teeth twice a day. And, as for the brushing methods, the largest number of the samples answered that they were brushing their teeth in a 'horizontal direction'. Thirdly, they reported they were having difficulties in getting dental treatments. The implications of this study are that it is necessary to provide sound oral health education to them to correct the inappropriate oral hygienic behaviors.
The Health Promotion Model by Pender(l987) was used as the conceptual framework for analyzing the health promotion behaviors. The purposes of this study were to describe health promoting life style behaviors in 245 women between the ages of 35 and 59 living in Seoul and other cities and to find their predictive factors. Data were collected from 1st to 23th. June. 1998. The tool used for this study was structured questionnaire with consisted of 8 items on general characteristics. 5 items on health related characteristics. 43 items on health promoting life style. 28 items on menopausal symptoms. 5 items on family support. and 28 items on self-efficacy. The collected data were analyzed using the SAS. yielding descriptive statistics. ANOVA. Pearson's Correlation. stepwise multiple regression. The findings of this study are as follows. 1) The mean score of health promotion behavior(3.25) is not high. The mean scores of this self actualization (3.73). interpersonal support (3.68). and nutrition (3.57). regulation of stress (3.22) in domains are higher than health responsibility (2.90). exercise (2.63). 2) The results of the comparison between the health promotion behaviors and general variables showed a statistically significant difference in education (P=.0061), domestic economy status(P=.0001). perception of health status(P=.0001) but. age. state of menstruation. perception of weight is not significant difference. 3) The correlation between health promoting life style and self-efficacy(P=.0001). family support(P=.0001) is significant. But. there is no correlation between health promoting life style and age. number of family. perception of weight. 4) In the cognitive-perceptual factors. self-efficacy (P=.0001) is very significant predictor (accounted for $39.7\%$) and in the modifying factors. family support(P=.0001) is very significant (accounted for $9.0\%$). It is same to other research results.
This study was carried out to idedtify Worker's general health diagnosis and specific health diagnosis state and provide the basic data about occupational health nursing services in Kyung Sang Nam Do. Data was obtained from 36 industry in Chang-won, Jin-joo, Geo-jeoi, Chung-moo area during Dec. 20. 1992-Feb. 18. 1993 through questionaire survey. Data was analyzed into frequency, percentage, average, standard deviation and score sum The main findings are as follows : 1) 83.3% of subject was manufactures. The factory which have over 1000 Worker's are 41.7% and 500-999 are 36.1%. 2) Health managers are composed of 5 man power. Doctors occupied in 44.4% of factories, average age of them are 43.9 years, average careers are 4.0 years. Nurses occupied in all factories and their average ages are 27.6, average careers are 3.0 years. Industrial hygienist occupied in 33.3% of factories, environmental hygienist occupied 69.4% of industries, and nurse aids occupied in 19.4%. 3) 99.9% of workers are received general health diagonosis. And 10.8% of workers are received elaborate health diagnosis. Among them 30.9% are C class and 23.4% are D class. Among D class, 50% of workers are treated as work time shortening, work replacement, being under treatment. Total specific health diagnosis' subject are 19.3% of workers but 79.9% of them are received specific health diagnosis. Among them 18.6% are needed follow up treatement. Only 44.9% of them are received follow up treatement. 4) 69.4% of industries have their referral hospital and 97.2% have their clinics. Among Occupational health services, health diagnosis are carried out first. of all and the next, environmental management, industrial diagnosis, health education are carried out.
Purpose: The purpose of this study was to investigate the stress, dietary habits, dietary behaviors, and health-related behavior of nurses. Method: The subjects of this study were 161 nurses studying at a cyber university. The general characteristics, stress, dietary habits, dietary behaviors, and health-related behavior of the subjects were surveyed using a self-administered questionnaire in October, 2010. The subjects were divided into two groups according to the working pattern: shift workers (n = 110) and non-shift workers (n = 51). Results: In the general characteristics, there were significant differences in marriage, monthly income, employment type, and job satisfaction between the two groups. Total stress score did not differ significantly between the two groups. In dietary habits, significant differences in meal regularity, skipping meals, skipping reasons, having regular mealtimes, frequency of snack and the snack time between shift workers and non-shift workers (p<0.05). Total score of dietary behaviors in shift workers was significantly lower than that in non-shift workers (p<0.05). Score of shift workers in taking three meals per day regularly was significantly lower than that of non-shift workers. In health-related behavior, a significant difference in sleeping time was observed between shift workers and non-shift workers. Dietary behavior showed negative correlation with shift work (r = 0.176) and positive correlation with health consciousness (r = 0.210) and perceived health status (r = 0.198) in subjects after adjustment for age, marriage, monthly income, and employment type (p < 0.05). Multiple regression analysis revealed that shift work, health consciousness, and perceived health status affected dietary behavior in subjects. Conclusion: These results indicate that shift working nurses had poor dietary habits and dietary behaviors, and these dietary behaviors are affected by their shift work, health consciousness, and perceive health status.
The aim of this study was to investigate the association between self-rated oral health, self-rated health, and quality of life (QOL) among older population from the 7th Korea National Health and Nutrition Examination Survey (KNHANES VII-1, 2016). Data of 1,866 older adults (Mean age 69.5 years) were analyzed with hierarchical logistic regression analyses with IBM SPSS 23.0. Over 87.7% of the subjects rated their oral health as fair or poor. Women and less educated participants more likely to report their perceived oral health as poor (p<.05). Older participants who rated their general health positively were more likely to rate their oral health as good (F=19.04, p<.001). Elders who had bad perceived health (OR: 2.86, 95% CI: 1.5~5.5), had carries in permanent teeth (OR: 2.68, 95% CI: 1.67~4.32) and anxiety or depression (OR: 1.45, 95% CI: 1.42~2.57) had negative oral health perception after controlling for covariates. In conclusion, perceived oral health and QOL were associated with each other in Korean older adults. Therefore, it is recommended to approach holistic strategy for improve health and quality of life in the elderly population.
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