Purpose : This study, as the first year project of setting up a community based management system, was attempted for the cancer patients and their family to improve their quality of life; investigating and managing the cancer patients, educating volunteers and connecting the patients with the volunteers were performed. Method and result : The education of managing cancer patients for the volunteers was done once in lune for 2 days to the 80 volunteers. Questions about education effect, volunteer motivation and so on were made up. The survey showed, generally, education satisfaction level was high and a longer education and an intensive course were needed and was suggested that organizing a volunteer community be needed for the continuous further education and systematic management. As the result, after the public health center and volunteers deliberated, a volunteer community consisting of 4 teams, 28 members was organized, launched in Oct. and operated for the cancer patients and their family. For investigating and enrolling the patients, advertising on a local information paper, recommending of local doctors, publicizing by educating the heads of a subdivision of the city, the heads of a neighborhood association and the people in charge of the related local communities such as women's society, and surveying the community by volunteers were performed and the total, 41 patients were registered. Management of cancer patients was carried out by volunteers in a community and in a nursing school. A regional volunteers' community is composed of 23 members and they have worked 87 times, that is 3.8 times per capita on an average. The content of duties is attending the education (41.1%) the most. A volunteers' community of nursing students composed of 12 members have worked 135 times, that is 11.3 times per capita on an average. The content of duties - consulting with patients and home visiting (37.8 %) were the most and survey for investigating the cancer patients was the second. Conclusion : This study has the meaning that this is the guiding attempt in building a community based management system, and especially the achievement of this study is that a regional society organized a volunteer community for the cancer patients by itself and went into action for the cancer patients and their family. Furthermore, to activate this volunteering, it is necessary to keep managing volunteers and running continuing education or the intensive course of the volunteers. Indeed we should let the patients have good impression on this program through publicity and education for the residents to keep track of more cancer patients. For that, systematic and powerful cooperation of a self-administrative organization is required.
Journal of the Korea Academia-Industrial cooperation Society
/
v.18
no.6
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pp.319-329
/
2017
As Korea is now an aging society, the demand and necessity of assistive products for senior citizens are increasing. On the other hand, their satisfaction with the assistive-product payment service is pretty low, so that the necessity of assistive-product specialists is newly rising. Therefore, it is important to establish a frame of assistive product specialist and clarify the duties. This study aimed to define and analyze the job of assistive-product specialists. This study was carried out from June 1, 2015 to February 10, 2016. After the literature consideration and analysis of the current status, a job analysis(plan) of assistive product specialists was drawn after the job of assistive product specialists was defined, and the duties, tasks, and task elements were analyzed by experts through an advisory conference. A Delphi method was conducted with five professional panels to verify the validity. For the job contents of assistive product specialists, 5 duties, 12 tasks, and 23 task elements were identified. The significance of this study was to establish the system and standard for assistive device specialists defining and analyzing the job of assistive product specialist. Through this study, it would be possible to secure the professionalism of an assistive-product specialist and qualitative improvement of an assistive-product payment service.
Journal of the Korea Academia-Industrial cooperation Society
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v.19
no.10
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pp.530-539
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2018
This study was conducted to compare the resilience, social support, psychosocial stress and burnout between novice and experienced nurses. Data collection was conducted using structured questionnaires for 65 novice nurses with less than one year of clinical experience and 70 experienced nurses with at least seven years of clinical experience working in general hospitals. The results revealed that the resilience of novice nurses was lower than that of experienced nurses, and there were significant differences according to educational level, job satisfaction, and subjective health status. Conversely, experienced nurses' resilience differed according to their position. In addition, the resilience of novice and experienced nurses showed the highest correlation with psychosocial stress (r=-0.633, p<0.001; r=-0.586, p<0.001), while novice nurses' social support (r=0.560, p<0.001) and experienced nurses' burnout (r=-0.404, p=0.001) showed the second highest correlations. These results demonstrate that the factors related to resilience of novice and the experienced nurses differ. Therefore, it is necessary to develop a differentiated program according to the characteristics of resilience of each nurse to improve the resilience of novice and experienced nurses.
This survey was conducted from January 1991 to May 1991. Two hundred arid eight residents in 4 government supported homes for the aged and two hundred and eleven living in the community in Taegu, Korea, were examined to evaluate the depression and the anxiety of the aged with combined anxiety and depression scale(CADS) and somatization symptom check list(SCL). There are no significant differences between residents in the home for the aged and those living in the community on the total scores of CADS and SCL. However, in the case of total score of CADS of the female subjects in the home for the aged were significantly higher than those of the community residents. The elderly in the home for the aged tended to have pure depression, while community residents were likely to have anxiety and depression. Fifty-two subjects of home for the aged and sixty-nine of the community scored over 50 points of CADS, which indicates considerable depression or anxiety. In psychosocial factors, the subjects who in the following situations had statistically significant higher scores than others. The results were as follow. Poor health, unhappiness, unsatisfaction to the past occupation, pessimistic thought in future view for both group and un satisfaction of the relationship with familiar people for the elderly in the community. The SCL scores of two groups subgrouped by under 49 and 50 on CADS showed significant differences between each subgroup on all of the SCL items. It could be suggested that somatic symptoms for the aged is a sign of depression.
Journal of the Korean Applied Science and Technology
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v.37
no.4
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pp.794-806
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2020
This study was conducted in order to attain an in-depth understanding of and describe the Ego-Integrity Phenomenon of the elderly of age 65 and older. The data was collected from June 2020 to July 2020 as an in-depth interview consisting of semi-structured questions. The data was analyzed using the Colaizzi's method, one of the phenomenology methods. All interviews were recorded and transcribed for analysis. Through analysis, 309 significant statements were extracted, and 88 formulations of meaning, 53 themes, 16 theme clusters, and 5 categories were derived. The categories and the theme clusters are as such : 'reflecting on the past life with delight' ('fruitfulness over the lifetime', 'achieving through fulfilling responsibilities', 'achieved specially and gratefully'), 'Currently lonely and distressed due to the bitter old days' ('Physical health needs and psychosocial needs are not met', 'Wasn't able to make good choices for parents and children', 'Elderly life is not easy'), 'Satisfaction from enduring tough and difficult journeys in life' ('Compensated for hard work at workplace and home', 'Problem solved through endurance and overcoming', 'Living a healthy elderly life by escaping from the habits of the past'), 'Realizing the way of life as an elderly' ('Now is the best and most satisfying moment', 'Managing self in old age', 'Living passionately, though it may be late', 'Retiring from the forefront of life with an abundant heart'), 'Passing on beautifully' ('Desires toward the later years', 'Hope during the last moments', 'Appearance and emotions when death approaches'). It was observed that during the Ego-Integrity Phenomenon of the elderly, they have come to discern the meaning of life by reminiscing the regrets and difficulties of the past, and through this reminiscence, they have come to attain a positive and transcendental hope for the rest of their lives. The Ego-Integrity of the elderly appeared to be subjective, dynamic, and occurring simultaneously rather than continuously. It is recommended to develop a variety of nursing interventions while taking into consideration the age and the type of experience of the elderly.
This study is a methodological approach to the study of a customer experience-based Tuberculosis(TB) management service design for a local public medical institution, with the application of the service design process by the Design Council in the UK. This study designed a TB management service for a local public medical institution using the service design method which identifies and resolves TB management-related problems based on experiences of medical personnel of TB facilities as well as of TB patients. To design a TB management service for the whole process from hospitalization to discharge and then to cooperation with local communities, a team was formed with 12 TB management-related personnel. The team went through the four phases of service design process: Discover, Define, Develop and Deliver. In addition, the TB management service based on customer experience was developed that included eight services related to processes from hospitalization to discharge and cooperation with local communities. According to the study results, a service design methodology was found to be considerably effective in developing a service program that takes into account an overall circumstance of various relevant personnel as well as patients. It is suggested that further studies use a service design methodology in developing various health management service programs in need of improvement of work efficiency among relevant personnel as well as providing the best satisfaction for customers by identifying hidden needs based on their experiences.
Journal of the Korea Academia-Industrial cooperation Society
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v.21
no.5
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pp.433-442
/
2020
This study established the relationship between job stress and burn-out syndrome of firefighters. The research targets were 582 firefighters who worked at five fire stations in the D metropolitan city. The survey was conducted using a self-administered questionnaire during the period from July 1st 2019 to September 30, 2019. On the correlation analysis, burn-out showed a significant positive correlation with job stress. On the results of the logistic regression anaylsis, the risk ratio of high levels of burn-out was significantly higher in the very high stress groups than that in the groups with low job stress. According to the multiple regression analysis, the factors having an influence on burn-out were gender, age, the specific level of job career, shift work, the physical burden of work, the sense of satisfaction with the work, consideration for quitting the job and job stress. These findings suggest that the job stress of firefighters is closely related to burn-out. This demands the development and implementation of programs that can properly control and curb the factors of job-stress.
Background: To evaluate the perception of cancer patients toward treatment services and influencing factors and to inquire about the use of complementary alternative medicine (CAM). Materials and Methods: Information was obtained through pre-tested structured questionnaires completed by cancer patients during treatment at King Abdulaziz University Hospital, Jeddah, Saudi Arabia. Results: Of 242 patients, 137 (64.6%) accepted to enter this study. Most were Saudi (n=93, 68%), female (n=80, 58%), educated at university (n=71, 52%), married (n=97, 72%) and with breast cancer (n=36, 26%). One-hundred (73%) patients were satisfied with the services provided; 61% were Saudi. Ninety-four (68%) respondents were satisfied with the explanation of their cancer. Twenty-eight (21.6%) patients received CAM, of them 54.0% received herbal followed by rakia (21.0%), nutritional supplements/vitamins (7.0%) and Zamam water (18.0%), with significant differences among them (p =0.004). Seven (5%) patients believed this therapy could be used alone; 34 (25%) patients believed it could be used with other treatments, regardless of whether they themselves used this therapy. Fifty-three (53%) satisfied patients felt they received enough support; 31 (58%) patients received support from family and friends; 22 (41.6%) patients received support from the health-care team. Patients who received information about their disease from their physicians and those who felt they had enough support were more satisfied. The patients who took alternative treatment were older age, mostly female and highly educated but values did not reach significance. Conclusions: We stress enhancing the educational and supportive aspects of cancer-patient services to improve their treatment satisfaction and emphasize the need for increasing the educational and awareness programs offered to these patients.
To find out the actual status of treatment of physically handicapped who were stayed of home, 320 physically handicapped persons were selected among total 6,264 physically handicapped registered in Taejon city, surveyed from January 1st to March 30, 1997. Following are the results ana lysed of collected data from 201 samped persons. 1. For the cause of physically handicapped, 36.3% was congenital, 26.9% was cerebralvascular acciednt(CVA). and 14.9% was infectious diseases and others in that orders. The must frequest cause of below 20 years age group was congenital cause, but that of $20{\sim}30$ years age group and $40{\sim}50$ years age group were accident and CVA repectively. 30.0% of respondents caused by infection and others earned household living expenses. Household living expenses were higher among the respondents caused by congenital cause but those were lowest in the accidental couse group. Handicap durations were longer in the accidental cause group and infections and others group than the congenital cause group and CVA group. 2. 54.7% of studied handicapped were under treatment. But 36.3% of them were stopped treatment, and 8.9 % of them answered not treated. Most handicapped, coused by congenital and CAV, were under treatment, but most of them caused by accidental and others were stopped treatment. 3. For the medical facilities, 54.5% of them utilized welfare facility, but 25.5% utilized general hospital and 20.0% of them utilized oriental medical hospital and health centers. Congenital cause group frequently selected welfare facility for the treatment facility. But accidental cause group frequently seleced general hospitals and CVA gruop frequently selected oriental medical hospital and others. The medical cost of welfare facility, oriental medical hospitals and others were lower than that of general hospitals. 4. The proportions of under treatment were higher among yonger age higher monthly living expenses group shorter handicapped duration groups, congenital cause group and handicap grade II group. But that of stop treatment were higher among congenital cause group, infectious and others cause group, and handicap grade I & then III group. 5. For the feelings satisfacion about medical treatment, only 35.3% of under treated group responed satisfation. 55.5% of them responded so-so, but 9.1 % responed dissatisfaction. The proportion of satisfaction was higher among shorter handicap duration group.
Purpose: To understand the status and actual condition of clinical practice in ophthalmic optics and offer a effective operation plan and improvement of quality of clinical practice. Methods: The school survey were investigated from 30 ophthalmic optics school and student survey were investigated from 161 students among these 4 schools. Results: 'No specific program for clinical practice' were 60.7%. Most schools apply clinical practice to credit (96.4%) but naming of subject and credit were varied in each school. 'Communication skill' was most difficult task and 'cleaning and arrangement of frame and stuff' were major task to students during clinical practice. Best benefits through clinical practice was 'knowing real status of optical business'. Comparison in carrier preference, optical shop and spectacles/contact lens company were decreased and eye hospital and norelation work were increased after clinical practice. Conclusions: Wide study on effective operation plan for clinical practice in ophthalmic optics and on the improvement of students' satisfaction and close cooperation and interest were needed between schools and clinical practice places.
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