• Archives of Plastic Surgery
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• 제50권5호
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• pp.514-522
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• 2023

Background This is a prospective study on 118 patients who underwent lymphaticovenous anastomosis (LVA) due to secondary lower limb lymphedema between January 2018 and October 2020 to evaluate patients' quality of life (QOL) using the Quality of Life Measure for Limb Lymphedema (LYMQoL) questionnaire. Methods The outcome measurement included the LYMQoL leg scoring system tool evaluating the function, appearance, symptom, mood, and overall outcome. In addition, correlation analysis was performed for three factors: based on International Society of Lymphology (ISL) stages, disease duration, and amount of volume reduction. Results The LYMQoL tool overall satisfaction score significantly increased at all intervals from 4.4 ± 0.2 preoperative to 6.5 ± 0.3 postoperative at 12 months (p < 0.001). Significant findings were seen for each domain scores compared preoperatively and at 12 months: function score (18.6 ± 0.5 to 15.4 ± 0.6), appearance score (17.8 ± 0.5 to 16.0 ± 0.6), symptom score (11.8 ± 0.3 to 8.9 ± 0.4), and mood score (14.5 ± 0.4 to 11.4 ± 0.5; p < 0.05). The correlation analysis between improvement of the overall score and the ISL stage (p = 0.610, correlation coefficient [r] = -0.047), disease duration (p = 0.659, r = -0.041), and amount of limb volume reduction (p = 0.454, r = -0.070) showed no statistical significance. Conclusion The QOL of secondary lower limb lymphedema patients was significantly improved after LVA regardless of the severity of disease, duration of disease, and amount of volume reduction after LVA. Understanding the patient-reported outcome measurement will help the surgeons to manage and guide the expectations of the patients.

• 대한물리의학회지
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• 제16권4호
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• pp.33-44
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• 2021

PURPOSE: This study analyzed the research trends related to the International Classification of Functioning, Disability, and Health (ICF) to suggest an ICF utilization plan in the Korean clinical field. METHODS: In the RISS, KISS, NSDL, and PubMed databases, papers published between 2016 and July 2021 were collected by applying the search terms, 'ICF', 'international classification of functioning, disability and health', 'clinic', 'patient', and 'diagno'. The 44 papers selected were classified according to the analysis criteria, and the frequency and percentage were calculated. RESULTS: In domestic clinical trials, the frequency of ICF-related studies was in the order of physical therapy (n = 19) and occupational therapy (n = 14). The frequency of each study subject was observed in the order of studies related to a specific disease (n = 34) and prior studies (n = 7). The research topics were in the order of studies using ICF as a measurement tool (n = 21) and case studies with patients with specific diseases (n = 11). There were 18 studies using ICF codes and 14 papers applying the ICF domains. CONCLUSION: Over the last five years, ICF-related research in the domestic clinical field targeted patients with more diverse diseases in more expertise fields. Research for the unification of terms should be conducted for communication among various experts in clinical practice. To promote the use of ICF in the clinical field, it will be necessary to conduct research, such as the unification of terms, standardized education, development of ICF casebook, and development of ICF coding programs and guidelines.

• 근관절건강학회지
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• 제22권2호
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• pp.78-86
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• 2015

Purpose: The purpose of this study was to identify the impact of workplace bullying experience and resilience on the organizational socialization among new graduate nurses. Methods: This is a descriptive correlational study with 148 new graduate nurses working in the hospitals in B city of Korea. The instruments that were used for measuring main variables were the negative acts questionnaire-revised (NAQ-R), the Korean version of the Connor-Davidson resilience scale (CD-RISC), and the measurement tool for new nurses' organizational socialization. Results: The prevalence of workplace bullying was 22.3%, and the subjects reported moderate level of resilience. Significant negative correlations between workplace bullying and resilience, and organizational socialization were found. A significant positive correlation was found between resilience and organizational socialization. As a result of multiple regression analysis, resilience, workplace bullying, and a working in desired unit turned out to be variables that explained new graduate nurses' organizational socialization (adjusted $R^2=.514$, p<.001). Conclusion: The results of this study suggested that new graduate nurses with higher resilience and less experience of workplace bullying would show higher organizational socialization. Further research is needed to identify the regulation effect of resilience in between workplace bullying and organizational socialization.

• 한국직업건강간호학회지
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• 제18권2호
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• pp.194-204
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• 2009

Purpose: This study was done to learn the status of occupational injuries and illnesses among Korean nurses. Methods: Thirty four articles published between 1990 and 2007 were selected using keywords as nurse and back pain, musculoskeletal symptom, violence, needle stick injuries and latex allergy from the database. The 609 RN cases among the workers' compensation data from 2005 to 2007 were analyzed by descriptive statistics. Results: Based on the analysis of the articles, the most frequent work-related illness and injuries were the musculoskeletal symptoms including back pain. The prevalence of back pain was ranged from 36.5% to 98.5%. Tuberculosis cases were the most frequent and the musculoskeletal cases were the second rank in the workers' compensation data. In the case of violence, there has been an increasing tendency since 2000 in the articles and workers' compensation data. The relatively high percentage of compensation cases occurred among the ones working in small institutions and with less than one year experience. Conclusion: The further research on the nurses' work-related illness and injuries needs to consider the measurement tool selection and longitudinal design. The various types of contribution to the occupational health in nursing is suggested to improve the nurses' health and safety.

• Journal of Preventive Medicine and Public Health
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• 제42권3호
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• pp.151-159
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• 2009

Objectives : This study was to determine how the perception and the satisfaction of outpatients who utilized clinics and hospitals are structurally related with their willingness to utilize the same institution in the future. Methods : Three hundred and ten responses (via convenient sampling) were collected from 5 hospitals and 20 clinics located in Seoul listed in the "Korea National Hospital Directory 2005". Service quality was utilized as the satisfaction measurement tool. For analysis, we used a structural equation modeling method. Results : The determining factors for general satisfaction with medical services are as follows: medical staff, reasonability of payment, comfort and accessibility. Such results may involve increased competition in the medical market and increased demands for quality medical services, which drive the patients to visit hospitals on their own on the basis of changed determining factors for satisfaction. Conclusions : The structural equation model showed that the satisfaction of outpatients with the quality of medical services is influenced by a few sub-dimensional satisfaction factors. Among these sub-dimensional satisfaction factors, the satisfaction with medical staff and payment were determined to exert a significant effect on overall satisfaction with the quality of medical services. The structural relationship in which overall satisfaction perceived by patients significantly influences their willingness to use the same institution in the future was also verified.

• 대한간호학회지
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• 제50권1호
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• pp.81-100
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• 2020

Purpose: The purpose of this study was to define and clarify the concept of political competence for nurses. Methods: A hybrid model method was used to investigate the dimensions, attributes, and definitions of the concept. In the theoretical stage of the study, literature on nursing, politics, and other discipline were reviewed. In the fieldwork stage, individual in-depth interviews and focus groups interviews were conducted with politically seasoned experts or activists who had an understanding of the concept of political competence for extensive descriptions in nursing and field of health care. Results: The concept of political competence was represented in four dimensions as political knowledge, political efficacy, political interaction, and political activity. In the political knowledge dimension, there were three attributes, namely, political knowledge, political information and systematic analysis ability. The political efficacy dimension had three attributes of internal political efficacy, external political efficacy, and self-pride of nursing profession. The political interaction dimension had three attributes of organizations and community service, networking, and persuasive power. The political activity dimension had six attributes of political leadership, political expression, assertive behavior, political advocacy, political participation, and policy intervention. Conclusion: This concept development might provide a basic understanding of developing a measurement tool and for constructing a theory promoting nurses' political competence.

• 한국환경농학회지
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• 제36권4호
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• pp.269-278
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• 2017

BACKGROUND: The objective of this study was to evaluate screening method of residual multi pesticides in dead birds by Orbitrap high resolution mass spectrometry (HRMS) to identify the cause of death for birds. METHODS AND RESULTS: Extraction and clean-up method of residual pesticides in liver of dead birds was used QuEChERS (Quick Easy Cheap Effective Rugged and Safe) and method validations was conducted using liquid chromatography and gas chroamtography with triple-quadrupole mass spectrometer (LC/MS/MS and GC/MS/MS) Also, we were evaluated screening method for the determination of residual pesticides in liver of dead birds by LC and GC Orbitrap Mass Spectrometry. Results of method validations, Correlation coefficients of the matrix matched calibration curves were >0.978, and the method detection limits (MDLs) and limits of quantitation (LOQ) were 2.8~72.1 ng/g (18.4 ng/g on average) and 9.0~230 ng/g (58.5 ng/g on average). The accuracy ranged from 69.1%to 130% (103% on average), and the precision values were less than 14.8%(3.8%on average). The screening of residual pesticides in liver of dead birds by LC and GC Orbitrap HRMS was detected monocrotophos, carbofuran, carbosulfan, deltametrin, benfuracarb, carbofuran, phosphamidon, prochloraz in investigated samples. CONCLUSION: This results showed that accurate mass were extraction of residual pesticides in dead birds by Orbitrap HRMS. It suggested that this screening method is applicable to the residual pesticide analysis for the cause of death as a main tool.

• Child Health Nursing Research
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• 제25권2호
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• pp.143-153
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• 2019

Purpose: The purpose of this study was to examine the frequency, perceived importance and competence of pediatric emergency nursing practice (PENP) in nurses who cared for pediatric patients in the emergency department. Methods: This cross-sectional descriptive study analyzed 175 emergency department nurses caring for pediatric patients at 7 university hospitals with more than 500 beds, located in Seoul and Gyeonggi Province. The measurement tool was modified from the Classification of Standard Nursing Activities to measure the frequency, importance of PENP, and nursing competence. It comprised 143 items in 16 domains of PENP. Results: The most frequent nursing practice was the domain of 'nursing records and environmental management' and the least frequent practice was the 'research and consulting' domain. The nursing care domain perceived to be most important by nurses was 'specialized intensive nursing care'. The nursing care domain with the highest level of nursing competence was 'hygiene care', and the domain with the least level of nursing competence was the 'research and consulting'. Conclusion: These results will be utilized as basic data for future pediatric emergency nursing education initiatives and for establishing priorities of nursing policy to improve health care for children admitted to the emergency department.

• 대한간호학회지
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• 제52권1호
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• pp.80-91
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• 2022

Purpose: This study developed an instrument to evaluate the health empowerment of North Korean women refugees and examined its validity and reliability. Methods: Through literature review and focused group interviews, 66 preliminary items with three constructs, including perceived control, perceived competence, and goal internalization were selected based on Menon's psychological health empowerment model. A questionnaire survey was conducted with 239 North Korean women refugees in the community from August 31 to September 4, 2020. Content, construct, convergent, and discriminative validity were evaluated. Cronbach's α was used to evaluate the reliability of scale. Results: The final instrument consisted of 31 items with three factors that were identified through confirmatory factor analysis. The convergent validity showed that the correlation coefficient was .52 (p < .001), which confirmed the validity of the developed measurement tool. Cronbach's α for all the items was .94, and Cronbach's α for the factors was .76~.91. Conclusion: This health empowerment scale has been developed to include aspects of health empowerment, provide a conceptual framework, and offer objective indicators to evaluate the effectiveness of a health education program.

• 한국측량학회지
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• 제24권1호
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• pp.1-8
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• 2006

효율적인 3차원 모델링은 건설, 기계 그리고 디자인과 같은 폭넓은 설계분야에서 필수적으로 되고 있다. 특히, 역설계를 가능케 하는 툴로써 발전하고 있다. 3차원 모델링은 신속성, 정확성 그리고 명확성이 요구된다. 모델링을 위한 데이터 획득은 접촉식 좌표측정기, 레이져스캐너, 패턴스캐너 그리고 수치사진측량방법을 이용한다. 본 연구에서는 모델링 기법을 분석하고 패턴스캐너를 이용한 3차원 모델링기법을 소개하고자 한다. 또한, 본 연구는 OPTO-Top 패턴스캐너를 이용하여 3차원 모델링을 시도하고 신속성과 효율성을 수치사진측량기법과 비교분석하였다. 아울러 3차원으로 사용자가 웹환경에서 시뮬레이션 할 수 있는 환경구축을 시도하였다.