• Quality Improvement in Health Care
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• v.3 no.1
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• pp.104-124
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• 1996

Background : In these days, the health care organizations have concerned about customer-centered care in order to empower the competitiveness on the health care markets. The departments working for quality management of the hospitals have used health care quality indicators in terms of medical areas as well as service areas of the hospitals. However, there were insufficient efforts to develop the credible measurement to seek the customers' needs, their expectations and their satisfaction levels related to health care services because various kinds of challenges were in the process of scale development to measure customers' satisfaction in health care. The purpose of this study was to develop the satisfaction scale to health care services in a Korea health care organization and to test its tool with validity and reliability. Method : The concept of this tool was acceptability that one of the components of health care quality defined by Donabedian. Acceptability has the five dimensions of concept: Accessibility; Patient-Practitioner Relations; Amenities; Patient Preferences as to the effects of care; and Patient Preferences as to the costs of care. The Satisfaction Tool to Health Care Services was reviewed by expert panel with five researchers, including hospital managers and a professor related to quality management of the hospitals. As a result, the content validity index was .84 in the outpatient satisfaction tool. The inpatient satisfaction tool had .87 of the content validity index. The Satisfaction Tools to Health Care Services finally consisted of 44 items for outpatients/their families and of 60 items for inpatients/their families. Study subjects of the construct validity test were 479 outpatients/their families and 561 inpatients/their families who visited or admitted at a University hospital from July 1, 1996 through August 10, 1996. The data were examined by Factor Analysis with SPSS. Result : The items of Satisfaction tools for outpatients/their families were categorized by eleven factors with eigenvalue greater than 1.0 accounting for 64.2 percent of the variation in item scores. Also, the items of inpatient tool had eleven factors with eigenvalue greater than 1.0 accounting for 60.3 percent of the variation in item scores. The reliability of overall scale were .95 and .96 for the outpatients/their families satisfaction scores and inpatient/their families satisfaction scores. The internal consistency reliability with eleven factors was ranged from .30 to .94 for inpatients/their families. The Satisfaction Tool with eleven factors for inpatients/their families had internal consistency reliability ranged from .53 to .89. Conclusion : The Satisfaction Tools to Health Care Services focused on outpatients/their families and inpatients/their families developed in this study had a high reliability and the strong evidence of content validity and construct validity based on quality concept. Therefore, this tool would be utilized as a credible quality indicator of health care services to assess the quality problems and to monitor the quality improvement activities in Korean Health Care Organizations.

• Journal of dental hygiene science
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• v.14 no.3
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• pp.417-423
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• 2014

The aim of this study was to evaluate the relationship between prosthetic status and health related quality of elderly by using EuroQol-5 dimension (EQ-5D) which is a standardized instrument used as a measure of health outcome. Data from 1,179 elderly subjects (over 65 years old) from the fifth Korea National Health and Nutrition Examination Survey were used in our analysis. Oral examination were conducted to obtain wearing prosthetic and needed prosthetic. EQ-5D is a widely used health condition measuring instrument. It consists of the five dimensions: Mobility, Self-care, Usual activities, Pain/discomfort and Anxiety/depression. EQ-5D index is a score calculated out of a weighting system. In this study, the mean score of the EQ-5D index among the elderly was 0.86. For EQ-5D index gender, female showed statistically significantly lower quality of life than male. The related factors EQ-5D index, when the lower demand for fixed prosthodontics and full denture. Wearers in partial and complete denture than non-wearers showed higher EQ-5D index. In order to improve EQ-5D index among the elderly who demand prosthetic status, which has lost its function through providing proper dental prostheses.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.18 no.4
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• pp.380-390
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• 2017

This study examined the relationship between social support, social participation and physical functioning among older adults in community senior centers. The subjects of this study were 194 persons aged 60 years or older who participated in the senior center in K province and D city, from June 16 to June 30, 2016. The collected data were analyzed using descriptive statistics, T-test, one way ANOVA, Pearson correlation analysis, multiple regression analysis, and structural model analysis using IBM SPSS Statistics 23.0 and IBM AMOS 21.0. The result showed that the social support and physical functioning of the elderly in the community were above normal, and social participation was somewhat low. Interestingly, an analysis of the physical functioning between social support, social participation and depression revealed significant correlations. The factors affecting the physical health were 23.4% of the respondents who had a significant influence on social support and leisure activities. In addition, the result of structural model analysis showed that social support had a significant influence on the social participation, depression and physical functioning. Therefore, the results suggests that the development of educational programs and an age-friendly environment should be actively provided to older adults in the community by strengthening the physical function through social support for active ageing.

• Journal of the Korea Convergence Society
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• v.12 no.5
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• pp.345-354
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• 2021

This study was conducted to identify the factors affecting the quality of life of the elderly according to economic activity. The subjects of this study were 5,991 elderly aged 65 years or older among subjects of the 7th National Health and Nutrition Survey. The variables of this study consisted of demographic characteristics, physical and psychological factors, data analysis was performed using the complex sample analysis of the IBM SPSS 25.0 program. As a result of this study, the factors that influenced the quality of life of the elderly in economic activity were gender, age, outpatient use frequency, arthritis, activity restrictions, subjective health, and stress, and their explanatory power was 34.2% (p<.001). The factors that influenced the quality of life of the elderly without economic activity were sex, age, number of hospitalizations, high blood pressure, arthritis, hearing impairment, masticatory discomfort, activity restriction, subjective health and stress, and their explanatory power was 35.5% (p<.001). The results of this study can provide basic data on the factors affecting the quality of life according to economic activities in the intervention of the elderly's quality of life. Intervention is required to improve the quality of life for the elderly according to economic activity.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.19 no.11
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• pp.645-652
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• 2018

This study examined the effects of leisure activity, self-esteem, and the achievement on mental wellbeing among the elderly. The participants in this cross-sectional, descriptive study were 149 elderly who completed a self-report structured questionnaire. The data were analyzed using descriptive statistics, correlation and multiple linear regression analyses with SPSS statistics 20 program. The mental well-being averaged 51.5 (${\pm}15.1$); leisure activity averaged 26.2 (${\pm}6.5$); self-esteem averaged 30.2 (${\pm}5.2$), and self-esteem averaged 44.4 (${\pm}8.3$). The mental well being of the elderly was positively correlated with all three variables. The leisure activity, self-esteem, and achievement were strong predictors of the mental well-being among the elderly. These variables explained 42.7% of the variance in mental wellbeing. The results suggest that the elderly are satisfied with their own situations and abilities, have a positive mind by accepting their present state of being, continue social interactions through active leisure activities, and set specific goals. The mental well-being of the elderly can be improved.

• Journal of the Korea Convergence Society
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• v.10 no.1
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• pp.339-351
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• 2019

This study was conducted to identify the factors associated with the ruptured intracranial aneurysm (RIA) among demographic, admission to hospital, clinical, aneurysym itself and lifestyle characteristics. Medical records of RIA patients and un-RIA patients which had been admitted to undergo treatment including surgery (From January to December 2016) were included into data analysis. Multiple logistic regression showed that two and more than warning signs (14.14 (CI: 1.25-159.40)) indicated the greatest odds ratio with RIA, was followed by headache more than 3 scores (13.95 (CI: 3.68-52.83)), the admission via emergency room (13.62 (CI: 4.85-38.26)), single marital status (9.72 (CI: 2.22-42.49)), 1 mmHg increased systolic blood pressure (1.04 (CI: 1.01-1.08)), 1 score increased GCS (0.58 (CI: 0.37-0.90)), arrythmia finding in electrocardiogram (3.70 (CI: 1.22-11.22)) and increased age (0.95 (CI: 0.91-0.99)). The risk groups having factors associated with RIA were identified. Preventive activities including routine assessment should be done before developing the rupture and urgent care should be needed after developing the rupture for risk groups.

• Journal of the Korea Convergence Society
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• v.10 no.8
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• pp.171-179
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• 2019

This study was to develop the health education program model of young children based on e-book using QR code to prevent and manage fine dust. We developed program to prevent and manage fine dust for young children' health through in-depth discussions with 2 young children's health experts and 3 young children education experts, and developed the e-book using QR code. The program model for fine dust's prevention education based on e-book using QR code was verified for suitability as a field adaptation and teaching medium for 5-year old. The results of this study are as follows: First, the program model for fine dust's prevention education based on e-book using QR code was developed through 3 stages of appreciation activity-central activity-finishing activity. Second, the e-book using QR code is a useful teaching medium applicable to fine dust's prevention education program. In conclusion, the e-book-based fine dust's prevention education program using QR code will be used as an appropriate education method for fine dust's prevention and health management activities in the field of education for young children.

• Journal of Convergence for Information Technology
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• v.9 no.9
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• pp.229-236
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• 2019

This study aims to examine the moderating effect of Extended Song Sharing for helping alcoholics to deal with stress. ESS is structure with non-verbal techniques approaches traditional Song Sharing technique. For this study, 64 alcoholics hospitalized were experimental (n=33) and control groups (n=31). The group was asked to participate in 12 ESS programs twice a week, every 45 minutes for six weeks. During this period, all those who belonged to the experimental and control groups were required to continue to participate in treatment programs prescribed by hospitals. Result: ESS interventional effects on subjects were evaluated using a stress response scale. As a result of the experiment, the WCC score of the experimental group increased 7.3% (p=0.000) but there was almost no change in the control group (1.5% increase, p=0.019). Effects of WCC types were higher in the experimental group, followed by 13.67% (p=0.006) in coping with wishful thinking, 9.66% (p=0.000) in the pursuit of social support, 6.35% (p=0.000) in dealing with problems, and 4% (p=0.000) in coping with emotions. ESS activities have been confirmed to improve the way alcoholics cope with stress.

• The Journal of Korean Society for School & Community Health Education
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• v.20 no.1
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• pp.15-27
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• 2019

Objective: Patients with COPD have a lower overall quality of life than normal people. If patients with COPD do not regularly perform physical activities, their exercise capacity is reduced. It could lead to muscle loss, and negatively affect their general physical, social, and psycho-social status. The purpose of this study was to examine association with physical activity, sedentary life time and health-related quality of life in patients with COPD. Method: Of the total of 22,948 participants surveyed in Korean National Health and Nutrition Examination Survey (KNHANES 2013-2015), 8,626 participants were used for this study. Of these, under 40 years, over 80 years, missing values and abnormal values were excluded. Study variables included physical activity level, sedentary time and health-related quality of life variables. The physical activity level assessment tool was measured using International Physical Activity Questionnaire (IPAQ). Sedentary time referred to the amount of sitting time without moving the body. EQ-5D (Euro Quality of Life-5 Dimensions) was used as an index of health-related quality of life. Control variables were age, gender, income level, education level, marital status, comorbidity, smoking, BMI, cough, sputum, COPD severity. For this study, descriptive analysis, T-test, ANOVA and multivariate regression analysis were performed. Results: Of the 1,092 patients with COPD, 76.1% (n=831) were male and 23.9% (n=261) were female, while 39.0% (n=2,939) were male and 61.0% (n=4,595) were female in the comparison group without COPD. The COPD group with high level of physical activity showed a high level of EQ-5D scores ($0.9349{\pm}0.11$, p <0.001). Among patients with COPD, after adjusting for control variables, physical activity and sedentary time (physical activity level, Β=0.047, p <.001), (sedentary time, Β=-0.017, p <.05) were associated with health-related quality of life. Conclusion: Patients with COPD have a higher quality of life as their physical activity increases and the quality of life decreases as the time spent sitting increases. This study suggests that public health experts should consider improving COPD patient physical activity.

• Physical Therapy Korea
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• v.26 no.2
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• pp.34-48
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• 2019

Background: Fall-related injuries in older adults are a major health problem, and the risks and mechanisms of these injuries should be affected by race, culture, living environment, and/or economic status. Objects: Research articles have been systematically reviewed to understand fall-related injuries in older adults in South Korea. Methods: 128 published research papers have been found through the Korea Citation Index and the Korean Studies Information Service System, and reviewed in various perspectives, including incidents, fall death rates, medical costs, causes, injury sites and types, locations where falls occurred, prevention strategies, scholarly fields interested in fall injuries, and the role of physical therapy. Results: Fall-related injuries were found to be more common in women than in men, and the number of incidents increased with age, with the highest rate found in individuals over 85 years old. Risk of fall injury was associated with education level, comorbidities, and fear of falling. Common places where falls occurred included the bathroom, living room, stairs, and hallway. Common types of injury included bruises, fractures, and sprains in the lower extremities. Intervention strategies included exercise programs, education, and protective clothing. Scholarly fields interested in fall-related injuries in older adults included medicine, nursing, physical therapy, occupational therapy, physical education, pharmacology, oriental medicine, biomedical engineering, design, clothing, and textiles. Physical therapy intervention using proprioceptive neuromuscular facilitation has been used to improve one's balance. Conclusion: Any movement during the activities of daily living can lead to a fall. Physical therapists are highly educated to analyze human movements and should be involved in more research and practices to solve fall-related injuries in older adults.