• Title/Summary/Keyword: patient focused

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The Study of Pain, Depression and Quality of Life According to the Coping Strategy in Chronic Arthritis Patients (만성 관절염 환자의 대응양상에 따른 통증, 우울 및 삶의 질)

  • Yang, Hae-Ju;Park, Jeong-Sook
    • Korean Journal of Adult Nursing
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    • v.14 no.2
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    • pp.213-221
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    • 2002
  • Purpose: The aim of this study was to investigate the difference of in the level of pain, depression, and quality of life by coping strategy in the chronic arthritis patients. Method: These data were collected by means of a self-reported questionnaire from 90 chronic arthritis patients undergoing treatment at a university hospital in Daegu city from June 10, 2000 to July 15, 2000. The instruments of study were coping strategy scale by Jeon(1985), pain scale by Lee and Song(1987), depression scale by Radloff(1977) and quality of life scale by Cho(1987). Data analysis was done by SPSS Win 10.0 program and Pearson correlation, t-test, Cronbach's-${\alpha}$ were used. Result: The results of this study were as follows: 1. The item mean score of pain for chronic arthritis patient was 6.54. The item mean score of depression for chronic arthritis patient was 2.18. The item mean score of quality of life for chronic arthritis patient was 5.69. 2. The chronic arthritis patients with problem-focused coping experienced pain higher than those with emotion-focused coping(t=o.400, p=o.o45). The chronic arthritis patients with emotion-focused coping experienced depression higher than those with problem-focused coping(t=-2.564, p=0.012). The chronic arthritis patients with problem-focused coping experienced quality of life higher than emotion-focused coping(t=-1.682, p=0.046). Conclusion: In conclusion this study showed that any coping strategy can control the arthritis patient's problem. Therfore, The development of a coping strategy to reduce pain and depression and improve the quality of life in the chronic arthritis patient will be needed.

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A research on User-focused Space analysis of representing large Corporate hospitals (대형 민간병원의 사례분석에 의한 사용자별 면적배분 현황에 대한 연구)

  • Lee, Jung-Man;Choi, A-Hyeon
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.1 no.2
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    • pp.39-51
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    • 1996
  • Design scheme drawings of the two major corporate hospitals - Asan Medical Center and Samsung Medical Center - are analysed in the aspect of floor area distributions and their proportions for various users and user-functions. Primary users of hospitals are categorized into three ; patients, employees and others. Then, patient spaces are subdivided into patient private, patient/medical, patient/support staff, patient/nursing, patient/guardian, patient common ; employee spaces into doctors, trainees, doctors common, nurses, support staffs, non-medical staffs, employee common ; others spaces into subcontractors, general publics, non-living, and internal circulation. The purpose of this research is to develop a user-focused insight into hospital spaces and a new method of hospital programming and design.

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Coping and Quality of Life in Turkish Women Living with Ovarian Cancer

  • Tuncay, Tarik
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.9
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    • pp.4005-4012
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    • 2014
  • Background: This study investigated the utilization of both problem and emotion focused coping strategies and their association with aspects of quality of life among Turkish women with ovarian cancer undergoing chemotherapy. Materials and Methods: The convenience sample consisted of 228 patients in all disease stages. The data were collected using the brief COPE, QOL-Cancer patient tool, sociodemographic sheet, and medical variables were gathered from patients' medical charts. Results: Findings reveal that quality of life is moderately high for this group of cancer patients, despite some specific negative facets of the illness and treatment experience. Acceptance, emotional support and religion were the most frequently used problem-focused coping strategies and self-distraction, venting and behavioral disengagement were the most frequently used emotion-focused coping strategies reported by patients. Overall quality of life and, particularly, psychological and spiritual well-being scores of younger patients were lower. Patients reported using significantly more problem-focused coping than emotion-focused coping, and more problem-focused and less emotion-focused coping predicted greater quality of life. Problem-focused coping was related to patients' physical and spiritual well-being and emotion-focused coping was related inversely with psychological and social well-being. Conclusions: Coping strategies are influential in patient quality of life and their psychosocial adaptation to ovarian cancer. Psycho-oncology support programs are needed to help patients to frequent use of problem-focused coping and reduce emotion-focused coping strategies to improve overall quality of life.

A Case Study on the Development of Patient Clothes Designs -Focused on General Patient Pajamas and Obstetrics and Gynecology Gowns of Korea University Medical Center- (환자복 디자인 개발에 관한 사례 연구 -고려대학교 의료원의 일반 환자복과 산부인과용 가운을 중심으로-)

  • Lee, Yhe-Young;Lee, Yoon-Jung;Seong, Hwa-Kyung
    • Journal of the Korean Home Economics Association
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    • v.44 no.12
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    • pp.9-18
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    • 2006
  • A case study was conducted on the development of patient clothes designs at the Korea University Medical Center, in order to provide an example of patient clothes designs which meet the hospital identity and the demands of patients and nurses. In this study, we focused on general patient pajamas and one-piece gowns worn in the obstetrics and gynecology department. A scientific and systematic design approach consisting of the following four steps was conducted in the designing process: needs assessment, design direction establishment, design presentation, and final decision. For the first step, focused group interviews and a survey were conducted to identify the needs of the patients and nurses. According to the results of the first step, 3 fabric patterns with light, modern, rhythmic, modest and ordinary images were designed utilizing the university and hospital symbols and logotypes. Fixed forms with realistic and geometric characteristics and colors, including white, yellow, blue, grey, and pink were selected to deliver the preferred image. Each fabric pattern was made in male and female versions of the color sets. The following styles of patient clothes were made with the 3 fabric samples: general patient pajamas with a U-neckline, 9/10-length sleeves and ankle-length pants, a full-length sleeved gown with openings for breast-feeding, and a gown with a deep back-neckline and button fastening. Different sizing systems for males and females were recommended for the production.

The Comparison of the Stress and Coping Methods of Cancer Patients and Their Caregivers (암환자와 가족원의 스트레스와 대처방법 차이)

  • 김희승
    • Journal of Korean Academy of Nursing
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    • v.33 no.5
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    • pp.538-543
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    • 2003
  • Purpose: The purpose of this study was to identify the stress and the coping methodes in the cancer patients and their caregivers. Method: The stress method was measured by V AS(Visual Analogue Scale). The coping methodes was measured using the modified Ways of Coping Questionnaire. The phases of patient illness consisted of Ist(initial) stage, and 2nd(recurred) stage and 3rd(terminal) stage based on Lewandowski & Jones(1988) method. The data were collected by a survey of convenience sampling of 257 cancer patients and 196 of their caregivers from two hospitals in Seoul. The data were analyzed using paired t-test, unpaired t-test. Result: The stress level of cancer patients was lower than their caregivers. The cancer patients used emotion-focused coping mode than problem-focused coping mode. The caregivers problem-focused coping mode over emotion-focused coping mode. In the problem-focused coping mode, the caregivers significantly used two coping strategies that were ‘positve cope’, ‘information seeking’ more than patients. In emotion-focused coping mode, the caregivers significantly used one coping strategies that was ‘wish’ more than patients. The patients tended to used two coping strategies that were ‘blame’ and ‘emotion expression’ more than the caregivers. Conclusion: Further study needs to be done to positively identify these coping methods and develop interventions to assist patients and their caregivers.

Development of Patient Gown for Children Applying Universal Design - Focused on the Public Design Improvement Project of Seoul - (유니버설 디자인을 적용한 어린이병원 환자복 개발 - 서울시 공공디자인 개선사업을 중심으로 -)

  • Kim, In-Kyung;Chung, So-Ha
    • Journal of the Korea Fashion and Costume Design Association
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    • v.14 no.1
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    • pp.161-174
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    • 2012
  • This project purpose to develop a "custom patient gown" can satisfy with functional and aesthetic aspects for improving the problems of the existing children's patient gown that no unified image and discomfort in cooperation with the Public Design Development office as part of the citizen-friendly design improvement projects which one of the public politicizes of Seoul. The following are the results of design process for children's patient gown applying the universal design. First, the children's patient gown of the shape were classified into patient gown, rehabilitative gown and special gown and based on human-centered design to pursue the custom patient gown. Second, the color used pastel shades part of the Seoul colors and focused on emotions with color therapy theory. It was emphasized the aesthetic aspect by arranged the colors which harmonized with the main colors, also classified the wards and sizes. Third, for the functional materials of patient gowns was used the washable fabric and tender processing. Fourth, the accessories were matched the unified image and colors are suitable for the hospital environment such as bibs, aprons, and bedding. Fifth, Haechi, the symbol of Seoul was used as the logo. The Haechi logo and emotional message were applied to patient gowns to enhance the communication efficiency between patients and their guardians. As described above, the custom patient gowns for children's hospital will have significant ripple effects when they are expanded to national, public and private children's hospital. Such a qualitative change will pursue the respect and value of human by expanding the areas of public design for adults, the weak and the old-age society in future.

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A study of Clinical DW for utilizing analysis of medical treatment information (진료정보 분석 활용을 위한 Clinical DW에 관한 연구)

  • Song, Min-Gu;Kim, Sun-Bae
    • Journal of Digital Convergence
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    • v.11 no.8
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    • pp.293-302
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    • 2013
  • So far, DW(data warehouse) of hospital has been used as tool for analyzing patient-focused data. However, EMR(Electronic Medical Record) is established these days, so informal data which is record and video record could be useful to get some information for patient remedy, not as DW data. This study claims that need of establishing treatment-focused DW, not for hospital administration-focused DW which has been used lots of hospital DW. Also we discussed how CDW can be applied for real medication situation. At last, we deduct a relation past record of sick and wounded patient as Thesaurus searching method by real hospital data for establishing base of early-treatment system.

Comparison of Pharmacy Practice Experience in Pharmacy School between Korea and Canada (우리나라와 캐나다 약학대학 실무실습 교과과정 비교)

  • Kang, Minku
    • Korean Journal of Clinical Pharmacy
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    • v.25 no.2
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    • pp.68-73
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    • 2015
  • With the changes in the pharmacy curriculum from a 4 year program to a 6 year program in 2009, a new subject called Pharmacy Practice Experience (PPE) has been launched into the curriculum. The purpose of introducing this subject is to increase the competency of new pharmacy graduates in providing quality healthcare to the community. This study has been done, via comparison among different pharmacy schools in Canada and Korea, to ensure that the competency of future Korean pharmacists can be increased with the introduction of this subject. In general, the Introductory Pharmacy Practice Experience (IPPE) in Korea consists of 60 hours while Canada consists of 320 hours (minimum). Furthermore, the Advanced Pharmacy Practice Experience (APPE) required in Korea is 1340 hours while Canada requires minimum of 960 hours. Specifically, comparing the Korean PPE curriculum to the PPE curriculums of University of Toronto (UT) and University of Waterloo (UW), UT and UW required a minimum of 75% and 89% direct clinical patient care experience respectively, either in hospital or community setting, compared to 45% in Korea; the remaining percentage in any of the universities can be fulfilled by taking other electives that may not require direct patient care experience. Observing these differences, it seems clear that the current PPE experience in Canada takes more of a patient focused approach than in Korea. Thus, with the recent movement in the Korean pharmacy community towards a more patient focused approach rather than a product focused approach, it would be beneficial to learn the differences between the PPE curriculums in Korea and Canada and apply any new understandings to the relatively newly introduced PPE program in Korea to further enhance the value of the new curriculum in helping to deliver quality patient care.

A Study on the Architectural Planning of Joint Pattern in the Triangular Type Ward (삼각형병동의 결합유형에 관한 건축계획적 연구)

  • Kim, Khil-Chae
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.12 no.2
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    • pp.59-67
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    • 2006
  • The purpose of this study is to present the research data to improve the quality of triangular ward in general hospital in Korea. Drawing documents analysis were used to examine the condition of ward. This study in focused on patient room and atrium according to connection type of triangular ward, allocation of NS, module and direction of patient room. The results of this study is as follows; Triangular ward has two joint pattern(conner and conner, side and side). Conner and conner joint pattern is good at planning of lighting than side and side joint pattern. Triangular ward can has different module system in each side. Allocation of NS is important factor which is focused on patient relationship or ward control.

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