• Title/Summary/Keyword: pattern of care

Search Result 675, Processing Time 0.028 seconds

A Study for Identification of Nursing Diagnosis using the Roy's Adaptation Model in Maternity Unit (Roy's Adaptation Model에 의한 모성영역에서의 간호진단 확인연구)

  • Jo, Jeong-Ho
    • The Korean Nurse
    • /
    • v.33 no.3
    • /
    • pp.79-91
    • /
    • 1994
  • The purpose of this study was to identify the meaningful nursing diagnosis in maternity unit and to suggest formally the basal data to the nursing service with scientific approach. The subject for this paper were 64 patients who admitted to Chung Ang University Hospital, Located in Seoul, from Mar. 10, to July 21, 1993. The results were as follows: 1. The number of nursing diagnosis from 64 patients were 892 and average number of nursing diagnosis per patient was 13.9. 2. Applying the division of nursing diagnosis to Roy's Adaptation Model, determined nursing diagnosis from the 64 patients were 621 (69.6%) in physiological adaptation mode and (Comfort, altered r/t), (Injury, potential for r/t), (Infection, potential for r/t), (Bowel elimination, altered patterns r/t), (Breathing pattern, ineffective r/t), (Nutrition, altered r/t less than body requirement) in order, and 139 (15.6%) in role function mode, (Self care deficit r/t), (Knowledge deficit r/t), (Mobility, impaired physical r/t) in order, 122 (13.7%) in interdependence adaptation mode, (Anxiety r/t), (Family Process, altered r/t) in order, 10(1.1%) in self concept adaptation mode, (Powerlessness r/t), (Grieving, dysfunctional r/t) in order. 3. Nursing diagnosis in maternity unit by the medical diagnosis, the average hospital dates were 3.8 days in normal delivery and majority of used nursing diagnosis, (Comfort, altered r/t) 64.6%, (Self care deficit r/t) 13.6% in order, and the average hospital dates were 9.6 days in cesarean section delivery and majority of used nursing diagnosis, (Comfort, altered r/t) 51.6%, (Self care deficit r/t) 15.2%, (Infection, potential for r/t) 9.9%, (Injury, potential "for r/t) 8.1%, (Anxiety r/t) 5.0%, (Mobility, impaired physical r/t) 3.3% in order, and the average hospital dates were 15.8days in preterm labor and majority of used nursing diagnosis, (Comfort, altered r/ t), (Anxiety r/t), (Injury, potential for r/t) in order, and the average short-term hospital dates were 2.5days, long-term hospital dates were 11.5days in gynecologic diseases and majority of used nursing diagnosis, (Comfort, altered r/t). (Self care deficit r/t), (Injury, potential for r/t), (Infection, potential for r/t) in order.

  • PDF

The relation between mother's emotional expressiveness, parenting self-efficacy, verbal control style and child's peer interaction, ability to solve interpersonal problem (어머니의 정서표현력, 양육효능감, 언어통제유형과 유아의 또래상호작용 및 대인문제해결력과의 관계)

  • Kim, Hyoun Ji;Jeon, Kyung Ah
    • Korean Journal of Childcare and Education
    • /
    • v.7 no.4
    • /
    • pp.273-299
    • /
    • 2011
  • The purpose of this research was to examine the relationship of mother's emotional expressiveness, parenting self-efficacy, verbal control style and children's peer interaction, ability to solve interpersonal problem in an attempt to help improve mother's practical parenting style for promoting children's peer interaction and ability to solve interpersonal problem. The subject of this research were four to five year-old 212 children from five day care center in J city and their teachers. Teachers were tested by questionnaires and children were interviewed. There were the results of this research. There were significant positive correlation among mother's positive emotional expressiveness, positive peer interaction and ability to solve interpersonal problem. There were significant positive correlation among negative emotional expressiveness, negative peer interaction and ability to solve interpersonal problem. There were significant positive correlation between parenting self-efficacy and positive peer interaction. There were significant positive correlation among imperative verbal control pattern and negative peer interaction and ability to solve interpersonal problem. There were significant positive correlation among hierarchical verbal control pattern and negative peer interaction and ability to solve interpersonal problem. There were significant positive correlation among humanitarian verbal control pattern and positive peer interaction and ability to solve interpersonal problem. There were significant negative correlation between parenting self-efficacy and negative peer interaction. There were significant negative correlation between imperative verbal control pattern and positive peer interaction.

A Study on the Recognition and Actual Condition of Korea Medical Doctors in Oriental Medical Care of Hypertension (국내 임상한의사의 고혈압 한방치료 인식 및 실태조사)

  • Shin, Mi-Suk;Han, Chang-Hyun;Kim, Bo-Young;Kim, Ki-Jin;Park, Sun-Hee;Choi, Sun-Mi
    • Journal of Acupuncture Research
    • /
    • v.25 no.6
    • /
    • pp.23-33
    • /
    • 2008
  • Objectives : The study was accomplished to find out how korean medical doctor take oriental medical service for hypertension patients in clinical practice Methods : Survey questions were developed based on consensus of 2 clinician, 2 oriental internal medicine specialist and 1 acupuncture specialist. The list of the Korean oriental medical doctors is provided by the Association of the Korean Oriental Medicine. The questionnaire were distributed via E-mail to 9,465 members of Korean oriental medical doctors from 19th August 2008 to 11th September 2008. One thousand sixty three(11.24% of 9,465) members completed answer and the computerized data were analyzed by SAS statistical program Results : Fifty-one percent of Korean oriental medical doctors has experienced hypertension treatment. The most common medical diagnosis method was pattern diagnosis(64.2%). Saam and five element acupuncture were as frequent as 32.3% of acupuncture prescription principle. The most common acupuncture points were region of shoulder and back acupoints inclued $GB_{21}$, $GV_{14}$(25%). The most common herbs prescription principle were 'constitution prescription'(35.4%), 'pattern prescription'(12.6%). The most common opinion for the revitalization of oriental medical service were 'medical insurance system of herbal medicine'(28.8%) and 'research of oriental medical treatments in hypertensive patients'(26.8%). Conclusions : This survey provides unique insight into the perception, treatment method of the Korea medical doctor at oriental medical service for hypertension patient. This study provides a wealth of information and a fresh raft of questions which will inform future research and policy-making.

  • PDF

Comparative Serum Proteomic Analysis of Serum Diagnosis Proteins of Colorectal Cancer Based on Magnetic Bead Separation and MALDI-TOF Mass Spectrometry

  • Deng, Bao-Guo;Yao, Jin-Hua;Liu, Qing-Yin;Feng, Xian-Jun;Liu, Dong;Zhao, Li;Tu, Bin;Yang, Fan
    • Asian Pacific Journal of Cancer Prevention
    • /
    • v.14 no.10
    • /
    • pp.6069-6075
    • /
    • 2013
  • Background: At present, the diagnosis of colorectal cancer (CRC) requires a colorectal biopsy which is an invasive procedure. We undertook this pilot study to develop an alternative method and potential new biomarkers for diagnosis, and validated a set of well-integrated tools called ClinProt to investigate the serum peptidome in CRC patients. Methods: Fasting blood samples from 67 patients diagnosed with CRC by histological diagnosis, 55 patients diagnosed with colorectal adenoma by biopsy, and 65 healthy volunteers were collected. Division was into a model construction group and an external validation group randomly. The present work focused on serum proteomic analysis of model construction group by ClinProt Kit combined with mass spectrometry. This approach allowed construction of a peptide pattern able to differentiate the studied populations. An external validation group was used to verify the diagnostic capability of the peptidome pattern blindly. An immunoassay method was used to determine serum CEA of CRC and controls. Results: The results showed 59 differential peptide peaks in CRC, colorectal adenoma and health volunteers. A genetic algorithm was used to set up the classification models. Four of the identified peaks at m/z 797, 810, 4078 and 5343 were used to construct peptidome patterns, achieving an accuracy of 100% (> CEA, P<0.05). Furthermore, the peptidome patterns could differentiate the validation group with high accuracy close to 100%. Conclusions: Our results showed that proteomic analysis of serum with MALDI-TOF MS is a fast and reproducible approach, which may provide a novel approach to screening for CRC.

A Study on Make-up Behavior and Cosmetics Purchasing Pattern of Male (남성의 화장행동과 화장품 구매에 관한 연구)

  • Lee, Il-Cheong;Choi, Eun-Me
    • Journal of the Korean Society of Fashion and Beauty
    • /
    • v.2 no.2 s.2
    • /
    • pp.34-47
    • /
    • 2004
  • The objective of this study is to investigate the perception of males about make-up and the make-up process, analyze principal factors affecting their decision when purchasing cosmetics and, ultimately, to provide basic data for further survey and research into features of cosmetics and their satisfaction. The subjects of the study a.e male adults living in Jeonju, Iksan and Gunsan cities of Jeonbuk province. Surveyors made direct interviews with the subjects from October 21 to 30, 2003 and collected 174 questionnaires from them, which were subsequently put to the final analysis. The demographic characters of the surveyed showed that 60.9% of them were in the age ranging 30 to 39, 75.3% married, 69.5% undergraduates or graduates, 39.1% self-employed, 25.9% earning more than 3.01 million Won monthly and 43.7% spending less than 10,000 Won a month for cosmetics. Their make-up and purchasing pattern of cosmetics featured that 54.0% of the surveyed use cosmetics for skin care, 54.0% for cleanness and health, 84.5% for foundation(lotion or skin lotion) only, and 60.9% once a day. Out of the surveyed males, 79.3% haven't experienced any adverse side effects after make-up. Of those who experienced, 80.5% named disagreement of cosmetics with skin for the reason. As for kind or symptom of the side effects, 38.8% set forth itching. Among those who had aftermath or intoxication from make-up, 52.8% said they could recover naturally. According to the survey, 57.5% felt somewhat awkward after make-up, but not quite bad though. Thirty-seven point nine percent of the males surveyed replied they cared little about the purpose of male-oriented cosmetics. Quality was raised by 31.0% as the foremost issue to improve. Television turned out to be the main source for 56.9% of the surveyed to get information about cosmetics. For 56.35%, general discount shops are preferred to buy cosmetics and 24.7% of them take ones recommended by salespeople. When buying cosmetics, 47.1% considered color and fragrance most seriously.

  • PDF

A study on pattern of changes of Mibyeong recognition, prevalence and its management plan in Korean public : national survey (일반인의 미병 인식 변화 양상과 관리방안 조사)

  • Lee, Eunyoung;Park, Kihyun;Yoo, Jonghyang;Lee, Siwoo
    • Journal of Society of Preventive Korean Medicine
    • /
    • v.20 no.1
    • /
    • pp.1-10
    • /
    • 2016
  • Objectives : The purposes of this study were to investigate the recognition of Mibyeong, symptom, management plan and correlation between quality of life and health condition, and to suggest a plan for managing Mibyeong status. Methods : Participants were recruited based on the same sampling methods used on the previous study performed in 2013 based on area, gender and age. Questionnaires were collected by Gallup Korea professional surveyor through face-to-face interviews. The questionnaires contain questions about the recognition of Mibyeong, symptom, management plan and the quality of life in accordance with the relevant health conditions. Descriptive statistics were used for data analysis and the results were expressed as percentage ratios (%). Results : 1,100 of people were acquired in 2015. The responses for "First time to hear of Mibyeong" have shown that the percentage were reduced from 80% to 67% compared with 2013 data. The ratio of Mibyeong's symptoms in 2015 were similar to 2013. we suggested some ways to deal with the Mibyeong status including behavior adjustment (non smoking, non alcohol, control sleep pattern), herbal tea, health functional food, exercise, preventive health care (qi-gong, yoga), meditation, home health care medical device (hot-pack, seat device for fumigation, massager), and medical service (hospital, medical clinic oriental medical clinic). Almost people showed that positive opinion with them. There were significant correlation between quality of life with the health status rather than Mibyeong or disease group. Conclusions : This study was performed through scientific questionnaires collected in 2013 and 2015 to investigate people's understanding of Mibyeong as a present condition in Korean public. Some questions had significantly different responds between both years while others showed similar trends for both years. These results suggest that the concept of Mibyeong in oriental medicine could provide a management mechanisms that help people to manage the Mibyeong status.

Association of Anger Expression Patterns and Health Status in Health Care Workers (일 의료기관 종사자의 분노표현유형과 건강상태)

  • Lee Won-Hee;Kang Duck-Hee;Park Jin-Hee;Kim Soo-Hyun;Min Sung-Gil;Nho Jae-Hun
    • Journal of Korean Academy of Nursing
    • /
    • v.36 no.5
    • /
    • pp.821-828
    • /
    • 2006
  • Purpose: The purpose of this study was to examine anger-expression patterns and their association with state and trait anger and physical and psychological health status in health care workers. Method: Four hundred and forty eight nurses, physicians and technicians from a large medical center completed standardized questionnaires of anger, anger-expression patterns and mood. They also had blood pressure, cholesterol, blood glucose and body mass index measured during their annual physical examinations. Data was analyzed using descriptive statistics, independent t-test, chi-square and ANOVA. Results: Subjects showed two major clusters of anger-expression patterns: anger-control and anger-in/out. Subjects with the anger-in/out pattern reported higher state and trait anger and more anxiety, depression and fatigue than subjects with the anger-control pattern. Physical health indicators, however, were not significantly different between the two clusters of anger-expression patterns. Conclusion: Anger-expression patterns are associated with psychological health status but not with physical health status. Anger-expression patterns, however, need to be examined over time to assess their long-term effects on the physical and psychological health status in future studies.

Trend of health care utilization of cleft lip and/or palate in Korea during 2007-2016

  • Hong, Mihee;Baek, Seung-Hak
    • The korean journal of orthodontics
    • /
    • v.48 no.4
    • /
    • pp.216-223
    • /
    • 2018
  • Objective: This study is performed to investigate the trend of health care (HC) utilization among cleft lip and/or palate (CL/P) during 2007-2016 by using data from the Korean National Health Insurance Service (KNHIS). Methods: The KNHIS data were reorganized to count a specific patient only once for a specific year. Cleft type (cleft lip [CL], cleft palate [CP], and cleft lip and palate [CLP]), sex, and age at HC utilization were investigated. The study period was divided into the first half (2007-2011) and the last half (2012-2016). The utilization number and rate per 1,000 population were calculated for the total population and for new-born patients. Independent t-test and one-way analysis of variance were used for statistical analyses. Results: The total CL/P population (n = 48,707) comprised 19.2% CLP, 35.5% CL, and 45.3% CP (CLP < CL < CP; p < 0.001). Their HC utilization rate increased from 0.066 in 2007 to 0.118 in 2016. The new-born patient population (n = 7,617) comprised 18.6% CLP, 30.4% CL, and 51.0% CP (CLP < CL < CP; p < 0.001). Their HC utilization rate increased from 1.12 in 2007 to 1.74 in 2016. An examination of the utilization number and rate among new-born patients revealed CP exhibited a female-dominant pattern (all p < 0.01), while CL and CLP exhibited a male-dominant pattern (all p < 0.01). However, utilization number showed no difference by sex and cleft type between 2007-2011 and 2012-2016. Conclusions: These results might serve as a guideline for HC utilization among patients with CL/P.

Rural Health subcenter Utilization Pattern and Its Related Factors (일부 농촌지역 주민의 보건지소 이용 양상과 관련요인)

  • Sohn, Seok-Joon
    • Journal of agricultural medicine and community health
    • /
    • v.19 no.2
    • /
    • pp.97-106
    • /
    • 1994
  • In order to estimate the utilization pattern of a rural health subcenter, and to identify the recognition for it among the inhabitants in Kogsung district, a questionnaire survey was carried out for objects of 708 population. The results observed were as follows; 1. The annual utilization rate of a rural health subcenter for a basic health service unit was 27.5 per 100 persons, and annual mean visiting times was 1.43 times. 2. The most frequent disease by, annual health subcenter utilization illness was respiratory disease(26.5%), and the next was musculoskeletal disease(23.9%), gastrointestinal disease(15.9%) by order. 3. Favorite reasons for community health subcenter utilization were lower medical cost(23.4%), near distance from living place(20.7%) and lower disease severity(19.5%) by order. But disfavorite reasons for it were non effective treatment(26.2%), insufficient equipment(25.4%) and absence of specialist(17.4%) by order. 4. Insufficient items about community health subcenter utilization were restriction of treatment limit(47.1%), lower reliance(22.4%) and not punctral(21.8%) by order. 5. The results of logistic regression analysis suggested that statistically significant factors in health subcenter utilization were age, educational level and the nearest medical facility class. 6. There was no difference between recognition for a community health subcenter's work and actual utilizing service, and desirable works for it were disease preventing service, disease control of elderly and sanitation control by order. These results suggested that to increase the utilization of rural health subcenter and to promote the accessibility of rural residents to primary health care, there must be considered public relation about health subcenter, expansion of health equipment and recognition about access time.

  • PDF

Low doses of amitriptyline, pregabalin, and gabapentin are preferred for management of neuropathic pain in India: is there a need for revisiting dosing recommendations?

  • Kamble, Sanjay Vasant;Motlekar, Salman Abdulrehman;D'souza, Lyndon Lincoln;Kudrigikar, Vinay Nanda;Rao, Sameer Eknath
    • The Korean Journal of Pain
    • /
    • v.30 no.3
    • /
    • pp.183-191
    • /
    • 2017
  • Background: Current therapy for the treatment of neuropathic pain is often unsatisfactory. Considerable variation in treatment pattern still exists in spite of availability of sufficient literature from various guidelines. Recent Indian market data suggested that the utilization (sale) of drugs such as amitriptyline, pregabalin, and gabapentin was more for low-dose unit packs than that of the high-dose unit packs, raising the belief that these drugs are prescribed at a lower dose than is actually recommended in the guidelines. To test this hypothesis, a survey was conducted across speciality throughout the country to observe the prescription pattern of these drugs amongst the health care providers in India. Methods: Three hundred fifty survey forms were distributed of which 281 forms were included for analysis. Results: It was observed that the commonly used initiation and maintenance dose for amitriptyline, pregabalin, and gabapentin was 5-10 mg/day, 50-75 mg/day, and 100-300 mg/day, respectively. The reason to select the lower dosages was to have a balancing effect to achieve good efficacy with minimum side effects. Care-givers reported no side effects/not many side effects as a reason in 22.2%, 16.88%, and 23.86% patients with amitriptyline, pregabalin, and gabapentin, respectively. Sedation and giddiness were commonly reported with all three drugs. Conclusions: Commonly prescribed drugs for management of neuropathic pain, such as amitriptyline, pregabalin, and gabapentin are preferred at lower doses in Indian clinical settings. Acceptable efficacy and low tolerance to the standard dosage is believed to be the reason behind the prescribed dose.