Background: Patient-centered care has recently become highly recommended, because it can improve health outcomes more effectively than problem-oriented care. The goal attainment scale (GAS) is one of the methods used for patient-centered care. It was originally developed as an outcome measurement tool, but it can also be used as a therapeutic intervention when setting quantifiable patient-centered goals. Objects: We sought to identify the effect of setting patient-centered goals on rehabilitation outcomes in patients with subacute stoke using GAS. Methods: Overall, 46 subjects with subacute stroke were divided into experimental ($n_1=23$) and control ($n_2=23$) groups. Subjects in both groups attended physical therapy sessions five times a week for four weeks. Those in the experimental group set goals using goal-attainment scaling. The mobility of each subject was evaluated using the Rivermead mobility index (RMI); daily-living activities, using the K-modified Barthel index (K-MBI); participation, using the Hopkins rehabilitation-engagement rating scale (HRERS); satisfaction, using the patient-satisfaction scale (PSS). Results: Subjects in the experimental group experienced more significant increases in RMI, HRERS, and PSS than those in the control group (p<.05, p<.05 and p<.01, respectively). After four weeks, GAS scores of the experimental group had increased more significantly than those of baseline (p<.01). Conclusion: Setting patient-centered goals is effective in improving the mobility and satisfaction of patients with subacute stoke. Setting patient-centered goals needs to be performed more frequently in clinical settings.
The purpose of this study was to verify the factors influencing the happiness index for elderly patients hospitalized in nursing hospitals with a structural model. A survey was conducted on 237 people in 6 nursing hospitals in G city from July 1 to August 15, 2018, and analyzed with SPSS 18.0 and AMOS 18.0 programs. As a result of the research, the direct effect on the happiness index is the greatest factor, Next, perceived health status, economic status, and nursing satisfaction are in order, and the explanatory power is 66%. Both direct and indirect economic conditions were found to have a significant effect, and hospitalization period only had indirect effects through helplessness and nursing satisfaction. Therefore, development and application of various programs that can reduce the feeling of helplessness and improve the perceived health status. It is believed that an integrated management system, such as support system support and nursing intervention, suitable for each individual situation is needed.
The purpose of this study was to examine overall customer satisfaction associated with medical service quality in Taiwan by integrated Kano's model and customer satisfaction index model. Another purpose was to confirmed nonlinear and asymmetric relationship of Customer Satisfaction and Quality Performance by the research outcome. By analyzing 1,100 patients or their family members, this study used the structural equation model (SEM) with AMOS software for data analysis. The results show that must-be attributes, one-dimensional attributes and attractive attributes had a direct effect on overall customer satisfaction, Surprisingly, overall customer satisfaction had positively influenced customer loyalty customer satisfaction had negatively influenced customer complaints. The study also found that customer complaints have direct effect on customer loyalty. Importantly, the study found out the must-be attributes, the attractive attributes and one-dimensional attributes increased, the level of overall customer satisfaction also increased. The customer satisfaction positively influences customer loyalty in medical service quality in Taiwan. The findings might reveal new insights for researchers dealing with quality of medical service and for hospital managers who devote resources exclusively to achieving highest possible levels of patient satisfaction.
The present study investigated the effect of area-specific social networks on urban workers life satisfaction. For this, 356 adults over age 20 were interviewed from June 17th 2013 to June 29th 2013. The findings are as follows: First, the closeness of family network index demonstrates that participants with higher affective support have higher life satisfaction. In addition, stronger extended family network brings more life satisfaction and so does a bigger friendship network. Secondly, the extended family network explains 17.6% of the variance in social networks follows by family network, other network, and friendship network, respectively. The closeness variable of social networks yields statistical significance on all categories of networks. The affective support level in the closeness variable of social networks shows differences as well; family network positively associates with life satisfaction. The purposes of this research are to investigate the actual conditions of urban workers' life satisfaction and the influence of family, extended family, friendship, and other variables on life satisfaction. If social networks have an influence on life satisfaction, to find the domain of social networks that holds the most influences on life satisfaction is an important ground in the process of implementing regional welfare.
Purpose: The purpose of this study was to investigate job stress and job satisfaction among nurses in gastrointestinal endoscopy units, and factors related to their job stress and job satisfaction. Methods: The study participants were 153 nurses working in gastrointestinal endoscopy units at eleven general hospitals. Job stress and job satisfaction were measured using nurses's job stress scale and the index of work satisfaction respectively. Results: The average job stress was 3.67 (range 1~5) and job satisfaction was 2.90 (range 1~5). Gastrointestinal endoscopy unit nurses, who were full time worker, having more than 7 years of clinical experiences, having higher incomes, having high subjective work-intensity, and having an intention to change their working units, showed greater job stresses than those of the others. There were significant differences in job satisfaction according to subjective health status, the types of employment, subjective work-intensity, subjective aptitude, intention to change working units, major nursing tasks, and the numbers of major nursing tasks. Also, the subjects's job stress showed a negative correlation with job satisfaction. Conclusion: Findings suggest that management strategies should be developed to increase job satisfaction focusing on general and job characteristics associated with job stress.
Purpose: Loneliness may be a typical psychological consideration in chronically ill patients, linking with low life satisfaction. We aimed to determine if loneliness would be independently associated with life satisfaction in pneumoconiosis patients hospitalized in long-term care facilities. Methods: We recruited 164 patients from 3 pneumoconiosis-specialized hospitals in M and S cities, South Korea, and measured loneliness and life satisfaction by using the University of California Los Angeles loneliness and life satisfaction index-Z scales. The Multiple regression analysis was performed to examine an independent association between loneliness and life satisfaction after adjustment for age, the levels of dyspnea and bronchitis-emphysema symptom, length of institutionalization, marital status, previous coal work experience, perceived socioeconomic status, and presence of caregivers. Results: The mean of loneliness was 46.4. We found a significant association between loneliness and life satisfaction (standardized beta=-0.16, p=0.049), independent of all the covariates. Conclusions: Loneliness was an independent associate of life satisfaction in patients with pneumoconiosis who were institutionalized in long-term care facilities. Thus, a nursing intervention strategy for relieving loneliness is needed to increase life satisfaction in these patients.
KSCE Journal of Civil and Environmental Engineering Research
/
v.29
no.4D
/
pp.473-481
/
2009
This research developed integrated service assessment index on satisfaction with road use in consideration of not only quantitative parts, such as the existing traffic speed and delay but also qualitative parts, such as traffic information and traffic safety, etc. The newly devised assessment index developed assessment items and weight using ANP analysis method through the existing research results and questionnaire survey on traffic experts and road users. To verify the developed assessment index, this research measured the feeling degree of road users in time of their driving and analyzed the reasons using the brain waves tester; as an analysis result, the speed shown in the existing assessment index was found to have a 35% effect and further, the factors, such as traffic safety and traffic information were also found to have a lot of effects on the road $users^{\circ}{\emptyset}$ feeling degree. Accordingly, the integrated assessment index suggested by this research has its significance in that it is available to assessment in view of users rather than the existing satisfaction with the service in road use, and this index was developed to reflect the needs of the times, such as a fine view of roads, traffic information, and traffic safety.
The purpose of this study was to find out apparel fit satisfaction according to item(jacket, pants, skirt) by body perception and body satisfaction. This research was done by a survey method. Descriptive Statistics, Pearson's Correlation, Crosstabs were used for data analysis. The results of this study are as follows. 1) Correlation between body perception and body satisfaction : The subjects were less satisfied with larger or thicker girth of upper body. The subjects were less satisfied with thicker upper arm, lower arm, waist and lower abdomen. The subjects were more satisfied with taller height. The subjects were less satisfied with larger or thicker girth of lower body. The subjects were less satisfied with thicker hips. thighs, calves, ankles, and longer crotch length. However, they were more satisfied with longer legs. 2) Apparel fit by body perception and body satisfaction: The subjects who were less satisfied with thicker upper arm, waist, thighs and wider hips were less satisfied with the upper arm area, waist area. hip area of jacket. The subjects who were more satisfied with longer arms were more satisfied with the sleeve length of jacket. The subjects who were less satisfied with wider shoulder width were less satisfied with the upper back width of jacket. It means the shoulder width affected more the upper back width of jacket than shoulder width of jacket. The subjects who were less satisfied with wider hips were less satisfied with the hip area of pants and skirt. The subjects who were less satisfied with thicker thighs were less satisfied with the thigh area and the hip area of pants and skirt. The subjects who were less satisfied with longer crotch length were less satisfied with the crotch length of pants. 3) Difference between actual body and perceived body by Rohrer Index: Rohrer Index 109 calculated by average of the ideal height(165.83cm) and weight(49.78kg) of the subjects ranged in thin body type(below 120). The subjects tended to perceived their bodies fatter than their actual bodies. Also, the subjects tended to perceived their lower bodies fatter than upper bodies.
This study was designed to investigate effects on cognitive perception. health promotion activity and life satisfaction of elderly. The participants for this study were 292 in senior citizen's center in S-city. The participants were categorized by two groups. one have taken exercise regularly. at least more than one a week for 6 months, the other have not. The measurement tools were the Perceived Benefit Scale developed by Walker, et al. and translated by Kim. Hee Ja(1994), the Life Satisfaction Index developed by Neugarten. etc. and translated by Lee. Ga Ok(1994) and Self efficacy Scale developed by Kim. Hee Ja (1994). The data were collected by personal interviews. which were taken from January 11 to 16. 1999, and analyzed by SAS 6.12. The major results of this study were as follows 1) Scores of self-efficacy were higher regular exercise group than irregular group. 2) Regular exercise group have taken exercise such as jogging, climbing and the other hands irregular group have not. 3) When the participants were categorized by smoking, other health promotion behavior (weight control. diet), both scores of life satisfaction index were higher smoking group than non-smoking group, other health promotion behavior than non-health promotion behavior. 4) There was no significant difference between the two groups in terms of perceived benefit, life satisfaction, From these findings, regular exercise program will be able to provide elderly with opportunity to change positively their lives in cognitive perception. health promotion activity.
The purpose of this study is to forecast patient satisfaction and service value through the staged regression analysis of the relation between each factor and its satisfaction and service value, following the measurement of the quality of dental care service that patients recognize. And a self-administered survey was used for this study. The subjects of this survey were 394 outpatients of dental clinics located in K city in the period from Dec. 5, 2004 to Feb. 19, 2005, the questionnaire was composed of a total of 31 questions to measure the quality of overall dental care service(22 questions), the patient satisfaction(6 questions) and the service value(3 questions). The 7 points Likert scale ranging from "very poor"(1-point) to "very high"(7-point) was used for these questions The results of study could be summarized as follows: 1. The most useful index to predict patient satisfaction turned out to be "internal environment", followed by "treatment process and waiting time", "dentist", "external environment", and "dental hygienist". 2. The service value had a significant effect on the "internal environment", "dentist", "treatment process and waiting time". 3. The most useful index to predict the service value turned out to be "treatment process and waiting time", followed by "internal environment" and "dentist". Today, the quality of dental care service is becoming a prime concern since it is directly connected to a matter of survival of medical service organizations. Dental clinics desperately need patient-oriented marketing strategies in order to actively cope with changing medical environment. They also need to thoroughly examine possible measures to maximize the service value by establishing a variety of service strategies which can promote service quality that patients recognize.
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