• Title/Summary/Keyword: the Compliance Control

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Effect of Trust in Government's Ability to Respond to COVID-19 on Regional Incidence and Mortality in Korea (정부의 코로나19 대응능력에 대한 신뢰도가 지역별 발생과 사망률에 미치는 영향)

  • Hayoung Choi;Jinhyun Kim
    • Health Policy and Management
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    • v.33 no.1
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    • pp.65-74
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    • 2023
  • Background: The government should find ways to improve the effectiveness of the policies to control the incidence and mortality of the infectious disease. The purpose of this study is to find out whether the trust in the government's ability to respond to coronavirus disease 2019 (COVID-19) affects the quarantine and hospitalization rate, incidence and mortality rates of COVID-19 and quarantine rules compliance in each region of Korea. Methods: The subject of this study is 250 regions (si·gun·gu) in Korea, and the 2020 Community Health Survey data from the Korea Disease Control and Prevention Agency (KDCA) was used for the trust in the government's ability to respond to COVID-19, quarantine and hospitalization rate and quarantine rules compliance. For the incidence and mortality of COVID-19 and community factors, data was obtained from KDCA and Korean Statistical Information Service. Path analysis was used to find out the degree of inter-variable influence, and community factors (socio-demographic factors, community health factors, and health behavior factors) were used as control variables. Results: The regional disparity in key variables showed that the late pandemic period cumulative incidence and mortality of COVID-19 were large, while the early pandemic period quarantine and hospitalization rate and quarantine rules compliance were small. Path analysis showed that when community factors were controlled, the trust in government was statistically significant in all of the late pandemic period cumulative incidence (p=0.024) and mortality (p=0.017), and quarantine rules compliance (p=0.011). Conclusion: This study revealed that the higher the trust in the government's ability to respond to COVID-19, the lower the COVID-19 mortality and the higher the quarantine rules compliance at the regional level in Korea. This suggests that when the government implements healthcare policies to control infectious diseases, it is necessary to consider trust to improve policy compliance and control the mortality of the disease and maintain high trust through several effective methods.

A Study on the Glucose Level Control and Chronic Complication Rate in Diabetic Compliance Groups with Health Care Regimen (당뇨병 환자의 치료지시 이행군과 비이행군의 혈당과 만성 합병증 발생비교)

  • Song Min Sun;Yoo Yang Sook;Kim Hee Seung
    • Journal of Korean Public Health Nursing
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    • v.15 no.2
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    • pp.334-341
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    • 2001
  • The purpose of this study is to examine to control of glucose level and the occurrence of chronic complications of diabetes by compliance groups with health care regimen The subjects were consisted of 300 out patients with type 2 diabetes mellitus from beginning of March through the end of April in 2001, who visited at the endocrinology department at Kangnam St. Mary's Hospital of Catholic University in Seoul. The patient's compliance level with health care regimen was assessed at questionnaire. However, the blood glucose level and the occurrence of chronic complications of diabetes were assessed at medical record review. The data were analyzed by SAS program for chi square test and t-test. The results were as follows. 1. Significant differences were found among the factors such as duration of diabetes, the number of participation of diabetes educational program, job, smoking, self monitoring of blood glucose and the methods of diabetes therapy between high and low compliance groups. High compliance group patients had a diabetes longer than low compliance group patients. High compliance group patients more frequently attended the educational program and checked themselves monitoring blood glucose than low compliance group patients. Also, they did not work recently, smoked less and got more insulin injection therapy compared to low compliance group patients. 2. No significant differences were found among the result of fasting blood glucose. 2-hour postprandial blood glucose, and $HbA_{l}c}$ between high and low compliance groups. 3. The occurrence rate of macrovascular complications of chronic complications of diabetes were lower, however, the occurrence rate of microvascular complications were higher in high compliance group than in low compliance group with health care regimen.

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Robust Tracking and Human-Compliance Control Using Integral SMC and DOB (적분슬라이딩모드와 DOB를 이용한 강인추종 및 인간순응 로봇제어)

  • Asignacion Jr., Abner;Kim, Min-chan;Kwak, Gun-Pyong;Park, Seung-kyu
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.21 no.2
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    • pp.416-422
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    • 2017
  • The robot control with safety consideration is required since robots and human work together in the same space more frequently in these days. For safety, robots must have compliance to human force and robust tracking performance with high impednace for the nonhuman disturbances. The novel idea is proposed to achieve the compliance and high impedance with one controller structure. For the compliance, the ISMC(Integral Sliding Mode Control) and HDOB(Human Disturbance Observer) The human force is identified by using the human band pass filter and its output is sent to the sliding surface. The sliding mode dynamic is affected by human disturbance and the compliance for human is achieved. The disturbances besides human frequencies are decoupled by the ISMC and the robust tracking is achieved. The additional LDOB(Low Frequency Disturbance Observer) decreases the maxim nonlinear gain and leads low chattering. The introduction of human disturbance into the sliding mode dynamic is the main novel idea of this paper.

The Effects of Organizational Culture for Infection Control and Self-Efficacy on Compliance with Standard Precautions of Emergency Room Nurses (응급실 간호사의 감염관리 조직문화와 자기효능감이 표준주의 지침 수행에 미치는 영향)

  • Kim, Hyunhee;Park, Hyung-Ran
    • Journal of Korean Biological Nursing Science
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    • v.21 no.1
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    • pp.46-53
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    • 2019
  • Purpose: This study was conducted to identify the effects of organizational culture for the infection control and self-efficacy on compliance with standard precautions of emergency room nurses. Methods: This cross-sectional descriptive study was conducted from 1st July to 3rd August, 2017. The participants were 200 nurses working in emergency rooms. The data was collected using structured self-report questionnaires. Results: The average scores for the organizational culture for infection control, self-efficacy and compliance with standard precautions were 5.54, 3.65, and 4.31, respectively. The organizational culture for infection control (r = .59, p< .001) and self-efficacy (r= .28, p< .001) were found to have a positive, meaningful correlation with compliance with the standard precautions. Multiple regression analysis showed that compliance with standard precautions was significantly affected by the organizational culture for infection control (${\beta}=0.55$, p< .001) and self-efficacy (${\beta}=0.13$, p= .033). Conclusion: The results for this study indicate that the organizational culture for infection control and self-efficacy were highly influential factors affecting compliance with standard precautions of emergency room nurses. Therefore, in order to improve the nurses' use of the standard precautions, it was necessary to develop and evaluate a program that considers the environmental factors and self-efficacy.

Compliance Analysis for Effective handling of Peg-In/Out-Hole Tasks Using Robot Hands (로봇 손을 이용한 팩의 조립 및 분해 작업을 효율적으로 수행하기 위한 컴플라이언스 해석)

  • Kim, Byoung-Ho;Yi, Byung-Ju;Suh, Il-Hong;Oh, Sang-Rok
    • Journal of Institute of Control, Robotics and Systems
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    • v.6 no.9
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    • pp.777-785
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    • 2000
  • This paper provides a guideline for the determination of compliance characteristics and the proper location of the compliance center in typical peg-in-hole and peg-out-hole tasks using hands. We first observe the fact that some of coupling stiffness elements cannot be planned arbitrarily. The given peg-in/out-hole tasks are classified into two contact styles. Then, we analyze concluded of the operational siffness matrix, which achieve the give peg-in/out-hole tasks effectively for each case. It is concluded that the location of the compliance center on the peg and the coupling stiffness element existing between the translational and the rotational direction play ompliance on the peg and the coupling siffness element existing between the translational and the rotational direction play important roles for successful peg-in/out-hole tasks. The analytic results verified through simulations.

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The Effects of Compliance and Self Efficacy on Nursing Education Program for Pneumonia Patient (폐렴환자를 위한 간호교육프로그램이 순응도 및 자기효능감에 미치는 효과)

  • Kang, Kyung Sook;Choi, Hanna
    • Journal of Korean Biological Nursing Science
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    • v.22 no.3
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    • pp.184-191
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    • 2020
  • Purpose: The purpose of this study was to validate the effects that the structured pamphlet and education through tablets regarding the daily life management and disease nursing education program has towards pneumonia patients in compliance, and self-efficacy. Methods: This study used the quasi-experimental study design based upon the nonequivalent control group pretest-posttest design. A total of 100 patients-50 patients who were hospitalized February 2020 as the control group and 50 patients who were hospitalized March 2020 as the experimental group - were used as material for the statistical analysis. These data were analyzed with a significance level of p< .05 using the SPSS WIN 21.0 program. Results: The patients' compliance, and self-efficacy had no significance difference between the two previous scores, meaning homogeneity in the two groups. Through verifying the experimental group who had disease and daily-life managing nursing education will have higher scores in compliance (t= 20.95, p< .001), and self-efficacy (t= 17.24, p< .001) than the control group who had not received those education, were statistically significantly different leading to all hypothesis being supported. Conclusion: For improving pneumonia patients' compliance, the methods should be simple, easy to understand, effective in numerous clinical situations, require constant education and reinforcement, and periodic nursing education program.

A Study on Hypertensive Patients Compliance to Medical Recommendations (고혈압 환자의 치료지시 이행에 관한 연구)

  • 최영희
    • Journal of Korean Academy of Nursing
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    • v.10 no.2
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    • pp.73-85
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    • 1980
  • The purpose of this study was to investigate the compliance behavior of hypertensive patients in light of their health belief model that explains an individual's compliance with health maintenance or getting well. Although there are many effective regimens and treatments for hypertension nowadays. the most important point to be taken to consideration in their behavioral aspect is their compliance with regard to the control of body weight. eating habits as to salt and cholesterol intake. stresses. activity patterns and smoking as related to their life style. The important reasons for the failure in the control of hypertensive patients are the complexity of regimens to be complied to. irregular medication and the life long restrictions in their own life style. The compliance of patients to medical regimens and rocommendations or failure to do so is an essential factor. Accordingly. the degree of the patient's compliance is an important determinant as to the success or failure of hypertension control. The subjects for this study were 187 hypertensive patients selected from admitted and out patients of the medical department at seven University Hospitals in Seoul. Data was collected from Dec. 1, 1979 to Feb. 15, 1980 using the questionaire method and was analysed by the use of means. standard deviations, coefficient of correlations, analysis of variance and multiple regression analysis. The results obtained are as follows A. Of the seven independent variables in light of health belief model. benefit. barrier and severity are closely related to patient's compliance behavior. Therefore these variables could be used as determinants to predict and modify the hypertensive behavior. 1. Benefit is the most important and significant of the variables for explaining the dependent variables. It accounts for the highest variance of patient's compliance. (23.62%) 2. Then taking the former together with barrier. the variance of compliance showed on increase. (26.59%) 3. And with the addition of severity to the first two. the variance of compliance was also increased. (28.l2 %) B. Except for susceptibility all the independent variables such as severity. benefit, knowledge. motivation and barrier are correlated to dependent variable compliance. C. Sex. marital status and religion appeared to have significant influence on the dependent variables. Therefore one could conclude that the more the patients are aware that hypertension is a threat to health. the more they understand the benefit of taking actions to prevent such a threat. and the less they perceive any barrier when taking action. the more compliant they become in following medical regimens and recommendations. Age. marital status and religion played a significant influence to their compliance. Accordingly. the selected structural variables and demographic variables which have influenced sick role behavior of the hypertensive patient must be integrated to teaching and counselling programs for better hypertension control.

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Effects of Coping on Physical and Psychosocial Adaptation by Illness Duration in Patients with Rheumatoid Arthritis (류마티스 관절염 환자의 질병 기간에 따른 대처 유형과 적응과의 관계)

  • Kim, In-Ja;Suh, Moon-Ja
    • Journal of muscle and joint health
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    • v.5 no.1
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    • pp.26-38
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    • 1998
  • The effects of coping on physical and psychosocial adaptation in the 297 patients with rheumatoid arthritis were investigated. The coping methods were divided into compliance of medical regimens, self-control activities, and cognitive control. The effects of these coping methods was analyzed with stepwise regression. The physical adaptation is found to be significantly affected by cognitive control, self-control activities, and compliance of medical regimens in order Compliance of the medical regimens affects negatively the physical adaptation. And psychosocial adaptation is significantly affected by the cognitive control. The analysis of these results by illness duration showed the distinct differences. That is in the patients who experienced the disease less than 48 months, the physical and the psychosocial adaptation were significantly affected only by the cognitive control. But in the patients who experienced the disease more than 96 months, the physical and the psychosocial adaptation were significantly affected by self-control activities. Based upon these results, it is recommended that the nurses who care the newly diagnosed patients emphasize on the positive side of the state. And the patients who are diagnosed long ago need the nursing programs which teach and promote self-control activities. Also it is suggested that the results of compliance must be considered rather than as the result variable.

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Efects of Breastfeeding Education Program on the Promotion of Mother's Feeding Compliance (모유수유 강화교육 프로그램이 산모의 모유수유 실천에 미치는 영향)

  • Lee, Eun-Sook;Suh, Young-Sook
    • Women's Health Nursing
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    • v.2 no.1
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    • pp.68-87
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    • 1996
  • The purpose of this study was to investigate the effects of breast-feeding education program on the promotion of mothers's feeding compliance during the 4 months after childbirth. A nonequivalent control group posttest design was used. Eighty-nine pregnant women at their 32 more weeks of gestation receiving antenatal care at the Chonnam University Hospital Obstetrics Clinic were assigned to the experimental group. Control group was ninety-nine pregnant women over 32wks of gestation receiving antenatal care at the Kwangju Christianity Hospital Obstetric Clinic during the same period. Breast-feeding education program was introduced to the experimental group from antepartal visit to 4 months after childbirth. Data were collected primarily via telephone interview on the 7th day, the end of 1 month and the 4 months after childbirth respectively. The results showed that 1) the frequency of breast-feeding continuation promoting behaviors was higher in the experimental group than in the control group. 2) The rates of mothers' compliance during the 4 months after childbirth in the experimental group demonstrated a significant difference ; much higher rate of mothers' compliance than control group. Conclusively, the breast-feeding education program increase the rate of mothers' compliance and duration of breast-feeding.

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Effect of Breathing Exercise Using Panflutes on the Postoperative Compliance, Pulmonary Infections and Life Satisfaction in Elderly Patients Undergoing Spinal Surgery (척추수술을 받는 노인에게 시행한 수술 전 팬플룻 호흡운동 훈련의 효과)

  • Jo, Hyun Mi;Shin, Hyunsook
    • Journal of Korean Academy of Nursing
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    • v.48 no.3
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    • pp.279-288
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    • 2018
  • Purpose: The purpose of this study was to examine the effects of breathing exercises performed using panflutes in elderly patients undergoing spinal surgery. Methods: The study design was a nonequivalent control group non-synchronized pre-post test. The study included 24 patients in both the experimental group and the control group. The experimental group completed a daily breathing exercise regimen using panflutes for 30minutes after meals, whereas the control group was provided standard preoperative education, including breathing exercises using incentive spirometers. After the exercise regimen, breathing exercise compliance, pulmonary infections, and life satisfaction were measured in both groups, and the data were analyzed using the SPSS/WIN program. Results: The compliance rate of breathing exercises was significantly higher in the experimental group. The experimental group presented no pulmonary infections in the later period, whereas the control group presented higher pulmonary infection rates in the same period. In addition, the life satisfaction score in the experimental group significantly increased. Conclusion: The breathing exercise program using panflutes for elderly patients undergoing spinal surgery enhanced their breathing exercise compliance and their daily life satisfaction in addition to reducing their pulmonary infection rates.