Purpose: The purpose of this study was to compare and analyse the clinical outcomes of minimal incision repair and open repair in ruptured Achilles tendon. Materials and Methods: We retrospectively analyzed the outcomes of 10 patients with minimal incision repair (group 1) and 19 patients with open repair (group 2) from February 2007 to June 2011. The postoperative clinical evaluations were done by Arner-Lindholm scale, AOFAS score, overall patient's satisfaction and cosmetic satisfaction of scar. Results: There was no statistical difference between two groups in Arner-Lindholm scale, AOFAS score, overall patient's satisfaction (p=1.21, 0.87, 1.07). There was statistically high rate of cosmetic satisfaction in group 1(p<0.001). There were no complications in group 1. Complications occurred in three patients (deep infection, rerupture, deep vein thrombosis) of group 2. Conclusion: Treatment of minimal incision repair in Achilles's tendon ruptures showed high rate of cosmetic satisfaction and low rate of complication's, but there were no significant differences with open repair in other clinical outcomes. The minimal incision repair could be recommended as one of the effective treatment for the Achilles's tendon ruptures.
Object: Recently, demend for Korean Medicine have been rapidly increasing in Korea. However, there are still a few studies for recognition, satisfaction and satisfaction factors of Korean Medicine to increase competitiveness of Korean-Medical service. Thus, the purpose of this study is to grope ways to strengthen the competitiveness of Korean-Medical service by investigating recognition and satisfaction factors on Korean medicine. Method: People who have been experienced Korean Medicine were targets of investigation. Questionnaire was consisted of questions about awareness for the Korean Medicine, awareness of Korean-Medical treatment, satisfaction level for Korean Medicine, satisfaction and dissatisfaction factors. This questionnaires were conducted through personal interviews. Result: Total 315 members responded to the survey and the results of the analysis were as follows. 1. Korean Medicine treatment was recognized as the scientific medical act to protect human body wellness. 2. Korean-Medical service can be represented by acupuncture and moxibustion therapy, physical therapy, Korean medicine. And care for diseases such as pain disorders, chronic fatigue, anti-aging, and geriatric disease were wanted. 3. The factors that influence on satisfaction of the Medical Services was the perception that Korean Medicine is scientific and safe. Conclusion: To strengthen the competitiveness of Korean-Medical service, first, efforts to enhance the effectiveness of the basic treatment such as acupuncture and moxibustion, herbal medicine are required. Second, scientific development of Korean Medicine is necessary. Finally, the effort to offer various services of Korean Medicine are needed.
Hwang, Hae Shin;Kwon, Ki Nam;Kang, Bok Jeong;Chae, Jin Young;Kim, He Ra
Human Ecology Research
/
v.52
no.6
/
pp.629-638
/
2014
This study was designed to investigate variables influencing the job satisfaction of visiting supervisors for multicultural families in charge of childcare services. It focused on personal characteristics including personal and job characteristics. The subjects in this study were 784 visiting supervisors for multicultural families in charge of childcare services in 140 multicultural family centers located across Korea. The job satisfaction of these visiting supervisors was measured using a self-administered questionnaire, and the collected data were analyzed using a frequency analysis, analysis of variance, and post hoc tests. The findings of this study were as follows: first, these visiting supervisors showed a relatively high level of job satisfaction. However, the job satisfaction subscales of treatment and salary were relatively low. Second, the results revealed significant differences in effects of the variables related to the personal characteristics of the visiting supervisors, such as their age, education level, and their major in college, on their total job satisfaction and subscales (job performance, treatment and salary, work ethic and aptitude). Finally, the results revealed significant differences in the effects of the variables related to the job characteristics of the visiting supervisors, such as their responsibilities, career, number of children to handle, and age of children to handle, on the total job satisfaction and subscales (treatment and salary, relationship with caregivers).
Chae, Jin-Young;Kim, Hera;Kang, Bog-Jeong;Hwang, Hae Shin;Kwon, Ki-Nam
Journal of Families and Better Life
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v.32
no.5
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pp.1-13
/
2014
This study examined the multicultural efficacy and job satisfaction of multicultural family visiting instructors. The subjects were 750 visiting instructors from 140 multicultural family support centers in Seoul, 6 metropolitan cities, 9 provinces, and other cities and counties. Data were analyzed through frequency, percentages, Pearson's correlations, One-way ANOVA, Scheff$\acute{e}$ post-hoc test, independent t-test, and stepwise multi-regression using PASW 18.0. The findings are as follows. First, there were statistically significant differences in all subscales of multicultural efficacy according to the teaching experiences of the multicultural family visiting instructors. On the other hand, there was a statistically significant difference only in trust in the relationships with multicultural families according to the teaching experiences of the multicultural family visiting instructors. Meanwhile, the independent t-test showed that there was a significant difference only in satisfaction regarding treatment and salary according to the assigned work. Second, the stepwise multi-regression models revealed that three subscales (job performance, trust in the relationships with the multicultural families, job aptitude) of job satisfaction were influenced by multicultural efficacy according to both the teaching experiences and assigned work, but this was no the case for satisfaction about treatment and salary. Regardles of teaching experience or assigned work, teaching efficacy in multicultural efficacy affected all subscales of job satisfaction except for satisfaction about treatment and salary. The implications for future studies are also discussed.
The purpose of this study is to identify the inpatient service quality at mental hospitals and to examine the effect of service quality on patient's overall satisfaction and customer loyalty. Data collection was done through conducting a survey of inpatients in three mental hospitals located in Chungnam, Korea using self administered questionnaire. The questionnaire included the modified version of 'service satisfaction scale for psychiatric patients' invented by Chul Kwon Kim and other members, which consists of five dimension of service quality: staff attitude, treatment quality, ward environment, access/cost and ward rule. Total 236 questionnaires were gathered and 219 were used for analysis. The data was analyzed by using version SAS9.2 and path analysis model was applied to test our hypothesis. As a result, the four factors of service (staff attitude, treatment quality, ward environment and ward rule) were extracted, which counted for 62.89% of the common variance. Moreover, Cronbach Alpha showed relatively high internal consistency of answer, all exceeding 0.6. According to the study, ward environment and treatment quality turned out to have direct influence on the patient's satisfaction. In addition, staff attitude and overall satisfaction directly influenced the customer loyalty while ward environment and ward rule indirectly had influence using overall satisfaction as a medium. In conclusion, in order to enhance the satisfaction and customer loyalty in mental hospitals, efforts in improving environmental service quality in particular is highly demanded.
Jeong, Sang Jun;Yoo, Jae Hee;Ko, Hong Je;Shin, Jeong Cheol;Kwak, Min Kyung;Wei, Tung Shuen
Journal of Acupuncture Research
/
v.35
no.2
/
pp.81-87
/
2018
Background: The purpose of the present study was to evaluate efficacy and patient satisfaction of acupuncture or Chuna therapy for back pain. Methods: Amongst all the patients with back pain who had been treated at Sun-cheon korean medicine hospital, Dong-shin university, only patients that had received either acupuncture or Chuna manual therapy between September 1 and October 31, 2017 were selected and their medical charts retrospectively analyzed. A questionnaire was used in the investigation that consisted of a numeric rating scale (NRS), the Oswestry low-back pain disability index (ODI), general, emotional, conversational, and technical satisfaction. The questionnaire was completed before treatment and at weekly intervals (approximately). Treatment efficacy was analyzed using the first and last questionnaires. The last questionnaire was also used to establish patient satisfaction. The data were analyzed using SPSS for Windows version 21.0. Results: The NRS, Current degree of pain (ODI-1), and total ODI were significantly decreased in both the acupuncture and Chuna groups. The differences in NRS, ODI-1, and total ODI changes between treatment groups were not significant. There were no statistically significant differences between the acupuncture and Chuna groups in terms of general, emotional, conversational, and technical satisfaction. Conclusion: Acupuncture treatment significantly reduces NRS and ODI in patients who have back pain without structural transformation, and Chuna therapy significantly reduces NRS and ODI-1 in patients who have back pain with structural transformation. These results indicate that further studies should be conducted in more patients and over a longer period.
The purpose of this study is to investigate the mediating effect on self-efficacy in the effect of the compensation system of caregivers on job satisfaction. The research method was analyzed with SPSS V22.0 on the data of 367 people surveyed of caregivers working at home welfare facilities and elderly care facilities in the metropolitan area. The result is as follows. First, it was found that the average monthly salary, satisfaction of compensation treatment, and fairness of compensation had a positive effect on job satisfaction in the compensation system of caregivers. Second, in the compensation system for care givers, it was found that monthly average salary, satisfaction with compensation treatment, and compensation process had a positive effect on self-efficacy. Third, it was found that the self-efficacy of caregivers had a positive effect on job satisfaction. Fourth, in the compensation system of caregivers, it was found that the monthly average salary, compensation treatment satisfaction, and compensation process had an effect on job satisfaction, whereas self-efficacy had a positive mediating effect. It revealed that the higher the average monthly salary, compensation treatment satisfaction, and compensation process in the caregiver's compensation system, the more positively the self-efficacy had, and this self-efficacy had a positive effect on the job satisfaction of the caregiver.
Purpose: This study was conducted to identify factors that influence on self-determination for withdrawal of life-sustaining treatment in the community dwelling elderly. Methods: This study used a descriptive correlational design. A convenience sample of 201 elderly were recruited from a welfare center located in Seoul, Korea. Data collection was done from September 1 to September 18, 2015. Four survey questionnaires were used: Multidimensional Scale of Perceived Social Support (MSPSS), Life Satisfaction Index-Z (LSI-Z), Attitude on Do Not Resuscitate (DNR), and Self-determination for Withdrawing Life-sustaining Treatment. Data analysis was done by t-test, ANOVA, Pearson's correlation, and hierrarchical multiple regression. Results: Hierarchial multiple regression showed that the factors predicting the level of self-determination for withdrawing life-sustaining treatment were educational level, DNR experience in family, life satisfaction, and DNR attitude. These factors explained 44% of the self-determination for withdrawing life-sustaining treatment in community dwelling elderly. Conclusion: The results of this study suggest developing educational programs aiming at changing elderly's DNR attitude positive ways so that they can enhance self-determination for withdrawing life-sustaining treatment. Further study is needed with more elderly population in extended areas.
Objectives: The objective of this study was to report the general characteristics, satisfaction, and changes before and after treatment to foreign athletes and officials who were received Korean Medicine at the 2019 Chungju World Martial Arts Masterships Korean Medical Clinic. Methods: We investigated age, gender, nationality, type of sports, and, onset through medical records. Besides, we developed the patient satisfaction survey to determine how satisfied the patients were with the treatment they received. The survey included type of injury, location of the injury, cause of injury, Numeric Rating Scale (NRS) before and after treatment, and treatment satisfaction. Result: This study showed that knee and lower leg injuries (S80-S89) were the most frequent injuries in the Korean Medicine(KM) clinic of the 2019 Chungju World Martial Arts Masterships. We provided KM treatments including acupuncture, cupping therapy, Chuna manual therapy, herbal medicine, dressing, and taping. Acupuncture was the most frequently performed and the most satisfactory treatment. The average NRS after treatment significantly decreased, suggesting that KM is effective in controlling pain in sports injuries. The overall satisfaction was also high with KM treatments.
The dysfunction of either or both noradrenaline and serotonin system are important in the pathophysiology of depression. Previous reports have suggested that there may be an important interaction between these two systems. Recently, some investigators have suggested that the combination of tricyclic antidepressants(TCAs) and selective serotonin reuptake inhibitors(SSRIs) would produce a rapid synergistic effect on down-regulation of either or both of these two systems and that this combination may produce a more rapid and absolute antidepressant effect. We compared the treatment efficacy, treatment associated side effects, treatment satisfaction, and the quality of life between the combination therapy of dothiepin-sertraline as well as the therapy of dothiepin alone in the treatment of major depressive disorder and dysthymic disorder. In our study, the combination therapy of dothiepin and sertraline produced a more rapid and absolute antidepressant effect than dothiepin alone. And the patients with combination therapy experienced relatively high treatment satisfaction than the patients with dothiepin therapy. The patients' quality of life improved more rapidly in the combination therapy, especially, in the health perception, social behavior, and life satisfaction, than dothiepin alone. These results support the hypothesis that the combination of TCA and SSRI may produce a rapid synergistic effect on either or both norepinephrine and serotonin system, and more rapid antidepressant effect and high treatment satisfaction.
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