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혈우병관절염 수술환자를 위한 타이치자조관리 프로그램 효과
박원숙(Bak, Won-Sook),유명철(Yoo, Myung-Chul),강현숙(Kang, Hyun-Sook) 대한근관절건강학회 2012 근관절건강학회지 Vol.19 No.1
Purpose: The purpose of this study was to develop and evaluate the effects of Tai Chi Self-help program for Hemophilic Arthritis Patients. Method: A quasi-experimental design was used. The subjects were 48 patients who underwent orthopedic surgery (24 experimental group, 24 control group). The subjects of experimental group were participated in the Tai Chi self-help group program in which 16 times for 8 weeks. The program consisted of health education on hemophilia, Tai Chi exercise, and workshop and its outcomes have been evaluated on WOMAC(Western Ontario and McMaster scale), mobility, pain, fatigue, muscle strength. depression, and quality of life(SF-36). The obtained data were analyzed by using the t-test or Fishers exact test of PASW 18.0. Results: 1) The score of WOMAC, pain, fatigue, and depression decreased significantly in the experimental group as compared to the control group. 2) The score of mobility, muscle strength. and quality of life increased significantly in the experimental group as compared to the control group. Conclusion: Considering these research results, the program could be useful to improve joint movement, strength and psychological condition for patient with hemophilic arthritis, particularly in those who underwent orthopedic surgery.
여현진 ( Hyun Jin Yeo ),박원숙 ( Won Sook Bak ),유명철 ( Myung Chul Yoo ),박상찬 ( Sang Chan Park ),이상철 ( Sang Chul Lee ) 한국품질경영학회 2014 품질경영학회지 Vol.42 No.1
Purpose: The purpose of this study is to develop the methods for evaluating patients` queue environment using decision tree and queueing theory. Methods: This study uses CHAID decision tree and M/G/1 queueing theory to estimate pain point and patients waiting time for medical service. This study translates hospital physical data process to logical process to adapt queueing theory. Results: This study indicates that three nodes of the system has predictable problem with patients waiting time and can be improved by relocating patients to other nodes. Conclusion: This study finds out three seek points of the hospital through decision tree analysis and substitution nodes through the queueing theory. Revealing the hospital patients` queue environment, this study has several limitations such as lack of various case and factors.
재가 중ㆍ노년 여성의 골밀도와 낙상두려움 및 낙상효능감에 관한 연구
이혜영(Lee Hea-Young),박원숙(Bak Won-Sook),양형인(Yang Hyung-In) 대한근관절건강학회 2009 근관절건강학회지 Vol.16 No.1
Purpose: The purpose of this study was to investigate bone mineral density(BMD) and fear of falling and falls efficacy in the middle and old aged women over 50 years. Methods: The subjects consisted of 409 women. One-way ANOVA, Pearson's correlations and multiple regression were used to test the BMD, fear of falling and falls efficacy scale by using SPSSWIN 12.0. The BMD of the calcaneus were measured with peripheral dual energy x-ray absorptiometry(DEXA). Results: The average age was 63 years old and the average T-score was -3.21 in patient with osteoporosis, -1.72 with osteopenia, and .13 with normal. There were significant differences in the status of the BMD according to age(p=.000), height(p=.000), weight(p=.000), married status(p=.000), age of menarche(p=.002), and menopause(p=.002). The fear of falling was related with falls efficacy (r=-.247, p=.01), BMD(r=-.337, p=.01). Falls efficacy(β=-.21, p=.000)and BMD(β=-.26, p=.000) were predicting variables of fear of falling. The model explained 13% of the variance in fear of falling(F=27.38, p=.000). Conclusion: Fear of falling and falls efficacy were related with the bone mineral density. Falls efficacy and BMD may be useful for the predicting fear of falling for women in middle and old age. Further studies with assessment of fall-related risk-factors and a longitudinal study are necessary to assess with falls efficacy, and BMD with age.
골관절염 환자를 위한 타이치 운동그룹과 타이치 자조관리 그룹의 효과 비교분석
강현숙(Kang Hyun-Sook),김종임(Kim Jong-Im),류언나(Ryoo Eon-Na),박원숙(Bak Won-Sook),백훈정(Paik Hoon-Jung),송라윤(Song Rha-yun),안양희(Ahn Yang-Heui),임난영(Lim Nan-Young),엄옥분(Eom Ok-Boon),이인옥(Lee In-Ok),이은옥(Lee Eun-Ok),이선자( 대한근관절건강학회 2006 근관절건강학회지 Vol.13 No.2
Purpose: The purpose of the study was to compare the effects of Tai Chi self-help program and Tai Chi exercise in patients with osteoarthritis. Methods: Quasi experimental design was utilized for the study to compare the effects after implementing tai chi self-help program and Tai Chi exercise for 6 weeks. The subjects of the study was osteoarthritis patients who visited to two Public Health Centers in Gyunggi-do from August to December, 2005. Total of 25 OA patients agreed to participate in the study, and 10 tai chi self-help program group and 9 Tai Chi exercise group were included for the final analysis after 6 weeks. Tai Chi self-help program was provided twice a week, 2 hours per session (one hour for tai chi exercise, one hour for self help program) for 6 weeks, and Tai Chi exercise group was provided once a week, 2 hours per session for 6 weeks. Outcome measures include flexibility, 6 m walking, and balance. Mann-Whitney U test of SPSS WIN 11.0 was utilized to compare the group differences. Results: The subjects of both program participants were not improved in their arm flexibility, and the difference was not significant. Tai chi self-help group improved more in their 6 m walking ability than Tai Chi exercise group, but the difference was not significant (F=.000, p>.05). Tai chi self-help group improved more in their balance than Tai Chi exercise group, but the difference was not significant (Rt: U=.24, p>.05; Lt: F=2.60, p>.05). Conclusion: The provision of both Tai Chi self-help program and Tai Chi exercise can lead improvement of 6 m walking, and balance, but the group difference was not significant. A rigorous research design should be further utilized to identify the potential benefits for this population.
강현숙(Kang Hyun-Sook),김종임(Kim Jong-Im),박원숙(Bak Won-Sook),송라윤(Song Rha-yun),안양희(Ahn Yang-Heui),이인옥(Lee In-Ok),임난영(Lim Nan-Young),조경숙(Cho Kyung-Sook),최선하(Choi Sun-Ha),한상숙(Han Sang-Sook) 대한근관절건강학회 2007 근관절건강학회지 Vol.14 No.2
Purpose: The purpose of the study was to identify the relationship between obesity and bone mineral density in middle aged women. Methods: A cross-sectional survey design was utilized with a check list and physiological measurements. A total of 827 convenient samples were recruited from women who lived in the community. Bone mineral density was measured by T-score using the pixi method of Lumar on the left heel. Descriptive statistics and pearson correlation coefficient were utilized for data analysis. Results: Most were assessed as having normal weight(37.9%) or obese (57.4%) by BMI. Only 32% was assessed as having normal bone mineral density, while 40.3% had osteopenia, and 27.7% as osteoporosis. The BMI scores were significantly related to age, and episodes of fractures. Those with lower bone mineral density reported significantly more episodes of fractures and chronic disease. The T scores of Bone mineral density were significantly correlated with the scores of BMI (r= .126, p< .001). Conclusion: There is a strong need to develop intervention programs for this age group to manage bone mineral density loss to prevent occurrences of osteoporosis, and episodes of fracture.
섬유근통증후군(Fibromyalgia Syndrome) 환자에서 타이치 자조관리프로그램의 효과
한상숙(Han Sang-Sook),박원숙(Bak Won-Sook),양형인(Yang Hyung-In) 대한근관절건강학회 2007 근관절건강학회지 Vol.14 No.2
Purpose: This study was done to determine the effect of Tai-Chi Self-help program to progress of reduction of symptom, difficulty on activity by application Tai-Chi Self-help program for Fibromyalgia patients. Method: The study was used the method of one group pretest-posttest design. The subjects were 65 outpatients who were diagnosed as Fibromyalgia by ACR(1990) standard at K University Hospital, medical center. Tai-Chi self-help program was done for 8 weeks(three a week for 2 hours)through group meeting of 65 patients. Collected data were analyzed by SPSS for window12.0 program package. Results: The result of this study suggests that could increase in reduction of symptom and lower disturbance in ADL and life Satisfaction compared with the before Tai-Chi Self-help program education. Conclusion: Accoradingly Tai-Chi Self-help program could be used as a proper nursing strategy for Fibromyalgia patients.
골관절염 환자를 위한 타이치, 타이치-자조관리 및 자조관리과정의 효과 비교
조경숙,강현숙,김종임,박원숙,송라윤,안양희,임난영,이인옥,최선하,한상숙,Cho, Kyung-Sook,Kang, Hyun-Sook,Kim, Jong-Im,Bak, Won-Sook,Song, Rha-Yun,Ahn, Yang-Heui,Lim, Nan-Young,Lee, In-Ok,Choi, Sun-Ha,Han, Sang-Sook 대한근관절건강학회 2007 근관절건강학회지 Vol.14 No.1
Purpose: The purpose of the study was to compare the effects of Tai Chi exercise, Tai Chi self help program, and self help management program on arthritic pain, stiffness, fatigue and difficulties in performing daily activities in patients with osteoarthritis. Method: The pre-post experimental design was utilized with convenient sampling at Public Health Centers. Total of 38 subjects agreed to participate in the study with the inclusion criteria of being diagnosed as osteoarthritis and no previous regular exercise. The 12 subjects were assigned to Tai Chi exercise group, 13 subjects to Tai Chi exercise combined with self help management program, and the other 13 to self help management program. Tai Chi exercise group performed exercise twice a week for one hour per each session. Tai Chi self help management group came to the class twice a week, one hour for Tai Chi exercise, and another hour for self help management program. The third group came to the class once a week for one hour to participate self help management program. At the completion of 6 week programs, 10 subjects from Tai Chi exercise, 9 from Tai Chi self help, another 10 from self help management groups completed the post-test measures. The data were analyzed by SPSSWIN 11.0. The homogeneity tests for three experimental groups were conducted by $X^2-test$, Fisher's exact test, Kruskal-Wallis test. The final analysis of the post-test measures was conducted by ANCOVA with fatigue, pain, stiffness, and difficulties in daily activities of the pretest measures as covariates. Results: The results were as follows. There were no significant differences in fatigue, pain, and difficulties of daily activities among three groups for the pretest measures. The score of arthritic stiffness was significantly different among groups after controlled for covariates, but the post-hoc tests showed no group differences. Conclusion: The nursing interventions applied for osteoarthritis patients have been previously tested to show the cost effectiveness of symptoms management of this population.
양·한방 협진 의료서비스 최적화를 위한 Clinical Pathway 도입과 진료패턴 분석
오가은 ( Ka-eun Oh ),박원숙 ( Won-sook Bak ),양형인 ( Hyung-in Yang ),한상숙 ( Sang-sook Han ),유명철 ( Myung-chul Yoo ),박상찬 ( Sang-chan Park ),이상철 ( Sang-chul Lee ) 대한한의진단학회 2012 大韓韓醫診斷學會誌 Vol.16 No.2
Objectives The purpose of this research is to develop the clinical pathway for optimizing the integrative medical service (oriental-western integrated medical service) and to analyze the clinical pattern of the integrative patients who received the oriental-western integrated medical service. Methods This research developed the clinical pathway by interviewing with doctors, nursing and experts at K Medical Center. To analyze the clinical patterns, this research used 860 integrative patients and 6345 non-integrative patients at K Medical Center since 2007. Results and Conclusions 1. We developed the clinical pathway for optimizing the integrative medical service. 2. Comparing the clinical pattern of the integrative patients with the non-integrative patients, the results indicated that the interval and frequency of the integrative patients is shorter than that of the non-integrative patients. 3. Comparing the medical treatment type, the integrated patients take much more medical care and more frequently participate in medical treatment. 4. In conclusion, it is different that the clinical pathway of the integrative medical service from the non-integrative medical service and the integrative medical treatment is more effective than the non-integrative medical treatment.
6 시그마와 SERVQUAL을 활용한 병원서비스 혁신지표개발
오가은 ( Ka Eun Oh ),박원숙 ( Won Sook Bak ),한상숙 ( Sang Sook Han ),박상찬 ( Sang Chan Park ),이상철 ( Sang Chul Lee ) 한국품질경영학회 2013 품질경영학회지 Vol.41 No.4
Purpose: The purpose of this study is to develop innovation index of hospital service integrating 6 sigma and SERVQUAL. Methods: This study used DMA(Define, Measure and Analysis) from 6 sigma and 5 Factors from SEVQUAL. To test data, chi-squire text, association analysis and behavior analysis was conducted. Results: This study indicated the management index through CTQ (Critical to Quality) and Chosen few X using 6 sigma process. Finally, And this study developed 5 Factors; Equipment Utilization in Tangibility, Ratio of Patients/Disease/Behavior/Treatment in Reliability, Survival RAte, Canselation Rate of Reservation, Churn Rate , Interval o f Treatment a nd C onfide cen in Responsive e sn, Fs re ueqcy n of Patients/Disease/Behavior/Treatment in Assurance and Contrast to Best Department/Best Doctor/Best Doctor in Faculty/Average of Mine in Empathy. Conclusion: This study developed innovation index of hospital service. Managing this index, hospital is able to achieve the decline of total treatment cycle, adjustment of patients behavior and increase of equipment utilization. Ultimately, hospital is able to accomplish innovation of healthcare service.