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수록정보
수록범위 : 1권1호(2006)~15권1호(2020) |수록논문 수 : 205
의료커뮤니케이션
15권1호(2020년 06월) 수록논문
최근 권호 논문
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KCI후보

1부산지역 성인의 성별, 사회경제적 수준별 비만 유병과 관련 요인 - 측정방법에 따른 비교

저자 : 최민혁 ( Minhyeok Choi )

발행기관 : 대한의료커뮤니케이션학회 간행물 : 의료커뮤니케이션 15권 1호 발행 연도 : 2020 페이지 : pp. 1-9 (9 pages)

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Background: The purpose of this study was to identify the differences in socioeconomic level of self-reported and measured obesity indicators (weight, height, body mass index, and obesity prevalence) and to compare the differences between factors.
Methods: Data of 2,290,893 weighted cases from the 2018 community health surveys in Busan were used to calculate self-reported and measured obesity and the prevalence of obesity. Logistic regression models were used to estimate the odds ratio of self-reported and measured obesity.
Results: The mean differences between self-reported and measured height, weight, and BMI were 0.53 cm, 0.66 kg, and 0.37 kg/m2 for men and 0.74 cm, 0.81 kg, and 0.55 kg/m2 for women, respectively. Self-reported and measured obesity prevalence rates were 35.36% and 40.79% in men and 20.55% and 27.16% in women, respectively. The difference between measured and self-reported values was high in the lower socioeconomic level group. Measured obesity, but not self-reported obesity, was significantly higher in the lower socioeconomic level group (level 3, odds ratio 1.26, 95% confidence interval 1.01-1.56).
Conclusions: These results indicate a requirement for obesity management policies for women with lower socioeconomic status.

KCI후보

2의과대학 학생에게 표준화 환자와의 의사 소통을 대형 강의로 가르친 효과

저자 : 조아라 ( Ara Cho ) , 김지훈 ( Jihoon Kim ) , 고동률 ( Dongryul Ko ) , 정현수 ( Hyun Soo Chung ) , 신용숙 ( Shin Yongsuk ) , 김지혜 ( Jihye Kim ) , 조준호 ( Junho Cho )

발행기관 : 대한의료커뮤니케이션학회 간행물 : 의료커뮤니케이션 15권 1호 발행 연도 : 2020 페이지 : pp. 11-16 (6 pages)

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Background : Effective communication between doctors and patients is very important not only for diagnosis and treatment but also for building trust. Although teaching communication skills is very important in medical schools, there are limitations such as the number of students and the uncertainty of the patient population. Therefore, this study evaluates the effect of Fishbowl method to teach communication skills to medical students, which involves the medical students communicating with standardized patients in front of a large classroom and being observed by rest of the students.
Methods : This study involves 10 weeks of educating 126 fourth grade medical students and graduates. During this period, total 8 classes were taken by subjects, where each class lasts 2 hours and is conducted by observing treatments of the standardized patients on 14 clinical topics by randomly selected medical students and giving feedback on the communication skills of the selected medical students. The educational effect was evaluated based on the scores of the clinical performance examination before and after the classes.
Results : The scores assessed for medical history taking before and after the training are increased by 2.45 (p<0.001) and the scores for patient-doctor relationship is increased by 7.56 (p<0.001).
Conclusions : It is expected to improve the communication skills of medical students by large scale lectures with standardized patients.

KCI후보

3자기성찰 활동을 강화한 의예과 의료커뮤니케이션 수업의 효과

저자 : 전민영 ( Min Young Chun )

발행기관 : 대한의료커뮤니케이션학회 간행물 : 의료커뮤니케이션 15권 1호 발행 연도 : 2020 페이지 : pp. 17-27 (11 pages)

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Background : Medical communication is important skill which doctors need to acquire in order to satisfy the patients and improve results of treatment. The purpose of this article is to find out the effects of medical communication curriculum with empowering self reflection activities for pre-medical students.
Methods : For the purpose, the six steps of concept mapping process proposed by Trochim were carried out. Using 52 statements to question number 1, 38 statements to question number 2, group similarity matrix were completed, which was further analyzed by SPSS using multidimensional scaling technique. And we conducted hierarchical cluster analysis(HCA) that helps to determine the number of cluster of the statements.
Results : The HCA resulted in six clusters as the effects of medical communication curriculum with empowering self reflection activities conducted for 15 weeks. The six clusters as the effects of self reflection activities were labelled as emotional comfort, positive thinking, future life, the improvement of self-understanding, interpersonal relationships and medical communication. The six clusters as the effects of communication curriculum were labelled as empathic attitude, medical communication skill, patient centered care, expansion to social relationships, to social services and influence on future view.
Conclusion : Medical communication curriculum with empowering self reflection activities was effective in improving the communication skill and inner growth for premedical students.

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Purpose : The purpose of this study was to investigate the Health-related Indicators according to the restricted activity and health-related quality of life of osteoarthritis patients based on Korean National Health and Nutrition Survey. 
Methods : The data collected for this study used the IBM SPSS WIN21.0 statistical program. Analyzed for descriptive statistics, simple frequency and proportion, Chi-squared test.
Results : Restricted Activity was statistically significantly related to self-assessed health, stress, depression, suicidal ideation, and smoking. Health-related quality of life was statistically significantly related to self-assessed health, BMI, stress, depression, suicidal ideation, and walking practice.
Conclusion : The findings of this study suggest that osteoarthritis patients need measures to minimize restricted activity and improve health-related quality of life.

KCI후보

5응급의료센터 이용설명서를 포함한 시스템 구축이 환자의 응급의료서비스 만족도에 미치는 효과 연구

저자 : 최영희 ( Young Hee Choi )

발행기관 : 대한의료커뮤니케이션학회 간행물 : 의료커뮤니케이션 15권 1호 발행 연도 : 2020 페이지 : pp. 37-44 (8 pages)

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Background : The purpose of this study was to determine the effect of emergency medical service system development including service and process manual on patients satisfaction with emergency medical service.
Methods : This study used simulated control group pre-posttest design and included 322 of pre- and 227 of post-construction for system in emergency centers (EC) of university hospitals located in Daegu. Data were collected with a self-administered questionnaire for one month pre-post construction for the system. Construction for the system included development of emergency medical center manual, computerization of EC patient-bed number, compartmentalization and assignment of Nurse System in the EC, providing education for compassion care for all EC staff, improving direction signs for the department of administration, and emergency pharmacies. Data analysis was conducted using descriptive statistics.
Results : There was a statistically significant difference in nurse kindness between the experimental group of 12.38 and the control group of 11.82 (p = .011). Satisfaction was also improved in the facility environment, work procedures, doctor friendliness, medical technology and costs, including overall satisfaction, and waiting time was slightly higher in the experimental group (10.92±1.87) than the control group (10.76±2.03), but there were no statistically significant differences.
Conclusion : The result of this study was statistically significant only in the nurse kindness. While the difference was not statistically significant, the experimental group showed improved satisfaction in all areas except latency. This resulted in a limitation in testing the effectiveness of the emergency medical center system because the waiting time was higher in the experimental group due to the strike and construction going on at two nearby university hospitals. Therefore, since waiting time is an important factor in the satisfaction of EC service, interventional studies are needed to reduce waiting time.

KCI후보

6한국어판 소독간호사의 수술 중 비기술적 술기 평가도구의 타당성

저자 : 지현영 ( Chi Hyun Young ) , 송경애 ( Sohng Kyeong Yae )

발행기관 : 대한의료커뮤니케이션학회 간행물 : 의료커뮤니케이션 15권 1호 발행 연도 : 2020 페이지 : pp. 45-52 (8 pages)

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Background : This is a methodological study for validation of the Korean version of scrub practitioners' list of intra-operative nontechnical skills system, K-SPLINTS.
Method : Data were collected from multidisciplinary expert panel (n=6) and a group of scrub nurses (n=40) with minimum two years of operative theatre experience in two university hospitals in Seoul. Contents validity was calculated from expert panel and reliability, completeness, observability and usability were analyzed from scrub nurses group.
Result : K-SPLINTS is deemed to be adequate for assessing and training scrub nurses' intraoperative behaviours.
Conclusion : K-SPLINTS could be useful to inspire scrub nurses non-technical skills in the operating theatre.

KCI후보

7응급실 간호사의 감정노동, 감성지능 및 사회적 지지가 이직의도에 미치는 영향

저자 : 박은희 ( Eunhee Park ) , 박향진 ( Hyangjin Park )

발행기관 : 대한의료커뮤니케이션학회 간행물 : 의료커뮤니케이션 15권 1호 발행 연도 : 2020 페이지 : pp. 53-60 (8 pages)

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Background : This study explored factors that influence turnover Intention in emergency room nurse.
Methods : A descriptive survey was conducted with 305 nurses working in emergency room of hospitals in Gwangju Metropolitan City and Jeollanamdo Province. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficients, and multiple regression with the SPSS Win 21.0.
Results : Multiple regression analysis found that the factors influencing turnover intention of emergency room nurses were emotional Labor (β=.384).
Conclusion : This study shows that emotional labor is an important factor in the emergency room nurse's turnover intention. These findings can be utilized to develop strategies for decreasing emergency room nurse's turnover intention. Therefore, in order to improve the emergency room nurse's turnover intention to change, it is necessary to develop a strategy to lower emotional labor.

KCI후보

8응급실에서 이루어지는 자의 퇴원 (Discharge Against Medical Advice)에 관하여 - 커뮤니케이션의 관점에서

저자 : 김재환 ( Jae Hwan Kim ) , 안치원 ( Chiwon Ahn ) , 홍준영 ( Jun Young Hong )

발행기관 : 대한의료커뮤니케이션학회 간행물 : 의료커뮤니케이션 15권 1호 발행 연도 : 2020 페이지 : pp. 61-66 (6 pages)

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Background : It is called a discharge against medical advice (DAMA) that a patient needs continuous medical care, but leaving the hospital contrary to a doctor's medical advice. DAMA also occurs in the emergency room, and sometimes it can make the patient's symptoms and states worse or even lead to death.
Methods :
Results : There are various reasons for deciding to DAMA. Among those reasons, the poor communication skills of medical staff can cause the disease insight of patient to be lowered, create unsatisfactory medical services, and create distrust for the medical staff.
Conclusion : Medical staff can lower the frequency of DAMA through following patient-oriented communication : listening to the patient's symptoms and information, talking to the patient in an easy-to-understand language, and conducting two-way communication with appropriate feedback.

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(2006)홍길동 외 1명심리학41회 피인용

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