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급성기 병원의 임종과정 환자 돌봄에 대한 대국민 인식 및 요구 조사
이청우(Chung-woo Lee),최윤선(Youn Seon Choi),김대균(DaeKyun Kim),권소희(So-Hi Kwon),김원철(Won-chul Kim),김윤나영(Na-young Kim-Yoon),박혜윤(Hye Yoon Park),김재석(Jaesok Kim),김지경(Ji-Kyoung Kim) 대한임상노인의학회 2021 대한임상노인의학회지 Vol.22 No.2
Background: The case of dying in acute hospitals is expected to increase in Korea, and the demand for high-quality care for dying patients in acute hospitals is also growing. Through a nationwide survey, this study analyzed public attitudes and needs of care for dying patients in acute hospitals. Methods: In October 2018, we sampled 500 Koreans over age twenty, following proportional population distribution by region, gender, and age. Using structured questionnaire, we surveyed their attitudes and needs of care for dying patients in acute hospitals. Results: Most respondents (75.0%) demanded that they should know the possibility of their death and 70.0% of respondents wanted to inform their family of their impending death. Respondents also expressed their strong demand for high-quality medical care (88.4%) and psychosocial and spiritual care (60%) in developing desirable care system for dying patients. Among the essential conditions for high-quality care for dying patient in acute health hospitals, detailed explanation of patients’ condition, supports for caregiving, convenient facilities, comfortable hospital environment, and private rooms were ranked high. Conclusion: The majority of Korean adults showed their strong need for high-quality medical services in caring after dying patients and their families. In addition, there exists a high demand for practical support such as supports for caregivers, convenience facilities, and private space for dying patients.
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이승현(Seung Hyun Lee),김도훈(Do Hoon Kim),이청우(Chung Woo Lee),김동원(Dong Won Kim),김현정(Hyon chong Kim),박수경(Soo Gyeong Park),설다은(Da eun Seul),박주현(Joo Hyun Park),김신혜(Shin hye Kim),최문영(Moon young Choi),정진형(Jin Hy 대한임상노인의학회 2017 대한임상노인의학회지 Vol.18 No.1
Background: Elderlies and adults might face dissimilar fates in terms of prevalence of metabolic syndrome or mortality owing to it, even if they share the same waist circumferences (WC). However, researches that might shed light on such possibility is lacking. As such, this following study aims to delve into the relationship between WC and mortality among elderlies. Methods: Subjects for the elderly cohort study were selected from NHIS-senior. Among 251,593 patients who are aged ≥65 years and qualified to having received at least one health examination between the year of 2009 and 2012, 75,856 subjects were selected. Study subjects were then divided into eight groups of set WC intervals; the study was followed up until the year of 2013 to identify total mortality of aforementioned eight groups, after which hazard ratio of each group was calculated in respect to the reference group with WC interval of 85∼90 centimeters. Results: Elderlies with WC of over 95 centimeters, whether analyzed wholly or separately as male/female, faced significant increases in mortality; on the other hand, elderlies with that of less than 95 centimeters did not. The waist interval group associated with the lowest mortality rate differed between male (80∼85 centimeters) and female elderlies (75∼80 centimeters). Conclusion: A large waist circumference is a risk factor of mortality among elderlies. Hence, strict management of a waist circumference should be reinstated to reduce mortality of elderlies.
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연명의료중단등결정 이행서를 통해 본 임종기 환자의 특성
신지인(Jean Shin),이청우(Chung-Woo Lee),최윤선(Youn Seon Choi),김선미(Seon Mee Kim),박홍석(Hong-Seok Park),박석원(Seok-Won Park),모은식(Eunshik Mo),박재현(Jaehyun Park),이현진(Hyunjin Lee),정성윤(Sungyoon Joung) 대한임상노인의학회 2020 대한임상노인의학회지 Vol.21 No.2
Background: In recent years, Korean society has faced an increase in the elderly population owing to the advances in medical technology. This phenomenon led to the enactment of the Korean POLST and the Implementation of Decisions on Life-sustaining Treatment, which allowed discontinuation of life-sustaining treatments only after the patient is in the actively dying phase. There are two ways to enforce the law: withdrawing or withholding the treatment. However, little has been studied about the factors related to decision to withdraw or withhold the treatment. Therefore, we examined the characteristics of patients in the actively dying phase at a tertiary teaching hospital. Methods: We examined 141 actively dying patients from September to December 2018, whose life-sustaining treatment was withheld and 28 patients whose life-sustaining treatment was withdrawn. We studied the baseline and clinical characteristics of the patients by performing binary logistic regression for a multivariate analysis. Results: The mean length of survival for the patients whose treatments were withdrawn was 2.12 days and for those whose treatment was withheld was 8.95 days. The multivariate analysis showed that the patients who received the inotropic prescription were more likely to have their life-sustaining treatment withdrawn than withheld. Conclusion: The large variation in the length of survival of actively dying patients indicates the difficulty in predicting how much time one has left. Therefore, it is important for physicians and family members to understand and discuss the expected change in length of survival when making a decision to withdraw or withhold treatment.
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전창선 ( Chang Sun Chun ),최진자 ( Chin Ja Choi ),이청우 ( Chung Woo Lee ),임승찬 ( Seung Chang Yim ),허진득 ( Chin Duk Huh ) 대한내과학회 1972 대한내과학회지 Vol.15 No.3
A clinical investigation was made on 15 cases of the systemic lupus erythematosus, treated at the Kwangju Christian Hospital as inpatients during the past 6 years. Incidence of systemic lupus erythematosus is probably not so rare as has been thought among
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임승찬 ( Seung Chan Yim ),조옥근 ( Ok Keun Che ),전창선 ( Chang Sun Chun ),최진자 ( Chin Ja Choi ),이청우 ( Chung Woo Lee ) 대한내과학회 1971 대한내과학회지 Vol.14 No.4
A 49 year old male patient came to the hosital complaining of indigestion and anorexia of 10 days duration, Physical examination, cheat X-ray, and E.K.G. findings were suggestive of pericardial effusion, and this was proved by pericardiocentesis. Initially
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임승찬 ( Seung Chan Yim ),조옥근 ( Ok Keun Che ),전창선 ( Chang Sun Chun ),최진자 ( Chin Ja Choi ),이청우 ( Chung Woo Lee ),김영호 ( Young Ho Kim ) 대한내과학회 1971 대한내과학회지 Vol.14 No.3
A clinical investigation was made on 13o cases of liver abscess treated at the Kwangju Christian Hospital as an inpatient during the 5 year period from August, 1965 to December, 1969. The results are summarized below. 1. Of the 136 cases studied, 124 (91.2
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