Comparison of ocular function and refractive errors both Hansen patients and old people / 나학회지

BACKGROUND & OBJECTIVE: The purpose of this study is to prove the characteristics of refractive error and visual acuity about hansen patients and old people. To compare the pupil and ocular function was to investigate the characteristics of the eye of the hansen patients. METHODS: Subjects were intended for the elderly over 60 years old 85 years old or younger both hansen patients in Wonju(n=29) and old people in Yangpyeong(n=29). Auto refraction(Topcon KR-7000) to objective refraction was conducted after the subjective refraction. Pupil size at normal illumination and light reflex, response velocity and the reaction states about light reflex were measured and Color vision test were. Writing questionnaires and analyzed the subjective symptoms about two groups. Spss ver.18.0 was used for statistics analysis and significance level was based on a 0.05. Methods were used Crosstabs analysis ,Paired T test and descriptive statistics. RESULTS & CONCLUSION: VA of hansen patients and old people did not differ by 0.29 +/-0.18 and 0.35+/-0.23. (p>0.05). CC of hansen patients and old people did differ by 0.55+/-0.26 and 0.44+/-0.21(p0.05). Old people during normal illumination and light reflex is normal (p<0.05). Direct light reflex state of hansen patients was normal 17.20% and abnormal 82.8%. Pupil's response velocity during light reflex of hansen patients was normal 3.4% and abnormal 96.6%. Pupil's reaction state during light reflex of hansen patients was normal 13.8%and abnormal 86.20%. Direct light reflex state of old people was normal 96.60%and abnormal 3.4%. Subjective symptoms were ranking 1.Dim sighted(23times) 2.Eyestrain(18times) 3.Tears(15times) of Hansen, that were ranking 1.Dim sighted(25times) 2.Tears(8times) 3.Pruritus(8times)of old people. Hansen patients and old people were not differ about result of CV test.

A Study on the Effects of EMR on Nursing Documentation / 대한의료정보학회지

To improve the quality of nursing care, we developed and evaluated a Electronic Medical Record (EMR) program designed to maximize productivity and efficiency in our nursing documentation system. Five computerized documentation forms, the clinical observation record, medication, nursing treatments, nursing records, and admission assessment were developed by a nursing informatics team over 5 months and implemented on a cardiovascular unit. In the EMR program, nurses access and record required documentation at the patients besides with a laptop computer instead of using conventional chart. Four categories of data were compared before and after operating EMR program; the time spent in direct patient care, the time spent in nursing documentation, nurses' s job satisfaction, and patients' satisfaction. The result showed a statistically significant increase in the time spent in direct patient care after implementation of EMR system, as well as a decrease in the time spent in nursing documentation. Nurses job satisfaction was increased and patients' satisfaction was decreased, but both were not significant statistically.