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부산대학교 간호과학연구소> 글로벌 건강과 간호

글로벌 건강과 간호 update

Global Health & Nursing

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수록정보
8권2호(2018) |수록논문 수 : 6
간행물 제목
8권2호(2018년) 수록논문
권호별 수록 논문
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KCI등재

1보건계열과 비보건계열 대학생의 손씻기에 대한 지식, 태도 및 수행도 비교

저자 : 이지현 ( Lee Jihyeon ) , 김빛나 ( Kim Bitna ) , 김은지 ( Kim Eunji ) , 이하영 ( Lee Hayeong ) , 이현정 ( Lee Hyeonjeong ) , 유다운 ( Yu Dawoon ) , 고은 ( Ko Eun )

발행기관 : 부산대학교 간호과학연구소 간행물 : 글로벌 건강과 간호 8권 2호 발행 연도 : 2018 페이지 : pp. 47-57 (11 pages)

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Purpose: This study aimed to compare the knowledge, attitude, and practice related to handwashing among undergraduate students majoring and not majoring in health science. Methods: This descriptive study included 188 undergraduate students with 100 majoring and 88 not majoring in health science. Data were collected using a structured questionnaire and they were analyzed with the IBM SPSS 24.0 program using descriptive statistics, t-tests, Pearson's correlation coefficients and a multiple regression. Results: Mean scores on knowledge and attitude toward handwashing were 13.86±1.56 and 21.05±2.34 respectively in students majoring health science, whereas the same were 13.22±1.73 and 19.76±2.24 in students not majoring health science respectively. In both groups, there was significant correlations between knowledge and attitude (r=.32, p<.001; r=.33, p=.002), and between attitude and practice (r=.27, p=.006; r=.40, p<.001) respectively. Attitude toward handwashing (β=0.20, p=.028), experience of education about handwashing (β=0.33, p<.001) and perception about health status (β=-0.23, p=.014) were significant predictors of handwashing practice in students majoring health science. On the other hand, only attitude toward handwashing (β=0.37, p<.001) was a significant predictor of handwashing practice in students not majoring health science. Conclusion: The present results reveal the importance continuing various educational programs on handwashing and the need to identify their longitudinal effects to improve handwashing practice among students majoring in health science. Additionally, when developing strategies to improve handwashing habits, we need to consider factors that could help change attitudes toward handwashing.

KCI등재

2의식하 진정 대장내시경 검사 중 복부통증 관련 요인

저자 : 안지현 ( Ahn Jihyun ) , 정인숙 ( Jeong Ihn Sook )

발행기관 : 부산대학교 간호과학연구소 간행물 : 글로벌 건강과 간호 8권 2호 발행 연도 : 2018 페이지 : pp. 58-69 (12 pages)

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Purpose: This study aimed to determine the severity of patients' abdominal pain symptom during and post-colonoscopy under conscious sedation and to determine associations between abdominal pain and demographic and colonoscopic characteristics. Methods: Cross-sectional study was conducted on 115 outpatients undergoing colonoscopy under conscious sedation in a single tertiary hospital. Pain symptom was evaluated 10 times through nonverbal behavioral observation tool with score from 0 to 20. Pain severity was analyzed with descriptive statistics, and abdominal pain-related factors were determined via multiple logistic regression. Results: Mean peak pain score was 7.43 out of 20 points during colonoscopy and 34 patients (29.6%) showed peak pain score of over 10 points. Based on multiple logistic regression, female gender (odds ratio=2.85), concern before colonoscopy (odds ratio=1.02), and time to cecum (odds ratio=1.12) were significantly related with abdominal pain during colonoscopy under conscious sedation. Conclusion: Based on the results obtained, nurses should inform colonoscopy candidates of potential abdominal pain during colonoscopy under conscious sedation. In addition, nurses should consider nursing interventions including warm pack application to effectively relieve abdominal pain during colonoscopy in candidates with presence of risk factors.

KCI등재

3중환자실 노인 환자에서 주관적 · 객관적 섬망 평가의 불일치에 영향을 미치는 요인: 환자와 간호사 특성과 섬망지식

저자 : 송은숙 ( Song Eun-suk ) , 안숙희 ( Ahn Sukhee )

발행기관 : 부산대학교 간호과학연구소 간행물 : 글로벌 건강과 간호 8권 2호 발행 연도 : 2018 페이지 : pp. 70-81 (12 pages)

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Purpose: The purpose of this study was to identify the rate of discrepancy between nurses' subjective and objective assessment of delirium in elderly patients in intensive care units (ICUs) and to explore factors influencing the discrepancy. Methods: Using a survey design, a total of 91 elderly patients and 47 nurses were recruited from three ICUs in C Hospital. While ICU nurses subjectively assessed prevalence of delirium in their patients, the researcher used the Confusion Assessment Method in the ICU (CAM-ICU) tool at the same time. Medical records were reviewed for participants' demographic and disease-related characteristics. The nurses' level of knowledge about delirium assessment was examined. Results: Twenty-seven percent of patients had delirium according to CAM-ICU assessment and the discrepancy rate between CAM-ICU and subjective assessments was 18.7% (x2=21.648, p<.001): 2.2% for false positives, and 16.5% for false negatives. Patient factors influencing the discrepancy between delirium assessment methods were using restraints, as well as lower Glasgow Coma Scale (GCS) scores and Richmond Agitation and Sedation Scale (RASS) scores, while a nurse factor was shorter length of time working in an ICU. Conclusion: The discrepancy rate was 18.7% with 16.5% for false negatives. An education program is necessary for nurses to improve their knowledge of symptom assessment for delirium and to receive training in the use of objective tools for delirium assessment.

KCI등재

4노인요양시설 요양보호사의 욕창예방에 대한 지식과 수행도 간의 관련성

저자 : 최수영 ( Choi Suyoung ) , 허복여 ( Hur Bok Yeo ) , 송효정 ( Song Hyo Jeong ) , 김윤경 ( Kim Yoon Kyung ) , 박은옥 ( Park Eunok ) , 현미열 ( Hyun Mi Yeol )

발행기관 : 부산대학교 간호과학연구소 간행물 : 글로벌 건강과 간호 8권 2호 발행 연도 : 2018 페이지 : pp. 82-89 (8 pages)

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Purpose: This study aimed to provide basic data of the design of education program for nursing home care workers about pressure injury prevention. The purposes of this study were to identify care workers' knowledge and practice of pressure injury prevention and to evaluate the relationship between knowledge and practice of pressure injury prevention. Methods: The research design was a cross-sectional study using a structured questionnaire. The participants were 90 care workers who were working in three nursing homes in Jeju city from September to November 2016. Results: The mean scores of knowledge and practice were 5.59±1.09 (range 2.00~7.00) and 22.19±2.46 (range 12.00~24.00), respectively. A positive correlation was observed between knowledge and practice (r=.30, p=.004). Conclusion: Knowledge on pressure injury prevention was found to be positively correlated with the practice of pressure injury prevention in nursing home care workers.

KCI등재

5혈액투석 환자의 투석적절도, 증상경험, 기분상태 및 희망의 관계

저자 : 김은경 ( Kim Eun-kyung ) , 황선경 ( Hwang Sun-kyung ) , 이윤지 ( Lee Yun-ji )

발행기관 : 부산대학교 간호과학연구소 간행물 : 글로벌 건강과 간호 8권 2호 발행 연도 : 2018 페이지 : pp. 90-100 (11 pages)

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Purpose: This study aimed to examine the relationships between dialysis adequacy, symptoms experience, and mood states and identify the factors affecting hope in hemodialysis patients. Methods: This was a descriptive correlational study with a convenience sample of 129 hemodialysis patients recruited from three hospitals in B City, Korea. Measures included the Dialysis Symptom Index, Profile of Mood States-Brief, and Miller Hope Scale. Dialysis adequacy was calculated with data from patients' medical records. Data were analyzed with descriptive statistics, t-test, ANOVA, Pearson correlation coefficients, and hierarchical multiple regression. Results: In hierarchical regression analysis, the final model was statistically significant (F=15.16, p<.001) and explained about 47.0% of the total variance: 14.0% of participants'significant characteristics, 3.0% of dialysis adequacy, and 30.0% of symptom experience and mood disturbance. The significant predictors of hope were mood disturbance (β=-.59), age (β=-.24), perceived economic status (β=.21) and dialysis adequacy (β=.18). Conclusion: This study showed that hope in hemodialysis patients was higher when mood disturbance was low and dialysis adequacy was high. We suggest that efforts to reduce mood disturbance should be taken into account to improve their hope.

KCI등재

6수술실 간호사의 수술 중 인수인계 실태

저자 : 김명희 ( Kim Myung Hee ) , 김성민 ( Kim Sungmin )

발행기관 : 부산대학교 간호과학연구소 간행물 : 글로벌 건강과 간호 8권 2호 발행 연도 : 2018 페이지 : pp. 101-111 (11 pages)

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Purpose: Operating room nurses' hand-off during surgery is inevitable, and it is very important to ensuring continuity of nursing care. This study aimed to identify the status of operating room nurses' intraoperative hand-off. Methods: This study used a cross-sectional descriptive survey. The data were collected through structured questionnaire from March 12 to April 30, 2018. Participants were 251 operating room nurses from 6 university hospitals. Results: The mean scores of importance and appropriateness of and satisfaction with hand-off were 4.82±0.39, 3.65±0.56, and 3.32±0.50 respectively. During the operation, nurses need to hand-off and assist the surgeon at the same time, which was the important cause of the inappropriate hand-off. The importance of hand-off had a significant positive correlation with appropriateness (r=.17, p=.002) and satisfaction (r=.18, p=.004), and there was significant positive correlation between appropriateness and satisfaction (r=.43, p<.001). In addition, the recipient's work difficulty had a significant negative correlation with the appropriateness (r=-.14, p=.005) and satisfaction (r=-.35, p<.001). Conclusion: A standardized hand-off method is essential to ensure the continuity of operative nursing and improve the nursing practice. Future research is needed to examine the effectiveness of the intraoperative hand-off protocol.

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