논문 상세보기

한국보건정보통계학회(구 한국보건통계학회)> 보건정보통계학회지> 의료현장에서 부모에 의한 의료방임과 아동건강

KCI등재

의료현장에서 부모에 의한 의료방임과 아동건강

Medical Neglect by Parents and Child Health at Clinical Sites

서지현 ( Ji-hyun Seo ) , 최소영 ( So Young Choi ) , 배화옥 ( Hwa-ok Bae )
  • : 한국보건정보통계학회(구 한국보건통계학회)
  • : 보건정보통계학회지 45권1호
  • : 연속간행물
  • : 2020년 02월
  • : 1-7(7pages)

DOI


목차

INTRODUCTION
METHODS
RESULTS
DISCUSSION
CONCLUSION
ORCID
REFERENCES

키워드 보기


초록 보기

목적: 의료방임이란 아동건강에 필요한 약물이나 의료적 처치를 제공하지 않는 것을 의미한다. 의료방임은 아동의 건강을 심각하게 위협할 수 있다. 본 연구의 주요 목적은 입원 환아에게 발생한 부모에 의한 의료방임을 묘사하는 것이다.
방법: 2017년에서부터 2018년 사이 경상대학교병원 소아청소년과에 입원하였던 아동 가운데 보호자와 의료진 간에 문제가 불거진 사례를 선택하여 의료기록을 면밀히 검토한 결과 4개 사례가 의료방임으로 의심되었다. 아동들은 장염(증례 1), 뇌수종(증례 2), 발가락 응고(증례 3), 뇌전증(증례 4)으로 입원하였다. 증례 1과 증례 4는 응급실로 들어온 경우이며, 증례 1과 증례 2는 민간의료보험에 가입하여 빈번하게 재입원하는 경우이다.
결과: 검토 결과, 모든 사례가 보호자가 의료처방을 따르지 않는 “치료거부”에 해당하였다. 증례 1과 증례 2는 간호사를 간병인으로 인지하고 아동을 두고 종종 장시간 연락이 두절되는 경우였다. 증례 3과 증례 4는 의료진의 결정에 반하는 “자의퇴원”이었다. 특히 증례 4는 아동의 생존을 위협할 수 있는 “성장장애”의 가능성이 엿보였다. 본 연구에서 나타난 아동의료방임 위험요인으로는 민간의료보험 가입여부, 가정경제 수준, 아동 장애여부, 그리고 부모의 교육수준과 태도였다.
결론: 의료진은 응급실로 입원하거나 빈번하게 재입원하는 아동에게 의료방임이 발생할 수 있음을 주지하고 있어야 한다. 또한 의료현장에서 발생할 수 있는 의료방임을 막기 위하여 아동을 방임하는 부모에게 주의를 기울여야 할 것이다.
Objectives: Medical neglect indicates no provision of medicine or medical treatment necessary for child health. Medical neglect can put children at significant risk. Little information is available on this subject. The objective of present study is to describe characteristics of medical child neglects done by parents during the hospitalization.
Methods: We conducted a retrospective medical record review of hospitalized children whose parents had trouble with medical staff from 2017 to 2018 at the Department of Pediatrics, Gyeongsang National University Hospital. Four cases were selected as suspected medical neglects done by parents. The children were admitted under diagnosis of enteritis (Case 1), pneumonia and cerebral palsy (Case 2), toe necrosis (Case 3), and epilepsy (Case 4). Case 1 and Case 4 were admitted to the emergency and Case 1 and Case 2 were frequently readmitted with the private insurance coverage.
Results: All the 4 Cases were “Treatment Refusal” where the parents did not comply with medical advice. Mothers of Case 1 and Case 2 were long and often disconnected neglecting their children. They treated nurses to be caregivers. Case 3 refused medical treatment for the cause of medicine. Case 4 objected test and treatment with suspected brain impairment. The Case 3 and Case 4 were “Discharge Against Medical Advice” and Case 4 is possible “Failure To Thrive.” Risk factors identified in this study are private insurance coverage, family economy, disability of the child, and education and attitude of parent(s).
Conclusions: Medical staffs must be aware of possible medical neglect of children admitted to emergency or frequently readmitted. They also must pay attention to parents neglecting children during the hospitalization so as to prevent medical child neglects at clinical sites.

UCI(KEPA)

간행물정보

  • : 의약학분야  > 예방의학및보건학
  • : KCI등재
  • :
  • : 계간
  • : 2465-8014
  • : 2465-8022
  • : 학술지
  • : 연속간행물
  • : 1976-2020
  • : 680


저작권 안내

한국학술정보㈜의 모든 학술 자료는 각 학회 및 기관과 저작권 계약을 통해 제공하고 있습니다.

이에 본 자료를 상업적 이용, 무단 배포 등 불법적으로 이용할 시에는 저작권법 및 관계법령에 따른 책임을 질 수 있습니다.

발행기관 최신논문
| | | | 다운로드

1의료현장에서 부모에 의한 의료방임과 아동건강

저자 : 서지현 ( Ji-hyun Seo ) , 최소영 ( So Young Choi ) , 배화옥 ( Hwa-ok Bae )

발행기관 : 한국보건정보통계학회(구 한국보건통계학회) 간행물 : 보건정보통계학회지 45권 1호 발행 연도 : 2020 페이지 : pp. 1-7 (7 pages)

다운로드

(기관인증 필요)

초록보기

목적: 의료방임이란 아동건강에 필요한 약물이나 의료적 처치를 제공하지 않는 것을 의미한다. 의료방임은 아동의 건강을 심각하게 위협할 수 있다. 본 연구의 주요 목적은 입원 환아에게 발생한 부모에 의한 의료방임을 묘사하는 것이다.
방법: 2017년에서부터 2018년 사이 경상대학교병원 소아청소년과에 입원하였던 아동 가운데 보호자와 의료진 간에 문제가 불거진 사례를 선택하여 의료기록을 면밀히 검토한 결과 4개 사례가 의료방임으로 의심되었다. 아동들은 장염(증례 1), 뇌수종(증례 2), 발가락 응고(증례 3), 뇌전증(증례 4)으로 입원하였다. 증례 1과 증례 4는 응급실로 들어온 경우이며, 증례 1과 증례 2는 민간의료보험에 가입하여 빈번하게 재입원하는 경우이다.
결과: 검토 결과, 모든 사례가 보호자가 의료처방을 따르지 않는 “치료거부”에 해당하였다. 증례 1과 증례 2는 간호사를 간병인으로 인지하고 아동을 두고 종종 장시간 연락이 두절되는 경우였다. 증례 3과 증례 4는 의료진의 결정에 반하는 “자의퇴원”이었다. 특히 증례 4는 아동의 생존을 위협할 수 있는 “성장장애”의 가능성이 엿보였다. 본 연구에서 나타난 아동의료방임 위험요인으로는 민간의료보험 가입여부, 가정경제 수준, 아동 장애여부, 그리고 부모의 교육수준과 태도였다.
결론: 의료진은 응급실로 입원하거나 빈번하게 재입원하는 아동에게 의료방임이 발생할 수 있음을 주지하고 있어야 한다. 또한 의료현장에서 발생할 수 있는 의료방임을 막기 위하여 아동을 방임하는 부모에게 주의를 기울여야 할 것이다.

2치과 내원 흡연자의 전자담배 사용 및 사용의도 관련요인

저자 : 김소영 ( So Yeong Kim ) , 박종 ( Jong Park ) , 류소연 ( So Yeon Ryu ) , 한미아 ( Mi Ah Han ) , 최성우 ( Seong Woo Choi )

발행기관 : 한국보건정보통계학회(구 한국보건통계학회) 간행물 : 보건정보통계학회지 45권 1호 발행 연도 : 2020 페이지 : pp. 8-15 (8 pages)

다운로드

(기관인증 필요)

초록보기

Objectives: This study was to investigate the factors affecting the use of electronic cigarettes and intent to use cigarettes who visited dental clinic.
Methods: This study is researched 179 people as smoker which visited 2 dental hospital and 3 dental clinic in Gwangju Metropolitan City using questionnaire survey from September 27, 2017 to October 24, 2017. The data was analyzed as frequency, percentage, average, standard deviation, chi-square test, t-test, logistic regression using by SPSS version 24.0 statistics program.
Results: Look over the analyze logistic regression using simple analysis result which percentage of relate lower than 0.1 based on answer which electronic cigarettes is no effect as use cessation aid, effective is 5.75 times higher. In case answer the effective as use cessation aid, they relate on use electronic cigarette (95% confidence interval, 95% CI=1.57-21.03). Based on no stress during everyday life, stressed is 3.53 times higher than unstressed and relate on intent to use electronic cigarettes (95% CI=1.25-9.98). Also based on answered no effect as use cessation aid is 6.62 times higher than effective as use cessation aid and related to intent of use electronic cigarette (95% CI=1.58-27.66). Based on doesn't heard about electronic cigarettes are legally classified cigarettes, heard is 3.31 times higher than doesn't heard and related on intent of use electronic cigarettes (95% CI=1.26-8.67).
Conclusions: In this study, if help to get a correct recognition of electronic cigarettes and use cessation education to use people who visited dental clinic can be possible effective use cessation.

3보건정보 자료를 이용한 나무구조회귀모형의 시각화에 대한 고찰

저자 : 조현선 ( Hyun Sun Cho ) , 이은경 ( Eun Kyung Lee )

발행기관 : 한국보건정보통계학회(구 한국보건통계학회) 간행물 : 보건정보통계학회지 45권 1호 발행 연도 : 2020 페이지 : pp. 16-29 (14 pages)

다운로드

(기관인증 필요)

초록보기

Objectives: Among machine learning techniques, a tree-based regression model is widely used as easy to interpret and easy to use results.
Methods: In this study, we examine the characteristics of regression models using various tree structures implemented in R, and apply them to public health data for visual representation and analysis to enhance understanding of the models and data.
Results: We also look at the random forest, gradient boosting model, and xgboost that incorporate the results of various tree-structured model estimates using bagging and boosting, and visualize these estimation processes to compare the results of the model estimates. It also compares the performance of various tree-structured models using various public health data. It visually examines that the performance of the tree-structured models may vary depending on the characteristics of the data.
Conclusions: Through this study, we apply the tree-structured models to public health data to enhance understanding of the data and to help identify and visualize the mechanism of the data.

4간호대학생의 공감능력과 인권감수성이 다문화수용성에 미치는 영향

저자 : 안수라 ( Su Ra Ahn ) , 노윤구 ( Yoon Goo Noh )

발행기관 : 한국보건정보통계학회(구 한국보건통계학회) 간행물 : 보건정보통계학회지 45권 1호 발행 연도 : 2020 페이지 : pp. 30-36 (7 pages)

다운로드

(기관인증 필요)

초록보기

Objectives: The purpose of this study was to identify the effect of empathy ability and human rights sensitivity on multicultural acceptance among nursing students. This study is a correlation study that tests the relationship between variables.
Methods: The sample for this study consisted of 186 nursing students from two universities in two cities in Gyeongnam, Korea. Data were collected using a structured questionnaire from August 27 to September 9, 2018. The questionnaire included empathy ability, human rights sensitivity, and multicultural acceptance. Data were analyzed by descriptive statistics, t-test, One-way ANOVA, Pearson correlation and stepwise multiple regression with SPSS 23.0.
Results: It was found that: (a) In this study, the mean value of empathy was 3.74 (±0.37), human rights sensitivity was 2.74 (±0.87), and multicultural acceptance was 4.31 (±0.61). (b) Multicultural a cceptance had a positive correlation with empathy ability (r=0.43, p<0.001), human rights sensitivity (r=0.44, p<0.001). (c) Factors influencing multicultural acceptance were identified as following; empathy ability (β=0.34, p<0.001), human rights sensitivity (β=0.32, p<0.001), and aging (β=-0.18, p=0.003) with 31.8% explanatory power.
Conclusions: In this study, it was found that empathy ability and human rights sensitivity have positive effect on multicultural acceptance among nursing students, whereas aging has negative effect. Results may be useful in developing new strategies for enhancing multicultural acceptance. Further research is needed to develop programs that include these variables and to verify their effects.

5일개 종합병원 간호사의 멘토링 기능이 심리적 안녕감에 미치는 영향

저자 : 김은숙 ( Eun Suk Kim ) , 류소연 ( So Yeon Ryu ) , 박종 ( Jong Park ) , 최성우 ( Sung Woo Choi )

발행기관 : 한국보건정보통계학회(구 한국보건통계학회) 간행물 : 보건정보통계학회지 45권 1호 발행 연도 : 2020 페이지 : pp. 37-43 (7 pages)

다운로드

(기관인증 필요)

초록보기

Objectives: The purpose of this study was to investigate the effect of mentoring function on psychological well-being among clinical nurses in a general hospital.
Methods: The study subjects were 300 clinical nurses working in K general hospital. Data was collected by a self-administered questionnaire. Data was analyzed with descriptive statistics, Pearson's correlation analysis and multiple regression analysis to fine the association between mentoring function and psychological well-being.
Results: The mean scores of mentoring function and psychological well-being were 3.76±0.42, 3.44±0.39, respectively. In the correlation analysis, the mentoring function was significantly positive correlation with psychological well-being (r=0.40, p<0.001). In multiple regression analysis, mentoring function (β=0.31, p<0.001), good self-related health (β=0.24, p=0.015), higher than master's education (β=0.22, p=0.021), having leisure activity (β=0.17, p=0.002) and drinking (b=-0.11, p=0.047) were significantly effect on psychological well-being.
Conclusions: This study showed that mentoring function was related with psychological well-being of clinical nurses. Therefore, it is suggested to develop and apply systematic mentoring program for promoting the psychological well-being and effective human resource management to clinical nurses in the hospital.

6퇴원손상심층조사 자료의 효율적 활용을 위한 데이터베이스 구축에 대한 연구

저자 : 김성수 ( Sung-soo Kim )

발행기관 : 한국보건정보통계학회(구 한국보건통계학회) 간행물 : 보건정보통계학회지 45권 1호 발행 연도 : 2020 페이지 : pp. 44-51 (8 pages)

다운로드

(기관인증 필요)

초록보기

Objectives: The present study is focused on extracting various data such as diseases, surgical operations and treatments of the Korean National Hospital Discharge In-depth Injury Survey Data to construct an effective database that can be widely used in development of policies and research.
Methods: The database construction methodology was applied to construct an effective database using the Korean National Hospital Discharge In-depth Injury Survey Data from 2006 to 2016. And for the data integration, the items and properties of data for each year were checked. As for the software to construct the database, the Relational Database Management System (RDBMS) MySql was used. And through normalization, the Entity Relationship Diagram was designed to record the DDL and DML to conduct physical modeling.
Results: As a result of checking the collected items per year, there were no problems in constructing the database. There were total of 68 items and 2,253,001 cases of sample patients. Through the normalization process, they were divided into 3 different entities and each entity was issued a primary key consisting of the year and patient number. Finally, the integrated database construction was completed by compiling the SQL for physical modeling.
Conclusions: The integrated database model of the Korean National Hospital Discharge In-depth Injury Survey Data was produced. In the future, its usage will increase as it enables effective data extraction for various researches related to diseases, surgical operations, and treatments. Furthermore, it could also be used in constructing the web-based supplying system for the Korean National Hospital Discharge In-depth Injury Survey Data.

7허혈성 심장질환 환자의 재원일수 결정요인

저자 : 이재빈 ( Jae Bin Lee ) , 우혜경 ( Hyekyung Woo )

발행기관 : 한국보건정보통계학회(구 한국보건통계학회) 간행물 : 보건정보통계학회지 45권 1호 발행 연도 : 2020 페이지 : pp. 52-59 (8 pages)

다운로드

(기관인증 필요)

초록보기

Objectives: Considering the limited resources, identification of the factors affecting length of stay (LOS) is of great value to determine the efficiency and optimal use of hospital resources. This study aimed to identify the LOS and the factors affecting the LOS for patients with ischemic heart disease.
Methods: The Korean National Hospital Discharge In-depth Injury Survey Data (2017) collected by the Korea Centers for Disease Control and Prevention were used. We extracted 5,845 inpatients who principal diagnosis is ischemic heart disease. The factors affecting the LOS were identified through multiple regression analyses based on demographic, medical use, and disease characteristics.
Results: The mean of the LOS was 4.27 days (standard deviation=7.97). The LOS was longer in women, elderly people, and medical aids recipients. Also, the results showed that the LOS has a significant relationship with the variables of type of admission (emergency), hospital residence (Seoul & metropolitan city), the number of beds (100 to 499 beds), surgery status (patients who underwent coronary procedure including coronary artery bypass grafting), the CCI severity and Primary diagnosis (acute myocardial infarction).
Conclusions: This study found determinants of LOS for patients with ischemic heart disease include demographic, medical use, and disease characteristics. The identification of such factors could assist in optimizing patient LOS.

다운로드

(기관인증 필요)

초록보기

Objectives: Health threats from smoking are still not diminishing worldwide. As part of efforts to reduce the smoking population, advertising communications through various media is one of the major anti-smoking campaigns, such as efforts to improve the environment of other institutions. With the development of remarkable media technology, communication through Social Network Service (SNS) has become a part of our lives. The purpose of this paper is to explore effective ways of smoking cessation advertising by comparing the persuasive effects of smoking cessation messages on Facebook and existing print media that have a great influence on the communication environment.
Methods: The threat appeal in advertising has been proven to have an effect on leading to the intention of quitting smoking. There are two ways of threat appeal: personal harm threat appeal and social welfare threat appeal, and facebook and print media. Check the persuasive effect of the advertising message when loaded in the medium. Four types of experimental advertisements are exposed to 241 male and female subjects to verify the persuasive effect of SNS and traditional print media.
Results: The threat appeal advertisement of personal harm was more persuasive than the social welfare threat advertisement in the smoking cessation attitude. In perceived behavioral control factors, which included the concept of self-confidence, the threat of personal harm threat claims was significantly higher than that of social welfare threat appeals. Personal harm threat claims and social benefit threat claims on Facebook have a greater impact on perceived behavioral control than print media. Lastly, subjective norms including the concept of ambient pressure perceived by smokers were the most influential factors influencing smoking intentions.
Conclusions: Threat appeal is still valid for smoking cessation advertisements, and in combination with SNS media, effective smoking cessation and behavior can be induced. In addition, SNS should be distinguished from traditional media, and the advantages of SNS media should be appropriately utilized.

9부동 상태의 급성 뇌졸중 중환자의 근육량 변화

저자 : 최선임 ( Sun Im Choi ) , 박혜자 ( Hye-ja Park )

발행기관 : 한국보건정보통계학회(구 한국보건통계학회) 간행물 : 보건정보통계학회지 45권 1호 발행 연도 : 2020 페이지 : pp. 72-79 (8 pages)

다운로드

(기관인증 필요)

초록보기

Objectives: This study examined the body muscle and limbs muscle loss among critically ill patients with acute stroke.
Methods: In this cross-sectional study, the clinical characteristics, lean body muscle and limbs muscle were measured on admission day, the 2nd day and the 7th day after admission in 23 acute stroke patients recruited from at a tertiary neuroscience intensive care unit. Immobilization was defined by medical research council score (MRCs≤48) and Richmond agitation and sedation score (RASS≤-2). Data were analyzed by repeated measures of ANOVA with Bonferroni's correction and rank ANCOVA.
Results: Most clinical indices were improved on the 2nd day. The muscle loss incidence of lean body muscle, upper limb and lower limb was 65.2%, 56.5%, and 73.9% on the 7th day, respectively. Lean body muscle reduced by 1.05% at the 2nd day and by 1.45% at 7th day. Upper and lower limbs muscle reduced by 3.34% and 3.53% at 7th day, respectively.
Conclusions: Immobilization may lead to muscle loss in acute stroke patients. An early mobility program may help prevent muscle loss for immobilized acute stroke patients at the neuroscience intensive care unit.

10입원암환자의 동반질환에 따른 재원일수의 변이 분석

저자 : 김성수 ( Sung-soo Kim )

발행기관 : 한국보건정보통계학회(구 한국보건통계학회) 간행물 : 보건정보통계학회지 45권 1호 발행 연도 : 2020 페이지 : pp. 80-90 (11 pages)

다운로드

(기관인증 필요)

초록보기

Objectives: The present study was conducted to confirm the distribution of comorbidity among hospitalized cancer inpatients in Korea to analyze the variations in the length of stay (LOS).
Methods: The subjects were patients with the principal diagnosis of malignant neoplasm (C00-C97) from the data of the Korean National Hospital Discharge In-depth Injury Survey (2006-2016) designed according to the complex sample survey. The dependent variable is the length of stay and the independent variables are comorbidities, demographic characteristics such as gender and age. The study was performed regression analysis, chi-square, t-test to find out what sort of influence such comorbidities have on the length of stay.
Results: Among the hospitalized cancer patients, there were 74.7% of patients with comorbidity and the average length of stay was 12.1 days. The distribution of hospitalized cancer patients and their average length of stay displayed statistically significant differences according to the general characteristics. Furthermore, the major comorbidity that made significant impact on the length of stay were S00-T98, J00-J99, K00-K93, L00-L99 and F00-F99.
Conclusions: Our results suggest that we need to consider major comorbidity to reduce hospital length of stay in cancer inpatient.

12
주제별 간행물
간행물명 수록권호

KCI등재

대한보건연구(구 대한보건협회학술지)
46권 3호 ~ 46권 3호

KCI등재

보건정보통계학회지
45권 3호 ~ 45권 3호

KCI등재

한국치위생학회지(구 한국치위생교육학회지)
20권 4호 ~ 20권 4호

KCI등재

한국모자보건학회지
24권 3호 ~ 24권 3호

KCI등재

한국산업보건학회지
30권 2호 ~ 30권 2호

KCI등재

보건행정학회지
30권 2호 ~ 30권 2호

한국보건교육학회지
6권 1호 ~ 6권 1호

KCI등재

보건경제와 정책연구(구 보건경제연구)
26권 2호 ~ 26권 2호

KCI등재

한국치위생학회지(구 한국치위생교육학회지)
20권 3호 ~ 20권 3호

한국보건행정학회 학술대회논문집
2020권 1호 ~ 2020권 1호

KCI등재

대한보건연구(구 대한보건협회학술지)
46권 2호 ~ 46권 2호

KCI등재

보건정보통계학회지
45권 2호 ~ 45권 2호

한국모자보건학회 학술대회 연제집
2019권 1호 ~ 2019권 2호

KCI등재

한국모자보건학회지
24권 2호 ~ 24권 2호

KCI등재

한국치위생학회지(구 한국치위생교육학회지)
20권 2호 ~ 20권 2호

KCI등재

보건경제와 정책연구(구 보건경제연구)
26권 1호 ~ 26권 1호

KCI등재

한국산업보건학회지
30권 1호 ~ 30권 1호

KCI등재

보건행정학회지
30권 1호 ~ 30권 1호

KCI등재

보건정보통계학회지
45권 1호 ~ 45권 1호

KCI등재

대한보건연구(구 대한보건협회학술지)
46권 1호 ~ 46권 1호
발행기관 최신논문
자료제공: 네이버학술정보
발행기관 최신논문
자료제공: 네이버학술정보

내가 찾은 최근 검색어

최근 열람 자료

맞춤 논문

보관함

내 보관함
공유한 보관함

1:1문의

닫기