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한국보건정보통계학회> 보건정보통계학회지> 간호대학생의 교내실습 중 찔림사고 경험실태 및 위험요인

KCI등재

간호대학생의 교내실습 중 찔림사고 경험실태 및 위험요인

Prevalence Rate and Risk Factors for Needlestick and Sharps Injuries in Education Practicum among Nursing Students

김은영 ( Eun Young Kim ) , 문경자 ( Kyoungja Moon )
  • : 한국보건정보통계학회
  • : 보건정보통계학회지 44권3호
  • : 연속간행물
  • : 2019년 08월
  • : 262-270(9pages)
보건정보통계학회지

DOI


목차

서 론
연구 방법
연구 결과
고 찰
결 론
REFERENCES

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Objectives: The purpose of this study was to identify prevalence and risk factors of needlesticks and other sharps injuries (NSIs) in education practicum among nursing students. Methods: Data were collected using self-administered questionnaires which included general and practical characteristics, in education practicum associated with NSIs. Data were conducted from April 29 to May 3, 2019 and analyzed using χ²-test and multiple logistic regression. Results: The incidence rate of NSIs was 17.0%. Multiple logistic regression analysis identified five predictors for NSIs which were statistically significant; year (Odds ratio, OR=3.88, 95% confidence interval, 95% CI=1.86-8.06), status carelessness (OR=2.32, 95% CI=1.22-4.40), wearing gloves (OR=2.86, 95% CI=1.39-5.86), finding an instrument in an inappropriate position (OR=2.77, 95% CI=1.46-5.25), and using time of instrument (OR=2.45, 95% CI= 1.19-5.06). Conclusions: Based on the findings of this study, we need to develop specific NSIs preventive education program for reducing the risk of NSIs of nursing students.

UCI(KEPA)

I410-ECN-0102-2021-500-000296929

간행물정보

  • : 의약학분야  > 예방의학및보건학
  • : KCI등재
  • :
  • : 계간
  • : 2465-8014
  • : 2465-8022
  • : 학술지
  • : 연속간행물
  • : 1976-2022
  • : 755


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47권1호(2022년 02월) 수록논문
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KCI등재

1빅 데이터를 이용한 국내의 성인 및 노인대상 작업치료 관련 연구: 체계적 고찰

저자 : 남상훈 ( Sanghun Nam ) , 배수영 ( Suyeong Bae ) , 홍익표 ( Ickpyo Hong )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 47권 1호 발행 연도 : 2022 페이지 : pp. 1-8 (8 pages)

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Objectives: This study systematically reviewed the literatures related to domestic occupational therapy and big data and suggested the need for changes in occupational therapy and big data research for adults and the older adults. Methods: From January 2010 to December 2020, Google Scholar, Korean Studies Information Service System, and Research Information Sharing Service were utilized to search for literatures related to occupational therapy and big data in South Korea. Results: Of the 954 searched literatures, 17 literatures were selected. Most of the literatures were the evidence level II (n=7, 41.2%), 7 (41.2%) literatures conducted with older adults, and 3 literatures (17.6%) utilized the Korean National Health and Nutrition Examination Survey as a big data source. Finally, in the literature, the research was conducted by selecting variables suitable for the subject from various panel surveys. Conclusions: In south Korea, panel surveys for each topic are being created and various variables are being collected. As a result, research in occupational therapy for adults and the elderly using big data became possible, making it possible to conduct various studies.

KCI등재

2뇌졸중 환자의 재활을 위한 병원선택요인

저자 : 김미옥 ( Miok Kim ) , 김건엽 ( Keon-yeop Kim )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 47권 1호 발행 연도 : 2022 페이지 : pp. 9-19 (11 pages)

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Objectives: The purpose of this study was to investigate the factors influencing selection for rehabilitation hospital in patients who have been diagnosed with stroke. Methods: This study included 169 stroke patients who were admitted to the top 5 hospitals with the highest recovery rate among 13 hospitals where the rehabilitation medicine is operated as the main medical department in Daegu Metropolitan City. The data was collected from 10 February, 2020 to 17 March, 2020, and the survey was conducted by the head of the hospital administration in each hospital for about a month through face to face. Results: Among the factors influencing selection for rehabilitation hospital after stroke, image factors were at the highest mean and standard deviation (3.83±0.74), following human factors (3.75±0.77), physical factors (3.57±0.89), efficiency factors (3.35±0.69), accessibility factors (3.11±1.00). In the demographic characteristics, human factors were considered important when selecting hospital in aged people over 70 years old (p<0.01). Efficiency factors and human factors were considered important if patients living outside Daegu (p<0.05), but accessibility factors were more important if patients living in Daegu (p<0.01). In the stroke related characteristics, the human factors were considered important in the shorter the disease period, and in the case of having swallowing disorders (p<0.05). When paralysis was affected on both sides (bilateral paralysis), physical factors were considered important (p<0.05), and efficiency factor was also considered important as the disease periods gets shorter (p<0.05). Efficiency factors and accessibility were important in the case of not having respiratory disorders compared to those with the respiratory disorders (p<0.05). The results of the factors for choosing a hospital according to the stroke diseases-related characteristics showed that human factors, physical factors, and hospital image factors were considered important in case of putting much of the efforts to gather hospital information (p<0.01). When the patients who had rehabilitation in the tertiary hospital prior to the current hospital admission, the physical factors were considered important (p<0.05). Conclusions: This study found that various factors were considered in patients who have been diagnosed with stroke, when selecting rehabilitation hospital after stroke. Therefore, it should be warranted to provide reliable and objective hospital information for stroke patients through establishing national level health system and sharing rehabilitation data so that the people can get effective rehabilitation at the right time.

KCI등재

3간호대학생의 MBTI 성격유형에 따른 자아존중감, 스트레스 대처방식 및 회복탄력성 영향요인

저자 : 박정미 ( Jeong Mi Park )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 47권 1호 발행 연도 : 2022 페이지 : pp. 20-26 (7 pages)

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Objectives: This study aimed to identify the effects of self-esteem and stress coping styles on resilience in nursing students according to the Myers- Briggs Type Indicator (MBTI). Methods: A descriptive study was conducted. Data were collected from 205 nursing senior students and analyzed using descriptive statistics, t-test, ANOVA, Scheffé test, Pearson correlation coefficient and multiple regression analysis. Results: In terms of self-esteem, social support-seeking stress coping style, and resilience, extroversion was significantly higher than introversion in MBTI preference. Among all factors, self-esteem had the greatest effect on resilience (r=0.53), followed by the emotion-focused coping style (r=-0.31) and the problem-focused coping style (r=0.23), with an explanation power of 57.1%. Conclusions: The results of this study indicate that self-esteem is an essential factor affecting resilience. Thus, nursing intervention programs for improvement of resilience in nursing students should be considered by the degree of self-esteem based on the MBTI personality preference.

KCI등재

4노인요양시설의 영양사 배치유무에 따른 영양관리 실태 비교

저자 : 권진희 ( Jin Hee Kwon ) , 황라일 ( Rah Il Hwang ) , 류재현 ( Jaehyeon Ryu )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 47권 1호 발행 연도 : 2022 페이지 : pp. 27-34 (8 pages)

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Objectives: The study was performed to compare the status of nutrition management with and without dietitian in residential facilities in order to provide basic data for high quality of nutrition management services across the country. Methods: Among long-term care facilities with claims of benefits, 747 samples were extracted through a proportionate stratified sampling method based on region, agents of foundation, types of food service, and facility size. Results: The subjects of the survey were dietitian, general managers, or facility directors. Nutrition evaluation, nutrition intervention, and nutrition monitoring were performed by professional staff at the residential facilities with a dietitian. On the other hand, it was found that the rate of nutrition management performance was relatively low in residential facilities where no dietitian was assigned, and it was performed by non-professional personnel such as nurse aids and social workers. Conclusions: The results of this study suggested that developing strategies is required to reinforce the safe minimal standard of dietitians' staffing levels for systematic nutrition management.

KCI등재

5CEA 및 CA15-3 혈청 수준 기반 유방암 예후 예측 모델 개발 연구

저자 : 양희수 ( Hee Soo Yang ) , 권성욱 ( Seonguk Kwon ) , 이승희 ( Seunghee Lee ) , 이수현 ( Suehyun Lee ) , 김종엽 ( Jong-yeup Kim )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 47권 1호 발행 연도 : 2022 페이지 : pp. 35-47 (13 pages)

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목적: CEA와 CA15-3 혈청 수준은 유방암 환자의 예후를 예측하기 위해 사용되며, 본 연구에서는 이를 활용하여 유방암 예후 예측 모델을 개발하고자 한다.
방법: 2012년 1월부터 2019년 12월까지 유방암을 진단받은 639명의 환자를 대상으로 분석하였다. CEA와 CA15-3 검사 정보를 포함하는 20개의 변수를 선정하여 예후 예측 모델 개발을 위해 인공신경망, 랜덤 포레스트, 서포트 벡터 머신, 로지스틱 회귀 총 4개의 기계학습 알고리즘을 활용하였다.
결과: 환자군(n= 63)과 대조군(n=576) 간에 CEA와 CA15-3 혈청 수준과 나이, 고혈압 및 당뇨병을 제외한 다른 질병의 병력, 화학요법 및 약물요법일 시행한 경우에서 통계적으로 유의미한 차이가 보였다. 유방암 예후 예측 모델에 대한 인공신경망 모델의 민감도와 특이 도는 각각 26.7%, 92.6%로 확인되었다.
결론: Shapley 부가 설명 모델 활용 결과, 유방암 예후 예측 모델에서 가장 중요한 변수는 CEA와 CA15-3 혈청 수준으로 확인되었다. 결과적으로 본 연구에서 제안된 인공신경망 기반 기계학습 모델과 종양표지자 혈청 수치는 유방암 예후 예측에 유용하게 작용될 것이라고 기대된다.


Objectives: Serum levels of carcinoembryonic antigen and cancer antigen 15-3 tumor markers are used for breast cancer prognosis. This study developed a breast cancer prognosis prediction model. Methods: We retrospectively analyzed data of 639 patients diagnosed between January 2012 and December 2019. We selected 20 independent variables with carcinoembryonic antigen and cancer antigen 15-3 serum levels and employed four machine-learning algorithms for the model: artificial neural network, random forest, support vector machine, and logistic regression. Results: Significant differences in carcinoembryonic antigen and cancer antigen 15-3 serum levels, age, history of other diseases excluding hypertension and diabetes mellitus, chemotherapy, and drug therapy were noted between control (n=576) and case groups (n=63). The sensitivity and specificity of the artificial neural network model for prognosis prediction were 26.7% and 92.6%, respectively. Conclusions: Carcinoembryonic antigen and cancer antigen 15-3 serum levels were the most significant variables for developing a breast cancer prognosis prediction model using the Shapley additive explanations model. The proposed machine-learning model and tumor marker serum levels may be useful for breast cancer prognosis.

KCI등재

6임상간호사의 COVID-19 백신 접종 의도에 대한 영향요인

저자 : 최연희 ( Yeonhui Choe ) , 차지은 ( Jieun Cha )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 47권 1호 발행 연도 : 2022 페이지 : pp. 48-56 (9 pages)

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Objectives: This study investigated psychosocial factors that influence nurse's intention to receive a COVID-19 vaccine. We focused on factors including COVID-19 knowledge, attitudes and beliefs related to COVID-19 vaccines, social contexts, and demographics. Methods: Data were collected from 200 nurses at five hospitals in Daegu between 12 April and 19 June 2021. We assessed COVID-19 knowledge, perceived susceptibility, severity, benefits, barriers, safety concerns, COVID-19 exposure, demographics, and the intention to get COVID-19 vaccines. Data were analyzed using descriptive statistics, t-tests, ANOVA, Pearson correlation, and hierarchial multiple regression. Results: Of 200 participants, 180 (90.0%) reported an intention to obtain a vaccination against COVID-19. Among four health beliefs towards COVID-19 vaccines, perceived severity was the highest. Perceived benefits (r=0.42, p<0.001) were positively associated with vaccination intention, while perceived barriers (r=-0.32, p<0.001) and safety concerns (r=-0.20, p<0.001) negatively influenced vaccination intention. There were differences in the scores for vaccination intention according to hospital grade and work department. According to the regression analysis, perceived benefits and barriers were discovered to account for 21% of the variance in vaccination intention. Conclusions: This study offers a timely overview of psychosocial factors that are related to nurses' intention to get vaccinated for COVID-19. The vaccines' benefits need to be highlighted in campaigns and educations, and it is imperative to remain transparent and truthful in communications about the vaccine safety.

KCI등재

7정신질환이 동반된 입원환자의 특성과 주진단과의 연관성

저자 : 김성수 ( Sung-soo Kim )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 47권 1호 발행 연도 : 2022 페이지 : pp. 57-65 (9 pages)

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Objectives: The purpose of this study was to determine the prevalence of the principal diagnosis among hospitalized patients with mental disorders and to investigate the association between the principal diagnosis and mental diseases as comorbidity. Methods: The subjects of this study were patients with mental disorders, regardless of the main diagnosis, among the Korean National Hospital Discharge In-depth Injury Survey (KNHDS) from 2006 to 2018. Frequency analysis was performed on the general characteristics, principal diagnosis, and mental disorders of the study subjects. The association between the principal diagnosis and mental diseases was analyzed for patterns using association rule mining (ARM). Results: The main result is that liver diseases are fairly associated with behavioral disorders due to psychoactive substance use. And then organic, including symptomatic, and mental disorders are associated with cerebrovascular diseases, Influenza and pneumonia, and other degenerative diseases of the nervous system. Mood disorders are linked to poisoning by drugs, medicaments, and biological substances. Conclusions: It is necessary to raise awareness of mental diseases and to build a care cooperative system between diseases that are highly associated. It will be possible to monitor key association rules and apply them to clinical decision-making systems.

KCI등재

8중소병원 간호사의 안전문화인식, 간호근무환경, 전문직 자아개념이 환자안전간호활동에 미치는 영향

저자 : 조영옥 ( Young Ok Cho ) , 김명수 ( Myoung Soo Kim )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 47권 1호 발행 연도 : 2022 페이지 : pp. 66-73 (8 pages)

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Objectives: The purpose of this study was to investigate the influencing factors of perceived safety culture, nursing work environment, and professional self-concept on patient safety care activities of nurse in small-medium sized hospitals. Methods: A cross-sectional survey was used. Participants were 186 nurses in seven small-medium sized hospitals of a metropolitan city, in Korea. Data were analyzed using multiple linear regression analysis. Results: The influencing factors of the patient safety care activities were perceived patient safety culture and professional self-concept. These two factors explained for 15.1% of the patient safety acre activities. Conclusions: Based on the result of this study, it is necessary to build a good patient safety culture and to develop a positive professional self-concept. The establishment of a positive safety culture should be prioritized to quickly recognized and sensitively accept problems related to patient safety and actively carry out patient safety nursing activity. In order to improve the professional self-concept, it is necessary to increase the social performance for voluntary cooperation and to recognize the self-categorization that the group to which one belongs is distinguished from other groups.

KCI등재

9확산 모형에 의한 첨단 영상진단 의료기기 수요확산의 특성 분석 및 수요예측에 관한 연구

저자 : 김수범 ( Su-beom Kim ) , 김태구 ( Taegu Kim ) , 임달오 ( Daroh Lim )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 47권 1호 발행 연도 : 2022 페이지 : pp. 74-78 (5 pages)

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Objectives: In this study, we explore the demand forecasting of Advanced Diagnostic imaging Equipment. Methods: The analysis was based on logistic diffusion model. We analyze the specific pattern of each equipment's diffusion curve by interpreting the parameter estimates of logistic diffusion model. Results: Our findings are follows. First, Computed tomography is in the stage of saturation and so, the future demands of that is not too large. Second, Magnetic resonance imaging (MRI) is expected that it will take about 5 years to reach saturation, and further growth is expected to continue. Third, Positron emission tomography (PET) has been shown to be saturated, and therefore, it is not expected that there will be a rapid increase in demand in the future. However, since demand data has been declining since 2000, it is said that additional data collection is required to reliably predict future demand. Conclusions: As a result of analyzing the demand for three major advanced diagnostic imaging equipment, it was found that the domestic market is generally in saturation. Therefore, a future research task will be to predict and analyze the demand for advanced diagnostic imaging equipment in consideration of the government's policy changes.

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KCI등재

1문헌고찰을 통한 급성기 병원의 간호사 확보수준과 입원 환자의 재입원율

저자 : 박진화 ( Jin-hwa Park ) , 배성희 ( Sung-heui Bae ) , 신수진 ( Sujin Shin )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 44권 3호 발행 연도 : 2019 페이지 : pp. 219-226 (8 pages)

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Objectives: This study aimed to systematically review primary studies on the relationship between nurse staffing and hospital readmission. Methods: This study was conducted based on a systematic review of related nursing literature and meta-analysis. The CINAHL, Cochrane Library, DBpia, PubMed, PsycINFO, and RISS databases were searched for either English or Korean language studies published between January 2000 and August 2018 that examined the association between nurse staffing and patient outcomes. Results: Four studies examined the relationship between nurse staffing levels and readmission and all found negative relationships. Current evidence reveals that consistently higher nurse staffing is associated with better patient outcomes. The meta-analysis of 3 studies based on the random effect model showed that the higher nurse staffing level was effective in lowering readmission (odds ratio: 1.06; 95% confidence interval: 1.04-1.08). The meta-analyses revealed a significant increase in readmission in low nurse staffing levels. Conclusions: The findings of this study suggest that sufficient nurse staffing is a strong indicator of the provision of nursing care quality. Continuous effort is recommended to set an optimal patient-to-nurse ratio to formulate guidelines regarding nurse staffing strategies.

KCI등재

2간호사의 욕창예방간호 지식-장애·촉진요인과 태도-수행도 요인 간의 정준상관관계

저자 : 김명수 ( Myoung Soo Kim ) , 류정미 ( Jung Mi Ryu )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 44권 3호 발행 연도 : 2019 페이지 : pp. 227-236 (10 pages)

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Objectives: Knowledge, barriers/facilitators for pressure ulcer prevention nursing are correlated with attitude and performance of staff nurses. It can be helpful to utilize barriers and facilitators for enhancing the attitude and performance of nurses, there is a gap in the empirical study. The aim of this study was to investigate the relationship between knowledge- barriers/facilitators for Pressure Ulcer (PU) prevention variable set and attitude-nursing performance variable set. Methods: This study employed a cross-sectional descriptive design using structured survey in 9 hospitals. Data were collected from August to November 2018 and analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation coefficients, and Canonical correlation. Results: The correct answer rates of knowledge for PU risk factor was 75%. Perceived barriers of prevention was 5.03±1.40 and facilitators was 5.87±1.28. The mean score of attitude for PU prevention was 3.53±0.30 and that of nursing performance for PU prevention was 1.42±0.33. The significant pair of canonical variate indicated that more perceived barriers (0.75), less facilitators (-0.51), low knowledge level for risk factor of pressure ulcer (-0.31), and high knowledge level for pressure ulcer prevention (0.59) were associated with poor nursing performance for pressure ulcer prevention (-0.96). Conclusions: To enhance the nursing performance for PU prevention, developing nurse-centered educational program and standardized protocol should be needed. Also, planning sheet for PU prevention can increase the nursing performance.

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3보건소 방문건강관리 대상 여성 노인 고혈압 환자의 건강정보 문해력이 혈압조절에 미치는 영향

저자 : 배화 ( Hwa Bae ) , 홍남수 ( Nam-soo Hong ) , 신은경 ( Eun-kyoung Shin )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 44권 3호 발행 연도 : 2019 페이지 : pp. 237-244 (8 pages)

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Objectives: This study was to investigate the level of health literacy among the elderly hypertensive patients and to investigate the effect of health literacy on hypertension control. Methods: This study was conducted for four weeks between February 5 and March 2nd, 2018 in cooperation with the health center of D county. The subjects of the study were 150 elderly female hypertension patients who were regularly supervised by the visiting health care project, and the material of 146 patients amon them were used for the analysis. Collected data were analyzed using t-test, ANOVA and logistic regression analyses with the SPSS 23.0 Program. Results: The literacy rate of health information was 8.70 (±2.12) out of 12 points, and the correct answer rate was 74.5%. The higher the age and the higher the level of education and the higher the salt-based practice rate, the higher the health literacy. Conclusions: Health literacy level and hypertension control are closely related. Since the people with low literacy for health information do not understand various kinds of health related information, it is highly likely that their knowledge and self-management level is insufficient.

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450세 이상 한국 성인에서 대사증후군과 골다공증과의 관련성: 2016, 2017 국민건강영양조사

저자 : 이현화 ( Hyeon Hwa Lee ) , 한미아 ( Mi Ah Han ) , 박종 ( Jong Park )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 44권 3호 발행 연도 : 2019 페이지 : pp. 245-252 (8 pages)

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Objectives: The aim of the study was to investigate the association between metabolic syndrome and osteoporosis in Korean adults aged over 50 years old. Methods: The study subjects were 5,529 Korean adults aged over 50 years old who participated in the first year and second year of the Korea National Health and Nutrition Examination Survey (2015-2016). The data were analyzed by frequency analysis, descriptive analysis, chi-square test, t-test and multiple logistic regression analysis. Results: The prevalence of osteoporosis diagnosed by doctor 7.6% for men and 26.0% for women, respectively. In multiple logistic regression analysis, the odds ratio (OR) for osteoporosis (OR 1.26, 95% confidence interval: 1.04-1.54) in abnormal triglyceride subjects were significantly higher than those of normal triglyceride. Conclusions: There was a significant association between triglyceride and osteoporosis in Korean adults aged over 50 years old. Further study is needed to analyze the association between metabolic syndrome and osteoporosis.

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5요양병원 간호사의 공감역량이 임종간호수행에 미치는 영향

저자 : 안영혜 ( Young Hye An ) , 서순림 ( Soon Rim Suh )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 44권 3호 발행 연도 : 2019 페이지 : pp. 253-261 (9 pages)

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Objectives: The purpose of this study was to assess the levels of nurses' compassion competence and terminal care and the factors associated with their performance of terminal care in geriatric hospitals. Methods: This study design was a cross-sectional survey. The participants in the study were 186 nurses working at 7 geriatric hospitals. Data were collected, using structured questionnaires, from 10th to 21st of September, 2018. The collected data were analyzed using t-test, ANOVA, Scheffe test, Pearson correlation coefficients, and hierarchical multiple regression analysis with SPSS/WIN 24.0. Results: There was a significant positive correlation between terminal care performance and compassion competence (r=0.65, p<0.001). Hierarchical regression analysis indicated that the significant factors affecting the performance of terminal care were age, 3-shifts, and religion in model 1 and these factors explained 17% of variance. In model 2, communication and insight among subtypes of compassion competence were significant predictors and explained 49% of the variance in terminal care performance by nurses. Conclusions: The findings from this study suggest that nurses' compassion competence is the most important factor for improving terminal care performance which needs to be enhanced by education program.

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6간호대학생의 교내실습 중 찔림사고 경험실태 및 위험요인

저자 : 김은영 ( Eun Young Kim ) , 문경자 ( Kyoungja Moon )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 44권 3호 발행 연도 : 2019 페이지 : pp. 262-270 (9 pages)

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Objectives: The purpose of this study was to identify prevalence and risk factors of needlesticks and other sharps injuries (NSIs) in education practicum among nursing students. Methods: Data were collected using self-administered questionnaires which included general and practical characteristics, in education practicum associated with NSIs. Data were conducted from April 29 to May 3, 2019 and analyzed using χ²-test and multiple logistic regression. Results: The incidence rate of NSIs was 17.0%. Multiple logistic regression analysis identified five predictors for NSIs which were statistically significant; year (Odds ratio, OR=3.88, 95% confidence interval, 95% CI=1.86-8.06), status carelessness (OR=2.32, 95% CI=1.22-4.40), wearing gloves (OR=2.86, 95% CI=1.39-5.86), finding an instrument in an inappropriate position (OR=2.77, 95% CI=1.46-5.25), and using time of instrument (OR=2.45, 95% CI= 1.19-5.06). Conclusions: Based on the findings of this study, we need to develop specific NSIs preventive education program for reducing the risk of NSIs of nursing students.

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7국내 치매 노인을 위한 인지중재활동의 효과: 메타분석

저자 : 권재성 ( Jae Sung Kwon )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 44권 3호 발행 연도 : 2019 페이지 : pp. 271-278 (8 pages)

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Objectives: The purpose of this meta-analysis was to investigate the effects of cognitive intervention activities (CIAs) for the elderly with dementia in Korea. We had searched for articles related to cognitive intervention for dementia over the past decade. Methods: The studies were searched through domestic search engine such as Earticle, KISS, Kyoboscholar, NDSL and RISS. The PEDro scale was used to assess the quality of the studies. The meta-analysis was implemented to analyze statistical values such as the number of samples, mean and standard deviation. Results: Nine papers were carefully selected for meta-analysis. The PEDro scales of analyzed studies were 4-5 points. The total number of subjects in identified studies was 336. We classified the dependent variables into mental function (MF) and activity and participation (A&P) based on the International Classification of Functioning, Disability and Health to compute effect sizes. The effect size of MF was 0.464 and the effect size of A&P was 0.422, both of which were “medium effect sizes”. Conclusions: The medium effect sizes for CIAs are clinically acceptable. However, it should be considered that dementia is a degenerative disease. And well designed and high quality research should be implemented continuously.

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8우리나라 성인의 근육량과 대사증후군 구성요소와의 관련성

저자 : 김화지 ( Hwa-ji Kim ) , 조성제 ( Sung-je Cho ) , 정성화 ( Seong-hwa Jeong )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 44권 3호 발행 연도 : 2019 페이지 : pp. 279-285 (7 pages)

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Objectives: The aim of this study was to investigate an association between muscle mass and metabolic syndrome configuration in Korean adult. Methods: A total of 6,426 participants aged over 20 years old were selected for this study from the database of the Fifth KNHANES for 2010-2011. Metabolic syndrome was defined by NCEP-ATP III and muscle mass was calculated by body weight-adjusted ASM. Univariate and multivariate analyses ware performed to assess the crude and adjusted associations using PASW 18.0. Results: The muscle mass was significantly associated with metabolic syndrome after adjusting for socio-demographics and health-related behaviors (OR=0.97, 95% CI=0.97, 0.98). Moreover, the increasing muscle mass was significantly reduced the number of metabolic syndrome configuration (1 vs. 0: OR=0.98, 95% CI=0.98, 0.99; 2 vs. 0: OR=0.97, 95% CI=0.97, 0.97; 3 vs. 0: OR=0.96, 95% CI=0.96, 0.97; 4 vs. 0: OR=0.95, 95% CI=0.95, 0.96; 5 vs. 0: OR=0.95, 95% CI=0.94, 0.95). Conclusions: An increasing muscle mass was significantly associated with a decreased risk of metabolic syndrome and the number of metabolic syndrome configuration.

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9쌍태아 간의 출생체중 불일치율 분포 및 기준에 관한 연구

저자 : 박상화 ( Sang Hwa Park ) , 임달오 ( Dar Oh Lim )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 44권 3호 발행 연도 : 2019 페이지 : pp. 286-291 (6 pages)

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Objectives: To compare the frequency of inter twin birth weight discordance, and degree of discordance rate in twin births by gestational age. Methods: There were 51,783 pairs of twins from 2007-2014 of birth certificated data of Korea Statistics. We excluded extra-marital and non-hospital birth cases. Birth weight discordance rate (%) was calculated as (birth weight of larger twin-birth weight of smaller twin)/birth weight of larger twin and multiplied with 100. Birth weight discordance values was calculated to describe the degree of discordance by 50th, 90th, and 95th percentile, and two standard deviations above the mean, and frequency of severe birth weight discordancy (birth weight discordancy equal to or more than 25%) at each gestational age. Results: The mean discordance rate for inter twin was 11.0%±9.3%. The discordance values was not a normal (Gaussian) distribution (Kolmogorov-Smirnov test: p-value=0.01), and the best-fit function was exponential model (R2=0.94, p<0.01). The cumulative frequency of discordance values had cubic model (R2=0.99, p<0.01). The 50th percentile of birth weight discordancy was 8.8% discordance, the 90th was 23.4%, and the 95th was 29.1%. At earlier gestational age, the percentage discordant according to the 95th percentile of birth weight discordance was higher (37.0% at 28-33 weeks) than at older gestational age (approximately 26.0% at ≥37 weeks). The values of 95th percentile represented approximately the severe birth weight discordancy (≥25%) in gestational age at 37 weeks and older. Conclusions: The 95th percentile corresponded to a birth weight discordancy of approximately 25 percent at older gestational age (≥37 weeks). The degree of twin births weight discordance should be categorized with respect to gestational age since the degree of discordance may vary in different gestational age.

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10병동 2-3년차 간호사 역량강화를 위한 역량별 중요도와 수행도 분석

저자 : 황인희 ( Inhee Hwang ) , 유소영 ( Soyoung Yu )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 44권 3호 발행 연도 : 2019 페이지 : pp. 292-300 (9 pages)

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Objectives: This study is a descriptive study identifying competencies required for nurses with 2-3 years' experience in wards. It analyzes the importance and performance of each competency. Methods: Based on the literature review, we conducted a focus group interview with six nurses to construct a preliminary item confirming the competency of a general ward career nurse. After verifying the content validity of the preliminary items with 10 experts, a survey was conducted with 112 nurses who had 2-3 years' experience in the ward. The importance and performance of each competency were analyzed. Results: The 34 core competencies were identified through focus group interviews and content validity. There were three items of cardiovascular disability nursing, medicine management, and emergency treatment were identified high importance, but low performing items through importance and performance analysis. Conclusions: From the importance-performance analysis of nursing competencies of nurses with 2-3 years' experience in the ward, it was clear that appropriate educational programs are required to enhance competencies with high importance but low performance.

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