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한국보건정보통계학회> 보건정보통계학회지> 최근 9년간의 1급 응급구조사 국가자격시험 결과 추이 분석

KCI등재

최근 9년간의 1급 응급구조사 국가자격시험 결과 추이 분석

Trend Analysis of the Results of the National Examination for EMT-paramedics for the Past 9 Years

김영화 ( Young Hwa Kim ) , 강민주 ( Min Ju Kang )
  • : 한국보건정보통계학회
  • : 보건정보통계학회지 47권2호
  • : 연속간행물
  • : 2022년 05월
  • : 133-138(6pages)
보건정보통계학회지

DOI


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서 론
연구 방법
연구 결과
고 찰
결 론
REFERENCES

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Objectives: The study was to analyze the trend of the result of the national examination for EMT-paramedics. Methods: This study was to find the result of published on the website of Korea Health Personnel Licensing Examination Institute for the past 9 years. Results: Although there was no significant change in the pass rate, difficulty, and discrimination of the national examination, the average score of the total score showed a tendency to decrease every year. Unlike the average scores of other subjects, the basic medicine subjects showed a steady decline. The number of those who failed the written test were higher than those who failed the practical test. As a result of analyzing those who failed the written test, the majority of those who failed basic medicine and emergency medical service-related legislation. Conclusions: The steady decline in basic medicine scores and the steady increase in the number of people who failed has raised the need to reinforce basic medicine in universities or institutions that are nurturing EMT-paramedics in order to improve the quality of the national examination. In addition, the subjects of emergency medical service-related legislation was considered as subjects to be strengthened along with basic medicine.

UCI(KEPA)

간행물정보

  • : 의약학분야  > 예방의학및보건학
  • : KCI등재
  • :
  • : 계간
  • : 2465-8014
  • : 2465-8022
  • : 학술지
  • : 연속간행물
  • : 1976-2022
  • : 779


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47권3호(2022년 08월) 수록논문
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KCI등재

1일 상급종합병원 심부전환자의 재입원 관련 요인

저자 : 박성혜 ( Sung Hye Park ) , 이주희 ( Ju Hee Lee ) , 장연수 ( Yeon Soo Jang ) , 한수영 ( Soo Young Han ) , 김영아 ( Young Ah Kim ) , 오의금 ( Eui Geum Oh )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 47권 3호 발행 연도 : 2022 페이지 : pp. 191-198 (8 pages)

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Objectives: This study was to provide supporting data to identify related factors of heart failure patients readmission. Methods: This study is a retrospective study of secondary data analysis using electronic medical record of patients who were discharged from advanced general hospital diagnosed with heart failure from April 2017 to March 2020. Results: A total of 267 (14.4%) of 1,857 heart failure patients was readmitted. Age, initial body weight, body weight change, pulse rate, hospitalization for 6 months prior or emergency room visit, number of medications, blood sampling result, main diagnosis of ER, and ACEI/ARB medication were found to be significantly related to readmission. As a result of multivariate logistic regression analysis, each increase in the number of discharge medications, the readmission rate increased by 3.0% (OR=1.030, p<0.001). For each increase in Na level at admission and discharge, the readmission rate decreased by 5.4% (OR =0.946, p=0.021), 6.6% (OR=0.934, p=0.028). For each increase in the CRP level, the readmission rate decreased by 1.1% (OR=0.989, p=0.049) and AUC was 0.735. Conclusions: Based on the high-risk factors of readmission for heart failure patients identified in this study, patients centered nursing interventions should be developed to promote self-care practices.

KCI등재

2청소년의 건강행위 실천이 정신건강에 미치는 영향

저자 : 윤현정 ( Hyun Jung Yun )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 47권 3호 발행 연도 : 2022 페이지 : pp. 199-208 (10 pages)

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Objectives: The study aimed to investigate the effect of health behaviors practice on mental health in adolescents. Methods: Data from 16th (2020) Korea Youth Risk Behavior Web-based Survey were used. The study sample included 54,948 middle and high school students. The data were analyzed using Rao-Scott χ2, t-test, and complex samples logistic regression. Results: The prevalence of subjects with anxiety, depression, and suicidal ideation was 9.2%, 25.2%, and 10.9%, respectively. Health behaviors practice such as smoking, drinking, weight control, exercise, eating breakfast, sufficient sleep, and fruit intake were found to be significantly related to mental health. After controlling general characteristics, mental health factors such as anxiety, depression, and suicidal ideation were influenced by health behaviors practice. Conclusions: Interventions, including comprehensive health behaviors, should be strengthened to prevent mental health problems in adolescents.

KCI등재

3요부안정화 운동프로그램이 중환자실 간호사의 요통, 요통장애지수, 신체역학이용 및 배근력에 미치는 효과

저자 : 장해미 ( Hae Mi Jang ) , 박혜자 ( Hye-ja Park )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 47권 3호 발행 연도 : 2022 페이지 : pp. 209-216 (8 pages)

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Objectives: This study examined the effects of a lumbar stabilization exercise program on low back pain, the Oswestry Disability Index, use of body mechanics, and lumbar strength among intensive care unit nurses. Methods: Thirty-five nurses were assigned to an exercise group (n=18) or a control group (n=17) from a university hospital-affiliated intensive care unit. The 8-week lumbar stabilization exercise program comprised 30 minutes of stretching, lumbar stabilization exercise, and Mckenzie extension exercise (3 times/week) and a single education session on body mechanics. Outcomes were assessed using questionnaires on low back pain (visual analogue scale), the Oswestry Disability Index (%), use of body mechanics, and back strength (kg). Data were analyzed by χ²-test, independent t-test, and analysis of covariance. Results: The lumbar stabilization exercise program provided improvements in low back pain, the Oswestry Disability Index, use of body mechanics, and back strength Conclusions: Lumbar stabilization exercise program might be a useful strategy for enhancing usage of work-related body mechanics and back muscle strength, and ameliorating low back pain and disability index for nurses working at the intensive care units.

KCI등재

4기계학습방법을 이용한 순서형 결측자료 대체의 성능비교

저자 : 손세림 ( Serhim Son ) , 안형진 ( Hyonggin An )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 47권 3호 발행 연도 : 2022 페이지 : pp. 217-221 (5 pages)

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Objectives: When missing values occur, complete case analysis can cause biased results. In this paper, we discuss imputation methods using machine learning techniques when missing values occurred in ordinal variables. Methods: We consider two machine learning techniques, the ordinal decision tree and the random forest, for the imputation of missing values. We use the ordinal decision tree treating variables as ordinal, and the random forest as nominal. In addition, we apply the cumulative logistic model. The results are compared with complete case analysis using empirical bias, empirical mean squared error and accuracy. The same methods are applied using the Korea National Health and Nutrition Examination Survey. Results: In the case of five ordinal categories, machine learning techniques yield better performance than the cumulative logistic and complete case. The ordinal decision shows lower bias while random forest shows higher accuracy. In the case of 3 categories, random forest produces better performance in all respects. In the case study, biased results are also identified if we use complete case analysis. Random forest shows the best performance, and the parametric method shows similar performance to the ordinal decision tree. Conclusions: Missing imputation using machine learning techniques can reduce bias and improve performance. If possible, it is recommended to use the ordinal decision tree to impute missing values that reflects the meaning of order. If it is not possible, it is recommended to treat them at least as nominal variables and then impute.

KCI등재

5한국 청소년의 간접흡연 노출과 범불안장애와의 연관성에 관한 연구: 제17차 청소년건강행태온라인조사를 이용하여

저자 : 신효민 ( Hyo-min Shin ) , 이상준 ( Sang-jun Lee ) , 고우림 ( Woo-rim Ko ) , 정재연 ( Jae-yeon Jeong ) , 고상백 ( Sang-baek Koh ) , 도경이 ( Kyung-yi Do )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 47권 3호 발행 연도 : 2022 페이지 : pp. 222-232 (11 pages)

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Objectives: The purpose of this study was to investigate the association between secondhand smoke exposure at home, school, and public places and Generalized Anxiety Disorder (GAD) among Korean adolescents, and to determine whether the risk of GAD increases as the frequency of exposure to secondhand smoke increases. Methods: This cross-sectional study is based on the 17th Korean Youth Risk Behavior Survey (2021), Out of the 54,848 students who participated in the survey, 5,975 current smokers were excluded, leaving the final analysis subject as 48,873 non-smokers. Rao-Scott chi-square analysis was done to examine the difference between general characteristics depending on the GAD levels of the subject and to investigate the association between second-hand smoke exposure and GAD. Multivariate logistic regression analysis was performed to investigate the effect of exposure to secondhand smoke in adolescents on GAD. Results: With all the confounding factors adjusted (Model IV), the risk of high GAD when exposed to secondhand smoke at home was 1.08 times higher for 1-3 days compared to “none” and 1.17 times higher when exposed to more than 4 days. In public places, the risk increased by 1.10 times and 1.49 times, when exposure was 1-3 days and more than 4 days respectively. At school, the risk increased by 1.34 times when exposed to 1-3 days, and 1.40 times when exposed to more than 4 days. Conclusions: Based on the results of this study, public awareness of secondhand smoke should be improved, health policies should be developed to prevent exposure to secondhand smoke among adolescents.

KCI등재

6코로나바이러스감염증-19 유행 중 치과 진료실 내 감염관리 수행도 관련 요인

저자 : 주수연 ( Sooyeon Joo ) , 신형호 ( Hyeongho Shin ) , 박상신 ( Sangshin Park )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 47권 3호 발행 연도 : 2022 페이지 : pp. 232-239 (8 pages)

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Objectives: The objective of this study was to determine the related factors of adherence to infection prevention and control practices (IPCPs) in dental clinics during the Coronavirus disease 2019 (COVID-19) epidemic. Methods: We surveyed 137 dental hygienists working in dental clinics in November 2021. We considered demographic characteristics, workplace characteristics, COVID-19 experiences, and motivation to IPCPs as independent variables. We performed multivariable regression modeling for adherence to IPCPs using the stepwise-selection method. Results: Dental hygienists properly adhered to recommended IPCPs if they were 30 years old or above (B=0.31, p=0.014), if their clinic employed infection control practitioners (B=0.79, p=0.001), and if they gained a will to adhere IPCPs after treating patients who were very conscious about hygiene (B=0.26, p=0.020). The interaction between dental hygienists' age and the employment status of infection control practitioners was significant (p=0.047). Conclusions: During the COVID-19 epidemic, dental hygienists' age, the employment status of infection control practitioners in clinics, and their motivation to adhere IPCPs after treating patients who were very conscious about hygiene were significantly associated with their adherence to recommended IPCPs.

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KCI등재

1전자의무기록 데이터 분석 접근법

저자 : 한창호 ( Changho Han ) , 박찬민 ( Chan Min Park ) , 김유정 ( Yujeong Kim ) , 강소라 ( Sora Kang ) , 박태준 ( Tae Jun Park ) , 윤덕용 ( Dukyong Yoon )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 47권 2호 발행 연도 : 2022 페이지 : pp. 51-58 (8 pages)

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As the healthcare environment is being digitalized and changed rapidly, research using medical big data is increasing. One of the most applicable data is electronic medical records which can provide a large amount of clinically practical meaning. Electronic medical data include patient's demographic information, laboratory test results, imaging and biosignal data. In this article, we provide support for a wide variety of researchers in their efforts to use electronic medical record data accurately and usefully in their work. From the basic concept of the research using electronic medical records to challenging aspects like data integration between multiple institutions are described. Also, examples of each type of data are covered; structured such as numeric data and unstructured such as images, biosignals and narrative text. Using these kinds of electronic medical records, analyses are processed by data cleansing, transforming, and reducing in order. Many kinds of variables such as the exposure and outcome of interest, covariate and the research design can be chosen during the preprocessing. As many machine-learning-based studies as well as epidemiologic-based studies have been conducted using electronic medical records, various research frameworks have been proposed. However, data quality management and data standardization for multi-center data analysis are still remaining as challenging tasks.

KCI등재

2인과성 추론에서 성향점수 매칭에 대한 비판적 고찰

저자 : 유지웅 ( Jiwoong Yu ) , 이우주 ( Woojoo Lee )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 47권 2호 발행 연도 : 2022 페이지 : pp. 59-69 (11 pages)

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Propensity score matching (PSM) is one of the most widely-used causal inference methods to estimate the causal estimands such as average treatment effect or average treatment effect on the treated from observational studies. To implement PSM, a researcher first selects an appropriate set of confounders, estimates the propensity score, and matches the treated group with the control group using a matching algorithm such as nearest neighborhood or optimal matching. In this paper, we highlight the importance of investigating the assumptions employed in the PSM procedure thoroughly because they strongly affect the analysis result, but are not testable using observational data. We explain how to exploit the domain knowledge to avoid the potential risks from the violation of the untestable assumptions, and show how the research purpose is linked to selecting the matching algorithm and downstream analysis after PSM. In addition, to examine the vulnerability of the causal result, we highlight the use of sensitivity analysis for the analysis after PSM. These points are demonstrated in detail using National Supported Work data.

KCI등재

3간호대학생의 셀프리더십, 감성지능, 사회적 지지가 문제해결능력에 미치는 영향

저자 : 김민서 ( Min-seo Kim ) , 배한주 ( Han-ju Bea ) , 이정숙 ( Jung-suk Lee )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 47권 2호 발행 연도 : 2022 페이지 : pp. 79-85 (7 pages)

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Objectives: The purpose of this study was to identify the relationship of self-leadership, emotional intelligence, social support, and problem-solving ability of nursing college students, and to understand the factors that affect problem-solving ability. Methods: Participants were in 2nd and 3rd grade of nursing students. The collected data were analyzed by SPSS 22.0 program using descriptive statistics, t-test, ANOVA, correlation, and multiple regression analysis. Results: The significant influencing factors of problem-solving ability were self-leadership. β=0.36 (p=0.001), emotional intelligence β=0.15 (p<0.04), social support β=0.29 (p<0.001) and club activity β=0.14 (p<0.02). These factors explained 45.5% of the variance (R2=0.46, p<0.001). Conclusions: This study showed that problem-solving ability were influencing factors on self-leadership and it is necessary to develop various strategies to improve self leadership in nursing college students.

KCI등재

4한국 성인의 우울증과 심혈관질환 위험요인의 관련성: 2014년, 2016년 국민건강영양조사

저자 : 조은영 ( Eunyoung Cho ) , 송영숙 ( Yeoungsuk Song )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 47권 2호 발행 연도 : 2022 페이지 : pp. 86-94 (9 pages)

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Objectives: This study was to investigate the relationship between depression and cardiovascular disease (CVD) risk factors among Korean adults. Methods: A total of subjects from the Korean National Health and Nutrition Examination Survey (VI-2, VIII-1) were 7,417 (men 3,023, women 4,394). The relationship between depression and CVD risk factors of the study subjects were analyzed using descriptive analysis, chi-square test, and multiple logistic regression. Results: The prevalence of diabetes mellitus and hyperlipidemia was 14.9% and 43.5% in depression group and there were stastically signficant. However there was not significantly associated between depression and hypertension, diabetes mellitus, and hyperlipidemia. Conclusions: Although this study showed that depression was not associated with cardiovascular factors such as hypertension, diabetes mellitus, and hyperlipidemia, the prevalence of diabetes and hyperlipidemia in depression group was significant. Therefore, further study is needed to find relationship with depression and CVD risk factors, and develop the intervention program to control depression and CVD risk factors.

KCI등재

5중환자실 간호사의 요통 및 요통 영향요인

저자 : 엄현주 ( Hyun Ju Uhm ) , 박혜자 ( Hye-ja Park )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 47권 2호 발행 연도 : 2022 페이지 : pp. 95-102 (8 pages)

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Objectives: This study determined the associated factors with low back pain in intensive care unit nurses. Methods: In this cross-sectional correlational study, 85 nurses working at five intensive care units completed questionnaires on the low back pain using visual analogue scale (VAS), use of body mechanics, work-related factors, the Oswestry disability index (%), the FACIT-fatigue, and the mini-sleep questionnaire. A back pain score of ≥4 was considered significant. Data were analyzed with χ2 test, unpaired t-test, Pearson correlation analysis and logistic regression. Results: Forty-five nurses (52.9%) had a significant low back pain score of ≥4 (VAS). Higher low back pain was associated with greater use of body mechanics (r=0.37, p=0.001), higher disability index (r=0.72, p<0.001), greater fatigue (r=0.59, p<0.001), and poorer sleep quality (r=0.36, p=0.001). Low back pain was associated with heavy workload (odds ratio, OR: 4.20, 95% confidence interval, CI: 1.40-12.58) and long standing to work (OR: 3.54, 95% CI: 1.20-10.48). Low back pain was associated with fatigue (OR: 1.18, 95% CI: 1.08-1.30) after adjusting covariates. Conclusions: Low back pain is associated with a heavy workload, long-standing to work, and greater fatigue among intensive care unit nurses.

KCI등재

6한국의 고령자에서 교육과 인지기능 관련성에 미치는 성별의 조절효과: 한국고령화연구패널조사자료의 분석

저자 : 송인명 ( Inmyung Song )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 47권 2호 발행 연도 : 2022 페이지 : pp. 103-110 (8 pages)

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목적: 전통적인 개발국의 연구결과에 따르면, 인지장애의 위험으로부터 보호하는 교육의 효과가 남녀 간 차이가 있었다. 이에 본 연구에서는 과거 교육기회에 대한 접근성에 있어 남녀 간 차별을 겪었던 고령 한국인들을 대상으로 인지기능과 교육수준 간의 관계에 미치는 성별의 조절효과를 조사하고자 한다.
방법: 본 연구는 전국적인 조사자료인 2018년 고령화연구패널조사자료를 사용하였다. 인지장애는 Mini-Mental State Exam (MMSE) 점수 24점 이하로 정의하였다. 단변량분석에서는 MMSE 점수와 각각의 사회경제학적 변수 또는 행위 변수들 간의 관계를 확인하기 위하여 카이제곱검정을 사용하였다. 공변량을 통제한 상태에서 MMSE 점수와 교육수준 간의 관련성을 확인하기 위해서는 다변량로지스틱 회귀분석을 사용하였으며, 교차비(OR)와 95% 신뢰구간(CI)을 구하였다.
결과: 분석에 포함된 총 5,793명의 대상자 중 31.53%은 교육을 전혀 받지 못하였거나 초등교육만 이수하였다. 이처럼 무교육/초등교육을 받은 대상자는 대학 이상의 교육을 받은 사람에 비해서 인지장애를 겪을 위험이 유의하게 높았다(OR=3.31, 95% CI=3.29-3.34, p<0.001). 낮은 교육수준과 인지장애의 관련성은 남성에 비해서 여성에게서 더 높았다. 교차비는 여성에서 4.58 (95% CI= 4.52-4.65) 남성에서 2.98 (95% CI=2.95-3.00)이었다.
결론: 낮은 교육수준은 인지장애의 위험도 증가와 관련성이 있었으며 그 관련성이 남성보다는 여성에게서 더 높았다. 전통적으로 교육 기회에 대한 차별을 겪었던 여성고령자에게서 교육의 인지기능 보호효과가 클 가능성을 시사한다.

KCI등재

7직장 여성 흡연자의 흡연 유형, 금연 관련 심리적 요인 그리고 니코틴 의존도가 금연에 미치는 영향

저자 : 김현민 ( Hyun-min Kim ) , 박기수 ( Ki-soo Park )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 47권 2호 발행 연도 : 2022 페이지 : pp. 111-117 (7 pages)

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Objectives: Recently, female smokers are increasing in Korea. This study aims to report the dependence of nicotine and the type of smoking as a factor influencing the success of smoking cessation among female smokers. Methods: Data were collected from the Comprehensive information system for smoking cessation service, and data from 862 women who used the smoking cessation service by Gyeongnam Tobacco Control Center between June 2015, and December, 2018, were used. After controlling demographic and smoking-related variables, a multiple logistic regression analysis was performed on the relationship between nicotine dependence, smoking type, smoking cessation related psychological factors and smoking cessation. Results: The smoking cessation rate of female smokers was 7.8%. Smoking type and nicotine dependence were low in stimulus-seeking type, and high in addiction, habit type, and complex type. After controlling demographic, health behavior and disease variables, the factors affecting female smokers' smoking cessation were nicotine dependence (odds ratio, OR=0.49, p=0.020), preparation (OR=7.14, p=0.015), confidence (OR=7.14, p=0.015) of smoking cessation. In other words, smoking cessation among women who smoked was higher in the high group than in the group with low anti-smoking preparation and confidence and smoking cessation was higher in the low group than in the high group of nicotine dependence. Conclusions: The actual smoking cessation strategy for women considering related factors of smoking cessation is to reconsider the content of counseling interventions according to the type of smoking and to reduce the dependence of nicotine through a treatment approach for each type, resulting in a higher smoking cessation rate.

KCI등재

8가상현실을 활용한 디지털 역량증진 교원연수 프로그램이 보건교사의 디지털 미디어 리터러시, 교사 효능감, 문제해결 능력에 미치는 효과

저자 : 하영선 ( Young-sun Ha ) , 박용경 ( Yong-kyung Park ) , 김은휘 ( Eun-hwi Kim ) , 김경진 ( Kyeng-jin Kim )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 47권 2호 발행 연도 : 2022 페이지 : pp. 118-125 (8 pages)

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Objectives: This study was conducted to examine the effects of digital empowerment teacher training program applying virtual reality on digital media literacy, teacher efficacy, and problem-solving ability of school nurse. Methods: A quasi -experimental study of pre- and post-experimental design was performed on 47 school nurse located in K city and the developed digital empowerment teacher training program was implemented. The data collection period is July 27, 2021, and the collected data is collected using the SPSS 18.0 program. Paired t-test were analyzed. Results: According to the results of the effect, it was found that there was a significant difference in digital media literacy and problem-solving ability. Conclusions: The digital empowerment teacher training program developed in this study can be used as an effective program to enhance the digital media literacy and problem-solving ability of school nurse.

KCI등재

9간호대학생의 그릿과 문제해결능력의 관계에서 고통감내력과 자기주도성의 매개효과

저자 : 김수진 ( Su Jin Kim ) , 장군자 ( Gun Ja Jang )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 47권 2호 발행 연도 : 2022 페이지 : pp. 126-132 (7 pages)

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목적: 본 연구는 간호대학생의 그릿과 문제해결능력과의 관계에서 고통감내력과 자기주도성의 매개효과를 규명하기 위함이다.
방법: 간호대학생 335명을 대상으로 일반적 특성과 측정변수들은 기술통계를 이용하였고, 변수 간 상관관계는 Pearson 상관계수로, 그 릿과 문제해결능력의 매개효과는 Baron and Kenny가 제안한 3단계 회귀분석 매개효과 검정방법을 이용하였다.
결과: 그릿, 고통감내력, 자기주도성, 문제해결능력은 서로 양의 상관관계를 보였고, 간호대학생의 그릿과 문제해결능력의 관계에 고통 감내력과 자기주도성의 매개효과가 있는 것으로 나타났다.
결론: 간호대학생의 문제해결능력 향상을 위해 고통감내력과 자기주도성을 향상시킬 수 있는 프로그램 개발이 필요함을 밝히는 바이다.

KCI등재

10최근 9년간의 1급 응급구조사 국가자격시험 결과 추이 분석

저자 : 김영화 ( Young Hwa Kim ) , 강민주 ( Min Ju Kang )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 47권 2호 발행 연도 : 2022 페이지 : pp. 133-138 (6 pages)

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Objectives: The study was to analyze the trend of the result of the national examination for EMT-paramedics. Methods: This study was to find the result of published on the website of Korea Health Personnel Licensing Examination Institute for the past 9 years. Results: Although there was no significant change in the pass rate, difficulty, and discrimination of the national examination, the average score of the total score showed a tendency to decrease every year. Unlike the average scores of other subjects, the basic medicine subjects showed a steady decline. The number of those who failed the written test were higher than those who failed the practical test. As a result of analyzing those who failed the written test, the majority of those who failed basic medicine and emergency medical service-related legislation. Conclusions: The steady decline in basic medicine scores and the steady increase in the number of people who failed has raised the need to reinforce basic medicine in universities or institutions that are nurturing EMT-paramedics in order to improve the quality of the national examination. In addition, the subjects of emergency medical service-related legislation was considered as subjects to be strengthened along with basic medicine.

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