• 제목, 요약, 키워드: associated influencing factors

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임상간호사의 의료 관련감염 관리실천 영향요인 (Influencing Factors on Practice of Healthcare-associated Infection Control among Clinical Nurses)

  • 윤지영;김선옥;김인숙
    • 한국직업건강간호학회지
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    • v.23 no.4
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    • pp.208-218
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    • 2014
  • Purpose: The purpose of this study was to identify the factors influencing on practice of healthcare-associated infection control among clinical nurses. Methods: The subject of this study were 118 nurses who worked in medical surgical ward and ICU of 2 general hospital in Gwangju city. Data were collected with a questionnaire. Data were analysed using descriptive statistics, t-test, one-way ANOVA, Scheff$\acute{e}$ test, Pearson correlation and stepwise multiple regression analysis using SPSS/WIN 12.0. Results: The major findings of this study were as follow: There were significant positive correlation between knowledge, recognition, empowerment and practice of healthcare-associated infection control. The significant factors influencing practice of healthcare-associated infection control were recognition and empowerment, which explained 68.8% of the practice of healthcare-associated infection control. Conclusion: These results indicate that recognition on healthcare-associated infection control and empowerment among clinical nurses should be reinforcement via consistent education, administrative and organizational support at the level of hospital.

일개 상급종합병원에 근무하는 간병인의 의료관련감염 관리 수행도 및 손의 미생물 오염도에 영향을 미치는 요인 (Influencing Factors on the Performance of Healthcare-associated Infection Control and Microbiological Hand Contamination among Caregivers at a Tertiary Hospital)

  • 이희진;박은주;박미희;주혜영;서주위;전미양
    • Journal of muscle and joint health
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    • v.26 no.3
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    • pp.241-250
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    • 2019
  • Purpose: This study was conducted to identify influencing factors on the performance of healthcare-associated infection control and microbiological hand contamination among caregivers at a tertiary hospital. Methods: The participants of this study were 59 caregivers woring at a tertiary hospital. Data were collected from July 1 to 30, 2018. Data were analyzed using descriptive statistics, t-test, ANOVA, Scheffé test, Pearson's correlation coefficients and stepwise multiple regression by SPSS 23.0 Win program. Results: Multiple regression analysis revealed that factors influencing performance of healthcare-associated infection control were awareness (β=.63, p<.001) and the experience of infection-related education (β=-3.40, p=.042). Regression equations describing the performance of healthcare-related infection control were found to be appropriate (F=27.29, p<.001) and accounted for 68% of variance. Factors affecting the degree of microbiological hand contamination were work experience (β=-0.28, p=.026) and healthcare-related infection performance (β=-0.28, p=.029). A regression equation describing the microbiological hand contamination was appropriate (F=6.10, p=.004) and accounted for 42% of variance. Conclusion: The findings of this study suggest that it is necessary to increase performance of healthcare-associated infection control by caregivers. Also, educations for preventing healthcare-associated infection and guidelines for increasing compliance with healthcare-associated infection control are recommended to improve performance of healthcare-associated infection control.

The Pittsburg Sleep Quality Index (PSQI) and Associated Factors in Middle-school Students: A Cross-sectional Study

  • Park, Bu Kyung
    • Child Health Nursing Research
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    • v.26 no.1
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    • pp.55-63
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    • 2020
  • Purpose: The purpose of this study was to evaluate the current level of sleep quality among Korean middle-school students using the Pittsburg Sleep Quality Index (PSQI), and to analyze the factors influencing sleep quality. Methods: The study used a descriptive cross-sectional design and a self-report questionnaire. The participants were 744 middle-school students. The questionnaire included the PSQI and health-related questions, such as the types of diseases they had been diagnosed with and the frequency of hospital admissions. The data were analyzed using the independent t-test, analysis of variance, Pearson correlation coefficients, and linear multiple regression. Results: The global PSQI score was 4.21, which indicated good sleep quality. The major factors that were associated with the sleep quality of middle-school students were the number of diseases they had been diagnosed with (β=.54, p=.001) and atopic dermatitis (β=.32, p=.001). In addition, asthma and the frequency of hospital admissions were significant factors influencing each component of the PSQI. Conclusion: The findings from this study suggest that sleep quality was associated with several health-related factors. Thus, nurses, school nurses, and nursing researchers may need to assess the health-related factors associated with adolescents' sleep quality as part of efforts to improve their sleep quality.

Efficacy and Survival-associated Factors with Gefitinib Combined with Cisplatin and Gemcitabine for Advanced Non-small Cell Lung Cancer

  • Fang, Hong;Lin, Rong-Yan;Sun, Ming-Xia;Wang, Qian;Zhao, Yu-Liang;Yu, Jing-Lin;Tian, Yan;Wang, Xiao-Yun
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.24
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    • pp.10967-10970
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    • 2015
  • Objective: To analyze the efficacy and survival associated factors of gefitinib combined with cisplatin and gemcitabine for advanced non-small cell lung cancer. Materials and Methods: A total of 57 patients with advanced non-small cell lung cancer (NSCLC), who received platinum-based chemotherapy regimens for more than 1 cycle, were treated with gefitinib combined with cisplatin and gemcitabine until disease progression. Efficacy, survival time and adverse reactions were observed. The Kaplan-Meier method was adopted for analysis of survival and Cox regression for associated influencing factors. Results: The patients were followed up until October 31, 2013, and the median follow-up time was 19 months. Of 57 patients, there were 4 (7.0%) with complete remission (CR), 8 (14.0%) with partial remission, 31 (54.4%) with stable disease, and 14 (24.6%) with disease progression. The remission rate was 21.1% and the disease control rate was 75.4%. The median progression-free survival (PFS) time and the median overall survival time were 10 months and 15.2 months. The one-year, two-year and three-year survival rates were 47.4%, 23.3% and 10.0%. Gender and pathological types were the independent risk factors influencing PFS time (P=0.028, P=0.009). Tumor pathological type and early efficacy were independent factors for the prognosis (P=0.018, P=0.000). Adverse reactions were mostly rashes of I~II degree and diarrhea and slightly increasing level of aminopherase. The skin adverse event incidence of III degree or above was 1.8% (1/57) and brain metastasis was foudn in 31.6% (18/57). Conclusions: Gefitinib combined with cisplatin andgemcitabine, is effective for patients with IIIb~IV NSCLC who received multiple cycles of chemotherapy.

노인의 가족화목도와 관련요인 (Factors Influencing Closeness in Family with an Elderly Member)

  • 홍세영;남철현;김기열;위광복;심규범;배향선;고재옥
    • 대한예방한의학회지
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    • v.12 no.2
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    • pp.85-100
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    • 2008
  • The purpose of this study was to determine factors influencing family closeness in family with an elderly members. The study was conducted with 1,904 subjects during 3 months from 1st March to 30,May. 2006. The results were as follows. 1. Family closeness of subjects was significantly associated with age, sex, marital status, monthly allowance, education level, occupation, the number of family members living together, health state, stress, and emotional conflict with children. 2. Emotional conflict with children was significantly associated with age, sex, religion, the number of family members living together, occupation, health state, stress, family closeness. 3. Stress was significantly associated with age, sex, religion, the number of family members living together, occupation, stress, family closeness. Finaly, Family closeness in family with an elderly member was positively related to family type(living with a spouse), monthly allowance, occupation but negatively related to emotional conflict with children and stress levels. The government, social service units and experts need to pay more attention to factors influencing family closeness and devise effective policy and programs for healthier family relations.

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대학생의 성희롱 및 성평등 인식 수준 및 영향 요인 (Awareness Levels and Influencing Factors of Sexual Harassment and Gender Egalitarianism among College Students)

  • 이영란;김경미;최소은
    • 지역사회간호학회지
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    • v.24 no.1
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    • pp.40-50
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    • 2013
  • Purpose: This study was conducted to identify awareness levels and influencing factors of sexual harassment and gender egalitarianism among college students. Methods: This study was based on a questionnaire survey with a total of 1,244 college students. The copies of the questionnaire were collected from November 2 to December 20, 2011. Results: The average level of sexual harassment and gender egalitarianism among students from the Youngnam province was higher than those of other province. The average level of the sexual harassment and gender egalitarianism among those students who were majoring in healthcare sciences was higher than that among those who were majoring in other subjects than arts and sports sciences. The influencing factors on the recognition of gender egalitarianism were genders and sexual experiences. The influencing factors on the recognition of sexual harassment were genders and ages. Conclusion: This study identified college students' awareness of sexual harassment, gender egalitarianism and influencing factors associated with them. It is expected that this study will be helpful for developing strategies for the prevention of sexual harassment for college students.

간호사의 임종간호 태도에 미치는 영향요인 (Factors Influencing Nurses' Attitudes Toward Terminal Care)

  • 박효진;강은희
    • 중환자간호학회지
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    • v.13 no.1
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    • pp.76-86
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    • 2020
  • Purpose : The purpose of this study was to identify the extent to which nurses' death perceptions, death anxiety, and stress associated with terminal care affects their attitudes toward terminal care. Method : A total of 214 nurses were asked questions about characteristics, death perceptions, death anxiety, stress associated with end-of-life care, and terminal care attitudes, using structured questionnaires. The data were analyzed using descriptive analysis, t-test, ANOVA, Scheffé's test, Pearson's correlation coefficients, and stepwise multiple regression. Results : Factors influencing terminal care attitudes in participants were positive meaning associated with death, respect for life, final education, end-of-life nursing education experiences, stress associated with end-of-life care, death anxiety, and position. These factors explained 38.7% of variance in participants' terminal care attitudes (F=20.18, p<.001). Conclusion : In order for nurses to have a positive attitude toward terminal care, it is necessary to raise positive awareness about death and respect for life, and it is necessary to develop various educational programs and strengthen their capacity through continuous education.

Factors Influencing Ventilator-Associated Pneumonia in Cancer Patients

  • Park, Sun-A;Cho, Sung Sook;Kwak, Gyu Jin
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.14
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    • pp.5787-5791
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    • 2014
  • Background: With increasing survival periods and diversification of treatment methods, treatment of critically ill cancer patients has become an important factor influencing patient prognosis. Patients with cancer are at high risk of infections and subsequent complications. This study investigated the incidence and factors contributing to the development of ventilator-associated pneumonia (VAP). Materials and Methods: This retrospective study investigated the incidence of VAP and factors leading to infection in patients admitted to the intensive care unit (ICU) of a cancer center from January 1, 2012 to December 31, 2013. Results: The incidence of VAP was 2.13 cases per 1,000 days of intubation, and 13 of 288 patients (4.5%) developed VAP. Lung cancer was the most common cancer associated with VAP (N=7, 53.9%), and longer hospital stays and intubation were associated with increased VAP incidence. In the group using a "ventilator bundle," the incidence was 1.14 cases per 1,000 days compared to 2.89 cases per 1,000 days without its use; however, this difference was not statistically significant (p=0.158). Age (${\geq}65$, OR=5.56, 95% confidence interval [CI]=1.29-23.95), surgery (OR=3.78, 95%CI=1.05-13.78), and tracheotomy (OR=4.46, 95%CI=1.00-19.85) were significant VAP risk factors. The most common causative organisms were methicillin-resistant Staphylococcus aureus (MRSA) and Pseudomonas aeruginosa (N=4, 30.8% each), followed by Acinetobacter baumannii and Candida albicans (N=2, 15.4% each). Conclusions: The incidence of pneumonia among critically ill cancer patients is highest in those with lung cancer, but lower than among non-cancer patients. The length of hospital stay and time on mechanical ventilation are important risk factors for development of VAP. Although not statistically significant, "ventilator bundle" care is an effective intervention that delays or reduces incidence of VAP. Major risk factors for VAP include age (${\geq}65$ years), surgery, and tracheostomy, while fungi, gram-negative bacteria, and multidrug-resistant organisms were identified as the major causative pathogens of VAP in this study.

간호대학생의 결혼이민자 및 외국인노동자에 대한 문화적 인식 영향요인 (The Influencing Factors associated Cultural Awareness of Immigrants for Marriage, Foreign Workers in Korean Nursing Students)

  • 김경숙;유미
    • 성인간호학회지
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    • v.24 no.5
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    • pp.531-539
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    • 2012
  • Purpose: The purpose of this study was to identify the influencing factors associated to students nurses' cultural awareness toward immigrants for marriage and foreign workers. Methods: The participants were 107 nursing students in C city in Chungnam province. The data were collected with structured questionnaire. Collected data were analyzed using t-test, ANOVA, correlation analysis, and stepwise multiple regression. Results: The mean score of cultural awareness was 3.67. The degree of cultural awareness was different according to educational experience related multiculture and age. The variables predicting cultural awareness were social distance of foreign workers, emotions of immigrants for marriage and age. These factors accounted for 26% of the variance of cultural awareness in nursing students. Conclusion: The results indicate education related multiculture should be provided to nursing students to reduce the social distance between students and foreign workers and enhance positive emotions for immigrants.

간호대학생의 환자 프라이버시 보호행동 영향요인 (Factors Influencing Patient Privacy Protection Behavior among Nursing Students)

  • 이은주;신현숙;하은채
    • 한국간호교육학회지
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    • v.24 no.3
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    • pp.225-234
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    • 2018
  • Purpose: The purpose of this study was to identify factors influencing patient privacy protection behavior among nursing students and examine the relationships between these factors. Methods: Participants in this study were 144 nursing students who have experienced clinical practice. The data were analyzed using descriptive statistics, one-way ANOVA, Scheffe test, Pearson's correlation coefficient, and multiple regression with IBM SPSS Win 23.0 program. Results: Professional self-concept and ethical values were factors influencing patient privacy protection behavior among nursing students. These variables explained 21.9% of the variance for patient privacy protection behavior. A higher level of patient privacy protection behavior was associated with higher levels of professional self-concept and ethical values. Conclusion: The findings demonstrate that strategies for enhancing patient privacy protection behaviors of nursing students should include methods for forming images of positive nurses and firming ethical values.