• Title/Summary/Keyword: 간호관

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Evaluation of environmental surface contamination and disinfection effects on multidrug-resistant organism (다제내성균 환경표면 오염도 및 소독 효과 평가)

  • Kim, Jae Yeun;Park, Jung Ae;Lee, Mi Hyang;Kim, Sang Ha;Jeong, Sun Young
    • Journal of Digital Convergence
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    • v.19 no.1
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    • pp.211-216
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    • 2021
  • This study was carried out to evaluate the effects of disinfection using environmental disinfectant after having assessed the extent of contamination through microbial culture testing and the Adenosine Triphosphate Bioluminescence method among the environmental management evaluation methods used for the environment in the hospital ward of patients infected by multidrug-resistant organisms. This study was conducted with the patient wards isolated due to multidrug-resistant organisms as the environmental surface. Specimens were collected from five locations including infusion pumps, IV poles, bedside cabinets, bed railings, keyboards, and blood pressure measurement cuffs. ATP and microbial culture testing were executed prior to, immediately after, and five minutes post-disinfection. According to the result contamination of the infusion pumps was statistically significantly reduced after disinfection. In addition, the bacteria before and after disinfection reduced in IV pole, bed railing, and keyboard. That is, regular environmental surface disinfection can provide safer environments to patients against infection. Therefore, it is necessary to establish guidelines including disinfection methods and intervals for environmental surfaces by evaluating the persistence of disinfectants at various institutions in the future.

A Study of Intensive Care Unit Nurses' Understanding of the Meaning of Death, Death Anxiety, Death Concern and Respect for Life (중환자실 간호사의 죽음의미, 죽음불안, 죽음관여도 및 생명존중의지에 관한 연구)

  • Kang, Jeong Hwa;Han, Suk Jung
    • Journal of Hospice and Palliative Care
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    • v.16 no.2
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    • pp.80-89
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    • 2013
  • Purpose: We investigated how intensive care unit (ICU) nurses understand the meaning of death, death anxiety, death concern and respect for life. Methods: From November 2009 through February 2010, a survey was conducted on 230 nurses working at the ICU of 10 general hospitals located in Seoul and Gyeonggi province. Participants were asked to answer a questionnaire consisted of 67 questions under four categories of the meaning of death, death anxiety, death concern and respect for life. Results: Participants scored 4.27 points on their understanding of the meaning of death, 4.43 on death anxiety, 4.12 on death concern and 4.18 on respect for life. Participants' meaning of death was negatively correlated with death anxiety and death concern and positively with respect for life. Participants' positive meaning of death was negatively correlated with death anxiety and death concern and positively with respect for life. Participants' negative meaning of death was negatively correlated with death anxiety and death concern and positively with respect for life. Participants' death anxiety was positively correlated with death concern and negatively with respect for life. Participants' death concern was negatively correlated with respect for life. Conclusion: Compared with nurses who served at ICU for a long time, nurses with less ICU experience scored lower on the meaning of death and respect for life, while they presented high anxiety and concern about death. A training course may help nurses develop their view on the meaning of death, which in turn would enhance their performance in caring dying patients.

Mediating Effect of Attitude toward Advertisement on the Relationship between COVID-19 Involvement and Behavioral Intention of Social Distancing in Loss versus Gain Advertising Context (손실과 이득 메시지 프레이밍 광고상황에서 COVID-19에 대한 관여와 사회적 거리두기 실천의도와의 관계에 영향을 미치는 광고태도의 매개효과)

  • Choi, Ja In;Choi, Ja Yun
    • Journal of the Korea Convergence Society
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    • v.12 no.12
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    • pp.467-477
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    • 2021
  • Purposes of this study were to identify the relationship among involvement in COVID-19 (IiC), attitude toward advertisement (AtA), and behavioral Intention to social distancing (BItSD), and to investigate the mediating effect of AtA in a loss versus gain advertising context. The participants were 379 adults who have been consecutively living in Korea since January 2020. The participants were randomly assigned to one of two advertisements using an online survey system. We found that IiC affects BItSD since Korean adults recognize the risks and seriousness of COVID-19 infection or transmission through IiC. Induced positive attitudes or emotions through involvement in the COVID-19 preventive behaviors including social distancing and vaccination are helpful to increase the BItSD. Thus, health care and information providers should give an accurate message, which induces a positive attitude, to recognize that our world is a risk of the COVID-19.

The Effect of Social Support of the Elderly Using Elderly Welfare Center on Suicidal Ideation through the Mediating Effect of Avoidance Coping Style (복지관 이용 노인의 사회적 지지가 회피적 대처방식의 매개효과를 통하여 자살생각에 미치는 영향)

  • Chang, Koung-Oh
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.22 no.6
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    • pp.226-236
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    • 2021
  • The purpose of this study was to investigate the effect of social support on suicidal ideation among the elderly at welfare centers through the mediating effect of avoidance coping style. This is a descriptive research survey of 392 elderly people at four elderly welfare centers located in G city. Data were collected from October 21 to November 8, 2019, and analyzed using the IBM SPSS/win 26.0 program by t-test, ANOVA, and the Pearson's correlation coefficient. The mediating effect was analyzed by multiple regression analysis according to Baron and Kenny's 3-step analysis procedure. Social support of the subjects was found to be high with an average score of 5.73±1.23, avoidance coping style with 12.53±3.47 points, and suicidal ideations with 6.21±2.06 points. In the correlation between the variables, suicidal ideations were negatively correlated with social support (r=-.146, p=.004) and avoidance coping style (r=.315, p<.001), and these correlations were statistically significant. There was a positive correlation. The avoidance coping style of the elderly using the welfare centers was found to partially mediate the relationship between social support and suicidal ideation (Z=-.270, p<.001). Therefore, to prevent negative emotions such as suicidal ideations in the elderly, various policies and support programs at the local and government level should be continuously implemented.

Predictive Factors on Blood Donation Intention in Middle Aged Base on the Theory of Planned Behavior : Focused on the Firefighter and Prison Officer (계획된 행위 이론에 근거한 중장년층의 헌혈 의도 영향요인 : 소방직과 교정직 중심으로)

  • Da Jung Lee;Hye-Kyung Lee
    • Journal of the Korean Applied Science and Technology
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    • v.40 no.2
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    • pp.199-209
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    • 2023
  • This study is a descriptive research to identify the factors that influence blood donation intentions of the middle-aged firefighters and prison officer based on Ajzen's (1991) planned behavior theory. The subjects of the study were 223 middle-aged firefighters and prison officer at a fire station and prison located in G City and District B. The Data were analyzed by descriptive statistics and t-test, one-way ANOVA, Pearson's correlation coefficient, Turkey, and multiple regression with the SPSS 21.0 program. There were statistically significant differences in blood donation intention according to the blood donation experience, attempted blood donation within a year, participate plan in blood donation within 3 months. The blood donation intention of middle aged showed significant positive correlations with attitude, subjective norms, and perceived behavioral control towards blood donation. Multiple regression analysis for blood donation intention revealed that the significant predictors were participate plan in blood donation within 3 months, perceived behavior control, subjective norms, attitude towards blood donation, and attempted blood donation within a year. These factors explained 69% of the variance. In order to enhance the middle aged's intention to blood donation, we need a program that can improve middle aged's attitude, subjective norms, perceived behavior control.

Correlations among Family Support, Self-Esteem and Compliance with Preventive Health. Behavior in Elderly People (노인이 지각한 가족지지와 자아존중감 및 예방적 건강행위 이행과의 관계)

  • Choi Young-A;Park Jum-Hee
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.6 no.1
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    • pp.141-152
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    • 1999
  • The purpose of this study was to identify correlations among family support, self-esteem and compliance in preventive health behavior in elderly people. The results will provide valuable data for nursing interventions towards help the elderly lead better lives. Those who lived with elderly people in Kimchun were interviewed by the researcher and an assistant. The subjects were 191 elderly people over the age of 65. The study method used was a structured questionnaire and the data were collected from September 17th to September 31th in 1998. The tools for this study were the family support scale designed by Gang Hyun Sook, the self-esteem scale designed by Rosenberg and the preventive health behavior scale designed by Gang Yune Sook. The data were analyzed by the SAS program, Mean, SD, T-test, ANOVA, Pearson Correlation Coefficients. The results of this study are as follows : 1. The mean score for family support was 40.49. The score of family support of the elderly showed significant differences according to age(F=2.66, P<.05), spouse presence(t=4.20, P<.001), family pattern(F=4.56, P<.01), economic status (F=10.47, P<.001) and pocket money(F=10.46, P<.001). 2. The mean score for self-esteem was 29.01. The score of self-esteem of the elderly showed significant differences according to educational level(F=3.47, P<.01), spouse presence(t=2.49, P<.05), family pattern(F=3.79, P<.01), economic staus(F=15.65, P<.001) and pocket money(F=14.04, P<.001). 3. The mean score for compliance with preventive health behavior was 53.15. The score of compliance of preventive health behavior of the elderly showed significant differences according to economic status(F=9.34, P<.001) and pocket money(F=8.13, P<.001). 4. The relation between family support and self-esteem was significantly different(r=.57, P<.001). The relation between family support and compliance with preventive health behavior was significantly different(r=.44, P<.001). The relation between self-esteem and compliance with proventive health behavior was significantey different(r=.51, P<.001), In conclusion, the correlations among lamily support, self-esteem and compliance with preventive health behavior in elderly people showed significant differences.

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The Factors Affecting Job Stress and Job Satisfaction of Nurses at Welfare Centers in Seoul (서울시 복지관에 근무하는 간호사의 직무스트레스와 직무만족도에 영향을 미치는 요인)

  • Lim, Hee-Ja;Jung, Hye-Sun;Koo, Jung-Wan
    • Research in Community and Public Health Nursing
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    • v.16 no.3
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    • pp.341-350
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    • 2005
  • Purpose: The purpose of this research was to find out factors affecting job stress and job satisfaction of nurses working at the welfare centers. Methods: This study was performed with 140 nurses who were working at or had retired within 1 year from general welfare centers in Seoul during the period from March 29 to February 29 2004. We used a questionnaire asking about general characteristics. work characteristics. stress factors and job satisfaction. We analysed 103 subjects who replied to the questionnaires. Results: The mean job stress level was 2.84 out of 5 and. as for the sub-factors of job stress. income was 4.19, career development 3.69, service environment 3.26 and support system 1.90. The mean job satisfaction level was 3.32 out of 5 and. as for the sub-factors of job satisfaction, job control was 3.58, efficiency of organization 3.27, job burden and responsibility 2.92 and role ambiguity 2.25. When the nurses' job stress was compared according to their general and work characteristics. stress level was significantly high in nurses who had a short experience. were working at the department of senior welfare center. or were the only staff at their workplace (p <0.05). In addition. satisfaction level was significantly high in nurses who were working at the department of senior welfare center and medical welfare team. were the only staff at their workplace or had a heavy work load (p<0.05). According to the results of multiple regression analysis. job stress level was influenced by age ($R^2$=0.212. p<0.01). and job satisfaction level by the number of staffs and work' load ($R^2$=0.272. p<0.1). Conclusions: The results of the study suggest that good atmosphere should be made up to communicate between the departments at the workplace in order to lessen job stress and enhance job satisfaction of nurses working at welfare centers. In addition. role division and job duties among special staffs should be reviewed in order to achieve high efficiency in performing job duties.

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The View on Childrearing of University Women (여대생의 자녀 양육관)

  • Kim, Young-Hee;Kim, Shin-Jeong
    • Women's Health Nursing
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    • v.6 no.2
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    • pp.269-290
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    • 2000
  • This study was conducted to inquire about the view on childrearing of university women for the purpose of building up the positive parent- child relationship and setting up preliminary parenting education program. The subjects were 137 university women who were freshmen to junior in one women's university in Seoul. Using the self-report questionnaire, data were collected from December in 1998 to March in 1999 and the contents which subjects wrote down were categorized by content analysis method. The results were as followed: 1. The age range of subjects were 20-22 years and main rearer was her mother(71.5%) 2. The view of subjects were revealed by 374 statements and then tied together 34 themes: 'exemplary parent model as a guider'(8.6%), 'determination for oneself' (8.0%), 'expression of love'(6.2%), 'humanity education'(4.8%), 'carrot and stick'(4.5%), 'respect of personality'(4.3%), 'sound living habit'(4.1%), 'conversation'(3.7%), 'regulation of greediness' (3.7%), 'supply of live experience'(3.7%), 'supply of broad and substantial vision'(3.5%), 'free choice'(3.5%), 'broad-mindedness'(3.5%), 'consideration'(3.0%), 'doing together'(3.0%), 'propriety education' (2.4%), 'pursuit of naturalness'(2.4%), 'looking for one's life'(2.4%), 'confidence'(2.1%), 'rearing by oneself'(2.1%), 'encouragement'(2.1%), 'cultivation of right sexual senses'(2.1%), 'desirable home environment'(1.9%), 'doing one's best'(1.9%), 'understanding'(1.6%), 'psychological intimacy'(1.6%), 'treat fair'(1.6%), 'pursuit of physical, psychological health' (1.6%), 'concerning'(1.3%), 'religious life'(1.3%), 'respect of individuality'(1.3%), 'cooperation' (1.1%), 'often-minded family'(0.8%), 'positive attitude'(0.8%). 34 themes were categorized by 12 categories once more: 'mature parenthood'(15.5%), 'acceptance' (11.5%), 'autonomy'(11.5%), 'pursuit of healthy life style'(9.4%), 'eagerness'(9.1%), 'making efforts'(8.8%), 'education'(8.8%), 'emotional bonding' (7.8%), 'respect'(7.2%), 'corporal punishment' (4.5%), 'supporting'(3.2%), 'composition of environment'(2.7%). In conclusion, we could expect that university women had a democratic view on childrearing with love and autonomy for a base. So we need to offer them nursing implementations such as preliminary parenting programs and parenting consulting in order to promote positive and interactional parent-child relationship by strengthening their desirable view on childrearing.

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The Effects of a Cardiac Rehabilitation Program on Health Behavior Compliance, Cardiovascular Function, and Quality of Life for the Patients with Ischemic Heart Disease (심장재활 프로그램이 허혈성 심장환자의 건강행위 이행, 심혈관 기능 및 삶의 질에 미치는 효과)

  • 조현숙;김광주
    • Journal of Korean Academy of Nursing
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    • v.30 no.3
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    • pp.560-570
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    • 2000
  • This study is aimed at developing a cardiac rehabilitation program and enlightening the effects of the program on patient's health behavior compliance, cardiovascular functional capacity, and quality of life. Using a quasi-experimental approach the nonequivalent control group pretest - posttest design was accepted for this study. The subjects of this study consisted of 55 patients with ischemic heart disease at the Cardiac Center of 'G' Hospital located in Inchon from May 1, 1998 to April 30, 1999. The patients were divided into two groups: the experimental group, which participated in the cardiac program with 30 patients and 25 patients of a control group were not involved in the program. There were two phases in the cardiac rehabilitation program: the first phase was a team approach education. It focused on reducing the risk of ischemic heart problems. The second phase was individual training by using a home based exercise program, which was comprised of 8 weeks, three sessions per week, 40-60 minutes per session, and followed by consultation. Every session involved 20-40 minutes of aerobic exercise at 40-60% of heart rate reserve, 11∼13 RPE and 10 minutes of warm-up and 10 minutes of cool-down exercises. The experimental tools for the study were the health behavior compliance scale developed by Lee, Yoon-hee (1992), and quality of life scale developed by McGirr et al.(1990). RPPsubmax were measured by the treadmill. The collected data was processed by SPSS and analyzed by χ²test and t-test. The results of this study were as follows: 1. The health behavior compliance in experimental group was significantly increased (t=5.091, p=.000) when compared to the control group. 2. RPPsubmax also decreased significantly in the experimental group when compared to the control group(t=-2.109, p=.040). 3. The quality of life significantly improved in the experimental group (t=3.853, p=.000) as compared to the control group. As the above results of this study revealed, the effectiveness of the cardiac rehabilitation program of the study was confirmed. It increased the health behavior compliance for reducing the risk of further coronary events, enhanced the cardiovascular functional capacity, and eventually improved the patient's quality of life.

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Effect of Observation Window at Peripheral Intravenous Catheter Site on Early Recognition of Infiltration among Hospitalized Children (아동의 말초정맥관 삽입 부위 관찰창 확보가 침윤조기감지에 미치는 효과)

  • Jeong, Ihn Sook;Park, Soon Mi;Park, Kyung Ju
    • Journal of Korean Academy of Nursing
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    • v.46 no.4
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    • pp.534-541
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    • 2016
  • Purpose: The aim of this study was to identify the effect of an observation window (OW) at peripheral intravenous (IV) catheter sites on early detection of IV infiltration among hospitalized children. Methods: This was a retrospective observational study with history control group design. Participants were children who had IV infiltration after peripheral catheterization when hospitalized from January to May, 2014 and January to May, 2015 at a children's hospital located in Yangsan city, Korea. The 193 patients, who were hospitalized from January to May, 2014 formed the control group and did not have OW, and the 167 patients, who were hospitalized from January to May, 2015 formed the window group and had OW. Data were analyzed using ${\chi}^2$-test, independent samples t-test and multiple logistic regression. Results: First stage IV infiltration was 39.5% for the window group and 25.9% for the control group, which was significantly different (p=.007). The likelihood of $2^{nd}$ stage and above IV infiltration decreased by 44% in the window group, which was significantly different (p=.014). Conclusion: OW at the peripheral IV catheter site was found to be an effective measure in early recognition of IV infiltration. Considering the effect of OW, we recommend that nurses should make an OW with transparent dressing during stabilization of the IV catheter site in hospitalized children in clinical settings.