• 한국콘텐츠학회논문지
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• 제19권2호
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• pp.223-230
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• 2019

본 연구는 부모를 대상으로 시행된 자궁경부암 예방교육프로그램에 관한 선행연구를 분석하기 위해 시도되었다. 자료검색은 2007년 1월부터 2017년 11월까지로 국외 검색 데이터베이스는 PubMed, Science Direct, CINAHL을 이용하였고, 국내 검색 데이터베이스는 RISS, Dbpia를 이용하였다. 검색된 자료는 총 329편이며, 선정기준 및 제외기준에 따라 최종 7편을 선정하였다. 예방교육프로그램의 기법으로는 강의식 교육, 리플렛, 브로셔 제공, 문자메시지, 자기설득중재 등이 있었고, 가장 많이 사용되고 있는 예방교육프로그램은 강의식 교육으로 나타났다. 예방교육프로그램의 분석결과 부모의 자궁경부암 및 HPV에 대한 지식과 접종의도는 높아졌고, 실제 접종률도 증가한 것으로 나타났다. 따라서 국내에서도 부모를 대상으로 자궁경부암 예방교육프로그램이 개발되어야 할 필요성을 인지하고 다양한 연구의 시도를 기대할 수 있다.

• 대한간호학회지
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• 제51권5호
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• pp.537-548
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• 2021

Purpose: This study aimed to identify the factors influencing COVID-19 vaccination intentions in nurses. Methods: The participants were 184 nurses in Korea. Data were collected using a Google Form online survey method in February, 2021, and analyzed using an independent t-test, one-way ANOVA, Pearson correlation, and multiple regression analysis with the SPSS/WIN 26.0 program. Results: COVID-19 vaccination intention in nurses was correlated significantly with vaccine hesitancy (r = .58, p < .001), risk perception of COVID-19 (r = .22, p = .003), perception of vaccination as a professional duty (r = .59, p < .001), and attitude towards workplace infection control policies (r = .20, p = .007). Vaccine hesitancy (β = .40, p < .001) and the perception of vaccination as a professional duty (β = .44, p < .001) significantly influenced COVID-19 vaccination intention. The model developed in this study explained 50% of the variation in COVID-19 vaccination intention. Conclusion: Improving the perception of vaccination as a professional duty and lowering vaccine hesitancy may enhance nurses' COVID-19 vaccination intention. Above all, it is necessary to provide programs to encourage voluntary recognition of vaccination as a professional duty and develop strategies to reduce hesitancy toward COVID-19 vaccinations.

• 한국학교보건학회지
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• 제35권1호
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• pp.22-30
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• 2022

Purpose: Based on the Health Belief Model, this study aimed to identify factors influencing on COVID-19 vaccination intention of mothers with elementary school children by examining the relationships between perceived susceptibility, perceived severity, perceived benefit, perceived barrier, cue to action, and perceived self-efficacy. Methods: Mothers with elementary school children were recruited from three elementary schools. An online survey was conducted of 130 mothers in November, 2021. Results: As a result, the factors influencing on vaccination intention were perceived self-efficacy (β=.33), perceived susceptibility (β=.18), perceived benefit (β=.16), and perceived barrier (β=-.17). Conclusion: Based on our findings, there is a need to develop a tailored nursing intervention that enhances perceived self-efficacy, perceived susceptibility and perceived benefit while decreasing perceived barrier in order to improve vaccination intention.

• 지역사회간호학회지
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• 제32권2호
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• pp.195-204
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• 2021

Purpose: This study was to determine how attitude, subjective norm, and perceived behavioral control (PBC) were related to parents' intentions to vaccinate their sons in elementary school against human papillomavirus (HPV), applying the updated theory of planned behavior. Two hypotheses were examined: PBC would moderate the relationship of attitude to intention and subjective norm to intention, respectively. Methods: This was a cross-sectional study with 231 participants recruited in November, 2018. Inclusion criteria for the participants were parents with 5th-6th grade boys in elementary schools. The moderation effects of the hypotheses were analyzed using the PROCESS macro for SPSS. Results: PBC significantly moderated the relationship of attitude to intention on HPV vaccination. The simple effect of attitude to intention was significant under three different levels of the PBC (low, moderate, and high), but the magnitudes of the relationships were not homogeneous. The magnitude of the relationship between attitude and intention was the lowest for the parents with the low level of the PBC. In the relationship of subjective norm to intention on HPV vaccination, the moderating effect of the PBC was not supported. Subjective norm and PBC directly predicted the intention on HPV vaccination. Conclusion: In order to promote the parents' intentions to vaccinate their sons in elementary school against HPV, we need a program that can improve parents' attitude, subjective norm, and PBC, requiring special attention to the parents with the low PBC.

• 한국간호교육학회지
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• 제29권3호
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• pp.225-233
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• 2023

Purpose: The aim of this study was to identify factors related to the vaccination intentions of nursing students before clinical practice. Methods: A descriptive correlational study design was used. The participants were 129 nursing students who were enrolled in one college of nursing in Seoul and were scheduled for clinical training. Data collection was conducted from February 28 to March 7, 2022. The data were analyzed using descriptive statistics, a t-test, ANOVA, Pearson's correlation coefficient, and a latitudinal regression analysis using the IBM SPSS statistics version 26.0 program. Results: The intention to vaccinate showed a significant correlation with vaccination attitude (r=.72, p<.001), subjective norms (r=.68, p<.001), and perceived behavioral control (r=.63, p<.001). The influencing factors on three intent to vaccinate were vaccination attitude (β=.36 p<.001), subjective norms (β=.31, p<.001), and perceived behavioral control (β=.36, p<.001). The explanatory power of these variables was 69.6%. Conclusion: The vaccination rate before the clinical training of nursing students was related to economic burden, a lack of time, and transportation problems that nursing college students experienced during the vaccination process. Therefore, administrative and financial support is needed for improving the vaccination rates of nursing students.

• 한국산학기술학회논문지
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• 제19권9호
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• pp.174-185
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• 2018

본 연구는 2015년 국내 메르스(중동호흡기증후군) 유행시 상급종합병원에 임상실습을 경험하는 학생의 메르스에 대한 지식, 태도 및 예방행위 수행 정도를 파악하고 메르스 예방행위 수행 예측요인을 확인하기 위해서 시도되었다. 본 연구 대상자는 3, 4학년 간호학과와 의과대학 학생 480명이었으며, 자료수집은 2015년 6월 9일부터 6월 30일까지 구조화된 설문지를 이용하였다. 자료분석은 SPSS/WIN 24.0을 이용하여 분석하였고, 메르스 예방행위 수행에 영향을 미치는 예측요인들은 위계적 회귀분석(hierachial regression)을 이용하였다. 임상실습 학생의 메르스에 대한 지식 수준은 9.56점(13점 기준)으로 보통 이상으로 높았으며, 메르스의 심각성 인지와 예방가능성에 대한 신념인 메르스에 대한 태도는 4.15점(5점 기준)으로 긍정적이었다. 메르스 예방행위 수행정도는 3.02점(5점 기준)으로 보통 수준이었다. 메르스 예방행위는 여학생인 경우, 메르스에 관한 교육 경험이 있는 경우, 지난 해 인플루엔자 접종을 한 경우, 올해 인플루엔자 접종 의도가 있는 경우, 메르스 감염에 대한 두려움이 높은 경우, 메르스에 대한 지식 수준이 높고, 태도가 긍정적일수록 수행 정도가 높게 나타났다. 이에 감염환자들을 치료하고 돌보게 될 간호학과와 의과대학 임상실습 학생의 메르스 예방행위 수행률을 높이기 위해서는 메르스 예방행위 수행에 영향을 미칠 수 있는 임상실습 학생의 특성을 고려해야 한다. 더 나아가 임상실습 학생들이 메르스를 예방하기 위하여 필수적으로 습득해야 하는 내용이 포함된 효과적인 감염예방 교육프로그램을 개발하고 실시하여 미래 보건의료인들의 메르스 관련 지식 수준을 높이고, 질환 전파를 막으려는 태도를 강화함으로써 전염성 감염질환 예방에 기여해야 한다.

• 여성건강간호학회지
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• 제23권2호
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• pp.126-134
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• 2017

Purpose: The purpose of this study was to identify impacts of HPV-related knowledge, attitude to HPV vaccination, and health beliefs on infection preventive behavioral intention targeting female university students. Methods: With correlational survey design, subjects of this study were 120 female students at universities located in B metropolitan city and G city. A total sample agreed to participate in the study. Data were analyzed using descriptive statistics, t-test, ANOVA, correlation, and stepwise multiple regression. Results: Attitude to HPV vaccination, experience of smoking, and HPV-related health beliefs were significant factors influencing the HPV-related infection preventive behavioral intention. These factors accounted for 19.0% of the HPV-related infection preventive behavioral intention. Conclusion: The most significant factor for HPV infection prevention was the attitude to HPV vaccination. These findings may be useful to develop strategies to improve the HPV infection preventive behavioral intention of the female university students who have a high risk of the HPV infection.

• Pediatric Infection and Vaccine
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• 제23권3호
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• pp.180-187
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• 2016

목적: 본 연구는 병원 내에서 의도치 않게 수두-대상포진 바이러스(varicella zoster virus [VZV]) 감염 환자에 노출된 의료진과 소아 입원 환자의 사례를 대상으로 노출 후 예방 조치와 그에 따른 2차 수두 감염 발생 여부를 분석하고자 하였다. 방법: 2010년 1월부터 2015년 12월까지 서울대학교 어린이병원에 입원한 수두 혹은 대상포진 환자중 초기에 적절한 격리 조치가 이루어지지 않았던 사례와 노출자를 대상으로 하였다. 노출자의 VZV에 대한 면역력과 면역 저하 상태의 유무에 따라 노출 후 예방 조치를 시행하였다. 의무기록을 통하여 사례 환자와 노출자들의 임상 정보 및 2차 감염 발생 여부를 조사하였다. 결과: 2010년부터 2015년까지 147명의 VZV 감염 환자가 입원하였고 이 중 의도치 않게 노출되었던 환자는 13명이었다. 이 중 5명(38.5%)의 사례 환자는 수두 백신 접종력이 확인되었다. 총 86명의 환자가 다인용 병실에서 사례 환자에 노출되었고, 62.8% (54/86)에서 VZV에 대한 면역력이 있었다. 27명의 노출 환자에게 노출 후 예방 조치를 시행하였으며, VZIG를 투약받은 환자는 23명이었고 수두 백신을 접종받은 환자는 4명이었다. 2차 수두가 발병한 환자는 4명으로, 예방 조치를 받지 않은 소아 1명과 예방 조치를 받은 27명 중 3명에서 감염이 확인되었다. 이들은 모두 한 명의 사례 환자에게 노출되었다. 2차 수두 감염률은 4.7% (4/85)이었고, 노출 후 예방 조치를 받은 환자 중 2차 감염률은 11.1% (3/27)이었다. 면역 기능이 정상인 환자에서 2차 수두 감염률은 1.9%, 면역 저하 환자에서는 9.7%이었다. 결론: 수두의 진단이 지연되면 병원에서 VZV에 노출되는 사례가 발생할 수 있으며 이로 인하여 감수성이 있는 소아나 면역 저하자에게 수두가 2차적으로 발생할 수 있다. VZV에 대한 면역력 여부를 기반으로 노출 후 예방 조치 여부를 결정하는 국내 기준의 적정성을 재고할 필요가 있다.

• 한국학교보건학회지
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• 제31권2호
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• pp.59-69
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• 2018

Purpose: The purpose of this study is to identify and compare the factors associated with human papillomavirus (HPV) vaccination intention between male and female high school students. The focus is on the knowledge, attitudes and health beliefs related to HPV. Methods: The participants were 246 male and 298 female students from an academic high school located in Seoul. Data were collected in June 2017, which were analyzed using descriptive statistics, the chi-test, t test, Mann-Whitney U test, Pearson correlation coefficients and logistic regression with SPSS for Windows 21.0. Results: 47.6% of the male participants and 86.2% of the female participants indicated HPV vaccination intention. The median score of the HPV knowledge level was 0 (total score:16) in the boys and 3 in the girls (p<.001). There were significant differences in attitudes and health beliefs related to HPV by gender. Religion (OR=0.50), sexual experience (OR=0.09), safety concerns (OR=0.65), perceived needs (OR=1.59), importance of prevention (OR=1.78) and perceived susceptibility (OR=1.80) determined HPV vaccination intention in the male students, whereas awareness of HVP vaccination (OR=2.25) and importance of prevention (OR=1.92) significantly predicted HPV vaccination intention in the female students. Conclusion: The results of this study suggest that different strategies need to be taken for different genders: education focusing on safety concerns as well as perceived needs, importance of prevention and perceived susceptibility for male students and education emphasizing importance of prevention for female students.

• 농촌의학ㆍ지역보건
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• 제46권4호
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• pp.207-217
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• 2021

Objectives: The purpose of this study was to investigate the factors in which employee's health beliefs affect their intention to get COVID-19 vaccines. Methods: The participants of this survey were 237 emlpoyees living in Busan. Data were collected using structured online questionnaires from April 26th to May 6th, 2021. The data were analyzed in SPSS WIN version 25.0 using descriptive statistics, t-test, chi-square test, multiple logistic regression analysis. Results: At the average score for each area of health beliefs regarding COVID-19, self-efficacy was 4.45 points, perceived sensitivity 4.71 points, perceived severity 3.59 points, perceived benefit 4.46 points, and perceived disability 2.19 points. Monthly income, perceived sensitivity, perceived severity, and perceived benefit were found to be factors affecting the intention to get COVID-19 vaccines. Conclusions: In order to improve the vaccination intention of COVID-19, it is necessary for subjects to recognize the seriousness of the disease, increase their sensitivity to the disease, and actively promote and educate the community about the benefits of vaccination.