• 임상간호연구
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• 제26권2호
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• pp.131-140
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• 2020

Purpose: This study aims to describe the characteristics of safety incidents and factors associated with injury for patients with Home Mechanical Ventilation (HMV) at the hospital. Methods: This is a retrospective study. Data were collected from the work log of respiratory home care nurses and the patients' electronic medical records were investigated. In order to compare group differences, independent t-test and χ² test were used. Associated factors with injury development were identified by generalized mixed modeling analysis controlling for age and gender. Results: A total of 304 patients on HMV were included in this study, among which 129 (42.4%) experienced 352 HMV-related incidents. Mean frequency of incidents for each patient was 5.11±3.98, ranged from 1 to 15 times. In 19.0% of the incidents, injury was developed. Types of incident and persons involved in the incidents were significantly associated with the patient's injury. In the case of the safety incidents, patient's injury was significantly higher in accidents caused by respiratory circuit problems compared to those caused by problems with the ventilator operation by the medical staff (coefficient=1.25, p=.020). In addition, in the case of those involved in the safety incidents, patient's injury was significantly higher in the accident caused by the patient family members or caregivers than that caused by the medical personnel (coefficient=1.25, p=.019). Conclusion: In order to minimize injury caused by incidents in patients with HMV, hospitals need to provide systemic education to their medical staff and caregivers to enhance awareness of the importance of reporting and safety management.

• 보건교육건강증진학회지
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• 제14권1호
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• pp.147-160
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• 1997

Nowadays according to the complexity of our daily life due to the development of industry and transportation various kinds of injuries happen. Since 1993 the death rate among 5-14 age children by injuries amount to about 57%. Furthermore, the injury of children can give a direct damage to their own family and it can also bring a serious loss to the country as well as the community where they live in accord with degree of an injury. From this reason, the importance of safety education has been increasing. In this study, it is aimed to clarify the effect of injury preventive behaviors on injury incidence of the 6th grade students in the elementary school. This study is accomplished by the survey sampled from 9 elementary schools in seoul, each of which belong to different district. The survey took for 15 days from the date of september 10th 1996 to september 25th 1996 and the results were as follows; 1. For demographic characteristic, sexual distribution was 48.7% of male students and 47.1% of female students. The required time from home to school was 10-19 minutes(51.8%), and the most way of their going to school is to walk(89.7%). Mothers who graduated from high school were 46.6% and 49.4% of fathers were above university graduated level. The most vocation of mothers was housewife as 56.7%. 2. The results of analysis on the injury rates, 75.8% of children experienced more than one injury and the most was play injury. With regards to sites where injuries happened, the room, the kitchen, and the living room in the house ranked first(38.3%) and then injuries at school such as on the playground, in the classroom, and on the stairs was 34.1%. 3. Considering the rate of injury incidence in accordance with demographic characteristics, male students experienced more injuries than female students(p〈0.05). For the way from home to school, children who went to school by bicycle experienced the most injuries and then on foot, by bus in order of which differences were statistically significant(p〈0.05). 4. From the comparison of parents' safety education practice and the injury incidence, the less often parents practice safety education, the more often children experience injuries(p〈0.05). 5. The results of analysis on the effect of injury preventive behaviors on accidents children who didn't act injury preventive behaviors experienced much more injuries than those who did injury preventive behaviors of which differences were statistically significant(p〈0.01). 6. From the results of analysis of factors effecting on the elementary school children's injuries, children without injury preventive behaviors had more effect on accidents than those who had injury preventive behaviors as odds ratio 2.06(p〈0.01), and the odds ratio of male students compared with female students was 1.47(p〈0.05).

• 한국화재소방학회논문지
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• 제29권4호
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• pp.95-104
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• 2015

본 연구는 병원 전 단계에서 발생한 화상환자의 유형별 특수성을 이해하여 초기 환자 상태의 어떠한 차이점이 있는지를 파악하고자 한다. 이를 위해 2013년도 경기도 소방구급대 출동 내역 중 화상환자 이송 자료 1,223건을 분석하였다. 화상사고는 10세 이하(26.0%)에서 가장 많았으며, 대부분 가정(51.3%)에서 발생하는 것으로 나타났다. 화상 유형별 환자의 상태는 평균적으로 안정적이었으나 전기로 인한 화상은 의식 상태 U(무반응)가 10.7%로 타 화상 유형보다 U(무반응)의 비율이 매우 높은 것으로 나타났으며 체온 $35.90^{\circ}C$, 화상 깊이 3도(39.28%) 등 타 유형과 달리 초기 환자의 상태는 심각한 것으로 나타났다. 이에 따른 화상 유형별 초기 환자 상태를 파악하여 병원 전 단계의 효과적인 대응이 필요하겠다.

• 보건교육건강증진학회지
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• 제22권4호
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• pp.41-56
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• 2005

Objectives: More than 80% of unintentional injury was related to risk-taking behaviors involved in child accidents. Therefore, diverse care and concerns on safety should be provided from teachers as well as parents to build child safety behaviors. The purpose of this study was to identify the effects of safety concerns from students, teachers, and parents on elementary students' safety behaviors in Korea. Methods: The 5th and 6th grade students participated in this study in 14 elementary schools in Korea and the total number of students was 1,033. The study schools were selected by the stratified cluster sampling method throughout 7 metropolitan areas in Korea. Data were collected by the self-administered survey and the questionnaires were delivered to the vice-principals of the designated schools by ground postal service and the vice-principals conducted survey data collection. The questions on students' safety concerns, teachers' safety concerns, parents' safety concerns, safety practices, safety education, and demographics were included in the survey. All survey responses were encoded into SPSS program and t-test, ANOVA, and multiple regression analysis were utilized. Results: The students taking accidents one time more per year were more than 60% and the two thirds of them recognized that their accidents were due to their risk behaviors. Parents' education on safety practices was more frequent than teachers' education; furthermore, teachers' concerns on safety behaviors were poorer than students' or parents' concerns. In terms of safety behaviors, the scores of fire and home-related safety behavior were high but the scores of traffic and bicycle, in particular, helmet wearing practice were low. Three concerns from students, parents, and teachers all were significantly related to children's safety behaviors. Conclusions: In conclusion, safety concerns from the close networks are the important indicator of child safety behaviors and, the safety training programs, therefore, for parents and teachers as well as for students need to be developed for improving children's safe behaviors.

• 한국ITS학회 논문지
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• 제11권3호
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• pp.124-132
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• 2012

어린이의 경우 신체적, 정신적 능력이 떨어지거나 완성되지 못한 이유 등으로 교통사고의 가능성이 높은 것이 현실이고, 특히 피해자로서 차대사람 사고(보행 중 사고)의 비중이 다른 연령층이나 비장애인에 비해 높게 나타나고 있다. 이로 인해 정부에서는 1995년부터 어린이 보호구역을 지정하여 보행안전을 확보하고자 일련의 정책들을 시행하여 왔다. 그러나 기존의 보호구역에 대한 효과검증 작업에 대한 기초 연구가 미흡한 것도 사실이다. 따라서 본 연구에서는 기존의 어린이 보호구역 등에 대한 효과분석을 통해 이러한 시설들의 설치 타당성을 입증하였다. 평가지표(MOE)로는 어린이 보호구역에서의 구간통행속도 지표를 활용하였다. 차량의 속도와 교통사고와는 상관관계가 있는 것으로 입증되어 평가지표로 선정하였다. 통계분석 결과, 과속방지턱, 고원식 횡단보도 등의 시설물은 차량속도를 감속시키는데 유의한 것으로 분석되었다.

• 한국가스학회지
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• 제10권3호
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• pp.54-59
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• 2006

가정용 LPG 가스시설에 사용되고 있는 압력조정기에서 체결된 호스가 분리되거나 또는 고의로 절단하여 발생하는 가스사고 및 고의사고를 예방하기 위해서 조정기 출구에 차단기능을 갖는 안전장치를 개발하였다. 본 연구를 통하여 개발된 차단안전장치의 작동성과 현장 적용여부를 확인하기 위하여 조정기의 설치상태에 따른 시험과, 가정집에서의 현장시험을 실시하였다. 시험결과 입구압력 $0.07{\sim}1.56MPa$의 조건에서 조정기의 설치상태와는 무관하게 호스길이 5 m이내에서 차단되었고, 차단유량은 수직상향, 수평, 수직하향의 순서로 높게 나타났다. 또한 가정집에 설치하여 5개월 시험한 결과, 가스레인지나 보일러를 사용하는데 있어 문제점은 없는 것으로 나타났다. 개발된 조정기 차단안전장치가 상용화되어 보급된다면 호스분리나 절단에 따른 사고를 대폭적으로 예방하는데 크게 기여할 수 있을 것으로 기대된다.

• KSII Transactions on Internet and Information Systems (TIIS)
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• 제5권7호
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• pp.1274-1292
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• 2011

Due to the variety of household electric devices and different power consumption habits of consumers at present, general home energy management (HEM) systems suffer from the lack of dynamic identification of various household appliances and a unidirectional information display. This study presented a set of intelligent interconnection network systems for electric appliances, which can measure the power consumption of household appliances through a current sensing device based on OSGi platform. The system establishes the characteristics and categories of related electric appliances, and searches the corresponding cluster data and eliminates noise for recognition functionality and error detection mechanism of electric appliances by applying the clustering algorithm. The system also integrates household appliance control network services so as to control them according to users' power consumption plans or through mobile devices, thus realizing a bidirectional monitoring service. When the system detects an abnormal operating state, it can automatically shut off electric appliances to avoid accidents. In practical tests, the system reached a recognition rate of 95%, and could successfully control general household appliances through the ZigBee network.

• 한국방재학회 논문집
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• 제10권6호
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• pp.9-16
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• 2010

사회적 안전을 강화하기 위하여 범죄예방을 위한 Web DB의 구축을 하고 이를 시민들에게 개방하여 범죄로 부터의 위험성을 경감할 수 있다. 본 연구의 궁극적 목적은 지역사회의 생활안전 웹 데이터베이스 구축을 위한 사용자 요구를 조사하는 것이다. 이를 위해서 31개의 외국 생활안전 웹 데이터베이스를 분석하였으며 사용자 참여 스타일의 웹 서비스를 검토하였다. 그리고 어린이와 여성과 같은 범죄취약계층을 중심으로 설문조사를 실시하였다. 그 결과로 일상적인 생활 및 통학, 통근 경로의 위험지역을 추출하였다. 지역사회의 생활안전 웹데이터베이스를 만드는 과정에 있어서 사용자의 요구는 경제적 상황 및 공공성 관계되는 것으로 분석되었다.

• Child Health Nursing Research
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• 제15권2호
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• pp.145-154
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• 2009

Purpose: The purpose of this study was to develop a guide book on safety education for teachers to use in education classes for elementary school students. Methods: Dick & Carey's teaching model and Keller's ARCS theory were used in the development of this guide book. Results: This guide book was developed for lower grade (1st$\sim$3rd) and higher grade (4th$\sim$6th) elementary school students. The content consisted of subjects, worksheets, content for teachers, statistical data, case studies, and a safety letter to the parents. The 10 subjects were as follows: "Importance of injury prevention", "Safety at home", "Accident prevention at school", "Violence prevention", "Vehicles safety", "Water safety", "Prevention of Fires & Burns", "Safety of Toys & home supplies", "Safety in Sports & Recreation activity", "Prevention of injury caused by animals". Statistical data was presented by graphs and case studies were presented of cases of real occurrences of accidents. Worksheets contain various activities for students. Safety letters were composed for each student's parents. Conclusion: This guide book presents effective material for safety education classes in elementary school and the authors hope it will be widely used in elementary schools.

• 가정∙방문간호학회지
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• 제24권1호
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• pp.14-22
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• 2017

Purpose: To study aimed to examine the impact of the Nursing and Care=giving Integrated Service on nursing work performance, nurse' job satisfaction, and patient safety. Methods: A total of 66 nurses were selected as participants, comprising 30 nurses working in Nursing and Care=giving Integrated Service hospital ward, and 33 nurses working in a general hospital ward with a similar patient and disease group and distributed moderately. For data analysis, t-tests, ANOVA, and $X^2$ tests were conducted. Results: Nursing work performance in the Nursing and Care=giving Integrated Service ward was higher than that in the general hospital ward, but this difference was not statistically significant. Conversely, job satisfaction was lower among nurses in the Nursing and Care=giving Integrated Service ward, although again the difference was not significant. However, the Nursing and Care=giving Integrated Service ward had a significantly lower rate of safety-related accidents in patients compared to the general hospital ward. Conclusion: In order to expand and improve patient safety and other aspects of the Nursing and Care=giving Integrated Service, there is a need to establish a mediation strategy for increasing nurses' work performance and job satisfaction.