• 제목/요약/키워드: Nursing history

검색결과 475건 처리시간 0.026초

일반외과 환자의 수술부위 감염 관련 요인 분석 (Factors Related to Surgical Site Infections in Patients Undergoing General Surgery)

  • 안유진;송경애
    • 기본간호학회지
    • /
    • 제12권1호
    • /
    • pp.113-120
    • /
    • 2005
  • Purpose: To identify risk factors for surgical site infections in patients undergoing general surgery, to analyze the prolonged hospital stay and extra cost for antibiotics, and to provide basic data for control of surgical site infections. Method: Surgical site infection was defined using the definition of the CDC and the data were analyzed by $x^2$-test and unpaired t-test. Results: The prevalence of surgical site infections was 9.7%, and it was related to wound class, duration of operation, number of operations, whether the operation was an emergency, trauma, drains, preoperative stays, presence of remote infection during operative period, and previous history of recent surgery. The mean duration for post-operative stay when a surgical site infection occurred was 9.5 days and in 56.9 % of the patients the surgical site infection appeared 7 days after the operation. Post-operative stays for infected patients were 20.3 days longer than that of uninfected patients. The mean cost of antibiotics for infected patients was higher than that for uninfected patients by 561,067 won per person. Conclusion: Surgical site infection results in an increased length of stay and extra-cost, thus, hospitals need to create strategies to reduce nosocomial infections through effective infection surveillance and by considering factors related to surgical site infections.

  • PDF

서울시 1개 구 구립 보육시설의 영유아 건강관리 실태 (Health Problems and Health Services in Child Day Care Centers)

  • 김지수;한경자
    • Child Health Nursing Research
    • /
    • 제12권1호
    • /
    • pp.25-33
    • /
    • 2006
  • Purpose: To investigate the health problems and health services in child day care centers. Methods: Data were collected from 115 teachers at 16 child day care centers in Seoul city. A questionnaire was used to collect data, which were analyzed with the SPSS 12.0 program. Results: Most teachers had experienced various child health problems such as colds, hand․foot․mouth diseases, chicken pox, skin injuries, nasal bleeding, vomiting and diarrhea. Furthermore, they even experienced some serious ones including dysentery, measles, asthma and seizures, which demand professional skill. However, there were no registered nurses and most teachers requested that parents take a child home when these health problems happened. Only 31.3% of the child care centers had a teacher with CPR training. Approximately half of the centers kept child health records which included reports on allergic substances, and medical history but only 18.7% of the child care centers offered regular immunizations for the children. Conclusion: Various health problems were found in child day care centers. To maintain the children's health, there is a need to develop and make provisions for health services and programs in child day care centers.

  • PDF

치매노인의 낙상위험요인에 관한 메타분석 (A Meta-analysis of the Risk Factors related to Falls among Elderly Patients with Dementia)

  • 홍선영;박희옥
    • 성인간호학회지
    • /
    • 제29권1호
    • /
    • pp.51-62
    • /
    • 2017
  • Purpose: The purpose of this study was to provide data about the risk factors related to falls among elderly patients with dementia using meta-analysis. Methods: Key words used for search through electronic database (CINAHL, PubMed, Ovid-MEDLINE, RISS, KISS, DBPIA, National Assembly Library) included 'dementia', 'Alzheimer', 'fall'. Twenty studies met the inclusion criteria for the meta-analysis and 'R' version 3.2.2 was used to analyze the correlated effect size. Results: Study results showed that risk factors related to falls were identified as the demographic (age, gender, education), dementia-related (disease duration, cognition), physical (body mass index, walking, balance, activity of daily living, use of walking aids, number of medications including psychotropic drugs, musculoskeletal problems, parkinsonism, comorbidity), psychological (neuropsychiatric symptom, depression), environmental (Physical environment), and fall-related (fall history, high risk group of fall) factors. The effect size of risk factors such as high risk group of fall (r=.35), use of walking aids (r=.33), depression (r=.31), psychotropic drugs (r=.27), Musculoskeletal problems (r=.25) were higher than the other risk factors. Conclusion: Based on the findings of this study, strategies to improve elderly patient's depression, intensive care for high risk group of fall, and adequate training with walking aids are needed for prevention of falls in elderly patients with dementia.

여대생의 월경전 증후군과 성역할과의 관계 (The Relationship between Premenstrual Syndrome and Sex Role of College Students)

  • 신미아;정미현
    • 지역사회간호학회지
    • /
    • 제17권1호
    • /
    • pp.125-133
    • /
    • 2006
  • Purpose: This study was performed to identify the relationship between PMS and sex role. Method: Data were collected from 417 female college students in Seoul and Gyeonggi-do area during the period from the 6th of September to the 15th of October in 2004. Collected data were analyzed using SPSS WIN 11.0. Result: The results of this study were as follows: 1) Perceived subjective symptoms were clustered endogenous depressive feature ($2.76{\pm}.97$), anxiety ($2.76{\pm}1.09$), and impulsivity ($2.72{\pm}1.02$). 2) PMS was significantly different according to the general characteristics of menarche age (F=5.910, p=.003), pain (F=7.886. p=.000) and family history (F=5.366, p=.005), masculinity was significantly different according to menarche age (F=3.174, p=.043), and femininity was significantly different according to menarche age (F=3.742, p=.025) and pain (F=3.256. p=.040). 3) Femininity and PMS were in a positive correlation with each other (r=.623. p=.000). Conclusion: This results showed that there is a significant correlation between PMS and sex role. For future research, it is recommended to identify major factors affecting PMS and the relationships between them and various subjects.

  • PDF

여대생의 인유두종바이러스 예방접종 예측요인 (Predictors of Human Papillomavirus Vaccination in Female University Students)

  • 박정숙;이은주
    • 여성건강간호학회지
    • /
    • 제17권4호
    • /
    • pp.346-358
    • /
    • 2011
  • Purpose: The purpose of this study was to identify predictors of HPV (Human papillomavirus) vaccination among female university students. Methods: The participants in this study were 1,486 female university students. Data were collected using self-administered questionnaire from september 1, 2010 to June 30, 2011. Data were analysed using descriptive statistics, t-test, $x^2$-test and logistic regression. Results: The rate of HPV vaccination was 7.2%. Factors that influence HPV vaccination included residential region, smoking experience, family history of cervical cancer, experience having heard about the HPV vaccination, awareness that HPV is a sexual disease, HPV knowledge, perceived seriousness, perceived benefit and perceived barrier in health beliefs. Conclusion: The results suggest a need to increase HPV vaccination campaigns to increase awareness of HPV vaccination. University and health care facilities should provide health education emphasizing perceived seriousness and perceived benefits. Also, the national health insurance corporation should consider addressing cost issues as a barrier to HPV vaccination.

아동초기 자녀를 둔 어머니의 감염예방 지식과 실천 (Knowledge and Practice of Infection Prevention by Mothers of Young Children)

  • 이동원;권인수
    • Child Health Nursing Research
    • /
    • 제15권3호
    • /
    • pp.306-313
    • /
    • 2009
  • Purpose: The purpose of this study was to investigate the knowledge and practice of mothers of young children in infection prevention in everyday life. The results will provide basic data for future interventions for infection prevention in early childhood. Methods: The participants included 313 mothers from three cities in Gyeongnam Province, Korea. The data were collected from December 2007 to January 2008 using a self-report questionnaire developed by there searchers and analyzed using the SPSS program. Results: Average rate for correct answers of knowledge of infection prevention was 81.1 %, and the mean score of practice in infection prevention was 3.18${\pm}$0.34, out of 5. There was a positive correlation in the relationship between knowledge and practice (r=.236, p<.001). There were differences in knowledge and practice according to mothers' education, monthly family income, and type of residence, but there were no differences according to number of children and admission history of child for infectious disease. Conclusion: The level of knowledge and practice infection prevention by the mothers was not enough to prevent infection in early childhood. Therefore,. effective strategies should be developed to help mothers in the prevention of infections during early childhood.

  • PDF

학령 전 아동 어머니의 가정 발열관리 지식과 수행 (Knowledge and Practice of Fever Management by Mothers of Preschool Children at Home)

  • 박혜림;권인수
    • Child Health Nursing Research
    • /
    • 제23권2호
    • /
    • pp.127-136
    • /
    • 2017
  • Purpose: This study was done to identify the level and correlation of knowledge and practice of fever management at home and provide data for the development of an intervention program to improve the fever management ability of mothers of preschool age children. Methods: Participants were 112 mothers with children between 1 and 6 years of age and attending one of three daycare centers located in J city. The participants had a history of using medication and tepid massage. Data were collected during April, 2016. Results: The mean scores were 27.55 (correct answer rate 70.64%) of 39 for knowledge, and 75.93 of 92 for fever management practice. There were significant differences in scores for knowledge according to the number of children and number of visits to doctors for treatment of a fever. There were no differences in scores for practice. There was a positive correlation between knowledge and practice. Conclusion: Results indicate that mothers' knowledge and practice of childhood fever management were insufficient to provide accurate management of childhood fevers. Therefore, to improve the mothers' ability to provide appropriate fever management, educational strategies that focus on increasing knowledge need to be developed.

조혈모세포이식 대상자의 삶의 질과 성기능 (A Study on the Quality of Life and Sexual Function of Hematopoietic Stem Cell Transplantation Recipients)

  • 장정현;조복희
    • 종양간호연구
    • /
    • 제9권1호
    • /
    • pp.7-14
    • /
    • 2009
  • Purpose: This study was to analyze the level of quality of life and sexual function of Hematopoietic Stem Cell Transplantation (HSCT) recipients. Method: Participants included 38 recipients of HSCT, attending hospital outpatient department. Data were collected using the quality of life scale and the sexual function scale. Data were analyzed using Descriptive statistics, t-test, ANOVA, Sheff$\acute{e}$ test, and Kruskal-Wallis test. Results: The high score of quality of life was found in the participants with the 30s age (p=0.030), being employed (p=0.001), not having admission history after HSCT (p=0.012), and not having medication (p=0.017). The sexual function was significantly influenced by employment status (p=0.001) and irradiation therapy (p=0.043). There was a significant correlation between the quality of life and the sexual function (r=0.45, p=0.004). Conclusion: The sexual function have influence on the quality of life so that it is required to develop nursing interventions for sexual function to improve the quality of life of HSCT recipients.

  • PDF

항호르몬요법을 받는 유방암 여성의 갱년기 증상과 연관 변인간의 분석 (Menopausal Symptoms and Associated Factors in Breast Cancer Patients Receiving Hormone Therapy)

  • 김영란;민열하
    • 임상간호연구
    • /
    • 제23권1호
    • /
    • pp.120-129
    • /
    • 2017
  • Purpose: The purpose of this study was to identify the degree of menopause symptoms and associated factors in patients with breast cancer who were receiving hormone therapy. Methods: Data were collected with questionnaires from 150 patients with breast cancer who had been on hormone therapy at a hospital in Seoul. Data were analyzed with the t-test, ANOVA, and Pearson correlation coefficient to compare the degree of menopause symptoms by demographic, clinical and psychological factors. Results: The mean menopause symptoms score was $13.39{\pm}7.97$. Most participants reported having hot flushes and sweating (75.3%), physical and mental exhaustion (82.7%) and sexual problems (64.7%). Menopause symptoms and depression were correlated with each other (p<.01). Somato-vegetative symptoms were different significantly by age, menopausal status at time of operation, occupation and tumor. Psychological symptoms were different significantly by marital status, operation type and chemotherapy. Urogenital symptoms were different significantly by prior history of cancer, occupation, operation type and radiation therapy. Conclusion: These findings can be used to provide tailored nursing interventions by identifying high risk groups for menopausal symptom among breast cancer patients receiving hormone therapy.

지역사회거주 노인의 황반변성 관련 요인 (Factors Associated with Senile Macular Degeneration in Elders within Communities)

  • 김철규;박윤경;박승미
    • 지역사회간호학회지
    • /
    • 제24권1호
    • /
    • pp.1-10
    • /
    • 2013
  • Purpose: This study was conducted to examine the degree of senile macular degeneration in elders aged 65 or older and identify factors associated with senile macular degeneration in elders within communities. Methods: Participants in this cross-sectional descriptive study were 388 elders without cataract, glaucoma, and diabetic retinopathy. Data were collected through face to face interviews using a questionnaire in an urban area from June 2010 to December 2011. To detect senile macular degeneration, the participants' self-tests were carried out with Amsler grid testing. Stepwise multivariate logistic regression was performed to evaluate the effects of health behavior and knowledge about eye health on senile macular degeneration. Results: The proportion of participants with senile macular degeneration was 11.6%. Factors that significantly increased the risk of senile macular degeneration included eye discomfort and history of ophthalmic examination (p<.05). Factors that significantly decreased the risk of senile macular degeneration included regular change of magnifiers, non-use of magnifiers, and knowledge about preventive effects of non-smoking and antioxidant vitamin intake on senile macular degeneration (p<.05). Conclusion: This study showed that programs for preventing senile macular degeneration were necessary for elders within communities and the results of this study can be used for developing those programs.