• 제목/요약/키워드: Prevention effect

검색결과 4,361건 처리시간 0.028초

입원 환자 낙상예방 간호중재 효과에 대한 메타분석 (Effects of Nursing Interventions for Fall Prevention in Hospitalized Patients: A Meta-analysis)

  • 김윤이;정석희
    • 대한간호학회지
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    • 제45권4호
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    • pp.469-482
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    • 2015
  • Purpose: The purpose of this study was to identify which nursing interventions are the most effective in fall prevention for hospitalized patients. Methods: From 3,675 papers searched, 34 were selected for inclusion in the meta-analysis. Number of fallers, falls, falls per 1,000 hospital-days, and injurious falls, fall protection activity, knowledge related to falls, and self-efficacy about falls were evaluated as outcome variables. Data were analyzed using the Comprehensive Meta Analysis (CMA) 2.2 Version program and the effect sizes were shown as the Odd Ratio (OR) and Hedges's g. Results: Overall effect size of nursing interventions for fall prevention was OR=0.64 (95% CI: 0.57~0.73, p <.05) and Hedges's g= - 0.24. The effect sizes (OR) of each intervention ranged from 0.34 to 0.93, and the most effective nursing intervention was the education & environment intervention (OR=0.34, 95% CI: 0.28~0.42, p<.001), followed by education intervention (OR=0.57, 95% CI: 0.50~0.67, p=.001). Subgroup analyses showed that multifaceted interventions (OR=0.76, 95% CI: 0.73~0.79, p<.001) were more effective than unifactorial interventions, and that activities for prevention of falls (OR=0.08, 95% CI: 0.05~0.15, p<.001) showed the largest effect size among outcome variables. Conclusion: Falls in hospitalized patients can be effectively prevented using the nursing interventions identified in this study. These findings provide scientific evidence for developing and using effective nursing interventions to improve the safety of hospitalized patients.

골다공증교육이 골절환자의 지식과 생활양식변화 수행에 미치는 영향 (The Effect of Education for Prevention of Osteoporosis Patients with Bone Fracture)

  • 이향련;김숙녕
    • 대한간호학회지
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    • 제31권2호
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    • pp.194-205
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    • 2001
  • The purpose of the study was to identify the effect of structured patients education had on prevention of osteoporosis, with fracture and the resulting of life style changes in patients. In this study, a non equivalent control group pre and a post test design was employed. Data were collected through an interview process using questionnaires from April to December of 1999. The subjects, consisting of 59 patients with fractures and over 40 years of age, were diagnosed in K University Hospital. This study tested the patients knowledge at three times. The times were before the program 2 weeks into the program, and 6 months after education program. Life style change related to prevention of osteoporosis was shown twice (before and 6 months after the education program) in the experimental group, and control group went without it. The instruments used for this study were developed by literature review according to a reliability test. Data was analyzed using X2 test and t test to determine similarities between the experimental and control groups. The hypothesis was tested using repeated measures of ANOVA, t-test and Pearson correlation coefficients. The results of the study were summarized as follows: 1. The first hypothesis was accepted: a higher level of knowledge about osteoporosis was found in experimental groups who received education than to the control group during the period (F=19.82, p=.0001). 2. The second hypothesis was accepted: a higher level of life style changes about osteoporosis on experimental group were recorded than as compared to control group (t=3.55, p=.001). 3. The third hypothesis was accepted: the higher the knowledge about osteoporosis the higher the level of performance of life style changes about prevention of osteoporosis (r=.600, p=.0001). In conclusion, structured patient education in patient with fractures improved the level of knowledge about osteoporosis and more likely undergo of life style changes 6 months after the education program. Also reeducation would be needed 6 months after program ends. That is structured patient education in pamphlet form would be very effective in nursing intervention that may to result in life style changes. Therefore further research is needed to reinforce the education material and to generalize the education effect.

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SiCl4 누출 시 수막설비의 방재효과에 대한 수치 해석 연구 (A Numerical Study on the Mitigation Effect of Water Curtain for SiCl4 Toxic Gas Release)

  • 류태인;이은미;김승하;강성미;신창현;조승범
    • 한국안전학회지
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    • 제38권3호
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    • pp.43-50
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    • 2023
  • Silicone tetrachloride (SiCl4) leak accidents cause enormous human and environmental damage because it is highly toxic. Some handling facilities use water curtains to reduce the impact range of SiCl4. Although the water curtain is known as one of the most efficient technologies for post-release mitigation, its effect on reducing SiCl4 concentration needs to be investigated scientifically and quantitatively. In this study, three-dimensional computational fluid dynamics (CFD) was used to investigate the physical and chemical effects of water curtains as a release-mitigation system for SiCl4. SiCl4 is released and dispersed five seconds prior to the operation of the water curtain. Once the water curtain works, the SiCl4 reacts chemically with the water and its concentration decreases rapidly; it reaches an emergency response planning guidelines level 2 (ERPG-2) of 5 parts per million (ppm) at about 570 m. We observed, however, that the physical effect of water curtains on reducing SiCl4 concentration is insignificant when the chemical effect is eliminated. These results are crucial since they can be a scientific and quantitative basis for the 'technical guidelines for estimating the accident affected range'. In order to protect the public from chemical accidents, more toxic gas mitigation technologies need to be developed.

대학생의 신체 장애인에 대한 인식과 태도 비교 연구 (Comparative Study on Attitudes toward the Disabled person of University Students)

  • 김미희
    • 한국응급구조학회지
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    • 제10권2호
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    • pp.5-14
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    • 2006
  • The purpose of this study was supply basic information and positive attitude needed to understand the disabled person through the analysing EMT Dept. student reaction on the disabled person. The subjects for this study were 251 students from G-college in In-Cheon City. The subjects were separated as the EMT dept. students and general dept student. The instrument used for this study were Lazer. Bonett and Granaff(1973). The scale of attitude on the disabled person. Data were analyzed by use of two-sample t-test and correlation coefficient with SAS program. Results are as follows ; 1. Frist, the EMT Dept. students showed more positive and optimistic attitude on the disabled person as safety prevention with their family life and safety prevention with first impression, but the general dept. student showed more positive and optimistic attitude on the disabled person as safety prevention with their self-consciousness, safety prevention with operative capacity, safety prevention with social life and safety prevention with school life. 2. Second, on attitude of 1 or 2 grade, first grade showed more positive and optimistic attitude on the disabled person as safety prevention with self-consciousness and safety prevention with operative capacity. Second grade showed more positive and optimistic attitude on the disabled person as safety prevention with social life, safety prevention with family life and safety prevention with school life. and first impression. But disabled person as safety prevention with self-consciousness, safety prevention with operative capacity, safety prevention with social life, safety prevention with school life and first impression. 3. Third, in interrelation effect analysing each section department and grade. They showed and interrelated more positive and optimistic attitude on the disabled person as safety prevention with their social life and first impression. As a results, it is important to understand disabled person whose physical condition. Especially, this study suggests to need to endeavor safety prevention for disabled person.

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Whistleblowing Intention and Organizational Ethical Culture: Analysis of Perceived Behavioral Control in Indonesia

  • TRIPERMATA, Lukita;Syamsurijal, Syamsurijal;WAHYUDI, Tertiarto;FUADAH, Luk Luk
    • 산경연구논집
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    • 제13권1호
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    • pp.1-9
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    • 2022
  • Purpose: This study aims to find empirical evidence and clarity on the phenomenon of the direct and indirect effect of perceived behavioral control on fraud prevention through whistleblowing intention. This study also aims to understand the influence of organizational ethical culture moderating between whistleblowing intention and fraud prevention. Research design, data, methodology: The samples of this research are 236 respondents consisting of the Head of the Finance Subdivision and Head of the Reporting Planning Subdivision and the finance staff who were determined using the purposive sampling method. The data obtained were analyzed using the Structural Equation Modeling technique. Results: The study results show that perceived behavioral control positively and significantly affects whistleblowing intention. In addition, perceived behavioral control does not affect fraud prevention mediated by whistleblowing intention. Furthermore, organizational ethical culture moderates whistleblowing intention and has a positive and significant effect on fraud prevention. Conclusions: This study concludes that the phenomenon of scandal that often occurs on a television is not a habit that must be followed. It requires an active role from the community as a form of concern for whistleblowing. Futher researchers can add other construct variables, such as good corporate governance to assess the performance improvement of the organizational layers, both internally and externally

건강신념 모형 기반 폐경 여성의 골다공증 예방행위 모형 개발 및 검정 (An Equation Model Development and Test based on Health Belief Model Regarding Osteoporosis Prevention Behaviors among Postmenopausal Women)

  • 장현정;안숙희
    • 성인간호학회지
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    • 제27권6호
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    • pp.624-633
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    • 2015
  • Purpose: This study was to develop and test a theoretical model based on the revised health belief model explaining osteoporosis prevention behaviors among postmenopausal women under 65. Methods: This secondary data analysis included 342 postmenopausal women under 65 from original data sources of a total of 734 women. The measured instruments were scales for osteoporosis awareness, osteoporosis health belief scale (benefit, barrier, susceptibility, severity, and health motivation), self-efficacy, and osteoporosis prevention behaviors. Data were analyzed using SPSS/WIN 20.0 and AMOS 20.0. Results: The mean age of the subjects was 55.2 years and the mean age of menopause was 51.10. The hypothetical model of osteoporosis prevention behaviors was relatively fit. Osteoporosis prevention behaviors were significantly explained up to 62% by expectation factors (relative benefit, self-efficacy, health motivation) and modifying factors(knowledge only). Expectation factors of health belief had a mediation effect between modifying factors and prevention behaviors. Conclusion: This study partially supported the revised health belief model for explaining osteoporosis prevention behaviors. It provides a basis for developing an educational program focusing on expectation factors and knowledge with the aim of behavioral changes for osteoporosis prevention.

The Effects of Fall Health Belief and Knowledge of Fall on the Prevention of Fall in the Elderly: Mediating and Moderating Effects of Fall Fear

  • Jang, Insun;Park, Seungmi;Kim, Yeon Sook
    • 근관절건강학회지
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    • 제26권2호
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    • pp.63-71
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    • 2019
  • Purpose: This descriptive study investigated the mediating and moderating effects of fear of fall on the relationships between health belief on fall, fall-related knowledge and fall prevention behaviors among older adults Methods: We enrolled 229 older adults residing in a senior citizen hall and community welfare center, and investigated their health belief on fall, fall-related knowledge, fall prevention behavior, and fear of fall. Descriptive statistics, ANOVA and t-test were used to analyze differences in variables. Pearson correlation and multiple regression were used to investigate mediating and moderating effects of the fear of fall on the relationships between health belief on fall, fall-related knowledge, and fall prevention behaviors. Results: The fear of fall significantly mediated the health belief on fall and fall prevention behaviors, but there was no significant mediation between knowledge of fall and fall prevention behaviors. The fear of fall did not have a moderating effect on the relationships between health belief on fall, knowledge of fall, and fall prevention behaviors. Conclusion: It is important to investigate and implement health belief on fall and fear of fall among older adults to improve their fall prevention behaviors.

초·중등학교 청소년의 COVID-19 지식, COVID-19 건강신념이 감염예방행위에 미치는 영향요인 (The Effects of COVID-19 Knowledge and COVID-19 Health Beliefs on Infection Prevention Behaviors in Elementary and Middle School Students)

  • 정계현;박진희;송혜영
    • 한국학교보건학회지
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    • 제37권1호
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    • pp.1-11
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    • 2024
  • Purpose: The purpose of the study was to conduct a descriptive survey to examine the knowledge, infection prevention behaviors, and health beliefs regarding COVID-19 and to identify factors that influence infection prevention behaviors in elementary and middle school students based on the Health Belief Model. Methods: The study included 388 elementary and middle school students in Seoul, Gyeonggi, and Jeonbuk provinces. Data were collected from September 1 to September 15, 2023. The questionnaire consisted of 10 questions about COVID-19 knowledge, 13 questions about infection prevention behaviors, and 15 questions about health beliefs. The collected data were subjected to multiple hierarchical regression analyses. The cronbach's α of infection prevention behaviors was 0.83, the KR-20 of COVID-19 related knowledge was 0.68, and the Cronbach's α of COVID-19 related health beliefs was 0. 78. Results: In Model 1, females showed higher levels of infection prevention behaviors than males (β=.14, p=.006) and middle school students showed lower levels of infection prevention behaviors than elementary school students (β=-.10, p=.037). In Model 2, among COVID-19-related health beliefs, barriers had a significant negative effect on infection prevention behaviors (β=-.20, p<.001) and cues to action had a significant positive effect on infection prevention behaviors (β=.14, p=.037), indicating that lower barriers and higher cues to action were associated with higher levels of infection prevention behaviors. Conclusion: The results showed that prevention behaviors were associated with lower barriers and higher cues to action among COVID-19 health beliefs. Elementary and middle school students in Korea spend a lot of time in groups at private academies or school, which are closed spaces with poor ventilation, making them vulnerable to new infectious diseases such as COVID-19. Unlike adults, infectious diseases can have serious impact on their mental and social health. Therefore, it is necessary for schools to provide accurate and timely health education about COVID-19 to increase cues to action for elementary and middle school students in order to improve their infection prevention behaviors.

소비자 조절초점이 명품브랜드의 가치와 브랜드태도의 관계에 미치는 조절효과 (The Moderating Effect of Perceived Values on The Luxury Brand Preference Depending on Consumers' Regulatory Focus)

  • 서용한
    • 경영과정보연구
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    • 제30권4호
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    • pp.73-92
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    • 2011
  • 명품브랜드의 대중화는 소비자가 명품브랜드를 이용하는 방식과 소비하는 목적과 동기가 다양해진다는 것을 의미한다. 명품브랜드 시장을 보다 잘 이해하기 위해서는 차별화된 다양한 접근법이 필요하다. 본 연구는 명품 브랜드의 가치와 브랜드 선호도간 관계에서 조절초점 조절효과를 검토하는데 목적이 있다. 명품 브랜드에 대한 지각된 가치는 소비자의 조절초점성향에 따라 브랜드 태도에 미치는 영향에 차이가 있는지를 분석하였다. 분석결과, 품질가치와 경제적 가치는 향상초점 소비자집단보다 예방초점 소비자 집단에서 더 높게 나타난 반면에 심리적 가치는 예방초점 소비자 집단보다 향상초점 소비자집단에서 높게 나타났다. 또한, 향상초점 소비자일수록 과시적 가치와 감정적 가치가 명품브랜드 태도에 더 큰 영향을 미치는 반면, 예방초점 소비자일수록 품질가치와 경제적 가치를 더 중시하는 것으로 나타났다.

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가상·증강현실을 활용한 체험안전교육의 몰입도가 현장 적용성 및 안전사고예방에 미치는 영향: 조선산업 종사자를 중심으로 (Effect of Immersion on Field Applicability and Safety Accident Prevention in Experience Safety Education Using Virtual/augmented Reality : Focusing on Shipbuilding Workers)

  • 문석인;장길상
    • 대한안전경영과학회지
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    • 제23권4호
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    • pp.31-42
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    • 2021
  • Recently, virtual reality (VR) and augmented reality (AR) technologies are attracting attention as core technologies in the era of the 4th industrial revolution. These virtual and augmented reality technologies are being used in a variety of industries, including the construction industry, healthcare industry, and manufacturing industry, to innovate in communication and collaboration, education and simulation, customer service and reinvention of the customer experience. In this paper, VR-based experiential safety education was conducted for workers of shipbuilding companies in Ulsan city, and for them, the educational effectiveness such as immersion, site applicability, safety accident prevention, education satisfaction, overall performance, and safety behavior in VR-based safety experience education were measured. In addition, we examined whether the immersion of VR-based safety experience education affects site applicability, safety accident prevention, educational satisfaction, overall performance, and safety behavior. Furthermore, it was analyzed whether site applicability plays a mediating role in the relationship between immersion and safety accident prevention. As a result, it was found that the immersion of VR-based safety experience education affects site applicability, safety accident prevention effect, education satisfaction, overall performance, and safety behavior, and that site applicability mediates between immersion and safety accident prevention. Based on these results, we suggests a direction for the development of VR-based contents in the field of safety and health and the transformation of safety and health education in the future.