• Title/Summary/Keyword: respiratory management

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A Study on the Prevention of Nosocomial Respiratory Infection in Critical Care Nurses (중환자실 간호사의 호흡기병원감염 예방에 관한 연구)

  • Choi Ji-Youn;Park Kyung-Sook
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.6 no.3
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    • pp.397-413
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    • 1999
  • The purpose of study is to prevent Nosocomial Respiratory Infection after understand the Correlation about Recognition and Performance of Critical Nurses. Data were collected from Critical Nurses 300 persons who has worked in 14 Subsidary Hospitals of University in Seoul and the collection periode is from Nov. 1st, 1997 to Jul. 14th. 1998. There are 40 questions and constructed by 6 Domains which Hand Washing, Suction Management, Airway Management, Respiratory Instrument. Ventilation and Respiratory Intervention. Also, the Data were analized with SPSS program. The obtained results are as follows : (1) The Mean of Recognition for Prevention of Nosocomial Respiratory Infection is 4.649 and by Domains, Respiratory Intervention(4.758), Suction Management (4.669), Airway Management(4.660), Hand Washing(4.651), Ventilation(4.605) and Respiratory Instrument(4.561) according to the Mean. (2) The Mean of Performance for Prevention of Nosocomial Respiratory Infection is 3.991 and by Domains, Respiratory Intervention(4.498), Airway Management (4.107), Hand Washing(4.084), Suction Management(3.898), Respiratory Instrument(3.860) and Ventilation(3.690) according to the Mean. (3) In the Correlation of Recognition and Performance for the Prevention of Nosocomial Respiratory Infection, Hand Washing(r=0.755, p=0.000), Airway Management(r=0.724, p=0.000), Respiratory Intervention(r=0.693, p=0.000) are mentioned significant correlation level. The Performance is good whenever the Recognition is high for Respiratory Instrument(r=0.143, p=0.054) but it's not significant level and Suction Management and Ventilation has no Correlation. (4) In Normal Properties, The Recognition is good(p<.05) when Nurses has plenty Clinical Career, Attendance of the Education and Exclusive Nurse for the Respiratory Infection is in Hospital. The Age is not significant correlation level statistically but represent a little correlation. The Performance is good(p<.05) when Elder Age, Attendance of the Education and the plenty Clinical Career is not significant correlation level statistically but represent a little correlation. Another properties has no menas. According to the results, Suggestion is as follows ; (1) Required Education to advance Recognition and Performance about Prevention of Nosocomial Respiratory Infection for a little clinical career of Nursing and younger Nurses. (2) It needs to analyze Performance about Prevention of Nosocomial Respiratory Infection by observation of research worker.

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Factors Influencing the Respiratory Infection Preventive Behavior among College Students (대학생의 호흡기감염 예방행위에 영향을 미치는 요인)

  • Sunhee Lee;Hana Yoo
    • Journal of Practical Engineering Education
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    • v.15 no.2
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    • pp.449-457
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    • 2023
  • The purpose of this descriptive research study was to investigate health beliefs and self-efficacy in respiratory infection management as factors that affect the respiratory infection prevention behavior of college students. The subjects were 178 students attending a university in K city of Gyeongsangbuk-do. Data were collected with a structured questionnaire from September 1st to October 16th of 2020. The results of this study are as follows; Health belief was significantly different from participant's gender (t=-2.86, p=.005), major classification (F=2.95, p=.034), and taking any medications (t=2.18, p=.030). Self-efficacy in respiratory infection management was significantly different from university students' gender (t=-3.56, p=<.001) and major classification (F=4.59, p=.004). Health belief (r=.276, p<.001) and self-efficacy in respiratory infection management (r=.660, p<.001) had a positive correlation with respiratory infection preventive behavior. Multiple regression analysis results show that self-efficacy in respiratory infection management (β=.66, p<.001) significantly affected respiratory infection preventive behavior. The model had an explanatory power of 43%. The findings demonstrate that the major factor influencing the respiratory infection preventive behavior of university students is self-efficacy in respiratory infection management. Therefore, in order to promote behavior to prevent respiratory infection in college students, a program that can strengthen self-efficacy in respiratory infection management should be developed.

Effects of Information on Management Practices for Children Suffering from Respiratory Communicable Diseases (정보제공이 호흡기 질환 아동의 질환관리에 미치는 효과)

  • Yi, Kyung-Min
    • Child Health Nursing Research
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    • v.15 no.3
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    • pp.291-298
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    • 2009
  • Purpose: Effects of information on management practices for children suffering from respiratory communicable diseases and their parents were investigated. Methods: The experimental group consisted of 30 children who were in-patients suffering from a respiratory communicable disease and their parents. During their hospitalization, for 30 min each day, the children and their parents received education that included information about disease management including symptoms, prevention and environmental hygiene. The information was developed using illustrations and photoshop. The control group consisted of 30 children who were in-patients and their parents. They received the usual nursing care without any of the above education. The instruments used in this study were the bibliographies of respiratory disease management. ${\chi}^2$ test, independent t-test, and Mann-Whitney U test with SPSS 11.5 were used to analyze the data. Results: Significant differences between the experimental and control groups were found for management of symptoms (Z=4.350, ,0<.001) and environmental hygiene (Z=4.033, p=.000), but not for prevention (Z=4.033, p=.149). Conclusion: The results indicate that providing information was effective for management practice of symptoms and environmental hygiene, but not for prevention management for the children and their parents. Therefore programs should be developed to promote prevention management.

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Prescription Characteristics of Medication for Acute Respiratory Diseases before and after Pay-for-Performance -using National Health Insurance Big data- (의원 가감지급사업 실시 전후에 따른 급성호흡기계질환의 의약품 처방특성 -국민건강보험 빅데이터를 활용하여-)

  • Gong, Mi-Jin;Hwang, Byung-Deog
    • The Korean Journal of Health Service Management
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    • v.14 no.1
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    • pp.93-102
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    • 2020
  • Objectives: This study analyzed the prescription characteristics of medication for acute respiratory diseases before and after pay-for-performance to provide basic data on effective medical quality management policies. Methods: The research data were collected from the 2013-2014 sample cohort of the National Health Insurance Corporation, from Internal Medicine, Pediatrics, Otorhinolaryngology, Family Medicine and General practitioner clinics (classification of disease codes: J00-J06, J20-J22, J40 outpatients). Results: The antibiotics prescription rates decreased from 43.9% in 2013 to 43.5% in 2014 when the major diagnosis was for upper respiratory infections and increased from 62.0% in 2013 to 62.5% in 2014 when the major diagnosis was for lower respiratory infections. Conclusions: There is a need to identify the correct antibiotic prescription method by expanding the current assessment standards. Such standards must include acute lower respiratory infections and minor diagnoses as the current evaluation techniques focus only on the major diagnosis of acute upper respiratory infections.

Disease Prevalence, Parent's Educational Needs, and Disease Management according to Severity of Respiratory Infections in Early Childhood (영유아 호흡기 감염 중증도에 따른 이환실태, 부모의 교육요구 및 관리수행정도)

  • Han, Hye-Yul;Park, Sun-Jung;Lee, Myung Nam;Kang, Kyung-Ah
    • Child Health Nursing Research
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    • v.21 no.3
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    • pp.227-235
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    • 2015
  • Purpose: The purpose of this study was to investigate disease prevalence, parent's educational needs, and disease management according to severity of respiratory infections in early childhood. Methods: Participants for this study were 173 mothers whose child was admitted to I university hospital in Seoul and whose child was an infant or toddler. Data were collected from December, 17, 2014 to February, 15, 2015 using self-report structured questionnaires. Data were analyzed using IBM/SPSS 21.0 program. Results: There were significant differences in the severity of respiratory infection according to neonatal admission due to dyspnea, feeding type, atopic dermatitis in the infant or allergic disease in father and siblings. Parent's educational needs for the severe respiratory infection group were higher than for the non-severe group. Parent's disease management for the severe respiratory infection group was lower than the non-severe group. Conclusion: As important care factors in neonatal admissions include dyspnea, cow milk feeding, eczema, family history of allergies, parent's educational needs and disease management, they should be considered when caring for young children with respiratory infections and their parents.

Factors affecting intent to use of Respiratory management mobile application (호흡기질환 관리 모바일 애플리케이션 사용의향에 미치는 요인)

  • Jang, Sae-Kyun;Lee, Sol;Hwang, Ga-Young;Kim, Jae-Hyun
    • Korea Journal of Hospital Management
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    • v.24 no.1
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    • pp.1-10
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    • 2019
  • Purpose: To analyze the results of an online survey conducted to develop a user-friendly respiratory disease management mobile application. Methodology: The questionnaires were conducted from July 26, 2018 to October 23, 2018 for 90 days. A total of 267 respondents were used for the analysis. Chi-square test, t-test, and multivariate logistic regression were used for statistical analysis. Findings: As a result of the analysis, preference for functions related to medical services was high in all ages and the odds of positive intention to use respiratory disease management application was 4.76 times higher than 40 years old compared with less than 40 years old. The group with more than one effort was found to be significantly higher than those who did not. Practical Implication: It is expected that the functions derived from the main results in this study will be helpful for the effective health management of patients with chronic respiratory disease.

Application of respiratory function tests in patients with neurological diseases

  • Ilhan Yoo;Seok-Jin Choi;Jung-Joon Sung
    • Annals of Clinical Neurophysiology
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    • v.25 no.1
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    • pp.1-9
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    • 2023
  • Breathing is controlled by complex interactions between the central and peripheral nervous systems in conjunction with the respiratory system. Neurological diseases predispose patients to nocturnal desaturation and pneumonia due to respiratory dysfunction, which increases mortality, daytime sleepiness and fatigue, and reduces the quality of life. Respiratory function tests are required to identify respiratory function decline and to consider compensatory management. This review summarizes the characteristics of several respiratory function tests and their applications to neurological diseases.

Current Epidemiological Data on Asthma Management in South Korea from Qualitative Assessment of Asthma Management by Health Insurance Review and Assessment Service (HIRA)

  • Kim, So Ri;Lee, Yong Chul;Sung, Myung Ju;Bae, Hye Won
    • Tuberculosis and Respiratory Diseases
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    • v.80 no.3
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    • pp.221-225
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    • 2017
  • Since 2015, the Health Insurance Review and Assessment Service (HIRA) has performed annual qualitative assessments of asthma management provided by all medical institutions that care for asthma patients in Korea. According to the third report of qualitative assessment of asthma management in 2017, the assessment appears to have contributed to improving the quality of asthma care provided by medical institutions, especially primary clinics. However, there is still a gap between the ideal goals of asthma management and actual health care policies/regulations in real clinical settings, which leads to the state of standstill with respect to the quality of asthma management despite considerable efforts such as the qualitative assessment of asthma management by national agencies such as the HIRA. At this point, a harmonized approach is needed to raise the level of asthma management among several components including medical policies, efforts of academic associations such as education and distribution of the guideline for management, and reliable financial support by the government.

Knowledge and Practice Level of Infection Management for Child Guardians with Respiratory Infections after H1N1 Diffusion (2009) (신종플루 확산(2009년) 이후 호흡기감염 아동 보호자의 감염관리 지식정도 및 수행정도)

  • Park, Mi-Kyung;Ko, Young-Sook;Park, Kyung-Im
    • Child Health Nursing Research
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    • v.17 no.1
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    • pp.1-9
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    • 2011
  • Purpose: The purpose of this study was to investigate the knowledge and practice level of infection managements in child guardians with respiratory infections after H1N1 diffusion of 2009. Methods: The data were collected during February and March 2010 using a self-report questionnaire. The participants were 228 child guardians. Data were analyzed using frequency, percentage, means, SD, t-test, F-test, Pearson correlation coefficients, and Cronbach's alpha with the SPSS 17.0 program. Results: Mean age of the guardians and children were 37.8 years, 4.1 years respectively. For knowledge level of respiratory infections, hand washing method had the highest score and snuffles prevention method, the lowest. For practice level for respiratory infections, environmental hygiene management had the highest score and symptom management, the lowest. Infection management knowledge and practice level had a positively significant correlation in every area. Conclusion: The results indicate the necessity of continual education on infection management, and that the most efficient timing for the education appears be for participants during their first pregnancy or after the woman has delivered her child.

Development of a Clinical Nursing Practice Training Simulation Program using Standardized Patient for Nursing Students Focused on Infectious Respiratory

  • Hur, Jung
    • International Journal of Advanced Culture Technology
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    • v.9 no.4
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    • pp.169-179
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    • 2021
  • This study was conducted to develop and apply clinical nursing practice training simulation program using Standardized Patient for Nursing Students focused on infectious respiratory disease. This study is descriptive methodological study. Through prior consideration of documents and educational task of infectious respiratory disease was conducted with interview of clinical specialists of infection control managers. Development of educational task for infectious respiratory disease for Nursing Students went through the content validity. Finally, 10 educational tasks are developed 'knowledge of respiratory infections disease', 'hand washing', 'put on mask', 'lead to put on mask to patients and caregiver', 'intravenous injection via 3way', 'surgical aseptic technique', 'sterilization medical instrument', 'management of contaminated linen', 'infected personnel management manual'. The infectious respiratory disease simulation program was developed based on the ADDIE model and proceeded to 4 steps of analysis, design, development, implementation. The infection control education program included lectures (20 min), skill training (20 min), simulation using standardized patient (20 min), and debriefing (40 min), The collected data were analyzed by descriptive statistics with SPSS program for version 23.0. The results of this study confirmed that the clinical nursing practice training simulation program using standardized patients was effective in infectious respiratory disease of the nursing college students in knowledge of infectious respiratory disease and clinical nursing performance. we found this practical training program for nursing college students to improve knowledge and clinical competency of infection control. we expected that this developed program could be applied to practical training for various infectious control.