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      • KCI등재

        간호사의 의료폐기물에 대한 지식, 태도 및 실천에 관한 연구(부산, 경남지역 대학병원을 중심으로)

        유수정,하원춘,박영미,하윤옥,배경희 보건의료산업학회 2017 보건의료산업학회지 Vol.11 No.1

        Objectives : As a descriptive study, the present research investigated the knowledge, attitude, and practice regarding medical waste and factors influencing these variables, based on nurses working at university hospitals in Busan and Gyoengnam provinces. Methods : The 508 participants were selected from five university hospitals in Busan and Kyongnam provinces and consented to participate in the study between June 1 and July 15, 2016. The collected data were analyzed by using SPSS 23.0 based on descriptive statistics, t-test, ANOVA, Scheffe’s test, Person correlation coefficients, and hierarchical analysis. Results : The average scores for knowledge, attitude, and practice regarding medical waste among the participants were 15.88 (1.71), 4.38 (0.45), and 4.24 (0.40) respectively. When the scores for the knowledge and attitude related to medical waste were higher, the score for practice (r=.500, p<.001) increased, and the most influential factor on practice regarding medical waste was attitude toward medical waste (β=.45, p<.001). Conclusions : Thus, to reinforce a positive attitude toward medical waste management, continuous education and a systematic approach to minimize health and environmental hazards are needed.

      • KCI등재

        신규 졸업 간호사의 약물계산오류의 위험에 영향을 미치는 요인

        김명수,김정순,하원춘 기초간호학회 2014 Journal of korean biological nursing science Vol.16 No.2

        일 년에 한번, 공개채용을 통해 입사한 간호사들은 졸업 후 며칠 이내에 임상현장에 투입되기도 하지만, 몇 개월 혹은 1년 이상을 대기발령인 경우도 있으므로 이른바 다른 의미의 유휴간호사의 역할을 하게 된다. 학생에서 간호사로의 원만한 이행은 간호와 관련된 지식과 업무에의 자신감을 향상시키고(Cockerham, Figueroa-Altmann, Eyster, Ross, & Salamy, 2011) 능력의 통합을 유도하므로(Gregg, Wakisaka, & Hayashi, 2013) 향후 간호사로서 발전해 나가는데 있어서 매우 결정적인 시기라고 할 수 있다. 하지만, 일본 간호협회에 따르면 약 80%에 달하는 신규 졸업 간호사들이 불충분한 지식과 기술 때문에 임상현장에서 1차 스트레스를 받고, 나아가 의료관련 오류 발생에 대한 불안감 때문에 2차 스트레스를 받는 것으로 보고되었다.(Gregget al., 2013). 이는 임상경험이 부족하여 환자 간호에 필요한 고난도의 지식이나 기술이 부족한 반면, 돌봐야 하는 환자들의 중증도가 다양하기 때문에 발생하는 현상으로, 새로 졸업한 간호사들을 위한 적응 훈련 프로그램의 필요성을 보여주는 결과라 볼 수 있다.

      • KCI등재후보

        복부 경락마사지가 편마비 환자의 변비 완화와 우울에 미치는 효과

        김대숙,최인주,하원춘,이화자,박남희 임상간호사회 2004 임상간호연구 Vol.10 No.1

        Purpose: This study was conducted to identify an effect of the abdominal meridian concept for help hemiplegic patients to recover their constipation and to reduce depression. Method: A one group time series design was used. The subjects of the study were 16 hemiplegic patients who were participants at a hospitalized B hospital. After an intial one-week baseline measurement phase without any treatment, there followed two week treatment phases. The data were analyzed with repeated measures ANOVA, and post -hoc Tukey. Results: Through the total period the experimental group demonstrated a statistically bowel movements pre week showed a significant difference(F=4.64, p=.007). In the average scores of CAS the experimental group showed a statistically significant difference between the baseline week and first treatment week, second treatment week. In addition, through the total period the scores of CAS showed a significant difference(F=14.16, p=.000). There were no significant differences between changes in depression and the baseline week and all the other weeks. Conclusion: Despite the number of patients involved in this study being small, relief form of some symptoms associated with constipation was experienced by some patients. From these results, it can be concluded that abdominal meridian massage is an effective nursing intervention for the management of constipation of hemiplegic patients.

      • KCI등재

        A Study on Prevalence and Risk Factors for Varicose Veins in Nurses at a University Hospital

        윤명자,김영기,강동묵,김종은,하원춘,정갑열,최현우 한국산업안전보건공단 산업안전보건연구원 2018 Safety and health at work Vol.9 No.1

        Background: Lower-limb varicose veins (VVs) are common and known to have a higher prevalence among people who work in occupations requiring prolonged standing. In the Republic of Korea, however, VV-related occupational factors have seldom been examined. This study was conducted to assess the prevalence of VVs among nurses, an occupational group considered to be at high risk of VVs, and determine the occupational risk factors of prolonged standing. Methods: Between March and August 2014, a questionnaire survey coupled with Doppler ultrasonography was conducted on the nurses working at a university hospital. Results: A total of 414 nurses participated in the survey and diagnostic testing. From the survey analysis and test results, the prevalence of VVs in nurses was estimated to be 16.18%. Significant factors for venous reflux were age [odds ratio (OR) ¼ 1.06, 95% confidence interval (CI) ¼ 1.03e1.10], pregnancy (OR ¼ 2.15, 95% CI ¼ 1.17e3.94), and delivery (OR ¼ 2.02, 95% CI ¼ 1.08e3.78). The statistical significance of these factors was verified after risk adjustment for sociodemographic factors (OR ¼ 3.40, 95% CI ¼ 1.27e9.09). Conclusion: Factors significantly associated with venous reflux were increasing age and prolonged working hours ( 4 hours) in a standing position (OR ¼ 2.80, 95% CI ¼ 1.08e7.25), even after risk adjustment for sociodemographic factors. This study is significant in that an objective diagnosis of VVs preceded the analysis of the risk factors for VV incidence, thus verifying objectively that VVs are associated with occupations requiring prolonged hours of working in a standing position.

      • KCI등재

        퇴원하는 환자의 상처관리에 대한 지식과 염려에 관한 연구

        한일경(Han, Il-Kyoung),이명선(Lee, Myung-Seon),김정아(Kim, Jung-A),하원춘(Ha, Won-Choon),김명희(Kim, Myung-Hee),황선경(Hwang, Sun-Kyung) 한국산학기술학회 2009 한국산학기술학회논문지 Vol.10 No.11

        본 연구는 3차병원에서 퇴원하는 환자의 상처관리에 대한 지식과 염려사항을 파악하기 위해 112명의 피부상 처를 지니고 퇴원을 앞둔 112명 환자에게 구조화된 설문지로 면담을 통해 조사하였다. 상처의 유형은 외과적 절개 (52.7%), 삽관상처(26.8%), 욕창(9.8%), 당뇨발과 동맥궤양(5.4%) 등이었다. 상처관리에 관한 지식은 52.0%의 정답률을 보였고, 상처관리에 대한 염려(범위1-7)는 2.79였고, 상처관리에 대한 지식과 염려는 상관관계가 유의하지 않았다. 퇴 원후 상처관리에 관한 염려에 영향을 미치는 요인으로 유의한 변수는 상처관리에 대한 두려움, 상처통증, 입원기간, 및 주관적 건강인식으로 나타났다. 상처를 지니고 퇴원하는 환자들의 상처관리에 대한 지식은 부정확한 것이 많으며 다양한 염려사항들을 가지고 있으므로 퇴원계획시 이에 대한 구체적인 교육이 필요할 것이다. This study was done to examine patients' wound care knowledge and concerns prior to discharge from a tertiary hospital. The participants in this descriptive survey were 112 patients having wounds. During interview, a structured self-administered questionnaire was filled out. The participants were 71 males and 41 females. Wound types were surgical incision (52.7%), percutaneous wound (26.8%), pressure ulcer (9.8%) and diabetic foot and arterial ulcers (5.4%). Their wound care knowledge was 52.0% of correct answer and the mean of concerns (range 1-7) was 2.79. There was no significant correlation between their knowledge and concerns of wound care. The factors influence on wound care concerns were fear of wound care, wound pain, length of hospital stays, and perceived health condition. This findings showed that discharge patients with a wound had some incorrect knowledge and various concerns about wound care. They may help to direct patient teaching in discharge plan.

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