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Knowledge, Attitudes and Practices in Health Care Professionals and Awareness in the Public toward Propofol

프로포폴에 대한 의료인의 지식, 태도, 실천 및 일반인의 인식정도

  • Received : 2012.10.04
  • Accepted : 2013.01.10
  • Published : 2013.01.31

Abstract

With the propofol-induced accident such as adverse effects, abuse, death is becoming to the fore as a social issue, there is an increasingly loud call for self-examination about excessive propofol use. The purpose of this study was to identify the knowledge, attitudes and practices in health care professionals and awareness in the public toward propofol. Participants in this study were 359 health care professionals, and 682 publics who is going to undergo endoscopy. The collected data was analyzed using t-test, ANOVA, Scheffe for knowledge, attitude, and practice toward propofol in health care professionals, Pearson Correlation for its correlation. and frequencies, %, mean for others. Scores of knowledge, attitudes, and practices were 7.16 (11), 3.26 (5), 3.95 (5) respectively. Nurses' attitudes toward propofol was much more higher than doctors', doctors' practice toward propofol was higher than nurses'. There was a correlation among knowledge, attitudes, and practices toward propofol. 53.4% of the publics answered that never heard what is propofol. Considering these results, regular customized and standardized-education strategies for both groups need to be developed for the purpose of proper use and management of propofol.

본 연구는 프로포폴에 대한 의료인의 지식, 태도, 실천 정도를 알아보고, 일반인이 인지하고 있는 프로포폴에 대한 인식 정도를 파악하기 위한 서술적 조사 연구이다. 연구대상은 의사 및 간호사 359명과 외래 및 건강검진실에서 내시경 검사를 받기 위해 방문한 일반인 682명을 대상으로 실시하였다. 수집된 자료는 t-test, ANOVA, 상관분석으로 분석하였고 다중비교방법으로는 Scheffe 검정을 이용하였다. 연구결과 프로포폴에 대한 의료인의 지식은 평균 7.16, 태도는 3.26, 실천은 3.95 등으로 나타났다. 프로포폴에 대한 의료인의 태도는 간호사가 의사보다 높았고(p=.001), 실천은 의사가 간호사보다 높게 나타났으며(p=.025) 일반인의 53.4%가 프로포폴 약물이름을 들어본 적이 없다고 응답하였다. 이상의 연구결과를 통해 프로포폴의 올바른 사용, 현실성 있는 철저한 관리 및 교육을 위한 맞춤형 간호중재를 개발할 수 있을 것으로 사료된다.

Keywords

References

  1. Statistics Korea (2011), "Cancer Incidence and Mortality Status" Retrieved March 30, 2012.
  2. Choi WH, Kim SW, Lee YS, Park YS, Doh YJ, Park JS, et al., "The effect of upper gastrointestinal endoscopy using conscious sedation with propofol", Korean Journal of Medicine, Vol. 64, No. 5, pp. 509-515, 2003.
  3. Jung M, Hofmann C, Kiesslich R & Brackertz A. "Improved sedation in diagnostic and therapeutic ERCP: propofol is an alternative to midazolam", Endoscopy, Vol. 32, No. 3, pp. 233-238, 2000, DOI: http://dx.doi.org/10.1055/s-2000-96
  4. Kim IT, Cho SH, Park MR & Park SC. "Adjustable strabismus surgery under intravenous anesthesia with propofol and fentanyl", Journal of The Korean Ophthalmological Society, Vol. 48, No. 11, pp. 1522-1526, 2007, DOI: http://dx.doi.org/10.3341/jkos.2007.48.11.1522
  5. Sipe BW, Rex DK, Latinovich D, Overley C, Kinser K, Bratcher L, et al., "Propofol versus midazolam/meperidine for outpatient colonoscopy: administration by nurses supervised by endoscopists", Gastrointestinal Endoscopy, Vol. 55, No. 7, pp. 815-825, 2002, DOI : http://dx.doi.org/10.1067/mge.2002.124636
  6. Reimann FM, Samson U, Derad I, Fuchs M, Schiefer B & Stange, EF. "Synergistic sedation with low-dose midazolam and propofol for colonoscopies", Endoscopy, Vol. 32, No. 3, pp. 239-244, 2000. DOI: http://dx.doi.org/10.1055/s-2000-134
  7. National Institute of Food and Drug safety evaluation. "Study of the regulatory affaires and the abuse investigation on the propofol", Seoul: National Institute of Food and Drug safety evaluation, 2010.
  8. Fritz GA & Niemczyk WE. "Propofol dependency in a lay person", Anesthesiology, Vol. 96, No. 2, pp. 505-506, 2002. DOI: http://dx.doi.org/10.1097/00000542-200202000-00039
  9. Kirby RR, Colaw JM & Douglas MM. "Death from propofol: accident, suicide, or murder?", Anesthesia & Analgesia, Vol. 108, No. 4, pp. 1182-1184, 2009. DOI: http://dx.doi.org/10.1213/ane.0b013e318198d45e
  10. Jeon SH., Yang KM, Kim YH & Lee SY. "The death after intravenous injection of propofol during medical practice: report of 4 cases", Paper presented at the meeting of the Korean Society of Forensic Science, Seoul, Korea, 2002.
  11. Bonnet U. (2011). "Assessment of the addictive risk of propofol", Fortschritte der Neurolgie-Psychiatrie, Vol. 79, No. 8, pp. 442-452, 2011. DOI: http://dx.doi.org/10.1055/s-0031-1273411
  12. Kim DK. "Propofol use for sedation or sedation for propofol use?", Journal of Anesthesia, Vol. 26, No. 2, pp. 289-291, 2011. DOI: http://dx.doi.org/10.1007/s00540-011-1275-4
  13. Metzner J, Posner K.L & Domino KB. "The risk and safety of anesthesia at remote locations: the US closed claims analysis", Current Opinion in Anaesthesiology, Vol. 22, No. 4, pp. 502-508, 2010. DOI: http://dx.doi.org/10.1097/ACO.0b013e32832dba50
  14. Rex DK, Deenadayalu VP, Eid E, Imperiale TF, Walker JA, Sandhu K, et al., "Endoscopist-directed administration of propofol: a worldwide safety experience", Gastroenterology, Vol. 137, No. 4, pp. 1229-1237, 2009. DOI: http://dx.doi.org/10.1053/j.gastro.2009.06.042
  15. Stocks G. "Abuse of propofol by abesthesia providers: the case for re-classification as a controlled substance" Journal of Addictions Nursing, Vol. 22, No. 1-2, pp. 57-62, 2011. DOI: http://dx.doi.org/10.3109/10884602.2010.545091
  16. Wilson C, Canning P & Caravati EM. "The abuse potential of propofol", Clinical Toxicology, Vol. 48, No. 3, pp. 165-170, 2010. DOI: http://dx.doi.org/10.3109/15563651003757954
  17. Saddichha S, Rekha D, Patil BK, Murthy P, Benegal V & Isaac MK. "Knowledge, attitude and practices of Indian dental surgeons towards tobacco control: advances towards prevention", Asian Pacific Journal of Cancer Prevention, Vol. 11, No. 4, pp. 939-942, 2010.
  18. Ben-Ami S, Shaham J, Rabin S, Melzer A & Ribak J. "The influence of nurses' knowledge, attitudes, and health beliefs on their safe behavior with cytotoxic drugs in Israel", Cancer nursing, Vol. 24, No. 3, pp. 192-200, 2001. DOI: http://dx.doi.org/10.1097/00002820-200106000-00005
  19. Hickey MT. "Preceptor perceptions of new graduate nurse readiness for practice", Journal of Nurses in Staff Development, 25(1), 35-41, 2009. DOI: http://dx.doi.org/10.1097/NND.0b013e318194b5bb
  20. Lee MS & Ahn WS. "Designation of a new drug as a controlled substance", Journal of the Korean Medical Association, Vol. 54, No. 2, pp. 189-196, 2011. DOI: http://dx.doi.org/10.5124/jkma.2011.54.2.189
  21. Luck S & Hedrick J. "The alarming trend of substance abuse in anesthesia providers", Journal of Perianesthesia Nursing, Vol. 19, No. 5, pp. 308-311, 2004. DOI: http://dx.doi.org/10.1016/j.jopan.2004.06.002
  22. Chung IK, Jeon SW, Kim SU, Sohn JW, Jung DW, Jung MK, et al., "A case of propofol-induced anaphylaxis", The Korean Journal of Medicine, Vol. 79, No. 5, pp. 549-552, 2010.
  23. Roussin A, Montastruc JL & Lapeyre-Mestre M. "Pharmacological and clinical evidences on the potential for abuse and dependence of propofol: a review of the literature", Fundamental & Clinical Pharmacology, Vol. 21, No. 5, pp. 459-466, 2007. DOI: http://dx.doi.org/10.1111/j.1472-8206.2007.00497.x
  24. Turk M, Davas A, Ciceklioglu M, Sacaklioglu F & Mercan T. "Knowledge, attitude and safe behaviour of nurses handling cytotoxic anticancer drugs in Ege University Hospital", Asian Pacific Journal of Cancer Prevention, Vol. 5, No. 2, pp. 164-168, 2004.
  25. Wischmeyer PE, Johnson BR, Wilson JE, Dingmann C, Bachman HM, Roller E, et al., "A survey of propofol abuse in academic anesthesia programs", Anesthesia & Analgesia, Vol. 105, No. 4, pp. 1066-1071, 2007. DOI: http://dx.doi.org/10.1213/01.ane.0000270215.86253.30
  26. Korea Food & Drug Administration. "Handling of propofol", Retrieved March 30, 2012.
  27. Pulford A & Malcolm W. "Knowledge and attitudes to reporting adverse drug reactions", British Journal of Nursing, Vol. 19, No. 14, pp. 899-904, 2010. https://doi.org/10.12968/bjon.2010.19.14.49048
  28. Choi JW, Park HS, Yun KW & Kim SI. "A case report of propofol dependence in a layman", The Korean Journal of Psychopharmacology, Vol. 20, No. 4, pp. 212-215, 2009.
  29. Sabouhi F, Babaee S, Naji H & Zadeh AH. "Knowledge, awareness, attitudes and practice about hypertension in hypertensive patients referring to public health care centers in Khoor & Biabanak", Iranian Journal of Nursing and Midwifery Research, Vol. 16, No. 1, pp. 34-40, 2011.
  30. Schneider U, Rada D, Rollnik JD, Passie T & Emrich HM. "Propofol dependency after treatment of tension headache", Addiction Biology, Vol. 6, No. 3, pp. 263-265, 2001. DOI: http://dx.doi.org/10.1080/13556210120056607
  31. Park JH, Kim HJ & Seo JS. "Medicolegal review of deaths related to propofol administration: Analysis of 36 autopsied cases", Korean Journal of Legal Medicine, Vol. 36, pp. 56-62, 2012. DOI: http://dx.doi.org/10.7580/KoreanJLegMed.2012.36.1.56