기본간호학회지 (Journal of Korean Academy of Fundamentals of Nursing)

  • 제25권4호
  • /
  • Pages.293-300
  • /
  • 2018
  • /
  • 1225-9012(pISSN)
  • /
  • 2287-1802(eISSN)
기본간호학회 (Korean Academy of Fundamentals of Nursing)
권호 표지
DOI QR코드

DOI QR Code

간호사의 항암제 안전관리지침 수행도, 노출로 인한 자각증상 및 스트레스의 관계

Nurses' Compliance with Safety Guidelines for the Use of Antineoplastic Agents, Observable Symptoms, and Stress from Occupational Exposure

  • Park, Seon-Ja (Department of Nursing, Dongnam Inst. of Radiological.Medical Scienses) ;
  • Kim, Hyun-Ju (College of Nursing, Catholic University of Pusan)
  • 투고 : 2018.08.17
  • 심사 : 2018.11.07
  • 발행 : 2018.11.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Purpose: This study was done to identify the relationship between nurses' compliance with safety guidelines for the use of antineoplastic agents, observable symptoms, and stress from occupational exposure. Methods: The participants were 172 nurses from six general hospitals in a metropolitan area. They had administered antineoplastic agents at least three months prior to the study. Data were collected using self-report questionnaires, and then analyzed using SPSS/WIN 23.0 for descriptive statistics, t-test, one-way ANOVA, $Scheff\acute{e}$ method, and Pearson correlation coefficient. Results: The average score on the guideline for safety compliance was 87.75 points out of a total of 100. The average score for observable symptoms of exposure to antineoplastic agents was 30.12 (28~56) points, and that for mean stress was 33.52 (15~60) points. Observable symptoms and stress from occupational exposure showed a statistically significant positive correlation (r=0.34, p<.001). Conclusion: To increase the degree of compliance with safety guidelines for antineoplastic agents, hospitals should lower the chance of exposure to antineoplastic agents, as well as minimize the observable symptoms and stress from occupational exposure. Periodic education and policy support are needed to improve compliance with safety guidelines for antineoplastic agent use.

키워드

참고문헌

  1. Korea National Statistical Office on death and cause of death in 2012 [internet]. Daejeon: Korea National Statistical Office; 2013[cited 2018 August 10]. Available from: http://kosis.kr/statHtml/statHtml.do?orgId=101&tblId=DT_1B34E02&vw_cd=&list_id=scrId=&seqNo=&lang_mode=ko&obj_var_id=&itm_id=&conn_path=K1&path=.
  2. Kim KH, Lee MS, Kwak YH, Kim JS. Factors affecting the fatigue of hospitalized women cancer patients receiving chemotherapy. Asian Oncology Nursing. 2014;14(3):182-190. https://doi.org/10.5388/aon.2014.14.3.182
  3. Choi JS, Kim YH, Gong SH, Jun MH, Park JS, Kim MJ. Level of knowledge and compliance on guidelines for safe handling of cytotoxic drugs by career and work units in clinical nurses. Clinical Nursing Research. 2004;9(2):6-17.
  4. Ok ON, Nam MS, Yi MS, Cho SM, Kim EJ, Ham YH, et al. Effects of telephone counseling support on distress, anxiety, depression, and adverse events in cancer patients receiving chemotherapy. Asian Oncology Nursing. 2017;17(1):37-44. https://doi.org/10.5388/aon.2017.17.1.37
  5. Kim BK, Lee SL, Youn JH, Kim SM, Kim MH. Nurses' knowledge, compliance and exposure experiences with cytotoxic drugs in a university hospital. Global Health Nursing. 2016;6(1):11-19.
  6. Sharon RS, Andrea LS, James MB. Predictors of adherence to safe handling practices for antineoplastic drugs: A survey of hospital nurses. Journal of Occupational and Environmental Hygiene. 2016;13(3):203-212. https://doi.org/10.1080/15459624.2015.1091963
  7. Ryu JL, Ko YK. Factors influencing performance of multidrug-resistant organism infection control in nurses of general hospital. Journal of Korean Academy of Fundamentals of Nursing. 2016;23(2):149-160. https://doi.org/10.7739/jkafn.2016.23.2.149
  8. Lee MJ. In the 62% among all hospitals, fluid and injection are mixed in the general ward, not sterilized dispensary. The Young Doctor. 2018 August 29;Sect. 01.
  9. Yun JH, Park JY. Oncology nurses' knowledge of safety guidelines and compliance with safe handling of antineoplastic agents in a tertiary hospital. Asian Oncology Nursing. 2016;16(4):251-260. https://doi.org/10.5388/aon.2016.16.4.251
  10. Nixon S, Schulmeister L. Safe handling of hazarous drugs: are you protected? Clinical Journal of Oncology Nursing. 2009;13(4):433-439. https://doi.org/10.1188/09.CJON.433-439
  11. Occupational Safety & Health Administration (OSHA). Controlling occupational exposure to hazardous drugs [Internet]. Washington, DC: United States Department of Labor; 2016[cited 2018 August 10]. Available from: https://www.osha.gov/SLTC/hazardousdrugs/controlling_occex_hazardousdrugs.html
  12. Bioano JM, Steege AL, Sweeney MH. Adherence to precautionary guidelines for compounding antineoplastic drugs. Journal of Occupational and Environmental Hygiene. 2015;12(3):588-602. https://doi.org/10.1080/15459624.2015.1029610
  13. Park JS. Clinical nurses' level of compliance and related factors with work practice guidelines for personnel dealing with cytotoxic drugs. Korean Society of Adult Nursing. 2003;12(1):71-71.
  14. Lawson CC, Rocheleau CM, Whelan EA, Lividoti Hibert EN, Grajewski B, Spiegelman D, et al. Occupational exposures among nurses and risk of spontaneous abortions. American Journal of Obstetrics and Gynecology. 2012;206(4):327.e1-8. https://doi.org/10.1016/j.ajog.2011.12.030
  15. Tae YS, Kwon S, Lee YS. The job experience of oncology nurse specialists. Asian Oncology Nursing. 2014;14(4):236-248. https://doi.org/10.5388/aon.2014.14.4.236
  16. Kim BI. Urinary mutagenicity, physical symptoms and stress of nurses handling anticancer drugs. Journal of Korean Academy of Nursing. 1996;26(4):963-975.
  17. Lee YS, Tea YS. The lived experience of the burnout of nurses working in oncology wards. Asian Oncology Nursing. 2012;12(1):100-109. https://doi.org/10.5388/aon.2012.12.1.100
  18. Graeve C, McGovem PM, Amild S, Polovich M. Testing an intervention to decrease healthcare workers' exposure to antineoplastic agents. Oncology Nursing Forum. 2017;44(1):E10-E19. https://doi.org/10.1188/17.ONF.E10-E19
  19. Chang SU, Lee HO, Kwon JH, Lee SH. The effects of safe handling education of antineoplastic drug on knowledge and performance of clinical nurses. Journal of Korean Clinical Nursing Research. 2016;22(2):217-224. https://doi.org/10.22650/JKCNR.2016.22.2.217
  20. Moon AR. Nurses' knowledge and compliance on guideline for safe handling of cytotoxic drugs and its associated factors [master's thesis]. Seoul: Korea University; 2010. p. 1-34.
  21. Valanis BG, Vollmer WM, Labuhn KT, Glass AG. Acute symptoms associated with antineoplastic drug handling among nurses. Cancer Nursing. 1993:16(4):288-295.
  22. Shin HS, Lee SH. A study of the handling patterns of anticancer drugs and related symptom in nurses. Korean Journal of Occupational and Environmental Medicine. 1996;8(2):228-238.
  23. Lee HH, Choi MG. A study on job stress and subjective symptoms of nurses at industrial accident hospitals. Korean Society of Nursing Science. 2004;34(5):242-242.
  24. Kim HE. ICU nurses' health promoting behavior, depression & job stress [master's thesis]. Daegu: Kyungpook National University; 2011. p. 1-42.