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청소년의 성에 대한 지식, 태도에 관한 연구 -전남 지역 일부 중학교 1학년 대상으로- (A Survey of Sexual Knowledge, Attitude of adolescents -Junior High School 1 Grades Students in Chun - Nam Area -)

  • 박충선;한유정
    • Child Health Nursing Research
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    • 제3권1호
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    • pp.71-82
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    • 1997
  • The purpose of the survey was to Identify the degree and the relationship of sexual knowledge, sexual attitude. This information will provide useful data for a more systematic, desirable, and practical sex education. The data was collected from 187 first grade schoolchildren(95 boys and 92 girls) of two Junior high school in Chun-nam area. The data was gathered by questionnaire from Oct. 1 to 15, 1996. The questionnaire was modified by authors using the questionnaire developed by You-Jeong, Han (1996). Data was analyzed by using the statistical computer package, SAS to manipulate the data along with percentages, means, standard deviation, t-test, χ²-test, GLM, and Pearson correlation coeffiency. The results in this study were summarized as follows: 1. Sex related knowledges.-The mean score of sex related knowledges showed significant differences between boys and girls (boys : 22.3, girls .21.0, p<0.025), and in the area of pregnancy & delivary(boys : 9.4, girls : 7.9, P<0.000) showed significant difference between boys and girls, but in the area of physical differeces of the other sex(boys : 12.9, girls ; 13.1, p<0.551) showed no significant difference between boys and girls. 2. Sex related attitudes.-The mean score of sex related altitudes showed significant difference between boys and girls (boys : 56.7, girls : 60.5, p<0.002) and in the area of psychological difference the other sex(boys 28.9, girls : 32.5, p

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초등학생의 흡연지식.흡연태도와 흡연행동에 관한 연구 (The Knowledge, Attitude and Behavior on Smoking in Elementary School Students)

  • 이광옥;최혜영
    • 지역사회간호학회지
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    • 제11권1호
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    • pp.209-221
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    • 2000
  • I began the study to identify the issues related to knowledge. attitude and behavior regarding smoking by sixth graders. which will ultimately lead to the development of a smoking prevention program that will not only help deter school-age children from smoking, but also make them aware of the more desirable behaviors and techniques for healthier life. The results are as follows: 1. Smoking Behavior: Of the focus group. 4.15% are current smokers and 18.23% are ever smokers. 2. Correlation between smoking knowledge and ever smoking: Ever smoking sample($11.10{\pm}3.66$) is less knowledge able than the never-smoking sample($12.17{\pm}3.95$), (t=3.23. p=.001). 3. Correlation between smoking attitude and ever smoking: Ever smoking sample($28.12{\pm}8.51$) was less desirable than the never-smoking sample($l2.17{\pm}3.95$). (t=8.24, p=.000). 4. Correlation between smoking Knowledge and smoking attitude: knowledge about smoking and attitude toward smoking are quantitatively correlated in such way that the more knowledgeable the child is about smoking. the more desirable the attitude toward smoking is(r=.17. p=.000). 5. Correlation between socio-anthropological characteristics and ever smoking: family . atmosphere($x^2$=16.49. p=.001), school life ($x^2$=l1.58, p= .003), grades in school( $x^2$=11.89. p=.003), gender($x^2$=8.97. p=.003). friends' gathering place($x^2$=13.19. p=.02), marital status of parents(p* =.03). and family's financial status($x^2$=6.71. p=.035). In addition, Correlation between somking-environmental characteristics and ever smoking: number of friends who smoke($x^2$=76.01. p=.001). information source for smoking($x^2$=48.03. p=.001), whether or not siblings smoke($x^2$=26.07, p=.001), whether or not female relatives smoke ( $x^2$= 15.65. p= .001), whether or not father smokes ($x^2$= 12.10. p= .007), errands to buy cigarettes for someone($x^2$=9.18. p=.010), and whether or not male relatives smoke ($x^2$=8.82. p=.35) 6. Results of the logistic analysis performed to identify the factors correlated to ever smoking show that: one point decrease in attitude score translates to 25.39 times' increase in ever smoking one person decrease in the number of friends who smoke translates to 0.66 times' decrease in ever smoking: the group where the father has quit smoking has 1.40 times more ever smoking than the group where the father does not smoke at all: and likewise, the group where the father currently smokes has 1.40 times more ever smoking than the group where the father has quit smoking. 7. The overall cause-and-effect relationship between the ever smoking and the related factors: attitude toward smoking caused ever smoking by -.43, smoking by friends, by .12, marital status of arents, by .05, school life. by .04, gender, by -.03, and smoking by father, by -.02. Knowledge about smoking (t=-1.67) did not cause significant effects on ever smoking.

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Effects of Trace Mineral Source and Growth Implants on Trace Mineral Status of Growing and Finishing Feedlot Steersa,b,c

  • Dorton, K.L.;Wagner, J.J.;Larson, C.K.;Enns, R.M.;Engle, T.E.
    • Asian-Australasian Journal of Animal Sciences
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    • 제23권7호
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    • pp.907-915
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    • 2010
  • Three hundred and seventy-three steers (approximately 7 mo of age and $247{\pm}19.4\;kg$) were utilized to determine the effects of trace mineral (TM) source and growth implants on trace mineral status. Steers were blocked by ranch, post-weaning treatment within ranch, stratified by initial body weight, and randomly assigned to one of 36 pens (9-12 head/pen). Treatment consisted of: I) control (no supplemental Cu, Zn, Mn, and Co), ii) inorganic trace minerals, and iii) organic trace minerals. Six pens of steers per treatment received a growth implant at the beginning of the experiment and were re-implanted during the finishing phase. The remaining steers received no growth implants. Steers were fed a corn silage-based growing diet for 56 d then were gradually switched to a high concentrate finishing diet. Treatments during the finishing phase consisted of: i) control (no supplemental Zn); ii) inorganic Zn (30 mg of Zn/kg DM from $ZnSO_4$); and iii) organic Zn (iso-amounts of organic Zn). By the end of the growing and finishing phases, implanted steers had greater (p<0.01) plasma Cu concentrations than non-implanted steers. During the growing phase, liver Cu concentrations (p<0.01) and plasma Zn concentrations (p<0.02) were greater in steers supplemented with TM compared to control steers. Steers supplemented with inorganic minerals had greater liver Cu concentrations than steers supplemented with organic minerals at the beginning (p<0.01) and end (p = 0.02) of the growing phase. During both the growing (p = 0.02) and finishing phases (p = 0.05), nonimplanted control steers had greater plasma Cu concentrations than non-implanted steers supplemented with TM, whereas, implanted control steers had similar plasma Cu concentrations than implanted steers supplemented with TM. Non-implanted steers that received inorganic TM had lower plasma Cu concentrations (p = 0.03) during the growing phase and ceruloplasmin activity (p<0.04) during the finishing phase than non-implanted steers that received organic TM, whereas, implanted steers supplemented with either organic or inorganic TM had similar plasma Cu concentrations.

임상간호사의 건강지각과 건강상태의 관계 (Relation ship between Health Perception and Health Status of Clinical Nurses)

  • 서정선
    • 재활간호학회지
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    • 제5권1호
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    • pp.71-85
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    • 2002
  • The purpose of study was to find out the relation ship between health perception and health status of clinical nurses. It also identified factors that related to health perception and health status of clinical nurses. The research design was descriptive correlational study. The subjects were consisted of 289 clinical nurses at the university hospital in Pusan. The data were collected from Feb. 12th to Feb. 28th, 2001 by self reporting structured questionnaires. The instruments used for this study were health perception questionnaire developed by Ware and Cornell Medical Index modified by Nam Ho-Chang (1965) for measuring health status. The data were analyzed by SPSS/PC+ program using frequency, percentage, mean, mean mark, standard deviation, t-test, ANOVA, Scheffe test, and Pearson's correlation coefficient. The results of this study were as follows. 1. The mean score of the health perception was $94.70{\pm}8.93$(range : 29-145), which the item mean mark score was $3.27{\pm}$0.31(range 1-5). The score of subarea of the health perception was the highest score in health concern ($4.57{\pm}0.58$) and the lowest score in rejection of sick role($2.94{\pm}0.32$). 2. The mean score of the health status was $102.83{\pm}7.61$(range: 57-114), which the item mean mark score was $1.80{\pm}0.13$ (range : 1-2). The mean mark score of the physical health status was $62.55{\pm}5.35$($1.69{\pm}0.14$) and the mental health status was $40.28{\pm}3.51$($1.83{\pm}0.16$). 3. There were statistically significant difference in the score of health perception according to the presence of disease(F=4.607, P=.011), job satisfaction (F=12.242, P=.000), and job place(F=2.838, P=.038). 4. There were statistically significant difference in the score of health status according to the age(F=3.164, P=.007), presence of leisure time(F=4.308, P=.039), presence of diseases(F=3.215, P=.042), job experience(F=9.064, P=.000), job satisfaction(F=7.182, P=.001), job place (F=5.638, P=.001), job position (F=3.900, P=.021). 5. Health perception of clinical nurse was shown to be positively related to health status(r=.543, p=.000). In conclusion, health perception of clinical nurse working at the university hospital was relatively high, and health status was fine. And the more health perception was high, the more health status was high. Therefore, the health promotion program for clinical nurses, should included health perception.

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조기 영아기 심실 중격 결손의 개심술 (Primary Surgical Closure of Large Ventricular Septal Defects in Small Infants)

  • 최종범;양현웅
    • Journal of Chest Surgery
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    • 제30권5호
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    • pp.486-492
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    • 1997
  • 큰 심실 중격 결손을 가진 조기 영아에서 결손의 일차봉합을 조기에 시행하는 것이 적절한 치료방법이 될 수 있는가를 알기 위해 영아의 심실중격 결손의 수술 결과를 조사 분석하였다. 저자들은 1993년 3월부터 1996년 6월까지 심실 중격 결손증을 가진 63예의 영아들을 수술하고 이를 5개월 미만과 이상의 두 군으로 나누어 수술 결과를 비교 분석하였다. 양군의 심실 중격 결손의 해부학적 위치의 빈도는 비슷하였고, 긴급 수술을 요하는 심한 울혈성 심부전증은 1군의 4예에서 보였다. 수술 조기 사망은 1군에서 3예(9.7%)였고, 2군에서는 없었다(0%). 조기 사망은 2예에서 수술 전 심정지에 의한 심근 및 뇌 손상이 발생하여 일어났고, 1예에서 수술 전부터 기관 연화에 의한 술후 호흡정지로 일어났다. 만기 사망은 없었으며, 심에코 검사상 모든 환자에서 사소한 단락도 없었다. 술후 조기 사망의 원인이 수술 및 술후 처치와 무관함을 고려한다면, 심한 울혈성 심부전을 동반하기에 충분한 크기의 심실 중격 결손을 가진 5개월 미만의 조기 영아에서 일차 폐쇄 봉합술은 적절한 술후 처치와 함께 낮은 사망률과 이병율로 시행될 수 있다고 사료된다.

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정보 성분과 상대위험도를 이용한 clopidogrel의 약물상호작용 시그널 검색 : 건강보험데이터베이스를 대상으로 한 데이터마이닝 연구 (Use of Information Component (IC) and Relative Risk (RR) for Signal Detection of Drug Interactions of Clopidogrel : Data-mining Study Using Health Insurance Review & Assessment Service (HIRA) Claims Database)

  • 김진형;최청암;오정미;손성호;신완균
    • 한국임상약학회지
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    • 제21권2호
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    • pp.90-99
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    • 2011
  • Health Insurance Review & Assessment Service (HIRA) claims database has a high potential to detect signals of new drug interactions. The aim of this study was to evaluate the usefulness of information component (IC) and relative risk (RR) as a tool for signal detection, and to analyze the possible drug interactions caused by clopidogrel using HIRA claims database. This study was performed in elderly patients over 65 years of age who administered clopidogrel from January 2005 to June 2006 in South Korea. Serious Adverse Events (SAEs) as drug interactions of clopidogrel were defined as any ambulatory hospitalization for ischemic diseases within comcomitant medication period of clopidogrel. Information Component (IC) and Relative Risk (RR) were calculated to compare the proportion of drug-SAE pairs in order to select drug specific SAEs. IC and RR signals of clopidogrel drug interaction were screened when IC's 95% confidence interval was greater than 0 and RR's 95% confidence interval was greater than 1 respectively. All detected signals were compared to references such as $Micromedex^{(R)}$ and 2010 Drug Interaction $Facts^{TM}$. Sensitivity, specificity, positive predicted value and negative predicted value were used to evaluate usefulness of this method. Among 13,252,930 cases of elderly patients who co-administered clopidogrel and other drugs, 47,485 cases were detected as SAE. Of these, one-hundred nine cases were detected by the IC-based data-mining approach and ninety one cases were detected by the RR-based data-mining approach. Total One-hundred sixty three unrecognized signals were detected by IC or RR. Twelve signals from IC-based data-mining (57.1%) were corresponded with drug interactions from references and eight signals from RR-based data-mining (38.1%) were corresponded with drug interactions from references. These signals include proton pump inhibitors, calcium channel blockers and HMG CoA reductase Inhibitors, which were known to affect CYP450 metabolism. Further studies using HIRA claims database are necessary to develop appropriate data-mining measure.

폐결핵 환자가 지각한 자기효능과 자가간호행위와의 관계에 관한 연구 (A Study on the Relationship between Self Effcacy and Self Care Behavior in Patients with Pulmonary Tuberculosis)

  • 정영주;김정효
    • 한국보건간호학회지
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    • 제10권2호
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    • pp.90-102
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    • 1996
  • This study is a descriptive survey research to investicate the relation between the performance of self-care behavior and degree of self-efficacy by evaluating them respectively. The subjects were consisted of seventy nine tuberculosis patients registered in two different public health care centers in the city of Kwangju from April 1st to 30th June, 1995. The results were as follows : 1) Demorgraphically, the proportion of males was$(59.5\%)$, the highest proportion of age group was twenties with $(31.6\%)$, the higest proportion of the patients graduated high school. the married was much more than the single$(51.9\%)$. The highest proportions in each variables were as followes : middle class in economic status with $70.9%$, the jobless in job status with $26.6\%$. the duration less than 6 months in ailing duration with $63.3\%$. The patients of $60.8\%$ and $74.7\%$ showed no family history and received no health education respectively. 2) The average drgree of self-care behavior was 3.44 points (1-5 points). 3) The average dregee of recognized self efficacy was 78.18 points(10-100points). 4) The recognized self efficacy showed close relationship with the performance of self-care behavior (r=0.6378. p<0.001) 5) The points of performance of self-care nursing behavior showed statistical significance in the variables of martial status. duration of treatment and economic status. (F=3.142. p<0.05), (F=3.701. p<0.05). (F=6.213. p<0.01) 6) The point of self efficacy showed statistical significance in the variables of sex. degree of education and marital status. (F=5.438. p<0.05), (F=4.28. P<0.01), (F=2.899, p<0.05) These results suggest as follows: 1) It is necessary to develop a program to improve the ability of self health care for the family member as well as the patient. 2) It is necessary to do further study on much more variables that influence on the performance of self-care behavior by expanding the number of subjects and duration of study. and to evaluate the self efficacy with time interval.

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식이조사 일수에 따른 식사 다양성과 영양소 섭취 수준과의 관계연구 (Study on the Associations of Dietary Variety and Nutrition Intake Level by the Number of Survey Days)

  • 이지은;안윤진;김규찬;박찬
    • Journal of Nutrition and Health
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    • 제37권10호
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    • pp.908-916
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    • 2004
  • Due to the common dietary practice of preparing foods in various ways using the same food item, in addition to rather a large number of food items that average Koreans consume, it is difficult to accurately assess the nutritional adequacy. In an effort to identify a reliable means of assessing the nutritional adequacy of Korean adults, we analyzed the association between the scores of dietary diversity (DDS) and dietary variety (DVS), and the quality of nutrient intake as assessed by Nutrient Adequacy Ratio (NAR) and Mean Adequacy Ratio (MAR). A three day-dietary record was obtained from each of 324 inhabitants, aged 40 to 69 years (mean :t SD,52.4 $\pm$ 8.7), of a rural area (Ansung) and a mid-sized city (Ansan) of Korea. These individuals were randomly selected among the participants of the Korean Health and Genome Study. The number of consumed foods and food groups were assesses by DDS (scored 1 to 5) and DVS (ranked 30 $\leq$,31 - 40, 41 - 50, 51 - 60, and 60 <) over three-day period, respectively. As DDS/DVS increased, mean daily food intakes tended to increase, and NARIMAR was improved. Thus, DDS and DVS were significantly correlated with the quality of nutrient intake. Over 95% of the subjects scored less than 2 in DDS for the first one-day period, whilst over 62% recorded 4 during the full three-day period (p < .0001). The mean number of consumed food items increased from 24.9 to 44.4 as a function of days of the record period (p < .0001). We also analyzed the association of DDS and DVS with MAR, using regression analysis, controlling age and sex as covariates. For DDS, the adjusted coefficient determination (adj $R^2$) values were 8.7%,15.8%,23.3% of MAR, also increasing as a function of the record duration, whereas they were 27.3%, 33.3%, 37.6% for DVS, respectively, demonstrating that NAR/MAR has a better correlation with DVS than DDS. Our data show that DDS, and DVS in particular, are useful parameters for evaluating nutrient intake in the Korean population. Our data also support that one day-dietary records are by no means adequate for accurately describing a wide variety of food choices offered for average Koreans, and that dietary assessment at least for 3 days or longer should be obtained for a reliable evaluation of dietary quality using DDS or DVS.

Intradural Procedural Time to Assess Technical Difficulty of Superciliary Keyhole and Pterional Approaches for Unruptured Middle Cerebral Artery Aneurysms

  • Choi, Yeon-Ju;Son, Wonsoo;Park, Ki-Su;Park, Jaechan
    • Journal of Korean Neurosurgical Society
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    • 제59권6호
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    • pp.564-569
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    • 2016
  • Objective : This study used the intradural procedural time to assess the overall technical difficulty involved in surgically clipping an unruptured middle cerebral artery (MCA) aneurysm via a pterional or superciliary approach. The clinical and radiological variables affecting the intradural procedural time were investigated, and the intradural procedural time compared between a superciliary keyhole approach and a pterional approach. Methods : During a 5.5-year period, patients with a single MCA aneurysm were enrolled in this retrospective study. The selection criteria for a superciliary keyhole approach included : 1) maximum diameter of the unruptured MCA aneurysm <15 mm, 2) neck diameter of the MCA aneurysm <10 mm, and 3) aneurysm location involving the sphenoidal or horizontal segment of MCA (M1) segment and MCA bifurcation, excluding aneurysms distal to the MCA genu. Meanwhile, the control comparison group included patients with the same selection criteria as for a superciliary approach, yet who preferred a pterional approach to avoid a postoperative facial wound or due to preoperative skin trouble in the supraorbital area. To determine the variables affecting the intradural procedural time, a multiple regression analysis was performed using such data as the patient age and gender, maximum aneurysm diameter, aneurysm neck diameter, and length of the pre-aneurysm M1 segment. In addition, the intradural procedural times were compared between the superciliary and pterional patient groups, along with the other variables. Results : A total of 160 patients underwent a superciliary (n=124) or pterional (n=36) approach for an unruptured MCA aneurysm. In the multiple regression analysis, an increase in the diameter of the aneurysm neck (p<0.001) was identified as a statistically significant factor increasing the intradural procedural time. A Pearson correlation analysis also showed a positive correlation (r=0.340) between the neck diameter and the intradural procedural time. When comparing the superciliary and pterional groups, no statistically significant between-group difference was found in terms of the intradural procedural time reflecting the technical difficulty (mean${\pm}$standard deviation : $29.8{\pm}13.0min$ versus $27.7{\pm}9.6min$). Conclusion : A superciliary keyhole approach can be a useful alternative to a pterional approach for an unruptured MCA aneurysm with a maximum diameter <15 mm and neck diameter <10 mm, representing no more of a technical challenge. For both surgical approaches, the technical difficulty increases along with the neck diameter of the MCA aneurysm.

간호사의 도덕적 민감성과 안전 환경이 감염 표준주의 이행도에 미치는 영향 (Influences of Moral Sensitivity and Safety Environment on Compliance with Standard Precautions among Nurses)

  • 한달롱;서경산;김은숙;김혜은
    • 한국산학기술학회논문지
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    • 제19권3호
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    • pp.364-375
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    • 2018
  • 본 연구는 간호사의 도덕적 민감성과 병원 안전 환경이 간호사의 감염 표준주의 이행도에 미치는 영향을 파악하기 위해 시행되었다. 연구대상자는 일 개 종합병원 간호사 214명이었으며 2017년 8월 1일부터 15일까지 도덕적 민감성, 표준주의 안전 환경, 감염 표준주의 이행도에 관한 자가 보고식 설문지로 자료 수집하였다. 수집한 자료는 평균과 표준편차, 빈도 등 서술통계, 독립표본 차이 검정, 피어슨 상관관계, 분산분석, 다중회귀분석 방법으로 분석하였다. 대상자의 도덕적 민감성 평균점수는 7점 만점에 5.05점이었으며, 표준주의에 대한 안전 환경은 7점 만점에 5.76점, 감염 표준주의 이행도는 5점 만점에 4.50점이었다. 감염 표준주의 이행도는 도덕적 민감성 및 표준주의 안전 환경과 유의한 양의 상관관계를 보였다. 감염 표준주의 이행도에 영향을 미치는 요인은 근무 부서(응급실, 중환자실), 나이, 표준주의 안전 환경이었다. 이들 변수의 설명력은 25.3%였으며, 도덕적 민감성은 영향 요인으로 확인되지 않았다. 따라서 감염 표준주의 이행도를 높이기 위해서는 신규간호사들을 대상으로 한 지속적인 교육프로그램, 부서별 특성에 따른 맞춤 증진활동이 필요하며 표준주의 안전 환경 확립을 위한 기관의 인적, 행정적 지원이 요구된다.