• Title/Summary/Keyword: Emergency Nursing

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Drinking behavior survey of university students in Jeju for the safe campus life (안전한 대학생활을 위한 제주지역 대학생들의 음주행동연구)

  • Kim, Hyo-Sil;Lee, Young-Ah;Kim, Soo-Jin;Chae, Soo-Gyung;Lim, Jin-Hyung
    • The Korean Journal of Emergency Medical Services
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    • v.20 no.2
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    • pp.127-144
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    • 2016
  • Purpose: The purpose of this study was to investigate the drinking behavior of university students in Jeju for the safe campus life. Methods: A self-reported questionnaire was completed by 549 students in 4 universities in Jeju. The data were analyzed by t-test, one way ANOVA, and multiple regression using SPSS Win 19.0 program. The questionnaire instruments consisted of Alcohol Use Disorders of Identification Test-Korea (AUDIT-K) and Life Stress Scale for College Students adapted by Chon. Results: The alcohol consumption rate of participants accounted for 96.2%. The binge drinking rate in female students were 33.9% and that in male students was 29.5%. The result by scoring AUDIT showed that 30.7% of participants were normal drinking group, 36.0% were hazardous drinking group, and 33.3% were estimated alcohol abuse group. The average score of stress was 1.45 by Likert 4 point scale. The female students tended to have more stresses than male. The most important influencing factors on drinking behavior were the first alcohol drinking(${\beta}=-.250$, p< .001), gender(${\beta}=.202$, p< .001), and relationship problem(${\beta}=.116$, p < .05). Conclusion: The drinking rate of university students revealed higher than that in other age groups. So the early systematic education is strongly recommended to prevent the physical and mental side effects.

Application of Blended learning for effective anatomic education of sports science students (체육전공 학생들의 효과적인 해부학 교육을 위한 혼합강의의 적용)

  • Kim, Jee-Hee;Moon, Tae-Young;Kim, Kyeong-Uoon;Roh, Sang-Gyun;Park, Jeong-Hyun
    • Proceedings of the KAIS Fall Conference
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    • 2011.12a
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    • pp.166-169
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    • 2011
  • 체육전공에서 해부학을 통해 스포츠 상해, 운동역학적 적용, 인체의 병리나 생리적인 지식을 습득할 수 있는 바탕이 된다. 그러므로 해부학적 기초가 없이 운동생리학, 생체역학, 측정평가, 운동처방 등 여러 응용학문에 대한 이해가 불가능하다. 대부분 체육전공에서 해부학을 전공필수로 지정하여 그 중요성을 강조하고 있다. 체육전공학과는 학과특성 및 교육시설 등 여러 가지 문제로 인해 해부학 실습교육이 어렵고, 특히 체육 특기생 경우 잦은 시합으로 수업의 결손이 많다. 또한 체육학과 전공교수는 학과특성상 대부분이 체육전공자로서 최근 의과대학에서 해부학을 포함한 기초의학전공 교수들의 감소되는 현상으로 건강-의료-보건관련 학과의 기초의학강의의 수요를 충족시키는데 어려움이 존재하여 학과 내 해부학강의도 체육전공교수들이 직접하고 있는 실정이다. 기초의학전공자가 아닌 교원의 해부학강의는 깊이 있는 해부학지식을 전달하는데 제한적이며 교수의 강의에 대한 부담도 존재한다. 따라서 본 연구는 2007년부터 2009년 동안 강원대학교 스포츠과학부 학생들을 대상으로 자체 제작한 가상강의 컨텐츠와 해부실습, 그리고 면대면 강의를 병행한 혼합강의를 실시한 후 설문조사를 통해 체육전공학생들의 효과적인 해부학지식전달의 방식으로 그 도입을 제시하고자 한다.

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A survey on job stress, ego-resilience and incident impact on firefighters (소방공무원의 직무스트레스, 자아탄력성 및 사건충격 정도 실태 조사)

  • Cha, Jin-Gyung;Choi, Uk-Jin;Bang, Sung-Hwan
    • The Korean Journal of Emergency Medical Services
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    • v.23 no.1
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    • pp.49-60
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    • 2019
  • Purpose: This study was conducted to analyze job stress, ego-resilience, and results of the impact of event scale in order to verify the actual job stress of firefighters and provide baseline data for developing resolution programs. Methods: Data were collected via e-mail from 270 firefighters working at 119 safety centers and firehouses in the regions of Gyeonggi, Chungcheong, Busan, and Gyeongsang-do between the $1^{st}$ and $30^{th}$ of July, 2017. Results: Regarding gender differences in job stress, women ($2.16{\pm}0.65$) showed statistically significant job stress compared to men ($1.93{\pm}0.57$). As for the results of the incident impact of event scale statistically significant differences were observed (p=.001), and ego-resilience in men ($4.15{\pm}0.54$) was significantly higher than that in women ($3.79{\pm}0.75$) (p=.006). Depending on the work period, there were statistically significant differences (p=.000) in job stress, ego-resilience (p=.002), and impact of event scale (p=.000). Conclusion: Since job stress, ego-resilience, and results of the impact of event scale were closely related to dispatch frequency and work period of the firefighters, detailed and continuous stress management programs that consider these factors need to be developed.

The effect of coronavirus disease-19 knowledge, anxiety, and psychosocial well-being on the infection prevention behavior in college students in health care (보건의료계열 대학생의 코로나바이러스감염증-19 지식, 불안, 사회심리적 건강이 감염예방행위에 미치는 영향)

  • Lee, Hyo-Cheol;Lee, Mi-Lim
    • The Korean Journal of Emergency Medical Services
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    • v.26 no.1
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    • pp.57-70
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    • 2022
  • Purpose: The purpose of this study was to investigate the effect of coronavirus disease-19 (COVID-19) knowledge, anxiety, and psychosocial well-being on the infection prevention behavior of college students in health care. Methods: This study is a descriptive survey research. A total of 301 college students at four health care departments in three regions were surveyed using a structured questionnaire from February 10 to February 16, 2022. The collected data were analyzed using descriptive statistics, independent t-test, and one-way ANOVA. Pearson correlation coefficients and multiple regression analyses were done using SPSS ver. 18.0. Results: Knowledge on COVID-19 was significantly dependent on a family history of chronic disease (p=.049). Anxiety was significantly dependent on test of COVID-19 (p=.040). Gender (p=.049), perceived physical and mental health status (p=.000), and chronic disease (p=.000) had significant effects on infection prevention behavior. When the level of anxiety was higher, the infection prevention behavior was also higher (p=.000) and the psychosocial well-being was improved (p=.017). Stepwise multiple regression analysis revealed that anxiety significantly improved the infection prevention behavior (𝛽=.396, p<.001) and psychosocial well-being (𝛽=-.139, p=.008), which accounts for 18.5% (F=22.444, p<.001) of the variance. Conclusion: In order to prevent infectious diseases such as COVID-19 and its spread, measures to prevent infection and improve the psychosocial well-being should also be sought.

Characteristics of patients with decreased mental status while staying in an emergency department: Comparative study with alert patients (응급실 체류 중에 의식이 저하된 환자의 특성: 의식명료 환자와의 비교연구)

  • Moon, Sun-Hee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.10
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    • pp.222-230
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    • 2018
  • This was a retrospective study that compared the characteristics of patients with decreased mental status (DMS) during their stays in an emergency department (ED) with that of patients with alert mental status (AMS). The participants in this study consisted of 90 patients with DMS who were staying in an ED along with 100 randomly selected patients with AMS. The DMS group contained more instances of cerebrovascular disease, liver disease, diabetes, and hypertension compared to the AMS group (p=0.001, p=0.003, p<0.001, and p=0.002, respectively). With regard to triage, the DMS group had higher severity than the AMS group (p<.001). The final diagnosis for the DMS group was as follows: 64.9% neurological and 63.3% related to the digestive system, which differed from that of the AMS group (p<.001). Fifty-six (62.2%) patients with DMS had their statuses discovered by nurses, while nine patients in the DMS group had received cardiopulmonary resuscitation. These results suggest that ED nurses frequently assess the consciousness of patients who they suspect may have neurologic or digestive diseases and are classified as high severity, even when the patients are alert.

A Study of Burn Accidents in Children towards Developing a Program for Prevention (어린이 화상사고의 실태와 예방대책 프로그램 개발에 대한 연구)

  • Han, Jeong-Seok;Seo, Mi-Hye
    • The Korean Nurse
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    • v.36 no.4
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    • pp.61-74
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    • 1997
  • This study is a descriptive study which was done to examine the circumstances surrounding burn accidents in children in order to develop a burn prevention program. The subjects for the study were the mothers of 107 children admitted to two burn specialty hospitals in seoul and the mothers of 172 healthy children attending day care or kindergarten. The tool used in the study was developed by the researchers, pretested and refined. Cronbach's alpha was 0.72. Data collection was done between November 1995 and April 1996. Statistically analysis was done using SAS Version 6.04 and the data was analyzed using test, chi square, regression and logistic analysis. A suumary of the results shows the following : Eighty percent of the children in both groups lived in nuclear families but comparatively more of the children with burn accidents lived in apartments. More of the parents in the group of healthy children had university education and held white collar or professional jobs, while the parents of the children with burn accidents were slightly younger than the parents of the healthy children. but not significantly younger. A significantly greater number of families of children with burn accidents had more than one child and the characteristics of the children with burn accidents that they were more frequently boys, either first or last born and very active. Most of the burn accidents occurred in fall or winter. sometime between noon and midnight and the majority occurred in the home and were caused by hot liquid. In 86% of the cases emergency care was not given at home but the child was brought to the hospital emergency unit. Most of the burns were second degree or greater. involved the arms or legs. required admission, and 41.5% occurred when the parents were preparing or eating meals. In a test of knowledge of preventive measures, the mothers of children who had suffered burn accidents scored slightly higher than the mothers who had no experience with burn accidents, but this was not statistically significant. As to what to do in the case of a fire, the mothers of the healthy children had more knowledge about who to notify. but 70% of the mothers in both groups did not know how to escape from the house if it was of fire. 80 to 96% did not know what do to in case of a fire, such as rolling if clothes were on fire. 80% did not know what emergency care to give for a burn, and 74 to 87% did not know when it is appropriate to try to put out a fire. It can be concluded from this study that. since the results show that the most frequent situation which resulted in burn accidents was when the parents were not aware of the danger of burns or were not paying attention to the child. and when there were no protective devices to prevent burns. and that accidents most frequently occurred at home. the most effective way of preventing accidents is to develop in the parents a "safety mind", Since burn accidents in children are usually more severe than in adults. the physical. emotional. psychological and social damage is greater. In order to develop and awareness of this in the general public. the use of mass media. books and pamphlets and other educational media that provide education on prevention of burn accidents need to be utilized.

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The Effect of Stress Management Program on the Perceived stress, Stress response, Ways of Coping of Nurses (스트레스 관리 프로그램이 간호사의 스트레스 지각, 대처유형, 스트레스 반응에 미치는 효과)

  • Ha, Na-Sun;Choi, Jung;Lee, Yong-Mi;Im, Mee-Young;Lee, Kyu-Eun;Kil, Suk-Young;Kho, Myung-Suk
    • Journal of Korean Academy of Nursing Administration
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    • v.8 no.1
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    • pp.31-44
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    • 2002
  • The main purpose of this study was to identify the effect of stress management program on the perceived stress, stress response, ways of coping of nurses.The data were collected from September 22 to December 21, 1997. The subjects were 45 emergency nurses of three university hospital located in seoul ; 25 assigned for the experimental group and 20 for the control group.The stress management program was composed of cognitive training, behavioral training and progressive muscle relaxation. The subjects of the experimental group carried out the 15-minute progressive muscle relaxation according to recorded-tape once a day for 6 weeks. The cognitive and the behavioral training were conducted by the investigator for 5~8 subjects at a time for 9 series, at an interval of 4~5days.The instruments used in the study was the perceived stress scale developed by Levenstein et al.(1993), Symptoms of stress Inventory(1991), and ways of coping scale developed by Lazarus & Folkman(1984).The data were analyzed by SAS program, using descriptive statistics, χ2-test, t-test, paired t-test.The results were as follows :1. The perceived stress of experimental group was lower than that of the control group. However, no significant difference between the two groups was revealed.2. The stress response of experimental group was reduced after stress management program and the stress response of control group was reduced after stress management program. but no significant difference between the two groups was revealed.3. The problem oriented coping of the experimental group was higher than that of the control group, however no significant difference between the two groups was revealed.4. The emotional oriented coping of the experimental group was lower than that of the control group, however no significant difference between the two groups was revealed.

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Willingness to Perform Cardiopulmonary Resuscitation (CPR) in Emergency Situation: Convergence factor in Undergraduate Nursing Students (간호대학생의 심폐소생술 수행의도에 영향을 미치는 융합적 요인)

  • Kim, Sun Kyung;Kim, Sun-Ae;Kim, Jong-Im;Park, Mi-Hyeon
    • Journal of the Korea Convergence Society
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    • v.9 no.8
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    • pp.311-318
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    • 2018
  • The purpose of this study was to investigate the correlation between basic self - confidence and CPR - related factors and to investigate factors affecting CPR intention in nursing college students. Data were collected between January to March, 2018. Using SPSS(ver, 24.0), independent t-test, Pearson's correlation and logistic regression were used for the statistical analysis. Among the variables related to cardiopulmonary resuscitation, there was a high correlation (r = .575~.738). In the case of AED use, there was a low correlation with self-confidence of core nursing skills, CPR confidence, proficiency, and self-efficacy (r = .163~.301). A moderate correlation (r = .415~453) was found between the variables related to core nursing skills and CPR related variabls. Logistic regression analysis showed that CPR Self-efficacy (OR=1.22, 95% CI: 1.07~1.38), and AED application Competency (OR=1.72, 95% CI: 1.09~2.75) are effect factors. Since there is a correlation with AED, which is the main tool in CPR, it is necessary to include not only the self - efficacy but also the use of AED which is closely related to CPR in the actual situation as an essential element of education.

The National Hospice Care Service Development in Korea (한국형 호스피스 케어 개발을 위한 기초 조사 연구)

  • Lee, Soo-Woo;Lee, Eun-Ok;Ahn, Hyo-Seog;Heo, Dae-Seock;Kim, Dal-Sook;Kim, Hyun-Sook;Lee, Hiye-Ja
    • The Korean Nurse
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    • v.36 no.3
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    • pp.49-69
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    • 1997
  • The urgent needs to establish hospice care systems in Korea arise from the following reasons: 0) a drastic increase in chronically ill patients with the increase of aged population: (2) rapid changes in living environment from the traditional habitation (e. g., Many Koreans living in apartment complexes, which is the most popular form of modern residence in recent years, prefer to die in the hospital.): the overall increase in patients with advanced cancer: (4) recent trends in early discharge of terminally ill patients from the limited hospital facilities to accomodate other medical insurance beneficiaries; (5) easy acceptance of euthanasia owing to the recent social atmosphere that belittles the dignity of human life; (6) medical and nursing care of AIDS patient in terminal stage; (7) and the problem associated with inhumane medical care system, overtreatment, and groundless fears against narcotics. Terminally ill patients were used to be treated in the hospital in the past. In these days, however, they are forced to have home cares with little assistance from the qualified medical personnel because of insufficient hospital facilities, which are even short for the need of emergency patients and provide priority cares to medical insurance beneficiaries with other acute problems. And yet, neither are there any administrative organizations nor systematic medical studies that deal with the level of terminally ill patient's need, their family's problems and resources of hospice care systems in Korea. Thus, most patients are not able to get appropriate medical care at the terminal stage of their lives. The objective of this study is to make comprehensive database for various hospice care organization currently in operation, link them through medical information system, and develop an easily accessible hospice care model that meets the need of most Korean people. Our survey results may be summarized as follows: Nationally there are 40 organizations that provide partial or full hospice care. However, these organizations are not linked to any formal medical service network. Furthermore, the objective of hospice care, care principles, personnel with appropriate training, educational programs, standard for care, costs, consulting service to patients' family members, the extent of medical care from professional staff members, status of hospice facility, and management of those institutions are neither clearly defined nor organized compared to the international hospice care standards. The surveys on patients of terminal stage. grouped in hospice and non-hospice care patients. reveal what they want visiting nursing care to help their pain control. psychological. social and spiritual demands. While the more than 90% of hospice care patients want to reduce their pains. the non-hospice care patients. in addition to their desire for pain control. demanded more psychological. social and spiritual helps as well. The results of this research could be utilized to 0) define the standard of hospice care. (2) provide the guidance for hospice medical care costs. (3) establish the database of hospice care systems. (4) develop softwares. (5) build communication network through Medinet. and (6) provide an organized visiting home nursing care system. These information should be a valuable resource to many medical staffs who are involved in cancer therapy. nursing care. and social welfare programs.

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Symptom Clusters in Korean Patients with Acute Myocardial Infarction (급성 심근경색 환자의 증상클러스터)

  • Park, Eunjin;Lee, Jia
    • Journal of Korean Academy of Nursing
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    • v.45 no.3
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    • pp.378-387
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    • 2015
  • Purpose: Acute myocardial infarction (AMI) leads to death if the patient does not receive emergency treatment. Thus it is very important to recognize the symptoms in the early stage. The purpose of this study was to identify clusters of symptoms that represent AMI in Koreans. Methods: The study used a retrospective, descriptive design with secondary data analysis. Data were abstracted from 725 medical records of AMI patients admitted from June 1, 2006 to August 15, 2014 at a university hospital. Results: Analysis of the AMI symptoms revealed five symptom clusters; Cluster 1 (n=140): middle chest pain (100%), shortness of breath, and cold sweating, Cluster 2 (n=256): substernal pain (100%), cold sweating, and shortness of breath, Cluster 3 (n=47): substernal pain (95.7%), left arm pain, shortness of breath, cold sweating, left shoulder pain, right arm pain, and the lower neck pain, Cluster 4 (n=212): shortness of breath (28.3%), left chest pain, and upper abdominal pain, and Cluster 5 (n=70): cold sweating (100%), left chest pain, shortness of breath, left shoulder pain, and upper abdominal pain. Length of hospital stay and mortality rate were significantly different according to symptom clusters (F=2.52, p =.040; F=3.62, p =.006, respectively). Conclusion: Symptom clusters of AMI from this study can be used for AMI patients in order to recognize their symptoms at an early stage. The study findings should be considered when developing educational prevention programs for Koreans with AMI.