• Title/Summary/Keyword: Emergency Nursing

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The Influence of Self-management Knowledge and Distress on Diabetes Management Self-efficacy in Type 2 Diabetes Patients (제2형 당뇨병 환자의 자기관리지식, 스트레스가 당뇨관리 자기효능감에 미치는 영향)

  • Keum, Hye-Sun;Suh, Soon-Rim;Han, Seung-woo
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.9
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    • pp.498-508
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    • 2020
  • This study was a descriptive research study performed to identify the degree and correlation of variables and also explain the factors that influence self-efficacy of diabetes management. The participants were 150 diabetes patients who visited a primary medical institution in K city in Korea from September 17, 2015, to October 15, 2015. The data were analyzed using descriptive statistics, t-tests, ANOVA, Pearson correlation coefficients, and multiple regression with SPSS 18.0. Significant differences in age and education were detected in self-efficacy of diabetes management according to general characteristics. The levels of self-management knowledge and diabetes management self-efficacy were shown to be positively correlated. The levels of diabetes management self-efficacy and distress as well as levels of self-management knowledge and distress were shown to be negatively correlated. The significant factors influencing diabetes management self-efficacy were distress and self-management knowledge. The results suggest that appropriate diabetes management self-efficacy programs should be provided in order to improve self-management knowledge and decrease distress in type 2 diabetes patients. This study provides basic data to promote the effective education and development of arbitration in order to enhance self-efficacy of diabetes management.

A Study on Needle Stick Injuries in Health Professionals (의료인의 바늘자상 실태에 관한 연구)

  • 김영분
    • Journal of Korean Academy of Nursing
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    • v.26 no.3
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    • pp.605-622
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    • 1996
  • Needle stick injury, in which blood-borne pathogens including Human Immune-Deficiency virus and hepatitis B virus are transmitted, is one of the major occupational hazards that health professionals face everyday. In order to provide basic data for the development of educational programs for health professionals aimed at preventing and effectively managing needle stick injuries, a retrospective descriptive study was carried out .The subjects of the study were 630 health professionals, 499 nurses and 131 physicians, from two university hospitals in Seoul, Korea. Data on episodes of needle stick experiences over the past is months September 1994 through August 1995, were collected between September 1 and 7, 1995. A Questionaire developed by the researcher was used. The frequencies and the percentile score for episodes of needle stick injuries were calculated using the PC-SAS program. The differences and similarities in reference to the structure, career, and specialty variables were analysed by X$^2$-tests. Results are as follows : 1. Of the sample, 521(82.7%) reported a needle stick injury, 33.4% reported 3 or more episodes of needle stick injuries. 2. The needle stick injuries occured in the following processes : process of percutaneous venepuncture for intra-venous injection and infusion(55.3%), medical examination and treatment(48.9%), per-cutaneous venepuncture for blood sampling (46.3%) and intra-muscular injection(42.2%). 3. The study showed that needle stick injuries occured before(19%), during(25%), and after (56%) client treatment. The major causes of needle stick injuries were perceived to be hastiness(82.2%) and carelessness(48.3%). Of these injuries, 91.8% occured in emergency situations. 4. Follow of care for the injury consisted of : treating the injured site immediately using disinfectants(89.7%), reviewing the clinical records of the patient involved(84.2%), immunological investigation for the status of antibodies(11.1%) and self-medication of antibiotics (10.7%). Only 16.3% of the total episodes were founded to have been reported to the administrative unit. 5. The length of clinical experience of the nurses, clinical specialty and length of clinical experience in physicians were found to have influenced the episodes of needle stick injuries ; nurses with less than 1 year and with more than 6 years of clinical experiences had significantly lower levels (X$^2$=25.04, P=.00), surgeons had significantly higher levels (X$^2$=9.89, P=.02) compared to that of internists and interns, higher(X$^2$=4.54, P=.03)than residents.

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A Study on the Occurrences and Causes of Accidents in Lower Grade Elementary School Children (초등학교 저학년 아동들의 안전사고 발생 실태 및 관련요인 분석)

  • 김소선;이은숙
    • Journal of Korean Academy of Nursing
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    • v.29 no.1
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    • pp.117-126
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    • 1999
  • Accidents involving children are an important cause of death and disability. They also have enomorous financial implications. In order to prevent childhood accidents, research and education for safety should be strengthened. The purpose of this study was to determine how often young children have accidents and what factors affect the accident rate. The sample consisted of 771 children who were in the second, third and forth grades of two elementary schools located in Kyung-gi Province. One school had students from middle class families living in apartment complexes and the other, students from lower income families mainly living in single houses. The questionnaires included items on the occurance of accidents and the parents' attitudes regarding accidents during the academic year from March 1997 to February 1998. The Questionnaires were distributed to conventiently selected students to be compeleted by their parents and collected during the period of May 28, to June 6, 1998. The data were analyzed using SAS PC statistical package. The results of the study are as follows ; 1. Of 771 student subjects, 393 had 887 accidental injuries during the study period. 2. The month, the day and the time with the highest accident rate were May, Sunday, and between 1 and 4 p. m. each. 3. In the analysis of the location where the injury took place, the most frequent place was on around their homes followed by school and, then, inside the home 4. Most of the accidents were caused by carelessness on the part of the children and the most frequent type of injury was an abrasion. 5. Children most injured their legs 6. They were treated at home most often and usually emergency treatment was performed by family members with, disinfection being the main type of first aid. Cost of the treatment ranged from 8,000 to 20,000 won in most cases. 7. House type and parents' education level were statistically significant in chi-square analysis. 8. Parents educate their children about traffic safety most frequently followed by fire safety and, then, prevention of violence. 9. Parents think that prevention of violence should be the most important part of injury prevention education both at school and home. 10. To identify factors related to accident occurrence, multiple logistic regression was performed and the main factors were birth order and house type.

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The Japan Health Physics Society Guideline on Dose Monitoring for the Lens of the Eye

  • Yokoyama, Sumi;Tsujimura, Norio;Hashimoto, Makoto;Yoshitomi, Hiroshi;Kato, Masahiro;Kurosawa, Tadahiro;Tatsuzaki, Hideo;Sekiguchi, Hiroshi;Koguchi, Yasuhiro;Ono, Koji;Akiyoshi, Masahumi;Kunugita, Naoki;Natsuhori, Masahiro;Natsume, Yoshinori;Nabatame, Kuniaki;Kawashima, Tsunenori;Takagi, Shunji;Ohno, Kazuko;Iwai, Satoshi
    • Journal of Radiation Protection and Research
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    • v.47 no.1
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    • pp.1-7
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    • 2022
  • Background: In Japan, new regulations that revise the dose limit for the lens of the eye (hereafter the lens), operational quantities, and measurement positions for the lens dose were enforced in April 2021. Based on the international safety standards, national guidelines, the results of the Radiation Safety Research Promotion Fund of the Nuclear Regulation Authority, and other studies, the Working Group of Radiation Protection Standardization Committee, the Japan Health Physics Society (JHPS) developed a guideline for radiation dose monitoring for the lens. Materials and Methods: The Working Group of the JHPS discussed the criteria of non-uniform exposure and the management criteria set not to exceed the dose limit for the lens. Results and Discussion: In July 2020, the JHPS guideline was published. The guideline consists of three parts: main text, explanations, and 26 examples. In the questions, the corresponding answers were prepared, and specific examples were provided to enable similar cases to be addressed. Conclusion: With the development of the guideline on radiation dose monitoring of the lens, radiation managers and workers will be able to smoothly comply with revised regulations and optimize radiation protection.

The Relationship among Job stress, Emotional labor, Resilience and Mental Health in Firefighters (소방공무원의 정신건강과 직무스트레스, 감정노동, 회복탄력성간의 융합관계)

  • Kim, Yeon-Jung;Kim, Jin-Hyeon;Shim, Gyu-Sik
    • Journal of the Korea Convergence Society
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    • v.8 no.12
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    • pp.379-389
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    • 2017
  • The purposes of this study were to identify the relationships among job stress, emotional labor, resilience, mental health and to determine the influences on mental health in firefighters. The participants were 391 firefighters in Chung-Nam and some variables related to job stress, emotional labor, resilience, mental health were measured using reliable instruments. There showed significant positive relationships of mental health with job stress, emotional labor and negative relationships with resilience. Among predictors, job stress(job insecurity, lack of reward, occupational climate), emotional labor, resilience had statistically significant influence on mental health. Mental health programs to decrease job stress and emotional labor, and to enhance resilience are essential to improve the mental health of firefighters.

Relationship between National Exam Stress and Subjective Oral Symptom in Allied Health Students (보건계열 대학생의 국가시험 스트레스와 주관적 구강이상증상)

  • Lee, Min-Young;Kim, Myung-Eun
    • The Journal of the Korea Contents Association
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    • v.20 no.5
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    • pp.351-358
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    • 2020
  • The aim of this study was to confirm for relationship between national exam stress and oral health status on allied health students. For this, 829 of allied health students were surveyed in four college and university located in Chungbuk and Kyungbuk. Survey tool were constituted general characteristic(4 items), national exam stress(16 items) and oral health status(34 items). The result of study, national exam stress of female were higher than male and that of department of dental hygiene, nursing, emergency medical service students were higher than other students(p<0.05). Subjective oral symptom were higher on high stress group than other groups(p<0.05). Relationship between stress and subjective oral symptom were related each other(p<0.01). Therefore it is necessary to education for manage oral symptom affected national exam stress.

Laparoscopic Versus Open Surgery for Rectal Cancer: A Systematic Review and Meta-analysis of Randomized Controlled Trials

  • Zhang, Feng-Wa;Zhou, Zhao-Yu;Wang, Hai-Lin;Zhang, Jv-Xia;Di, Bao-Shan;Huang, Wen-Hui;Yang, Ke-Hu
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.22
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    • pp.9985-9996
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    • 2014
  • Background and Aim: Laparoscopic and open rectum surgery for rectal cancer remains controversial. This systematic review compared the short-term and long-term efficiency and complications associated with laparoscopic and open resection for rectal cancer. Materials and Methods: We searched PubMed, Embase, Cochrane Library, ISI Web of Knowledge and the China Biology Medicine Database to identify potential randomized controlled trials from their inception to March 31, 2014 without language restriction. Additional articles were identified from searching bibliographies of retrieved articles. Two reviewers independently assessed the full-text articles according to the pre-specified inclusion and exclusion criteria as well as the methodological quality of included trials. The meta-analysis was performed using RevMan 5.2. Results: A total of 16 randomized controlled trials involving 3,045 participants (laparoscopic group, 1,804 cases; open group, 1,241 cases) were reviewed. Laparoscopic surgery was associated with significantly lower intraoperative blood loss, earlier return of bowel movement and reduced length of hospital stay as compared to open surgery, although with increased operative time. It also showed an obvious advantage for minimizing late complications of adhesion-related bowel obstruction. Importantly, there were no significant differences in other postoperative complications, oncological clearance, 3-year and 5-year or 10 year recurrence and survival rates between two procedures. Conclusions: On the basis of this meta-analysis we conclude that laparoscopic surgery has advantages of earlier postoperative recovery, less blood loss and lower rates of adhesion-related bowel obstruction. In addition, oncological outcome is comparable after laparoscopic and open resection for rectal cancer.

Drinking Behaviors of Employeees in Farming and Fishing Communities (농어촌지역 직장인의 음주실태)

  • Yang, Seung-Hee;Kim, Jee-Hee
    • Proceedings of the KAIS Fall Conference
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    • 2012.05a
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    • pp.25-29
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    • 2012
  • 본 연구의 목적은 농어촌지역의 음주문제 관련 상담센타, 사업장 중심의 절주 프로그램이나 치료 서비스가 취약한 형편이어서 농어촌 지역 직장인의 음주문제에 대한 대책을 마련하고자 하는데 있다. 본 연구의 대상자는 일 농어촌 지역에 거주하는 20세 이상의 남녀 직장인 530명을 대상으로 하였고, 설문에 동의하여 회수된 설문지는 512부였으며 이중 부실하게 응답한 12명의 자료를 제외한 500명의 자료를 최종 분석대상으로 하였다. 자료수집은 2007년 6월 12일부터 2007년 8월 25일까지 시행되었으며, 설문지의 내용을 이해하며 의사소통이 가능한 자에게 본 연구의 취지를 설명하고 연구에의 참여를 동의한 대상자에게 구조화된 설문지를 이용해 자료를 수집하였다. 1. 본 연구에 참여한 대상자의 음주에 대한 인식은 긍정적 인식의 평균은 2.93, 부정적 인식의 평균은 3.18로 나타났다. 2. 음주행태에서 음주경험여부는 현재 음주자가 79.7%로 가장 많았고, 비음주자 13.1%, 과거 음주자 7.2%로 나타났다. 음주빈도는 음주경험이 있는 대상자 중 '월 2-4회 마시는 경우'가 38.2%로 가장 많았고, 평소 음주량은 '소주 10잔 이상'이 34.6%로 많았으며 '소주 3잔 이상'인 경우가 전체 대상자의 92.2%를 차지하였다. 3. 대상자의 문제음주 정도 및 특성은 전체 대상자 중 CAGE를 통해 선별된 알코올 의존자(4개 문항 중 2개 이상이 그렇다고 응답하면 알코올 의존으로 규정)의 비율이 96명(25.1%)이었고, AUDIT를 통해 선별된 문제성 음주자(8점 이상)의 비율은 241명(64.8%)으로 나타났다. 4. 대상자의 음주로 인한 질병은 위장계 질환이 31.3.%로 가장 많았다. 이상의 연구결과를 종합해볼 때, 농어촌지역 직장인의 음주문제에 관한 구체적인 해결방안으로는 음주 문화에 대한 인식개선과 산업체 중심의 절주사업이 필요하며 농어촌 직장인 중 문제음주자 및 알코올 의존자의 조기발견 및 관리를 위한 알코올중독 예방 교육 및 진단 치료에 관한 교육 프로그램 개발이 필요하다.

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The Role of the Medical Person in the Drama (드라마 <태양의 후예>를 통해 본 의료인의 역할)

  • Kim, Doo Ree;Kim, Kwang-Hwan
    • Journal of Digital Convergence
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    • v.15 no.6
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    • pp.345-352
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    • 2017
  • The purpose of this study is to examine the role of medical practitioner in the medical field during the drama 'Descendants of the Sun'. The research design is a qualitative research to analyze the role of medical staff in medical field through drama. To collect this study data, we selected the communication scenes in the medical field in the 'Dawn of the Sun'. The collected data were analyzed by content analysis method. The study results are classified into four categories; 'decision making in emergency situations', 'cooperation among medical teams', 'support for patients', 'responsibility as a medical person / ethical dilemma'. This study has limitations in analyzing the role of medical staff by analyzing a drama. However, it is meaningful that the drama explored the role of the medical staff from the third party 's standpoint.

The Convergence Study of Life Stress and Health Clinic User Satisfaction in Female Students: focused on the one women's University (여대생의 생활 스트레스 및 보건실 이용 만족도에 관한 융합적 연구: 일개 여대를 중심으로)

  • Lee, Jin Hee
    • Journal of the Korea Convergence Society
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    • v.7 no.5
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    • pp.89-96
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    • 2016
  • This study comprised descriptive research the life stress and user satisfaction of female students who use University health clinic. From October 29 to November 11 2014, the 203 data were analyzed using t-test, ANOVA and Scheffe with SPSS 21.0. The highest score were in 'study', the lowest were in 'friend'. There were significant different in 'Future' and 'study' by major departments, 'friend' different by grade. 'Lover' was higher in drinking group, in total and 'value' were higher by meal habit, in 'friend' was higher in group binge. The motivations of use were high in medical treatment and InBody. Most satisfaction item were free administration and emergency medical treatment. Thus it is necessary to different design to reduce life stress in female university students and to operate effectively in university health clinic.