• 제목/요약/키워드: Hospital Nurse

검색결과 2,011건 처리시간 0.029초

남자중학교 학생의 학교사고 발생률과 사고원인에 관한 코호트 연구 (A Cohort Study of Incidence Rate and Causes of School Accidents in a Boys' Middle School in Taegu)

  • 박정한;박미화
    • Journal of Preventive Medicine and Public Health
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    • 제20권2호
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    • pp.331-340
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    • 1987
  • 남자 중학생의 학교 사고발생 및 관련요인을 알아보고자 대구시내 일개 남자중학교 학생전원 2,324명을 대상으로 1986년 3월 3일부터 1987년 2월 23일까지 한 학년도에 발생된 교내사고에 대해 전향적 방법으로 조사하였다. 사고에 대한 자료는 양호실을 찾아오는 학생을 연구자가 직접 처치후 면담조사하였고 학교행사에 관한 자료는 학교일지에서 얻었다. 한 학년도의 사고발생 건수는 총 1,126건이며 사고자수는 총 603명으로 사고발생자의 1인당 평균 사고회수는 1.9회였다. 일일 사고발생건수는 5.1건이며, 사고발생률은 1,000학생일당 2.2회였다. 반별 사고빈도는 연간 평균 약 30회 정도이나 체육특기생이 한 반에 많이 배치되었거나 담임교사가 장기간 부재한 학반에서 54건 및 58건으로 사고발생이 더 많았다. 월별 사고발생율은 6월이 1,000학생일당 3.4건으로 가장 높고 12월과 2월에는 각각 1.5 및 0.7건으로 가장 낮으며 요일별로 별 차이가 없었다. 사고 원인의 62.2%가 장난과 부주의였고, 부적합한 교구 및 시설물이 18.6%였다. 부적합한 교구 및 시설물의 49.3%가 노후된 책걸상으로 인한 사고였다. 병.의원 후송률은 맑은 날에 비해 흐린 날이 3배, 비오는 날이 5배나 되었다. 시험기간 중에는 사고가 거의 없다가 시험이 끝난 후에는 증가하는 경향이었다. 이와 같은 사고발생 양상을 볼 때 사고 예방을 위해 반 편성시 체육특기생은 분산시키고, 담임교사의 장기간 부재시는 그 학반과 가장 친숙한 임시담임교사로 대치하여 기강이 흐트러지지 않게 하며, 노후한 교구 및 시설물을 정비 또는 대체하고, 흐린 날이나 비오는 날, 그리고 시험 후에는 사고 발생 가능성이 많으므로 방송, 훈화, 체조 등을 통한 분위기 조절에 힘써야 할 것이다.

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빠른 교대근무가 피로도, 요중 17-KS, $Na^+,\;Cl^-$ 배설에 미치는 영향 (The Effect of Rapidly Rotating Shift work on the Fatigue Level, Urinary 17-KS, $Na^+$ and $Cl^-$ Excretion)

  • 정영주
    • Journal of Korean Biological Nursing Science
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    • 제1권1호
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    • pp.100-114
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    • 1999
  • This study was done to investigate the effects of rapidly-rotating shift work of two-day interval on fatigue level and the concentration of urinary 17-KS, $Na^+,\;Cl^-$. The subjects were 20 nursing college students(control group) and 15 nurses in a university hospital and the study was done from Apr. 21 to May 4th, 1999. In the test group, each 5 nurses were allocated to day shift(8 AM-4 PM), evening shift(4 PM-12 MN) and night shift(12 MN-8 AM) respectively. The fatigue level were measured 30 minutes after work start on the 2nd day of work shift. Urine specimens were collected at 8 AM, 4 PM and 12 MN on the 2nd day of work shift in the control group and 30 minutes before and after work on the 2nd day of work shift in the test group. The data were analyzed with SPSS(for Window, ver 7.5). Statistical analysis was performed by using t-test, paired t-test and ANOVA. The results were as follows. 1. The perceived fatigue level in shift work 1) The physical and mental fatigue level were significantly higher in night shift than that in day or evening shift(p<0.05). In the neuro-sensory fatigue level, night shift showed higher tendency than that in day or evening shift, but there were no significant differences between each shifts. 2) Comparison between the control group and the test group: Physical fatigue level was significantly higher in night shift than that in day or evening shift of the control group(P<.001). Mental fatigue level was significantly higher in day or night shift than that in evening shift of the control group(P<.05). In the neuro-sensory fatigue level, test group showed higher tendency than that in the control group, but there were no significant differences between two groups. 3) The total fatigue level was higher in night shift than that in day shift or evening shift(P<.05). In comparing with the control group, night shift and day shift showed higher total fatigue level than that in the control group(p<0.05). 2. The concentration of urinary 17-KS, $Na^+$ and $Cl^-$ In the control group, urinary 17-KS, $Na^+$ and $Cl^-$ showed higher level in afternoon that in morning and night. In the test group, cr in day and evening shift and $Na^+$ in evening shift showed higher level at the end of work. The 17-KS concentration at the begining and the end of work in three shift groups were lower than those in control group(p<0.05), however, $Cl^-$ concentration at the begining of work in day shift, and the end of work in day and evening shift were higher than those in control group(p<0.05). $Cl^-$ concentration at the begining and end of work in night shift were considerably higher than those in control group repectively(p<0.1, p<001). $Na^+$ concentration showed a higher tendency in three shift groups except at the begining of work in night shift, but there were no statistical difference. In comparing concentration of the 17-KS, $Na^+$ and $Cl^-$ among the shift groups, 17-KS concentration showed a lower tendency and $Na^+,\;Cl^-$ showed a higher tendency in night shift: The result of this study showes that biorhythm of shift work nurse was irregular. Fatigue level as the subjective index for evaluating the health problem concerning shift work was higher in night shift and proved to be in accordance with the concentration of urinary 17-KS, $Na^+$ and $Cl^-$ used as objective indices. Disturbation of biorhythm and work stress due to night shift seems to cause the health problem of nurses and decrease of work efficiency. It is considered that work regualtion is necessary for the rational management of the nursing administration.

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응급실 간호사의 폭력경험, 자아탄력성, 직무스트레스와의 관계연구 (Relationships among Violence Experience, Resilience and Job Stress of Nurses Working in Emergency Department)

  • 송영진;이혜경
    • 한국응용과학기술학회지
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    • 제37권5호
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    • pp.1390-1401
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    • 2020
  • 본 연구는 응급실 간호사의 폭력경험, 자아탄력성과 직무스트레스정도를 확인하고 관계를 확인하기 위한 서술적 조사연구이다. 본 연구대상은 D시 소재의 4곳과 C시 소재 2곳의 500병상 이상의 응급실에서 근무 중인 경력 1년 이상의 간호사 143명을 대상으로 하였으며, 자료수집기간은 2018년 11월 6일부터 15일까지이었다. 대상자의 폭력경험은 4점 만점에 평균평점 1.26±1.31점이었고, 자아탄력성은 4점 만점에 2.50±0.55점, 직무스트레스 정도는 5점 만점에 3.62±0.49점이었다. 폭력경험과 직무스트레스 하위영역별 상관관계에서 언어적 폭력 경험은 간호업무(r=.194, p=.010), 역할갈등(r=.158, p=.030) 스트레스와 유의한 양의 상관관계가 있었고, 신체적 위협 경험은 간호업무(r=.200, p=.008), 역할갈등(r=.162, p=.027), 의사와의 갈등(r=.145, p=.042) 스트레스와 양의 상관관계가 있었다. 자아탄력성과 직무스트레스 하위영역별 상관관계에서 간호업무 스트레스는 자아탄력성의 강인함(r=-.189, p=.012), 인내력(r=-.165, p=.025), 낙관성(r=-.186, p=.013) 영역과 음의 상관관계가 있었으며 전문지식 스트레스는 강인함(r=-.230, p=.003), 인내력(r=-.195, p=.010), 낙관성(r=-.194, p=.010) 영역과 음의 상관관계가 있었고, 간호사 대우 스트레스는 영성(r=.154, p=.033) 영역과 양의 상관관계가 있었다. 폭력경험과 자아탄력성과의 하위영역별 상관관계에서 강인함은 신체적 위협(r=-.150, p=.037) 경험과 음의 상관관계가 있었으며, 인내력은 신체적 위협(r=-.138, p=.050) 경험과 음의 상관관계가 있었고, 낙관성은 신체적 폭력(r=-.151, p=.036) 경험과 음의 상관관계가 있었다. 이상의 결과로 볼 때 응급실 간호사의 직무스트레스 감소를 위해 폭력이 발생하지 않는 안전한 근무 환경을 조성하고, 폭력상황 발생 시의 대처방법에 관한 지속적인 교육 및 스트레스 대처방법, 자아탄력성을 높이기 위한 프로그램개발 및 중재가 필요하다.

대학병원 병동 및 수술실 근무 간호사의 사회심리적 스트레스와 피로수준에 관련된 요인 (Factors Related to Psychosocial Stress and Fatigue Symptom Among Nurses Working at Ward and Operating Room in University Hospitals)

  • 박안숙;손미경;조영채
    • 한국산학기술학회논문지
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    • 제14권4호
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    • pp.1781-1791
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    • 2013
  • 본 연구는 근무특성이 다른 병동과 수술실에 근무하고 있는 간호사들의 인구사회학적 특성, 건강관련행위 특성, 직업적 특성, 직무스트레스 요인 및 사회심리적 요인에 따른 스트레스와 피로수준을 비교 분석하고자 시도하였다. 연구대상은 대전광역시에 소재하고 있는 4개 대학병원의 병동근무 간호사 220명, 수술실근무 간호사 147명, 합계 367명으로 하였으며, 2012년 7월 1일부터 8월 31일까지의 기간 동안에 구조화된 무기명 자기기입식 설문조사를 실시하였다. 연구결과, 사회심리적 스트레스에 관련된 요인으로 병동근무 간호사에서는 연령, 주관적인 건강상태, 근무경력, 업무에 대한 만족도, 업무에 대한 적성, 업무요구도, 업무자율성, 동료의 지지도, 자기존중감, 통제신념 및 A형 행동유형이 지적되었고, 수술실근무 간호사에서는 연령, 수면시간, 주관적인 건강상태, 근무경력, 업무의 신체적 부담정도, 업무에 대한 만족도, 업무에 대한 적성, 직업전환의사, 업무요구도, 업무자율성, A형 행동유형이 지적되었다. 피로수준에 관련된 요인으로 병동근무 간호사에서는 연령, 여가시간 여부, 주관적인 건강상태, 업무에 대한 만족도, 직업전환의사, 업무요구도, 통제신념, A형 행동유형이 지적되었고, 수술실근무 간호사에서는 연령, 주관적인 건강상태, 업무의 신체적 부담정도, 상사의 지지도, 동료의 지지도, 통제신념이 지적되었다. 이와 같은 결과를 볼 때 간호사의 근무부서에 따른 스트레스와 피로수준에 관련된 요인에 차이가 있음을 알 수 있으며 근무부서별 스트레스와 피로수준을 적절하게 통제할 수 있는 프로그램개발 및 실행이 필요하다고 생각된다.

중환자실 간호사들의 DNR에 대한 윤리적 태도 (ICU nurses' ethical attitudes about DNR)

  • 유은영;양유정
    • 한국산학기술학회논문지
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    • 제16권4호
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    • pp.2691-2703
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    • 2015
  • 본 연구는 중환자실 간호사들의 DNR에 대한 윤리적 문제의 인식과 태도를 파악하여 DNR 환자간호에 도움이 되는 기초자료로 활용하고자 시도하였다. G광역시 상급종합병원 1개소, 전라 남 북도 700병상이상 종합병원 각각 1개소 중환자실에 근무하는 간호사를 대상으로 2014년 8월 1일 부터 9월 5일까지 설문조사하여 154부를 최종분석 하였다. 첫째, DNR 결정 태도는 치료를 거부하는 환자의견에 반대, 예후가 좋지 않은 환자라도 생명의 연장에 찬성, 환자가 원했을 경우 어떠한 상태라도 DNR 미실시, 보호자의 요구에 의한 치료와 가망 없는 환자의 CPR실시에 반대하였다. 둘째, 환자가족에 의한 인공호흡기 및 다른 치료의 적극적 실시에 반대, 보호자의 중환자실 입실에 대립적인 입장을 보였다. DNR 환자에 대해 의사의 인공호흡기의 소극적 사용에 찬성, 환자의 신체적 심리적 안정을 위해 기본적인 간호도 줄여야 하고, 무균술을 지키지 않은 처치에 묵인하는 입장이며, 가족에 의한 환자의 상태변화를 주치의에게 여러 차례 보고하는 것에 반대하였다. 셋째, 의사의 관심감소를 인정하고, 이에 보호자의 항의가 있을 때 의료팀을 옹호하며, DNR 결정을 주치의가 내린 것에 대립적인 입장이며, DNR 지침에 따른 결정에 반대하였다. 예후가 좋지 않은 환자에게 그대로 설명하는 것에 반대 또는 중립적이며, 환자나 보호자에게 환자상태를 있는 그대로 설명하는 것과 사망에 가까운 경우 환자나 보호자에게 상태를 그대로 설명하는 것에 반대하였다. 결론적으로 DNR 주체는 환자이며, 환자의견이 충분히 반영 되어야 하며, 의료행위의 범위와 결정과정에서의 갈등을 최소화하고 환자중심의 윤리적 의사결정이 되도록 DNR 결정에 대한 표준과 지침이 필요하며, 충분한 설명을 근거로 한 동의가 이루어 져야하겠다.

농촌지역사회 보건요원의 교육을 통한 주민의 보건복지향상에 관한 사회의학적 연구 (Socio-Medical Approach to the Welfare of Rural Residents Through the Education of Community Health Personnel)

  • 염용태;이명숙;조병희
    • 농촌의학ㆍ지역보건
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    • 제17권1호
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    • pp.34-45
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    • 1992
  • In this county, the gap between the urban 'haves' and the rural 'have-nots' continues to be an increasing problem. WHO and UNICEF see primary health care(PHC) as the key to achieving an acceptable level of health throughout the world as a community development. PHC is essential health care made accessible to individuals and families in the community by means acceptable to them. It is the first level of contact of individual, the family, and community with the national health system. It includes at least education on health system. It includes at least education on health problems, promotion of food supply, MCH including family planning, immunization against infectious diseases, control of endemic diseases, treatment of common diseases and injuries, promotion of mental health, and provision of essential drugs. However, of the aboves, education concerning of mental health problems and the methods to identify, prevent, and control them is the principal step of establishment. In Korea, the category of PHC worker includes the physician as public doctor and nurse as primary health care practitioner and community health leader as village health worker. PHC workers of the aboves will thus function best if they are appropriately trained to respond to the health needs of the community. However in this country, since the national PHC service project launched in 1980, the government has not developed and performed appropriate and enough education and training activities. In light of above reasons, several categories of health education activities had been planned and performed being aimed at above specific target groups and the main focus was on the village health workers for about one year from July 1991 to July 1992 in Yeoju Kun of Kyonki Province. At the end of the period, evaluation of education input was carried out to measure the improvement of healthful life of people in terms of awareness, attitude, and practice. At the end of the period, evaluation of education input was carried out to measure the improvement of healthful life of people in terms of awareness, attitude, and practice. The totals of 80 village health workers, 13 public health practitioners and 9 public docters took in the course of health education for a few hours at every month and the evaluation works of educational effect were taken. The results the study were as follows. 1) Number of persons who realized the maxim "health care of the people is a duty of the government" increased after the education course, On the other hand, the rate of satisfaction on the effort of government for health promotion of the people decreased. 2) Public doctors and primary health care practitioners(nurses) liked and enjoyed the education schedule as a meeting of peer group. It provided chances of communication with staffs of Korea University Hospital. It was said that lectures covered great deal of knowledge and technic they urgently needed in the field. 3) After finishing the education course, more of village health workers(VHW) thought they adapted themselves to their roles and functions showing increased number of home visit and contact with primary health care practitioners by month. 4) In case of patient refer, VHW preferred primary health care practitioners to public doctors. 5) Capability of VHWs in most of their functions increased dramatically after when the education course finished except tuberculosis control.

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서울시내 중고등학교 결핵이환학생에 대한 결핵관리실태 및 지식에 관한 조사연구 (A Study on Knowledge and Disease Management of Tuberculosis by Themselves of Tuberculosis Patients Among the Middle and High School Students in Seoul.)

  • 도성숙
    • 한국보건간호학회지
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    • 제1권1호
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    • pp.32-44
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    • 1987
  • The purpose of this survey was to find out the knowledge and the disease management of the Tuberculosis patients by themselves among the first grade middle and high school students in Seoul city during the period of June 15-July 19, 1986. Questionaires were used to collect the data and were analysed from answers of 188 students at the 113 schools. The results were as follows: 1. The ages of the students were distributed as follows: in middle school, 13 years old was $70.0\%$. 14 years old, $20.0\%$, and 15 years old, $6.7\%$. In high school, 16 years old was $66.5\%$, 17 years old, $18.4\%$, and 15 years old, $10.1\%$. 2. In X-ray mass examination by school, the rate of execution was $50.4\%$ in middle school and $96.7\%$ in high school, and in X-ray mass examination by student, it was $50.1\%$ in middle school and $97.3\%$ in high school. 3. The prevalence of Tuberculosis among the middle school students was $00.3\%$and high school students, $0.15\%$. 4. Of the total, $77.1\%$ of the respondents did not realized Tuberculosis bdore X-ray mass examination 5. The perfect cure rate of the respondents was $52.7\%$. 6. General characteristics of the respondents: a. The educational background was varied as follows: of the total $47.9\%$ of the fathers had the level of high school education and $37.2\%$ of the mothers had the level of middle school education. The educational background of the parents had no statistical significant to the medical cure rate of Tuberculosis. (P>0.05). b. The average monthly income of the family was as follows : above five hundred thousand won was $21.8\%$, three or four hundred thousand won was $22.9\%$, and below two hundred thousand won was $10.6\%$. The most frequent family size was 5-6 persons. $(59.6)\%$. 7. The actual situation of Tuberculosis control and the variables related to the treatment: a. $69.1\%$ of the respondents wanted mental support from their surroundings. $48.7\%$ of the respondents answered that their parents or the other family helped treatment as mental supporter, b. As a medical service, $53.2\%$ of the respondents were treated at Health Center, $38.8\%$ were treated at a hospital. A medical service was statistically significant to the medical cure (P<0.01). c. Family members of $61.7\%$ of the respondents had checked chest X-ray. A X-ray examination of family was statistically significant to the medical cure (P<0.005). d. $73.9\%$ of the respondents had taken the Anti-Tuberculosis-drugs regularly. Regular taking of Anti-Tuberculosis drugs was statistically significant to the medical cure (P<0.005). e. $89.4\%$ of the respondents had received a regular examination during the treatment. A regular examination was statistically significant to the medical cure (P<0.05). f. The period of perfect cure was that $50.0\%$ of the respondents took from half a year to one year, $25.2\%$ took below half a year and $16.2\%$ took from one year to one year and a half. g. The rate of the respondents who abhored to let anyone know their disease was $93.1\%$. 8. Knowledge related with Tuberculosis: a .$63.3\%$ of the respondents answered that Tuberculosis is a communiable disease. b. $89.9\%$ of the respondents answered that there is a preventive method of Tuberculosis. Among them, $28.4\%$ answered that it is B.C.G. vacination. c. $96.8\%$ of the respondents belived they can be cured perfectly. d. $42.4\%$ of the perfect curer answered that they had have permanent immunity of Tuberculosis. According to the results of above study, it is desired to be practiced X-ray mass examination to the total middle school students. Nurse teachers and the responsible persons who participated to the helping of disease management to the Tuberculosis patients must make an offer knowledge of Tuberculosis to the Tuberculosis patients. And also, it will be very helpful to the cure of Tuberculosis patients if they do their best and to have a mental supporter.

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관상동맥질환자의 관상동맥질환에 대한 지식, 건강신념 및 환자역할행위에 관련된 요인 (Factors Related to Knowledge, Health Belief and Sick Role Behavior to the Coronary Artery Disease among Patients with Coronary Artery Disease)

  • 강영옥;조영채
    • 한국산학기술학회논문지
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    • 제12권11호
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    • pp.4985-4994
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    • 2011
  • 본 연구는 관상동맥질환자들의 관상동맥질환에 대한 지식, 건강신념 및 환자역할행위 수준을 알아보고, 관련 요인을 파악하기 위하여 2010년 7월 1일부터 8월 31일까지의 기간 동안에 1개 대학병원에 내원한 관상동맥질환자 168명을 대상으로 자기기입식 설문조사를 하였다. 연구결과 관상동맥질환에 대한 지식정도는 여자보다 남자에서 (p=0.033), 건강신념은 연령이 낮을수록(p=0.043), 환자역할행위는 남자보다 여자에서(p=0.006), 연령이 증가할수록 (p=0.015), 종교가 있는 군(p=0.050)에서 유의하게 높았다. 또한 관상동맥질환에 대한 지식과 환자역할행위는 관상동맥 질환으로 진단 받은 후 경과기간, 입원횟수, 관상동맥질환에 대한 인식정도, 매스컴을 통한 관상동맥질환에 대한 정보 수집 유무에 따라 유의한 차이를 보였으나 건강신념은 모든 변수에서 유의한 차이를 보이지 않았다. 다변량 회귀분석 결과 지식정도에 영향을 미치는 요인으로는 질병에 대한 인식정도, 환자역할행위 점수, 가족 및 친구의 관상동맥질환 여부, 관상동맥질환으로 진단 받은 후 경과기간이 유의한 변수로 선정되었으며, 건강신념에 영향을 미치는 요인으로는 연령과 환자역할행위점수가 유의한 변수로 선정되었다. 환자역할행위에 영향을 미치는 요인으로는 지식정도 점수, 질병에 대한 인식정도, 연령, BMI 및 종교유무가 유의한 변수로 선정되었다. 이상의 결과를 볼 때 관상동맥질환자들의 관상동맥질환에 대한 지식정도, 건강신념 및 환자역할행위는 그들의 일반적인 특성이나 관상동맥질환과 관련된 요인에 따라서 유의한 차이를 보이고 있음을 확인할 수 있었다.

우리나라 간호연구의 현황과 문제 (Nursing research issues and trends : views from Korea)

  • 오가실;신희선;김희순
    • 대한간호
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    • 제31권3호
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    • pp.76-87
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    • 1992
  • The purposes of study was: 1. To identify the direction and scope of research activities in Korean Nursing. 2. To discuss the unique problems present in Korea that warrant nursing research. 3. To delineate the factors that facilitate and/or hinder nursing research in Korea. This study was conducted at six colleges of nursing in Korea. The schools which were selected had doctoral programs at the time, the data were collected in 1990. Four of the schools were located in the metropolitan area of the capital city, Seoul, and two were in two other cities similar in size. The total population of the study was 283 nurses. The instrument for the research was the English version of Research Profile Questionnaire which was translated into Korean by the researchers and was validated in its translation by two professors. A pretest procedure was done before the data collection process. Of the population of 283, 210 subjects received the questionnaire and 150 subjects responded(71.4%). Excluding incomplete questionnaires, 141 questionnaires were utilized for data analysis. Data were analyzed using descriptive statistics. Responses to open-ended questions were content analyzed for themes and categories. Results of the study were as follows : Respondents currently , involved in nursing research numbered 108(76.6%), but 33(23.4%) did not have any research experience. The inexperienced respondenLs tended to be younger than the experienced subjects and most( 60.6%) were employed in hospitals, while 82.4 percent of the experienced nurses were employed in nursing schools. Among the respondents with research experience, 68.5 percent were involved in one to three projects and 31.5 percent were engaged in four or more projects. The experienced nurses indicated that nursing research in Korea is active. On the other hand, the responses of the inexperienced were that nursing research is not active. The most frequently selected research subjects were patients(76.9%, 83 respondents) followed by nurses, healthy persons and nursing students. The relatively high percentage of healthy persons as study subjects, could be explained as a concern of nurses for healthy persons as well as for ill patients. The aforememioned literature review showed a dramatic change in the kinds of study subjects; approximately 33 percent were patients but 25 percent were healthy subjects of various ages. The hospital was the prevailing research setting(67.6%) but at the same time various community settings were used. This is a changing phenomena in nursing research of Korea. Current research designed to build on previous studies amounted to 75 percent; about 39.8 percem were theory and hypothesis generated. Over 65 recommended additional research focusing on hypothesis-testing 0:' theory building. The previously quoted literature review found that only 4.0 percent of the study quescions were developed from a theoretical framework. The most frequently listed current major focus of nursmg research was stress and adaptation. Patients with cancer, pain, social support and care of the elderly were the next most frequently reported. These concerns may reflect problems associated with a technological and industrializing societyl. The most frequently identified problem was lack of clinical research. The need for replication research and research that contributes to the accumulation of nursing knowledge were found to be rare in Korean research. A need for theory testing and theory construction research was also identified. Although advanced statistical methods were often utilized in nursing research, the results were frequently considered by the interviewers not to be applicable in practice, and readers had difficulty in comprehending the findings. Even though the number of clinical nurses involved in research is increasing, it is still considered inadequate. Among 108 respondents, 83(76.9%) gave lack of time as a barrier to conducting nursing research. Over fifty percent of the respondents reported lack of funding or, personally, low confidence in research skills as barriers. The respondents offered 183 suggestions for future emphasis in nursing research. Among the 51 areas of emphasis, clinical research received the highest number and nursing intervention was next. The findings suggested that nursing research should be based on theory, be related to practice and relevant to the situation of a unique Korean culture.

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일체형 방어벽 제작을 통한 이동형 엑스선 발생기의 차폐능 평가 (Shielding Capability Evaluation of Mobile X-ray Generator through the Production assembled Shield)

  • 김승욱;안병주
    • 한국방사선학회논문지
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    • 제12권7호
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    • pp.895-908
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    • 2018
  • 의료방사선의 관리에서 가장 중요한 사항은 진료의 적정성을 확보하면서 방사선위해를 최소화하는 것이다. 국제원자력기구는 진단방사선 분야의 선량 감소 방법에 대한 지침서를 만들어 환자피폭선량을 측정하여 각 국가에 사용하도록 권고하고 있다. 또한 국내에서도 우리나라의 실정에 맞게 각 촬영마다 환자 피폭 선량값을 연구하여 진단참고준위를 제시하였다.환자가 질병 때문에 방사선 진료를 받는 것은 방사선 때문에 일어날 수 있는 위해보다 그것으로 얻어지는 이익이 크기 때문이다. 병실 이동검사와 같이 자신의 질병과 무관하게 방사선에 노출되는 환자 및 보호자들의 피폭을 줄이기 위해서는 환자, 방사선사, 의사 및 의료기관의 노력이 가장 중요하다.이에 본 연구에서는 개선방안의 일환으로 MG로 병실의 이동 검사에 대한 문제점을 제시하고 이 문제점을 근거로 하여 산란선으로 예상되는 공간선량률을 분석하였다. MG에 자체 개발한 방어벽을 설치하여 방어벽 설치 전후의 공간선량률을 측정하여 그 감소율을 분석하였다. 최종적으로 이 자료들을 종합하여 MG에 방어벽을 부착하여 방사선사의 병실이동에 대한 부담감의 최소화, 병실 이동검사로 인한 방사선사, 환자 및 보호자를 방사선 노출로부터 보호하고, 검사로 인한 주위 환자 및 보호자의 불편을 최소화하는데 의의가 있다. 이와 같은 개선안에 대해 보다 효율적인 시행을 위하여 MG에 대한 새로운 법 제도가 마련되면, 향후 예상되는 비용, 인력, 고객만족도 및 더욱 더 안정적인 피폭감소방안이 정착될 것이라 사료된다.