• 가정간호학회지
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• 제29권1호
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• pp.82-92
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• 2022

Purpose: The purpose of this study was to investigate the factors affecting the prevention behavior of COVID-19 infection among nursing students. Methods: This survey was conducted from September 3 to October 2, 2021 among 172 sophomore and senior students at universities in D metropolitan city and J province. The data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation and Hierarchical Regression. Results: There were significant differences in COVID-19 preventive behavior by gender (t=0.13, p=.017) and clinical practice experience (t=2.78, p=.006). COVID-19 preventive behavior showed significantly positive correlations with subjective norm (r=.35, p<.001), self-efficacy(r=.33, p<.001), and intention(r=.62, p<.001). The variables affecting COVID-19 preventive behavior were intention(β=.529, p<.001), subjective norm(β=.169, p=.008), and clinical practice experience(β=.118, p=.049), and the explanatory power was 43%. Conclusion: Considering these results, it is necessary to develop strategies that can encourage the intention of nursing students to practice prevention for COVID-19 infection control. In addition, maintaining subjective norms through national policies is a critical strategy.

• 한국보건간호학회지
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• 제36권3호
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• pp.417-430
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• 2022

Purpose: The purpose of this study was to develop a respiratory infection prevention program for the rural elderly in the post-coronavirus disease 2019 (COVID-19) era. Methods: The Delphi method was used to validate the contents of the program. Two rounds of Delphi surveys and one individual interview were conducted on four subjects and 16 categories with nine experts. Content validity was calculated using the content validity ratio (CVR) and coefficient of variation (CV). Results: This study verified the content validity of the existing program components, such as respiratory infection prevention characteristics, cough etiquette, correct hand washing, oral hygiene, correct tooth brushing, and exercise by walking. The study comprised 28 categories covering seven subjects, including the provision of knowledge and information about COVID-19, environmental management for respiratory infection prevention, and exercise training for immunity enhancement. Conclusion: This Delphi study examined the respiratory infection prevention program that was redesigned for the post-COVID-19 era and confirmed the validity of the educational contents. The findings of this study suggest that the program can be used practically for the prevention of respiratory infection among the rural elderly.

• 성인간호학회지
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• 제24권2호
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• pp.119-129
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• 2012

Purpose: The purpose of this study was to test hand hygiene behavior model of hospital nurses, based on theory of planned behavior. Methods: Data were collected from 253 nurses from four university hospitals for the period of December 2010 to January 2011. Data were analyzed using of SAS (ver.9.1). Fitness of the study model was identified with SAS PROC CALIS. Results: The overall fitness was $x^2$=57.81 (df=13, $p$ <.001), GFI=.99, AGFI=.99, CFI=.95, NFI=.93. The variance of actual implementation of hand hygiene by predictor variables was 11.0% and the variance of intention to hand hygiene was 53.5%. Variable that had a direct effect on hand hygiene behavior was intention. Perceived behavior control and attitude affected hand hygiene behavior indirectly. Control belief had a direct effect on perceived behavior control and had an indirect effect on intention and behavior. Behavioral belief had a direct effect on attitude and an indirect effect on intention and behavior. Conclusion: The study provides basic information for understanding nurses' hand hygiene behavior. Further testing of the model will indicate which variables can contribute to improved hand hygiene.

• 한국보건간호학회지
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• 제37권1호
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• pp.54-65
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• 2023

Purpose: The purpose of this study is to identify the factors influencing COVID-19 infection prevention behavior of nursing students. Methods: Data collection is from December 17 to October 22, 2021. One hundred and ninety-seven nursing students participated in this study. Data were analyzed using an independent t-test, ANOVA, correlation coefficient, scheffé test, and multiple regression analysis. Results: COVID-19 knowledge (r=.49, p<.001), attitude (r=.41, p<.001), and COVID-19 risk perception (r=.40, p<.001) were related to COVID-19 infection prevention behaviors. The factors influencing COVID-19 preventive behaviors were identified as knowledge (𝛽=.28, p<.001), attitude (𝛽=.25, p<.001), risk perception (𝛽=.18, p=003), 2th grade (𝛽=.19, p=.011), 3th grade (𝛽=.21, p=.006), 4th grade (𝛽=.20, p=.008), and gender (𝛽=.12, p=.033). Conclusion: The results of this study can be used for the development of health policies suitable for community infectious disease prevention behaviors and the development of infectious disease educational intervention programs.

• 실천공학교육논문지
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• 제15권2호
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• pp.449-457
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• 2023

본 서술적 조사연구의 목적은 대학생의 호흡기감염 예방행위에 영향을 미치는 요인으로 건강신념과 호흡기 감염관리 자기효능감을 알아보고자 시도되었다. 대상자는 경상북도 K 시 일개 대학에 재학 중인 학생 178명으로 2020년 9월 1일부터 10월16일까지 구조화된 설문지로 자료를 수집하였다. 연구결과는 다음과 같다; 건강신념은 참여자의 성별(t=-2.86, p=.005), 전공계열(F=2.95, p=.034), 처방된 약물 복용 유무(t=2.18, p=.030)와 유의한 차이가 있었다. 호흡기 감염관리에 대한 자기효능감은 대학생의 성별(t=-3.56, p=<.001), 전공계열(F=4.59, p=.004)과 유의한 차이가 있었다. 건강신념(r=.276, p<.001)과 호흡기 감염관리에 대한 자기효능감(r=.195, p<.001)은 호흡기감염 예방행위에 정적 상관이 있었다. 다중회귀분석 결과 호흡기 감염관리에 대한 자기효능감(β=.66, p<.001)이 호흡기감염 예방 행동에 유의한 영향을 미치는 것으로 나타났고, 모형의 설명력은 43%로 나타났다. 따라서, 대학생의 호흡기감염을 예방하기 위한 행동을 촉진하기 위해서는 호흡기 감염관리에 대한 자기효능감을 강화할 수 있는 프로그램이 개발되어야 할 것이다.

• 한국콘텐츠학회논문지
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• 제21권1호
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• pp.674-683
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• 2021

본 연구는 건강신념과 자기효능감이 개인의 질병 예방행위를 결정하는 영향요인으로 보고, HPV 예방접종과 관련된 건강신념과 자기효능감이 HPV 예방행위의도에 미치는 영향을 파악하고자 하였다. 전국 5개 지역 4년제 대학에 재학 중인 여대생을 대상으로 405명의 자료를 수집하였으며, 수집된 자료는 SPSS 25.0 Statistics Program을 이용하여 분석하였다. 연구결과 감염예방행위의도에 영향을 주었던 전공계열, HPV 관련 지식, HPV 예방접종 경험을 통제변수로 투입한 후에도 HPV 예방접종 관련 건강신념과 자기효능감이 감염예방행위 의도에 유의한 영향이 있음을 확인하였다. 본 연구결과를 통해 여대생의 HPV 관련 감염예방행위의도에 영향을 미치는 요인을 파악함으로써 여대생의 HPV 감염예방행위의도를 높일 수 있는 중재 개발을 위해 개인의 건강신념과 자기효능감 개선이 필요함을 확인하였으며, 이와 같은 연구결과를 바탕으로 HPV 예방행위 증진을 위한 다양한 프로그램 개발과 운영이 필요하다 여겨진다.

• Asian Pacific Journal of Cancer Prevention
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• 제17권6호
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• pp.2761-2765
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• 2016

Opisthorchiasis is a health problem in rural communities of Thailand, particularly in the northeast and north regions. Therefore, this study aimed to investigate raw fish consuming behavior related to liver fluke infection among the population at risk for opisthorchiasis and cholangiocarcinoma (CCA). A cross-sectional descriptive study was conducted in Meuang Yang district, Nakhon Ratchasima province, northeast Thailand, between June and October 2015. Participants were screened for CCA, and samples who had a high score of CCA risk were purposively selected. A predesigned questionnaire was utilized to collect the data from all participants. $X^2-test$ was used for analysis of associations between demographic data and raw fish consumption. The results revealed that participants had past histories of stool examination (33.0%), liver fluke infection (21.0%), praziquantel use (24.0%), raw fish consumption (78.0%), relatives family consuming raw fish (73.0%), and relatives family with CCA (3.0%). Participants consumed several dished related to liver fluke infection, mainly raw fermented fish (13.0%), under smoked catfish (5.00%), raw pickled fish (4.00%), and raw spicy minced fish salad (3.00%). The most common types of cyprinoid fish were Barbodes gonionotus (39%), Hampala dispar (38%), Puntius brevis (37%), Cyclocheilichthys armatus (33%), Puntioplites proctozysron (32%), and Luciosoma bleekeri (30%), respectively. Participants had a low level of knowledge (mean=3.79, SD=0.74), moderate attitude (mean=7.31, SD=7.31) and practice (mean=38.64, SD=6.95) regarding liver fluke prevention and control. Demographic variables like age (>36 years old; $X^2-test=17.794$, p-value=0.001), education (primary school; $X^2-test=18.952$, p-value=0.001), marital status (married; $X^2-test=12.399$, p-value=0.002), and income (<5,000 baht; $X^2-test=27.757$, p-value=0.015) were significantly associated with raw fish consumption. This result indicates that the population had risk consumption for liver fluke infection particularly of various cyprinoid fishes that are $2^{nd}$ intermediate hosts. Therefore, health education is required to improve their behavior.

• 의료법학
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• 제8권1호
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• pp.61-105
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• 2007

The Hospitalized Acquired Infection is defined as the case where the hidden infection or not found at the time of hospitalization occurs during the hospitalized period or, within 30 days to those who performed the surgery operation and then left the hospital. About 2/3 of the Hospitalized Acquired Infection are found as having the internal infection cases that are occurred by the patients' own virus due to the lowered immune system, while about 1/3 are found as having the external infection. The latter 1/3 of the external infection cases can be prevented through the infection management. And in case the new Hospitalized Acquired Infection case occur to the patient who was treated in the hospital, its responsibility issue will matter. As well in the disputes over the Hospitalized Acquired Infection cases, the cause-result relation between the damages and the medical staff's fault and as to whether there is failure of the medical staff or not. personnel should be proved in the medical-malpractice cases. In addition, the difficulties in proving such as expertise, secrecy propensity, discrete propensity and incompleteness will be considered to ease the burden of patient side's proving. Probability theory, Fact based assumption theory, Most adequate plaintiff preassumption or Expressed evidence theories are being discussed as the theories of eased burden of proof. In the result of gathering and reviewing Korea's precedent cases concerning the Hospitalized Acquired Infection, there are only a few accumulated prece dent cases and the attitude of the court also are also not consistent. Therefore, there are the precedents where the cause-result relation and the failure are immediately assumed when (1) timely proximity between the medical behavior and malpractice results, (2) proximity between the medical behavior-applied parts and the malpractice results-found parts, and (3) lack of other causes are separately evidenced; while the are the precedents only when 'the existence of the medical faults based on the common sense' is separately evidenced. It was found that the former and latter cases coexisted. The former is considered as based on the theory that separates the fault and cause-result relation not to consider them together, or regarded as based on the doubts that assumes the medical staff's neglect even though the Hospitalized Acquired Infection might be completely prevented by their efforts. However, the modern medical technology has the limitation as far as the prevention of the Hospitalized Acquired Infection. In conclusion, the assumption of the cause-result relation and that of the fault should be separately reviewed. Therefore, the latter precedents are considered as more reasonable, in the point the faulty behavior may be proved based on the common sense.

• 한국산학기술학회논문지
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• 제19권8호
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• pp.220-229
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• 2018

본 연구는 간호대학생의 혈액매개감염관리 지식, 혈액매개감염관리 인식 및 혈액매개감염 예방행위 실천도를 파악하고, 혈액매개감염 예방행위 실천도에 영향을 주는 요인을 파악하고자 시도되었다. 2017년 12월 1일부터 15일까지 G광역시 소재 간호대학에 재학중인 임상실습을 마친 3학년 475명에게 구조화된 설문지를 사용하여 자료를 수집하였다. 연구결과 간호대학생의 혈액매개감염관리 지식 점수는 13.13점(0-18점), 혈액매개감염관리 인식은 4.18점, 혈액매개감염 예방행위 실천도는 4.34점이었다. 혈액매개감염 예방행위 실천도의 경우 가장 점수가 높은 문항은 '환자에게 사용한 주사바늘은 찔리지 않도록 조심한다.' 가장 점수가 낮은 문항은 '환자의 혈액이나 체액이 튈 가능성이 있을 때는 가운이나 마스크를 착용한다.'로 나타났다. 간호대학생의 혈액매개감염 예방행위 실천도는 혈액매개감염관리 지식과 혈액매개감염관리 인식과 양의 상관관계를 보였고, 혈액매개감염 예방행위 실천도에 미치는 영향요인은 나이, 교육경험, 노출유무, 혈액매개감염관리 지식으로 나타났으며 이들 변수의 설명력은 16.3%이었다. 따라서 간호대학생의 혈액매개감염원에 대한 노출 발생률 감소를 위해 간호대학생을 위한 병동 단위의 표준화된 교육 프로토콜 개발 및 적용이 필요함을 알 수 있었다.

• Asian Pacific Journal of Cancer Prevention
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• 제16권16호
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• pp.7375-7379
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• 2015

A high prevalence of Opisthorchis viverrini infection is usually found in wetland geographical areas of Thailand where people have traditional behavior of eating uncooked freshwater fish dishes which results in cholangiocarcinoma (CCA) development. There were several approaches for reducing opisthorchiasis-linked CCA, but the prevalence remains high. To develop community participation as a suitable model for CCA prevention is, firstly, to know what factors are related. We therefore aimed to investigate factors associated with the community participation in CCA prevention among rural residents in wetland areas of Ubon Ratchathani, Thailand. This was a cross-sectional analytic study. All participants were 30-69 years of age, and only one member per house was invited to participate. A total of 906 participants were interviewed and asked to complete questionnaires. Independent variables were socio-demographic parameters, knowledge, health belief and behavior to prevent CCA. The dependent variable was community participation for CCA prevention. Descriptive statistics were computed as number, percentage, mean and standard deviation. Associations were assessed using logistic regression analysis with a P-value <0.05 considered statistically significant. Of all the participants, more than 60% had regularly participated in activities to prevent CCA following health officials advice. Age and health behavior to prevent CCA were factors associated with community participation for CCA (p<0.001). Both factors will be taken into consideration for community participation approaches for CCA prevention through participatory action research (PAR) in future studies.