• 한국병원경영학회지
• /
• 제24권3호
• /
• pp.11-26
• /
• 2019

Objectives: The purpose of this study was to investigate the effect of the perception on the quality of nosocomial infection control on perceived risk, trust, and the intention to revisit among the medical consumers. Method: 361 patients and their guardians who were hospitalized in women's hospital, Gangnam-gu, Seoul, participated in this study. The data was analyzed using SPSS Statistics 21.0. Results: The perception on the quality of nosocomial infection control had a negative(-) effect on perceived risk, a positive(+) effect on trust, a positive(+) effect on the intention to revisit. The perceived risk had a negative(-) effect on trust, a negative(-) effect on the intention to revisit. The trust had a positive(+) effect on the intention to revisit. The perceived risk was partially mediated by the perception on the quality of nosocomial infection control and the intention to revisit, while the trust was fully mediated by the perception on the quality of nosocomial infection control and the intention to revisit. Thus, it indicated that the perceived risk and trust had dual mediated effects as well as full mediated effects in the relationship between the perception on the quality of nosocomial infection control and the intention to revisit. Conclusions: The nosocomial infection control can be an important factor to contribute to hospital management by attract the loyal medical customers, not just cost-expenditure. The nosocomial infection control can help hospital revenue and customer management strategy. Thus, it will contribute to the effective marketing strategy in the medical field.

• Pediatric Infection and Vaccine
• /
• 제31권1호
• /
• pp.64-74
• /
• 2024

최근 의료기관 관련 홍역 유행 사례가 보고되고 있지만, 유행 역학조사 보고서가 표준화되어 있지 않아 질병부담의 크기를 이해하는 데 어려움이 있다. 본 연구에서는 의료기관 관련 감염을 측정하기 위해 개발된 Outbreak Reports and Intervention Studies of Nosocomial Infection (ORION) 조사도구를 사용하여 병원 내에서의 홍역 발생의 크기를 측정하고자 하였다. 본 연구에서는 PubMed, Web of Science, Embase, Scopus 및 Cochrane에서 "measles," "nosocomial," "hospital," 및 "healthcare" 등의 주제어를 사용하여 검색을 수행하였다. 총 24건의 의료기관 관련 홍역 유행 역학조사 연구를 ORION 도구를 활용하여 검토했다. 연구 결과 전 세계적으로 의료기관 내에서의 홍역 전파는 발병률, 사망률 및 경제적으로 중대한 부담을 주고 있는 것을 확인하였다. 의료기관 관련 홍역을 예방하기 위해 의사 및 간호사 등 의료 종사자들의 예방접종 지침이 준수되어야 할 것이며, 특히 표준화된 유행 역학조사 보고서의 활용이 필요하다.

• 한국학교ㆍ지역보건교육학회지
• /
• 제10권1호
• /
• pp.47-60
• /
• 2009

Purpose: The purpose of this study was to determine the effects of infection control education, knowledge, attitude and self-confidence of student nurses, regarding nosocomial infection control. Method: This was a nonequivalent control group nonsychronized design. The participants were 83 student nurses who were conveniently assigned to the experimental or a control group. The data were collected from March 5 to June 11, 2008 and analyzed based on Fisher's exact test and t-test. Result: The 1st hypothesis, "Posttest nosocomial infection control knowledge scores for the experimental group will be higher than scores for the control group" was supported (t=2.057, p=.043). The 2nd hypothesis, "Posttest nosocomial infection control attitude scores for the experimental group will be higher than those for the control group" was not statistically significant (t=.466, p=.643), The 3rd hypothesis, "Posttest nosocomial infection control self-confidence scores for the experimental group will be higher than those for the control group" was not statistically significant (t=2.290 p=.025). Conclusion: This infection control education was effective in increasing the levels of knowledge and self-confidence for student nurses regarding nosocomial infection control.

• Asian Pacific Journal of Cancer Prevention
• /
• 제15권13호
• /
• pp.5349-5353
• /
• 2014

Statistical methods to analyze and predict the related risk factors of nosocomial infection in lung cancer patients are various, but the results are inconsistent. A total of 609 patients with lung cancer were enrolled to allow factor comparison using Student's t-test or the Mann-Whitney test or the Chi-square test. Variables that were significantly related to the presence of nosocomial infection were selected as candidates for input into the final ANN model. The area under the receiver operating characteristic (ROC) curve (AUC) was used to evaluate the performance of the artificial neural network (ANN) model and logistic regression (LR) model. The prevalence of nosocomial infection from lung cancer in this entire study population was 20.1% (165/609), nosocomial infections occurring in sputum specimens (85.5%), followed by blood (6.73%), urine (6.0%) and pleural effusions (1.82%). It was shown that long term hospitalization (${\geq}22days$, P= 0.000), poor clinical stage (IIIb and IV stage, P=0.002), older age (${\geq}61days$ old, P=0.023), and use the hormones were linked to nosocomial infection and the ANN model consisted of these four factors. The artificial neural network model with variables consisting of age, clinical stage, time of hospitalization, and use of hormones should be useful for predicting nosocomial infection in lung cancer cases.

• 한국콘텐츠학회논문지
• /
• 제8권11호
• /
• pp.189-202
• /
• 2008

본 연구의 목적은 병원 물리치료사들의 병원감염에 대한 인식도와 실천도를 조사하고 인식도와 실천도에 영향을 미치는 요인을 분석하여 물리치료실 내 병원감염 관리 프로그램 및 정책 수립을 위한 자료를 제공하고자 하는데 있다. 본 연구의 자료는 405명의 물리치료사로부터 수집하여 분석하였다. 본 연구에서는 일반적 특성, 병원감염에 대한 교육 상태 및 교육의 필요성 그리고 병원감염을 예방하기 위한 인식도와 실천도 등을 묻는 리커트 5점 척도의 자기 기입식 설문지를 사용하였다. 연구의 결과 물리치료사들의 병원감염 교육은 거의 이루어지지 않고 있었으며 이러한 교육 결여로 인해 물리치료사들의 병원감염 예방에 대한 인식도 및 실천도는 매우 낮은 실정이었으나 물리치료사들의 병원감염 프로그램의 필요성 인식과 병원감염 교육에 대한 요구는 매우 높은 수준이었다. 따라서 현행 물리치료학과 교육 중, 병원감염에 대한 교육 프로그램이 도입되어야 할 것으로 사료되며 이와 더불어 물리치료실을 운영하는 병원에서도 물리치료실의 병원감염 관리에 대한 교육 프로그램의 수립이 필요한 것으로 사료된다.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
• /
• 제10권2호
• /
• pp.29-37
• /
• 2004

Recently the hospital infection with misappropriation of the antibiotic and absence of knowledge is aincreaseing trend. For this, medical treatment is confronting infection management guide. But so far there is no accurate standard or countermeasures. Since early 1990 Nosocomial Infection has not been looked over, although there is serious problem. After 90's understanding seriousness of Nosocomial Infection, many investigations have been done, but the relations of medical facilities were hardly investigated. This thesis shows the relation between facilities and Nosocomial Infection by documental references and the direction for intensive care unit through survey the recent general hospitals.

• 기본간호학회지
• /
• 제15권2호
• /
• pp.153-160
• /
• 2008

Purpose: This study was done to examine the level of compliance and the relation of related factors of nosocomial infection control among nurses in emergency rooms. The data will provide fundamental information for developing programs for nosocomial infection control in the emergency room. Method: Study participants were 183 nurses working in emergency rooms in general hospitals that had more than 500 beds and were located in Daegu, Daejeun, and Pusan. The survey was carried out from March 7 to March 26, 2006 and a structured questionnaire was used. Descriptive statistics, t-test, ANOVA and Sheffe test with SPSS 14.0 were used to analyze the data. Results: The average level for practice of infection control was relatively low Levels of compliance were high when the participants had: 1) regular conferences for nosocomial infection control, 2) positive perception of protection devices, 3) knowledge of whom to report and experiences of reporting needle stick injuries, 4) hospital guidelines for infection control and 5) enough equipment supplies from the hospital. Conclusion: Nosocomial infection control among emergency room nurses could be improved via personal, psychosocial, and organizational factors and related education.

• 한국직업건강간호학회지
• /
• 제15권1호
• /
• pp.40-49
• /
• 2006

Purpose: This study was designed to investigate nursing students' exposure experience to infectious diseases and their knowledge and performance for the nosocomial infection control. Method: The data was obtained from 292 nursing students having clinical experience at two university hospitals in Seoul from November 2005 to February 2006. Specific questionnaire was constructed and used for this study. The obtained data was analyzed by using the SPSS window program. Result: The results were as follow : 1. Among the evaluation scores of knowledge for the nosocomial infection control, the score of sterilization and the score of the intravenous therapy management were low(.14). 2. Among the evaluation scores of performance for the nosocomial infection control, the score of hand washing is low(1.63). 3. 86.3 percent of the nursing students had exposure experience to infectious disease. Many of them did not use the protective equipments in clinical experience nor took any treatment after the exposure to infectious diseases. Conclusion: Based on these results, we suggest that the programs for the nosocomial infection control should be developed for nursing students. It is also suggested that nursing students should be educated before their clinical experience to keep protected from the infection. In particular, the hand washing, sterilization and intravenous therapy management should be emphasized in the educational programs.

• Journal of Yeungnam Medical Science
• /
• 제30권2호
• /
• pp.83-89
• /
• 2013

Background: The prevalence of extended-spectrum ${\beta}$-lactamase (ESBL)-producing Escherichia coli is increasing rapidly worldwide. Treatment options for ESBL-producing E. coli are limited, and infections caused by this organism are associated with improper antibiotic use, a long hospital stay, and increased mortality. Thus, the assessment and early recognition of the risk factors of nosocomial infections due to ESBL-producing E. coli are important for the infection control and proper treatment. Methods: A case-control study was performed that included nosocomial episodes of ESBL-producing E. coli bacteremia at a tertiary care hospital from January 2004 to December 2007. For each case patient, three controls were randomly selected and data on predisposing factors were collected. Results: Fifty-five cases of nosocomial ESBL-producing E. coli bacteremia were studied. Carbapenem usage (OR: 11.3, 95% CI: 1.1-115.9, p=0.041), quinolone usage (OR: 4.5, 95% CI: 1.1-18.8, p=0.042), biliary obstructive disease (OR: 11.8, 95% CI: 3.0-46.7, p<0.001) and the APACHE II score (OR: 1.3, 95% CI: 1.2- 1.5, p<0.001) were analyzed as independent risk factors of nosocomial ESBL-producing E. coli bacteremia. Conclusion: Our results showed that physicians caring for patients with risk factors of nosocomial bacteremia should consider ESBL-producing E. coli as the causative organisms of the disease.

• Neonatal Medicine
• /
• 제17권1호
• /
• pp.84-93
• /
• 2010

목 적 : 병원 감염 패혈증에 취약한 극소 저출생 체중아에서 병원 감염 패혈증의 발생빈도, 위험인자 분석을 통해서 병원 감염 패혈증의 감소 방안을 모색하고자 하였다. 방 법: 2002년 1월부터 2009년 6월까지 7년 6개월동안 을지의과대학교 대전을지병원과 노원을지병원 신생아 중환자실에 입원한 출생체중 1,500 g 미만의 극소 저출생 체중아 중 출생후 72시간 이상 입원치료를 받았던 총 341명을 대상으로 의무기록을 후향적으로 분석하여, 병원 감염 패혈증의 발생빈도, 원인균, 위험인자, 결과 등을 조사하였다. 결 과:병원 감염 패혈증의 발생빈도는 16.1% 였고, 평균 발병시기는 21.5$\pm$15.9일이었으며, 원인균으로는 Staphylococcus aureus (21.3%), Klebsiella pneumoniae (14.7%), Coagulase negative staphylococcus (9.8%), Enterococcus spp. (9.8%) 순이었다. 위험인자의 다변량 분석에서 의미 있는 위험요인으로 재태기간(odds ratio [OR], 0.87; 95% CI, 0.83-0.91), 5일 이상 UAC를 삽입하는 경우(OR, 2.2; 95% CI, 1.15-4.46), 5일 이상 UVC를 삽입하는 경우(OR, 2.1;95% CI, 1.11-4.16), 말초동맥관을 삽입하는 경우 (OR, 2.1; 95% CI, 1.14-4.04), 정맥관 지방유제 투여(OR, 4.3; 95% CI, 1.13-14.32)로 나타났다. 결 론 : 극소 저출생 체중아의 병원 감염 패혈증을 줄이기 위해서는 제대관을 통한 카테터 삽입을 비롯한 침습적 시술을 최대한 줄이고, 정맥영양을 통한 영양공급을 최대한 단시간에 마치기 위한 방안을 모색해야 할 것으로 사료된다.