• 제목/요약/키워드: public health emergency

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시설 및 재가 요양보호사의 응급상황 경험과 응급처치 지식, 응급상황대처능력, 교육경험 및 교육요구도 비교 (Comparison of Emergency Experience and First Aid Knowledge, Emergency Coping Ability, Educational Experience and Educational Needs of Facilities and Home Caregivers)

  • 김순옥
    • 한국보건간호학회지
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    • 제33권3호
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    • pp.390-408
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    • 2019
  • Purpose: This study is descriptive research that provides basic data to develop customized emergency education programs for strengthening the emergency coping ability of caregivers suitable for facility and home care services. Method: This study included 210 facility and 169 home care workers in S and G regions. Data collection was conducted from February 1, 2019 to March 5, 2019. The data was analyzed using a t-test, one-way ANOVA, Pearson's correlation coefficients, and Scheffe tests. Results: The emergency experience was higher in the facilities group, (90.5% in the facilities group and 70.4% in the home group), and there was a significant difference between the groups (t=25.03, p<.001). First aid knowledge was 10.41±2.81 in the facilities and 9.70±2.97 points in the home group, showing a difference between the groups (t=2.40, p=.017). The emergency coping ability was 60.57±4.76 points in the facility group and 57.53±4.18 points in the home group, which was higher in the facility group. There was a significant difference between the two groups (t=6.53, p<.001). The emergency education demand was 98.6% for the facilities group. Conclusion: These results highlight the need to develop and apply case-based emergency education suitable for the characteristics of the service and reflecting the educational needs of each type of service.

국내 119구급자원의 지역별 배치 현황 -시·군·구별 기준 충족 여부와 지역특성을 중심으로- (Status of region-wise deployment of 119 emergency resources in Korea -Focusing on whether regional criteria are met and the characteristics of the region-)

  • 권혜지;신영전
    • 한국응급구조학회지
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    • 제28권2호
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    • pp.157-172
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    • 2024
  • Purpose: Ensuring prompt and consistent 119 emergency services for all citizens is crucial and requires every region to adhere to prescribed deployment standards Methods: This study assessed the compliance with 119 emergency resource deployment standards in 229 districts (si-gun-gu) by analyzing data from 18 fire headquarters as of December 31, 2022. Results: At the Sigun-gu level, 16 areas (7%) did not meet the fire station standards. Among the 229 si-gun-gu, 25 (10.9%) failed operational ambulance standards, and 114 (49.8%) did not meet the 119 first responder standards. Areas lacking fire station standards had lower financial self-sufficiency and higher elderly and single-person elderly household proportions (p<.05). Areas not meeting ambulance standards had lower proportions of these populations, but higher financial self-sufficiency. In addition, areas that did not meet the 119 first-responder standards had greater financial autonomy (p<.05). Areas meeting only basic fire station standards had higher proportions of elderly and single-person households and lower financial self-sufficiency. Areas meeting only ambulance standards had lower financial autonomy, whereas those meeting only emergency medical technician standards had lower financial self-sufficiency and a higher elderly proportions (p<.05). Conclusion: Si-gun-gu, with a large elderly population and poor finances, often fails to meet fire station standards and meets only the basic criteria. Continuous monitoring and targeted management are crucial for reducing disparities in 119 resource allocation and improving the overall deployment.

제주지역 보건계열 대학생의 지역안전지수(LSLI) 관련 안전인식과 국민안전의식지수(PSCI) (A study on awareness of disaster safety related to local safety level index (LSLI) and public safety consciousness index (PSCI) of College students in Jeju)

  • 이영아;김효실
    • 한국응급구조학회지
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    • 제28권2호
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    • pp.143-155
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    • 2024
  • Purpose: This study aimed to investigate awareness of disaster safety related to the local safety level index (LSLI) and public safety consciousness index (PSCI) among college students in Jeju. Methods: This was a descriptive cross-sectional study. The data were analyzed using the t-test, one-way ANOVA, Pearson's correlation coefficient, and multiple regression analysis using SPSS 26.0. Results: Awareness of disaster safety related to the local safety level index (LSLI) and PSCI was high. PSCI was significantly positive correlated with LSLI(r=.402, p<.01) and accounted for 17.5% of LSLI. Conclusion: The influencing factor for LSCI among PSCs was living safety, suggesting that safety education should focus on life safety.

대구시내 종합병원에 입원한 화상환자의 화상원인과 현장에서 취한 응급처치 (Causes of Burn and Emergency Care on the Spot for the Patients Admitted to Three Hospitals in Taegu)

  • 주민;박정한
    • Journal of Preventive Medicine and Public Health
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    • 제21권2호
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    • pp.238-244
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    • 1988
  • This study was conducted to investigate the causes of burn and emergency cares taken on the spot for the burn patient. Study population included 161 burn patients admitted to 2 university hospitals and 1 general hospital in Taegu from November 1, 1987 to April 30, 1988. Patients or guardians were interviewed with a structured questionnare. Out of 161 burn patients 111(68.9%)were males and 50(31.1%) females. Preschool children of 1-4 years old accounted for 29.8% of the total patients. Burns of children under 15 years of age took place at home in 91.0%, while 48.3% of burns of adult (15 years and over)males occurred at the working place, and 68.0% of adult females occurred at the home. Out of total burns occurred at home 39.8% took place at kitchen/dining room and 24.1% in the room. The most common cause of burns in children was the boiling water or hot food (74.3%). In adults the common causes were electrical burn(22.4%), hot water or food(19.0%) and explosion(12.1%) for males, and hot water or food(32.0%) and explosion (20.0%) for females. Common emergency cares for the burn taken on the spot were undressing(64.6%), pouring Soju(liquor)(13.7%), and pouring cold water(5.0%). There were a few cases who applied ash, soy or salt. To prevent burn, it is recommended to remodel the traditional kitchen and coal-briquet hole, to strengthen the safety control of LP Gas and LN Gas supply, to educate the public for the handling method for such gases, to strengthen the occupational safety control, to improve the safety device for the electric wire and socket, and to limit the temperature of hot water at home and public baths.

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Structural Factors of the Middle East Respiratory Syndrome Coronavirus Outbreak as a Public Health Crisis in Korea and Future Response Strategies

  • Kim, Dong-Hyun
    • Journal of Preventive Medicine and Public Health
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    • 제48권6호
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    • pp.265-270
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    • 2015
  • The recent Middle East respiratory syndrome coronavirus (MERS-CoV) outbreak has originated from a failure in the national quarantine system in the Republic of Korea as most basic role of protecting the safety and lives of its citizens. Furthermore, a number of the Korean healthcare system's weaknesses seem to have been completely exposed. The MERS-CoV outbreak can be considered a typical public health crisis in that the public was not only greatly terrorized by the actual fear of the disease, but also experienced a great impact to their daily lives, all in a short period of time. Preparedness for and an appropriate response to a public health crisis require comprehensive systematic public healthcare measures to address risks comprehensively with an all-hazards approach. Consequently, discussion regarding establishment of post-MERS-CoV improvement measures must focus on the total reform of the national quarantine system and strengthening of the public health infrastructure. In addition, the Korea Centers for Disease Control and Prevention must implement specific strategies of action including taking on the role of "control tower" in a public health emergency, training of Field Epidemic Intelligence Service officers, establishment of collaborative governance between central and local governments for infection prevention and control, strengthening the roles and capabilities of community-based public hospitals, and development of nationwide crisis communication methods.

응급실 간호사의 감정노동, 건강증진행위 및 직무만족도 영향 요인 (Factors Affecting Job Satisfaction, Emotional Labor and Health Promotion Behavior of Emergency Room Nurses)

  • 장은화;심문숙
    • 한국보건간호학회지
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    • 제32권2호
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    • pp.249-262
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    • 2018
  • Purpose: This study was attempted to identify the emotional labor, health promotion behavior, and job satisfaction of emergency room nurses in general hospitals. Basic data were provided on the development of interventions to reduce negative consequences of emotional labor, improve nurse health and improve job satisfaction, and provide effective management of nursing staff. Methods: The study conducted a survey on the use of the survey program of D, N and J, and the research objective was understood by more than 6 months of experience at 8 general hospitals. Results: Nurses' emotional labor and health promotion have been shown to have significant effects on job satisfaction. Factors affecting job satisfaction included health promotion behaviors, emotional labor, and gender, among which emotional labor was affected significantly by a wealth, and health promotion was a significant cause of justice. Conclusion: Job satisfaction will increase if nurses lower their emotional labor and raise the level of practice for health promotion. Therefore, a mediation program is needed to reduce the level of emotional labor of nurses, which can provide an opportunity for them to practice health promotion activities and improve the job satisfaction of nurses.

Exploring the Development of Public Health Care through Health Care Utilization Survey

  • CHOI, Eun-Mee;JUNG, Yong-Sik;KWON, Lee-Seung
    • 산경연구논집
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    • 제12권12호
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    • pp.11-24
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    • 2021
  • Purpose: The purpose of this study was to provide comprehensive measures for the development of public health care through a survey on consumers' awareness of health care use from the point of view of local residents. Research design, data and methodology: For about one week from January 07 to January 14, 2021, questionnaires were distributed to 800 local residents and analyzed. For statistical analysis of collected data, frequency analysis and cross-analysis were performed. Results: Regarding public health service, 'providing medical services that can be used by all citizens and protect and promote health' had the highest response rate of 95.2% of total respondents. Regarding health care system satisfaction, 'Accessibility to general treatment' had the highest score with an average of 3.31 points. Regarding comprehensive measures for the development of public health care, 'Establishment of an infection and patient safety system' had the highest score with an average of 3.91 points. Conclusions: The direction of public health care and services should include management of infectious diseases during national disasters, reduction of gaps in medical use by region and class, improvement of access to emergency medical care, and quality improvement of specialized medical care.

일부 지역 주민의 종합병원 응급실 이용 환자에 관한 특성 (Characteristics about Patients using the Emergency Room of a General Hospital of a partial area Residents)

  • 조현태
    • 한국학교ㆍ지역보건교육학회지
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    • 제17권3호
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    • pp.61-70
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    • 2016
  • Objectives: The purpose of this study was to verify about characteristics about patients using the emergency room of a general hospital of a partial area residents. Methods: The analysis of the data was used by SAS program(ver. 9.2). Chi-square test was used in analyzing degree of emergency of patients visiting the emergency room of a general hospital. Using cluster analysis, subjects were classified into 3groups. Results: Urgent and emergent patients at the age of 40 or greater were significantly higher than in under 10 years. the rates of urgent and emergent patients in male(3.2% and 3.3%) were significantly higher than in female(2.5% and 2.2%)(p<0.001). Urgent patients were the highest at 11 p.m.-3 a.m. and on Thursday and in winter. Emergent patients were the highest at 4 a.m.-8 a.m. and on wednesday and in winter. Patients as cause of disease was the highest in illness. Conclusion: Policy establishment and measures of government and public health authority were needed for emergent diseases at the age of 40 or greater of male and at midnight time and on thursday and wednesday and in winter.

텔파이 방법에 의한 응급구조사 국가시험 과목개선 제안 (Proposal of a New EMT National Registry Exam using the Delphi Method)

  • 유순규;조진만;김진회;엄태환
    • 한국응급구조학회지
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    • 제14권2호
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    • pp.57-69
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    • 2010
  • Purpose : The National Registry Exam had some problems on validity of EMT evaluation and verification. The aim of this study was to propose a New EMT National Registry Exam. Methods : Conducted using the Delphi Method(lst meeting March 29 in 2008, 2nd meeting May 31 in 2008, 3rd meeting September 20 in 2008, 4th meeting January 16 in 2009) from questionnaire data(391 from Paramedic, 317 from Basic EMT) collected between June 16-30(lst questionnaire) and October 16-30(2nd questionnaire) in 2008 and a public hearing on February 5 in 2009. Results: The subjects proposed at the request of the National Health Personnel Licensing Examination Board were Introduction, Medical+Trauma Emergencies(Paramedic & Basic) for written examination and scenarios+protocols(Paramedic), protocols(Basic) for practical examination. Conclusion : To be able to response patients' problems in various emergencies, this integrated examination was selected and proposed.

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Study on Automatic External Defibrillators deployed at General Supermarkets

  • PARK, Sang-Kyu;KIM, Jee-Hee;UHM, Tai-Hwan
    • 유통과학연구
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    • 제17권12호
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    • pp.63-70
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    • 2019
  • Purpose: This study was to propose effective deployment of automatic external defibrillators (AEDs) installed at general supermarkets. Research design, data, and methodology : We conducted interview and data surveys on 72 large distributors in Seoul and Gyeonggi province in South Korea. The content of this survey was consisted of general status on the general supermarkets, AED deployment and management regarding public access defibrillation (PAD). GPower (v 3.1.9.4; Universität Kiel, Kiel, Germany) was also used to analyze statistical power. Radius and actual distance, radius and retrieval time were compared by t-test at α=.05. respectively. Results : Difference between the radius (102.7 meters) and the actual distance (187.8 meters) was 85.1m, it had statistically significant difference (p<.001). The actual distance was longer compared to the radius distance. Difference between the radius (114.1 seconds) and the retrieval time (208.7 seconds) was 94.6s, it had statistically significant difference (p<.001). The retrieval time took longer compared to the radius time as well. Conclusions : The finding shows that only 45.9% of the general supermarkets are satisfied with the actual AED coverage within 3 minutes. This needs to enhance AED deployment to reduce defibrillation time and AED management to boost application in South Korea.