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허연정,현혜진 대한질적연구학회 2021 대한질적연구학회지 Vol.6 No.1
Purpose: The purpose of this study was to understand in-depth experiences of role conflict among infection control nurses’ (ICNs) in terms of the gaps between the role expectations and actual roles. Methods: This study was a qualitative study to explore and describe the implications of role conflict experiences of ICNs through a phenomenological approach. One-on-one in-depth interviews were conducted with ICNs who worked as full-time for more than three years in the infection control department, and the results were analyzed using Colaizzi’s (1978) phenomenological method. Results: Topics brought up by the participants were categorized into five themes. The themes included "lack of awareness of infection control", "psychological burden of professional competence", "infectious control not being accepted due to different management and operational goals", "unrelentingly overworked", "shadow labor without adequate compensation", and "The process of earning mutual trust". Conclusion: In order to resolve the role conflict of ICNs, it is necessary to establish a career management system for ICNs and to have an appropriate compensation system.
허연정,김주현,정재심,이승주 대한질적연구학회 2019 대한질적연구학회지 Vol.4 No.-
Purpose: We conducted phenomenological qualitative research to provide in depth understanding on infectious disease management. Methods: Participants were 10 nurses working in an isolation ward, where only patients with infectious diseases were institutionalized in one general hospital in Seoul. Data were collected through individual interviews and analyzed according to Colaizzi data analysis method. Results: The main theme of the experience of the nurses who worked in the isolated ward was ‘Nurse's sense of duty to overcome the fear of infection’. Through 83 meaningful re-statements and 13 themes, three sub-themes including ‘Unstable isolation ward’, ‘Taking care of infected patients’ and ‘Insufficient isolation patient care system’. Conclusion: Nurses, working in the new isolation ward, work in a lonely and dangerous environment having fear of infection, being lack of supplies and overcoming various psychological difficulties. In-depth understanding of these needs require efficient infection management policies, measures, and societal recognition.
Fluconazole 지연형 과민반응에 대한 성공적인 탈감작 사례 1예
허연정,박승우,이규선,강혜련,권재우 대한 소아알레르기 호흡기학회 2018 Allergy Asthma & Respiratory Disease Vol.6 No.1
Fluconazole is a triazole-based first-generation antifungal agent and has excellent effects on candidiasis and cryptococcosis. Hypersensitivity has been reported as a side effect of fluconazole. A 76-year-old female patient used fluconazole for consolidation therapy for cryptococcal meningitis, but showed delayed hypersensitivity with skin rashes and itching sensation of the whole body. For desensitization, was attempted by administering 12-step, 1:1 fluconazole solutions were administered intravenously at sequentially increasing infusion rates. After successful quick desensitization to fluconazole, fluconazole was continuously used as a consolidation therapy for cryptococcal meningitis. We herein report a case of delayed hypersensitivity reaction to fluconazole in consolidation therpy with cryptococcal meningitis who successfully completed desensitization.
허연정,남소희,현혜진 한국의료질향상학회 2021 한국의료질향상학회지 Vol.27 No.2
Purpose: This study tested the effectiveness of brochure- and video-based education on managing surgical site infections by operating room health personnel. Methods: From April 20 to May 4, 2021, 34 operating room health personnel were subjected to training on surgical site infection management using brochures and educational videos. A survey was then conducted on knowledge, perception, and adherence regarding surgical site infection management. Results: After receiving training on surgical site infection management, the knowledge score increased significantly (15.15±2.09 vs.19.70±1.96, p<.001). However, the perception and adherence scores were already near perfect before the intervention and did not further increase after the intervention. Conclusion: It is necessary to develop and utilize continuous and substantive educational programs to improve perception and adherence of surgical site infection management.
한국의 40세 이상 남녀의 소득, 결혼, Body Mass Index, 건강행태요인이 당뇨에 미치는 영향
허연정(Yeon-Jeong Heo),손미아(Mia Son),현혜진(Hye-jin Hyun) 한국자료분석학회 2021 Journal of the Korean Data Analysis Society Vol.23 No.3
이 연구는 한국인유전체역학조사사업(KoGES)에서 2001년부터 2013년 사이에 구축된 지역사회기반코호트(안산, 안성), 도시기반코호트, 농촌기반코호트 자료를 통합하여 구축한 한국의 만 40세 이상 성인 남녀를 210,413명을 대상으로 소득수준, 결혼, BMI, 건강행태요인이 당뇨병에 미치는 영향을 분석하였다. 당뇨병에 미치는 위험요인을 보면, 소득이 당뇨병과 역의 선형을 보이면서, 소득이 적을수록 당뇨병이 증가하는 경향이 뚜렷하게 나타났다. 남성, 고령, 사별, 비만, 음주, 흡연이 당뇨병에 영향을 미치는 것으로 나타났으나, 소득과 결혼이 건강행태요인들보다 당뇨병에 더 많은 영향을 미치고 있었다. 이 연구는 당뇨병 발생 위험요인이 높은 집단은 소득 수준이 낮고, 결혼상태가 별거, 이혼한 고령의 남성 집단임을 보여주고 있다. 이 연구는 당뇨병 발생위험이 소득수준, 결혼상태와 같은 사회경제적 상태에 따라 차이가 있어 당뇨병 중재 프로그램개발과 적용을 고려할 때 인구학적 특성과 사회경제적 상태를 고려한 중재가 필요함을 제시하였다는 점에서 의의가 있다. 특히 당뇨병의 치료 및 관리에 있어서 소득수준에 따른 다양한 중재방안이 이루어져야 할 것이다. This study was conducted by integrating data from community-based cohorts (Ansan, Anseong), urban-based cohorts, and rural-based cohorts established between 2001 and 2013 by the Korean Genome Epidemiology Survey (KoGES) in Korea, and was constructed by those over the age of 40 in Korea. The effects of income level, marriage, BMI, and health behavior factors on diabetes were analyzed for 210,413 adult men and women. The effect on diabetes was inversely linear with income, and as the income decreased, the tendency to increase diabetes was evident. Men, old age, bereavement, obesity, drinking, and smoking were found to have an effect on diabetes, but income and marriage had more influence on diabetes than health behavior factors. In conclusion, it is necessary to adjust health behavioral factors for elderly male subjects with low income, separated from their marital status, and divorced with risk factors for diabetes, and to prepare interventions to improve awareness and prevent diabetes.
의료종사자, 환자, 일반인의 코로나19 사회적 거리두기 행동 지침에 대한 인식과 수행 비교
허연정(Heo Yeon Jeong),남소희(Nam So Hee),정재심(Jeong Jae Sim),김연희(Kim Yeon Hee) 한국기초간호학회 2021 Journal of korean biological nursing science Vol.23 No.1
Purpose: To identify the differences in perception of and adherence to the COVID-19 social distancing behavior guidelines among health care workers, patients, and the general public and to use them to prevent the spread of COVID-19. Methods: From October 16 2020 to November 30, 2020, a survey was conducted among 85 health care workers, 85 patients, and 82 general public regarding the perception of and adherence to the COVID-19 social distancing behavior guidelines. Results: Patients scored significantly higher than the general public in the adherence to the COVID-19 social distancing behavior guideline, and there was no difference between health care workers and general public, and patients and health care workers. In the multivariate analysis, the factors that influence the adherence of the COVID-19 social distancing behavior guide were found in women and the perception of the COVID-19 social distancing behavior guideline. Conclusion: In order to promote the implementation of the COVID-19 social distancing behavior guideline, it is necessary to increase the perception of the COVID-19 social distancing behavior guideline and provide additional education in men. It is necessary to investigate the reason behind why men have low adherence to the COVID-19 social distancing behavior guideline.