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간호사들의 항암제 취급실태와 안전수칙에 대한 인지도와 실천도
김매자(Kim Mae Ja),전명희(Jun MyungHee),최진선(Choi Jin Sun),박종순(Park Jong Sun) 대한종양간호학회 2004 Asian Oncology Nursing Vol.4 No.2
Purpose To provide basic data for establishing the policy of safe handling of Cytotoxic drugs and for building training materials and clinical guidelines for nurses handling Cytotoxic drugs Methods 255 nurses in Seoul and 257 nurses in D metropolitan area participated in the study Questionnaires were based on the safe handling guldeline for Cytotoxic drugs issued by OSHA and ONA Results: Nurses in Seoul scored higher in the cognition for safe handling guidelines of cytotoxic drugs in preparation administration, as well as total score compared with nurses in D metropolitan area The practlcal score also showed higher in nurses in Seoul in administration, disposal and total score But both groups showed low level of practical score The answers why they could not follow the guideline for Cytotoxic drugs were " don't have", "busy", and "don't know", etc Conclusion Handling of the Cytotoxic drug is very common and Important The study findings suggest that hospitals especIally in D metropolitan area should educate the nurses and supply equipments for safe handling of cytotoxic drugs Thus, repetItIve and contioual educatIOn of all nurses including experts IS needed in addition. It is necessary to supply enough protective equipment for preventing exposure to the cytotoxic drugs.
재가 항암화학요법을 받는 암환자의 가정간호중재 알고리즘 개발
박정호,김매자,홍경자,한경자,박성애,윤순녕,이인숙,조현,신계영,방경숙,Park, Jung-Ho,Kim, Mae-Ja,Hong, Kyung-Ja,Han, Kyung-Ja,Park, Sung-Ae,Yun, Soon-Nyoung,Lee, In-Sook,Cho, Hyun,Shin, Gye-Young,Bang, Kyung-Sook 한국가정간호학회 1998 가정간호학회지 Vol.5 No.-
Cancer is a leading cause of death, and the number of cancer patients is increasing in Korea. The needs for the home care of cancer patients are increasing recently, but the standardized home care protocols are not developed yet. This study was designed to develop nursing assessment -intervention algorithms for the cancer chemotherapy patients at home. These algorithms suggest guidelines when we assess the patient's condition, and find appropriate nursing interventions, so that standardization and quality control of home care can be attained. The algorithms were processed by yes-no tree. Eleven common problems of cancer chemotherapy patients were identified by the literature review and oncology nurses' experience. These were digestive dysfunction, pain, fatigue, infection, respiratory difficulties, activity intolerance, hemorrhage, sensory disorder, edema, skin problem, and mucosal problem. The algorithm needs to be validated and modified by using for the cancer chemotherapy patients at home.
지역사회 중심 가정간호사업 운영연구(가정간호사업 운영을 위한 정보전달체계 개발Ⅱ)
박정호,김매자,홍경자,한경자,박성애,윤순녕,이인숙,조현,방경숙,Park, Jung-Ho,Kim, Mae-Ja,Hong, Kyung-Ja,Han, Kyung-Ja,Park, Sung-Ae,Yun, Soon-Nyoung,Lee, In-Sook,Cho, Hyun,Bang, Kyung-Sook 한국가정간호학회 1998 가정간호학회지 Vol.5 No.-
The purpose of this study was to develop the framework of community-based home care nursing delivery system, and to examine the validity of it. For these, home care nursing study team of College of Nursing, Seoul National University has studied home care nursing system since September, 1996, and has operated home care center since August, 1997. This study has been supported by the Korean Sience Foundation. We organized Committee of rules, and Clinical specialist consultant group for more efficient running of the home care center. In nursing station, research assistant controlled general work, and 5 home care nurses were hired for home visiting. We developed the Standards for operations, that included criteria for clients, central supply system of nursing materials, central management of nursing care cost, advertisement, patient referral system, and so forth. In our center, 108 patients enrolled, and neurologic disorders including cerebrovascular accident, and cancer were the most prevailing diseases. We tried to overcome the limitations of hopital -based home care, and to provide more accessible, efficient, safe, and stable home care nursing. Therefore, we were referred clients from patients and families, public health care center, industries, as well as from hospitals. Meanwhile, we developed home care recording system and assessment-intervention algorithm for various diseases for quality control and standardization. Also, we did continuing education, and tried to detect problems and to find solutions by regular meeting between the committee of rules and home care nurses. As the results of this study, several limitations of operation were found. First, it was difficult to manage and communicate with the doctor in the emergency situation, Second, we spent too much time for trasnsportation, because only five nurses covered all areas of Seoul and nearby cities. Third, preparation for special care of home care nurses were lacked. Forth, criteria for termination of care and frequency of home visit were ambiguous. Fifth, some difficulties were found in retrospective payment system. And finally, interconnection with home care machinery company were needed. Strategies for solving these problems were suggested.