2018∼2020년 상병건강검진 결과 추이 분석

조순영 ( Joe Seunyoung ),정은영 ( Jung Eunyoung ),권은지 ( Kwon Eunji ),우선영 ( Woo Seon Yeong ) 국군의무사령부 2023 대한군진의학학술지 Vol.54 No.1

Objective The purpose of this study was to identify the health condition and health behavior of soldiers through the analysis of medical check-ups of corporals from 2018 to 2020. Method This study was a secondary analysis, and the data of 257,565 soldiers from 2018 to 2020 medical check-ups of corporals held by the Armed Forces Medical Command were used. The medical check-ups consisted of physical examinations, blood tests, and medical survey. Results 248,683 soldiers (96.55%) were examined at military hospitals and 8,882 soldiers (3.45%) at medical battalion. As a result of physical examination, the average body mass index (BMI) was 23.82±3.11kg/m2, 49.63% of the soldiers had normal blood pressure. According to blood test results, soldiers with total cholesterol more than 240mg/dL were 1.89% in 2018, 1.87% in 2019, and 2.24% in 2020. The current smoking rate was 44.84% in 2018, 44.58% in 2019, and 44.30% in 2020. The rate of drinking was 85.05% in 2018, 84.92% in 2019, and 79.66% in 2020. Conclusion Medical check-up of corporal included not only active services but also full-time reserve services, and conducted in various institutions. Therefore, it is necessary to prepare a data management system and conducts a complete enumeration study using the data. In addition, we propose a longitudinal study to analyze changes in health behavior of soldiers. Lastly, we suggest to recheck the medical check-up questionnaires.

육군 사단 건강증진사업 가이드라인 개발 : ‘CLEAR Toolkit’을 기반으로

조순영 ( Joe Seunyoung ),송미애 ( Song Miae ),이새롬 ( Lee Saerom ),박계영 ( Park Kyeyeong ) 국군간호사관학교 군건강정책연구소 2021 군진간호연구 Vol.39 No.4

Purpose: The purpose of this study was to develop a health promotion project guideline for the workers in charge of the Army Division's health promotion project. The study was based on the CLEAR Toolkit’s four steps named as ‘Treat, Ask, Refer, Advocate’. Methods: This methodological study was performed by two phase. First, focus group interview of fifteen workers in charge of the Army Division's health promotion project was carried out to make-up a guideline draft. Second, a validity test was done by five experts of military health promotion project, then the authors finalized the guideline based on their opinions. Results: The guideline was consisted of 11 theme clusters and four clusters called ‘Check the health problems’, ‘Ask about health promotion needs’, ‘Refer to in and out of military system’, ‘Advocate for consistent health promotion activities’. Conclusion: So, this guideline will be used to more effectively improve the health statues of army soldiers when offering health promotion project.

간호장교의 두창백신 접종 경험

조순영 ( Joe Seunyoung ),김혜원 ( Kim Hyewon ),서송화 ( Seo Songhwa ) 국군간호사관학교 군건강정책연구소 2020 군진간호연구 Vol.38 No.4

Purpose: The purpose of this study is to describe ROK nursing officers' smallpox vaccination experiences. Methods: The experiences were explored through in-depth interview with 12 nursing officers who got vaccinated smallpox. The data were analyzed with phenomenological methods of Colaizzi. Results: In this study, 29 themes and 11 theme clusters were extracted and these were clustered into 4 main categories: ‘Complex perceptions related to supporting the vaccination of the smallpox’, ‘A new experience different from the known vaccination’, ‘Difficult management due to various body reactions’, and ‘Preparedness as a nursing officer with readiness. Conclusion: The study results showed a fundamental understanding of smallpox vaccination experience of ROK nursing officers. It is necessary to enhance awareness of smallpox vaccination as well as needs for vaccination among first responders and military medical personnel.

국군간호사관학교 재난관리대학원 프로그램 개발

조순영 ( Joe Seunyoung ),김윤미 ( Kim Younmi ),백서영 ( Baek Seoyoung ),김혜원 ( Kim Hyewon ) 국군간호사관학교 군건강정책연구소 2021 군진간호연구 Vol.39 No.2

Purpose: The purpose of this study was to develop a master's course in the graduate school of disaster management at Korea Armed Forces Nursing Academy (KAFNA). Methods: Initial items were drawn from relevant literature review and focus group interview (FGI) with 5 disaster nursing experts who have experienced in disaster site and 10 nurses who have completed disaster nursing education of KAFNA between February and August in 2020. The content validity index about initial items were reviewed by 10 experts in September, 2020. Results: The content analysis of FGI showed 8 categories (Prevention/preparedness management, response management, recovery management, disaster management practice, international health, disaster and mental heath, advanced statistics, seminar on thesis) including 22 sub-categories. Based on the review for usability by the experts who were instructors, and education curriculum for graduate course on disaster management were revised in the final version. The education curriculum for graduate course on disaster management were 10 subjects with 30 credits. Conclusion: The study proposed the academical development of disaster management field and improved the actual competency of disaster management.

국군간호사관생도의 그릿(Grit) 측정도구 개발

이인숙 ( Lee Insook ),조순영 ( Joe Seunyoung ),권오영 ( Kwon Oh-young ),송진 ( Song Jin ) 국군간호사관학교 군건강정책연구소 2018 군진간호연구 Vol.36 No.1

Purpose : The aim of this research is to develop a questionnaire to measure the grit of cadets in Korea Armed Forces Nursing Academy (KAFNA) and test the validity and reliability of the scale. Methods : The initial items were identified through a literature review and 4 focus groups of 17 cadets in their 3rd and 4th year at KAFNA. Content validation of the initial questionnaire with 53 items was evaluated by 10 experts which were 5 professors and 5 discipliners in KAFNA. To test the validity and reliability of the final questionnaire with 51 items, 320 cadets in their 1st to 4th year at KAFNA were surveyed. Furthermore, convergent validity, exploratory factor analysis and internal consistency test were performed. Results : The final questionnaire with 26 items are categorized into 5 domains (feeling recognized, perceiving the priorities, finding the meanings, motivating myself, having an interest), which explained 61.7% of the total variances. Cronbach's alpha for the total items was .94. Conclusion : This questionnaire could be used in the development and evaluation of educations and counseling to improve Grit.

권역외상센터 간호사의 핵심역량

김혜원 ( Kim Hyewon ),조순영 ( Joe Seunyoung ),홍은지 ( Hong Eunji ) 국군간호사관학교 군건강정책연구소 2018 군진간호연구 Vol.36 No.2

Purpose: The purpose of this study is to grasp core competency and related factors of trauma nurses at regional trauma centers in South Korea. Methods: The study was a cross-sectional survey design. Through convenient sampling, 175 trauma nurses were recruited from 5 regional trauma centers in South Korea. The data were collected by using the self-reported questionnaire including core competency of trauma nurse. The data were analyzed using descriptive statistics, t-test, χ²-test, ANOVA, Kruskal-Wallis test, and multiple regression. Results: The mean score of core competency of trauma nurses was 3.64±0.55, and the mean scores of sub-scales were comfort enhancer 3.77±0.64, clinical knowledge 3.71±0.59, partner/guide/health education 3.62±0.66, coordinator 3.56±0.72, risk management 3.58±0.58 each. The related factors of core competency of trauma nurses were age, education level, working experience, working period at the unit. Multiple regression analysis showed that education(β=.18, p=.022) & explained 9.4% of core competency of nurses at regional trauma centers. Conclusion: The findings revealed that nurses at regional trauma centers are in need of structured educations for specialized trauma nursing before being assigned to regional trauma centers and continuing education periodically to enhance their core competency of trauma nursing.

군 병원 입원환자의 환자참여 의지 영향 요인

우선영 ( Woo Seon Yeong ),이승은 ( Lee Seung Eun ),조순영 ( Joe Seunyoung ),이태화 ( Lee Tae Wha ) 국군간호사관학교 군건강정책연구소 2021 군진간호연구 Vol.39 No.3

Purpose: The purpose of this study was to investigate the factors affecting willingness of patient participation in ROK military hospitals. Methods: The study design was a descriptive correlational study. 133 patients participated in the study. Data were collected on patient safety knowledge, health-related self-efficacy, patient-provider relationship, and willingness to participate in patient safety using an internet survey. Data were analyzed with descriptive statistics and multiple regression using SPSS. Results: The patient's willingness to participate was 3.63, and the factors affecting the patient’s willingness to participate were health-related self-efficacy and patient-provider relationship. When medical staff encouraged patient’s participation, the mean score of the patient's willingness to participate was 3.69, and the factors affecting the patient’s willingness to participate were patient safety knowledge and patient-provider relationship. Conclusion: Building a good patient-provider relationship, enhancing patient education, and improving self-efficacy should be recommended to facilitate patient participation activities. Strategies to increase the opportunities for patient provider interaction, develop educational materials suitable for military hospital inpatients, and develop self-efficacy enhancement programs are suggested.

육군 병사의 의무부대 의료서비스 경험, 재이용 의도 및 일차의료 질 평가

백서영 ( Baek Seoyoung ),최용백 ( Choi Yongbaek ),황신우 ( Hwang Sinwoo ),조순영 ( Joe Seunyoung ) 국군간호사관학교 군건강정책연구소 2021 군진간호연구 Vol.39 No.1

Purpose: The purpose of this study was to identify the relationships among patient experience, revisit intention, and assessment of primary health care of military division medical facilities. Methods: This study was a cross-sectional survey, and investigated a total of 198 soldiers who visited medical facilities. Data were collected from August to December 2020 using the structured questionnaires. Results: The average score of patient experience was 86.40±11.83, revisit intention 5.98±1.15, and assessment of primary health care 84.63±12.88 out of 100 each. There was significantly positive correlation between patient experience and revisit intention (r=.66, p<.001), patient experience and assessment of primary health care (r=.65, p<.001), and revisit intention and assessment of primary health care (r=.68, p<.001). Conclusion: This study identified the importance of virtuous cycle among patient experience, revisit intention and assessment of primary health care. The result is expected to be used as a evidence for developing policy and strategies to improve quality of primary health care in the military.

국군간호사관학교의 학사제도 유연화 적용방안

김연제 ( Kim Yeonje ),최지안 ( Choi Jiahn ),최선영 ( Choi Seonyoung ),정경화 ( Jung Kyounghwa ),조순영 ( Joe Seunyoung ) 국군간호사관학교 군건강정책연구소 2020 군진간호연구 Vol.38 No.4

Purpose: The purpose of this study is to produce application plan on the flexible of undergraduate system and to verify its applicability in Korea Armed Forces Nursing Academy (KAFNA). Methods: Focus group interviews were conducted for experts in education and academic management in and outside military. A draft plan on flexibilization of undergraduate system in KAFNA has been drawn. A detailed application plan was validated by 10 experts in the educational field. Results: Two methods on flexbile semester system and intensive completion course in each have been proposed to implement flexibilization in KAFNA. Conclusion: This study reveals that academic flexibilization was well established in KAFNA. This study is meaningful in that it contributes to the development of creative convergence talent in KAFNA.

육군 영관 장교의 신종 호흡기 감염병에 대한 지식, 태도 및 예방행위

정은영 ( Jung Eunyoung ),서양숙 ( Seo Yangsook ),권은지 ( Kwon Eunji ),조순영 ( Joe Seunyoung ) 국군간호사관학교 군건강정책연구소 2021 군진간호연구 Vol.39 No.1

Purpose: The purpose of this study was to identify the relationships between knowledge, attitude, and preventive behaviors on emerging respiratory infectious disease among field-grade officers in Republic of Korea Army. Methods: This cross-sectional descriptive study included 194 participants who currently serving as field-grade officers. Data were collected by structured questionnaires and were analyzed through descriptive statistics, independent t-test, analysis of variance, and Pearson's correlation coefficient. Results: Knowledge, attitude, and preventive behaviors score related to emerging respiratory infectious disease were 8.42±1.25 points out of 11 points, 60.78±4.63 points out of 65 points, and 54.25±5.29 points out of 60points, respectively. There were strong positive correlations between knowledge, attitude, and preventive behaviors, despite no correlation between knowledge and attitude. Conclusion: Results of this study provided basic data for establishing health policy for the prevention and management of military infectious disease. To promote emerging respiratory infectious disease preventive behaviors, various education and methods should be considered to improve the knowledge of field-grade officers and change their attitude.