재난건강서비스의 체계적 접근

이옥철,Lee, Ok-Cheol 한국방재학회 2005 한국방재학회지 Vol.5 No.4

대학생의 국민안전의식지수(PSCI) 및 응급상황대처 자기효능감에 대한 안전교육 효과

이옥철(Og cheol Lee) 위기관리 이론과 실천 2014 Crisisonomy Vol.10 No.10

본 연구의 목적은 대학생을 대상으로 실시된 안전교육이 안전의식지수와 응급상황대처에 대한 자기효능감에 미치는 효과를 확인하는 데 있으며, 연구설계는 단일군 사전사후 유사 실험연구이다. 연구대상자는 대학 전체학과에서 자발적으로 참여한 63명이었으며, 실험처치로 심폐소생술을 포함하여 25시간의 안전교육이 제공되었다. 자료수집을 위해 국민안전의식지수(Public Safety Consciousness Index, PSCI) 측정도구와 연구자가 수정 보완한 응급상황대처에 대한 자기효능감 측정도구를 사용하였다. 자료 분석은 SPSS 21.0 프로그램을 이용한 t-test, 분산분석, 그리고 R version 3.02를 이용한 모비율검정을 실시하였다. 분석결과, 국민안전의식지수는 평균점수 59.20에서 67.20점으로 매우 유의하게 향상되었으며, 등급의 평균은 보통등급에 속하나, 우수등급 해당자가 3배 이상 증가하는 등 유의한 차이를 보였다. 응급상황대처에 대한 자기효능감의 평균값은 51.16점에서 80.95점으로 유의하게 증가하였다. 응급상황 시 가족(100%)과 타인(76.2%)에게 심폐소생술을 제공할 의향에서도 유의하게 증가하였다. 연구결과, 대학생의 안전의식과 응급상황대처에 대한 자기효능감을 증진시키는 데 있어 안전교육이 효과가 있다는 결론을 얻었다. 연구결과를 토대로 대학은 안전관련 교과목을 개설하여 안전의식 수준을 우수등급을 달성하도록 권장할 것과, 정부는 PSCI 측정도구의 개선과 생애주기별 안전교육맵을 개발하고, 안전교육의 성과관리를 체계화 할 것을 제언한다. The purpose of this study was to identify the effects of safety education on the safety consciousness and self-efficacy of the emergency response in university students. The study design was single group, pre- and post-test quasi-experimental study. The participants were 63 students who were given 25 hours of safety education including cardiopulmonary resuscitation(CPR). The instruments were the Public Safety Consciousness Index(PSCI) and self-efficacy index. The data were analyzed by the t-test and ANOVA using SPSS 21.0 program, and 1-sample proportions test using the R version 3.02. The results showed that the average percentile score of PSCI was increased significantly from 59.20 to 67.20 which is moderate level. After receiving safety education, one third of the participants were promoted from moderate to excellent level. The average percentile score of the self-efficacy of emergency response was increased significantly from 51.16 to 80.95. The willingness to provide CPR to family(100%) and others(76.2%) were significantly increased. In conclusion, safety education raises the safety consciousness and increase the self-efficacy of the emergency response. Universities are recommended to provide safety-related subjects to encourage students to attain the excellent level of the PSCI. These results suggest that the government renew the PSCI tool, develop a life-cycle specific map for safety education, and provide a monitoring system.

재난관련 국내 간호 연구 동향 분석

이옥철(Lee, Ogcheol) 한국보건간호학회 2014 韓國保健看護學會誌 Vol.28 No.3

Purpose: This descriptive study was conducted in order to investigate the research trends of past nursing studies related to disasters in Korea, and to identify the direction of future research. Methods: Fifty studies conducted from July 1995 to June 2014 were analyzed according to general characteristics, disaster phase, disaster type, and research theme based on the four areas and 10 domains of the ICN Framework of Disaster Nursing Competencies. Results: The majority of studies were designed using quantitative methods (29). In disaster type, 12 studies explored natural disasters, and 14 explored manmade disasters. Disaster responders were the subject of 31 studies. In relation to research topics, the majority of studies were in the area of preparedness competencies of the ICN Framework (26). The studies were concentrated in the domain of education and preparedness (24). Conclusion: The total number of studies on disasters had increased over the years, while the topics failed to deal with all domains of the ICN Framework. The results indicate that the future direction of nursing research on disasters is to be vitalized through the flexibility of research design, systematic approach based on global perspectives, research on emergency responders and vulnerable people, and research relating to community-based disaster nursing.

교수학습방법에 따른 3개 간호대학생의 비판적 사고성향과 임상수행능력

양선희(Yang, Sun Hee),이옥철(Lee, Ogcheol),이우숙(Lee, Woo Sook),윤진(Yoon, Jin),박창승(Park, Chang-Seung),이숙정(Lee, Suk Jeong) 한국간호교육학회 2009 한국간호교육학회지 Vol.15 No.2

새터민(탈북자)의 삶의 질

신기수(Shin, Gi Soo),조갑출(Cho, Kap Chul),양선희(Yang, Sun Hee),이옥철(Lee, Og Cheol),백희정(Baek, Hee Chong),이규영(Lee, Gyu Young),이숙정(Lee, Suk Jeong) 한국보건간호학회 2011 韓國保健看護學會誌 Vol.25 No.2

Purpose: The study sought to provide basic information for North Korean defectors (Sae-Tu-Min) by studying the quality of life(QoL) based on their general characteristics and health problems. Methods: The targeted subjects were 1400 North Korean settlers who were receiving settlement service by Korean National Red Cross after finishing their training at Hanawon in 2005. The data was collected from August to October in 2007. The QoL was assessed by Medical Outcomes Study Short Form-36. Collected data were analyzed by ANOVA and t-test with SPSS win 15.0 program. Result: The majority of the 466 subjects were female(77.9%). The average age was 36.8 years, 52.8% lived alone, and 64.0% were unemployed. The average QoL score of the group was 62.4 ±18.4, which was markedly lower in terms of social, physical and mental health compared to the scores of immigrants to South Korea from other countries. The score was the highest for physical ability and the lowest for general health. Influential socio-demographic factors to QoL were gender, age, education, religion, annual salary, occupation, and life insurance. Employed in the subject group showed higher level of QoL on eight categories than unemployed. Concerning health problems that detracted from QoL, 18.5% of the subjects were aware they suffered from anemia and 8.8% of them recognized they suffered from attention deficits. Conclusion: The health conditions of the North Korean settlers had improved since they settled in South Korea, but their QoL was lower than other immigrants. Various programs to maintain and promote the health of North Korean settlers would be useful.

한국, 중국, 일본에 거주하는 한국계 노인의 건강상태 비교

조미경(Cho, Mi-Kyoung),이옥철(Lee, Ogcheol),신기수(Shin, Gisoo) 한국산학기술학회 2015 한국산학기술학회논문지 Vol.16 No.3

본 연구의 목적은 한국, 중국 및 일본에 거주하는 한국계 노인들을 대상으로 건강상태를 평가하는 것으로 한국에 거주하는 노인 및 한국에서 출생 한 후 중국과 일본으로 이주한 노인을 대상으로 건강상태를 비교, 분석하였다. 본 연구의 대상자는 한국노인 231명, 일본노인 126명, 중국노인 246명으로 총 603명이었으며 평균 연령은 74.4세였다. 한국, 중국, 노인의 건강상태는 한국 노인이 중국과 일본 노인에 비해서 건강상태의 평균점수가 높았다. 노인의 건강상태에 영향을 미치는 특성 으로는 연령, 성별, 결혼상태, 종교, 교육정도, 용돈, 흡연과 음주, 수면시간 및 건강관리방법에 따라 유의한 차이가 있었다. 본 연구결과 한국, 중국, 일본의 문화적 차이에 따라 거주하는 노인의 일반적 특성, 건강상태, 일반적 특성에 따른 건강상태에 차이가 있음이 나타났다. 따라서 추후 노인의 건강증진 방안 모델 제시에는 노인들의 문화적 특성이 고려되어져야 할 것으로 판단된다. Most overseas Korean seniors live in China and Japan due to Korea’s historical background. Although Korean seniors living in Korea China and Japan share some similarities, the overseas seniors have become culturally different as they adapted to their countries of residence. Therefore, the aim of this study was to provide basic reference data for future senior health enhancement models by comparing and analyzing the health of Korean and overseas Korea seniors. The number of subjects in this study was 603 people, which was comprised of 231 Korean seniors, 246 overseas seniors in China, and 126 overseas seniors in Japan. The average age of the subjects was 74.4 years old. The Korean seniors displayed higher average health score than the overseas seniors. Therefore, the study believes that cultural elements should be considered in a future senior health enhancement model.

다중이용시설 근무자의 안전의식 및 응급상황 대처능력의 영향요인

황경희(Kyung Hui Hwang),이옥철(Og Cheol Lee) 위기관리 이론과 실천 2017 Crisisonomy Vol.13 No.8

본 연구는 국내 다중이용시설 근무자의 안전의식 및 응급상황 대처능력의 수준과 영향요인을 파악 하고자 시도되었다. 자료 수집을 위해 국내 3개 대도시에 위치한 공항, 지하철, 쇼핑센터, 버스터미널등 4개 다중이용시설의 근무자를 대상으로 임의추출 하였으며, 최종 200명(남자 53.3%, 여자 46.7%) 의 응답지에 대해 분석하였다. 연구결과, 안전의식 수준은 보통 이상이었으며, 응급상황 대처능력은 상대적으로 낮았으며, 안전의식과 응급상황 대처능력 간에는 정적 상관관계를 보였다. 각 변수에 대한 영향요인은 안전의식의 경우 시설과 학력이었으며, 응급상황 대처능력의 경우 시설, 성별, 응급 처치 교육여부로 나타났다. 결론적으로, 각각의 다중이용시설의 정기적인 안전교육과 전 근무자를 대상으로 한 응급처치 훈련 프로그램 제공은 응급상황 대처능력을 증가시킴을 확인하였다. 향후, 다중이용시설 근무자의 응급상황 대처능력을 강화하기 위한 교육요구도 분석과 각각의 시설 및 시설이용자의 특성에 맞는 맞춤형 교육프로그램 개발을 위한 연구가 이어질 것을 제언한다. This study aimed to identify the level of safety awareness and emergency response capability of public facility employees and the relevant influencing factors. Samples were randomly collected from employees working at airport, subway, shopping center, and bus terminal located in three big cities in Korea. Analysis of completed questionnaires from 200 respondents revealed that the level of safety awareness was above moderate, while their emergency response capability was relatively low. The higher safety awareness, the higher emergency response capability. The significant factors affecting safety awareness were facilities and education, whereas those affecting emergency response capability were facilities, gender, and first aid training. In conclusion, regular safety education and first aid training for all employees can improve the emergency response capability of public facility employees. Further research is recommended to develop a customized educational program based on the assessment of the specific needs of public facility workers.

재외동포의 미충족 의료 현황 분석

윤연(Yun, Yeon),이옥철(Lee, Og-Cheol) 전남대학교 글로벌디아스포라연구소 2016 디아스포라 연구 Vol.10 No.2

본 연구는 해외에 거주하는 재외동포의 미충족 의료의 유형을 탐색하고, 재외동포 보건의료지원 전략을 제시하고자 시도되었다. 연구방법으로서 문헌고찰, 선진사례 방문, 초점집단인터뷰, 재외동포 단체를 대상으로 한 온라인 설문조사를 실시하였다. 설문에 응답한 동포단체는 34개국, 86개 단체였다. 분석결과, 재외동포의 미충족 의료 유형은 ‘국가보건서비스 기반 선진국형’, ‘국가보건서비스 기반 개발도상국형’, ‘건강보험기반 선진국형’, ‘건강보험 기반 개발도상국형’으로 구분되었다. 한편, 건강소외계층은 유형과 관계없이 무의탁 노인, 다문화가정, 저소득층 및 불법체류자로 확인하였다. 재외동포가 원하는 보건의료지원은 순회진료팀 파견, 건강소외계층 지원, 모국의 선진의료기술 공유, 모국의 건강보험 가입자격 확대 등으로 나타났다. 연구결과를 토대로, 재외동포 대상보건의료지원 사업전략으로서, 첫째, 사업 대상자를 선택과 집중에서 보편적 사업으로 전환할 것, 둘째, 동포참여형 사업에서 동포주도형 사업으로 운영자립도를 넓혀 갈 것, 셋째, 개발도상국 ODA 사업과 연계하여 수혜의 범위를 확대하는 방안 등을 전략으로 삼을 것을 제언한다. The purpose of this study was to explore the types of unmet healthcare needs of overseas Koreans over the world, and to suggest strategies of the healthcare support for them. In the study, literature review, visiting successful cases, focus group interviews, and online-survey were implemented. The survey was answered by 86 overseas Korean groups from 34 different countries. As a result of this research, the types of unmet healthcare needs of overseas Koreans were categorized into ‘National Health Service (NHS)-based Advanced Country Type’, ‘NHS-based Developing Country Type’, ‘Health Insurance-based Advanced Country Type’, and ‘Health Insurance-based Developing Country Type’. Regardless of the type, the health underprivileged were identified to be the elderly alone, multi-cultural family, low-income class and illegal immigrants. Also they desired the motherland to support the unmet healthcare need by dispatching mobile medical teams, caring the health underprivileged, sharing advanced medical technology, extending qualification criteria of health insurance. Based on the findings, it is suggested to expand the scope of healthcare support beneficiaries, to facilitate the participatory healthcare support system, and to expand the scale of benefits in connection with Official Development Assistance projects for developing countries.

간호사의 개인보호장비에 대한 지식, 태도 및 인식

김경남(Kim, Kyungnam),이옥철(Lee, Ogcheol) 기본간호학회 2016 기본간호학회지 Vol.23 No.4

Purpose: Personal protective equipment (PPE) is critical to protect healthcare workers from pandemic outbreaks. This study was designed to identify nurses’ knowledge, attitude and perceptions on PPE. Methods: Data were collected from 154 nurses working at a tertiary general hospital, where positively diagnosed and suspected patients were accepted and admitted during the Middle East Respiratory Syndrome Coronavirus outbreak in 2015. The PPE tool consists of 20 items for knowledge, and 5 each for attitudes and perceptions. Results:Overall, knowledge for PPE was higher thanmoderate (76.95/100), but there was a lack for items related to powered air purifying respirator (PAPR). For attitudes, willingness to work in pandemic outbreaks was the most positive (4.04/5.00). Goggles and PAPR were perceived as themost uncomfortable barriers to work. There was no correlation between knowledge, attitude and perceptions, despite a strong positive correlation between attitude and perceptions. PPE training was identified as a factor to improve knowledge and attitudes on PPE. Conclusion: To respond to pandemic influenza, nurses need to expand their knowledge on PPE up to Level C, and be updated through regular training. Study findings suggest that repetitive studies targeting nurses and other healthcare workers at various hospital settings are necessary.

중국 연변지역 유방암 환자의 질병지각과 건강신념이 삶의 질에 미치는 영향

정분선(Fenshan Zheng),이옥철(Ogcheol Lee),주결(Jie Zhou),이춘옥(Chunyu Li) 대한종양간호학회 2019 Asian Oncology Nursing Vol.19 No.3

Purpose: This study aimed to identify the effects of illness perception and health beliefs on the quality of life (QOL) of breast cancer patients. Methods: A cross-sectional study was conducted. Data were collected using questionnaires administered to 200 patients admitted for chemotherapy after a partial or total mastectomy at a university hospital in Yanji City. The data were analyzed using t-tests, analysis of variance, Pearson’s correlation coefficients, and hierarchical regression analysis. Results: The QOL of the breast cancer patients was significantly correlated with health beliefs and a subfactor of illness perception. The significant factors influencing QOL were understanding illness and feeling threatened, accounting for 31.7% of the variance in QOL. Conclusion: Illness perception of breast cancer patients had a negative influence on QOL, whereas health beliefs affected it positively. An implication of this study’s findings is that interventions to reduce negative illness perception can improve the QOL among breast cancer patients.