일개 종합병원 입원환자의 낙상 실태 및 관련요인

양화미,천병철 한국의료QA학회 2009 한국의료질향상학회지 Vol.15 No.2

Background: Toestimate fall incidence rate and associated factorsin inpatients from a generalhospital. Method: The data werecollected from 104 fall incident reportsdeveloped by the patient safety committee in a general hospital in Seoul from 01 January 2007 to 31 December 2008. Information included general characteristicsof patients, factors related to fall, types, places,circumstances and outcomes of fall. Result: The incidence rate of fall, which was 4.4 per 1,000 total dischargedpatientsand 0.5 per 1,000 patientdays, was much lower than that of several hospitals in the United States. The difference may reflect the different incidence reporting systemof each hospital. Fall-pronepatients were, in general, ~65 years of age, had an alert mental status, were ambulatory with some a ssistance, and were dependenton and ambulatory device. High incidence of falls was associated with patients with circulatory disease. The majority of fall event susually occurredin bed orat the bedsidein thepatient's room, and occurred more of tenduring the night than during the day or evening. Risk factors of fall wereuse of drugs (antihypertensive or neuropsychiatric drugs) and environmental factors (e.g., overly highbed height, surrounding objects, inadequate fitnessshoes and slippery floor). Physical injury occurred in 43.3% of fall events, which typically required diagnosis of injuryand treatmentsuchas suturing. Riskfactorsforrepeatedfallswereuseofa neuropsychiatric drug (oddsratio=13.9) and gait disturbance (oddsratio=91.2). Risk factors for fall-related injurywerealert mental status(oddsratio=3.3 timesmore likelyto fall than thosewhoweredrowsyor ina stupor) and general weakness(odds ratio=3.3 times more likelyto fall than thosewhowerenot generally weak). Conclusion : Medicaland nursing staff shouldbe awareof the fall risk factorsof hospitalized patientsand should intensively pursue preventative strategies. Development of fall prevention education based on these resultsis recommended.

Health-Promoting Behavior and Quality of Life among Community-Dwelling, Middle-Aged Women: A Comparative Study between Overweight and Normal-Weight Groups

양화미,추진아,김혜진 대한임상건강증진학회 2018 Korean Journal of Health Promotion Vol.18 No.4

Background:Strategically improving health-related quality of life (HRQOL) should be discussed among overweight middle-aged women who are vulnerable to low HRQOL. We examined firstly if overweight middle-aged women would have significantly lower levels of HRQOL and health-promoting behaviors than normal-weight middle-aged women, and to examine secondly if health-promoting behaviors would be significantly associated with generic and obesity-specific HRQOLs within the overweight middle-aged women. Methods:We conducted a cross-sectional, comparative study. Participants were 119 women aged 30-49 years who were recruited from a community in Seoul, South Korea; 63 women for the overweight group who were recruited from a baseline sample of the Community-Based Heart and Weight Management Trial, while 56 for the normal-weight group who were recruited separetely. Health Promoting Lifestyle Profile II (HPLP II), World Health Organization Quality of Life-brief version (WHOQOL-BREF) of a generic HRQOL measure, and Impact of Weight on Quality of Life-Lite (IWQOL-Lite) of an obesity-specific HRQOL measure were used. Results:Compared to the normal-weight group, the overweight group showed significantly lower scores of total WHOQOL-BREF as well as some HPLP II subscales including stress management (P=0.029). Among the HPLP II subscales, stress management was significantly and positively associated with total WHOQOL-BREF (β=1.58, P=0.003) and self-esteem IWQOL-Lite (β=11.58, P=0.034) among the overweight group. Conclusions:Among middle-aged overweight women, low levels of health-promoting behavior for stress management were shown, which should be strategically increased for improving their generic and obesity-specific HRQOLs.

한국 임금근로 기혼여성의 근무환경, 일가족갈등 및 직무만족도가 건강에 미치는 연관성 -직업적 지위 차이를 중심으로-

양화미 한국여성정책연구원 2020 여성연구 Vol.105 No.2

본 연구에서는 한국 임금근로 기혼여성을 대상으로 직업적 지위에 따른 근무환경, 일-가족갈등및 직무만족도가 건강에 미치는 연관성을 조사하였다. 2016년 여성가족패널 6차 설문조사 데이터를 활용하여 만 19세에서 64세의 1,484명의 임금근로 기혼여성을 대상으로 횡단적 상관관계 연구를 수행하였다. 본 연구에서 직업적 지위는 화이트칼라(관리직/전문직), 핑크칼라(판매서비스직) 및블루칼라(단순노무직) 근로자로 분류하였다. 근무환경은 물리적, 인체공학적 및 심리사회적 환경영역으로 측정하였다. 일-가족갈등은 여성가족패널의 총 5문항 4점 리커트 척도로 측정하였다. 직무만족도는 여성가족패널 총 10문항 5점 리커트 척도로 측정하였다. 건강은 주관적 건강수준을 측정하는 단일 문항으로 측정하였다. 결과는 다음과 같다. 화이트칼라 임금근로 기혼여성은 불충분한직무자율성이 높을 때 즉 결정권이 낮을수록 주관적 건강상태가 좋았다. 한편, 화이트칼라 임금근로기혼여성은 일-가족갈등이 낮을수록 주관적 건강상태가 좋았으며, 직무만족도가 높을수록 주관적건강상태가 좋았다. 핑크칼라 임금근로 기혼여성은 직무만족도가 높을수록 주관적 건강상태가 좋았다. 블루칼라 임금근로 기혼여성은 힘든 인체공학적 작업이 낮은 환경일 때 주관적 건강상태가 좋았다. 본 연구결과는 임금근로 기혼여성의 건강수준 향상을 위해 직업적 지위의 차이에 따른 차별적인건강정책의 지원방향을 제시하였다는 점에서 의의가 있다.

간호대학생의 디지털 헬스교육에 대한 인식과 기대

양화미,장영은 한국간호연구학회 2023 한국간호연구학회지 Vol.7 No.4

Purpose : This study aimed to explore the perceptions and expectations of nursing students regarding digital health education. Methods : We conducted focus group interviews among 10 nursing students in Seoul and Gyeonggi-do. Data were collected from July 31 to August 4, 2023. Results : The participants perceived various benefits and possibilities of digital health and expected it to help improve personalized nursing care and medical record management. Digital health may aid medical aspects, such as diagnosis, treatment selection, and predicting clinical outcomes. Participants also understood that digital health can aid patient location, emergency response, and health status monitoring. However, they recognized that patient safety and privacy are important when adopting digital health and that they need to be prepared and educated on digital security issues. Participants also recognized a need to understand the latest technologies and to develop digital competencies through digital health education, as well as the need for education in a practical environment and in using advanced technologies. Conclusion : Digital nursing competencies are considered part of the core competencies among nursing students to grow as future nursing professionals. Continual updating of their curriculum and improvement in field experience are considered the most important.

Childhood Obesity among Socioeconomically Vulnerable Families: A Path Model Using Parenting Behavior and Its Associates

양화미,추진아 대한임상건강증진학회 2023 Korean Journal of Health Promotion Vol.23 No.1

Background: Using path analysis, we aimed to examine whether parenting self-efficacy and parenting styles would be significant associates with parenting behavior, and the parenting behavior would be significantly associated with the obesity status of children from socioeconomically vulnerable families. Methods: A cross-sectional study was conducted with 61 parents and their children enrolled in public welfare systems in a community in Seoul, South Korea. Parenting behavior was defined as encouraging a child’s healthy eating habits and was measured using the Child Feeding Questionnaire. Results: In the path model, higher levels of parenting self-efficacy and lower levels of authoritarian parenting were significantly associated with a higher level of parenting behavior, which was significantly associated with lower child body mass index z-scores. Conclusions: Community health nurses need to provide intervention strategies for increasing parenting self-efficacy and decreasing authoritarian parenting styles to promote parenting behaviors and childhood obesity prevention among socioeconomically vulnerable families. Korean J Health Promot 2023;23(1):28-3

허약노인의 주관적 건강인식

김지현,양화미,강푸름,최정은 노인간호학회 2015 노인간호학회지 Vol.17 No.2

Purpose: The purpose of this study was to explore the experiences of frail elders regarding self-rated health. Methods: A qualitative descriptive method was used. Data were collected using individual in-depth interviews and filed notes from seven frail elders in South Korea. A phenomenological approach was used to analyze the data. Results: The study clarified one core theme, four compositional elements, and ten transformation of meaning units of frail elders regarding self-rated health. The core theme ‘Self-acceptance through the downward comparison’ encompassed the compositional elements of (a) Unpredictable body, (b) Acceptance of the situation, (c) Creating my own health baseline and (d) Building supportive relationships. Conclusion: The results of this study provide valuable nursing knowledge for understanding the experiences of frail elders regarding self-rated health that will contribute to developing nursing intervention on their behalf.

초등보건교사의 학교기반 아동비만 예방관리사업에 대한 인식과 경험

추진아,양화미,김혜진,오상우,김수연,정미영,박미현 韓國學校保健學會 2013 韓國學校保健學會誌 Vol.26 No.3

지역사회 취약계층 아동의 신체활동 관련요인

홍정애,추진아,김혜진,박수연,양화미,유지현,권오영 한국간호과학회 2016 한국간호과학회 학술대회 Vol.2016 No.10