지역사회 노인의 성공적 노화 수준과 영향요인

차경숙,이홍자,김춘미,김은만 대한임상건강증진학회 2019 Korean Journal of Health Promotion Vol.19 No.1

Background: The purpose of this study was to understand the level of successful aging and to analyze the factors that affect successful aging. Methods: This study was a descriptive study. The data collection of this study using questionnaires was from October 1, 2017 to December 30, 2017, and the 169 elderly people living in Chungcheongnam-do were surveyed. Results: The mean level of successful aging of the subjects was 3.57 (±0.58), which was higher than the median, it was significantly different among the presence of religion, participation in senior facility, regular exercise, pain, and subjective health status. Regression analysis showed that the factors that have the greatest influence on the successful aging of the subjects were the participation in senior facility (β=0.24, P<0.001), self-esteem support (β=0.20, P=0.024), emotional support (β=0.19, P=0.048), regular exercise (β=0.19, P=0.002), and pain (β=-0.14. P=0.029). The explanatory power of these variables on successful aging was 53% (F=20.37, P<0.001). Conclusions: This study showed that emotional support and support for self-esteem were important in successful aging, and that pain, which was not considered in previous studies, was an important factor. 연구배경: 본 연구의 목적은 재가노인의 성공적 노화 수준을 파악하고, 성공적 노화에 영향을 미치는 요인을 분석하기 위함이다. 방법: 본 연구의 자료수집은 2017년 10월 1일부터 12월 30일까지이며, 충청남도에 거주하는 재가노인 169명을 대상으로하였다. 결과: 대상자의 성공적 노화 점수는 평균 3.57점(±0.58)으로 중앙값보다 높게 나타났다. 성공적 노화는 종교 유무, 지역사회 노인여가시설 이용 여부, 규칙적 운동, 통증, 주관적건강 상태에 따라 유의한 차이를 나타내었다. 회귀분석 결과 대상자의 성공적 노화에 영향을 미치는 요인은 지역사회여가시설 이용, 자존감 지지, 정서적 지지, 규칙적 운동, 통증의 순이었으며, 이들 변수들의 성공적 노화에 대한 설명력은 53%였다. 결론: 본 연구 결과 성공적 노화에서 정서적 지지와 자존감 지지가 중요하다는 것을 확인하였으며, 선행 연구들에서고려하지 못하였던 통증이라는 변수가 중요한 요인이라는것을 밝혔다.

기관 흡인술 유형에 따른 인공호흡기 적용 환자의 기관 내 균집락화와 폐렴 발생률

차경숙,박호란 한국간호과학회 2011 Journal of Korean Academy of Nursing Vol.41 No.2

Purpose: This study was conducted to identify endotracheal colonization and the incidence of ventilator-associated pneumonia related to the type of endotracheal suction system. Methods: The participants in this study were ICU patients hospitalized between October 2009 to March 2010 who used ventilators for over 48 hr with closed (CSS, n=30) or open (OSS, n=32) suction systems. To standardize the pre-intervention suction system, a suctioning protocol was taught to the ICU nurses. Collected data were analyzed using χ2-test, Fisher’s exact test, Wilcoxon rank sums test, Wilcoxon test, Log-rank test and Poisson regression. Results: Endotracheal colonization was higher in OSS than CSS from day 1 to day 8 while using a ventilator and there was a significant difference between the two groups. The CSS reached 50% of endotracheal colonization by the 4th day, whereas for the OSS, it was the 2nd day (p=.04). The incidence of ventilator-associated pneumonia showed no significant difference. Conclusion: For patients with a high risk of pneumonia, CSS must be used to lower endotracheal colonization.

개두술을 받은 환자의 수술부위감염 관련요인 분석

차경숙,조옥희,유소연 한국간호과학회 2010 Journal of Korean Academy of Nursing Vol.40 No.2

Purpose: The objectives of this study were to determine the prevalence, incidence, and risk factors for postoperative surgical site infections (SSIs) after craniotomy. Methods: This study was a retrospective case-control study of 103 patients who had craniotomies between March 2007 and December 2008. A retrospective review of prospectively collected databases of consecutive patients who underwent craniotomy was done. SSIs were defined by using the Centers for Disease Control criteria. Twenty-six cases (infection) and 77 controls (no infection) were matched for age, gender and time of surgery. Descriptive analysis, t-test, χ²-test and logistic regression analyses were used for data analysis. Results: The statistical difference between cases and controls was significant for hospital length of stay (>14 days), intensive care unit stay more than 15 days, Glasgrow Coma Scale (GCS) score (≤7 days), extra-ventricular drainage and coexistent infection. Risk factors were identified by logistic regression and included hospital length of stay of more than 14 days (odds ratio [OR]=23.39, 95% confidence interval [CI]=2.53-216.11) and GCS score (≤7 scores) (OR=4.71, 95% CI=1.64-13.50). Conclusion: The results of this study show that patients are at high risk for infection when they have a low level of consciousness or their length hospital stay is long term. Nurses have to take an active and continuous approach to infection control to help with patients having these risk factors.

암환자의 항암화학요법으로 인한 말초신경병성 증상과 통증

차경숙,조옥희 성인간호학회 2013 성인간호학회 학술대회 Vol.2013 No.12

The Factors related to Mothers' Intention to Vaccinate against Hepatitis A: Applying the Theory of Planned Behavior

차경숙,김경미 한국아동간호학회 2019 Child Health Nursing Research Vol.25 No.1

Purpose: This study was conducted using the theory of planned behavior to analyze factors influencing mothers' intention to vaccinate their children against hepatitis A (HA). Methods: This descriptive study used a questionnaire. The participants were 100 mothers with children under 19 years. The collected data were analyzed by the t-test, analysis of variance, and the Mann-Whitney U test. The Pearson's correlation was used to test the correlations among variables. Stepwise multiple regression was used to identify factors related to HA vaccination intention. Results: The attitude of mothers with children under 19 to HA vaccination were quite positive (6.2 of 7), and their perceived behavioral control (5.73 of 7), subjective norm (5.54 of 7), and vaccination intention (5.96 of 7) were relatively high. Attitude toward HA vaccination was the strongest influencing factor, followed by subjective norm. The explanatory power of attitude and subjective norm for HA vaccination was 84%. Conclusion: HA vaccination is very important for preventing HA. Mothers' positive attitudes toward HA vaccination were an important factor influencing their children's HA vaccination. Providing education on the benefits of HA vaccination and the vaccination schedule may foster positive attitude toward vaccination.

간동맥 화학색전술 후 시술부위의 모래주머니 적용무게에 따른 효과

차경숙,고지운,이기령 한국중환자간호학회 2017 중환자간호학회지 Vol.10 No.2

Purpose: This study aimed to investigate the differences in exudate and bleeding incidence and the changes in back pain and discomfort based on the weight of a sand bag applied to the femoral puncture site after hepatic transcatheter arterial chemoembolization. Methods: This quasi-experimental study comprised 82 patients randomly divided into three different groups. Experimental group 1 patients had a 600g sandbag, experimental group 2 patients an 800g sandbag, and control group patients a 1900g sandbag , on femoral access sites post procedure. The three groups of patients were assessed on level of exudate and bleeding and asked about back pain and discomfort at 30, 60, 120, 180 and 240 minutes after the procedure. Results: There were no significant differences in exudate and bleeding between the three groups before and after application of the sandbag post procedure. Both back pain and discomfort were significantly lower in the experimental groups than in the control group. Conclusion: There was no significant effect on bleeding and exudation due to the weight of the sandbag. The lowest level of back pain and discomfort was found in the group with the lightest weight (600 g). Therefore, the use of lighter-weight sandbags to prevent post procedure vascular complications is proposed.

의료기관의 감염병 관리 대응체계 현황

차경숙,이홍자 사단법인 한국융합기술연구학회 2022 아시아태평양융합연구교류논문지 Vol.8 No.12

This study investigated organizations, regulations, education and manpower, and isolation facilities for responding to infectious diseases by type of medical institution to confirm the response system for infectious diseases of medical institutions. Tertiary hospitals, secondary hospitals, and long-term care hospitals across the country were targeted for the study, and a total of 104 institutions (20 tertiary hospitals, 53 secondary hospitals, and 31 long-term care hospitals) participated. Infection control staff filled out a questionnaire on the general characteristics of their medical institutions (3 questions), and their organization (8 questions), regulations (3 questions), education and manpower (12 questions), and isolation rooms (14 questions) for infectious disease control. The difference in the infectious disease management response system by type of participating medical institution were analyzed using chi-square test. As a result of the study, it was confirmed that tertiary hospitals have well-equipped organizations, regulations, manpower, and isolation facilities to respond to infectious diseases, while some secondary hospitals or long-term care hospitals, where with high risk of outbreak due to the substantial number of elderly patients, lack an infectious disease management response system. Since infectious disease patients can occur anywhere regardless of the size of medical institutions, it is necessary to guide small hospitals and long-term care hospitals to have an organization, manpower, and facility system to respond to infectious diseases. In addition, the rapid response of infectious disease response personnel with appropriate capabilities is an important factor in preventing the inflow and spread of infectious diseases into medical institutions. Accordingly, not only should medical institutions voluntarily make efforts to systematize infectious disease response education, prepare an organizational system of medical institutions, and strengthen facilities, but also related government ministries, academia, and organizations need to make various support and efforts together. 본 연구는 의료기관의 감염병 관리 대응체계를 확인하고자 의료기관 유형별 감염병 대응을 위한 조직, 규정, 교육 및 인력, 격리시설에 대하여 조사하였다. 전국의 상급종합병원, 종합병원, 요양병원을 대상으로 하였으며, 총 104개 기관(상급종합병원 20개, 종합병원 53개, 요양병원 31개)이 참여하였다. 의료기관의 일반적 특성(3문항)과 감염병 관리를 위한 조직(8문항), 규정(3문항), 교육 및 인력(12문항), 격리시설(14문항) 현황에 대한 설문지를 감염관리담당자가 작성하였다. 참여 의료기관의 유형별 감염병 관리 대응체계의 차이는 χ2 test로 분석하였다. 연구 결과 상급종합병원은 감염병 위기에 대응할 수 있는 조직, 규정, 인력 및 격리시설을 잘 갖추고 있지만 일부 종합병원이나 노인 환자가 많아 집단감염 발생의 위험이 높은 요양병원의 경우 감염병 관리 대응체계가 부족하다는 것을 확인하였다. 감염병 환자는 의료기관의 규모와 상관없이 어디서든 발생할 수 있으므로, 작은 규모의 병원과 요양기관에서도 감염병에 대응하기 위한 조직, 인력, 시설적 체계를 갖출 수 있도록 안내하고 지도하는 것이 필요하다. 또한 감염병 대응 인력이 적절한 역량을 갖추어 신속히 대응하는 것은 의료기관으로의 감염병 유입과 확산을 예방하는데 중요한 요인이다. 이에 감염병 대응 교육의 체계화와 의료기관의 조직체계 마련, 시설 강화를 위해 의료기관의 자발적 노력뿐만 아니라 관련 정부 부처, 학계, 단체가 함께 다각적 측면의 지원과 노력을 기울일 필요가 있다.

신종 감염병 유행 시 감염관리간호사의 역할 - 중동호흡기 증후군을 중심으로 -

차경숙,신명진,이지영,천희경 대한의료관련감염관리학회 2017 의료관련감염관리 Vol.22 No.1

Background: The aim of this study was to examine in detail the difficulties infection control nurses (ICN) experience in their work, and to investigate their roles during Middle East Respiratory Syndrome (MERS) outbreaks, using qualitative methods.Methods: Two focus groups were formed by convenience sampling of eight infection control nurses from each of the hospitals where patients with suspected or confirmed MERS were hospitalized and from those hospitals where no MERS cases were found. One interview each was conducted for both of focus groups in November 2015. Contents of the focus group discussions were analyzed for the investigated features and categories.Results: When MERS outbreaks occurred, ICNs provided suggestions on applications of policies, rules and procedures, reporting and communication; participated in education and trainings, consultations, detection and monitoring of MERS cases; and controlled infection among staff. Depending on the type of work, they had various roles such as coordinator, decision maker, administrator, information provider, educator, leader, consultant, and epidemiological investigator.Conclusion: Infection control nurses performed various tasks and played an important role during a MERS outbreak. They experienced difficulties at a personal level as well as in their work environment. Therefore, it is necessary to provide a systematic education program to enhance ICNs competency, while clearly defining their role to help them cope with the infection crisis effectively. In addition to the national level, a system for self-supporting medical institutions should be established.

간호사의 손위생 지식, 인식 및 자가 보고 손위생 수행률에 대한 조사 연구

차경숙,고지운,한시현,정경희 한국중환자간호학회 2018 중환자간호학회지 Vol.11 No.1

Purpose : The purpose of this study was to identify the knowledge, perception and hand hygiene performance rate of hospital nurses and to identify any correlation between them. Method : Data were collected from 205 nurses working in a university hospital in Chungcheong-do. A self-report survey method was utilized. Participants completed the hand hygiene knowledge questionnaire. Results : The average knowledge of hand hygiene was 11.76 (out of 18 points), and the average perception of hand hygiene was 35.55 (out of 96). The hand hygiene performance rate was 85.62%. Knowledge of hand hygiene showed significant differences according to age (F = 75.821, p < .001), gender (t = 25.049, p < .001) and working period (F = 24.843, p < .001). The most important explanatory factor in hand hygiene performance was hand hygiene perception (β= .26), followed by working period (β= .14). These variables accounted for 10.0% of subjects’ hand hygiene performance. Conclusion : The results of this study suggest that continuous and effective education is needed to strengthen knowledge and perception of the importance of hand hygiene practice for nurses to prevent healthcare-associated infections.

감염관리간호사의 업무만족도 및 자아탄력성과 직무 스트레스와의 관계

차경숙,이홍자 대한근관절건강학회 2019 근관절건강학회지 Vol.26 No.3

Purpose: The purpose of this study was to investigate the relationships between resilience, job satisfaction, and job stress among nurses working at general hospitals. Methods: This study was a descriptive study using a questionnaire. The resilience scale, satisfaction scale and job stress scale were used. The data from 194 infection control nurses, who work for below 3 years at general hospitals, were collected from March 2 to September 30, 2017. Data were analyzed using SPSS 22.0 Win program. Results: In this study, job stress showed significant negative correlations with resilience (r=-.14, p=.043) and job satisfaction (r=-.50, p<.001). However, there was a significant positive correlation with infection control experience (r=.32, p<.001). Also, the level of job requirement stress and job autonomy stress scored higher than other sub-dimension of job stress. Job satisfaction was the most significant predictor (β=-.43, p<.001) in job stress. Conclusion: The findings of this study suggest that systematic training courses and education programs for new infection control nurses should be developed to decrease nurses’ job stress and increase their resilience. Holding this program can help reduce nursing job stress and help to adapt individuals to existing changes.