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논문검색은 역시 페이퍼서치

보건정보통계학회지검색

Journal of Health Informatics and Statistics


  • - 주제 : 의약학분야 > 예방의학및보건학
  • - 성격 : 학술지
  • - 간기: 계간
  • - 국내 등재 : KCI 등재
  • - 해외 등재 : -
  • - ISSN : 2465-8014
  • - 간행물명 변경 사항 : 한국보건통계학회지(~2003) → 한국보건정보통계학회지(2004~)
논문제목
수록 범위 : 41권 2호 (2016)

간호사가 인지한 안전분위기 및 수간호사의 변혁적 리더십과 투약오류 보고장애와의 관련성

이영숙 ( Young Sook Lee ) , 류소연 ( So Yeon Ryu ) , 박종 ( Jong Park ) , 최성우 ( Sung Woo Choi )
4,500
초록보기
Objectives: This study was performed to identify the association of safety climate and transformational leadership of head nurse with barrier to medication error reporting among nurses working at wards in a general hospital. Methods: The subjects of this study were 227 nurses and data were collected by self-administered questionnaire composed of general- and work-related characteristics, experience of medication errors and scales of safety climate, transformational leadership of head nurse and barrier to medication error reporting. The used methods for statistical analysis were t-test, ANOVA, Pearson’s correlation analysis and multiple regression analysis. Results: Of the subjects, 93.4% had experience of medication error within the past year, and 12.8% of nurses reported their medication error to the hospital. The safety climate and transformational leadership were statistically significant negatively correlated with barriers to medication error reporting. As a result of multiple regression analysis, the safety climate was significantly associated with barrier to medication error reporting, however not transformational leadership. Conclusions: This study showed the barrier of medication error reporting was associated with safety climate of the hospital. Therefore, it might be important to create an atmosphere of safety climate of the hospital and to make programs or polices for decreasing the barrier to medication error reporting or prevention of medication error.

간호사의 투약오류보고의도에 대한 조직요인의 판별예측력

김명수 ( Myoung Soo Kim )
4,500
초록보기
Objectives: The purpose of this study was to define degrees of intention to medication error reporting among nurses and to identify discriminating factors of intention to use medication error reporting system among structural and functional variables of the organization. Methods: From 12 hospitals in Korea, 157 nurses participated in the study. The data was collected from July to August, 2011. Organizational related variables were number of beds, perceived usefulness of medication error reporting system, patient safety culture, patient safety initiatives and perceived leadership. Descriptive and discriminant analyses were used. Results: Eighty six point four percent of the participants were staff nurses. The participants were grouped into three groups depending on the levels of intention to medication error reporting: low intention group (n=43), medium-intention group (n=69), high-intention group (n=45). Within the three groups, two functions were produced and only one function was significantly discriminated between low and highintention groups. Additional discriminant analysis produced one function that classified 68.2% of the participants correctly into the two groups. Number of beds and perceived usefulness of medication error reporting system were significant discriminating factors. Conclusions: Structural characteristics of the organization such as number of beds would be contained hidden characteristics for improving or inhibiting factor for error reporting intention. And functional characteristics of the organization as perceived usefulness of medication error reporting to improve error reporting intention can be implemented by the administrator and staff members. Based on the findings of this study, developing intervention programs focusing on improving perceived usefulness of medication error reporting is suggested.
4,500
초록보기
Objectives: Smoking cessation is an important factor for prevention of coronary artery disease. This study examined the extent of smoking cessation intention and the related factors among men with coronary artery disease, to aid in determining intervention strategies for smoking cessation. Methods: Data for 836 male current smokers with coronary artery disease living in a community were collected from the 2013 Community Health Survey in Korea. The association between the extent of smoking cessation intention and related factors was examined using a cross-sectional study design. Univariate analysis and multiple logistic regression analysis were used. Results: In the univariate analysis, young age, high education level, non-manual occupation, lower frequency and less quantity of the cigarettes, physical activity, continuous smoking cessation recommendations from acquaintances, and recent exposure to public advertising regarding smoking cessation were significantly associated with the presence of smoking cessation intention. In the logistic regression analysis, low frequent cigarette smoking (odds ratio [OR], 4.53; 95% confidence interval [CI], 2.23-9.23), continuous smoking cessation recommendations from acquaintances (OR, 3.07; 95% CI, 1.71-5.49), and recent exposure to public advertising regarding smoking cessation (OR, 2.33; 95% CI, 1.07-5.09) were significantly associated with smoking cessation intention. Conclusions: It is necessary to understand the smoking cessation intention for the management of patients with coronary artery disease and to provide a more active intervention using regular recommendations from acquaintances and persistent public advertising. Moreover, demographic factors such as age, education level, and occupation, as well as smokingrelated behaviors and community support should be considered while developing a smoking cessation program.

응답 일치 여부와 면접 대상자의 인구학적 특성의 연관성: 2014년 지역사회건강조사 자료 활용

김자연 ( Ja Yeun Kim ) , 황신하 ( Shin Ha Hwang ) , 원은지 ( Eun Ji Won ) , 손혜숙 ( Hae Sook Sohn ) , 김영택 ( Young Taek Kim ) , 강양화 ( Yang Wha Kang ) , 성경미 ( Kyoung Mi Sung ) , 최형윤 ( Hyung Yun Choi ) , 김호 ( Ho Kim )
4,500
초록보기
Objectives: The response concordance between interviewer-assisted interviews and telephone survey was introduced in the Community Health Survey for the quality control and examining the association between the response concordance and related variables is required. Methods: Total 22,665 were participated in the 2014 Community Health Survey, Korea. Multivariate logistic regression analysis was performed on the response concordance for the five questions; self-rated health status (SRH), car driving, sleep time, health check-ups, and doctors diagnosed hypertension (DDH). Response concordance was investigated by gender, age (19-39, 40-64, 65-74, ≥75), residential areas (urban, rural), comorbidity, and interval period (<6 days, 6 days ≤) defined as the different days between interviewer-assisted interviews and telephone survey. Results: Women (12,658, 55.9%), urban residents (15,486, 68.3%), age 40-64 years (10,732, 47.4%), and comorbidities (6,911, 30.5%) were predominant among study population. The association of SRH were observed for women [1.08 (95% confidence interval [CI], 1.02-1.14)] and age group 40-64 [0.79 (95% CI, 0.73-0.85)], 65-74 [0.60 (95% CI, 0.55-0.66)], ≥75 [0.43 (95% CI, 0.38-0.48)], rural [0.84 (95% CI, 0.79-0.89)], and comorbidities [0.90 (95% CI, 0.78-1.04)]. Gradual decrease in car driving was observed by the age groups 40-64 [1.43 (95% CI, 1.17-1.74)], 65-74 [1.78 (95% CI, 1.32-2.40)], and ≥75 [1.87 (95% CI, 1.29-2.70)]. The variables showing significant association with the interval period (6 days ≤) were SRH [0.88 (95% CI, 0.83-0.93)] and sleep time [0.85 (95% CI, 0.77-0.93)], and rural area residents showed lower response concordance with SRH [0.84 (95% CI, 0.79-0.89)], sleep time [0.64 (95% CI, 0.58-0.70)], health check-ups [0.90 (95% CI, 0.83- 0.99)], and DDH [0.71 (95% CI, 0.64-0.80)] except for car driving [1.21 (95% CI, 0.90-1.26)]. Conclusions: The factors associated with the response concordance varied and having comprehensive understanding about the survey is necessary to assess the quality of the data.

종합병원 진료과의 구조적 복잡성과 기술적 숙련도가 치료결과에 미치는 영향

윤경일 ( Kyung Il Youn )
4,500
초록보기
Objectives: The purpose of this study is to analyze the effects of structural complexity and technical proficiency on treatment outcome of the clinical departments in general hospitals and to verify the conceptual independency of the two variables. Methods: Discharge summary data of 4,528 cerebrovascular diseases patients who underwent surgery during a month period between 2008 and 2011 were analyzed. The analytic model included the independent variables such as surgery volume and number of disease diagnosis in a neurosurgery department. The dependent variables were length of stay and mortality rate. Hierarchical logistic regression and poisson regression model were applied to test the hypothesis. Results: Results showed a high level of complexity departments have a low length of stay and mortality. Also, a high level technical proficiency had a significant negative relationship with the length of stay and mortality rate. In addition, a conceptual independency between the two variables was verified. Conclusions: The studies that intend to analyze surgery volume and mortality rate relationship should consider structural complexity as well as technical proficiency for more rigorous study design.

혈액투석환자의 의미중심대처와 우울, 건강상태 간의 관계

차지은 ( Ji Eun Cha ) , 한달롱 ( Dal Long Han )
4,500
초록보기
Objectives: To offer a third type of meaning-focused coping for patients undergoing hemodialysis. The purpose of this study was to investigate meaning- focused coping among patients on hemodialysis and to examine relationships between meaning-focused coping, depression, and health status. Methods: We based our investigation on the revised Stress and Coping Theory to explore the role of meaning-focused coping. A secondary analysis was conducted using survey data from 228 adult patients. To measure meaning-focused coping, including positive reappraisal and putting into perspective, depression, and health status, the Cognitive Emotion Regulation Questionnaire, Hospital Anxiety and Depression Scale, and Medical Outcomes Study Short Form-12 were utilized. Data were analyzed using descriptive statistics, t-tests, ANOVA, and Pearson Correlation. Results: Mean age of the participants was 47.76 and the duration of dialysis was 9.03 years. The proportion of patients on hemodialysis for more than 10 years was 39.9%. Meaningfocused coping scored 3.50 out of 5 points on average. There were differences in scores for meaning-focused coping according to job, gender, income, and transplant waiting status. Meaning-focused coping was negatively correlated with depression (r=-0.57, p<0.001) and positively correlated with health status (r=0.35, p<0.001). Conclusions: Meaning-focused coping seems to be a valuable coping technique along hemodialysis patients; the pursuit of which may have positive psychological and physical health effects for such patients. The results of this study demonstrate the adaptive functions of the meaning-focused coping process during chronic illness. Health care providers will gain insight into how coping promotes health and other positive outcomes.

노인요양병원 간호사의 낙상예방활동에 미치는 영향요인

정지영 ( Ji Young Jung ) , 정계현 ( Gye Hyun Jung )
4,500
초록보기
Objectives: The purpose of this study was to understand the relation among fall knowledge, fall attitude, nursing environment and fall prevention activities in nurses who work at geriatric hospitals, and identify factors which affect on fall prevention activities. Methods: Using the convenient sampling method, the data were collected from nurses who had been working at 16 geriatric hospitals in D Metropolitan City for longer than three months. The collected data from 210 nurses were analyzed using descriptive statistics, independent t-test, one-way ANOVA with Scheffe test and multiple regression with SPSS/WIN 20.0. Results: Subjects``fall knowledge and fall attitude turned out to work as relatively high influence factors. They perceived nursing practice environment as positive and highly involved in fall prevention activities as well. Geriatric hospital nurses who were older, married, paid better, more experienced in clinical environment and learned more about fall-related education were better at fall prevention activities. Fall prevention activities were significantly related to fall attitude and nursing practice environment. Under the control of individual characteristics among geriatric hospital nurses, Hierarchial Linear Regression revealed that fall attitude, wage and fall education hours worked as positive influence factors, however, nursing practice environment did not affect much. Explanation power of the variables were 30.4%. Conclusions: Based on the result of the study, an education program with sufficient hours to change nurses``fall attitude needs to be developed, and a plan which will bring positive change in nursing practice environment needs to be sought to improve geriatric hospital nurses``fall prevention activities.

중,고령자의 주요 만성질환 유병인구 예측: Future Elderly Model을 적용

백미라 ( Mi Ra Baek ) , 민인식 ( In Sik Min ) , 정기택 ( Kee Taig Jung )
5,100
초록보기
Objectives: Korea is currently facing a super-aged society. Chronic diseases, due to the required long-term treatment, cause the harsh burden not only for the patients but also for the family members who support them. Additionally, the nations with a high rate of chronic diseases often experience the heavy financial burden. Therefore, it is important to estimate the number of patients with chronic conditions in order to formulate national policies for the chronic disease prevention and management. Methods: Using the Korea Health Panel data in 2012 and 2013, this study calculates the transition probability and disease-specific mortality rates and micro-simulates the Korean population by 2040 and the number of patients with 8 leading chronic conditions. Results: The estimated results are as follows. The population with hypertension increases 2.53 times (5,713,500 in 2014 to 14,468,680 in 2040); the population with diabetes increases 1.95 times (2,616,820 in 2014 to 5,103,020 in 2040); the population with hyperlipidemia increases 1.64 times (2,956,790 in 2014 to 4,842,290 in 2040); the population with polyarthrosis increases 2.3 times (3,888,330 in 2014 to 8,934,990 in 2040); the population with tuberculosis increases 2.26 times (84,520 in 2014 to 190,700 in 2040); the population with ischaemic heart disease increases 2.39 times (888,010 in 2014 to 2,123,440 in 2040); the population with cerebrovascular disease increases 2.35 times (877,490 in 2014 to 2,063,170 in 2040); and the population with cancer increases 1.82 times (988,400 in 2014 to 1,794,790 in 2040). Conclusions: In conclusions, it showed an increase in the number of patients of all chronic diseases. This study has a significance as the first study applying the FEM to Korea, the findings of this study data are expected to be utilized as the basis for the data of chronic diseases policy and securing financial resources to prevent and manage future chronic diseases.

소아 급성 중이염 환자에 대한 항생제 처방 분석

양성희 ( Seong Hee Yang ) , 이기재 ( Kee Jae Lee ) , 유기연 ( Ki Yon Rhew )
4,500
초록보기
Objectives: Proper use of antibiotic for the treatment of acute otitis media (AOM) is important because it can improve the treatment effect and can reduce the risk of antibiotic-resistant bacteria. There has been no national wide study on the antibiotic use for AOM treatment in young ages in Korea. Therefore, we conducted a national wide study on the status of antibiotic prescription for the AOM treatment in young ages in Korea. Methods: The AOM outpatient data on the antibiotic prescription was obtained from Korean health insurance review and assessment service. The ratio and the factors influencing (type of AOM, patient’s age group, types of hospitals, specialty of the physician and the regions in Korea) on the antibiotic prescription was analyzed using multivariate binary logistic regression. Results: Total 388,994 cases were analyzed. The antibiotic was prescribed in 89.0%. Antibiotics were prescribed the most frequently in the pre-school ages (odds ratio [OR] 1.05; 95% confidence interval [CI], 1.00-1.11) and the least frequently in the adolescents (OR 0.81; 95% CI, 0.75-0.88). The suppurative AOM was more related to the use of antibiotics than non-suppurative AOM (OR 1.44; 95% CI, 1.39-1.50). The secondary hospital (OR 3.19; 95% CI, 2.65-3.85) and primary hospital (OR 8.40; 95% CI, 6.97-10.12) prescribed antibiotics more frequently compared to the tertiary hospital. Conclusions: Various factors are related to prescribing antibiotics for the treatment of AOM in pediatric patients. Antimicrobial prescribing guidelines for pediatric AOM patients would encourage appropriate use of antibiotics.

폐렴구균 예방백신 권장대상 성인의 예방접종 수행률과 관련요인

이순영 ( Soon Young Lee ) , 서순림 ( Soon Rim Suh )
4,500
초록보기
Objectives: The purpose of this study was to measure the rate of pneumococcal vaccination and vaccination-related factors and to identify the predictors of vaccine uptake behavior among the adults recommended for the immunization. Methods: Cross-sectional survey was performed with questionnaires provided to 205 adults who recommended for the immunization among inpatients and outpatients admitted to a single metropolitan hospital in the February and March of 2015. Collected data were analyzed by descriptive statistics, χ2-test, t-test, and multiple logistic regression analyses using IBM SPSS WIN 22.0 program. Results: Vaccination rate of the participants was 23.9%. Their knowledge for the vaccination and pneumonia-preventive behavior were at intermediate levels, scoring 5.85/10 and 6.47/10 points, respectively. Their health beliefs that include susceptibility, seriousness, benefits, barriers and cues to action scored 69.18/100. Vaccinees scored significantly higher than the non-vaccinee controls in the knowledge for vaccination and also in the susceptibility and severity of health belief. Vaccine receipt rate differed significantly in univariate analysis by general characteristics such as age, education, marital status but not by gender and comorbidity. Further analyses of multiple logistic regression indicated that the vaccine receipt rate appeared to increase with age, experience of pneumonia and perceived susceptibility. Conclusions: The pneumococcal vaccination rate was generally low. To increase the rate, it is desirable to develop an organized program to educate vaccine recommended adults and enhance their perception of the risk of pneumococcal infection and the benefit of vaccination.
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