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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 : 44권 3호 (2019)

문헌고찰을 통한 급성기 병원의 간호사 확보수준과 입원 환자의 재입원율

박진화 ( Jin-hwa Park ) , 배성희 ( Sung-heui Bae ) , 신수진 ( Sujin Shin )
4,500
초록보기
Objectives: This study aimed to systematically review primary studies on the relationship between nurse staffing and hospital readmission. Methods: This study was conducted based on a systematic review of related nursing literature and meta-analysis. The CINAHL, Cochrane Library, DBpia, PubMed, PsycINFO, and RISS databases were searched for either English or Korean language studies published between January 2000 and August 2018 that examined the association between nurse staffing and patient outcomes. Results: Four studies examined the relationship between nurse staffing levels and readmission and all found negative relationships. Current evidence reveals that consistently higher nurse staffing is associated with better patient outcomes. The meta-analysis of 3 studies based on the random effect model showed that the higher nurse staffing level was effective in lowering readmission (odds ratio: 1.06; 95% confidence interval: 1.04-1.08). The meta-analyses revealed a significant increase in readmission in low nurse staffing levels. Conclusions: The findings of this study suggest that sufficient nurse staffing is a strong indicator of the provision of nursing care quality. Continuous effort is recommended to set an optimal patient-to-nurse ratio to formulate guidelines regarding nurse staffing strategies.

간호사의 욕창예방간호 지식-장애·촉진요인과 태도-수행도 요인 간의 정준상관관계

김명수 ( Myoung Soo Kim ) , 류정미 ( Jung Mi Ryu )
4,500
초록보기
Objectives: Knowledge, barriers/facilitators for pressure ulcer prevention nursing are correlated with attitude and performance of staff nurses. It can be helpful to utilize barriers and facilitators for enhancing the attitude and performance of nurses, there is a gap in the empirical study. The aim of this study was to investigate the relationship between knowledge- barriers/facilitators for Pressure Ulcer (PU) prevention variable set and attitude-nursing performance variable set. Methods: This study employed a cross-sectional descriptive design using structured survey in 9 hospitals. Data were collected from August to November 2018 and analyzed using descriptive statistics, t-test, ANOVA, Pearson’s correlation coefficients, and Canonical correlation. Results: The correct answer rates of knowledge for PU risk factor was 75%. Perceived barriers of prevention was 5.03±1.40 and facilitators was 5.87±1.28. The mean score of attitude for PU prevention was 3.53±0.30 and that of nursing performance for PU prevention was 1.42±0.33. The significant pair of canonical variate indicated that more perceived barriers (0.75), less facilitators (-0.51), low knowledge level for risk factor of pressure ulcer (-0.31), and high knowledge level for pressure ulcer prevention (0.59) were associated with poor nursing performance for pressure ulcer prevention (-0.96). Conclusions: To enhance the nursing performance for PU prevention, developing nurse-centered educational program and standardized protocol should be needed. Also, planning sheet for PU prevention can increase the nursing performance.

보건소 방문건강관리 대상 여성 노인 고혈압 환자의 건강정보 문해력이 혈압조절에 미치는 영향

배화 ( Hwa Bae ) , 홍남수 ( Nam-soo Hong ) , 신은경 ( Eun-kyoung Shin )
4,500
초록보기
Objectives: This study was to investigate the level of health literacy among the elderly hypertensive patients and to investigate the effect of health literacy on hypertension control. Methods: This study was conducted for four weeks between February 5 and March 2nd, 2018 in cooperation with the health center of D county. The subjects of the study were 150 elderly female hypertension patients who were regularly supervised by the visiting health care project, and the material of 146 patients amon them were used for the analysis. Collected data were analyzed using t-test, ANOVA and logistic regression analyses with the SPSS 23.0 Program. Results: The literacy rate of health information was 8.70 (±2.12) out of 12 points, and the correct answer rate was 74.5%. The higher the age and the higher the level of education and the higher the salt-based practice rate, the higher the health literacy. Conclusions: Health literacy level and hypertension control are closely related. Since the people with low literacy for health information do not understand various kinds of health related information, it is highly likely that their knowledge and self-management level is insufficient.

50세 이상 한국 성인에서 대사증후군과 골다공증과의 관련성: 2016, 2017 국민건강영양조사

이현화 ( Hyeon Hwa Lee ) , 한미아 ( Mi Ah Han ) , 박종 ( Jong Park )
4,500
초록보기
Objectives: The aim of the study was to investigate the association between metabolic syndrome and osteoporosis in Korean adults aged over 50 years old. Methods: The study subjects were 5,529 Korean adults aged over 50 years old who participated in the first year and second year of the Korea National Health and Nutrition Examination Survey (2015-2016). The data were analyzed by frequency analysis, descriptive analysis, chi-square test, t-test and multiple logistic regression analysis. Results: The prevalence of osteoporosis diagnosed by doctor 7.6% for men and 26.0% for women, respectively. In multiple logistic regression analysis, the odds ratio (OR) for osteoporosis (OR 1.26, 95% confidence interval: 1.04-1.54) in abnormal triglyceride subjects were significantly higher than those of normal triglyceride. Conclusions: There was a significant association between triglyceride and osteoporosis in Korean adults aged over 50 years old. Further study is needed to analyze the association between metabolic syndrome and osteoporosis.

요양병원 간호사의 공감역량이 임종간호수행에 미치는 영향

안영혜 ( Young Hye An ) , 서순림 ( Soon Rim Suh )
4,500
초록보기
Objectives: The purpose of this study was to assess the levels of nurses’ compassion competence and terminal care and the factors associated with their performance of terminal care in geriatric hospitals. Methods: This study design was a cross-sectional survey. The participants in the study were 186 nurses working at 7 geriatric hospitals. Data were collected, using structured questionnaires, from 10th to 21st of September, 2018. The collected data were analyzed using t-test, ANOVA, Scheffe test, Pearson correlation coefficients, and hierarchical multiple regression analysis with SPSS/WIN 24.0. Results: There was a significant positive correlation between terminal care performance and compassion competence (r=0.65, p<0.001). Hierarchical regression analysis indicated that the significant factors affecting the performance of terminal care were age, 3-shifts, and religion in model 1 and these factors explained 17% of variance. In model 2, communication and insight among subtypes of compassion competence were significant predictors and explained 49% of the variance in terminal care performance by nurses. Conclusions: The findings from this study suggest that nurses’ compassion competence is the most important factor for improving terminal care performance which needs to be enhanced by education program.

간호대학생의 교내실습 중 찔림사고 경험실태 및 위험요인

김은영 ( Eun Young Kim ) , 문경자 ( Kyoungja Moon )
4,500
초록보기
Objectives: The purpose of this study was to identify prevalence and risk factors of needlesticks and other sharps injuries (NSIs) in education practicum among nursing students. Methods: Data were collected using self-administered questionnaires which included general and practical characteristics, in education practicum associated with NSIs. Data were conducted from April 29 to May 3, 2019 and analyzed using χ²-test and multiple logistic regression. Results: The incidence rate of NSIs was 17.0%. Multiple logistic regression analysis identified five predictors for NSIs which were statistically significant; year (Odds ratio, OR=3.88, 95% confidence interval, 95% CI=1.86-8.06), status carelessness (OR=2.32, 95% CI=1.22-4.40), wearing gloves (OR=2.86, 95% CI=1.39-5.86), finding an instrument in an inappropriate position (OR=2.77, 95% CI=1.46-5.25), and using time of instrument (OR=2.45, 95% CI= 1.19-5.06). Conclusions: Based on the findings of this study, we need to develop specific NSIs preventive education program for reducing the risk of NSIs of nursing students.

국내 치매 노인을 위한 인지중재활동의 효과: 메타분석

권재성 ( Jae Sung Kwon )
4,500
초록보기
Objectives: The purpose of this meta-analysis was to investigate the effects of cognitive intervention activities (CIAs) for the elderly with dementia in Korea. We had searched for articles related to cognitive intervention for dementia over the past decade. Methods: The studies were searched through domestic search engine such as Earticle, KISS, Kyoboscholar, NDSL and RISS. The PEDro scale was used to assess the quality of the studies. The meta-analysis was implemented to analyze statistical values such as the number of samples, mean and standard deviation. Results: Nine papers were carefully selected for meta-analysis. The PEDro scales of analyzed studies were 4-5 points. The total number of subjects in identified studies was 336. We classified the dependent variables into mental function (MF) and activity and participation (A&P) based on the International Classification of Functioning, Disability and Health to compute effect sizes. The effect size of MF was 0.464 and the effect size of A&P was 0.422, both of which were “medium effect sizes”. Conclusions: The medium effect sizes for CIAs are clinically acceptable. However, it should be considered that dementia is a degenerative disease. And well designed and high quality research should be implemented continuously.

우리나라 성인의 근육량과 대사증후군 구성요소와의 관련성

김화지 ( Hwa-ji Kim ) , 조성제 ( Sung-je Cho ) , 정성화 ( Seong-hwa Jeong )
4,500
초록보기
Objectives: The aim of this study was to investigate an association between muscle mass and metabolic syndrome configuration in Korean adult. Methods: A total of 6,426 participants aged over 20 years old were selected for this study from the database of the Fifth KNHANES for 2010-2011. Metabolic syndrome was defined by NCEP-ATP III and muscle mass was calculated by body weight-adjusted ASM. Univariate and multivariate analyses ware performed to assess the crude and adjusted associations using PASW 18.0. Results: The muscle mass was significantly associated with metabolic syndrome after adjusting for socio-demographics and health-related behaviors (OR=0.97, 95% CI=0.97, 0.98). Moreover, the increasing muscle mass was significantly reduced the number of metabolic syndrome configuration (1 vs. 0: OR=0.98, 95% CI=0.98, 0.99; 2 vs. 0: OR=0.97, 95% CI=0.97, 0.97; 3 vs. 0: OR=0.96, 95% CI=0.96, 0.97; 4 vs. 0: OR=0.95, 95% CI=0.95, 0.96; 5 vs. 0: OR=0.95, 95% CI=0.94, 0.95). Conclusions: An increasing muscle mass was significantly associated with a decreased risk of metabolic syndrome and the number of metabolic syndrome configuration.

쌍태아 간의 출생체중 불일치율 분포 및 기준에 관한 연구

박상화 ( Sang Hwa Park ) , 임달오 ( Dar Oh Lim )
4,500
초록보기
Objectives: To compare the frequency of inter twin birth weight discordance, and degree of discordance rate in twin births by gestational age. Methods: There were 51,783 pairs of twins from 2007-2014 of birth certificated data of Korea Statistics. We excluded extra-marital and non-hospital birth cases. Birth weight discordance rate (%) was calculated as (birth weight of larger twin-birth weight of smaller twin)/birth weight of larger twin and multiplied with 100. Birth weight discordance values was calculated to describe the degree of discordance by 50th, 90th, and 95th percentile, and two standard deviations above the mean, and frequency of severe birth weight discordancy (birth weight discordancy equal to or more than 25%) at each gestational age. Results: The mean discordance rate for inter twin was 11.0%±9.3%. The discordance values was not a normal (Gaussian) distribution (Kolmogorov-Smirnov test: p-value=0.01), and the best-fit function was exponential model (R2=0.94, p<0.01). The cumulative frequency of discordance values had cubic model (R2=0.99, p<0.01). The 50th percentile of birth weight discordancy was 8.8% discordance, the 90th was 23.4%, and the 95th was 29.1%. At earlier gestational age, the percentage discordant according to the 95th percentile of birth weight discordance was higher (37.0% at 28-33 weeks) than at older gestational age (approximately 26.0% at ≥37 weeks). The values of 95th percentile represented approximately the severe birth weight discordancy (≥25%) in gestational age at 37 weeks and older. Conclusions: The 95th percentile corresponded to a birth weight discordancy of approximately 25 percent at older gestational age (≥37 weeks). The degree of twin births weight discordance should be categorized with respect to gestational age since the degree of discordance may vary in different gestational age.

병동 2-3년차 간호사 역량강화를 위한 역량별 중요도와 수행도 분석

황인희 ( Inhee Hwang ) , 유소영 ( Soyoung Yu )
4,500
초록보기
Objectives: This study is a descriptive study identifying competencies required for nurses with 2-3 years’ experience in wards. It analyzes the importance and performance of each competency. Methods: Based on the literature review, we conducted a focus group interview with six nurses to construct a preliminary item confirming the competency of a general ward career nurse. After verifying the content validity of the preliminary items with 10 experts, a survey was conducted with 112 nurses who had 2-3 years’ experience in the ward. The importance and performance of each competency were analyzed. Results: The 34 core competencies were identified through focus group interviews and content validity. There were three items of cardiovascular disability nursing, medicine management, and emergency treatment were identified high importance, but low performing items through importance and performance analysis. Conclusions: From the importance-performance analysis of nursing competencies of nurses with 2-3 years’ experience in the ward, it was clear that appropriate educational programs are required to enhance competencies with high importance but low performance.
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