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The Effect of Residence in Underserved Emergency Medical Services Areas on Awareness of Myocardial Infarction Symptoms in Korea 韩国急诊医疗服务不足地区居民对心肌梗死症状认知的影响
Pub Date : 2021-02-28 DOI: 10.21032/JHIS.2021.46.1.8
Mirae Jo, Heeyoung Oh, S. Jang
The Effect of Residence in Underserved Emergency Medical Services Areas on Awareness of Myocardial Infarction Symptoms in Korea Mirae Jo, Heeyoung Oh, Suk-Yong Jang Doctoral Student, Department of Nursing, Graduate School of Eulji University, Daejeon; Professor, College of Nursing, Eulji University, Daejeon; Professor, Department of Preventive Medicine, Eulji University School of Medicine, Daejeon, Korea
居住在急救医疗服务欠缺地区对韩国心肌梗死症状认知的影响赵mirae,吴熙英,张淑勇,大田乙支大学研究生院护理系博士生大田乙支大学护理学院教授韩国大田乙支大学医学院预防医学科教授
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引用次数: 2
The Predictive Factors of Medication Errors in Clinical Nurse 临床护士用药错误的预测因素
Pub Date : 2021-02-28 DOI: 10.21032/JHIS.2021.46.1.19
Soon-Rim Suh, Darae Woo, Song, Yeoungsuk
Objectives: The aim of this study was to identify predictive factors (fatigue, labor intensity, quality of sleep, and job stress) of medication errors in clinical nurses to improve patients’ safety. Methods: The participants of this study were 148 female nurses who have clinical experience for more than 1 year at K hospital and pregnant nurses among them were excluded. The data were collected from February 27th to March 20th, 2019. The measurements of medication errors, fatigue, labor intensity, quality of sleep, and job stress were used. Data were analyzed with descriptive statistics, t-test, ANOVA, Scheffé test, Pearson correlation coefficients and multiple regression analysis using IBM SPSS/WIN 23.0. Results: The predictive factors associated with nurses’ medication errors were clinical experience (β= -0.41), fatigue (β= 0.31), work department emergency room (β= 0.28), work department surgery ward (β= 0.25), and job stress (β= 0.23). The results showed that the nurses who had less clinical experience and felt more fatigue or job stress, were likely to have more medication errors. Also, the nurses who work in emergency room or surgery units, experience more medication errors. Conclusions: Clinical experience, fatigue, work area-emergency room, work area-surgery word and job stress were the main influential factors on medication errors of clinic nurse. Theses influential factors should be integrally considered in nursing management to decrease medication errors. Especially, it is needed to develop a programs that can indirectly improve clinical experience to prevent medication errors.
目的:本研究旨在确定临床护士用药失误的预测因素(疲劳、劳动强度、睡眠质量和工作压力),以提高患者的安全性。方法:本研究的参与者为148名在K医院有1年以上临床经验的女护士,其中孕妇护士除外。数据收集时间为2019年2月27日至3月20日。使用了药物错误、疲劳、劳动强度、睡眠质量和工作压力的测量。数据采用描述性统计、t检验、ANOVA、Scheffé检验、Pearson相关系数和多元回归分析,使用IBM SPSS/WIN 23.0进行分析。结果:与护士用药失误相关的预测因素为临床经验(β=-0.41)、疲劳(β=0.31)、急诊室(β=0.28)、外科病房(β=0.25)和工作压力(β=0.23)。此外,在急诊室或手术室工作的护士会遇到更多的药物错误。结论:临床经验、疲劳、工作区急诊室、工作区手术词和工作压力是影响临床护士用药失误的主要因素。护理管理应综合考虑这些影响因素,减少用药失误。特别是,需要开发一种可以间接改善临床经验的程序,以防止药物错误。
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引用次数: 4
Factors Related to Influenza Vaccination Intention in University Students Based on Theory of Planned Behavior 基于计划行为理论的大学生流感疫苗接种意向相关因素分析
Pub Date : 2021-02-28 DOI: 10.21032/JHIS.2021.46.1.64
Yeonguk Chae, Sunjoo Kim, Yang Seung Kyoung
Factors Related to Influenza Vaccination Intention in University Students Based on Theory of Planned Behavior Yeojoo Chae, Sunjoo Kim, Seungkyoung Yang Senior Researcher, Gyeongnam Center for Infectious Diseases Control and Prevention, Changwon; Supervisor, Prevention and Management, Gyeongnam Center for Infectious Disease Control and Prevention, Changwon; Professor, Department of Laboratory Medicine, Gyeongsang National University Changwon Hospital, Changwon; Professor, Department of Nursing, Kyungnam University, Changwon, Korea
基于计划行为理论的大学生流感疫苗接种意向影响因素蔡汝珠,金善珠,杨承京,昌原市庆南传染病预防控制中心庆尚南道传染病预防控制中心(昌原)预防管理监督员;庆尚大学昌原医院检验医学科教授;韩国昌原市庆南大学护理学系教授
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引用次数: 1
Factors Associated with Human Papillomavirus Non-vaccination: The National Health and Nutrition Survey 人乳头瘤病毒未接种疫苗的相关因素:国家健康和营养调查
Pub Date : 2021-02-28 DOI: 10.21032/JHIS.2021.46.1.72
Min-Ju Kim, Eunsun Lim, Sangshin Park, N. Choi
Factors Associated with Human Papillomavirus Non-vaccination: The National Health and Nutrition Survey Min-Ju Kim, Eunsun Lim, Sangshin Park*, Nam-Kyong Choi* Graduate Student, Graduate School of Industrial Pharmaceutical Science, Ewha Womans University, Seoul; Graduate Student, Department of Health Convergence, College of Science and Industry Convergence, Ewha Womans University, Seoul; Professor, Graduate School of Urban Public Health, University of Seoul, Seoul; Professor, Department of Health Convergence, College of Science and Industry Convergence, Ewha Womans University, Seoul; Professor, Graduate School of Industrial Pharmaceutical Science, Ewha Womans University, Seoul, Korea
未接种人乳头瘤病毒相关因素:国民健康与营养调查:Kim Min-Ju Lim Eunsun Park Sangshin * Choi Nam-Kyong *梨花女子大学工业制药研究生院研究生首尔梨花女子大学科学与产业融合学院健康融合系研究生;首尔大学城市公共卫生研究生院教授,首尔;首尔梨花女子大学科学与产业融合学院健康融合系教授;韩国首尔梨花女子大学工业制药科学研究生院教授
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引用次数: 2
Secular Trends in Sex Ratio at Birth by Birth Order in South Korea, 1981–2017 1981-2017年韩国出生顺序性别比例的长期趋势
Pub Date : 2021-02-28 DOI: 10.21032/JHIS.2021.46.1.117
D. Lim, S. H. Park, Song, Inmyung
The sex ratio at birth is nearly constant if not artificially manipulated by using sex-selective abortion [1]. The sex ratios at birth in the United States have been stable from 104.6 to 105.9 males (per 100 females) between 1940 and 2002 [2]. However, East Asian countries that shared a traditional culture of son preference reported unnaturally high sex ratios at birth [3]. In China, Taiwan, South Korea, India, and Viet Nam, the sex ratios at birth were 108 or more males (per 100 females) at some point by the early 2000s; this imbalance was attributed to son preference and sex selection [4]. The distortion in the natural sex ratio can have undesirable social consequences, such as a disequilibrium in the marriage market [5,6]. This can further have a negative impact on the psychological wellbeing of never-married men, such as increased depression, aggression, Secular Trends in Sex Ratio at Birth by Birth Order in South Korea, 1981–2017 Daroh Lim, Sang Hwa Park, Inmyung Song Professor, Department of Health Administration, College of Nursing and Health, Kongju National University, Gongju; Senior Researcher, Institute of Reproductive Medicine and Population, Medical Research Center, Seoul National University, Seoul, Korea
出生时的性别比几乎是恒定的,如果不是通过性别选择人工流产来操纵的话。从1940年到2002年,美国的出生性别比稳定在104.6到105.9(每100名女性)之间。然而,有着重男轻女传统文化的东亚国家报告了不自然的高出生性别比。在中国大陆、台湾、韩国、印度和越南,到本世纪初的某个时候,出生性别比达到了108个或更多的男性(每100名女性);这种不平衡归因于重男轻女和性别选择。自然性别比的扭曲会产生不良的社会后果,如婚姻市场的不平衡[5,6]。这可能进一步对未婚男性的心理健康产生负面影响,例如增加抑郁,攻击性,韩国出生性别比的长期趋势,1981-2017年,公州国立大学护理与健康学院卫生行政学系教授,Daroh Lim, Sang Hwa Park, Inmyung Song;韩国首尔国立大学医学研究中心生殖医学与人口研究所高级研究员
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引用次数: 0
Preterm Birth and Low Birth Weight in Extramarital Birth in Korea: 2015-2018 Years 2015-2018年韩国婚外出生中的早产和低出生体重
Pub Date : 2021-02-28 DOI: 10.21032/JHIS.2021.46.1.82
S. H. Park, D. Lim
Objectives: The purpose of this study was to analyze the risk of preterm birth (PTB) and low birth weight (LBW) in babies born to unmarried parents (extramarital birth). Methods: This study used birth certificate data (1,523,594 births) from Korea Statistics, 2015-2018 years. Odds ratio and 95% confidence intervals were calculated by logistic regression analyses to describe the risk of PTB and LBW in extramarital birth adjusted for maternal age, maternal education, infantile sex, and type of birth (singleton & multiple birth). Results: During this periods, the rate of extramarital birth was 1.9 percent in 2015-2018. The incidence of LBW was 8.4 percent in extramarital birth and 5.9 percent in marital birth. The rate of PTB in extramarital birth were 10.6 percent and 7.3 percent in marital birth. The LBW and PTB rate of extramarital birth (father listed on the birth certificate) was 7.4 percent and 9.1 percent, respectively. Among extramarital birth (father not listed on the birth certificate) was associated with increased risk of PTB (12.3%) and LBW (9.5%). Compared with LBW and PTB rate of marital birth, the odds ratio (OR) for LBW and PTB were 1.66 (95% confidence interval, 95% CI: 1.56-1.77) and 1.57 (95% CI: 1.49-1.67) for extramarital birth (father listed). Risk of LBW (OR: 2.14) and PTB (OR: 2.14) was higher in extramarital birth (father not listed) than that of marital birth. Conclusions: The babies born to unmarried parents was associated with increased risk of LBW and PTB, compared with those of marital birth. Risk of adversed pregnancy outcome was higher in extramarital birth (father not listed on the birth certificate). More study is required to understand the factors to adversed pregnancy outcome of extramarital status.
目的:本研究的目的是分析非婚生婴儿早产(PTB)和低出生体重(LBW)的风险。方法:本研究使用韩国统计局2015-2018年出生证明数据(1,523,594例出生)。通过logistic回归分析计算优势比和95%置信区间,以描述经母亲年龄、母亲教育程度、婴儿性别和出生类型(单胎和多胎)调整后的婚外生育中PTB和LBW的风险。结果:在此期间,2015-2018年的婚外生育率为1.9%。非婚生育的LBW发生率为8.4%,婚生育的LBW发生率为5.9%。非婚生育的肺结核患病率为10.6%,婚生育的肺结核患病率为7.3%。非婚生育(出生证明上的父亲)的低出生出生率为7.4%,生育率为9.1%。在婚外生育(出生证明上没有父亲)与PTB(12.3%)和LBW(9.5%)的风险增加有关。与LBW和PTB的婚生育率相比,LBW和PTB的优势比(OR)为1.66(95%可信区间,95% CI: 1.56-1.77),非婚生育的优势比(OR)为1.57 (95% CI: 1.49-1.67)(父亲列出)。非婚生育(父亲未列)的LBW (OR: 2.14)和PTB (OR: 2.14)风险高于婚生育。结论:与婚生婴儿相比,非婚生婴儿患LBW和PTB的风险增加。非婚生育(出生证明上未列有父亲)发生不良妊娠结局的风险较高。对婚外状况对妊娠结局不利的影响因素还需进一步研究。
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引用次数: 1
Quality Evaluation of Fine Dust Management Mobile Applications 微尘管理移动应用的质量评价
Pub Date : 2021-02-28 DOI: 10.21032/JHIS.2021.46.1.110
Jae Bin Lee, Woo, hyekyung
Objectives: This study aims to identify the contents characteristics of fine dust management apps currently released in Korea and evaluate the quality level. Methods: We found 400 apps to search for keywords related to fine dust, and 30 apps that meet certain criteria were selected as the final research subjects. It describes the main content status of 30 apps. Additionally, we evaluate the quality level of the app by utilizing the mobile application rating scale (MARS). We analyze the correlation between MARS Score, consumer score, and number of reviews. Results: Most fine dust apps were providing contents that provide fine dust concentration based on global positioning system (GPS). According to the MARS evaluation, engagement was low in average score, and in aesthetic, the gap between apps was large. The correlation analysis between the scores was not significant. Conclusions: It is necessary to develop differentiated contents such as personal health records and monitoring in order to increase the motivation and sustainability of using the fine dust mHealth app.
目的:本研究旨在确定国内目前发布的微尘管理应用程序的内容特征,并评估其质量水平。方法:我们在400个应用程序中搜索与微细颗粒物相关的关键词,并选择符合一定条件的30个应用程序作为最终研究对象。它描述了30个应用程序的主要内容状态。此外,我们通过使用移动应用评级量表(MARS)来评估应用程序的质量水平。我们分析了MARS评分、消费者评分和评论数量之间的相关性。结果:大部分微尘应用提供的内容均基于全球定位系统(GPS)提供微尘浓度信息。根据MARS的评估,用户粘性在平均得分上较低,在美学上,应用之间的差距很大。得分之间的相关分析不显著。结论:有必要开发个人健康记录和监测等差异化内容,以提高用户使用微尘移动健康app的动机和可持续性。
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引用次数: 1
Considerations of Statistical Errors in a Study Protocol for Clinical Trials 临床试验研究方案中统计误差的考虑
Pub Date : 2021-02-28 DOI: 10.21032/JHIS.2021.46.1.1
Hui Seung Lee, C. Lim
Statistics are essential for clinical trials, and it is very important to have an accurate understanding of the purpose of the study and to apply the appropriate statistical design or methodology. Prior to conducting a clinical trial, the research protocol requires approval from the IRB (Institutional Review Board) or regulatory agency approval, and contains a variety of contents. The research protocol conducts clinical trials according to GCP (Good Clinical Practice) and describe clinical design and statistical methodologies for demonstrate the efficacy and safety of new drug or new medical devices using the obtained data in clinical trials. At this time, statistical design is applied for the protocol based on the primary study objective. The primary study objective is to influence the selection of primary endpoint to evaluate this, the sample size, the technique of minimizing the bias, the statistical analysis and method of testing the statistical hypothesis. However, statistical errors and contradictions are easy to find in the study protocol and the same errors are repeated many times, so in this paper we aim to avoid these errors in clinical studies and apply them correctly in clinical trials, intended to be helpful in derives scientific design, validity, and reliable results.
统计数据对临床试验至关重要,准确理解研究目的并应用适当的统计设计或方法非常重要。在进行临床试验之前,研究方案需要获得IRB(机构审查委员会)或监管机构的批准,并包含各种内容。该研究方案根据GCP(良好临床实践)进行临床试验,并描述了临床设计和统计方法,以使用临床试验中获得的数据来证明新药或新型医疗器械的疗效和安全性。此时,基于主要研究目标,对方案进行统计设计。主要研究目的是影响评估主要终点的选择、样本量、最小化偏差的技术、统计分析和检验统计假设的方法。然而,在研究方案中很容易发现统计错误和矛盾,并且相同的错误会重复多次,因此本文旨在避免这些错误在临床研究中出现,并将其正确应用于临床试验,以期有助于得出科学的设计、有效性和可靠的结果。
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引用次数: 0
Visualization of Explainable Artificial Intelligence Techniques Using Variable Importance with Its Applications to Health Information Data 可变重要度可解释人工智能技术的可视化及其在健康信息数据中的应用
Pub Date : 2020-11-30 DOI: 10.21032/jhis.2020.45.4.317
Hyerin Jeong, Park. Jung hoon, Lee, Yung-Seop, Changwon Lim
Visualization of Explainable Artificial Intelligence Techniques Using Variable Importance with Its Applications to Health Information Data Hyerin Jeong, Junghoon Park, Yungseop Lee, Changwon Lim Graduate Student, Department of Statistics, Chung-Ang University, Seoul; Professor, Department of Statistics, Dongguk University, Seoul; Professor, Department of Applied Statistics, Chung-Ang University, Seoul, Korea
使用可变重要性的可解释人工智能技术的可视化及其在健康信息数据中的应用Hyerin Jeong,Junghoon Park,Yungseop Lee,Changyon Lim,首尔中央大学统计系研究生;首尔东国大学统计系教授;韩国首尔忠安大学应用统计学系教授
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引用次数: 0
Factors Influencing Length of Intensive Care Unit among Older Patients Transferred from Long Term Care Hospital 影响长期护理医院转院老年患者重症监护时间的因素
Pub Date : 2020-11-30 DOI: 10.21032/jhis.2020.45.4.341
Lee-Seul Jeong, Su Jung Lee, Shin, Dong-soo
Objectives: This study aimed to identify factors affecting the length of intensive care unit (ICU) and characteristics among older patients transferred from long-term care hospital. Methods: This is a retrospective study and we extracted data from electronic medical records. Study participants were patients aged 65 or older who were admitted to ICU after they had been transferred to emergency department from long-term care hospitals. Length of stay (LOS) in ICU was defined as the patients had stayed in ICU for 7 days or more. Factors influencing the LOS were identified through the binary logistic regression analyses based on demographic and clinical characteristics and laboratory parameters. Results: Of all screened patients, 243 subjects were transferred from long term care hospitals. Participants mean age was 80.3 ( ± 7.0) years and female comprised 63%. Participants had stayed in ICU for 13.4 days in average. Factors affecting the LOS in ICU were presence of multidrug resistant organism after ICU admission (odds ratio, OR 5.66, 95% confidence interval, 95% CI = 1.79-17.82, p< 0.010), tracheostomy insertion (OR 3.35, 95% CI = 1.28-8.74, p< 0.014), mechanical ventilator application (OR 2.49, 95% CI = 1.11-5.58, p< 0.026), central venous catheterization (OR 2.13, 95% CI = 1.09-4.17, p< 0.027) and simplified acute physiology score III (OR 0.95, 95% CI = 0.91-1.00, p< 0.039) by multivariate binary logistic regression analysis. Conclusions: Older patients in long-term care hospitals stayed longer in ICU and were vulnerable to infection. It is important to develop strategies to reduce LOS in ICU as the number of older patients admitted from long-term care institutions increases.
目的:本研究旨在确定影响从长期护理医院转诊的老年患者重症监护室(ICU)长度和特征的因素。方法:这是一项回顾性研究,我们从电子病历中提取数据。研究参与者是65岁或65岁以上的患者,他们从长期护理医院转到急诊科后住进了重症监护室。ICU住院时间(LOS)定义为患者在ICU住院7天或以上。基于人口统计学和临床特征以及实验室参数,通过二元逻辑回归分析确定了影响LOS的因素。结果:在所有筛查患者中,243名受试者从长期护理医院转诊。参与者的平均年龄为80.3(±7.0)岁,女性占63%。参与者平均在ICU住了13.4天。影响ICU LOS的因素是ICU入院后是否存在多药耐药生物(比值比,OR 5.66,95%置信区间,95%CI=1.79-17.82,p<0.01 0)、气管造口术插入(OR 3.35,95%CI=1.28-8.74,p<0.01 4)、机械通气机应用(OR 2.49,95%CI=1.1-5.58,p<0.01 26),中心静脉置管(OR 2.13,95%CI=1.09-4.17,p<0.027)和简化急性生理学评分III(OR 0.95,95%CI=0.91-1.00,p<0.039)。结论:长期护理医院的老年患者在重症监护室呆的时间更长,容易感染。随着长期护理机构收治的老年患者数量的增加,制定减少重症监护室服务水平的策略很重要。
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引用次数: 1
期刊
Journal of health informatics
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