본 연구는 항암제 투약관리에 대한 간호사의 안전수칙 인지와 수행간의 관계를 파악하기 위한 서술적 상관관계연구(descriptive correlational research)이다. 본 연구의 대상자는 전라북도 소재 일 종합병원 2곳에 근무하는 간호사 중 항암제를 투약 관리하는 간호사 226명이었으며, 연구도구는 미국 직업안전보건청(1986)의 권장사항을 기초로 최진선 등(2002)이 개발한 항암제 취급시 안전수칙에 관한 인지도구 및 수행도구, 김봉임(1995)이 개발한 항암제 취급에 대한 간호사의 심리적 스트레스 측정도구를 기초로 박종순(2003)이 제작한 항암제 취급에 대한 불안 측정도구를 이용하였다. 자료 수집 기간은 2005년 4월 8일부터 5월 11까지로 자가보고식 설문지를 이용하여 자료를 수집하였다. 수집된 ...
본 연구는 항암제 투약관리에 대한 간호사의 안전수칙 인지와 수행간의 관계를 파악하기 위한 서술적 상관관계연구(descriptive correlational research)이다. 본 연구의 대상자는 전라북도 소재 일 종합병원 2곳에 근무하는 간호사 중 항암제를 투약 관리하는 간호사 226명이었으며, 연구도구는 미국 직업안전보건청(1986)의 권장사항을 기초로 최진선 등(2002)이 개발한 항암제 취급시 안전수칙에 관한 인지도구 및 수행도구, 김봉임(1995)이 개발한 항암제 취급에 대한 간호사의 심리적 스트레스 측정도구를 기초로 박종순(2003)이 제작한 항암제 취급에 대한 불안 측정도구를 이용하였다. 자료 수집 기간은 2005년 4월 8일부터 5월 11까지로 자가보고식 설문지를 이용하여 자료를 수집하였다. 수집된 자료 분석은 SPSS 12.0 통계프로그램을 이용하였다. 본 연구의 결과는 다음과 같다. 1) 항암제 노출 경험자는 75.2%였고, 개인 보호구 착용자 중 마스크를 착용하지 않은 간호사는 85.6%이었고, 마스크 착용자 14.4% 중 천 마스크 착용자는 0.9%에 불과했다. 장갑 착용자는 46.2%였고, 이 중 라텍스 착용자는 19.3%로 저조하게 나타났다. 가운 미착용자는 95.5%로 대다수를 차지했고, 토시 1.8%, 보안경 0.4%, 스필키트 9.5%로 사용하는 경우가 매우 저조하게 나타났다. 2) 항암제 혼합에 대한 안전수칙 인지도와 수행도는 인지도 3.11±.57점이었고 수행도 2.64±.54점으로 인지도가 수행도보다 높았으며 이러한 차이는 통계적으로 유의하였다(paired-t=6.869, p=.000). 항암제 투약에 대한 안전수칙 인지도와 수행도는 인지도는 3.18±.54점이었고, 수행도는 3.00±.49점으로 인지도가 수행도보다 높았으며, 이러한 차이는 통계적으로 유의하였다(paired t=6.463, p=.000). 3) 항암제 혼합에 대한 안전수칙을 수행하지 못하는 이유는 장비가 없어서가 59.3%, 바빠서가 18.2%, 귀찮아서가 12.5%, 몰라서가 9.9%로 나타났다. 항암제 투약에 대한 안전수칙을 수행하지 못하는 이유는 장비가 없어서가 46.9%, 바빠서가 27.4%, 몰라서가 19.5%, 귀찮아서가 6.2%이었다. 4) 항암제 투약관리에 대한 불안정도는 4점 만점에 평균 3.15±.80점으로 비교적 높게 나타났으며, 취급빈도에 대한 불안은 통계적으로 유의하였다(F=3.209, p=.042). 5) 항암제 투약관리에 대한 안전수칙 인지도가 높을수록 수행도도 높은 것으로 나타났으며(r=.530, p=.001), 항암제 투약관리에 대한 안전수칙 인지도는 수행도를 24.7% 설명하는 것으로 나타났다. 이상과 같이 항암제 투약관리 과정에서 간호사들은 항암제에 많이 노출되고 있었고, 인지도와 수행도도 낮은 수준이었다. 특히 수행도가 인지도보다 더 낮게 나타나 수행도가 인지도의 수준에 따라가지 못하고 있었다. 항암제 투약관리 과정에서 안전수칙을 수행하지 못하는 가장 큰 이유는 시설이나 장비가 없어서였으며 기타 몰라서, 귀찮아서, 바빠서 등의 이유에서였다. 따라서 항암제 투약관리를 위한 Luer-Lock 주사기와 vial vent, 일회용 방수흡수 패드, 국소 배기장치 설치, 수거 용기 등의 시설을 갖추도록 병원의 행정적 지원이 필요하며, 안전수칙을 바빠서, 귀찮아서, 몰라서 수행하지 못하는 경우에는 항암제의 독성작용과 안전수칙에 관한 인지 수준을 높일 수 있는 프로그램을 마련하여 수행도를 증진시킬 수 있는 대책을 강구해야 할 것이다.
본 연구는 항암제 투약관리에 대한 간호사의 안전수칙 인지와 수행간의 관계를 파악하기 위한 서술적 상관관계연구(descriptive correlational research)이다. 본 연구의 대상자는 전라북도 소재 일 종합병원 2곳에 근무하는 간호사 중 항암제를 투약 관리하는 간호사 226명이었으며, 연구도구는 미국 직업안전보건청(1986)의 권장사항을 기초로 최진선 등(2002)이 개발한 항암제 취급시 안전수칙에 관한 인지도구 및 수행도구, 김봉임(1995)이 개발한 항암제 취급에 대한 간호사의 심리적 스트레스 측정도구를 기초로 박종순(2003)이 제작한 항암제 취급에 대한 불안 측정도구를 이용하였다. 자료 수집 기간은 2005년 4월 8일부터 5월 11까지로 자가보고식 설문지를 이용하여 자료를 수집하였다. 수집된 자료 분석은 SPSS 12.0 통계프로그램을 이용하였다. 본 연구의 결과는 다음과 같다. 1) 항암제 노출 경험자는 75.2%였고, 개인 보호구 착용자 중 마스크를 착용하지 않은 간호사는 85.6%이었고, 마스크 착용자 14.4% 중 천 마스크 착용자는 0.9%에 불과했다. 장갑 착용자는 46.2%였고, 이 중 라텍스 착용자는 19.3%로 저조하게 나타났다. 가운 미착용자는 95.5%로 대다수를 차지했고, 토시 1.8%, 보안경 0.4%, 스필키트 9.5%로 사용하는 경우가 매우 저조하게 나타났다. 2) 항암제 혼합에 대한 안전수칙 인지도와 수행도는 인지도 3.11±.57점이었고 수행도 2.64±.54점으로 인지도가 수행도보다 높았으며 이러한 차이는 통계적으로 유의하였다(paired-t=6.869, p=.000). 항암제 투약에 대한 안전수칙 인지도와 수행도는 인지도는 3.18±.54점이었고, 수행도는 3.00±.49점으로 인지도가 수행도보다 높았으며, 이러한 차이는 통계적으로 유의하였다(paired t=6.463, p=.000). 3) 항암제 혼합에 대한 안전수칙을 수행하지 못하는 이유는 장비가 없어서가 59.3%, 바빠서가 18.2%, 귀찮아서가 12.5%, 몰라서가 9.9%로 나타났다. 항암제 투약에 대한 안전수칙을 수행하지 못하는 이유는 장비가 없어서가 46.9%, 바빠서가 27.4%, 몰라서가 19.5%, 귀찮아서가 6.2%이었다. 4) 항암제 투약관리에 대한 불안정도는 4점 만점에 평균 3.15±.80점으로 비교적 높게 나타났으며, 취급빈도에 대한 불안은 통계적으로 유의하였다(F=3.209, p=.042). 5) 항암제 투약관리에 대한 안전수칙 인지도가 높을수록 수행도도 높은 것으로 나타났으며(r=.530, p=.001), 항암제 투약관리에 대한 안전수칙 인지도는 수행도를 24.7% 설명하는 것으로 나타났다. 이상과 같이 항암제 투약관리 과정에서 간호사들은 항암제에 많이 노출되고 있었고, 인지도와 수행도도 낮은 수준이었다. 특히 수행도가 인지도보다 더 낮게 나타나 수행도가 인지도의 수준에 따라가지 못하고 있었다. 항암제 투약관리 과정에서 안전수칙을 수행하지 못하는 가장 큰 이유는 시설이나 장비가 없어서였으며 기타 몰라서, 귀찮아서, 바빠서 등의 이유에서였다. 따라서 항암제 투약관리를 위한 Luer-Lock 주사기와 vial vent, 일회용 방수흡수 패드, 국소 배기장치 설치, 수거 용기 등의 시설을 갖추도록 병원의 행정적 지원이 필요하며, 안전수칙을 바빠서, 귀찮아서, 몰라서 수행하지 못하는 경우에는 항암제의 독성작용과 안전수칙에 관한 인지 수준을 높일 수 있는 프로그램을 마련하여 수행도를 증진시킬 수 있는 대책을 강구해야 할 것이다.
This study is the descriptive correlational research to grasp the relation between recognition and performance of nurse's safety rules on medication management of antineoplastic drug. The surveyed persons for this research were the nurses to the number of 226 managing medication of antineoplasti...
This study is the descriptive correlational research to grasp the relation between recognition and performance of nurse's safety rules on medication management of antineoplastic drug. The surveyed persons for this research were the nurses to the number of 226 managing medication of antineoplastic drug at two hospitals located in Chonbuk province, the tool of recognition and performance of safety rules on medication management of antineoplastic drug developed by Jin-sun Choi and others(2002) based on the facts recommended by Occupational Safety and Health Administration(OSHA) in USA, and the measurement tool of anxiety in treating antineoplastic drug manufactured by Jong-sun Park(2003) based on the measurement tool of psychological stress on the nurse in treating antineoplastic drug developed by Bong-im Kim(1995) were used as this research tools. The data were collected using a self-reporting paper from 8th April to 11th May, 2005. These were analyzed with the statistical program of SPSS 12.0. The result of this research is as follows; 1) The rate of the nurse exposed to antineoplastic drug was 75.2%, the rate of no wearing a mask was 85.6% among the nurses wearing personnel protective devices, the rate of wearing a fabric mask out of them at 14.4% using of mask was no more than 0.9%. The rate of wearing gloves was 46.2%, and the rate of wearing the latex gloves out of them was merely 19.3%. It was investigated that most of nurses at 95.5% didn't wear a gown, and the rate of use of wristlet was only 1.8%, the glasses for protection was 0.4%, and spill kit was 9.5%. 2) In case of the degree of the recognition and performance of safety rules on mixing antineoplastic drugs, the degree of recognition was higher than one of performance as the recognition was a score of 3.11±.57, the was performance 2.64±.54. This difference was statistically significant(paired-t=6.869, p=.000). In case of the degree of the recognition and performance of safety rules on medication management of antineoplastic drug, the degree of recognition was higher than one of performance as the recognition was a score of average 3.18±.54, the performance was average 3.00±.49. This difference was statistically significant(paired t=6.463, p=.000). 3) It was surveyed that the reason why safety rules on mixing antineoplastic drug couldn't be kept was to be unequipped at a rate of 59.3%, to be busy at a rate of 18.2%, to be troublesome at a rate of 12.5%, and to be ignorant at a rate of 9.9%. It was investigated that the reason why safety rules on injection management of antineoplastic drug couldn't be kept was to be unequipped at a rate of 46.9%, to be busy at a rate of 27.4%, to be ignorant at a rate of 19.5%, and to be troublesome at a rate of 6.2%. 4) The degree of anxiety for medication management of antineoplastic drug appeared comparatively highly as a score of average 3.15±.80 out of 4, and th anxiety to treatment frequency was statistically meaningful(F=3.209, p=.042). 5) The higher recognition of safety rules on medication management of antineoplastic drug made the higher degree of performance (r=.530, p=.001), the degree of recognition of safety rules on medication management of antineoplastic drug carried performance 24.7%. According to this research result, the nurses have been frequently exposed to antineoplastic drug in medication, and the degree of recognition and performance was generally low. Especially, it turned out that the degree of performance couldn't come up with one of recognition according as the one was surveyed to be lower than the other. The main reason why the safety rules on medication management of antineoplastic drug couldn't be kept was to lacking equipments or facilities, and besides, to be ignorant, to be troublesome, and to be busy. Therefore, Luer-Lock syringe, vial vent, throwaway waterproofing and absorbing pads, Biological Safety Cabinet, and disuse container for medication management of antineoplastic drug should be asked to equipped in a hospital based on administrative support, and it should be required to make a much effort against the low rate of performance using the program to enhance the degree of recognition of antineoplastic drug in case of nonperformance due to being busy, troublesome, and ignorant.This study is the descriptive correlational research to grasp the relation between recognition and performance of nurse's safety rules on medication management of antineoplastic drug. The surveyed persons for this research were the nurses to the number of 226 managing medication of antineoplastic drug at two hospitals located in Chonbuk province, the tool of recognition and performance of safety rules on medication management of antineoplastic drug developed by Jin-sun Choi and others(2002) based on the facts recommended by Occupational Safety and Health Administration(OSHA) in USA, and the measurement tool of anxiety in treating antineoplastic drug manufactured by Jong-sun Park(2003) based on the measurement tool of psychological stress on the nurse in treating antineoplastic drug developed by Bong-im Kim(1995) were used as this research tools. The data were collected using a self-reporting paper from 8th April to 11th May, 2005. These were analyzed with the statistical program of SPSS 12.0. The result of this research is as follows; 1) The rate of the nurse exposed to antineoplastic drug was 75.2%, the rate of no wearing a mask was 85.6% among the nurses wearing personnel protective devices, the rate of wearing a fabric mask out of them at 14.4% using of mask was no more than 0.9%. The rate of wearing gloves was 46.2%, and the rate of wearing the latex gloves out of them was merely 19.3%. It was investigated that most of nurses at 95.5% didn't wear a gown, and the rate of use of wristlet was only 1.8%, the glasses for protection was 0.4%, and spill kit was 9.5%. 2) In case of the degree of the recognition and performance of safety rules on mixing antineoplastic drugs, the degree of recognition was higher than one of performance as the recognition was a score of 3.11±.57, the was performance 2.64±.54. This difference was statistically significant(paired-t=6.869, p=.000). In case of the degree of the recognition and performance of safety rules on medication management of antineoplastic drug, the degree of recognition was higher than one of performance as the recognition was a score of average 3.18±.54, the performance was average 3.00±.49. This difference was statistically significant(paired t=6.463, p=.000). 3) It was surveyed that the reason why safety rules on mixing antineoplastic drug couldn't be kept was to be unequipped at a rate of 59.3%, to be busy at a rate of 18.2%, to be troublesome at a rate of 12.5%, and to be ignorant at a rate of 9.9%. It was investigated that the reason why safety rules on injection management of antineoplastic drug couldn't be kept was to be unequipped at a rate of 46.9%, to be busy at a rate of 27.4%, to be ignorant at a rate of 19.5%, and to be troublesome at a rate of 6.2%. 4) The degree of anxiety for medication management of antineoplastic drug appeared comparatively highly as a score of average 3.15±.80 out of 4, and th anxiety to treatment frequency was statistically meaningful(F=3.209, p=.042). 5) The higher recognition of safety rules on medication management of antineoplastic drug made the higher degree of performance (r=.530, p=.001), the degree of recognition of safety rules on medication management of antineoplastic drug carried performance 24.7%. According to this research result, the nurses have been frequently exposed to antineoplastic drug in medication, and the degree of recognition and performance was generally low. Especially, it turned out that the degree of performance couldn't come up with one of recognition according as the one was surveyed to be lower than the other. The main reason why the safety rules on medication management of antineoplastic drug couldn't be kept was to lacking equipments or facilities, and besides, to be ignorant, to be troublesome, and to be busy. Therefore, Luer-Lock syringe, vial vent, throwaway waterproofing and absorbing pads, Biological Safety Cabinet, and disuse container for medication management of antineoplastic drug should be asked to equipped in a hospital based on administrative support, and it should be required to make a much effort against the low rate of performance using the program to enhance the degree of recognition of antineoplastic drug in case of nonperformance due to being busy, troublesome, and ignorant.
This study is the descriptive correlational research to grasp the relation between recognition and performance of nurse's safety rules on medication management of antineoplastic drug. The surveyed persons for this research were the nurses to the number of 226 managing medication of antineoplastic drug at two hospitals located in Chonbuk province, the tool of recognition and performance of safety rules on medication management of antineoplastic drug developed by Jin-sun Choi and others(2002) based on the facts recommended by Occupational Safety and Health Administration(OSHA) in USA, and the measurement tool of anxiety in treating antineoplastic drug manufactured by Jong-sun Park(2003) based on the measurement tool of psychological stress on the nurse in treating antineoplastic drug developed by Bong-im Kim(1995) were used as this research tools. The data were collected using a self-reporting paper from 8th April to 11th May, 2005. These were analyzed with the statistical program of SPSS 12.0. The result of this research is as follows; 1) The rate of the nurse exposed to antineoplastic drug was 75.2%, the rate of no wearing a mask was 85.6% among the nurses wearing personnel protective devices, the rate of wearing a fabric mask out of them at 14.4% using of mask was no more than 0.9%. The rate of wearing gloves was 46.2%, and the rate of wearing the latex gloves out of them was merely 19.3%. It was investigated that most of nurses at 95.5% didn't wear a gown, and the rate of use of wristlet was only 1.8%, the glasses for protection was 0.4%, and spill kit was 9.5%. 2) In case of the degree of the recognition and performance of safety rules on mixing antineoplastic drugs, the degree of recognition was higher than one of performance as the recognition was a score of 3.11±.57, the was performance 2.64±.54. This difference was statistically significant(paired-t=6.869, p=.000). In case of the degree of the recognition and performance of safety rules on medication management of antineoplastic drug, the degree of recognition was higher than one of performance as the recognition was a score of average 3.18±.54, the performance was average 3.00±.49. This difference was statistically significant(paired t=6.463, p=.000). 3) It was surveyed that the reason why safety rules on mixing antineoplastic drug couldn't be kept was to be unequipped at a rate of 59.3%, to be busy at a rate of 18.2%, to be troublesome at a rate of 12.5%, and to be ignorant at a rate of 9.9%. It was investigated that the reason why safety rules on injection management of antineoplastic drug couldn't be kept was to be unequipped at a rate of 46.9%, to be busy at a rate of 27.4%, to be ignorant at a rate of 19.5%, and to be troublesome at a rate of 6.2%. 4) The degree of anxiety for medication management of antineoplastic drug appeared comparatively highly as a score of average 3.15±.80 out of 4, and th anxiety to treatment frequency was statistically meaningful(F=3.209, p=.042). 5) The higher recognition of safety rules on medication management of antineoplastic drug made the higher degree of performance (r=.530, p=.001), the degree of recognition of safety rules on medication management of antineoplastic drug carried performance 24.7%. According to this research result, the nurses have been frequently exposed to antineoplastic drug in medication, and the degree of recognition and performance was generally low. Especially, it turned out that the degree of performance couldn't come up with one of recognition according as the one was surveyed to be lower than the other. The main reason why the safety rules on medication management of antineoplastic drug couldn't be kept was to lacking equipments or facilities, and besides, to be ignorant, to be troublesome, and to be busy. Therefore, Luer-Lock syringe, vial vent, throwaway waterproofing and absorbing pads, Biological Safety Cabinet, and disuse container for medication management of antineoplastic drug should be asked to equipped in a hospital based on administrative support, and it should be required to make a much effort against the low rate of performance using the program to enhance the degree of recognition of antineoplastic drug in case of nonperformance due to being busy, troublesome, and ignorant.This study is the descriptive correlational research to grasp the relation between recognition and performance of nurse's safety rules on medication management of antineoplastic drug. The surveyed persons for this research were the nurses to the number of 226 managing medication of antineoplastic drug at two hospitals located in Chonbuk province, the tool of recognition and performance of safety rules on medication management of antineoplastic drug developed by Jin-sun Choi and others(2002) based on the facts recommended by Occupational Safety and Health Administration(OSHA) in USA, and the measurement tool of anxiety in treating antineoplastic drug manufactured by Jong-sun Park(2003) based on the measurement tool of psychological stress on the nurse in treating antineoplastic drug developed by Bong-im Kim(1995) were used as this research tools. The data were collected using a self-reporting paper from 8th April to 11th May, 2005. These were analyzed with the statistical program of SPSS 12.0. The result of this research is as follows; 1) The rate of the nurse exposed to antineoplastic drug was 75.2%, the rate of no wearing a mask was 85.6% among the nurses wearing personnel protective devices, the rate of wearing a fabric mask out of them at 14.4% using of mask was no more than 0.9%. The rate of wearing gloves was 46.2%, and the rate of wearing the latex gloves out of them was merely 19.3%. It was investigated that most of nurses at 95.5% didn't wear a gown, and the rate of use of wristlet was only 1.8%, the glasses for protection was 0.4%, and spill kit was 9.5%. 2) In case of the degree of the recognition and performance of safety rules on mixing antineoplastic drugs, the degree of recognition was higher than one of performance as the recognition was a score of 3.11±.57, the was performance 2.64±.54. This difference was statistically significant(paired-t=6.869, p=.000). In case of the degree of the recognition and performance of safety rules on medication management of antineoplastic drug, the degree of recognition was higher than one of performance as the recognition was a score of average 3.18±.54, the performance was average 3.00±.49. This difference was statistically significant(paired t=6.463, p=.000). 3) It was surveyed that the reason why safety rules on mixing antineoplastic drug couldn't be kept was to be unequipped at a rate of 59.3%, to be busy at a rate of 18.2%, to be troublesome at a rate of 12.5%, and to be ignorant at a rate of 9.9%. It was investigated that the reason why safety rules on injection management of antineoplastic drug couldn't be kept was to be unequipped at a rate of 46.9%, to be busy at a rate of 27.4%, to be ignorant at a rate of 19.5%, and to be troublesome at a rate of 6.2%. 4) The degree of anxiety for medication management of antineoplastic drug appeared comparatively highly as a score of average 3.15±.80 out of 4, and th anxiety to treatment frequency was statistically meaningful(F=3.209, p=.042). 5) The higher recognition of safety rules on medication management of antineoplastic drug made the higher degree of performance (r=.530, p=.001), the degree of recognition of safety rules on medication management of antineoplastic drug carried performance 24.7%. According to this research result, the nurses have been frequently exposed to antineoplastic drug in medication, and the degree of recognition and performance was generally low. Especially, it turned out that the degree of performance couldn't come up with one of recognition according as the one was surveyed to be lower than the other. The main reason why the safety rules on medication management of antineoplastic drug couldn't be kept was to lacking equipments or facilities, and besides, to be ignorant, to be troublesome, and to be busy. Therefore, Luer-Lock syringe, vial vent, throwaway waterproofing and absorbing pads, Biological Safety Cabinet, and disuse container for medication management of antineoplastic drug should be asked to equipped in a hospital based on administrative support, and it should be required to make a much effort against the low rate of performance using the program to enhance the degree of recognition of antineoplastic drug in case of nonperformance due to being busy, troublesome, and ignorant.
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