본문 바로가기
KERD
논문KCI 등재

일 지역암센터 간호사의 항암제 안전취급과 개인보호장구 착용

Safe Handling of Cytotoxic Drugs and Use of Personal Protective Equipment among Nurses at a Regional Cancer Center

0

조회

0

다운로드

7

인용

0

참고문헌

키워드

주제분류간호학

초록

Purpose: This purpose of this study was to identify the level of safe-handling of cytotoxic drugs and use of PPE (Personal Protective Equipment) among nurses at a regional cancer center in South Korea. Methods: This was a cross-sectional descriptive study. The participants were 131 nurses who care for cancer patients undergoing chemotherapy. Demographic information, safe-handling of cytotoxic drugs and use of PPE were collected using questionnaires from May 7 to 25, 2018. Results: Response rate was 98.4%. The mean age of the nurses was 28.2±4.4 years and their clinical nursing experience was 4.34±3.93 years. The mean scores out of 5 for the participants’ safe handling of cytotoxic drugs was 3.73± 0.43. In use of PPE, the mean score of wearing gloves, masks, and gowns were 3.89±.77, 3.06±1.04, and 2.34±0.98, respectively. The main reason for not wearing PPE was ‘too busy’ (62.8%). The level of safe-handling of cytotoxic drugs was not significantly different according to any variables, but the use of PPE was significantly different according to age (p=.021). Conclusion: The findings showed that nurses had exposure to cytotoxic drugs in the processes of preparation, administration, cleaning of spills, and handling of patient waste. Education programs and continuous monitoring are needed to improve the use of PPE among nurses and trigger the appropriate motivation for consistent personal protection.

Abstract

Purpose: This purpose of this study was to identify the level of safe-handling of cytotoxic drugs and use of PPE (Personal Protective Equipment) among nurses at a regional cancer center in South Korea. Methods: This was a cross-sectional descriptive study. The participants were 131 nurses who care for cancer patients undergoing chemotherapy. Demographic information, safe-handling of cytotoxic drugs and use of PPE were collected using questionnaires from May 7 to 25, 2018. Results: Response rate was 98.4%. The mean age of the nurses was 28.2±4.4 years and their clinical nursing experience was 4.34±3.93 years. The mean scores out of 5 for the participants’ safe handling of cytotoxic drugs was 3.73± 0.43. In use of PPE, the mean score of wearing gloves, masks, and gowns were 3.89±.77, 3.06±1.04, and 2.34±0.98, respectively. The main reason for not wearing PPE was ‘too busy’ (62.8%). The level of safe-handling of cytotoxic drugs was not significantly different according to any variables, but the use of PPE was significantly different according to age (p=.021). Conclusion: The findings showed that nurses had exposure to cytotoxic drugs in the processes of preparation, administration, cleaning of spills, and handling of patient waste. Education programs and continuous monitoring are needed to improve the use of PPE among nurses and trigger the appropriate motivation for consistent personal protection.

참고문헌 (21)

  1. "Operation guidelines for regional cancer centers"[URL]
  2. "Deaths and death rates by cause"[URL]
  3. 성영희, "종양전문간호사의 성과지표 사용현황 및 성과평가에 대한 인식도", 간호행정학회지, 18(2), pp.189~201 (2012), 간호행정학회
  4. 오복자, "종양 전문 간호사의 직무 분석", Asian Oncology Nursing, 6(1), pp.3~14 (2006), 대한종양간호학회
  5. 김보경, "일 대학병원 간호사의 항암제 안전관리 지식과 수행 및 노출경험", 글로벌 건강과 간호, 6(1), pp.11~19 (2016), 간호과학연구소[DOI]
  6. "OSHA technical manual, TED 1-0.15A, Sec VI: chapter 2 - controlling occupational exposure to hazardous drugs"[URL]
  7. "Workplace solutions: personal protective equipment for health care workers who work with hazardous drugs"[URL]
  8. "Workplace solutions: safe handling of hazardous drugs for veterinary healthcare workers"[URL]
  9. Lawson CC, "Occupational exposures among nurses and risk of spontaneous abortion", Am J Obstet Gynecol, 206, pp.327.e1~327.e8 (2012)
  10. 최진선, "간호사의 근무부서와 경력에 다른 항암제 안전수칙에 대한 지식과 이행", 임상간호연구, 9(2), pp.6~17 (2004), 병원간호사회
  11. Nixon S, "Safe handling of hazardous drugs: are you protected?", Clin J Oncol Nurs, 13, pp.433~439 (2009)
  12. Polovich M, "Nurses’ use of hazardous drug-handling precautions and awareness of national safety guidelines", Oncol Nurs Forum, 38, pp.718~726 (2011)
  13. Korean Oncology Nursing Society, "Safe handling guideline of cytotoxic drugs: chemotherapy", Asian Oncol Nurs, 8, pp.178~190 (2008)
  14. "Health management guidelines for chemical exposure of medical workers"[URL]
  15. "Guideline for healthcare accreditation Ver 2.0"[URL]
  16. 윤지현, "종양간호사의 항암제 안전관리지침에 대한 지식과 이행", Asian Oncology Nursing, 16(4), pp.251~260 (2016), 대한종양간호학회
  17. Park SJ, "Nurses’ compliance with safety guidelines for use of antineoplastic drug, observable symptoms and stress from occupational exposure", pp.2017
  18. 김매자, "간호사들의 항암제 취급실태와 안전수칙에 대한 인지도와 실천도", Asian Oncology Nursing, 4(2), pp.154~165 (2004), 대한종양간호학회
  19. Jeong KW, "Safety management status among nurses handling anticancer drugs: nurse awareness and performance following safety regulations", Asian Pac J Cancer Prev, 16, pp.3203~3211 (2015)
  20. Callahan A, "Factors influencing nurses’ use of hazardous drug safe handling precautions", Oncol Nurs Forum, 43, pp.342~349 (2016)
  21. Polovich M, "Factors influencing oncology nurses’ use of hazardous drug safe-handling precautions", Oncol Nurs Forum, 39, pp.E299~E309 (2012)

관련 논문AI추천

이 간행물의 다른 논문 (7건)