항암제 안전관리의 지식과 수행에 대한 항암제 안전관리지침 교육의 적용 효과
The Effects of Safe Handling Education of Antineoplastic Drug on Knowledge and Performance of Clinical Nurses
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목적: 본 연구의 목적은 항암제 안전관리의 지식과 수행에 대한 항암제 안전관리지침 교육의 적용 효과를 규명하기 위함이다. 방법: 비동등성 대조군 유사실험 연구로 지난 1주일간 항암제를 다루었던 49명의 간호사(대조군 24명, 실험군 25명)가 연구에 참여하였다. 대조군에게는 항암제 부작용 관련 교육을, 실험군에게는 항암제 부작용 관련 교육과 항암제 안전관리지침 교육이 제공되었고 자료수집은 사전과 중재 8주 후에 실시되었다. 결과: 사전과 중재 8주 후 지식점수의 차이는 두 그룹에서 통계적으로 유의하지 않았고 수행점수의 차이는 대조군에 비해 실험군에서 통계적으로 유의하게 높은 것으로 나타났다. 결론: 본 연구 결과, 항암제 안전관리지침 교육이 간호사의 지식과 수행도를 증가시키는데 효과적임이 밝혀졌다. 따라서 이 중재는 임상에서 항암제를 다루는 간호사들에게 효과적일 것이다.
Abstract
Purpose: The purpose of this study was to evaluate the effects of safe handling education of antineoplastic drug on knowledge and performance of clinical nurses. Methods: This was a nonequivalent control-group pretestposttest study. A total of 49 nurses (25 for the experimental group and 24 for the control group) who dealt with antineoplastic drug within the previous 1 week participated in the study. The guidelines for safe handling of antineoplastic drugs and antineoplastic drugs side effects were provided to the experimental groups whereas only antineoplastic drugs side effects was given to the control groups. Knowledge and performance in reference to antineoplastic drug handling were measured before and 8-week after interventions. Results: The knowledge scores between the pretest and posttest were not statistically significant in both groups. However, the performance scores in the experimental group was significantly higher than that of the control group. Conclusion: The given education of safe handling of antineoplastic drugs had an effect on improving clinical nurses' performance. Thus this education could be routinely administered in practice for those who deal with antineoplastic drugs in their everyday practice.
참고문헌 (23)
- "Deaths and death rates by cause" (2014)[URL]
- Gilani S, "Is it safe for pregnant health-care professionals to handle cytotoxic drugs?Areviewof the literature and recommendations", Ecancermedicalscience, 8, pp.418~ (2014)
- Sausville EA, "Harrison's principles of internal medicine", pp.103e-1-26~ (2015), McGraw-Hill
- 최진선, "간호사의 근무부서와 경력에 다른 항암제 안전수칙에 대한 지식과 이행", 임상간호연구, 9(2), pp.6~17 (2004), 병원간호사회
- Itano JK, "Core curriculum for oncology nursing", pp.237~ (2016), Elsevier
- Tomkins J, "Ensuring healthcare worker safety when handling hazardous drugs : The joint position statement from the Oncology Nursing Society, the American Society of Clinical Oncology, and the Hematology", Oncology Pharmacy Association, 2015, pp.11(4), 278~279
- "OSHA Technical Manual, TED 1-0.15A, Sec VI: Chapter 2. Controlling occupational exposure to hazardous drugs" (1999)[URL]
- Wick C, "Using a closed-systemprotective device to reduce personnel exposure to antineoplastic agents", American Journal of Health-System Pharmacy, 60(22), pp.2314~2320 (2003)
- "NIOSH alert: Preventing occupational exposures to antineoplastic and other hazardous drugs in healthcare settings" (2004)[URL]
- Christina C. Lawson, "Occupational exposures among nurses and risk of spontaneous abortion", American Journal of Obstetrics and Gynecology, 206(4), pp.327.e1~327.e8 (2012), Elsevier BV[DOI]
- Spence Laschinger HK, "The impact of nursing work environments on patient safety outcomes : The mediating role of burnout", engagement, 2006, pp.36(5), 259~267
- Ching-I Teng, "Emotional stability of nurses: impact on patient safety", Journal of Advanced Nursing, 65(10), pp.2088~2096 (2009), Wiley-Blackwell[DOI]
- "Guideline for healthcare accreditation Ver 2.0" (2014)[URL]
- Korean Oncology Nursing Society, "Guidelines for practice in oncology nursing : Chemotherapy", Asian Oncology Nursing, 8(2), pp.178~190 (2008)
- "Health management guidelines for chemical exposure of medical workers" (2013)[URL]
- Moon AR, "Nurses knowledge and compliance on guideline for safe handling of cytotoxic drugs and its associated factors", master, pp.2010
- 김보경, "일 대학병원 간호사의 항암제 안전관리 지식과 수행 및 노출경험", Global Health and Nursing (글로벌 건강과 간호), 6(1), pp.11~19 (2016), 간호과학연구소
- Kim SJ, "A study on nurses' recognition and performance of guidelines for safe handling of antineoplastic drugs and on connections between physical symptoms and anxiety due to occupational exposure", master, pp.2015
- Park JS, "Clinical nurses’ level of compliance and related factors with work practice guidelines for personal dealing with cytotoxic drugs", master, pp.2003
- 김미란, "병원간호사의 항암화학요법 제제 정맥주사 투약안전 수행능력 향상 활동을 위한 연구-6시그마 기법을 적용하여-", 디지털융복합연구, 10(11), pp.467~475 (2012), 한국디지털정책학회
- 홍 수 연.조 은 정, "항암제 안전관리 교육이 간호사의 안전관리 수칙 지식 및 실천에 미치는 효과", Asian Oncology Nursing, 6(1), pp.47~53 (2006), 대한종양간호학회
- Mohsen MM, "Chemotherapy safety protocol for oncology nurses : It’s effect on their protective measures practices", International Journal ofMedical, Health, Biomedical, Bioengineering and Pharmaceutical Engineering, 7(9), pp.29~537 (2013)
- Chan Huan Keat, "Improving Safety-Related Knowledge, Attitude and Practices of Nurses Handling Cytotoxic Anticancer Drug: Pharmacists' Experience in a General Hospital, Malaysia", Asian Pacific Journal of Cancer Prevention, 14(1), pp.69~73 (2013), Asian Pacific Organization for Cancer Prevention[DOI]