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일 대학병원 간호사의 항암제 안전관리 지식과 수행 및 노출경험

Nurses’ Knowledge, Compliance and Exposure Experiences with Cytotoxic Drugs in a University Hospital

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초록

Purpose: The aim of this study was to investigate nurses’ knowledge and compliance to guidelines for safe handling of cytotoxic drugs and their exposure experiences. Methods: The data were collected from April to September 2013 by using questionnaires. The study participants were 177 nurses from a university hospital. The research tools were revised based on the Occupational Safety and Health Administration guidelines. Data were analyzed by using descriptive statistics, t test, analysis of variance, and x2 test. Results: A significant difference in the nurses’ compliance was observed in relation to their exposure experience with cytotoxic drugs (t=-3.41, p<.001). Furthermore, exposure experience with cytotoxic drugs was significantly higher in the nurses who had less than 2 years of career (F=2.87, p=.038) and worked at the oncology unit (x2=40.0, p<.001). Conclusion: The findings of this study suggest the need to educate nurses about safe handling of cytotoxic drugs and the associated risk.

Abstract

Purpose: The aim of this study was to investigate nurses’ knowledge and compliance to guidelines for safe handling of cytotoxic drugs and their exposure experiences. Methods: The data were collected from April to September 2013 by using questionnaires. The study participants were 177 nurses from a university hospital. The research tools were revised based on the Occupational Safety and Health Administration guidelines. Data were analyzed by using descriptive statistics, t test, analysis of variance, and x2 test. Results: A significant difference in the nurses’ compliance was observed in relation to their exposure experience with cytotoxic drugs (t=-3.41, p<.001). Furthermore, exposure experience with cytotoxic drugs was significantly higher in the nurses who had less than 2 years of career (F=2.87, p=.038) and worked at the oncology unit (x2=40.0, p<.001). Conclusion: The findings of this study suggest the need to educate nurses about safe handling of cytotoxic drugs and the associated risk.

참고문헌 (13)

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  3. Ben-Ami, S., "The influence of nurses' knowledge, attitude, and health beliefs on their safe behavior with cytotoxic drugs in Israel", Cancer Nursing, 24(3), pp.192~200 (2001)
  4. Choi, B. K., "A study on nurses' and pharmacists' exposure to antineoplastic agents in hospitals", master, pp.1999
  5. 최진선, "간호사의 근무부서와 경력에 다른 항암제 안전수칙에 대한 지식과 이행", 임상간호연구, 9(2), pp.6~17 (2004), 병원간호사회
  6. T. H. Connor, "Preventing Occupational Exposures to Antineoplastic Drugs in Health Care Settings", CA: A Cancer Journal for Clinicians, 56(6), pp.354~365 (2006), Wiley-Blackwell[DOI]
  7. 김매자, "간호사들의 항암제 취급실태와 안전수칙에 대한 인지도와 실천도", Asian Oncology Nursing, 4(2), pp.154~165 (2004), 대한종양간호학회
  8. Korean Nurse Association, "Oncology nursing continuing education" (2006), Korean Nurse Association
  9. Labuhn, K., "Nurse's and pharmacists' exposure to cytotoxic drugs : Findings from industrial hygiene scans and urine mutagenicity tests", Cancer Nursing, 21(2), pp.79~89 (1998)
  10. Moon, A. R., "Nurses knowledge and compliance on guideline for safe handling of cytotoxic drugs and its associated factors", master, pp.2010
  11. "Cancer Information Service" (2015)[URL]
  12. Occupational Safety and Health Administration, "Guidelines for cytotoxic (antineoplastic) drugs (STD 01-23-001-PUB 8-1.1)", United States Department of Labor, ~ (1986)
  13. Shin, H. S., "A study on the handling patterns of anticancer drugs and related symptoms in nurses", Korean Journal of Occupational and Environmental Medicine, 8(2), pp.228~238 (1996)

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