Journal of Korean Academy of Nursing

Research Paper

Types of Perception Toward Quarantine Measures among Patients Infected with COVID-19: Kim, Geun Myun , Lee, Jung Un , Jung, Hae Kyung , Nam, Soo Gyung , Sim, So Hyeong , Chang, Soo Jung; J Korean Acad Nurs 2021;51(6):661-677. Published online December 31, 2021; DOI: https://doi.org/10.4040/jkan.21141

Purpose
This study was conducted to identify the types of perception toward quarantine measures at hospitals or community treatment centers among patients infected with COVID-19.
Methods
This study applied Q-methodology. Two hundred and nineteen Q populations were constructed based on related literature and in-depth interviews with 5 adults infected with COVID-19 and who experienced quarantine and hospitalization. Interviews were performed from November 14 to 29, 2020. A total of 45 Q samples were extracted and Q sorting was performed using a 9-point scale for 30 adult subjects who experienced quarantine at hospitals and community treatment centers. The data were analyzed using the PC-QUANL program.
Results
The perception of subjects toward quarantine measures was classified into the following six types: ‘passive acceptance’, ‘social stigma perception’, ‘appreciation of daily life through awareness of the realities of illness’, ‘why me?’, ‘fearful perception’, and ‘positive meaning’.
Conclusion
The perception of quarantine measure among patients with COVID-19 is identified as six types with positive and negative emotional characteristics. This result will contribute to the development of individualized strategies to address psychosocial health problems among patients with infectious diseases.

Citations

Citations to this article as recorded by

Isolation and Recovery Experiences of COVID-19 Patients in South Korea: A Qualitative Study
Soo Jung Chang, Geun Myun Kim, So Hyeong Sim, Jeong Ah Kim
Korean Journal of Adult Nursing.2023; 35(3): 212. CrossRef
Perceptions of Healthcare Safety Nets among Tertiary Hospital and Long-Term Care Hospital Nurses during the COVID-19 Pandemic: A Q-Methodological Approach
Bom-Mi Park, Mi Young Chon, Hyun-Jung Lee
Healthcare.2023; 11(20): 2732. CrossRef

337 View
2 Download
1 Web of Science
2 Crossref

Review Paper

Effect of 2% Chlorhexidine Bathing on the Incidence of Hospital-Acquired Infection and Multidrug-Resistant Organisms in Adult Intensive Care Unit Patients: Systematic Review and Meta-Analysis: Seo, Jisu , Song, Rhayun; J Korean Acad Nurs 2021;51(4):414-429. Published online August 31, 2021; DOI: https://doi.org/10.4040/jkan.21046

Abstract PDF

Purpose
This systematic review and meta-analysis analyzed the effects of 2% chlorhexidine bathing on the incidence of hospital-acquired infection (HAI) and multidrug-resistant organisms (MDRO) in adult intensive care units.
Methods
PubMed, CINAHL, Cochrane library, and RISS database were systematically searched, and 12 randomized studies were included in the analysis. Comprehensive Meta-Analysis version 3.0 was used to calculate the effect size using the odds ratio (OR) and a 95% confidence interval (CI). Subgroup analysis was performed according to the specific infection and intervention types.
Results
In general, 2% chlorhexidine bathing has a significant effect on the incidence of HAI (OR, 0.59; 95% CI, 0.40~0.86) and MDRO (OR, 0.52; 95% CI, 0.34~0.79). Subgroup analyses show 2% chlorhexidine bathing is effective in bloodstream infections (OR, 0.51; 95% CI, 0.39~0.66) but not for urinary tract infections, ventilator-associated pneumonia infections, and Clostridium difficile infections. Moreover, 2% chlorhexidine bathing alone or its combination with other interventions has a significant effect on the incidence of HAI and MDRO (OR, 0.59; 95% CI, 0.38~0.92).
Conclusion
This meta-analysis reveals that 2% chlorhexidine bathing significantly reduces the incidence of HAI and MDRO in intensive care units. The effect of 2% chlorhexidine bathing on pediatric patients or patients at general wards should be further assessed as a cost-effective intervention for infection control.

Citations

Citations to this article as recorded by

Implementation of 2% Chlorhexidine Bathing to Reduce Healthcare-Associated Infections Among Patients in the Intensive Care Unit
Hsu-Liang Chang, Tzu-Ying Liu, Po-Shou Huang, Chin-Hwan Chen, Chia-Wen Yen, Hui-Zhu Chen, Shin-Huei Kuo, Tun-Chieh Chen, Shang-Yi Lin, Po-Liang Lu
Microorganisms.2025; 13(1): 65. CrossRef
Trends in central line-associated bloodstream infections in pediatric intensive care units: a single-center study
Yu Gyoung Bak, Won Kyoung Jhang
Archives of Pediatric Critical Care.2024; 2(2): 96. CrossRef
A Systematic Review of Antibiotic Resistance Trends and Treatment Options for Hospital-Acquired Multidrug-Resistant Infections
Walter Y Agyeman, Aakash Bisht, Ankit Gopinath, Ameer Haider Cheema, Keyur Chaludiya, Maham Khalid, Marcellina Nwosu, Srujana Konka, Safeera Khan
Cureus.2022;[Epub] CrossRef

370 View
46 Download
2 Web of Science
3 Crossref

Research Paper

Impact of Obesity on Urinary Tract Infections in Korean Adults: Secondary Data Analysis Using Community-Based Cohort Study: Seo, Seung Hee , Jeong, Ihn Sook , Lee, Eun Joo; J Korean Acad Nurs 2021;51(2):150-161. Published online April 30, 2021; DOI: https://doi.org/10.4040/jkan.20228

Abstract PDF

Purpose
This study investigated the incidence of urinary tract infection (UTI) in community-dwelling adults and identified the association between obesity and UTI.
Methods
The participants were 4,926 adults aged over 40 years who had no UTIs at the baseline survey of the Korean Genome Epidemiology Study. Obesity was defined according to the cirtieria of Korean Society for the Study of Obesity using body mass index (BMI) data. UTI was defined as those who had self-reported UTI or had either nitrite, or both leukocytes and blood in the urine dipstick test. Hazard ratio (HR) and 95% confidence interval (CI) were calculated using a multivariate Cox proportional hazards regression analysis to identify the association between the obesity and UTI.
Results
The incidence proportion of UTI was 5.1%, and the incidence density per 1,000 person-years was 25.5. After controlling general characteristics, people with BMI ≥30.0 kg/m² remained 1.66 times (HR = 1.66, 95% CI = 1.06~2.60; p < .05) more likely to have UTI than those with normal weight. This trend was also present in men or people aged ≥ 60 years. Among women aged ≥ 60 years, people with BMI ≥ 30.0 kg/m² were 1.98 times (HR = 1.98, 95% CI = 1.01~3.86; p < .05) more likely to have UTI than those with normal weight.
Conclusion
The BMI ≥ 30.0 kg/m² is a risk factor of UTIs in Korean adult men over 40 years and women aged ≥ 60 years. It is necessary to emphasize the importance of obesity management to men or women aged ≥ 60 years, specifically.

Citations

Citations to this article as recorded by

Letter to the editor: “Microbiology and risk factors for bacteremic urinary tract infection: insights from the largest urological center in Pakistan”
Syeda Samia Fatima, Kainat Mehmood, Areeba Abid, Hiba Abid
International Urology and Nephrology.2025;[Epub] CrossRef
Epidemiology of urinary tract infection among community-living seniors aged 50 plus: Population estimates and risk factors
Betsy Foxman, Marie Bangura, Neil Kamdar, Daniel M. Morgan
Annals of Epidemiology.2025; 104: 21. CrossRef
Summer temperature and emergency room visits due to urinary tract infection in South Korea: a national time-stratified case-crossover study
Jiwoo Park, Whanhee Lee, Dukhee Kang, Jieun Min, Hyemin Jang, Cinoo Kang, Dohoon Kwon, Youngrin Kwag, Eunhee Ha
BMC Public Health.2024;[Epub] CrossRef

252 View
12 Download
3 Web of Science
3 Crossref

Original Articles

The Incidences of Catheter Colonization and Central Line-Associated Bloodstream Infection According to Tegaderm vs. Chlorhexidine Gluconate (CHG)-Tegaderm Dressing: Kim, Eunji , Lee, Haejung; J Korean Acad Nurs 2020;50(4):541-553. Published online August 31, 2020; DOI: https://doi.org/10.4040/jkan.19215

Abstract PDF

Purpose
In spite of the recent application of a general infection control method, central line-associated infections is still relatively high in Korea. Central line bundle with Chlorhexidine gluconate (CHG) tegaderm dressing was reported to be effective in reducing catheter colonization and central line-associated bloodstream infections (CLABSI). Therefore, this study aimed to examine the incidences of catheter colonization occurrence and CLABSI while using Tegaderm vs. CHG Tegaderm dressings.
Methods
We used a descriptive design. 400 patients who had central venous catheters were selected from four hospitals in the Korean National Healthcare-associated Infections Surveillance System. Of all subjects, 200 used Tegaderm ^TM (Tegaderm group), and the remaining 200 used CHG Tegaderm (CHG Tegaderm group) dressing at the catheter insertion site. Data were analyzed using the c 2 test or Fisher’s exact test, t-test, and logistic regression analysis using SPSS WIN 21.0.
Results
In the Tegaderm and CHG Tegaderm groups, CLABSI incidences were 5.89 and 1.79 per 1,000 catheter-days, catheter colonization incidences were 3.93 and 1.43 per 1,000 catheter-days, and central line bundle compliance rates were 26.0% and 49.0%, respectively. Catheter colonization risk factors were ‘reinsertion after failure’ and ‘Tegaderm dressing’ at the central line insertion site. CLABSI risk factors were ‘incomplete performance of 7 central line bundle items’ and ‘Tegaderm dressing’ at the central line insertion site.
Conclusion
A further prospective study is needed to examine the effects of central line bundle with CHG Tegaderm dressing, avoiding central line reinsertion after failure, and improving the bundle compliance in reducing catheter colonization and CLABSI.

Citations

Citations to this article as recorded by

Effects of organizational and individual factors on nurses’ practice of central line-associated bloodstream infection prevention
Min Hee Kim, Jeong Sil Choi
American Journal of Infection Control.2024; 52(4): 443. CrossRef
Nurse-led intervention to improve oral mucosal health of intubated patients in the intensive care unit: A prospective study
Ching-Ching Lin, Jen-Jiuan Liaw, Chung-Hsing Li, Li-Chin Chen, Chin-Yen Han
American Journal of Infection Control.2024; 52(8): 900. CrossRef
Evidence-based care combined with chlorhexidine gluconate antimicrobial dressing in the prevention of peritoneal dialysis catheter-associated infections
Zuping Wang, Zhang Lin, Fayiza Aikelamu, Gulixian Tuerhong
Materials Express.2024; 14(3): 491. CrossRef
Risk Factors and Prevention of Central Venous Catheter-Related Bloodstream Infection in Intensive Care Unit
文慧刘
Advances in Clinical Medicine.2022; 12(04): 3487. CrossRef

738 View
56 Download
2 Web of Science
4 Crossref

Risk Factors for Surgical Site Infections in Patients Undergoing Craniotomy: Kyeong-Sook Cha, Ok-Hee Cho, So-Yeon Yoo; J Korean Acad Nurs 2010;40(2):298-305. Published online April 30, 2010; DOI: https://doi.org/10.4040/jkan.2010.40.2.298

Abstract PDF

Purpose

The objectives of this study were to determine the prevalence, incidence, and risk factors for postoperative surgical site infections (SSIs) after craniotomy.

Methods

This study was a retrospective case-control study of 103 patients who had craniotomies between March 2007 and December 2008. A retrospective review of prospectively collected databases of consecutive patients who underwent craniotomy was done. SSIs were defined by using the Centers for Disease Control criteria. Twenty-six cases (infection) and 77 controls (no infection) were matched for age, gender and time of surgery. Descriptive analysis, t-test, χ²-test and logistic regression analyses were used for data analysis.

Results

The statistical difference between cases and controls was significant for hospital length of stay (>14 days), intensive care unit stay more than 15 days, Glasgrow Coma Scale (GCS) score (≤7 days), extra-ventricular drainage and coexistent infection. Risk factors were identified by logistic regression and included hospital length of stay of more than 14 days (odds ratio [OR]=23.39, 95% confidence interval [CI]=2.53-216.11) and GCS score (≤7 scores) (OR=4.71, 95% CI=1.64-13.50).

Conclusion

The results of this study show that patients are at high risk for infection when they have a low level of consciousness or their length hospital stay is long term. Nurses have to take an active and continuous approach to infection control to help with patients having these risk factors.

Citations

Citations to this article as recorded by

An update on a persisting challenge: A systematic review and meta-analysis of the risk factors for surgical site infection post craniotomy
Francesco Magni, Aws Al-Omari, Robert Vardanyan, Arian A. Rad, Susan Honeyman, Alexandros Boukas
American Journal of Infection Control.2024; 52(6): 650. CrossRef
Comprehensive analysis of risk factors and pathogenetic characteristics associated with surgical site infections following craniotomy procedures
Zhiwei Gu, Chuanjian Tu, Dagang Song, Zhihao Yang, Jiajie Xia
International Wound Journal.2024;[Epub] CrossRef
A meta‐analysis of the risk factors for neurosurgical surgical site infection following craniotomy
Dechao Sun, Zhuang Ma, Yadong Geng, Chenxu Kong, Zhenjiang Li
International Wound Journal.2024;[Epub] CrossRef
Validation of the Risk Prediction Tool for Wound Infection in Abdominal Surgery Patients
Hyun Kyoung Jung, Eun Nam Lee
Journal of Korean Critical Care Nursing.2022; 15(3): 75. CrossRef
Association between registered nurse staffing levels and in-hospital mortality in craniotomy patients using Korean National Health Insurance data
Yunmi Kim, Se Young Kim, Kyounga Lee
BMC Nursing.2020;[Epub] CrossRef
Logistic Regression Analysis of Risk Factors for Intracranial Infection After Multiple Traumatic Craniotomy and Preventive Measures
Jing Yao, Dong Liu
Journal of Craniofacial Surgery.2019; 30(7): 1946. CrossRef
Risk factors of neurosurgical site infection after craniotomy: A systematic review and meta-analysis
Chenyan Fang, Tao Zhu, Ping Zhang, Liang Xia, Caixing Sun
American Journal of Infection Control.2017; 45(11): e123. CrossRef
Infecciones del sistema nervioso central en pacientes críticos con lesión cerebral, con y sin antecedente de manejo neuroquirúrgico
José D. Charry, Fabio Antonio García, Natalia Johana Ortega, Johanna Osorio
Acta Colombiana de Cuidado Intensivo.2015; 15(1): 9. CrossRef
Recent Advances in the Patient Safety and Quality Initiatives Movement
Isaac Yang, Nolan Ung, Daniel T. Nagasawa, Panayiotis Pelargos, Winward Choy, Lawrance K. Chung, Kim Thill, Neil A. Martin, Nasim Afsar-Manesh, Brittany Voth
Neurosurgery Clinics of North America.2015; 26(2): 301. CrossRef
Knowledge, Practice, and Associated Factors towards Prevention of Surgical Site Infection among Nurses Working in Amhara Regional State Referral Hospitals, Northwest Ethiopia
Freahiywot Aklew Teshager, Eshetu Haileselassie Engeda, Workie Zemene Worku
Surgery Research and Practice.2015; 2015: 1. CrossRef
Post-operative central nervous system infections after cranial surgery in China: incidence, causative agents, and risk factors in 1,470 patients
R. Zhan, Y. Zhu, Y. Shen, J. Shen, Y. Tong, H. Yu, L. Wen
European Journal of Clinical Microbiology & Infectious Diseases.2014; 33(5): 861. CrossRef
Risk Factors for Surgical Site Infections According to Electronic Medical Records Data
Young Hee Kim, Young-Hee Yom
Journal of Korean Academy of Fundamentals of Nursing.2014; 21(2): 151. CrossRef
Etiología de las infecciones quirúrgicas en pacientes sometidos a craneotomía
Elena Múñez, Antonio Ramos, Teresa Álvarez de Espejo, Josep Vaqué, José Sánchez-Payá, Vicente Pastor, Ángel Asensio
Neurocirugía.2012; 23(2): 54. CrossRef

199 View
0 Download
13 Crossref

First
Prev
Page of 1
Next
Last

Search