Earticle

Purpose: The research were conducted to identify the knowledge, attitude and the preventive behaviour of noise according to noise-induced hearing loss prevention education and to provide primary data for effective noiseinduced hearing loss prevention education for noise-exposed workers. Method: 104 noiseexposed workers were included in this study. The instrument used in this study was knowledge, attitude and preventive behavior of noise tool by Lee & Lee(1996). The first data were collected before the noise education from August to September, 2002. During 6 months, the education was provided, and then the second data were collected from April to May, 2003. Data were analyzed by SPSS 10.0 win program for finding frequency, percentage, mean, standard deviation, t-test, and ANOVA. Results: The results of this study were as follows: There were statistically significant differences of knowledge and attitude of noise related education level, and adhesion quality of wearing ear protection equipment after noise education. Also, otitis media's history, received education of the personal protective devices for the hearing conservation was significant in the preventive behaviour of noise. Conclusion: In conclusion, the noise-induced hearing loss prevention education was effective in changing the knowledge, attitude and the prevention behaviour of noise. Therefore, the noiseinduced hearing loss prevention education is strongly recommended for noise-exposed workers and it will be necessary repeated education for changing prevention behaviour of noise.

Purpose: The purposes of this study were to survey the extent of pain and discomfort in the musculoskeletal system among visiting housekeepers, above all concerning neck, shoulder, back, wrist, knee, and arm pain and to find possible relations between symptoms and various working conditions. Method: A questionnaire was answered by 174 woman visiting housekeepers living in Kyeonggi-do and Seoul from December 1, 2003 to February 30, 2004. The symptoms of musculoskeletal system were coded by the pain index which illustrates the extent of the symptoms, and analyzed in view of NIOSH guideline and KIM and et. al.'s notion. Result: 1. As to the complaint rate of subjective musculoskeletal symptoms by body region, the figure was the highest for shoulder with 78.2%, followed by back with 66.7%, knee 53.6%, neck 56.3%, wrist 40.2%, and arm 29.2%, respectively. The logistic analysis showed shoulder pain and arm pain have no relation with working and health conditions, and back pain was significantly related to current health condition. In same way, knee pain and wrist pain were found to be mainly related to marital status. 2. Following the NIOSH guideline, the positive rate of subjective musculoskeletal symptoms was found out in following order: shoulder 69.5%, back 59.2%, knee 54%, neck 46%, wrist 32.8%, and arm 25.3%. To investigate the main cause of each disease, the symptoms were classified by pain index, where the value of more than 3 comes to the NIOSH case, and analyzed in term of complaint rate using discrete logistical method : shoulder pain was highly related to the housekeeping time after work, back pain was to current health condition and the heavy weight carrying and neck, wrist, arm pain were commonly related to the ordinary health condition. For knee pain, working speed was a main cause. 3. In view of KIM et. al.'s standard, where the pain index is over 7, the positive rate was showed in order slightly different from previous analyses : shoulder 33.3%. knee 29.9%, back 28.2%, neck 17.2%, wrist 17.2%, and 16.7%. From the logistical analysis, insufficient rest was shown as the main cause of shoulder, back, arm and wrist pain. For neck pain, ordinary health condition was mainly related. In case of knee pain, any apparent relation is not found. Conclusion: According to the logistic regression analysis of musculoskeletal system, there was strong suggestion that the less insufficient physical rest, the more significant disorder complaint. This means that the most musculoskeletal symptom among the visiting housekeepers can be prevented and cured by sufficient physical resting.

Purpose: The purpose of this study was to examine factors influencing for the compliance of guidelines of preventing bloodborne infection for operating room nurses. Method: Data was collected through questionnaires from March 16 to April 12, 2005. The subjects of this study were consisted of 208 operating room nurses, who had been working at 4 university hospitals and 10 general hospitals in Busan. The Instrument for the compliance of guidelines for preventing bloodborne infection was 24-item questionnaire. It was revised based on the Standard Precaution of CDC and Bloodborne Pathogen Standards of OSHA. In addition, to find out the knowledge level of AIDS, hepatitis B and hepatitis C, 15-item questionnaire was used, which had been made by researcher based on Kim(1999) et, al. Results: The affecting factors of compliance for preventing bloodborne infection were work skill(β=.27), operating room education on infection prevention(β=.25), knowledge on infection(β =.19), readiness of using personal protective equipment(β=.18), and posting a notice of infected surgery patients(β=.16). Theses 5 factors account for 28.5% on the compliance of guidelines for preventing bloodborne infection for operating room nurses. Conclusion: According to the results, to increase the compliance level of operating room nurses, personal efforts should be made to improve work skills and infection knowledge. In addition to organizational efforts on practical education and management of environment were required.

Purpose: This study was designed to investigate nursing students' exposure experience to infectious diseases and their knowledge and performance for the nosocomial infection control. Method: The data was obtained from 292 nursing students having clinical experience at two university hospitals in Seoul from November 2005 to February 2006. Specific questionnaire was constructed and used for this study. The obtained data was analyzed by using the SPSS window program. Result: The results were as follow : 1. Among the evaluation scores of knowledge for the nosocomial infection control, the score of sterilization and the score of the intravenous therapy management were low(.14). 2. Among the evaluation scores of performance for the nosocomial infection control, the score of hand washing is low(1.63). 3. 86.3 percent of the nursing students had exposure experience to infectious disease. Many of them did not use the protective equipments in clinical experience nor took any treatment after the exposure to infectious diseases. Conclusion: Based on these results, we suggest that the programs for the nosocomial infection control should be developed for nursing students. It is also suggested that nursing students should be educated before their clinical experience to keep protected from the infection. In particular, the hand washing, sterilization and intravenous therapy management should be emphasized in the educational programs.

Purpose: The purpose of this study was to research the health belief, perception and need of prevention program for musculoskeletal disease of office workers in a public corporation. Method: We surveyed 339 office workers at a industry based in Ahn Yang, Kyunggi Province, with questionnaires, during the period June 3rd - June 18th, 2004. Result: Forty-four percent of the subjects said they had musculoskeletal symptoms, and 10.9% said they had received medical treatment for musculoskeletal disease in the last year. Factors that affected perception of musculoskeletal disease were appeared to be perceived severity, perceived barrier, cue to action, marital status, regular exercise and age, and they explained 23.2% of perception of musculoskeletal disease. Factors that affected need of prevention program appeared to be perceived susceptibility, perceived severity, perceived benefit and PC using hours, and they explained 20.8% of need of prevention program. Conclusion: In conclusion, this study suggested that in management the prevention of musculoskeletal disease for office workers, it should be considered nursing intervention strategies to reinforce health belief.

Purpose: This study was performed to identify workers' Job stress status and to analyse the influencing factors. Method: Data were collected from 456 workers with Korean Occupational Stress Questionnaire Short Form(KOSQ SF) and analysed using descriptive statistics, t-test, ANOVA. Results: Total job stress status of men was slightly lower than Korean workers' standard. In case of women, the status of total job stress was lower than Korean workers' standard. The most significant influencing factors to stressors were insufficient sleeping time and self cognitive bad health condition. Among seven domains of job stressors, job demand was affected by 8 characteristics. Conclusion: This study indicated that workers' job stress status were various by their characteristics except workplace size. The development of stress management programs by types of industry is required. On the base of the model program, planning of customized program for every company or employee is required. High job demand, insufficient job control, insufficient sleeping time, bad health condition are the key factors of workers' job stress in this study. The change of workers' health behavior with supportive environment is essential to stress management program. More researches for adding physical environment domain to KOSQ SF are expected.