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수술 전 수술실간호사의 동영상 프로그램을 활용한 지지간호중재가 자궁적출술 환자의 불안에 미치는 효과 (The Effects of Supportive Nursing Intervention Using Video-Program of Operating Room Nurses before Operation on Laparoscopic Hysterectomy Patient's Anxiety)

  • 어용숙;이내영;이지원;차현진
    • 한국산학기술학회논문지
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    • 제16권4호
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    • pp.2639-2646
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    • 2015
  • 본 연구는 수술 전 수술실 간호사의 지지간호중재가 자궁적출술 환자의 불안에 미치는 효과를 검정하기 위한 유사실험 연구이다. 2013년 5월 1일부터 6월 20일까지 불안, 혈압, 맥박에 대한 자료를 수집하였고, 통계 검정은 SPSS 20.0을 이용하여 $x^2-test$, Fisher's exact test, t-test를 수행하였다. 대조군 25명은 기존의 간호중재를 받았고 실험군 25명은 지지간호중재를 받은 자궁적출술 환자이다. 불안(p=.002), 이완기혈압(p=.012), 수축기 혈압(p=.045)은 대조군에 비해 실험군이 유의하게 낮았고 맥박수는 대조군과 실험군에서 유의한 차이가 없었다. 결과적으로 수술 전 지지간호중재가 환자의 불안을 감소시키는데 효과적인 것으로 확인되었다.

Baxter $Infusor^{(R)}$를 이용한 부인과 수술후의 통증 자가 조절 (Patient-Controlled Analgesia(PCA) for Pain Management after Gynecological Surgery)

  • 이정구;김진모;정정길
    • The Korean Journal of Pain
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    • 제6권1호
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    • pp.49-54
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    • 1993
  • The use of intravenous patient-controlled analgesia is an effective and increasingly used means of providing postoperative pain relief. Recently a non-electric, disposable and portable infusor, the Baxter $Infusor^{(R)}$, has developed. This delivers not only a continuous drug infusion but can also deliver extradoses of medication on demand. The present study examined the benefits of two kinds of analgesics for pain management in 28 patients undergoing gynecological surgery. One group, 14 patients, received i.v. meperidine 0.5 mg/kg as loading dose in the recovery room and PCA with meperidine 3 mg/kg/day for 3 days only(M group). In the other group, 14 patients, also received i.v. meperidine 0.5 mg/kg as loading dose in the recovery room and PCA meperidine 3 mg/kg/day for 3 days and droperidol 5 mg(MD group). The PCA device used was the Baxter $Infusor^{(R)}$. This unit was fitted with patient control module which had a flow rate 0.5 ml/hr and the lockout time was 15 min. Resulting from the study, the MD patients in the first and second days post-operatively, reported less pain compared with the M group. VAPS(Visual Analogue Pain Scales) values were $3.52{\pm}l.61$ vs. $2.22{\pm}0.69$, $2.38{\pm}1.12$ vs. $1.45{\pm}0.48$ and $1.93{\pm}1.65$ vs. $0.98{\pm}0.36$, respectively pertaining to M and MD groups. In conclusion, the MD group with meperidine and droperidol(mixed regimen) provided more effective postoperative analgesia than M group(meperidine only).

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충남교육청 소속 공공도서관의 공간혁신에 관한 연구 (A Study on the Space Innovation of Public Libraries Belonging to Chungcheongnam-do Office of Education)

  • 임정훈;오형석;이병기
    • 한국도서관정보학회지
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    • 제52권4호
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    • pp.103-126
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    • 2021
  • 본 연구는 충청남도교육청 소속 19개 공공도서관을 대상으로 교육·문화복합공간으로서의 도서관 재구조화 방안을 제안하고자 하였다. 이를 위해 국내외 공공기관 복합화 시설의 사례 조사, 이용자 설문조사 등을 실시하였다. 그 결과 미래 공공도서관이 갖추어야 할 공간으로 배우는 공간(종합자료실, 테마 자료 탐구실, 미래교실, 블렌디드 러닝센터, STEAM 교육실, 원격강의학습실), 표현하는 공간(포이어, 메이커 룸, 디지털 매체 창작실, 원격강의제작실), 나누는 공간(동아리·모둠학습실, 웰빙 복합문화공간, 생활·편의공간, 휴게실·브라우징), 즐기는 공간(퍼포먼스·생각 놀이터, 유아·어린이 자료실, 디지털 가상체험실, 특화 알코브실, 야외독서실) 등으로 구분하여 공간 재구조화 전략을 제시하였다. 또한, 건축 규모, 장서 규모, 서비스 및 공간 수준 등을 고려하여 선도모형, 기본모형, 이음터 모형, 최소모형 등 도서관별로 특화된 교육청 소속 공공도서관의 재구조화 모형을 제안하였다.

Selective Reduction of Carbonyl Group with Borohydride Exchang Resin (BER)-LiCl System

  • Gyoung, Young-Soo;Yoon, Nung-Min;Jeon, Dae-Hoon
    • Bulletin of the Korean Chemical Society
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    • 제8권3호
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    • pp.162-165
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    • 1987
  • The reduction rate of borohydride exchange resin (BER) was greatly enhanced in the presence of lithium salts. Thus 2-heptanone was reduced completely with BER-LiCl in 1 h at room temperature. However, no reduction was observed with BER alone under the same conditions. With this system, organic compounds containing various fuctional groups were examined in ethanol at room temperature. This study revealed that BER-LiCl system exhibits an excellent chemoselectivity for carbonyl group in the presence of other functional groups. Keto esters and epoxy ketones were reduced with BER-LiCl to give the corresponding hydroxy esters and epoxy alcohols with excellent yields. Selective reductions of carbonyl groups were also possible in the presence of other organic compounds containing functional groups such as 1-idooctane, 1-bromooctane, caproamide, hexanenitrile, nitrobenzene, n-butyl disulfide, dimethyl sulfoxide and 1-dodecene.

일본 장애아 요육시설의 설치 및 이용현황의 특성에 관한 연구 - 일본 동경권의 '아동 데이서비스'를 중심으로 - (A Study on the Characteristics of the Current Situation of the Child Care Centers for the Children with Disability in Japan - Focus on the 'Day Service for Children' in Tokyo -)

  • 최희원
    • 한국실내디자인학회논문집
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    • 제19권6호
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    • pp.224-232
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    • 2010
  • This paper aims to identify the characteristics and the current situation of the architectural characteristics, children's characters using facilities, and status of management and utilization by surveying 'Day Service for Children' in Tokyo-do. First, About the status of management and utilization, 'Day Service for Children' is operated by a local government, NPO corporate group and social welfare corporate. There are not big differences of the care program or running hours depending on operating principals but there are differences depending on staff organization, number of children and space constitution. Also, infants ratio at 'Day Service for Children' is high for the purpose of detecting disability early and supporting their development early. They have diverse disabilities but developmental disabilities' ratios high and most children are using both this facility and normal nursery centers together. Samples for proper child care based on status of space constitutions were installing lock, raising door knobs and using softer floor materials which are for children's safety. For the problem of space utilization, most comments were about lack of space which is not enough for teaching and training materials. Therefore, as an example, observation rooms for parents and teachers were sometimes used as storages and it changes teachers' moving direction, staying area and behavior zone. The programs of 'Day Service for Children' are divided to group teaching and private one. It will be the best if they have separate spaces such as group class room, private class room and play room. When they were operated by NPO corporate group or Social welfare corporate, there are many cases that their space was not properly zoned for each activity.

단체급식을 위한 콩국의 곽향 첨가에 따른 품질평가 (Quality Evaluation of Soybean soup by Adding Gwackhyang in Foodservice Operations)

  • 고성희;이경연
    • 한국식품조리과학회지
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    • 제29권6호
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    • pp.841-846
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    • 2013
  • Developing a menu for foodservice operations utilizing a Yaksun meets with the desire of customers who have keen interest in health food. In addition, it is possible to expect the additional advantage of decreasing hygiene risk, which can be caused by large quantity cooking, by the efficacy of medicinal herbs used in Yaksun. Accordingly, this study provides with basic information for the development of a Yaksun menu for foodservice operations utilizing Gwackhyang by evaluating the sensory quality and microbiological quality of bean soup added of Gwackhyang. The standard plate counting significantly decreased as the addition quantity of Gwackhyang increased (p<0.001). All bean soups, which were kept at room temperature and refrigerator for 3 hours after cooking, met the safety standard 5.00 CFU/g. The number of coliforms also significantly decreased as the addition quantity of Gwackhyang increased. The bean soups in control group exceeded the safety standard of 2.00 CFU/g after 1 hour at room temperature and in refrigerator. On the other hand, all Gwackhyang bean soups met safety standard, only excluding G1 with 1% Gwackhyang kept at room temperature. Accordingly, it has been confirmed that the addition of Gwackhyang during bean soup production decreases the microorganism level of bean soup. Both standard plate counting and the number of coliforms significantly increased after 3 days in refrigerator; however, the increasing extent of Gwackhyang bean soups were less than the control group bean soups. The control group received scored highest in 3 sensory characteristics out of 5 sensory characteristics. However, G1 with 1% Gwackhyang also scored highest in 2 sensory characteristics, which were taste and overall preference. G2 also scored 4.45 in color and 4.15 in fragrance, which were lower than the control group but were above average.

미국 외래진료시설의 시대적 변천과 공간적 특성에 관한 연구 (A Chronological Study on the Transformation and the Spatial Characteristics of Ambulatory Care Facilities in the United States)

  • 이수경;최윤경
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제25권2호
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    • pp.51-62
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    • 2019
  • Purpose: This study aims to examine spatial characteristics of ambulatory care department Chronologically through case studies; and to consider the social implication of these spatial changes. Methods: In this study, a total of eight ambulatory care departments, one or two for each period, were selected in order to analyze the spatial characteristics. Results: First, since the 1990s, the outpatient department of the US has been changed into a patient-centered space by providing high quality outpatient medical services through individual exam room planning. Second, the exam room has been changed from open/semi-open/group exam room to individual exam room since 1990, and the trend is shifting from the cluster type to the modular type consisting of universal exam rooms in order to achieve the flexibility of exam room. Third, the diagnostic/testing area has been deployed to the ambulatory clinic to enable 'one-stop shopping' for patients-centered care since 1990s, however, it has been disappearing since 2000 due to Reduce medical expenses. Fourth, the Central Nursing Station type first appeared in the outpatient department In the 2000s, followed by the type of decentralized nursing station type since 2010s. And fifth, the area of medical support has been placing to be concentrated on one place due to the Lean Design strategy since 2010. Implications: In the future, it is expected that Korea will be more focused on efficiency, visual control, and flexibility in the planning of the ambulatory care department as in the case of the United States.

수술실간호사의 직무수행과 피로에 관한 연구 (A Study On the Operating Room Nurses' Performances of Duties and Their Fatigue)

  • 박정숙
    • 한국직업건강간호학회지
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    • 제6권2호
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    • pp.110-127
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    • 1997
  • The aim of this study is to present the basic datum for the promotion of effectiveness and improvement of nursery tasks, by grasping the situation of operating room nurses tasks and the degree of their fatigue. For these researches, 70 nurses out of the operating rooms of 3 university-affiliated hospitals-two in Seoul and one in Pusan, were chosen at random by a non-probability sampling method. These researches were done from April 14 to April 26 in 1997 by questionairing method. The questionaire was composed of 30 items, which asks the examinees of their physical, mental, and neurosensory symptoms, with 10 items respectively. The reliability of the research instrument was turned out very high with Cronbach's ${\alpha}=.9376$. The datum were electronically processed using Statistics Program for Social Sciences(SPSS). The analysis of datum in this study has a general character, in which the demosociological character and the special ex-officio character was calculated by frequency and percentage. The situation of tasks in operating rooms was calculated by frequency and percentage. The fatigue of operating room nurses was calculated by average and standard deviation. To compare the fatigue with regard to the character of operating room nurse's tasks, t-test and F-test(ANOVA) were used after the character of variations, and the variations at the level of P<.05 which might have some meaning was verified after the fact with Duncan's Multiple Range(DMR). The results of this research are as follows : 1) The nurses working in operating rooms show their fatigue in three fields-in Group I physical symptoms 3.28, in Group III neurosensory symptoms 2.85, and in Group II mental symptoms 2.73, which shows I Dominant type (general type). 2) They complain, in Group I they are "feeling the heavy legs," 3.28 and in Group II they "occasionally forget soon what to do," 3.09. and in Group III, they "feel lumbago," 3.47, which is the highest rate of the three. The highest rate results from the character of their tasks, in which they have to move rapidly the heavy appliances and do their jobs standing many hours, especially wearing heavy radiation protector. 3) As to transportation, subway using group feel the greatest fatigue, 3.18(F=4.315, P=.008). 4) As to department, nurses in the orthopedic's surgery part feel the greatest fatigue, 3.26(F=2.040, P=.050). 5) As to the change of physical symptoms, the group answering that they found physical abnormality after working in operating rooms show the greatest fatigue, 3.12(t=-3.13, P=.003). 6) At to the general circumstances, the group answering that they receive insufficient consideration on their physical abnormality in their department, show the greatest fatigue, 3.10(F=3.200, P=0.47). 7) As to the relation with superior officers, the group answering that their superior officer has an impetuous temperament, show great fatigue, 3.11(F=4.855, P=.011). 8) As to the time of feeling fatigue, the fatigue reaches the highest point 1~2 hours after operations, 3.04(F=2.703, P=.046). 9) When they feel fatigue after scrub nurse duties, they feel the greatest fatigue 2 hours after the duties, 3.09( F=2.841, P=.038). 10) As to the operation instruments, when they use complex instruments borrowing from the outside in addition to the basic instruments, their fatigue becomes the greatest, 3.09(F=7.831, P=.000). 11) As to the kind of operation, when they participate in orthopedic's surgery operations, they feel the greatest fatigue, 3.18(F=4.362, P=.000). With the above results, it is proved that the degree of operating room nurses' fatigue is considerably high. So it may be concluded that the measure for lessening the fatigue should be find immediately, not on the level of personal matters but on the level of hospital nursing administration.

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스노잘렌 공간이 치매노인 동요행동에 미치는 영향 (Effects of Snoezelen Room on Agitated Behavior of People with Dementia)

  • 이숙영;디라니알란
    • 한국주거학회논문집
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    • 제19권4호
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    • pp.79-87
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    • 2008
  • Snoezelen, multi-sensory stimulation, provides stimulation through the visual, aural, tactile, olfactory, gustatory and proprioceptive senses. Its aim is to be a relaxing, feeling of safety, novelty and stimulation with no expectations for performance. Agitated behavior of people with dementia causes significant problems and distress for cares. The objective of this research study was to test the effects of Snoezelen room on physical and verbal agitated behaviors of people with dementia. Four patients participated five sessions in Snoezelen room of 'F' dementia care facility in Sweden. Assessment instrument was basically used Cohen-Mansfield Agitation Inventory-Short Form to be rated by caregivers on a 5-point frequency scale. Pre-trial and post-trial assessments were carried out during $27^{th}$ Aug.-$27^{th}$ Sept. 2007. Result shows that Snoezelen room has some short-term positive effect on agitated behavior even though there was a considerable variation individuals responded. This result adds to the increasing evidence that Snoezelen could be a therapeutic environment for the elderly with dementia. Further research study, with larger number of participation, and a control group is required to establish more scientific evidence of Snoezelen effects on health outcome.

수술실 간호사의 임상등급에 따른 간호역량 (A Study on the Clinical Competence according to Clinical Ladder of Operating Room Nurses)

  • 최진숙;은영
    • 한국간호교육학회지
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    • 제12권1호
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    • pp.60-69
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    • 2006
  • Purpose: This study was to explore the clinical competence according to clinical ladder of operating room nurses. Method: The subjects were 125 the operating room nurses working at five university hospitals in four city. The instrument to measure the clinical competency and clinical performance of OR nurses was developed by researcher. It consisted of 12 domains of clinical competence and 23 items of clinical performance. Results: Clinical competence and clinical performance of OR nurses group devided into 4 groups by clinical ladder such as 0-12month, 13-36 mon. 37-84 mon. over 85 month were significantly different. More experienced nurses performed higher level of clinical performance and competency in 23 items and 12 domains. Conclusion: It will be needed to add concrete behavioral patterns and behavioral indicators of nursing competencies, per stage of the clinical ladder, by repetitive studies on nurses of various hospitals and to confirm the validity.

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