• Journal of Hospice and Palliative Care
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• 제21권1호
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• pp.33-39
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• 2018

목적: 본 연구는 2015년 7월 새로이 등장한 완화의료 도우미를 양성하기 위한 완화의료 도우미 교육 프로그램이 요양보호사의 호스피스에 대한 인식과 임종환자 돌봄에 대한 태도에 미치는 효과를 확인하고자 시도되었다. 방법: 본 연구는 비동등성 대조군 사전사후 설계 실험연구로서, 대조군 43명 실험군 58명의 요양보호사를 대상으로 실시되었다. 실험군은 완화의료학회에서 제공하는 이론 20시간 실습 20시간의 완화의료 도우미 교육 프로그램을 이수하였고, 대조군은 요양병원에서 근무하는 요양보호사를 편의 표출하였다. 결과변수는 ANCOVA로 분석하였다. 결과: 실험군은 완화의료 도우미 교육을 받지 않은 대조군에 비해 호스피스에 대한 인식(F=21.09, P<0.001)과 말기환자 돌봄에 대한 태도(F=13.28, P<0.001)가 유의하게 향상되었다 결론: 본 연구의 결과는 완화의료 도우미 교육이 호스피스 완화의료 서비스 제공자로 준비시키는데 효과적임을 입증하였다.

• 한국식품영양학회지
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• 제31권2호
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• pp.236-241
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• 2018

Flammulina velutipes is an edible mushroom and contains a lot of fiber, vitamin $B_1$, $B_2$, niacin and folic acid. This study was conducted to explore the effects of the Flammulina velutipes mushroom on immune cells and immunity. Th1 cytokine productions as $IFN-{\gamma}$, $TNF-{\alpha}$, and IL-2 were measured in an activated macrophage by Flammulina velutipes water extract in seven concentrations (0, 5, 10, 50, 100, 250, 500, and $1,000{\mu}g/mL$). Also, the splenocyte proliferation index was measured at 48 hours after treatment of the Flammulina velutipes water extract in seven concentrations or mitogen, LPS and ConA. The $IFN-{\gamma}$ and $TNF-{\alpha}$ productions were increased by treatment of the Flammulina velutipes water extract. The $TNF-{\alpha}$ production was significantly higher in the $50{\sim}1,000{\mu}g/mL$ Flammulina velutipes water extract treated macrophages. The $IFN-{\gamma}$ production of macrophages treated with the Flammulina velutipes water extract increased significantly in all groups, and the highest $1000{\mu}g/mL$ concentration. The splenocyte proliferation index was enhanced when the $10{\sim}1,000{\mu}g/mL$ Flammulina velutipes water extracts were treated compared to the control. These primary results suggest that Flammulina velutipes may enhance the immune function by activation of the macrophage and spleen cell.

• 한국화재소방학회논문지
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• 제32권5호
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• pp.105-111
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• 2018

본 연구에서는 소방청의 119 구급서비스 통계연보와 통계청의 인구동향조사 및 장래추계인구를 활용하여 저출산 고령화와 같은 인구 변동이 미래의 구급 이송 서비스 이용에 미치는 영향을 분석하였다. 우리나라의 인구는 2031년 정점에 이룬 후 인구 감소가 시작될 것으로 추계되나 70세 이상 노인 인구는 계속 증가할 것으로 전망하고 있다. 본 연구 결과에 따르면, 인구 변동을 반영한 이송률, 즉 인구 1,000명 당 이송 환자 수는 최근 추이와 비교해 큰 폭의 변화는 없으나 70세 이상 노인 인구에 대한 구급 서비스는 기하급수적으로 늘어날 전망이다. 따라서 저출산, 고령화에 따른 인구 변동은 구급 서비스의 양적, 질적 변화를 수반하게 되며, 장기적인 관점에서의 대응이 요구된다. 특히 고령화에 따른 구급 서비스의 효과적 대응은 물론 인구 변화에 따른 기존 관할 영역의 조정과 인력, 자원의 재배치 등이 고려되어야 할 것이다.

• 대한임상독성학회지
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• 제13권1호
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• pp.36-39
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• 2015

Copper sulfate is a copper compound used widely in the chemical and agriculture industries. Most intoxication occurs in developing countries of Southeast Asia particularly India, but rarely occurs in Western countries. The early symptoms of intoxication are nausea, vomiting, diarrhea, and abdominal cramps, and the most distinguishable clue is bluish vomiting. The clinical signs of copper sulfate intoxication can vary according to the amount ingested. A 75-year old man came to our emergency room because he had taken approximately 250 ml copper sulfate per oral. His Glasgow Coma Scale (GCS) score was 14 and vital signs were blood pressure 173/111 mmHg, pulse rate 24 bpm, respiration rate 24 bpm, and body temperature $36.1^{\circ}$ .... Arterial blood gas analysis (ABGa) showed mild hypoxemia and just improved after 2 L/min oxygen supply via nasal cannula. Other laboratory tests and chest CT scan showed no clinical significance. Three hours later, the patient's mental status showed sudden deterioration (GCS 11), and ABGa showed hypercarbia. He was arrested and his spontaneous circulation returned after 8 minutes CPR. However, 22 minutes later, he was arrested again and returned after 3 minutes CPR. The family did not want additional resuscitation, so that he died 5 hours after ED visit. In my knowledge, early deaths are the consequence of shock, while late mortality is related to renal and hepatic failure. However, as this case shows, consideration of early definite airway preservation is reasonable in a case of supposed copper sulfate intoxication, because the patients can show rapid deterioration even when serious clinical manifestation are not presented initially.

• 대한영양사협회학술지
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• 제17권3호
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• pp.313-326
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• 2011

This study was performed to investigate the relationship between milk and milk product consumption and dietary nutrient intake among Korean adolescents. Questionnaire survey and 3-day diet survey using the food record method were completed by a total of 664 subjects. Subjects were divided into three groups, Q1 (low group), Q2 (middle group), and Q3 (high group), according to dairy equivalent of calcium. Dairy equivalent of calcium was determined by the amount of calcium eaten from milk and milk products by individual subjects. As a result, the ratio of school milk service was higher in Q3 (P<0.001). The most frequent answer about the reason for consuming milk and milk products was 'to be taller' followed by 'good taste' and 'health promotion'. Preference for all types of milk such as white-, enriched-, and flavored-milk was higher in Q3 followed by Q2>Q1 (P<0.05). Ratio of mean daily dietary nutrient intakes of dietary fiber, vitamin C, folate, and calcium to RNI was lower than 2/3 for all of the groups. These mean daily dietary nutrient intakes were significantly higher in Q3 (P<0.05), and in particular, mean daily dietary calcium intake, which was the lowest nutrient consumed by Korean adolescents, was also the highest in Q3 followed by Q2>Q1 (P<0.05). The above results suggest that the school milk program is very helpful in encouraging adolescents to consume milk and milk products and consequently ensure their optimal nutrition. Therefore, we should try to encourage adolescents to participate in the school milk program more actively through nutritional education and government policy.

• 한국도서관정보학회지
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• 제51권3호
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• pp.149-169
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• 2020

본 연구에서는 환자 및 보호자를 위한 도서관 서비스에 초점을 맞추어 국내 병원 내 도서관 사서들을 대상으로 현재 환자 및 보호자를 위해 수행하고 있는 도서관 서비스 현황과 향후 환자 및 보호자를 위한 도서관 서비스에 대한 인식조사를 실시하였다. 이를 통해 병원 내 환자 및 보호자를 위한 도서관 서비스 활성화 방안을 모색하였으며, 연구결과를 기반으로 다음과 같은 방안을 제안하고자 한다. 첫째, 병원 내 도서관의 의무적 설립을 위한 법 제정과 병원 내 도서관의 규모, 장서, 인력 등에 대한 기준이 제정되어야 한다. 둘째, 향후 국가적 차원에서 병원도서관을 의무적·자발적으로 설립할 수 있는 기반을 마련하기 위해서는 문화체육관광부와 보건복지부의 협력이 필수적이다. 셋째, 지역대표도서관 및 공공도서관, 타 기관과의 연계를 통한 운영이 고려되어야 한다.

• Journal of Korean Biological Nursing Science
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• 제19권2호
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• pp.86-97
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• 2017

Purpose: Postoperative nausea and vomiting (PONV) is very common among postoperative orthopedic surgical patients with patient-controlled analgesia (PCA), especially for narcotics. Therefore, the purpose of this study was to investigate the effects of an evidence-based PONV management protocol on nursing and patient outcomes. Methods: A methodological study was conducted to develop PONV protocol and a quasi-experimental study to evaluate the effectiveness of protocol. The preliminary PONV protocol was drawn by conducting a systematic review and by reviewing clinical guidelines and best practice recommendations. Validation of the content was done by expert clinicians, and the clinical applicability was evaluated by staff nurses and patients. The effect was evaluated in clinical outcomes associated with PONV and nursing outcomes. Results: In the experimental group, the occurrence of vomiting (z= 2.147) was significantly decreased, the maintenance PCA (${\chi}^2=4.212$) and the satisfaction of patients (z= 5.007) were significantly higher. In the outcomes of nurses, the PONV knowledge of nursing care (z = 3.791), awareness (z = 2.982) and self-efficacy (z= 2.745) were higher in the experimental group. The attitude towards evidence-based nursing practice (z= 2.446) was significantly positive. Conclusion: The results show that an evidence-based approach to the implementation of PONV care is effective in improving patient clinical outcomes and quality of care.

• 한국주거학회논문집
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• 제19권6호
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• pp.95-104
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• 2008

This study was to develop the indicators for understanding social inclusion exclusion of the dwellers living in permanent rental apartment, and to present a important base about priority order of national housing policy for social inclusion. The ultimate purpose of this study was to provide basic information for the development of permanent rental apartment renewal techniques. The first phase of the study was to review of the social inclusion exclusion indicators mentioned in the literature. The indicators of EU (2001, 2006), KIHASA (2005), and Jehoel-Gijsbers & Brooman (2007), which were applied in many studies about social inclusion, or included various items about dwellers' subjective attitudes, were selected to construct the framework for the study. On the basis of 3 kinds of indicators at the above, the dimensions of social inclusion exclusion were categorized as material deprivation and access to social rights in an economicstructural exclusion view, and social participation and cultural normative accommodations in a socio-cultural exclusion view. And then, the domains of social inclusion exclusion were decided as follows: income, employment, education service, housing, health, family networks and social networks. The detail contents of indicators were adopted from the prior studies as many as possible, and the dwellers' subjective attitudes and housing domains were intensified with reference to UN housing rights and the study of "residents' satisfaction of housing facilities living in permanent rental housing". The developed indicators were modified through the advisory committee that consist of the specialists from the various fields of studies. The final indicators that were overlapped or not able to be measured were eliminated, and added, in a housing domain, the standards of convenient facilities, the management condition, safety, location, crime and etc. in the apartment complex, which were required to complement in the advisory committee.

• 한국정보통신학회:학술대회논문집
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• 한국정보통신학회 2017년도 춘계학술대회
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• pp.727-729
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• 2017

통계청과 보건복지가족부에 따르면 우리나라는 65세 이상 고령인구 비율이 세계 평균치보다 높게 추정되며 이미'고령화 사회(Ageing Society)'에 접어든 것으로 나타났다. 또한, 예상보다 이른 시기에 정보사회에 도달하여 국민들의 삶의 질이 개선되었을 것으로 추정된다. 그러나 고령층은 젊은 층과 달리 새로운 기계에 선뜻 접근하기 어려워 정보의 접근 및 이용에 있어 뚜렷한 차이를 보이고 있어 세대 간 정보 격차(Digital Divide) 현상을 야기 시키고 있다. 이러한 현상을 해결하기 위해 고령층을 위한 음성인식 기반의 스마트 미러 시스템을 구현하였다. 구현한 시스템은 음성인식을 통하여 조명제어 및 날씨, 지하철 시간 정보 조회 서비스를 제공할 수 있다. 구현한 시스템을 통하여 고령층에게 새로운 기계에 대한 접근 용이성을 제공하여 새로운 시대 변화에 동참하는 느낌을 주고 정보를 얻어 생활이 편리하게 만들어 준다는 효과가 기대된다.

• 기본간호학회지
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• 제6권1호
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• pp.64-77
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• 1999

This study was conducted to investigate the use of medical equipment in patients receiving home care service. The subjects of this study were 88 patients cared by seven home care nursed who were registered in the Seoul Nurses Association. Data was collected from Aug. 1, 1998 to Dec. 30, 1998. The findings are as follows. 1. The sample was found to be 55.7% female : 51.7% over 65 years old. 75% with neurologic disease including CVA, brain tumor, ICH, Parkinsonism & Spinal stenosis and 78.4% living in Seoul. The Clinical experience of the home care nurses was greater than five years. 2. Medical equipment which the patients possessed were foley catheters(61.4%), L-tubes(59.1%) and tracheostomy tubes(51.1%). 3. Technical difficulties in use of medical equipment were related to home care ventilators(60.0%), L-tubes(3.8%) and tracheostomy tubes(2.2%). 4. Most of the medical equipment were obtained from the hospital where they had been admitted previously or from medical equipment companies. 5. Complications from the use of this equipment were infection through invasive techniques including wound drainage tubes(50%), and IV injections(22.2%), The complications were resolved through referral to the doctor of the hospital where they were previously admitted or through community health centers. 6. Most of the equipment was disposable, and equipment was disinfected by using various methods including boiling and soaking in antiseptic solutions. These findings suggest that consistant policy on the management of medical equipment is necessary for the safety of home care patients.