• Journal of Periodontal and Implant Science
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• 제29권3호
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• pp.483-509
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• 1999

Biodegradable barrier membrane has been demonstrated to have guided bone regeneration capacity on the animal study. The purpose of this study is to evaluate the effects of cultured calvarial cell inoculated on the biodegradable barrier membrane for the regeneration of the artificial bone defect. In this experiment 35 Sprague-Dawley male rats(mean BW 150gm) were used. 30 rats were divided into 3 groups. In group I, defects were covered periosteum without membrane. In group II, defects were repaired using biodegradable barrier membrane. In group III, the defects were repaired using biodegradable barrier membrane seeded with cultured calvarial cell. Every surgical procedure were performed under the general anesthesia by using with intravenous injection of Pentobarbital sodium(30mg/Kg). After anesthesia, 5 rats were sacrificed by decapitation to obtain the calvaria for bone cell culture. Calvarial cells were cultured with Dulbecco's Modified Essential Medium contained with 10% Fetal Bovine Serum under the conventional conditions. The number of cell inoculated on the membrane were $1{\times}10^6$ Cells/ml. The membrane were inserted on the artificial bone defect after 3 days of culture. A single 3-mm diameter full-thickness artificial calvarial defect was made in each animal by using with bone trephine drill. After the every surgical intervention of animal, all of the animals were sacrificed at 1, 2, 3 weeks after surgery by using of perfusion technique. For obtaining histological section, tissues were fixed in 2.5% Glutaraldehyde (0.1M cacodylate buffer, pH 7.2) and Karnovsky's fixative solution, and decalcified with 0.1M disodium ethylene diaminetetraacetate for 3 weeks. Tissue embeding was performed in paraffin and cut parallel to the surface of calvaria. Section in 7${\mu}m$ thickness of tissue was done and stained with Hematoxylin-Eosin. All the specimens were observed under the light microscopy. The following results were obtained. 1 . During the whole period of experiment, fibrous connective tissue was revealed at 1week after surgery which meant rapid soft tissue recovery. The healing rate of defected area into new bone formation of the test group was observed more rapid tendency than other two groups. 2 . The sequence of healing rate of bone defected area was as follows ； test group, positive control, negative control group. 3 . During the experiment, an osteoclastic cell around preexisted bone was not found. New bone formation was originated from the periphery of the remaing bone wall, and gradually extended into central portion of the bone defect. 4 . The biodegradable barrier membrane was observed favorable biocompatibility during this experimental period without any other noticeable foreign body reaction. And mineralization in the newly formed osteoid tissue revealed relatively more rapid than other group since early stage of the healing process. Conclusively, the cultured bone cell inoculated onto the biodegradable barrier membrane may have an important role of regeneration of artificial bone defects of alveolar bone. This study thus demonstrates a tissue-engineering the approach to the repair of bone defects, which may have clinical applications in clinical fields of the dentistry including periodontics.

• 대한임상검사과학회지
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• 제48권3호
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• pp.217-224
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• 2016

Acinetobacter baumannii는 병원환경에 광범위하게 분포하고 있으며, 원내감염의 중요한 원인균으로 병원에서 집단감염 일으키고, 중증의 기저질환을 가진 환자에게 감염되면 감염환자의 사망률이 다른 환자에 비해 월등히 높은 것으로 알려져 있다. 본 연구는 충청남도 천안시에 소재한 대학병원 두 곳의 진단검사의학과에 의뢰된 가검물에서 분리한 다제 내성 A. baumannii 85주의 항생제 내성률과 내성유전자 양상에 대해 조사하였다. Carbapenemase와 Class B ${\beta}$-lactamase의 생성균주를 선별하기 위하여 modified Hodge test (MHT)와 IMP-EDTA double-disk synergy test를 실시하였다. 항생제 내성을 유발하는 carbapenemases, 16S rRNA methylases, aminoglycoside-modifying enzymes (AMEs)을 확인하기 위하여 PCR을 시행 하였으며, A. baumannii가 분리된 두 대학병원간 분리균주의 유전학적인 근연도를 확인하기 위해 REP-PCR을 시행하였다. 실험결과 3균주를 제외한 82균주(96.5%)에서 $bla_{OXA-23-like}$과 $bla_{OXA-51-like}$이 검출되었다. $bla_{OXA-23-like}$ 유전자가 검출된 균주에서는 $bla_{OXA-23-like}$ 유전자 상부에 ISAba1 유전자가 확인되어 carbapenemase에 대한 내성을 유도하는 것으로 확인 되었다. Aminoglycoside에 대한 내성을 유발하는 16S rRNA methylase 유전자인 armA는 A병원에서 분리한 38균주 중 34균주(89.5%)에서, B병원에서 분리한 47균주 중 40균주(85.1%)에서 확인되었고, aminoglycoside modifying emzyme 유전자는 A병원 유래 38 균주 중 33 균주(70.2%)에서, B병원 유래 47균주 중 44 균주(93.6%)에서 aac(3)-IIa/ant(2")-Ia/aac(6')-Ib가 확인됨에 따라 천안지역에서 분리되는 대부분의 다제 내성 A. baumannii 균주는 acethyltransferase와 adenyltransferase를 동시에 발현하는 것을 알 수 있었다. 본 실험 결과는 충청남도 천안시에서 분리된 MDR A. baumannii를 대상으로 한 보고서로서, 항생제 내성유형과 내성 유전자의 분포를 확인하여 MDR A. baumannii 균주에 의한 감염증의 치료 지침과 내성세균 확산 방지를 위해 필요한 기초 자료로 활용할 수 있을 것으로 생각된다.

• 한국식품위생안전성학회지
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• 제29권3호
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• pp.217-222
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• 2014

본 연구는 20% ortho-phenylphenol을 함유한 훈증소독제, Fumagari $OPP^{(R)}$의 Clostridium perfringens (C. perfringens) 아포에 대한 살아포 효과를 평가하기 위해, French standard NF T 72-281에 따라 수행하였다. 배양 현탁액 중 C. perfringens의 아포수(N 값), 훈증소독제에 노출된 각 담체의 아포수(n1, n2, n3), 평판배지법에 의한 시험 아포 현탁액 중 아포수(N1), 여과법에 의한 시험 아포 현탁액 중 아포수(N2), 그리고 대조 담체의 회복 아포의 평균값(T 값)을 예비실험을 통해 구하였다. 또한, 훈증소독제에 노출된 C. perfringens의 감소 아포수(d 값)는, T 값, 회복액 중 아포수의 평균값(n'1) 그리고 배지의 담체에서 증식한 아포수의 평균값(n'2) 등을 이용하여 산출하였다. N 값은 $4.4{\times}10^7spores/mL$이었으며, n1, n2, n3은 각각 0.5N1, 0.5N2, 0.5N1 보다 높게 나타났다. 그리고 T 값은 $4.9{\times}10^5spores/carrier$이었다. 훈증소독제의 살아포 효과에 있어서, d 값은 4.52 이었다. 훈증소독제에 대한 프랑스 기준에 따르면, 효과적인 살균력을 갖는 훈증소독제의 d 값이 3 이상이어야 하는 것으로 규정하고 있다. 본 연구의 결과로부터, Fumagari $OPP^{(R)}$는 C. perfringens 아포에 대해 높은 살아포 효과를 갖는 것으로 나타나, 병원성 세균의 아포로 오염된 식품재료와 주방기기의 소독에 적용할 수 있을 것으로 사료된다.

• 한국식품위생안전성학회지
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• 제35권3호
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• pp.225-233
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• 2020

위생용품의 기준 및 규격서에는 포름알데히드 함량 시험법이 위생용품 유형별로 다르게 규정되어 있다. 위생용품 유형별로 미용티슈, 기저귀 안감 및 방수층, 팬티라이너를 대표 시료로 하여, 2,4-DNPH/HPLC법, 아세틸아세톤/분광광도계법, 아세틸아세톤/HPLC법을 비교 분석하였다. 시험방법의 유효성 확인을 위하여 위생용품 유형별로 직선성과 검출한계, 정량한계, 회수율, 반복성 등을 검토하였다. 포름알데히드 표준용액으로 검량선을 작성 한 결과 3가지 시험방법에서 모두 상관계수(R²)가 0.999이상이었고, 검출한계와 정량한계는 위생용품의 기준 및 규격에 규정된 각각의 최대잔류허용기준(Maximum Residue Level, MRL)에 비해 매우 낮게 나타났다. 또한 80%이상의 양호한 회수율을 확인할 수 있었고, 반복성(repeatability)도 20% 이내에 해당하여 양호하였다. 분석장비 별 비교에서는 분광광도계에 비하여 HPLC는 낮은 검출한계 및 정량한계를 나타내어 정밀한 것으로 나타났다. 또한 유도체화 후 차광을 유지하면서 분석이 가능한 장점이 있었다. 유도체화 시액별 시간 경과에 따른 포름알데히드 안정성 평가를 위하여 2,4-DNPH와 아세틸아세톤으로 유도체화 한 후 0, 3, 6, 9, 24, 48 시간에 HPLC로 포름알데히드를 분석하였다. 2,4-DNPH로 유도체화 된 포름알데히드의 경우 시간의 경과에 따른 포름알데히드 피크면적의 통계적 유의성은 보이지 않았다(P>0.05). 반면, 아세틸아세톤의 경우 유의적인 상관관계를 보였는데(P<0.01), 아세틸아세톤-포름알데히드 면적과 시간과는 음의 상관계수(r)를 보였다. 최초로 측정된 포름알데히드 피크면적평균 대비 시간대 별 피크면적평균 비교에서는 2,4-DNPH 시액으로 유도체화 한 경우에는 면적비의 특별한 증감이 관찰되지 않아 안정한 것으로 나타났다. 그러나 아세틸아세톤으로 유도체화한 경우에는 시간의 경과에 따라 감소 경향을 보이다가 48시간 경과 후에는 81.3-95.2% 수준으로 감소하는 것으로 나타났다. 위생용품은 대부분 일회용으로 제조가 용이한 종이와 부직포 재질로 만드는 경우가 많고, 제조과정 중 접착제를 사용한다. 따라서 위생용품 최종제품에도 포름알데히드가 잔존할 가능성이 있다. 우리나라에서도 위생용품관리법으로 위생용품 중의 포름알데히드 기준을 마련하여 관리하고 있으나 시행 초기로 국내 유통 제품에 대한 포름알데히드 잔류 실태조사는 미흡한 실정이다. 이에 본 연구에서는 부산지역에서 유통 중인 위생용품 총 205건을 대상으로 포름알데히드 함량 모니터링을 실시하였다. 일회용 기저귀 74건 중 73건에서 0.13-29.87 mg/kg의 수준으로 낮은 농도의 포름알데히드가 잔류되어 있음을 확인하였다. 이에 일회용 기저귀는 피부에 직접 접촉하는 부분을 중심으로 지속적인 관리가 필요할 것으로 생각된다. 반면 화장지 78건, 일회용 타월 27건, 일회용 행주 12건, 종이컵 7건, 일회용 종이냅킨 6건, 종이빨대 1건에서는 포름알데히드가 모두 검출되지 않아 안전하게 관리되고 있음을 알 수 있었다.

• 한국식품위생안전성학회지
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• 제31권2호
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• pp.94-98
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• 2016

HPLC-MS/MS를 이용하여 벌꿀의 동물용의약품 동시분석을 위한 분석법을 정립하고자 식품공전 중 벌꿀에 규격이 설정된 11종의 동물용의약품을 2개 그룹 Group 1(streptomycine, dihydrostreptomycine, neomycine)과 Group 2 (oxytetracycline, enrofloxacin, ciprofloxacin, cymiazole, chloramphenicol, amitraz, coumaphos, fluvalinate)으로 나눠서 동시에 분석 할 수 있는 방법을 연구 하였다. 두 그룹 모두 RT는 15분 이내였고, 검출한계는 $0.0056{\sim}0.0643{\mu}g/g$, 정량한계는 $0.0169{\sim}0.1948{\mu}g/g$으로 나타났으며 Group 1 ($0.05{\sim}1.0{\mu}g/g$의 농도범위)과 Group 2 ($0.01{\sim}1.0{\mu}g/mL$)의 검량선을 작성한 결과 각 동물용의약품의 직선상관계수($R^2$)는 0.9917~0.9987, 0.9923~1.000으로 매우 양호한 상태를 보였고, 최종 농도가 $0.25{\mu}g/g$, $1.0{\mu}g/g$에서의 회수율은 Group 1 65.1~80.6%, Group 2 64.2~90.3%를 나타났다, 또한 area 및 RT 에 대한 inter (n = 3), intra day (n = 6) RSD (%) 분석결과는 area는 10.92%이하, RT은 1.57% 이하로 나타나 양호한 수준을 보여 벌꿀 중 동물용의약품 동시분석 방법으로 적합하다고 판단된다.

• 농약과학회지
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• 제20권3호
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• pp.271-279
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• 2016

전신복장법(whole body dosimetry, WBD)을 이용한 사과 과수원 농약 살포자의 살포농약 조제 및 살포 과정 중 imidacloprid 수화제 사용에 의한 노출 특성 및 위해성을 평가하기 위하여 농약 살포 전 방제복, 장갑, 마스크, 호흡 노출량 측정 장치를 착용한 후 speed sprayer를 이용하여 acephate+imidacloprid 25(20+5)% 1,000배 희석액을 3,000 L/ha/살포자의 비율로 청주 인근의 10개 사과 과수원에 살포하였다. 노출시험은 조제자와 살포자에 대하여 각각 나누어 수행하였다. 시험농약은 HPLC-DAD를 이용하여 분석하였으며, 부위별 평균 회수율은 81.5-108.6%, 평균 포장회수율은 73.8-86.7%로서 모두 적합하였다. 조제자 및 살포자의 노출량은 imidacloprid 총량 대비 0.0014-0.0279%이었으며, 조제자와 살포자 모두 장갑의 노출량이 가장 높았다. 또한 농약 살포자의 농약 사용에 대한 위해성을 측정하기 위한 안전한계(margin of safety, MOS)는 조제자와 살포자 각각 97-355, 46-196으로서 speed sprayer를 이용한 imidacloprid 살포 시 사과 과수원 농약 살포자에 대한 위해도는 매우 낮았다.

• 여성건강간호학회지
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• 제4권2호
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• pp.217-230
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• 1998

The purpose of this descriptive correlational study was to define the relationship between the experience of Sanhuujori, Korean traditional non-professional postpartal care after delivery and abortion and present health status of chronic arthritis female patient who visited to outpatient clinic of rheumatic internal medicine at a hospital located in Seoul, Korea. A convenience sample of 64 women who orally agreed to be a participant and data were collected form October 1996 to May, 1997 for sis months by way of interview with semistructured questionnaire. The data were analyzed by the SPSS pc program using t-test, ANOVA and Scheffe test as a post hoc and Pearson Correlation Coefficient. The results of the study were as follows ; Mean age of participants was 53.2 years and mean number of children was 3.1. Mean frequency of abortion was 2.1 times per woman. Seventy four percentage of respondents did not have Sanhujori after abortion. The mean period of Sanhujori after delivery was 17.7, 15.2, 13.8 days from the first child to third child and shorter than that of general woman such as 20.0, 19.0, 17.3 days in the previous study. On the subjective evaluation of whether the women did Sanhujori well or not, the rate of 'did Sanhujori wrongly' was the highest rank in each child where as general woman 'did Sanhujori well' at the first child, 'moderate' at the second and third child and 'did Sanhujori wrongly' at the 4th and fifth child. The health status implies both subjective health status women perceived and the rate of complaints of physical symptom distress women are experiencing presently. The respondents of 82.5% perceived them as unhealthy or sick and 68.9% of women complained more than two symptoms. Mean number of physical symptom distress women complained was 2.33. The main sites of physical symptom distress were upper & lower extremities 69.1% including knee and hand, whole body 19.1%, neck 3.7%, waist & shoulders 2.7% respectively. The characteristics of the symptoms were mostly pain 60%, swelling 19.8%, rigidity & deformity 7.9% respectively, sensation of heat 6.8% and weakness 1.7%. Women perceived the etiology of the chronic arthritis as stress 25.8%, 'did Sanhujori wrongly' & overwork 23.4% respectively, genetic 12.9%, malnutrition, 4.8%, and aging process 3.2%. There were significant positive correlation between subjective health status and the period of Sanhujori after delivery of the second child(r=-0.22) and negative correlation with the number of child at the level of 5% of significance statistically(r=0.27). There were significant negative correlation between the rate of complaints of physical symptom distress and the subjective evaluation whether she did Sanhujori well or not at the level of 5% of significance statistically(r=-0.23). And the rate of complaints of physical symptom distress in the group of women who experienced abortion was significantly higher than that of women who did not experience it at the level of 5% significance statistically(t=2.00) In conclusion, this finding reconfirmed the possible relationship between health status of chronic arthritis female patient and the experience of Sanhujori after delivery & abortion. It provides a challenge to the professional care givers to research further on the effects of Sanhujori on the health status, health recovery after abortion or delivery from the various aspects through the crosssectional and longitudinal research for the refinement of the reality of not only as cultural phenomenon but as conceptual model for the appropriateness of intervention and quality of care for desirable health outcomes.

• 핵의학기술
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• 제13권1호
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• pp.57-62
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• 2009

목적 : 기존의 fan-beam을 이용한 triple detector system에서 parallel collimator를 이용한 dual detector system으로 변화에 있어 acquisition과 processing 부분에서 발생할 수 있는 여러 가지의 변수를 phantom과 volunteer test를 통하여 실험해 보았다. 1 day protocol brain spect를 위하여 parallel collimator에서만 적용되는 OSEM2D와 OSEM3D의 비교 분석을 중점으로 하였고, 모든 연구는 동등한 검사시간으로 fan-beam을 사용하였던 Triple gamma camera보다 parallel을 사용한 dual camera에서 보다 우수한 영상을 구현하고자 하는 목표를 지향하였다. 실험재료 및 방법 : Normal time scan과 short time scan을 실시하였고, collimator 변화에 따른 영상의 변화도 알아보았다. Jaczack performance phantom과 Body IEC phantom을 이용하여 SNR과 contrast를 평가해보았고 Hoffman 3D phantom의 실험을 거쳐 volunteer test를 실시하였다. 결과 : Normal time과 short time의 비교에서는 FLASH3D를 제외한 OSEM2D와 FBP는 분석방법으로 부적합하였다. LEAP는 resolution과 sharpness 등 전체적인 영상의 질이 기존의 fan-beam을 이용한 영상과 유사하였고, LEUHR은 감도의 저하로 1 day protocol을 적용하기 위한 scan time에는 부적합하였다. 재구성법의 비교에서는 Flash-3D를 이용한 결과들이 기존의 FBP와 OSEM-2D보다 월등히 정확함을 정성적으로 확인하였다. 결론 : OSEM3D 재구성법으로 Dual detector system에서의 1 day protocol brain SPECT 시 Fan-beam보다 sensitivity가 떨어지는 parallel collimator의 단점을 보완하면서 영상의 질 또한 de-noising과 scatter correction, resolution recovery 등의 효과를 얻을 수 있으므로 1 day protocol brain SPECT의 검사의 적용에 유용할 것으로 사료된다. 그러나 이러한 half-time method라 제공되는 다양한 프로그램의 임상적용에 대한 광범 위한 연구가 현실적으로 필요하며 향후 계속적인 연구가 기대되는 바이다.

• 성인간호학회지
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• 제12권2호
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• pp.184-195
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• 2000

It has been believed that cancer is an omnious factor threatening the future and life itself. Patients having the disease experience anxiety, fear, feeling of weakness, depression and feelings of uncertainty and hopelessness. Most cancer patients, however, have expectations of possible recovery and a better future, very different from the patients who feel hopeless. Therefore. hope allows people to respond effectively to the fatal disease they have and prevents them from detoriorating physically and spiritually, positively influencing their survival, response to treatment and sense of security. Studies previously performed showed that hope is positively correlated with social and family supports, self-esteem, spiritual well-being, responsive action, health promotion behavior and quality of life. Thus, the study attempted to provide basic information on nursing cancer patients by investigating their levels of hope and determining predictive factors which influence hope. For the study 200 cancer patients in two university hospitals located in Pusan were sampled as subjects. Data were collected for twenty nine days from Feburary 1, 1999 to March 1. Instrumets for the study included 10 items from the self-esteem scale by Rosenberg (1965), 39 hope measurements by Kim and Lee(1965), 16 of the social support scale by Tae(1986) and 16 of the general characteristics scale, all of which totaled 81 items. The data were analyzed using the SPSS program. General characteristics of the investigated based on numbers and percentage. Hope, self-esteem and social support were analyzed using means, minimum, maximum and standard deviation. Relations among the foregoing three factors were analyzed using Pearson' correlation coefficient. Levels of hope in cancer patients were determined using t-test, ANOVA and Scheffe test. Predictive factors influencing hope were investigated using multiple stepwise regression analysis. Results of the study are summarized as follows: 1. An average level of hope was $185.55{\pm}23.39$ points(96 min. and 234 max.) 2. Levels of hope showed a significant difference among them according to sex (t=-3.69, P=.000), age(F=4.714, P=.000), job(F=3.247, P=.008), monthly income (F=6.113, P=.003), treatment charge (F=3.796, P=.011), supportive resources (F=10.554, P=.000), diagnosis(F=2.287, P=.029), perceived health status(F=22.184, P=.000), level of pain(F=3.334, P=.021), religion (F=4.911, P=.001) and religion's effect in life (F=11.706, P=.000), 3. For the subjects, self-esteem and social support were $38.32{\pm}7.21$(13 min, and 50 max.) and $52.97{\pm}8.49$points(28 min, 80 max.). Concerning social support, average levels of family support and medical support were found $35.95{\pm}6.05$(18 min, and 40 max) and $27.02{\pm}4.99$ points(20 min and 40 max). The hope the cancer patients showed significant correlations with self-esteem (r=.588, P=.000), family support(r=.224, p=.001) and medical support(r=.221, P=.002). 4. The five variables related to hope (self-esteem, religion's effect in life, perceived health status, social support and age) accounted for 54.2 percent of the hope level; especially, self-esteem was the highest at 34.6%. As shown in the above results, predictive factors which most influence hope in cancer patients were self-esteem and religion's effect of life. Therefore, nursing interventions to increase self-esteem should be developed. Regarding religion's effects, studies on spiritual aspects should be carried out in a way that contributes to promotion of hope.

• 간호행정학회지
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• 제7권2호
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• pp.265-284
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• 2001

The case management has been applied to improve the quality of care and the cost-effectiveness in the most health care institutions. In a way of case management, the critical pathway(CP) has been executed in many acute care settings, focused on the diagnoses with high cost, high volume, and high risk. This study was conducted to develop a case management program using CP as an intervention of patients with lumbar spinal stenosis for the surgery of posterolateral fusion, and to find out the effects of the critical pathway on the quality of nursing care, patient satisfaction as an outcome of care, length of stay and medical charge, and nurses' job satisfaction. At the same time, patients' functional states were checked with the Oswestry Low Back Pain Index, to show that the CP would not decrease the patients' function compared to the control group. The subjects were 25 control patients with a usual operation of lumbar fusion and 25 experimental patients with CP. They were all female, aged $50s{\sim}70s$, admitted in the Orthopedic surgery ward of a university hospital. Also nurses on the floor using CP were asked to respond to measurement tool of job satisfaction before and after the application of CP, and compared with other nurses on the different wards. Data were analyzed with t-test for continuous variables and chi-square for non-parametric variables in addition to the reliability test of the measurement tools. The results of this study were as followings: 1. Patients' functional states The differences in Oswestry scores of the experimental and control groups assessed at preoperation and at discharge were not statistically significant. The change in scores of the experimental group measured at preoperation and at discharge was larger than that of the control group, however the difference was not statistically significant. The results indicate that the CP did not decrease the patients' functional status. 2. The quality of nursing care The total of quality of nursing care given to the experimental group was better than that of the control group(P=.000). In addition, the experimental group showed better scores of quality of every item of care than the control group(P=.000 -.004). 3. Patient satisfaction Patients of the experimental group were not more satisfied with general care than the control group. But they were more satisfied with discharge care of 'explanation about medication, body posture, and brace application' and 'explanation about the adjustment of daily living and exercise during recovery'(P= .047, P=.028). 4. Nurses' job satisfaction Nurses working with the CP showed more job satisfaction than before the CP introduction(P=.048). But the control group of nurses on a different floor showed no change in job satisfaction at the same period of time. 5. Length of stay and medical charge The mean length of stay of the experimental group was shorter than that of the control group without statistical significance. The charge of medication and treatment of the experimental group were smaller than that of the control group(P=.011, P=.000). The results of the study support that the case management using critical pathway enables to improve the quality of care and job satisfaction, to reduce the medical charge, and consequently to increase satisfaction with care. However, the case management should be instituted focusing on the quality improvement of nursing and the client satisfaction, not just for the purpose of cost-effectiveness of health care facilities.