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김휘준,김일호,길윤경 순천향대학교 1994 논문집 Vol.17 No.4
Careful blood requesting is very important to minimize wastage of precious blood. Excessive blood request causes increased return of unused blood and unnecessary loss in the process of return to blood bank. The standards of the American Association of Blood Banks(AABB) require that blood must be maintained continuously between 1 and 10℃ and most transfusion services have adopted a 30 minutes limit on the time that blood can be out of a monitored refrigerator. Many units of blood were discarded because they had been out of blood bank refrigerator for over 30 minutes. We investigated returned and discarded units of blood and causes of them in our hospital for 6 months. The results were obtained as follows 1. Among the total 14223 units issued, 367 units(2.6%) of blood were returned. The returned rate of each blood component: Whole blood(4%), platelet concentrate(3.4%), packed red cell(3.0%), fresh frozen plasma(0.96%). 2. The department of services that accounted for greatest return of blood units was chest surgery(7.2%) and the next order was OB and GYN surgery(3.9%), and neurosurgery(3.3%). 3. The most common causes of returned units of blood was improvement of patient's condition(51.8%) and the next order was expire(21.3), voluntary discharge(18.1%), transfer(3.3%), transfusion reaction(2.5%), fear for AIDS(1.6%) and refusal for therapy(1.4%). 4. When the units of blood were returned on account of the improvement of patient's condition, the range of Hb was 9.1-18.0/dl in the patients of surgery group and 9.1-14.0/dl in internal medicine respectively. Above results suggest that excessive blood request causes increased return of unused blood and unnecessary loss of blood units and that clinicians should request blood out of consideration for various situation including Hb level and patient's condition to minimize wastage of precious blood.
일회용 약물주입기로 가정에서 항암치료 중인 대장암 환자의 삶의 질
이충은l김나영l박미희l이윤정l김진라l백민주l김효진l변은성l길윤경l김희정 병원간호사회 2022 임상간호연구 Vol.28 No.1
Purpose: The purpose of this study was to examine the psychological distress related to quality of life (QoL) of patients with colorectal cancer receiving 5-fluorouracil (5-FU) chemotherapy at home with disposable Elastomeric infusion pumps. Methods: In this study, 179 colorectal outpatients were recruited between September 2019 and January 2021. National Cancer Center Psychological Symptom Inventory scores, general self-efficacy, and the EORTC QLQ-C30 scores were measured. Data were analyzed using Independent t-test, One-way ANOVA with Bonferroni post hoc analysis, and hierarchical multiple linear regression with the SPSS/WIN 26.0 programs. Results: The overall prevalence of psychological distress was 52.0% in colorectal patients. In multiple regression, psychological distress (β=-.20, p=.005), appetite loss (β=-.20, p=.001), chemotherapy cycles (β= .19, p=.002), fatigue (β=-.16, p=.035), physical functioning (β=-.16, p=.024), and emotional functioning (β=-.15, p=.025) were significant factors of QoL, and the final model explained 45.0% of the total variance of QoL. Conclusion: Supporting patients toward decreased psychological distress and increased physical and emotional functioning, especially in the first or second cycle of chemotherapy, could be used to improve their QoL. To consider the thresholds for clinical importance, it is necessary to increase the interpretation of psychological distress in clinical practice and further research.
자연과 실험의 개선점에 대한 연구 : 4ㆍ5ㆍ6학년 지구과학 분야를 중심으로
안병인,길윤경,채동현 全州敎育大學校 科學敎育硏究所 1999 科學 敎育 硏究 論文集 Vol.21 No.-
We are encountering fundamental change in the 21 century mathematics education. By NCTM standards, one of the new goals in mathematics education is to formate interest and confidence about mathematics. Hence, the purpose of this study is to investigate the effection that effects student on formation of interest and confidence about mathematics through TGT model.
이봉숙,길윤경,김정연,구자영,유지연,이현민,박주희 병원간호사회 1999 임상간호연구 Vol.4 No.2
The purpose of this study was develop the nursing assessment tool on Intensive Care Unit The purpose of this tool was use as nursing assessment tool for patient admitted on Intensive Care Unit The following is the summary of the study. At first, we estabilish theoritical frame work. The theoritical frame work is based on the Reference, the medical record and the ICU flowsheet. Secondly, the pilot tool was designed. After that, we cofirmed the nursing assessment tool. This tool was made as a check-list form to save time. Nursing assessment tool was used for 50 patients admitted on Intensive Care Unit. The period fron April 27, 1998 to May 10, 1998. We expect that this assessment tool can contribute to a written communication tool of clinical team. Also, we expect it is used on Intensive Care Unit continuously ; therefor, this tool will increse the quality of nursing care.
일 종합전문병원에서의 전문간호사 역할 및 운영방안 개발
이태화,고일선,김인숙,김현옥,박영우,김인자,박정숙,최미옥,손미정,길윤경,김은현 대한간호행정학회 2007 간호행정학회지 Vol.13 No.3
Purpose: The purpose of this study was to develop roles and organizational policy of advanced practice nurses (APNs) in an acute hospital setting. Method: The design of the study was to descriptive-exploratory. Sample consisted of 43 participants who included 13 nurses, 18 nurse managers and 12 physicians. Survey, interview and focus group interview were performed to obtain the data. Results: The expected roles of APNs were education and counseling, direct management patient care with advanced skills, research, and collaboration and coordination among several departments. The expected outcomes were patient satisfaction, improved access to care, decreased the rate of complications, and speedy provision of services. Based on research, a proposal of APNs roles and organizational policy in a hospital setting was developed, which included definition of APNs, qualification, roles and specific roles, specialty areas, accountability, recruitment and affiliation, privileges, and expected outcomes. Conclusion: This study gives a guideline on how to introduce and use APNs in acute care tertiary settings.