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노인요양병원 간호사의 치매노인 행동심리증상에 대한 대처행동
박효진,박희옥 사단법인 인문사회과학기술융합학회 2018 예술인문사회융합멀티미디어논문지 Vol.8 No.2
This study is a descriptive research to investigate geriatric hospital nurse’s coping behaviors to the BPSD in persons with dementia. A total of 140 nurses who care persons with dementia in geriatric hospitals were participated. Data was analyzed by frequency, percentage, mean, and standard deviation using SPSS/WIN 21.0 program. Nurse’s coping behaviors to the BPSD in persons with dementia including immediate coping behaviors, intervention therapy, environmental intervention and restrains were mostly used in order. Total coping behaviors showed significant differences according to the marital status, religion, number of participating in education program related to dementia. There were significant differences in intervention according to the marital status, religion, education level, total work experience, number of participating in education program related to dementia and Institutional education on BPSD. There were also significant differences in environmental intervention according to the marital status, religion, education level, total work experience, number of participating in education program related to dementia and Institutional education on BPSD. The results of this study may be useful to provide basic data for nurses' education and training programs related to BPSD in persons with dementia. 본 연구는 노인요양병원 간호사의 치매노인 행동심리증상에 대한 대처행동을 파악하기 위한 서술적 조사연구이다. 요양병원에서 치매환자를 돌보는 간호사 140명을 대상으로 자료수집이 실시되었으며, 수집된 자료는 SPSS WIN 21.0으로 빈도와 백분율, 평균과 표준편차를 이용하여 분석하였다. 치매노인의 행동심리증상에 대한 간호사의 대처행동으로는 즉각적 대처행동, 중재요법, 환경요법, 억제 순으로 사용하는 것으로 타나났다. 대처행동은 간호사의 결혼상태, 종교, 치매교육 참여횟수에 따라 유의한 차이를 보였고, 중재요법은 간호사의 결혼상태, 종교, 치매교육 참여횟수, 병원의 치매교육 실시유무에 따라 유의한 차이가 있었다. 환경요법은 간호사의 결혼상태, 교육수준, 종교, 총 근무경력, 치매교육 참여 횟수, 병원의 치매교육 실시 유무에 따라 유의한 차이가 있었고, 억제요법은 간호사의 교육수준, 종교, 치매교육 참여 횟수, 병원의 치매교육 실시유무에 따라 차이가 있었다. 본 연구결과는 치매환자의 행동심리증상과 관련된 간호사의 교육 및 훈련 프로그램 개발을 위한 기초자료를 제공하는데 의의가 있겠다.
생쥐의 실험대장염 모델에서 HMG-CoA 환원효소 억제제 Atorvastatin의 효과
박효진,김태운,서재남,오권익,최은영,신형식,박영의 대한병리학회 2004 Journal of Pathology and Translational Medicine Vol.38 No.6
Background : The statins, 3-hydroxy-3-methylglutaryl coenzyme A reductase inhibitors, are approved for cholesterol reduction, and may also be beneficial in the treatment of inflammatory disease. In this study, atorvastatin was tested in experimental colitis, a disease model of inflammatory bowel disease. Methods : To induce colitis, dextran sodium sulfate (DSS) or trinitrobenzene sulfonic acid (TNBS) were administrated to C57BL/6 or BALB/c mice. Mice were monitored daily for loss of body weight and survival for indicated days. Colon length and histology were examined after sacrifice. Results : The administration of DSS induced marked colonic inflammation and shortening, and resulted in a loss of body weight. DSS-induced colitis was not affected by atorvastatin treatment, but in contrast, the administration of atorvastatin relieved TNBS-induced colitis with a resultant rapid recovery of weight loss and a reduction in colonic length shortening. Histologically, inflammatory cell infiltration in the colonic wall, mucosal ulceration and crypt disruption were also suppressed in atorvastatin treated mice. Conclusions : These results suggest that atorvastatin preserves intestinal integrity in colitis, probably via the modulation of Th cell-mediated immune response, in a manner independent of innate immunity.
박효진,조소현,조수진 한국청각언어재활학회 2006 Audiology and Speech Research Vol.2 No.1
사회가 고령화 된다는 것은 전체 인구 중에서 노인 인구가 차지하는 비율이 높아지는 것을 의미하며, 우리 나라의 경우 2002년도 통계청의 시도별 장래인구추계2)에 따르면 지난 2000년에 65세 이상의 노인 인구가 총인구에서 차지하는 비율이 7.2%에 이르러 이미고령화사회(aging society)’ 에 들어섰으며, 2019년에는 이 비율이 14%를 넘어 ‘고령사회(aged society)’에 진입할 것으로 전망하였다. 그래서 우리나라의 경우 고령화사회에서 고령사회로, 그 다음 초고령사회(super-aged society)까지 도달하는데 걸리는 시간이 각각 22년과 10년으로 세계 인구의 고령화 증가율에 비해 대단히 빠른 속도로 고령화가 진행되고 있다고 한다.3) 특히 고령화 속도는 도시 지역에 비하여 읍·면을 포함한 농촌 지역이 훨씬 더 빨리 진행되고 있어 지역적인 특성을 나타낸다.3) 즉 농촌 지역의 고령화 비율이 1990년에 9%로 이미 고령화사회에 진입하였으며, 2000년에는 14.7%로 증가하여 고령사회로 진입한 반면에 도시 지역은 고령화 비율이 1990년에 3.6%에서 2000년에는 5.5%로 증가하여 농촌 지역의 고령화 속도가 더 빠르게 나타나고 있 음을 알 수 있다. 지역별로 좀 더 자세히 살펴보면, 2005년의 경우 울산광역시가 고령화 비율이 5.3%로 가장 낮았으며, 서울을 비롯한 다른 광역시들은 7%대를 유지하고 있었다.1) 도별로는 전라남도가 15.6%로 가장 심각했으며, 전라남도 지역 중에서도 고흥군이 26.3%로 고령화 비율
박효진 대한영상의학회 1999 대한영상의학회지 Vol.40 No.1
Purpose : To evaluate the extent of tissue coagulation during interstitial laser photocoagulation (ILP) innormal bovine liver, using a diode laser unit and various parameters, and to determine whether the procedure isapplicable to clinical practice.. Materials and Methods : Using an 18-gauge needle, experimental interstitiallaser photocoagulation (ILP) was carried out in normal bovine liver. On the basis of differing parameters, threegroups were established. For groupI, a single photofiber with laser power of 1, 3 and 5 watts and an exposuretime of 60, 180, 300, 420 or 600 seconds was used. For groups II and III, four needles were fixed at a distance of1cm and 1.5cm ; in each case a needle fixation device was used, as well as a laser distributor for simultaneouslaser exposure of photofibers. As a control, four photofibers were placed as for groupIII, but to compare groups IIand III, each photofiber was exposed to a laser of 3 watts 300 seconds, without using a laser distributor. Toevaluate the range of tissue coagulation, specimens were analyzed both with regard to cross-sectional grossfindings and histopathologically . Results : The largest diameter of thermal coagulation necrosis in GroupI was15$\times$15mm, and this was ball-shaped. Coalescence of coagulation between each photofiber was observed in GroupII,and this was up to 25 mm in diameter. In GroupIII and controls, coalescence was not found, though the extent oftissue coagulation increased with increasing wattage and exposure time. The extent of charring at the center ofcoagulation also increased with increasing wattage. Smoke bubbles emanating from the coagulation area wereobserved, and during ILP involving a single photofiber, increased from 3 watts, applied for 300 seconds.Conclusion : Using an 8-gauge needle and a diode laser ILP, we have shown that a range of tissue coagulationacutely ablates normal bovine liver. In selective cases, the procedure could be applied to clinical trials.