신규간호사 대상 시뮬레이션 기반 COVID-19환자 감염관리 교육의 효과

배소현,최동원 한국의료시뮬레이션학회 2023 한국의료시뮬레이션학회지 Vol.7 No.2

Background: This study aimed to develop a simulation-based training program for coronavirus disease 2019 (COVID-19) infection control and examine its effects on COVID-19 infection control knowledge, performance, and satisfaction among new nurses. Methods: A nonequivalent control group pre- and post-test design was employed. Study participants included 60 new nurses (30 each in the experimental and control groups) from Hospital I. A simulation-learning module for COVID-19 infection control was developed based on Jeffries’ simulation model. The module consisted of a mini-lecture, pre-briefing, simulation practice, and debriefing. The effects of the simulation-based training program were measured using COVID-19 infection control knowledge, performance, and satisfaction vis-à-vis the training program. Data were analyzed using χ2-test, Fisher’s exact test, and t-test. Results: The levels of COVID-19 infection control knowledge (t=-3.05, p=.003) and COVID-19 infection control performance (t=-3.36, p=.001) of the experimental group were significantly higher than that of the control group after the training program. Conclusion: The simulation-based training program for COVID-19 infection control effectively improved both knowledge and performance. In addition, it was more effective than the traditional methods. Therefore, simulation-based educational strategies need to be actively applied to effectively improve various competencies in safer practice environments for new nurses preparing for adaptation.

맞장구표현에 관한 한일대조고찰

배소현 일본어문학회 1998 일본어문학 Vol.5 No.-

Cytomegalovirus Retinitis after Intravitreal Bevacizumab Injection in an Immunocompetent Patient

배소현,김태완,정흠,허장원 대한안과학회 2013 Korean Journal of Ophthalmology Vol.27 No.1

We report a case of cytomegalovirus (CMV) retinitis after intravitreal bevacizumab injection. A 61-year-old woman with diabetic macular edema developed dense vitritis and necrotizing retinitis 3 weeks after intravitreal bevacizumab injection. A diagnostic vitrectomy was performed. The undiluted vitreous sample acquired by vitrectomy was analyzed by polymerase chain reaction and culture. Polymerase chain reaction of the vitreous was positive for CMV DNA. Other laboratory results did not show evidence of other infectious retinitis and systemic immune dysfunction. Human immunodeficiency virus antibodies were also negative. After systemic administration of ganciclovir, retinitis has resolved and there has been no recurrence of retinitis during the follow-up period of 12 months. Ophthalmologists should be aware of potential risk for CMV retinitis after intravitreal bevacizumab injection.

집단따돌림에 대한 집단프로그램 국내 연구 동향 분석 : 방관적 태도를 중심으로

배소현 신라대학교 (부산여자대학교) 학생생활연구소 2015 學生生活硏究 Vol.35 No.-

본 연구의 목적은 2005년 이후 국내에 발표된 집단따돌림에 대한 집단프로그램 중 종속변인으로 방관적 태도를 포함하고 있는 연구의 동향을 분석하는 데 있다. 이를 위해 방관적 태도 중심으로 연구된 집단프로그램 논문 13편을 수집하였다. 수집된 논문을 연구대상, 독립변인, 종속변인, 연구방법 및 연구결과와 프로그램의 구성요소로 분류하여 분석하였다. 12편은 비교적 구조화된 집단프로그램이고, 1편은 또래상담을 이용한 집단프로그램이었다. 연구결과는 집단따돌림 예방프로그램이 종속변인인 방관적 태도를 개선하는 데 매우 효과적이었으며, 장기간의 학급 전체가 참여하는 집단프로그램이 집단따돌림 방관자적 태도를 개선하는 데 효과적으로 나타났다. 이상의 결과는 향후 효과적인 집단따돌림 예방프로그램 개발에 도움을 줄 수 있다는 데 의의가 있다.

Toxicity Profile of Temozolomide in the Treatment of 300 Malignant Glioma Patients in Korea

배소현,박민정,이민미,김태민,이세훈,Sung Yun Cho,김영훈,김유정,박철기,김재용 대한의학회 2014 Journal of Korean medical science Vol.29 No.7

This study evaluated the toxicity profiles of temozolomide in the treatment of malignantglioma as either concurrent or adjuvant chemotherapy. We retrospectively reviewed themedical records of 300 malignant glioma patients treated with temozolomide in twomedical institutions in Korea between 2004 and 2010. Two hundred nine patientsexperienced a total of 618 toxicities during temozolomide therapy. A total of 84.8% of the618 toxicities were Common Terminology Criteria for Adverse Events (CTCAE) grade 1 or 2,while 15.2% were grade 3 or 4. Among the hematologic toxicities, thrombocytopenia(13.7%), anemia (11.0%), and AST/ALT increases (7.0%) were common. Among the nonhematologictoxicities, nausea (44.3%), vomiting (37.0%), and anorexia (14.3%) were thethree most common toxicities. There was no mortality due to temozolomide. Althoughtemozolomide showed many types of toxicities, the majority of the toxicities were tolerableand of lower grade. Gastrointestinal troubles are the most common toxicities in Koreanpatients treated with temozolomide.

뇌 동맥류성 지주막하출혈 환자간호의 질 평가 도구 개발

배소현,신성례 성인간호학회 2003 성인간호학회지 Vol.15 No.4

Purpose: The purpose of this study was to develope a evaluation tool of the quality of nursing care for aneurysmal subarachnoid hemorrhage patients at Hunt & Hess Grade Ⅰ∼Ⅲ. Method: The data was gathered from April 15, 2002 to June 14, 2002. The tool proceeded in six steps according to Bloch's framework. Result: The results of this study are as follows: 1) The quality evaluation tool for neurosurgery ICU consisted of 25 standards and 138 criteria. The quality evaluation tool for ward consisted of 27 standards and 144 criteria.; 2) The content validities of the tools for neurosurgery ICU and ward were 0.96 and 0.98, respectively.; 3) The Pearson coefficients for evaluating the interrated reliability of the tools for neurosurgery ICU and ward were r=0.9106 (p< 0.1 ) and r=0.8807 (p<0.1), respectively. 4) The ranges of corrected item-total correlations for evaluating the construct validity of the tools for neurosurgery ICU and ward were 0.0279∼0.9354 and 0.017 4∼0.9682, respectively.: And 5) The ranges of Cronbach's a reliabilities for evaluating the internal consistency reliability of the tools for neurosurgery ICU and ward were 0.6040-0.8554 and 0.6212-0.9584, respectively. Conclusion: The tools developed in this study seem useful in evaluating the quality of nursing care for aneurismal subarachnoid hemorrhage patients at Hunt & Hess Grade Ⅰ∼Ⅲ.

소셜 빅데이터 분석을 통한 포스트 코로나 시대 외식업계 동향:토픽모델 접근

배소현,김동진 (사)한국조리학회 2022 한국조리학회지 Vol.28 No.5

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New Scoring System for Predicting Mortality in Patients with COVID-19

배소현,김윤정,황소윤,권기태,장현하,김신우 연세대학교의과대학 2021 Yonsei medical journal Vol.62 No.9

Purpose: We aimed to develop a novel mortality scoring system for inpatients with COVID-19 based on simple demographic factorsand laboratory findings. Materials and Methods: We reviewed and analyzed data from patients who were admitted and diagnosed with COVID-19 at 10hospitals in Daegu, South Korea, between January and July 2020. We randomized and assigned patients to the development andvalidation groups at a 70% to 30% ratio. Each point scored for selected risk factors helped build a new mortality scoring system usingCox regression analysis. We evaluated the accuracy of the new scoring system in the development and validation groups usingthe area under the curve. Results: The development group included 1232 patients, whereas the validation group included 528 patients. In the developmentgroup, predictors for the new scoring system as selected by Cox proportional hazards model were age ≥70 years, diabetes, chronickidney disease, dementia, C-reactive protein levels >4 mg/dL, infiltration on chest X-rays at the initial diagnosis, and the need foroxygen support on admission. The areas under the curve for the development and validation groups were 0.914 [95% confidenceinterval (CI) 0.891–0.937] and 0.898 (95% CI 0.854–0.941), respectively. According to our scoring system, COVID-19 mortality was0.4% for the low-risk group (score 0–3) and 53.7% for the very high-risk group (score ≥11). Conclusion: We developed a new scoring system for quickly and easily predicting COVID-19 mortality using simple predictors. This scoring system can help physicians provide the proper therapy and strategy for each patient.

Improved Compatibility of Rubber Blends Using Fumed Silica

배소현,이동윤 한국고분자학회 2023 한국고분자학회 학술대회 연구논문 초록집 Vol.48 No.1

굴절교정수술로 유발된 부등시와 양안시기능의 상관관계

배소현,이가영,김희영,최동규,So Hyun Bae,Kayoung Yi,Hee Young Kim,Dong Gyu Choi 대한안과학회 2008 대한안과학회지 Vol.49 No.12

Purpose: To evaluate the effects of induced anisometropia by refractive surgery on binocular vision and to determine the usefulness of screening tools. Case summary: Anisometropia was induced in 7 patients by photorefractive keratectomy (PRK). Binocular vision was determined with the Titmus stereo test, Worth 4-dot test, 4 prism diopter base-out test and Bagolini striated lens test. Each test was performed before surgery, after PRK of one eye and after PRK of both eyes. After PRK of one eye, mean stereopsis by the Titmus stereo test was 1877.14 seconds of arc and after surgery of both eyes, 40 seconds of arc. After surgery of one eye, 6 patients (86.7%) showed suppression with the Worth 4 dot test at distance fixation and one patient (14.3%) at near fixation. After surgery of both eyes, all patients showed fusion with the Worth 4 dot test. After surgery of one eye, 3 patients (42.9%) showed suppression with the 4 prism diopter base-out test and after surgery of both eyes, 2 of the patients showed fusion. All patients showed fusion with the Bagolini striated lens test after surgery of one or both eyes. Conclusions: Most cases showed decreased binocular vision by the Titmus stereo test at near fixation and the Worth 4 dot test at distance fixation. The changes of binocular vision determined by each tool were variable. Therefore, improved results in evaluating binocular vision will be obtained with a combination of various tools including the Bagolini striated lens test and 4 prism base-out test.