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응급구조(학)과 학생의 여성119구급대원에 대한 인식 유형 연구 : Q방법론적 접근
한승태,안주영,이재민 한국재난정보학회 2016 한국재난정보학회 논문집 Vol.12 No.4
This research is about Department of Emergency medical services students' cognition type of female 119 paramedics. The purpose of this research is to understand department of emergency medical servises students' cognition of female 119 paramedics and identify characteristics classified by types. To this end, applying Q-method, this research objectively analyzes 72 department of emergency medical services students' reaction who complete the field training about ambulance about female 119 paramedics. The result of the department of emergency medical services students recognized type of female 119 paramedics could be typed into four types. The type Ⅰ is recognized as "Stamina limit type", the type Ⅱ as "expert type", the type Ⅲ as "guardian angel type", and the type Ⅳ as "feminine experience type". The type Ⅰ has 28.3%, the type Ⅱ has 12.7%, the type Ⅲ has 6%, and the type Ⅳ has 3.8% explanation power, and these explain 51% of total variable. Generally department of emergency medical services students' cognition of female 119 paramedic is that they are expert in first aid but students' cognition is negative because of female 119 paramedic's limit of stamina, exposure to danger, and giving birth and infant care thus we should arrange solution of these cognition. 본 연구는 응급구조(학)과 학생이 인식하는 여성119구급대원에 대한 인식유형 연구이다. 본 연구의 목적은 응급구조(학)과 학생의 여성119구급대원에 대한 인식을 파악하고 유형별 특성을 확인하기 위해 시행되었다. 이를 위해, 본 연구에서는 Q 방법을 적용하여, 구급차동승현장실습 교과목을 이수한 응급구조(학)과 학생 72명을 대상으로 여성119구급대원에 대한 주관적인 반응을 객관적으로 분석하였다. 연구결과, 응급구조(학)과 학생들의 여성119구급대원에 대한 인식유형은 네 가지로 유형화될 수 있었다. 제 Ⅰ 유형은 ‘체력한계형’, 제 Ⅰ 유형은 ‘전문가형’, 제 Ⅲ 유형은 ‘수호천사형’, 제 Ⅳ 유형은 ‘여성적 경험형’으로 인식되었다. 각각의 설명력은 제Ⅰ유형 28.3%, 제Ⅱ유형 12.7%, 제Ⅲ유형 6%, 제Ⅳ유형은 3.8%로 전체변량의 51%를 설명하는 것으로 나타났다. 전체적으로 응급구조(학)과 학생의 여성119구급대원에 대한 인식은 응급처치에 대한 전문가이지만 체력적 한계, 위험성 노출과 출산 및 육아에 대하여 인식이 긍정적이지 못한 것으로 조사되어 해결방안이 마련되어야 할 것이다.
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스마트폰의 위치기반서비스 앱을 활용한 일반인 심폐소생술 시행률 향상방안
한승태 한국재난정보학회 2015 한국재난정보학회 논문집 Vol.11 No.2
병원 처치 전 급성 심정지 환자 발생 시 현장에서의 일반인 심폐소생술 시행률은 환자의 소생률과도 직결되어 있다. 하지만 현재 우리나라는 선진국에 비해 일반인 CPR 시행률은 저조하여 소생률도 낮은 실정이다. 따라서 본 연구에서는 이를 개선하기 위해 스마트 폰의 위치기반서비스 앱을 활용한 응급의료시스템의 적용가능성을 고려, 우선 일반인 3,800명을 대상으로 사전 설문조사를 시행하였다. 연구결과로 첫째, 심폐소생술 교육 경험은 높게 나타났으나 반대로 심폐소생술에 대한 보편성은 낮은 것으로 인식되었다. 둘째, 심폐소생술 자신감에 대해서는 연령, 학력, 직업에 따라 상의한 결과가 나왔으며 전체적으로 낮은 자신감을 보였다. 셋째, 위치기반서비스 앱을 활용한 응급의료시스템 참여도는 높게 나타났으며 심폐소생술 시행의지와 심폐소생술 자신감, 심폐소생술 교육경험에 대해서 상관관계가 있는 것으로 나타났다.
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한승태 대한외상학회 1997 大韓外傷學會誌 Vol.10 No.2
Background : To determine the nature of the emergency medical center(EMC) in midsize urban area and to be help to establish the policy of EMC and roles in community. Methods : We performed a retrospective study of 31,902 patients who visited the EMC of Inha Hospital, Sungnam-Si Kyunggi-Do, from October 1, 1995 to September 30, 1996. Results : 1. Of 31,902 total patients(87.3/day), male to female ratio was 1.24:1 and the most common group was first decade. 2. By seasonal and monthly distribution, the patients increased slightly during Spring (April, May, June) and early Autumn (esp., September) and admission rate was highest in January(21%) 3. By timely distributions, the most crowded time was late evening(8PM to 12PM). 4. The predominant department of treatment were the pediatrics(24.4%), internal medicine(17.9%), and orthopedic surgery(13.2%) and the department of highest admission rate were caridiac medicine(50.2%) and next was general surgery(47.2%) 5. Overall average admission rate was 16.7% and the interdepartmental distribution were internal medicine 26.2%, pediatrics 16.1%, orthopedic surgery 15.9%, and neurosurgery 10.5%. 6. Disease to accident ratio was 2.54:1. 7. Average stay time in EMC was 128 minutes and 222 minutes in admission patients. 8. Average waiting time for specialized departmental care was 29 minutes. 9. Minor surgery without general anesthesia were performed at EMC in 3,156 cases (263 monthly) predominantly in June(10%), July(10.7%), and September(9.3%). 10. The number of the patient including DOA(117) and DAA(50) were 167 cases and overall mortality rate was 0.53%. 11. The transferred out patient was 71 cases(0.22%). Conclusions : For the community who has not tertiary medical center, the role of EMC is essential especially night and holiday life. So we have to concentrate the medical individuals and apparatus in this tie and also prepared for the medical ability in pediatrtics, cardiology, and orthopedics especially.
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이준희,이용주,한승태 大韓應急醫學會 1998 대한응급의학회지 Vol.9 No.3
Background. Dizziness is a common complaint in patients presenting to the emergency room and that has various pathologic causes. This study investigate the clinical differences in dizziness between the central origin and the peripheral origin and to provides the clues for diagnosis and proper treatment. Methods. We analyzed 290 patients with dizziness during 12months period prospectively, who visited in ED, Inha University Hospital from Jan. 1997 to Dec 1997. We analysized sec ratio, characteristics of the dizziness, associated past illness associated symptoms, severity, results of the special radiologic study, nystagmus type, and causes of central origin and peripheral origin dizziness. Results. Male to female ratio was 1:1.4 in central origin(n=165) and 1:20 in peripheral origin(n=125). Most common age group was fifth decade in both groups. According to the characteristics of the dizziness, rotation sense was the main complaint of the peripheral origin dizziness. Most common past illness was hypertension in both groups. MRI has diagnostic priority than CT scan in central origin dizziness. Types of nystagmus has some significant differences between two groups. Conclusion. Dizziness may represented as a sign of significant pathological neurologic status especially in central origin. So we must precisely evaluate the patient history, neurologic examination of the inner ear and CNS, and special radiologic study incliding MRI.
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