임상연구 : 주술기에 발생하는 압력에 의한 피부 손상의 발생률과 위험 인자의 조사

최수주 ( Soo Joo Choi ),김대원 ( Dae Won Kim ),정혜선 ( Hye Seon Chung ),안현주 ( Hyun Joo Ahn ),곽미숙 ( Mi Sook Gwak ),양미경 ( Mi Kyung Yang ),이상민 ( Sang Min Lee ),김갑수 ( Gaab Soo Kim ) 대한마취과학회 2006 Korean Journal of Anesthesiology Vol.50 No.5

Background: Pressure-induced skin breakdown is not only a painful inconvenience to the patient, but it is also associated with a prolonged hospital stay. This study examined the incidence of pressure-induced skin breakdown in attempt to identify the associated risk factors during elective surgery. Methods: Data were collected from 808 subjects who underwent orthopedic, thoracic, neuro- or plastic surgery over a six-month period. The data included age, gender, weight, height, body mass index, ASA status, surgical position, operation time, estimated blood loss, preoperative hemoglobin concentration, serum albumin, co-morbidity, and intraoperative hypotension. The patient`s skin was inspected closely within 24 hours after surgery. The sites and severity of skin breakdown were assessed. Results: Of the 808 patients in this study, 192 patients (23.8%) developed skin breakdown during surgery. The incidence of blisters, abrasion, or blister and abrasion was 6.1%. The patient`s weight, operation time, estimated blood loss, malignancy, and intraoperative hypotension were significantly related to the development of skin breakdown (P < 0.05). The incidence of pressure-induced skin breakdown was highest in the prone position (P = 0.000). Age, gender, body mass index, hypertension, diabetes, preoperative hemoglobin and albumin level were not found to be risk factors of skin breakdown. Conclusions: The early identification of a patient at risk is a first step in a scientifically based approach for preventing the development of pressure sores. Although intervention will not always prevent the development of pressure sores, a medical team must recognize the risk factors associated with skin breakdown and carry out careful intervention during the perioperative period. (Korean J Anesthesiol 2006; 50: 525~9)

수술실 간호사가 경험하는 언어폭력 측정도구의 개발

남경동(Kyung Dong Nam),윤계숙(Ke Sook Yoon),정혜선(Hye Seon Chung),박순애(Soon Ae Park),장부영(Boo Young Jang),김혜란(Hye Ran Kim),엄현신(Hyun Sin Ohm),성영희(Young Hee Sung) 한국간호행정학회 2005 간호행정학회지 Vol.11 No.2

The Purpose of this study was to development a verbal abuse scale for operating room nurses in Korea, Method: To achieve the purpose of the study, a questionnaire was developed to interview 30 nurses and distributed to 761 nurses who working at 28 general hospital in Korea from september 7 to November 25, 2004. Item analysis and factor analysis were carried out to validate violence predicting scale. Cronbach`s Alpha coefficient was used to test reliability of the scale. The data were analyzed by using SPSS/WIN 11.5 program. Result: As a result of the item analysis and factor analysis, 17 items were selected from the total of 30 items, and four factors were labeled as ``self esteem abuse by nurses(7 items)``, ``self esteem abuse by physicians(6items)``, ``sexual abuse by physicians(2 items)``, colleague abuse by physicians(2 items)`. Four factors were explained by 60.8% out of the total variance. The first factor explained 35.456%, second factor explained 12.401% and third factor explained 6.637%. And fourth factor explained 6.304%, Reliability of the factors were tested by Cronbach`s Alpha coefficient and result was 0.885. Conclusion: The scale was identified to be a tool with a high degree of reliability and validity. Therefore, this scale can be effectively utilized for assessment of verbal abuse for operating room nurses by nurses and physicians in Korea.

환기정도에 따른 수술실용 신발 종류가 수술실 오염에 미치는 영향 : How to Choose Suitable Shoes?

남경동,정혜선,박영신,원진희,주미자,성화신,이지혜,이병희,조경숙,배재춘 한국의료QA학회 2000 한국의료질향상학회지 Vol.7 No.1

Background : Various types of protective footwear have been used to minimize bacterial contamination in operating rooms. In recent years, debate has arisen concerning the need for use of such protective footwear. This study was designed to provide useful data about choosing shoes most suitable for the surgical environment. Methods : Between November, 1999 and January, 2000, we performed this experimental study by comparing effect of three types of shoes (i.e., disposable shoescover, operating room-restricted shoes, and ordinary shoes) on bacterial contamination of operating rooms equipped with two different ventilation systems (i.e., high air-change, low air-change) respectively. Data were collected during two-hour sham operations in which subjects and their activities were strictly standardized. Bacterial flora were sampled from the study area floor and air colony-counts were measured. Results : In experiments involving high air-change ventilation system, there was a significant difference of floor contamination between three types of shoes, but no difference of air contamination. Under low air-change system, there was a significant difference of both floor and air contamination between three types of shoes. Conclusion : The results show that protective footwear would be unnecessary in the operating room with high air-change ventilation system, but it is important to choose suitable shoes carefully under low air-change system. Therefore, the use of outdoor shoes can be considered under high air-change system, but it would seem sensible to apply their first use in less bloody operations at the day surgery center or out-patient department to prevent transfer of body fluid into the outside environment.

수술실 간호사가 경험하는 언어폭력 측정도구 개발

남경동,윤계숙,정혜선,박순애,장부영,김혜란,엄현신,성영희 대한간호학회 간호행정학회 2005 간호행정학회지 Vol.11 No.2

The Purpose of this study was to development a verbal abuse scale for operating room nurses in Korea. Method: To achieve the purpose of the study, a questionnaire was developed to interview 30 nurses and distributed to 761 nurses who working at 28 general hospital in Korea from september 7 to November 25, 2004. Item analysis and factor analysis were carried out to validate violence predicting scale. Cronbach's Alpha coefficient was used to test reliability of the scale. The data were analyzed by using SPSS/WIN 11.5 program. Result: As a result of the item analysis and factor analysis, 17 items were selected from the total of 30 items, and four factors were labeled as 'self esteem abuse by nurses(7 items)', 'self esteem abuse by physicians(6 items)', 'sexual abuse by physicians(2 items)', 'colleague abuse by physicians(2 items)'. Four factors were explained by 60.8% out of the total variance. The first factor explained 35.456%, second factor explained 12.401% and third factor explained 6.637%. And fourth factor explained 6.304%. Reliability of the factors were tested by Cronbach's Alpha coefficient and result was 0.885. Conclusion: The scale was identified to be a tool with a high degree of reliability and validity. Therefore, this scale can be effectively utilized for assessment of verbal abuse for operating room nurses by nurses and physicians in Korea.

수술실 간호사가 언어폭력이 단기감정반응과 장기 부정적 결과에 미치는 영향

남경동,윤계숙,정혜선,박순애,장부영,성영희 대한간호학회 간호행정학회 2006 간호행정학회지 Vol.12 No.3

Purpose: The purpose of this study was to analyze the prevalence and consequences of verbal abuse in the operating room nurses by physicians and other nurses. Method: The data were collected from 761 operating nurses. The period of data collection was from September 7 to November 25, 2004. For this study the following tools were used: the verbal abuse scale, the emotional stress scale and the long-term negative effect scale. The data were analyzed by using SPSS Win 11.5. Result: 744 nurses reported experiencing some type of verbal abuse from a physician and other nurses. The emotional stress and long-term negative effect were significantly increased by verbal abuse. The nurses of less than one year increased emotional stress from verbal abuse. The physician was the most frequent source of emotional stress by verbal abuse, followed by other nurses. The long-term negative effect was significantly increased in the factors of emotional stress and the physician was the most frequent source than other nurses. Conclusion: Verbal abuse of nurses by physicians and other nurses continues to exist and is associated with negative consequences. Nurse administrators have to assess the present state for workplace verbal abuse and must endeavor in order to reduce verbal abuse.

방오가공 직물과 흡수속건 직물의 수분전달 특성 및 세척성에 관한 연구

이선우,박원선,손미영,이승진,정혜선,조애래,진성란,한지연 연세대학교 생활과학대학 1989 婦學 Vol.22 No.-

The purpose of this study was to examine the relationships between launderability and moisture­transmission properties of finished fabrics, The results were as follows: 1. S R fabrics were effective to resist both aqueous and oily soils. But when soils were absorbed to the fabrics, it was very difficult to remove them. 2. Absorbant fihished fabrics which have good moisture­transnission properties showed good launderability.