체중을 이용한 신생아 체표면적 측정공식 개발

안영미(Young-Mee Ahn) 한국생활환경학회 2010 한국생활환경학회지 Vol.17 No.1

While the direct measurement of body surface area (BSA) is impractical, there is an urgent need for the accurate BSA estimation in neonates considering increasing of high-risk infants. Particularly, it would be feasible to have a BSA equation using only weight of neonate, considering the body posture and inconvenience of measuring height of neonates. A research was conducted to develop BSA equation using weight of 5014 neonates including very-low-birth weight infants. BSA of subjects was calculated using existing BSA equations, from which Mean-BSA was arithmetically derived as a true BSA. Multiple-regression was performed to generate the equation for Mean-BSA with the best goodness-of-fitness of weight and height using Excel and SPSS 16.0. Then the final BSA equation with weight of neonates (Ahn-BSA) was formulated using the relationship between weight and height. Ahn-BSA equation was as follows: Ahn-BSA = 10.8 ×W<SUP>0.6539</SUP>. The validity of Neo-BSA was examined using 3-D scanning of neonate-simulator and paired t-test between Mean-BSA and Ahn-BSA. Ahn-BSA, using only body weight, could provide an accurate measurement of BSA in neonates from very low birth weight to normal weight. It would accelerate understanding the body of knowledge and serve as a base for accurate application of various interventions in BSA practice for neonates.

신생아의 성숙도 평정에 의한 재태기간 사정

안영미,구현영,Ahn Young Mee,Koo Hyun Young 한국아동간호학회 1998 Child Health Nursing Research Vol.4 No.1

Newborn period is a transitional stage for independent adaptation from intrauterine to extrauterine life by maintaining respiration, temperature and nutrition. In general, the adaptability of the newborn is proportional to the gestational age(GA), so knowing the accurate GA is critical to develop nursing process in the newborn nursery. A newborn ma turity rating, a Ballard examination, has been used to measure GA by assessing the maturity of new-born. It consists a total of 12 items, which is the 6 items for the neuromuscular maturity and the 6 items for the physical maturity A total of 75 new-born were assessed for the maturity and GA using the Ballard examination. The results are follows : 1) The score of each item of Ballard examination is propotional to GA using the Ballard examination as well as LMP. 2) There was a greater positive relationship between neuromuscular, physical and total maturity, and the GA measured by Ballard examination, than the GA measured by LMP. 3) Any stressful environment to the newborn could influence to the maturity of newborn. In summary, the study showed the Ballard examination Is more reliable and clincially feasible method to measure the accurate G4 compared to the GA by LMP. Therefore, it suggests the application of Ballard examination to measure the new born maturity and GA is beneficial in developing nursing process. The expansion of the study with the variety of the subject characteristics nil on hance the clinical applicability of the examination.

고위험신생아의 저체온증 현황 및 관련요인

안영미,손민,김남희,강나래,강승연,정은미,Ahn, Youngmee,Sohn, Min,Kim, Namhee,Kang, Narae,Kang, Seungyeon,Jung, Eunmi 한국아동간호학회 2017 Child Health Nursing Research Vol.23 No.4

Purpose: Maintaining body temperature is a key vital function of human beings, but little is known about how body temperature of highrisk infants is sustained during early life after birth. The aim of this study was to describe hypothermia in high-risk infants during their first week of life and examine demographic, environmental, and clinical attributors of hypothermia. Methods: A retrospective longitudinal study was done from January 1, 2013 to December 31, 2015. Medical records of 570 high-risk infants hospitalized at Neonatal Intensive Care Units (NICU) of a university affiliated hospital were examined. Body temperature and related factors were assessed for seven days after birth. Results: A total of 336 events of hypothermia (212 mild and 124 moderate) occurred in 280 neonates (49.1%) and most events (84.5%) occurred within 24 hours after birth. Logistic regression analysis revealed that phototherapy (aOR=0.28, 95% CI=0.10-0.78), Apgar score at 5 minute (aOR=2.20, 95% CI=1.17-4.12), and intra-uterine growth retardation or small for gestational age (aOR=3.58, 95% CI=1.69-7.58) were statistically significant contributors to hypothermia. Conclusion: Findings indicate that high-risk infants are at risk for hypothermia even when in the NICU. More advanced nursing interventions are necessary to prevent hypothermia of high-risk infants.

미숙아의 기관지흡인 전 흉곽진동 간호중재가 산소포화도, 심박동수와 기도분비물의 양에 미치는 영향

안영미,Ahn Young Mee 한국아동간호학회 1998 Child Health Nursing Research Vol.4 No.2

Prematurity is the main cause for respiratory disorders in neonates. The goal in respiratory management is to maintain respiration with adequate oxygenation. Chest vibration(CV) prior to on dotracheal suctioning(ETS) has been arbitrarily applied to ventilated premature infants without the scientific evaluation of its safety and efficacy. A repeated measure within subjects experimental study was conducted to investigate the effects of CV prior to 875 on oxygenation and lung secretions in twenty-one ventilated premature infants. The independent variable was the type of research protocol, the control type (275 without C.V) and t he intervention(ETS with CV). The dependent variables were oxygen saturation(SpO₂), heart rate (HR), measured by pulse oximeter, and the amount of lung secretions measured in gram. The results showed there was no difference in SpO₂ responses regardless CV employed before ETS. But there was a significant difference in HR responses between the control and the intervention, even without clinical significance. There was a significant difference in the amount of lung secretions retrieved during ETS with CV, compared to ETS without CV. This study suggested the safety of CV by demonstrating no clinically significant changes in SpO₂ and HR in premature infants. The efficacy of CV could be supported by the increases in the amount of sputum during ETS with CV compared to ETS without CV in premature infants.

미숙아로 출생한 학령전기 아동의 비만도 측정과 관련 특성

안영미,손민,이상미,Ahn, Youngmee,Sohn, Min,Lee, Sangmi 한국아동간호학회 2018 Child Health Nursing Research Vol.24 No.2

Purpose: This study was conducted to measure adiposity and to investigate related factors in preschoolers born prematurely. Methods: A longitudinal follow-up study was conducted with 52 preschoolers at 5 years of corrected age among 343 preterm infants. Their adiposity status was evaluated based on measurements of body mass index, subscapular and triceps skin fold thickness (SFT), waist circumference, waist-to-height ratio, and mid-arm circumference at a home visit. Results: The findings showed that SFT measurements, particularly at the triceps, reflected the degree of adiposity more accurately than other conventional measures. A shorter gestation, older maternal age, and the mother having more years of formal education were associated with higher levels of adiposity in the preschoolers. Conclusion: The adiposity of children born prematurely needs to be thoroughly monitored with additional SFT measurements, considering the risk of accelerated growth patterns overriding regular catch-up growth in children born prematurely.

고위험신생아를 위한 기관지흡인에 대한 실태조사

안영미,Ahn Youngmee 한국아동간호학회 1999 Child Health Nursing Research Vol.5 No.2

The goal of respiratory management in high risk infants is to maintain proper oxygenation by supporting respiration, therefore to minimize the secondary complications and to promote the maximum growth and development. While on artificial ventilator to achieve this goal, the infants require endotracheal suctioning(ETS) to remove lung secretions. However, the negative effects of ETS in neoates have been documented and include hypoxia, bradycardia, mucosal damage, increased intracranial pressure, and death result. The purpose of the study was to investigate how ETS is currently performed in NICU, which would be beneficial to develop the standardized ETS protocol and to apply it to these population. A national-wide survey on clinical protocol of ETS was performed to 149 neonatal nurses with the average of 3 years and 6 months experience in neonatal nursing, 34.2% of whom was bachelor in nursing. The results showed that about 89% of the nurses initiate En primarily based on the need of the subjects. The aseptic regulation on ETS was used in 83.9% of the subjects. There was no regulation on the length of catheter in 32.9% and on ID/OD ratio in 17.4%. Many nurses administered hyperoygenation/hyperinflation/hyperventilation based on personal knowhow, rather than scientific rationals (77.2%, 40.9%, 75.2%, retrospectively). About 41% of the nurse regulate subjectively the suction power, while 73.8% of them rotate the sub ject's head during suctioning and the half of the nurses was favorable in adapting the closed-suctioning protocol. With the findings of the study, the current clinical application of E% in neonates appears to be based on adult care practices, or personal preference, rather than scientific validation of the safety and effectiveness of the procedure. This study support the needs for developing and applying the standardized ETS protocolin conjunction with the consideration given to the physiologic characteristics of the neonates in respiratory distress.

환자의 질병 체험 내러티브가 조현병에 대한 지식, 정신질환에 대한 태도, 학습만족도에 미치는 효과

안영미 ( Ahn Youngmi ),유영미 ( Ryu Young Mi ) 한국간호과학회 정신간호학회(구 대한간호학회정신간호학회) 2018 정신간호학회지 Vol.27 No.2

Purpose: The aim of this study was to identify effects of a psychiatric and mental health nursing class to improve knowledge about schizophrenia, attitudes toward mental illness, and learning satisfaction after using an illness narrative of a patient with schizophrenia. Methods: This study was in nonequivalent control group and a pretest-posttest design. Of the 88 nursing students, the 34 in the experimental group received 5 hours of lectures on schizophrenia plus 2 hours of learning using a patient's illness narrative. The control group (n=54) received only the 5 hours of lectures on schizophrenia. During September, 2017, an online survey was used to collect data before and after the intervention. Data were analyzed using t-tests and Mann-Whitney U tests with SPSS Statistics version 22.0. Results: There were no differences for knowledge on schizophrenia or for attitudes toward mental illness between the experimental group and the control group after the intervention. However, learning satisfaction was significantly higher in the experimental group compared to the control group (Z=-2.18, p=.029). Conclusion: Findings indicate that patient illness narratives could be a useful tool to improve learning satisfaction in nursing students. Therefore, using patient illness narratives in nursing classes is recommended.

간호인력배치유형에 따른 수술실 간호사의 업무수행능력 및 직무만족

안영미 ( Young Mi Ahn ),박재순 ( Chai Soon Park ) 한국여성건강간호학회 2005 여성건강간호학회지 Vol.11 No.2

조리실습 교육을 통한 초등학교 고학년 학생의 김치에 대한 인식 변화

안영미(Young Mi Ahn),주지형(Jihyeung Ju) 충북대학교 생활과학연구소 2013 생활과학연구논총 Vol.17 No.1

The present study was to investigate changes of perception on Kimchi by culinary practice in upper elementary students. Educational contents of the culinary practice were developed by the nutrition teacher of the elementary school. Subjects of this study were a total of 170 elementary students (4th grade 31.1%, 5th grade 36.9%, 6th grade 32.1%; male 48.2%, female 51.8%) in Cheongju, Chungbuk. Major findings of this study are: 1) dishes prepared with Kimchi were preferred to single types of Kimchi; 2) both knowledge and perception on Kimchi were improved after the culinary practice; 3) among the culinary practice participants, nutrition teachers were perceived as the most appropriate educator for such types of practice; 4) Kimchi consumption level of the practice participants was higher than that of non-participants. The present study suggests that the culinary practice developed and educated by nutrition teachers is an effective way for upper elementary students to improve perception on Kimchi and to enhance the consumption.

기술정보 : 국제경쟁력 강화를 위한 하수도서비스 평가기준 개발 및 적용

안영미 ( Young Mi Ahn ),김덕진 ( Duk Jin Kim ),윤현식 ( Hyun Sik Yoon ),최태용 ( Tae Yong Choi ) 대한상하수도학회 2006 상하수도학회지 Vol.20 No.3