기관내 튜브삽관 후 커프 압력에 대한 교육 효과

엄동춘,고봉연,Uhm, Dong-Choon,Koh, Bong-Yeun 한국응급구조학회 2017 한국응급구조학회지 Vol.21 No.2

Purpose: This study investigated the effectiveness of education regarding cuff pressure following endotracheal tube intubation using a quasi-experimental design with a pre- and posttest non-equivalent control group. Methods: A total of 78 students from two universities participated in an education intervention on the importance of cuff pressure after endotracheal tube intubation between October and December, 2016. The intervention lasted 40 minutes. Data were collected from each student before the intervention and one week following the intervention. Analyses were conducted using chi-square tests, Fisher's exact tests, and analysis of covariance. Results: A total of 38 students were assigned to the experimental group and 40 to the control group. The educational intervention of cuff pressure following endotracheal tube intubation was associated with prevention of possible complications from excessive cuff pressure (F=121.02, p<.001). Conclusion: Training with a pressure gauge and an intubation manikin is necessary to determine the appropriate cuff pressure in the intubation protocol of the practical examination in the emergency medical technology.

일개 대학병원에서 치료받고 있는 당뇨인의 자가당뇨관리에 대한 태도조사

엄동춘 中央醫學社 1996 中央醫學 Vol.61 No.7

Diabetic patients must manage continuous blood glucose. Health-managers must act as stimulator for diabetic patients. 1. The subjects of this study were 89 adolescents(male 38, female 51). There were 26 (29 %) family history of diabetic mellitus. 2. 55 diabetic patients got exercise. 27 of 55 diabetic patients exercised before meal. 18 of 55 diabetic patients exercised over on hour. 3. 27 diabetic patients tested urine sugar by urine stick and 17 diabetic patients tested blood glucose by self-glucose monitor. 4. 26 diabetic patients experienced hypoglycemic symptom. Conclusion : I recommend that patients evaluate self monitor of blood glucose and urine sugar, exercise time and duration and then utilize the data for their diabetic management. Diabetic patients can be enjoy their life by this method.

백혈병환자의 항암화학요법중 구강얼음요법의 구내염 예방효과에 관한 연구

엄동춘 성인간호학회 1997 성인간호학회지 Vol.9 No.2

The purpose of this study is to determine the effect of oral cryotherapy on oral mucositis in the patients who receiving high-dose ARA-C plus Mitoxantrone chemotherapy regimen. There were total of ten patients who received the chemotherapy regimen for 13 months : 5 patients for the experimental group, while the others for the control group. The tool used for assess degree of oral mucositis was the Oral Assessment Guide(OAG) which was developed by Elier, Burger, Peterson in 1988. The experimental group received oral cryotherapy range from 30 minutes before the Mitroxantrone Ⅳ infusing to 30 minutes after the high-dose ARA- C Ⅳ infusing. The control group was not treated by oral cryotherapy. The effect of this treatment was analyzed with the OAG score. The collected data were analysed with, mean, Mann-Whitney U test and Chi-sqare test according to characteristics of variables. The results were as follows : 1. There were no statistical difference in general characteristics (age, sex cycle of the chemotherapy, smoking, alcohol) between the two groups, so the homogeneity of two groups was established. There were no differences in the OAG Scores between the two groups statistically. 2. The subjects of this study suffered the neutropenia from 5.6 days to 24.6 days after starting chemotherapy. During the neutropenia period the average OAG scores in the experimental group were lower than that of the control group(experimental group was 9.17±1.19, control group was 9.33±1.10). 3. The mean OAG of experimental group for 21 days was 204.72±20.61, while the mean of control group for 21 days was 206.23±15.97. There were, however, no differences between the experimental and the control groups statistically. The subjects of the experimental group expressed more comfortable oral condition than those of the past cycle and they would like to try oral cryotherapy again for the next chemotherapy. The subjects of this study suffered the neutropenia from 5.6 days to 24.6 days after starting chemotherapy. During the neutropenia period the average OAG scores in the experimental group were lower than that of the control group (experimental group was 9.17, control group was 9.33). 5subjects of the study group complained of numbness, 3 subjects complained of slight headache, and 2 subjects expressed teeth and abdominal discomfort. However, these signs occurred temporarily and were resolved rapidly after cessation of the cryotherapy. It was I recommended that replication with larger sample.

결혼 이민자 부부 간의 발마사지가 부부의 의사소통, 친밀감, 갈등 및 삶의 질에 미치는 효과

엄동춘 한국간호과학회 2010 Journal of Korean Academy of Nursing Vol.40 No.4

Purpose: The purpose of this study was to evaluate the effects on immigrant couples’ communication, intimacy, conflict and quality of life when using foot massage. Methods: The research design consisted of pre-and-post test consecutive experimental design through a nonequivalent control group. Data were collected July 6, 2009 to February 27, 2010. The 36 couples were divided into two groups, experimental and control with 18 couples in each group. Foot massage was applied twice a week for 6 weeks by the couples in the experimental group. Results: There were statistically significant increases in communication (p=.011), intimacy (p

일 지역 대학생의 재난경험과 재난대비에 대한 조사연구

엄동춘,강경희,남은숙 한국간호과학회 2012 한국간호과학회 학술대회 Vol.2012 No.10

응급구조학과 학생들의 호흡보조요법 경험, 지식이 수행자신감에 미치는 영향요인

엄동춘,김아정,Uhm, Dong-Choon,Kim, A-Jung 한국응급구조학회 2018 한국응급구조학회지 Vol.22 No.2

Purpose: This study was conducted to identify the factors influencing performance confidence by knowledge and experience of respiratory-assistant therapy in paramedic students. Methods: A descriptive survey study used a convenience sample comprising 387 students from September 15 to October 31, 2016. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient, and regression analysis. Results: Knowledge was statistically significant by college(3-year), acquired certification, and observation experience in respiratory-assistant therapy. Performance confidence was statistically significant by sex, academic grade($3.0{\leq}$), acquired certification, and observation and performance experience in respiratory-assistant therapy. There was a significant correlation between knowledge and acquired certification, clinical practice, and major satisfaction. There was a significant correlation between performance confidence and acquired certification, clinical practice, major satisfaction, and knowledge. Regression analysis revealed that performance confidence accounted for 22.9% of the variance by academic grade(3.0~3.99), acquired certification, and major satisfaction. Conclusion: For paramedic students in clinical practice and in-school classes, it is important to improve performance confidence by combining training instruction with experience and education of respiratory-assistant therapy.

보건관리자의 성희롱과 관련된 경험, 인식, 대처 및 기관의 성희롱 예방 노력에 대한 실태조사

엄동춘,정계현,Uhm, Dong Choon,Jung, Gye Hyun 한국가정간호학회 2018 가정간호학회지 Vol.25 No.2

Purpose: This study explored the sexual harassment-related experience, awareness, coping, and institutional prevention schemes for health personnel in industrial settings. Methods: Data were collected using self - report questionnaires from 300 health personnels. Data were collected between September 1 and December 31, 2017. The collected data were analyzed using descriptive statistics. Results: Health personnels experienced 29% of sexual harassment, in order of verbal, visual, physical. The frequency of sexual harassment was higher when women were younger, particularly younger than men. Although the average health personnel's awareness of sexual harassment was high, the common coping style was passive such as distancing form the perpetrator. Institutional efforts to prevent sexual harassment included separating employees and staff, but perpetrators tended to account for a high proportion of the supervisors and staff. Conclusion: Health care managers should develop an effective and effective sexual harassment prevention education program by raising gender equality awareness in relation to the awareness of sexual harassment and identifying the influencing factors that can bring about appropriate sexual harassment coping behavior.

류마티스 관절염 환자의 건강관련 삶의 질 영향요인 분석

엄동춘,남은숙,이호연,이은봉,윤영임,채공주 한국간호과학회 2012 Journal of Korean Academy of Nursing Vol.42 No.3

Purpose: The purpose of this predictive study was to identify factors affecting health related quality of life (HRQoL) in patients with rheumatoid arthritis (RA). Methods: The participants in this study were 131 patients with RA who were recruited from the outpatient clinic of a university hospital in Seoul. Disease activity in rheumatoid arthritis was evaluated by calculating the Disease Activity Score 28. Disability in activities of daily living (ADL) was assessed with the Korean Health Assessment Questionnaire, and depression with The Center for Epidemiologic Studies Depression Scale. HRQoL was evaluated using The Short Form 36 Health Survey. Data were analyzed using descriptive statistics, correlation, and hierarchical multiple regression. Results: Pain, disability in ADL, disease activity, and depression correlated negatively with physical and mental dimensions of HRQoL. But hierachical multiple regression analysis revealed that disability in ADL and depression were the only variables negatively influencing physical and mental QoL after adjustment for influences of sociodemographic variables. Conclusion: Results of this study suggest that disability in ADL and depression, rather than disease activity and pain have profound effects on HRQoL in patients with RA. Further studies are needed to assess the predictive ability of disease activity and pain on HRQoL in this population.

Awareness and Attitudes of Korean Health-related Majoring Students and Non-Health-related Majoring Students Towards Cardiopulmonary Resuscitation

엄동춘,홍선우,김지희 한국자료분석학회 2014 Journal of the Korean Data Analysis Society Vol.16 No.6

The purpose of this study was to identify the awareness and attitudes of students with and without health-related majors toward CPR (cardiopulmonary resuscitation). From October 2011 to January 2012, we conducted the questionnaire survey of awareness and attitudes toward basic life support (BLS). Participants were 1,018 students who voluntarily completed the questionnaire form. They comprised students pursuing HRM (health-related majors) and those pursuing NHRM (non-health related majors) in universities in Daejeon and Gangwon Provinces in Korea. We developed a questionnaire including demographics, experiences of BLS training, self-assessed confidence for bystander CPR and willingness to perform bystander CPR. Statistical analyses were performed using SAS version 9.0 program. Means and standard deviations were calculated for continuous variables, while frequencies and proportions were derived for categorical data. The experience of BLS training was analysed by chi-square test and t-test. The willingness to perform bystander CPR was calculated using by logistic regression analysis for each of the five scenarios. Logistic regression and odds ratio for performing CPR on a stranger in an emergency situation showed a higher odds ratio for HRM than NHRM for all variables (p<.001). These results suggest that providing ongoing CPR training to laypersons would prevent out of hospital cardiac arrest and improve the cardiac arrest survival rate.

약물요법(IV)

엄동춘 사단법인 한국당뇨협회 1992 당뇨 Vol.37 No.-