영아기 비후성 유문협착증의 임상양상과 치료

우주현(Ju-Hyun Woo),최금자(Kum-Ja Choi) 대한외과학회 2010 Annals of Surgical Treatment and Research(ASRT) Vol.78 No.3

Purpose: A precise and simple tool for diagnosis and the growing public interest in health caused infantile hypertrophic pyloric stenosis (IHPS) to be diagnosed in good time. The approach to pyloromyotomy as the standard treatment is undergoing changes. We compared 2000’s IHPS patients with 1980’s to identify the clinical features and management. Methods: We analyzed, retrospectively, the clinical findings, diagnoses, and treatment of 68 patients with IHPS who underwent pyloromyotomy at Ewha Womans University Medical Center from January 2000 to December 2008 (2000’s group), and compared the results with that of 42 patients in the 1980’s (1980’s group). Results: There were no significant differences in age, gender, birth rank, seasonal distribution, and symptoms between both groups, but the number of patients with metabolic changes and palpable ‘olive’ was significantly lesser in the 2000’s group. Upper gastrointestinal series (UGI) was the most common imaging tool in the 1980’s (71.4%) but USG has become the standard diagnostic tool in the 2000’s (88.2%). All patients received open pyloromyotomy using traditional incision in the 1980’s, and supraumbilical semicircular incision in 36.8% of patients in the 2000’s. The average length of hospital stay after operation was significantly shorter in the 2000’s group. In the 2000’s, the mean preoperative stay at hospital was 4.4±4.3 days. Twenty-nine (42.0%) patients did not vomit postoperatively and postoperative vomiting did not delay discharges of any patients. Conclusion: There were significant improvements in diagnosis and treatment in the 2000’s. We suggest that the surgeon, without the need for a radiologist perform USG for IHPS in order to shorten the preoperative hospital stay.

조현병 환자를 위한 능력강화 프로그램의 효과

우주현 ( Woo Ju Hyun ),장지혜 ( Jang Ji Hye ),조정희 ( Cho Jeong Hee ) 한국간호과학회 정신간호학회(구 대한간호학회정신간호학회) 2018 정신간호학회지 Vol.27 No.2

Purpose: The aim of this study was to evaluate a ‘patient empowerment program for schizophrenia (PEPS)’ to improve problem solving ability, quality of life, and mental health literacy for hospitalized patients with schizophrenia. Methods: The study was a non-equivalent control group non-synchronized design. Study participants were recruited from a psychiatric hospital in Republic of Korea. Of 56 participants, 20 were assigned to the experimental group and 36 to the control group. Data were collected from September, 2017 to January, 2018. Data analyses included chi-squared or Fisher's exact tests, t-tests, and repeated measure ANOVA with SPSS/WIN 21.0 program. Results: After participating PEPS, the experimental group showed a significant increase in quality of life and mental health literacy compared to the control group. However, there were no significant differences in problem solving ability between the two groups. Conclusion: Findings show that patients with schizophrenia receive benefits from PEPS in terms of quality of life and mental health literacy. However, further research is necessary to develop clinical strategies to improve their problem solving abilities.

급성 충수염이 의심되는 소아환자에서 응급 충수절제수술이 최선인가?

우주현(Ju-Hyun Woo),최금자(Kum-Ja Choi) 대한외과학회 2011 Annals of Surgical Treatment and Research(ASRT) Vol.80 No.3

Purpose: The emerging studies have suggested steadily negative appendectomy rates. The purpose of this study is to verify that short-term observation under conservative management helps surgeons avoid unnecessary surgery without poor progress in pediatric patients with presumed acute appendicitis. Methods: We reviewed 650 medical records of pediatric patients aged 12 years and younger with presumed acute appendicitis at Ewha Womans University Medical Center between January 2005 and December 2009. We then compared 283 ‘appendectomy group (AG)’ including 229 suppurative appendicitis (SA) and 54 normal appendix or mild appendicitis (MA), pathologically, with 96 ‘conservative treatment group (CG)’ who were diagnosed with mesenteric lymphadenopathy associated with early appendicitis or normal appendix in radiologic study and effectively treated with conservative management. Results: There was no significant difference in gender and age distribution between SA and MA groups, but the mean age of CG was younger than MA group (P=0.000). The main clinical findings between SA, MA and CG were similar but the mean duration of symptom was longest in CG. ‘Delayed’ and ‘night-time’ surgery was frequent in MA (P=0.006, P=0.027). Thirteen patients(4.6%) developed complications in AG without significant difference between SA and MA. The mean hospital stay was significantly shorter in CG than MA (P=0.000) without significant difference between SA and MA. The medical cost of CG was much cheaper than AG (P=0.000). No patient in CG needed appendectomy for the follow-up period. Conclusion: The authors suggested that short-term watchful waiting for presumed appendicitis in pediatric patients under conservative treatment could reduce unnecessary appendectomy, complications and cost.

알코올 중독 환자의 재발과 치료 경험

우주현,김현례,현명선,Woo, Ju-Hyun,Kim, Hyun-Lye,Hyun, Myung-Sun 한국가정간호학회 2012 가정간호학회지 Vol.19 No.2

Purpose: The purpose of this study is to explore the subjective experiences of relapse and treatment among the alcoholics. Methods: Phenomenological methodology was used for the study. Participants were seven people with inpatient alcoholics at the alcohol treatment center at K hospital in K province. Data were collected via in-depth interviews from March to September, 2012 and analyzed using Colazzi's framework. Results: Six themes and seventeen meanings were formulated for the relapse and treatment experiences of participants with alcoholism. Six themes were 'Lack of true insight', 'Lack of strength to live a life', 'Unable to overcome an urge to drink', 'Being drawn away from others', 'Falling into the powerlessness and despair', and 'Being foothold of self-growth'. Conclusion: The results from this study revealed the relapse experiences among alcoholic patients. Therefore, the findings can provide the framework and direction for developing the relapse prevention program for alcoholic patients. In addition, practitioners in the treatment center or hospital need to consider their relapse and treatment experience.

로봇운영체제를 이용한 보트의 자율운항 알고리즘 개발

조현재(Hyun-Jae Jo),김정현(Jung-Hyeon Kim),김수림(Su-Rim Kim),우주현(Ju-Hyun Woo),박종용(Jong-Yong Park) 대한조선학회 2021 大韓造船學會 論文集 Vol.58 No.2

알코올의존자의 회복에 영향을 미치는 요인

최연숙(Choi, Yeon Sook),우주현(Woo, Ju Hyun),현명선(Hyun, MyungSun) 한국재활간호학회 2012 재활간호학회지 Vol.15 No.2

표준화 환자를 활용한 정신간호실습교육의 학습 성과 효과

도경진(Do, Keong-Jin),우주현(Woo, Ju-Hyun),장지혜(Jang, Ji-Hye) 한국웰니스학회 2015 한국웰니스학회지 Vol.10 No.4

본 연구는 표준화 환자를 활용한 시뮬레이션 정신간호실습교육을 위한 시나리오를 개발하여 정신간호교육의 학습 성과 효과와시뮬레이션 교육 경험의 내용을 분석하고자 양적연구와 질적연구를 혼합한 트라이앵귤레이션 연구이다. 연구대상자는 K대학교 간호학과 3학년 학생 54명이었으며, 표준화 환자를 활용한 시뮬레이션 정신간호실습교육을 위한 시나리오를 개발하고, 시뮬레이션정신간호실습교육 전ㆍ후의 학습 성과를 비교하였다. 또한 비구조화된 설문을 통해 시뮬레이션 정신간호실습교육 후 간호대학생의 경험을 파악하였으며, 질적 연구방법으로 내용을 분석하였다. 본 연구 결과, 표준화 환자를 활용한 시뮬레이션 정신간호실습교육 후 간호대학생들의 학습 성과는 모든 항목에서 유의하게 증가하였다. 표준화 환자를 활용한 시뮬레이션 정신간호실습교육의경험내용은 21개의 주제와 4개의 영역으로 도출되었는데, 각 영역은 ‘자아성찰’, ‘학습동기부여’, ‘시뮬레이션 수업의 긍정적 효과’, ‘시뮬레이션 수업의 어려움’이었다. 본 연구를 통해 표준화 환자를 활용한 시뮬레이션 정신간호실습교육이 간호대학생의 학습 성과를 향상시키는데 효과적이며, 긍정적인 실습경험을 제공했음을 확인할 수 있었다. This is triangulation study in order to analyze the learning effect of psychiatric nursing education and the content of experience of simulation education through developing scenario for simulation psychiatric nursing practical education using standardized patients. Objects are 54 students who have studied nursing at K university located in Gangwon-do. Researchers developed scenario for simulation psychiatric nursing practical education using standardized patients and used questionnaire composed by researcher in order to compare before and after learning outcomes of simulation psychiatric nursing practical education. Gathered data was analyzed by using SPSS/WIN 18.0 program. Also, through non-structured questionnaire, understood experience of nursing students after simulation psychiatric nursing practical education and analyzed the content using qualitative research method. Program outcomes of nursing students after simulation psychiatric nursing practical education using standardized patients are increased in all category. Experience contents of nursing students are appeared as 21 subjects and 4 categories and each categories were 'self-examination', 'learning motivation', 'positive effect of simulation class' and 'difficulty if simulation class'. Through this research, it is confirmed that psychiatric nursing simulation education using standardized patients is effective to improve nursing students' learning outcome and it provided positive practical experience to nursing students.

알코올중독 환자의 병식과 자아존중감 및 대처방식 연구

현명선 ( Myung Sun Hyun ),우주현 ( Ju Hyun Woo ),김현례 ( Hyun Lye Kim ) 한국간호과학회 정신간호학회(구 대한간호학회정신간호학회) 2013 정신간호학회지 Vol.22 No.3

Purpose: This study was conducted to investigate the related factors of insight, self-esteem, and coping skills and the relationships among them in patients with alcohol addiction. Methods: The participants enrolled in this study were 106 patients from two alcohol treatment hospitals in Gyeonggi Province. Data were collected from May, 12 to 20, 2010 using self-report questionnaires. The instruments were the Hanil Alcohol Insight Scale, Rosenberg Self-esteem Scale, and the Ways of Coping Checklist. Data were analyzed using the SPSS-Win 12.0 program. Results: Among the participants, 24.5% had poor insight, 45.3% fair insight, and 30.2% good insight. Insights of participants who had experienced withdrawal symptoms (t=-3.79, p<.001) and of those not living with family (t=-2.07, p=.041) were higher than those who had not experienced the symptoms and who were not living with family. Self-esteem of participants living with family (F=3.60, p<.001) and of those with better academic backgrounds (F=3.39, p=.021) were higher than those of the other groups. Also, self-esteem showed a positive relation with active coping (r=.34, p<.001). Conclusion: The results of the present study suggest that mental health practitioners need to focus on insight and self-esteem enhancement, coping skill development when treating patients with alcohol addiction.