중환자실 신규 간호사의 의사소통 상황 관련 교육 요구도 조사

황원정,하정민,박다혜,Hwang, Wonjung,Ha, Jeongmin,Park, Dahye 한국중환자간호학회 2024 중환자간호학회지 Vol.17 No.1

Purpose : This study sought to investigate novice nurses' communication education needs in the intensive care unit (ICU) using Importance-Performance Analysis (IPA) and Borich's need assessment model. This study identified communication challenges in clinical settings to develop a simulation program that enhances communication competencies based on educational requirements. Methods : A descriptive research design and a self-report questionnaire were used. The latter was developed and administered to 121 novice nurses with less than one year of experience in the ICU at various university hospitals in Korea. Data were collected via the online open chatroom from June 24th to July 28th, 2023. The communication education needs were identified using descriptive statistics, t-tests, IPA, and Borich's needs assessment model. Text analysis was used to categorize the participants' communication experience. Results : The results revealed that "communication with physicians," "communication with patients," and "communication with nurse on another shift" domains contained the most substantial educational needs for novice nurses working in the intensive care units. Conclusion : The results provide fundamental data for developing and enhancing customized communication education programs for novice ICU nurses. This valuable information could help ICU nurses and educators improve new nurses' communication skills, which would ultimately contribute to the advancement of nursing education and clinical practice.

마취 전 복용에 주의해야 할 약물이나 음식

황원정 대한의사협회 2014 대한의사협회지 Vol.57 No.10

Decisions about stopping or continuing medications perioperatively should be based on withdrawal potential, thepotential for disease progression if therapy is interrupted, and the potential for drug interactions with anesthesia. Ingeneral, most medications are tolerated well through surgery and do not interfere with anesthetic administration. Therefore, most drugs should be continued through the morning of surgery. However, some medications are knownto influence surgical risk or surgical decisions (e.g., antiplatelet agents, anticoagulants, some hormonal therapies,and herbal remedies), so it is important to obtain a complete medication list from the patient and to advise adjustingdoses or discontinuing certain potentially complicating medications in advance of surgery. This article reviews generalrecommendations for perioperative management of a number of common medication classes.

Relationship between anticipatory postural adjustment of the trunk, dual tasks and physical performance with chronic stroke survivors: a pilot test

황원정,조민권,정이정 물리치료재활과학회 2015 Physical therapy rehabilitation science Vol.4 No.1

Objective: The purpose of this study was to investigate the relationship between anticipatory postural adjustment (APA), single task, dual tasks and physical performances. The trunk muscles of APA consist of bilateral erector spinae (ES) and bilateral internal oblique (IO) adnominal muscles, during rapid stepping with the affected or unaffected leg in a sitting posture. Design: Cross-sectional study. Methods: In patients with chronic stroke, electrodes of surface electromyography (EMG) were attached on the bilateral erector spinae (ES), bilateral internal oblique adnominal (IO), and bilateral rectus femoris (RF) muscles. RF acts as the prime mover. The stroke patients performed hip flexion until 20˚ as fast as possible at each leg in a sitting posture according to a visual cue. The visual cue unexpectedly appeared on monitor in front of the stroke patient. The single task was the Timed Up and Go (TUG) test. The dual tasks were the TUGconitive, which increased cognitive capacity, and the TUGmanual task, which had an external focus. Results: All EMG data showed earlier onset latency before the prime mover. In affected leg raising, the onset time of unaffected ES muscle of the stroke patients was correlated with the single and dual tasks (p<0.05). In unaffected leg raising, the onset time of the affected IO muscle was related to all the tasks (p<0.05). Gait speed showed a relationship with the unaffected ES muscle only. Conclusions: The trunk muscles of the bilateral ES and bilateral IO play an important role in APA. The single and dual tasks using TUG test were correlated with the APA s of ES and IO muscles. Dual task by the TUG test is a good measuring tool for reflecting the real life in patients with chronic stroke.

Reversible endotracheal tube obstruction caused by meconium acting as a check valve

황원정,황지은,전준표 대한마취통증의학회 2014 Korean Journal of Anesthesiology Vol.67 No.6

와룡, 동해6갱, 호남광산의 자연정화시설내 슬러지 특성연구

황원정,오택근,이종운,김덕민,차종문 한국자원공학회 2016 한국자원공학회지 Vol.53 No.5

Passive mine water treatment system was used for the treatment of the mine water, and consisted of SAPS(Successive Alkalinity Producing System), OP(Oxidation/settling Pond) and wetland, etc. This study was carried out for physical and chemical analysis of sludges of Waryong, Donghae (6th adit) and Honam mine to investigate the basic properties of the sludges settled in the passive mine water treatment system. The water content of the sludges collected from SAPS was found to be about 50% to 72% and that of the sludges collected from OP was found to be about 59% to 73%. The particle size of sludges was various. From the XRF analysis, the content of Fe2O3 was over 70% at most sludges. The Cd concentration of sludges from the ICP-OES analysis exceeded the soil contamination standards of the heavy metals. 국내에 분포하고 있는 자연정화시설은 주로 석탄광에서 나오는 갱내수를 처리하기 위해 사용되고있으며 일반적으로 알칼리도 공급 시스템(Successive Alkalinity Producing System, SAPS), 산화·침전조, 소택지등으로 구성된다. 본 연구에서는 와룡, 동해6갱, 호남광업소의 자연정화시설 반응조에서 침전되는 슬러지의 기본적인 특성을 파악하고자 물리·화학적 분석을 수행하였다. 알칼리도 공급 시스템 슬러지의 함수율은 약 50~72% 으로 나타났고, 산화·침전조의 함수율은 59~73%로 나타났다. 입도분석 결과 슬러지의 입도가 다양한 것으로나타났으며, XRF 분석 결과 대부분 슬러지에서 Fe2O3의 함량이 전체에서 70% 이상을 차지하였다. 슬러지에대한 ICP-OES 분석 결과 Cd의 농도가 토양오염기준치를 초과하였다.

Walking behaviors for stroke survivors: comparison between straight line and curved path

황원정,Bora Choi,황수진 물리치료재활과학회 2019 Physical therapy rehabilitation science Vol.8 No.3

Objective: The purpose of this study was to compare walking conditions (straight line and curved path) on walking patterns in persons who had experienced hemiplegic stroke and to determine whether if they adapt their walking pattern and performances according to changes in environmental conditions. Design: Cross-sectional study. Methods: Forty-four hemiplegic stroke survivors participated in this study. This study measured walking performance in three different walking conditions, such as straight walking, the more-affected leg in the inner curve walking, and less-affected leg in the inner curve walking conditions, and a 2-dimentional gait analysis system was used as a primary measurement. This study also measured secondary clinical factors including the Timed Up-and-Go Test, the Trunk Impairment Scale, and the Dynamic Gait Index. Results: After analyzing, cadence and step length of the less-affected side, stride length in the more-affected side, and stride length in less-affected side were significantly different among the three different walking conditions in this study (p<0.05), but other temporospatial parameters were not significant. Cadence was the largest in the straight walking condition. Step length in the less-affected side, stride length in the more-affected side, and stride length in less-affected side were also the longest in the straight walking condition. Conclusions: The results of the study suggest that hemiplegic stroke survivors show walking adaptability according to changes in walking demands and conditions, and moreover, cadence and step and stride lengths were significantly different between straight and curved walking conditions.

Persistent perioperative tachycardia and hypertension diagnosed as thyroid storm induced by a hydatidiform mole -a case report-

황원정,임대환,김은성 대한마취통증의학회 2014 Korean Journal of Anesthesiology Vol.67 No.3

Thyroid storm is a critical complication of molar pregnancy. However, early diagnosis of it is difficult because it is a rare complication and usually presents nonspecific findings. In this case report, we present a woman with molar pregnancy who had persistent tachycardia and hypertension. She was diagnosed initially with preeclampsia and sepsis as complications of molar pregnancy. During dilation and curettage under general anesthesia with sevoflurane and remifentanil, tachycardia and hypertension remained even with continuous infusion of labetalol. The patient was subsequently diagnosed with thyroid storm associated with molar pregnancy. She was restored to a clinically euthyroid state 1 day after the operation, and her thyroid function test and β-hCG values were normal 3 months later. The anesthesiologists should bear in mind the possibility of thyroid storm in patients with molar pregnancies who show persistent tachycardia and hypertension.

토양 내 중금속에 대한 위해성 평가 및 생물농축계수 고찰

황원정,김순오,이상우,차종문 한국자원공학회 2014 한국자원공학회지 Vol.51 No.6

Contaminants in a mining area are spreading to soil, water or plants, directly or indirectly, and theyaffect the surrounding environment. The risk of these contaminants should be assessed. In the research ofenvironmental pollution, it is important to study the characterization of behavior of harmful heavy metals as wellas their bioconcentration factor. In this paper, we discussed the pollutants and their exposure route in soil ofthe mining area, behavior of pollutants, and bioconcentration factor. 광산 지역에서의 오염은 토양, 수계, 농작물 등에 확산되면서 주변 환경에 직간접적으로 영향을 끼치므로 이러한 오염에 대한 위해성을 평가할 필요가 있다. 환경오염 연구에 있어서 유해 중금속의 이동 및 거동특성 규명뿐만 아니라 중금속의 생물농축계수에 관한 연구도 중요하다. 따라서 광산지역 토양 내의 오염매체와노출경로, 오염물질의 거동 및 이동, 작물의 전이계수 등을 고찰하였다.

Alternating asystole and atrial fibrillation after infusion of propofol and remifentanil with target-controlled infusion

황원정,박찬오,이윤기 대한마취통증의학회 2014 Korean Journal of Anesthesiology Vol.67 No.6

생활화학제품 내 금속나노물질 분석

황원정(Wonjeong Hwang),송명기(Myoungki Song),유근배(Keunbai Yoo),김현아(Hyun-A Kim),박다정(Dajeong Park),이병태(Byung-Tae Lee) 환경독성보건학회 2017 한국독성학회 심포지움 및 학술발표회 Vol.2017 No.10