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혈액투석 시 투석액 속도가 투석적절도와 피로에 미치는 효과
차선미(Cha, Sun Mi),민혜숙(Min, Hye Sook) 한국간호과학회 2016 Journal of Korean Academy of Nursing Vol.46 No.5
Purpose: In this single repeated measures study, an examination was done on the effects of dialysate flow rate on dialysis adequacy and fatigue in patients receiving hemodialysis. Methods: This study was a prospective single center study in which repeated measures analysis of variance were used to compare Kt/V urea (Kt/V) and urea reduction ratio (URR) as dialysis adequacy measures and level of fatigue at different dialysate flow rates: twice as fast as the participant’s own blood flow, 500 mL/min, and 700 mL/min. Thirty-seven hemodialysis patients received all three dialysate flow rates using counterbalancing. Results: The Kt/V (M±SD) was 1.40±0.25 at twice the blood flow rate, 1.41±0.23 at 500 mL/min, and 1.46±0.24 at 700 mL/min. The URR (M±SD) was 68.20±5.90 at twice the blood flow rate, 68.67±5.22 at 500 mL/min, and 70.11±5.13 at 700 mL/min. When dialysate flow rate was increased from twice the blood flow rate to 700 mL/min and from 500 mL/min to 700 mL/min, Kt/V and URR showed relative gains. There was no difference in fatigue according to dialysate flow rate. Conclusion: Increasing the dialysate flow rate to 700 mL/min is associated with a significant nicrease in dialysis adequacy. Hemodialysis with a dialysate flow rate of 700 mL/min should be considered in selected patients not achieving adequacy despite extended treatment times and optimized blood flow rate.
영양교육프로그램이 항암화학요법을 받는 소화기암환자의 오심구토, 식욕부진, 식이섭취 및 영양상태에 미치는 효과
민혜숙(Min Hye Sook),황원희(Hwang Won Hee) 대한종양간호학회 2010 Asian Oncology Nursing Vol.10 No.1
Purpose: The purpose of this study was to identify the effects of nutritional education program (NEP) on nausea and vomiting, anorexia, food intake, and nutritional status among GI cancer patients undergoing chemotherapy. Methods: A nonequivalent, non-synchronized posttest design was used. Study subjects were conveniently selected 30 patients (15 subjects for each group) who were undergoing chemotherapy. The subjects of the experimental group received NEP which consisted of 2 educations and 1 counselling while they were hospitalized, and telephone counselling with nutritional supports after discharge for four times. Results: The score of anorexia was lower and the amount of food intake was higher in the experimental group than those of the control group. However, there were no significant differences in levels of nausea and vomiting, weight, hemoglobin, albumin, and total protein level between the experimental and the control group. Conclusion: The findings demonstrate that the NEP was effective in alleviating anorexia and improving subjective food intake of GI cancer patients undergoing chemotherapy. These findings suggest that NEP can be a useful nursing intervention for preventing nutritional disorders for patients with GI cancer after chemotherapy.
혁신도시 개발정책 평가 : 지역 부동산 가격을 중심으로
민혜숙(Min, Hye Sook),신승우(Shin, Seung Woo) 한국주거환경학회 2021 주거환경(한국주거환경학회논문집) Vol.19 No.3
This study investigates the impact of the innovative city development policy aimed at the agglomeration economy from two perspectives, focusing on land and apartment prices. These are whether the increase in local income through the agglomeration economy drive up the rise in real estate prices and/or whether real estate prices rise due to expectations for simple development profit. The former was analyzed by using macroeconomic indicators such as GRDP and per capita regional income. In the latter case, by using year-dummy variables, we explore the change of influence by each of policy implementation stage. From 2007 to 2019, as a result of panel regression analysis of 175 cities, counties, and districts, it is found that land and apartment prices rose without income increase in the innovative cities. In the case of annual apartment price change, it increased significantly in 2011, just before public institution relocation was actively executed. This can be said to reflect the expectation that housing demand will increase after the completion of relocation of public institutions. In the case of land prices, the magnitude of the increase in land prices was not that large during the research period when compared with apartment prices. We conjecture that the research period of this study is the time when the innovative city site development projects had already begun. When implementing such a large scale city development policies in the future, more sophisticated policy formation and management are required to effectively realize the economy of agglomeration, and at the same time, it is necessary to prepare a smart measure to prevent speculation in both land and apartments.