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응급실에 내원한 발열 환자에서 암 진단 유무에 따른 임상증상의 중증도에 대한 후향적 조사 연구
이은샘,강푸름,신유경,설근희,Eun Seam Lee,Purum Kang,You Kyoung Shin,Geun Hee Seol 한국기초간호학회 2023 Journal of korean biological nursing science Vol.25 No.2
Purpose: This study aimed to understand the general characteristics and biomarkers of inflammation in adult patients who visited the emergency department with fever and to determine whether the severity of clinical symptoms varies according to cancer diagnosis. Methods: Data were collected retrospectively from 4,002 adult patients with fever who visited the emergency department at a tertiary hospital from January 2018 to December 2018 using medical records. Results: On average, cancer patients were older than non-cancer patients (p < .001), and differences were observed between cancer and non-cancer patients in the origin of fever and biomarkers associated with inflammation. A higher proportion of cancer patients than non-cancer patients had a Korean Triage and Acuity Scale level of 1 to 3 (p < .001), and more cancer patients than non-cancer patients met two or more criteria for systemic inflammatory response syndrome (p = .001). More life-saving interventions in the emergency department were required in cancer patients than in non-cancer patients (p < .001), and cancer patients spent more time in the emergency department than non-cancer patients (p < .001). Conclusion: This study showed that the general characteristics and biomarkers of inflammation differed among adult patients with fever depending on cancer diagnosis. Furthermore, among adult patients with fever, cancer patients had more severe clinical symptoms than non-cancer patients. The results of this study are hoped to be helpful as a basis of nursing knowledge for adult patients with fever in the emergency department and as evidence for the classification of severity in patients with fever according to cancer diagnosis.
백서의 슬관절강내 주입된 Agmatine과 Clonidine이 슬관절통의 유도 및 유지에 미치는 효과
이명종 ( Myeong Jong Lee ),심현수 ( Hyen Soo Shim ),설근희 ( Geun Hee Seol ),김필주 ( Pill Joo Kim ),한승호 ( Seung Ho Han ),이재용 ( Jae Yong Yee ),김찬 ( Chan Kim ),이규창 ( Kyu Chang Lee ),김혜영 ( Hye Young Kim ),민선식 ( Sun 대한마취과학회 2008 Korean Journal of Anesthesiology Vol.54 No.6
바질 에센셜 오일 향흡입이 척추수술 전 만성요통환자에서 통증, 불안 및 활력징후에 미치는 효과
강푸름(Purum Kang),정금미(Kum Mi Jung),민선식(Sun Seek Min),설근희(Geun Hee Seol) 대한스트레스학회 2012 스트레스硏究 Vol.20 No.3
Ocimum basilicum L.은 민간요법에서 통증, 염증 및 고혈압을 치료하는데 사용되어 온 식물로 알려져 있다. Ocimum basilicum L.에서 추출된 바질 에센셜 오일을 사용하여 만성 요통으로 척추수술을 받기 위해 입원 중인 환자를 모집단으로 하여 농도에 따른 바질 에센셜 오일 향흡입이 척추수술 전 통증, 불안 및 활력징후에 미치는 효과를 규명하기위해 이중맹검법을 이용한 무작위 대조군 전?후 실험설계로 검증한 연구이다. 연구대상자는 0.1%, 1%, 5%의 바질에센셜 향흡입군 및 대조군으로 무작위 배치되었으며 통증, 불안, 기분상태(profile of mood states), 수축기 혈압, 이완기 혈압, 맥박 및 호흡수를 바질 에센셜 오일 향흡입 전·후에 측정하였다. 연구결과 0.1%와 1%의 바질 에센셜 오일을 흡입한 군은 대조군에 비해 유의미한 통증의 감소를 나타내었으며(p=.022, p=.022, respectively) 5%의 바질 에센셜 오일을 향흡입한 군에서는 대조군에 비해 이완기 혈압을 유의미하게 감소시켰다(p=.023). 반면에 수축기 혈압 및 맥박, 호흡수, 기분상태 및 불안은 대조군에 비해 실험군에서 감소하는 경향은 보였으나 네 그룹 간 유의미한 차이를 나타내지 않았다. 따라서, 본 연구 결과로 미뤄볼 때 바질 에센셜 오일 향흡입은 농도 비의존적으로 특정 농도에서 통증 완화 및 이완기 혈압을 조절시키는 효과가 있음을 알 수 있었으며 이러한 연구결과는 향후 임상에서 아로마요법 시행 시 아로마 에센셜 오일의 적정 농도 선별이 선행되어야함을 시사하고 있다. Ocimum basilicum L. (basil essential oil, BEO) is a plant used in traditional folk medicine for the treatment of pain, inflammation and hypertension. BEO-inhalation was used to examine the effects of the odor of BEO and BEO concentration dependency on pain and anxiety before spine surgery in patients with chronic low back pain. A total of sixty patients were randomly assigned to one of the four study groups (control, 0.1%, 1%, 5% BEO-inhalation group). Pain-visual analog scale (P-VAS), anxiety-visual analog scale (A-VAS), profile of mood states (POMS) test, blood pressure, heart rate, and respiratory rate were measured before and after inhalation of the odors for five minutes. Inhalation of BEO at 0.1%, 1% concentration caused significant decreases in P-VAS compared with control (p=.022, p=.022, respectively), meanwhile 5% BEO-inhalation significantly reduced in diastolic blood pressure compared with control (p=.023). However, there was no significant difference among the four groups in systolic blood pressure, heart rate, respiratory rate, A-VAS, POMS test. In patients with chronic low back pain before spine surgery, 0.1% and 1% BEO-inhalation is effective in alleviating pain and 5% BEO-inhalation reduce diastolic blood pressure. In conclusion, BEO-inhalation at specific concentrations can be useful method for the relief of pain and blood pressure control for patients with chronic low back pain before spine surgery. (Korean J Str Res 2012;20:169∼178)
클라리세이지 향흡입이 치주염환자의 치료 시 통증 및 스트레스에 미치는 효과
유지혜 ( Ji Hye You ),김미영 ( Mi Young Kim ),문혜경 ( Hae Kyung Moon ),민선식 ( Sun Seek Min ),설근희 ( Geun Hee Seol ) 대한예방치과·구강보건학회 2011 大韓口腔保健學會誌 Vol.35 No.1
Objectives. The purpose of this study was to investigate the analgesic and antistress effect of clary sage-inhalation in periodontitis patients. Methods. Thirty-five patients with periodontitis, who were classified under Russell`s Periodontal Index, were studied from September to December 2009. All patients understood the purpose of this study and written informed consent for the study was obtained. Results. Clary sage-inhalation was conducted during the treatment period. Blood pressure, pulse, visual analog scale, and salivary cortisol levels were measured before and after treatment. The visual analog scale score which represents subjective pain perception in the experimental (clary sage-inhalation) group was significantly lower than that in the vehicle (almond oil-inhalation) or control (saline-inhalation) group. In addition, the experimental group showed the lowest systolic and diastolic blood pressure and pulse rate among the three groups. However, there was no significant difference in salivary cortisol level among the three groups. Conclusions. Clary sage-inhalation is effective in alleviating pain and blood pressure. These results suggest that clary sage-inhalation can be a useful method for the relief of pain during the treatment of periodontitis.
송준아(Song Jun-Ah),장성옥(Jang Sung-Ok),임여진(Lim Yeo-Jin),이숙자(Lee Sook-Ja),김순용(Kim Soon-Yong),설근희(Seol Geun-Hee) 기본간호학회 2007 기본간호학회지 Vol.14 No.3
Purpose: This study was done to investigate the relationship of family function, self-esteem, life satisfaction, and general characteristics to loneliness in community dwelling Korean elders and identify factors affecting loneliness. Method: With a cross-sectional causal-relationship design and a convenience sample, 205 elders residing in three districts of the city of Seoul, S. Korea were recruited. Participants were assessed using the Family APGAR Score, Self-Esteem Scale, Life-Satisfaction Scale, and Revised UCLA Loneliness Scale. Results: The mean score for degree of loneliness (Mean=39.61, SD=10.09) was just below the mean for the scale (Possible range 20-80). Loneliness had significant negative correlations with family function (r= -.400, p<.001), self-esteem (r= -.399, p<.001), and life satisfaction (r= -.644, p<.001). Other general characteristics that had significant or nearly significant relationships with loneliness were perceived current financial and health status, whether doing any exercise or physical activities, degree of close relationship with family members, and length of living in current residence. Among variables, life satisfaction (Standardized β = -.589, p<.001) and length of living in current residence (Standardized β = -.136, p<.05) significantly predicted degree of loneliness. Conclusion: Findings of this study allow a comprehensive understanding of loneliness and related factors among community dwelling elders in Korea. However, further studies with a larger random sample from various living environments are necessary.