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김희언(Hee Eon Kim),김은자(EunJa Kim),김가은(Gaeun Kim) 한국콘텐츠학회 2015 한국콘텐츠학회논문지 Vol.15 No.1
본 연구는 모바일 앱을 이용한 당뇨 환자 관리관련 선행연구들을 체계적으로 고찰하여 임상적 유용성에 미치는 효과를 분석하고, 이를 토대로 근거 중심의 가이드라인 제공 및 향후 연구방향을 제시하고자 시도되었다. 데이터베이스는 Ovid, CINAHL, Cochrane library를 활용하였으며 (app*OR mobile) AND (nurs* OR health* OR medic*) AND (diabet*)을 주요어로 2004년부터 2014년까지의 문헌을 대상으로 검색하였다. 총 375편의 연구 중 3편의 논문이 최종 선정되었고, Scottish Intercollegiate Guidelines Network (SIGN)의 Checklist를 이용해 문헌의 질을 평가하였다. 연구결과 앱을 적용한 당뇨관리는 당화혈색소 감소에 통계적으로 유의한 효과가 있었다. 추후 연구의 설계유형이나 이를 기반으로 한 효과적인 중재개발 연구를 제안한다. 향후 충분한 표본수를 고려한 무작위 실험연구와 당화혈색소 이외 생리적 지표와 심리적 지표에 대한 연구가 더 많이 시행될 필요가 있다. The purpose of this review was to evaluate the effects of diabetes management program using mobile appllication. A systematic review using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses: the PRISMA Statement was conducted. Studies published between 2004 and 2014 were reviewed using the following databases: Ovid, CINAHL and Cochrane library. The keywords used were (app*OR mobile) AND (nurs* OR health* OR medic*) AND (diabet*). Selected studies were assessed for methodological quality using Scottish Intercollegiate Guidelines Network (SIGN)’ Checklist. Three hundred seventy five studies were identified, All the 3 studies found mobile application as a valid strategy on clinical usefulness in diabetes management. This review provides updated evidence for app-based management program in diabetes management. Further studies are needed to increase generalizability using randomized controlled trials, enough sample size. In addition, valid measurements are needed to assess the main outcomes.
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수술환자의 수술 후 통증양상, 통증관리 및 통증관련요인
김희언(Kim, Hee-Eon),박정숙(Park, Jeong Sook) 계명대학교 간호과학연구소 2012 계명간호과학 Vol.16 No.2
Purpose: The purpose of this study was to identify the pattern, management and related factors of postoperative pain. Method: The subjects included were 907 patients who underwent surgery. A computerized pain assessment program from ENR was used as well as admission record, nursing record, postoperative report and medication records. The data were analyzed using SPSS version 18.0 statistical program Result: 87.1% of the subjects reported post operative pain. At this time, pain score was 4.05 and noted as higher than moderate pain. Among patients who complained postoperative pain, 91.9% received analgesics and pain score was 4.19. As for analgesics medication, 58.4% received regular interval or PCA (patient-controlled analgesia) without PRN analgesics, and 11.2% received only PRN analgesics without continuous pain management after operation. NSAIDs was the most frequently used regular interval analgesics for pain management after operation and only 13.2% received opioid to manage pain after operation. Conclusion: The result of this study means a little under treatment of post operative pain. Further research is recommended to validate this data from multiple sites sampling.
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김희언(Kim, Hee-Eon),박정숙(Park, Jeong Sook) 계명대학교 간호과학연구소 2012 계명간호과학 Vol.16 No.1
Purpose: The purpose of this study was to explore the pattern and related factors of pain among hospitalized patients during admission. Method: The study was a secondary data analyzed using ENR system. The subjects were 1984 medical and surgical patients who were admitted in medical and surgical wards and intensive care units from June 1st to June 30th, 2010 in a university hospital in D city. The data were analyzed using SPSS version 18.0 statistic program. Result: The patients who complained pain during admission was 17.2%. At this time pain score was 4.24. The NRS pain measurement tool was utilized most frequently by 75.7% of the subjects. Results showed that complaints of pain in department of surgery were found to be increased as well as patients confined in orthopedics. The location of pain mainly confined to abdomen and chest (27.4%), Pain intensity of Lumbar area was the highest having 5.20. Conclusion: Nurses should closely assess the level of pain among hospitalized patients and be able to provide relevant interventions to control and alleviate the suffering of pain.
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Non-O157 장출혈성대장균 검출을 위한 증균배지 및 선택배지 성능 평가
이다연(Da Yeon Lee),김희언(Hee-eon Kim),서동원(Dong Won Seo),조용선(Yong Sun Cho) 한국식품과학회 2016 한국식품과학회지 Vol.48 No.4
본 연구는 non-O157 EHEC의 혈청형별 증균 및 선택배지에서의 분리 조건 및 비교 시험을 하여 최적의 검출 방법을 제시하고자 하였다. EC medium with MUG broth, BRILA broth, mTSB broth with novobiocin 3종의 증균배지 성능 및 배양 조건의 비교 결과 EC-MUG 증균배지를 42°C에서 24시간 배양하면 EHEC의 효율적인 증균이 이루어질 수 있을 것이라 생각된다. ENDO agar, Chromocult agar, TBX agar, CHROMagarTM STEC medium 4종의 선택배지에 가장 효과적인 배지를 확인결과 TBX agar가 검출율이 가장 높았으나 1종의 배지를 사용했을 경우 다양한 EHEC 혈청형 균를 검출 하기는 어렵다고 생각된다. 그러므로 EHEC를 효과적으로 검출하고자 할 경우 TBX agar와 보완이 가능한 그 외의 배지를 사용하여야 효과적인 검출이 가능할 것으로 생각된다. 또한, 각 배지가 혈청형에 따른 분리효율이 다르므로 본 연구 결과를 참조하여 가장 적합한 배지를 선택 해야 할 것으로 보인다. 향후 non-O157 EHEC의 적절한 기질을 사용하여 다양한 혈청형을 모두 검출 할 수 있는 효율적인 배지의 개발이 필요하다고 생각된다. In this study, specific and rapid enrichment and growth conditions for the most important, classic non-O157 enterohemorrhagic Escherichia coli (EHEC) serogroups were assessed. Three enrichment broth types, namely, EC medium with MUG broth, BRILA broth, and mTSB broth with novobiocin, were compared to identify the optimum enrichment broth for EHEC isolation. Four kinds of selective media, namely, ENDO agar, Chromocult agar, TBX agar, and CHROMagar<SUP>TM</SUP> STEC medium, were compared to identify the optimum one for non-O157 EHEC isolation. The results suggested that incubation in EC medium with MUG broth at 42℃ for 20 h is optimum for the enrichment of non-O157 EHEC. TBX agar was identified to have the highest specificity among the tested media. Consequently, a combination of complementary selective media according to serotype must be considered for comprehensive isolation of specific EHEC.
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