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영남권역에서 가정용 인공호흡기를 사용하는 환자 가족간병인의 간병 부담과 삶의 질
손주현,문명훈,조미경,윤라유,허성철,민지홍,문정인,김수연 대한지역사회작업치료학회 2020 대한지역사회작업치료학회지 Vol.10 No.1
Objective : The aim of this study was to investigate the care burden and life quality in family caregivers of community-dwelling patients using home mechanical ventilator(HMV) in Yeognam region. Methods : Survey performed to family caregivers of the patients using HMV in Yeognam region, Korea. The questionnaire is composed with patient care and the burden on caring. Korean version of Short Form Zarit Burden Interview(K-ZBI-12) and 3-Level version of EuroQol-5 Dimension applying Korean weight(KEQ-5D-3L) were also investigated. Statistical significance was accepted for p<.05. Results : A total 98 out of 150 questionnaires were analyzed. The K-ZBI-12(33.08±10.34) had a correlation with KEQ-5D-3L(0.71±0.25) negatively(p=.038). Patients’ age, duration of HMV, financial burden and professional caregivers' care time had correlations with K-ZBI-12 positively(p<.05). KEQ-5D-3L correlated duration of HMV negatively(p=.017). Invasive ventilator group had lower KEQ-5D-3L than the non-invasive ventilator group(p=.008). K-ZBI-12 was lower in more than one caregiver care of patients than in one(p=.001). Conclusion : This study revealed high care burden and low quality of life in family caregivers of the patients with HMV in Yeongnam region, Korea. Efforts are needed to continually identify the needs of patients and their families, and the socioeconomic support and medical services associated with HMV. 목적 : 본 연구는 영남권역 내 가정에서 인공호흡기 사용 환자를 돌보는 가족간병인이 느끼는 간병 부담과 삶의 질을 알아보고자 하였다. 연구방법 : 영남권역 내에 거주하며 가정에서 인공호흡기를 사용하는 환자를 돌보는 주간병인을 대상으로 설문조사를 시행하였고 가족간병인의 응답 내용을 분석하였다. 설문지는 환자의 정보, 간병 실태 및 추가 지원 요구 사항 등으로 구성하였다. 가족간병인의 간병 부담과 삶의 질을 평가하기 위해 각각 Korean version of Short Form Zarit Burden Interview(K-ZBI-12)과 한국형 가중치 모형에 따라 교정한 3-Level version of EuroQol-5 Dimension(KEQ-5D-3L)을 사용하였다. 통계적 유의수준은 p<0.05로 하였다. 결과 : 총 150명 중 주간병인이 가족간병인인 98명을 분석하였다. 환자의 연령은 54.10±17.94세, 성별은 남자 74명(75.5%), 여자 24명(24.5%)이었고 주 진단은 신경근육계 질환이 83명(84.7%)으로 가장 많았다. 가족간병인의 K-ZBI-12 점수는 33.08±10.34로 간병에 대한 고부담을 보였고 EQ-5D-3L 점수는 0.71±0.25로 두 항목은 음의 상관관계를 보였다(p=.038). 환자의 연령, 인공호흡기 사용기간, 의료비에 대한 가족간병인의 경제적 부담, 간병비에 대한 가족간병인의 경제적 부담 및 전문간병인의 참여 시간은 K-ZBI-12 점수와 각각 통계적으로 유의한 상관관계를 보였다. KEQ-5D-3L 점수는 가정용 인공호흡기의 사용기간과 음의 상관관계를 나타냈다(p=.017). 환자가 침습적 인공호흡기를 사용하는 경우 비침습적 인공호흡기를 사용하는 경우보다 가족간병인의 KEQ-5D-3L 점수가 낮았다(p=.008). 간병에 참여하는 인원이 두 명 이상인 경우가 한 명인 경우보다 K-ZBI-12 점수가 낮았다(p=.001). 가족간병인이 추가지원을 바라는 요구사항 중 경제적 지원에 대한 요구도가 가장 높게 조사되었다. 결론 : 영남권역에서 가정용 인공호흡기를 사용하는 환자들의 보호자가 느끼는 간병 부담이 크고 삶의 질이 낮다는 것을 알 수 있다. 가족간병인의 간병 부담과 삶의 질을 개선하기 위해서 지역에서 실질적으로 필요한 사회경제적 지원 및 환자와 가족들의 요구 사항을 확인하고 추가적인 지원을 위한 노력이 필요하다.
노인환자와 중년환자의 병원음식 배식량에 대한 만족도와 섭취율 비교연구
손주현,천종희 한국식생활문화학회 2002 韓國食生活文化學會誌 Vol.17 No.5
The purpose of the study was to compare the satisfaction level on hospital meal size and actual intake rate of hospital foods between elderly and middle aged patients. Sixty one middle aged and one hundered thirty two elderly patients were surveyed on the foods served in the hospital-rice, soup, meat/fish, vegetable, kimchi and daily products. Compared to the middle aged patients, the more elderly thought the serving size of rice was too big(p<0.05), and those of soup, meat/fish and kimchi tended to be too big. There was no difference in the satisfaction level on the serving size of vegetable dish between two age groups. · In actual intake rates of hospital meal there were no significant differences between the elderly and middle aged patients. However, the elderly male ate significantly(p<0.05) less amount of rice than the middle aged male and the elderly female ate significantly(p<0.01) less amount of meat/fish then the middle aged female. Satisfaction levels and actual intake rates were significantly correlated in all food items.
손주현,이민섭,한동욱,박봉주,박종석,Motoi Machida,Hideki Tatsumoto,박종철 한국생체재료학회 2004 생체재료학회지 Vol.8 No.2
In this study, the migration of MC3T3-E1 osteoblast-like cells was examined on the culture plate coated with ECM, such as type I collagen, laminin or fibronectin. The cells were incubated in a self-made mini-incubator, with the same conditions as commercial CO2 incubator, placed on an inverted microscope and observed as a real time-mode. After 24 hr of incubation, the edge and center of single cell were detected by an automated cell tracking system. From the cell movement path, it was shown that the cells had a tendency to move randomly without any certain direction. Furthermore, it could be found that the cell movement speed was divided into three phases, attachment preparation phase, from 0 to T1 hr, accelerated movement phase, from T1 to T2 hr and speed maintenance phase, till 24 hr. At first phase, a cell moved slightly as like searching a local attachment site. Afterwards, the cell accelerated its speed and reached the maximum speed, Vmax. To estimate the cell migration speed, the migration index was defined as the value of the Vmax divided by T2-T1. The migration index of the MC3T3-E1 cells on fibronectin was 8.9, while those indexes on the type I collagen and laminin were respectively 5.3 and 5.1. These results suggested that all cells might have their own migration index according to their species or phenotypes and ECM type, and the migration speed could be inferred from those values without further study.
손주현,정재윤 대한간학회 2015 간학회 싱글토픽 심포지움 Vol.2015 No.2
Nonalcoholic fatty liver disease (NAFLD) is one of the most common causes of liver disease worldwide and includes a spectrum of liver damage, ranging from simple steatosis to nonalcoholic steatohepatitis (NASH), advanced fibrosis, and finally liver cirrhosis. Insulin resistance is an almost universal underlying condition of NAFLD, which is frequently associated with obesity and metabolic and endocrine disorders. So, recently NAFLD is recognized as a hepatic manifestation of metabolic syndrome. That means that patients with NAFLD have not only the increased risk of liverrelated death but also cardiovascular events and development of various cancers and that leads to multidiscipline approach to the treatment and study in this field. In addition, NAFLD may coexist with other liver diseases and aggravate the course of the liver injury. In Korea, the prevalence of NAFLD is also growing gradually with increases in aging, more sedentary life styles with a western diet, obesity, and metabolic syndrome. Here we shortly discuss the hepatologist`s future and perspective for NAFLD in Korea, especially focusing on the epidemiology, diagnosis, and treatment of NAFLD.