안영미_당선소감

안영미 고요아침 2019 열린시학 Vol.24 No.3

[안영미_당선작] 터널링 외 3편

안영미 고요아침 2019 열린시학 Vol.24 No.3

중증 미숙아의 뇌병변과 머리둘레 성장 간의 관계

안영미,이상미 한국아동간호학회 2011 Child Health Nursing Research Vol.17 No.4

본 연구는 중증 미숙아 79명을 코호트 집단으로 추출하여 뇌병변 유무에 따른 머리둘레 성장을 비교 분석한 결과 중증 미숙아의 뇌성장이 전반적으로 둔화되어있다는 점, 특히 뇌병변을 경험한 미숙아의 경우 상당 수준의 성장 둔화를 제시함으로써 중증 미숙아 퇴원 후 머리둘레 측정의 중요성을 강조하였다. 영아 초기의 뇌인지 발달 수준과 장애에 대한 임상적 증상은 일반인이 평가하기 어려운 영역이다. 이에 비해 머리둘레 측정은 줄자를 이용하여 간단히 측정할 수 있는 방법이므로 이를 통해 머리둘레 성장과 관련 뇌신경장애를 조기 발견할 수 있다. 이에 미숙아 등 뇌병변의 위험이 높은 영아 간호에 있어 의료인은 머리둘레의 측정의 중요성을 인지하고 이들의 NICU입원 동안은 물론 퇴원 이후에도 머리둘레에 대한 계속적인 관심과 더불어 추후관리를 제공해야 한다. 특히 이들에 대한 퇴원교육 시 주양육자에게 생후 초기 체중과 키 성장에 대한 내용과 더불어 머리둘레 측정의 중요성 및 측정법을 교육할 필요가 있다. 한편 본 연구 대상자 중 뇌병변을 가진 남아가 머리둘레 성장 측면에서 가장 불리한 조건을 보인 결과는 성장에 영향을 미치는 보다 근원적 요인으로 성에 의한 차이를 제시하고 있다. 즉 출생 시 상태는 성별 차이가 없었으나 출생 후 발생한 뇌병변에 대해 남아에게서 불리한 머리둘레 성장을 보인 것은 남아를 향한 진화적 비호의 가능성을 암시하는 바 추후 최적성장, 진화적 호의, 성별 등에 관한 보다 깊이 있는 탐색이 계속 되어야겠다.

고위험신생아를 위한 기관지흡인에 대한 실태조사

안영미,Ahn Youngmee 한국아동간호학회 1999 Child Health Nursing Research Vol.5 No.2

The goal of respiratory management in high risk infants is to maintain proper oxygenation by supporting respiration, therefore to minimize the secondary complications and to promote the maximum growth and development. While on artificial ventilator to achieve this goal, the infants require endotracheal suctioning(ETS) to remove lung secretions. However, the negative effects of ETS in neoates have been documented and include hypoxia, bradycardia, mucosal damage, increased intracranial pressure, and death result. The purpose of the study was to investigate how ETS is currently performed in NICU, which would be beneficial to develop the standardized ETS protocol and to apply it to these population. A national-wide survey on clinical protocol of ETS was performed to 149 neonatal nurses with the average of 3 years and 6 months experience in neonatal nursing, 34.2% of whom was bachelor in nursing. The results showed that about 89% of the nurses initiate En primarily based on the need of the subjects. The aseptic regulation on ETS was used in 83.9% of the subjects. There was no regulation on the length of catheter in 32.9% and on ID/OD ratio in 17.4%. Many nurses administered hyperoygenation/hyperinflation/hyperventilation based on personal knowhow, rather than scientific rationals (77.2%, 40.9%, 75.2%, retrospectively). About 41% of the nurse regulate subjectively the suction power, while 73.8% of them rotate the sub ject's head during suctioning and the half of the nurses was favorable in adapting the closed-suctioning protocol. With the findings of the study, the current clinical application of E% in neonates appears to be based on adult care practices, or personal preference, rather than scientific validation of the safety and effectiveness of the procedure. This study support the needs for developing and applying the standardized ETS protocolin conjunction with the consideration given to the physiologic characteristics of the neonates in respiratory distress.

폭우 외 2편

안영미 고요아침 2022 열린시학 Vol.27 No.3

고위험아동의 건강관리를 위한 최적적응건강이론

안영미 한국아동간호학회 2009 Child Health Nursing Research Vol.15 No.1

Child is a being and provides the genetic continuity of parents and society, and therefore the fitness of these children for survival, growth and development towards reproduction, is of significance to parents and society. The aim of health care for high-risk children is not only to minimize or eliminate health problems, but also to optimize their fitness. Considering that the health care of children is influenced by available resources of parents and society, and sociocultural values and paradigms in a given environment of evolutionary adaptedness (EEA), child health care professionals need to understand factors affecting the optimal fitness of children with risks. This paper introduces a new integrated theory for health care in high-risk children, entitled, Health for Optimal Fitness of High-Risk Children. Five main components were identified with associate concepts or midrange theories affecting heath for optimal fitness of high-risk children; EEA, optimal fitness, health problems, investment resources, and anthropological values. It may provide an integrated perspective on health of high-risk children in both the proximately biomedical approach and ultimately evolutionary approach as optimizing their fitness. Further study is needed to develop substantial statements between components with existential examples.

New Ballard Scale(NBS)의 확장 적용

안영미,김남희 한국아동간호학회 2007 Child Health Nursing Research Vol.13 No.4

한국産 葉茶에 관한 생약학적 연구

안영미,조은영 梨花女子大學校 藥學硏究所 1987 梨花藥學硏究 Vol.- No.26

The morphology, anatomy of mature leaves and physico-chemical characteristics of the extracts of various plants such as Eucommia ulmoides O_LIVER, Epimedium koreanum N_AKAI, Hydrangea serrata W_ILS, Gynostemma pentaphyllum M_AKINO and Diospyrus kaki T_H. were investigated in this study. The major findings are as follows. The rapides of bundle was found in the cortex and epidermal tissue of Hydrangea serrata leaves. The gutta percha was observed in the cortex and leaves of Eucommia ulmoides Oliver. The taste of tea depends on pH, alkaloid and saponin. The pH of all extracts is very weak acid∼neutral. Bitter taste is due to alkaloid in E. koreanum, and saponin component was major factor for the taste in G. pentaphyllum.

미숙아로 출생한 학령전기 아동의 비만도 측정과 관련 특성

안영미,손민,이상미,Ahn, Youngmee,Sohn, Min,Lee, Sangmi 한국아동간호학회 2018 Child Health Nursing Research Vol.24 No.2

Purpose: This study was conducted to measure adiposity and to investigate related factors in preschoolers born prematurely. Methods: A longitudinal follow-up study was conducted with 52 preschoolers at 5 years of corrected age among 343 preterm infants. Their adiposity status was evaluated based on measurements of body mass index, subscapular and triceps skin fold thickness (SFT), waist circumference, waist-to-height ratio, and mid-arm circumference at a home visit. Results: The findings showed that SFT measurements, particularly at the triceps, reflected the degree of adiposity more accurately than other conventional measures. A shorter gestation, older maternal age, and the mother having more years of formal education were associated with higher levels of adiposity in the preschoolers. Conclusion: The adiposity of children born prematurely needs to be thoroughly monitored with additional SFT measurements, considering the risk of accelerated growth patterns overriding regular catch-up growth in children born prematurely.

미숙아로 출생한 학령전기 아동의 인지능력과 영향요인

안영미,이상미 한국아동간호학회 2019 Child Health Nursing Research Vol.25 No.4

Purpose: This study was conducted to evaluate cognitive ability in preschoolers born prematurely and to investigate related factors. Methods: A prospective, longitudinal study was conducted with 64 children at 5-6 years of corrected age (CA) (second follow-up) among 76 children who had been assessed at 2.0~3.5 years of CA (first follow-up) from a sample of 343 preterm infants born from 2008 to 2010. To evaluate each child’s cognitive ability, during a home visit, we used the Kaufman Assessment Battery for Children-II (KABC-II) at the second follow-up. To explore factors related to cognitive ability, we measured children’s hemoglobin level at the second follow-up and used the data collected in our previous study, including the Bayley Scale of Infant Development-II (BSID-II) at the first follow-up. Results: The mean total KABC-II quotient was 117.0±14.4. The 5-minute Apgar score (β=.29, p=.006), hemoglobin level (β=.22, p=.032), and the mental development index quotient of the BSID-II (β=.51, p<.001) were statistically significant predictors of the KABC-II quotient in multiple linear regression analysis. Conclusion: The cognitive function of young children born prematurely was influenced by early neurodevelopment and factors reflecting their health status, such as anemia and a low 5-minute Apgar score.