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김종화 ( C H Kim ),이동민 ( D H Lee ),김용성 ( Y S Kim ),최보금 ( B G Choi ),박주형 ( J H Park ),김신재 ( S J Kim ),이치국 ( C K Lee ),전현순 ( H S Jeon ),류완희 ( W H Yoo ),곽재용 ( J Y Kwak ),백홍선 ( H S Baek ) 전북대학교 의과학연구소 2001 全北醫大論文集 Vol.25 No.1
ASU 치료는 증상을 갖고 있는 슬관절의 골관절염 환자의 통증 개선과 관절 기능을 호전시키고, 약물투여 중지 후에 지속효과를 갖는 증상개선 약제로서 안전하게 사용할 수 있을 것으로 보인다. 소염진통제인 naproxen과의 병용치료와의 비교에서는 병용치료 군에서 효과의 발현시기와 전반적인 평가에서는 우월하였으나, 부작용이 보다 많이 발생하였다. 따라서 ASU를 골관절염의 약물치료의 한 방법으로 사용될 수 있을 것으로 보이며, 단순진통제 및 소염진통제 등의 약물 등과 같이 단일요법으로서의 사용과 다른 약물과의 병용치료의 효과 및 안정성에 대해서는 보다 많은 연구가 필요할 것으로 보인다. Objective: To compare the efficacy and safety between avocado/soybean unsaponifiables (ASU) alone and ASU-naproxen combination in the treatment of symptomatic osteoarthritis (OA) of the knee and to determine persistent efficacy after stopping medication and gastrointestinal tolerability. Methods: One hundred twenty-five patients with symptomatic OA of the knee were included in 20-week trial with 12-week treatment period and 8-weeks post-treatment follow-up. Efficacy was evaluated by Lequesne`s index (LI), pain score (VAS; visual analong scale. 10cm) at 4-week interval during the study and physician`s and patient`s global assessment at 20th week. Gastrointestinal side effects were evaluated by questionnaire for gastrointestinal symptoms and number of the ingested antacids during the study. Results: Sixty-three patients were received ASU alone, while sixty-two patients were received ASU and naproxen. Mean±SD scores of pain VAS score were reased from baseline at 8th and 12th weeks after medication in the former groups and 4th, 8th and 12th weeks in the latter groups. Mean±SD scores of LI were decreased from baseline at 12th week after medication in the former groups and 4th, 8th, 12th week in the latter groups. Both scores of LI and pain VAS were maintained at 8th week after stopping medication. The scores of LI and pain VAS scale were significantly decreased in combination group than ASU alone group at 4th and 8th weeks, but tended to lower in combination group at 12th week and post-treatment period. The improvement of physician`s global assessment was seen in 65.4% of combination and 53.2% of ASU alone group. The patient`s global assessment was similar to it. Twenty-six patients (20.8%) could not complete the 20-week study and the causes are different in two groups: side effects are more common cause in combination group and low efficacy and non-compliance were more common in ASU alone group. Gastrointestinal side effects are the most common adverse effects of the both groups, and the frequencies are more common in patients received naproxen as a combination therapy. Conclusion: ASU showed immediate and persistent efficacy in the treatment of patients with symptomatic OA of the knee. The combination of ASU and naproxen was more effective than ASU alone during the treatment period, but similar at post-treatment period. Gastrointestinal side effects were more frequent in combination group than ASU alone.
임상실습 간호대학생의 공감능력, 의사소통능력, 심리적 소진 간의 관계
고재원,김지은,박진영,서혜영,신유진,이동민,정다은,진서정,최서원,XIE WEI,YANG JING,배성희,손지희 이화여자대학교 간호학회 2018 이화간호학회지 Vol.- No.52
Purpose: The purpose of this study was to determine the relationship among empathy ability, communication ability, and psychological burnout in nursing students on clinical practice. Method: Data was collected using questionnaires between September 20th, 2017 to January 2th, 2018. Participants of this study were 159 of grade 3 and 4 nursing students who had completed at least one semester of clinical practice experience and currently attending universities located in Seoul. Data were analyzed using percentage, average, standard deviation, t-test, one-way ANOVA, Scheffe’s test and Pearson’s correlation coefficient using the SPSS WIN 24.0 program. Results: The empathy ability was positively correlated with communication ability(r=.437, p=.000). And the communication ability was negatively correlated with psychological burnout(r=-.390, p=.000). Also the empathy ability was negatively correlated with psychological burnout(r=-217, p=.006). Conclusion: These results suggest that psychological burnout is closely related to empathy ability and communication ability. Based on these results, empathy ability and communication ability need to be increased by efficient management and intervention to decrease the degree of psychological burnout in nursing students. Also, the findings should be considered when developing plans or education programs for nursing students’ major adjustment.