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신영희,박영숙 한국간호과학회 1995 Journal of Korean Academy of Nursing Vol.37 No.2
Pain management of postoperative patients or patients suffering from terminal cancer became one of the most important task of nurses in recent years. This study analyzed basic knowledge of 175 student nurses in Taegu on the pain assessment and management. The questionnaires included five areas : Assessment, pharmacological actions, medication, classification of opioids, and psychological dependence of analgesics. The results indicated that nursing students, in general, lacked knowledge on pain management : Correct responses on pain assessment varied between 9.7 and 100% , classification of opioids was in ranges of 61.7 to 95.4% ; Pharmacological actions was 16.6 to 80% : and medication was 14.9 to 85.7%. Less than 12.6% of students correctly identified the frequency of psychological dependence. These results suggested that the need of reinforcement on the pain management in formal nursing education.
Risperidone in a child with untractable emergency delirium -a case report-
신영희,이승현,김대윤 대한마취통증의학회 2016 Korean Journal of Anesthesiology Vol.69 No.6
A 6-year-old boy was scheduled for thoracic magnetic resonance imaging under deep sedation with midazolam 1.8 mg and propofol 100 μg/kg/min via intravenous injection. He showed emergence delirium in the post-anesthesia care unit. The staff attempted to calm him by administering flumazenil as an antidote for midazolam, propofol for further sedation, and meperidine. However, this was not successful. A psychiatrist recommended the use of antipsychotics. Administration of risperidone led to immediate resolution of the boy’s symptoms and relaxed him. The use of antipsychotic drugs is not common for anesthesiologists, but should be considered for treating uncontrolled emergence delirium after anesthesia.
배낭형 책가방 사용습관이 아동의 근골격계 통증과 연관이 있는가?
신영희,김진선,이성혜 한국아동간호학회 2008 Child Health Nursing Research Vol.14 No.2
Purpose: The purposes of this study were to investigate extent of backpack use and incidence of musculoskeletal pain, and to identify the relationship between backpack use and musculoskeletal pain. Method: A descriptive correlational study was conducted in one elementary school and one middle school in D city. Participants were 273 children, aged 12-14, who completed a self-administered questionnaire. Body weight, height, and backpack weight of participants were measured. Results: Mean backpack weight was 3.78 Kg and relative backpack weight (RBW) was 7.42%. Of backpack users, 23.8% carried more than 10% of their RBW and 9.2% carried more than 15%. Only 44.3% organized the contents in their backpack correctly. For more than three fourth of the students (76.2%), the bottom of backpack in the standing position drooped more than 10 cm below the waistline, and 46.3% complained of musculoskeletal pain. Use of a waist belt was significantly related to musculoskeletal pain. Conclusions: A considerable proportion of school children were not following guidelines for safe backpack use. Although the relationship between backpack use and musculoskeletal pain in this study was not significant, the fact that 46.3% of the students experienced musculoskeletal pain is very meaningful information. Further research is required to identify the risk factors of musculoskeletal pain among children.
신영희,김정수,이종환,심우석,고저스틴상욱,조현성,Hui Yeon Jeong,이혜원,Sang Hyun Kim 대한마취통증의학회 2011 Korean Journal of Anesthesiology Vol.61 No.6
Background: The aim of this study was to evaluate whether slow injection of diluted rocuronium could reduce rocuronium-induced withdrawal movements effectively in children. Methods: After loss of consciousness, rocuronium 0.6 mg/kg was administered into 171 children according to the pre-assigned groups as follows: Group CF, injection of non-diluted rocuronium over 5 seconds; Group CS, injection of non-diluted rocuronium over 1 minute; Group DF, injection of diluted rocuronium (10 times) over 5 seconds;Group DS, injection of diluted rocuronium over 1 minute. An investigator who was blind to the injection techniques recorded patient movements followed by rocuronium injection. Results: The incidence of withdrawal movement in Group CF was highest among the groups (all P < 0.0001). Moreover, withdrawal movement was less frequently observed in Group DS than in Groups CS and DF (P = 0.021 and P = 0.007, respectively). Conclusions: Slow injection of diluted rocuronium reduced the incidence of withdrawal movements in children.