광주광역시 응급의료 전달체계에 관한 연구

권혜란 광주보건대학 2000 論文集 Vol.25 No.-

There have been 22 emergency rescue teams including 119 and about 64% of special ambulance and general others(van type) in Kwangiu City. Equipment condition in ambulance is almost 100% fitted to the standard of the Ministry of Government Administration and Home Affairs and there are 96 rescuing crew of which 15 (15.6%) ones are unqualified. Total 41 times of rescuing and emergency measure education are practiced by means of entrusted education and one by their own fire fighting band. It is researched that total numbers of 119 rescuing reports are 10,149 which 7,907 cases of them are transferred, 2,242 cases are not. The distinction of sex show 4,899(57.9%) cases of men, 3,563(42.1%) of women among the 8,462 cases of transferred patients. Also the distinction of area, SeoBu Fire Station have showed the highest transferred cases. It usually takes between 31~60 minutes to transfer of emergency patients. As a result of this research, Kwangju city, which was specific regional conditions, must, among are the things, unify the receipt desk, modernize equipment, exchange general ambulances for special ones, strengthen qualified rescue crews, and repeatedly educated those chrews in order to establish an emergency medical system capable of providing better medical service to it's residents. Therefore, I think that the emergency medical system which is suitable to our country and reasonably acceptable to all conditions before mentioned and positive and future oriented role alble to solve all matters needed to manage the emergency medical system are required and for all of this arduous labor interest are need.

치매환자 간호에서의 탈진경험 : 현상학적 접근

권혜란,오미성 한국노년학연구회 1999 한국 노년학연구 Vol.8 No.-

When patients with irreversible dementia show severe deterioration in cognitive abilities, caretakers begin to perceive it as stressful situation. Caregiving burden or stress, which can result in burnout, was understood through in-depth interview with two primary caregivers who were family members of the dementia patients. It seemed that both of them have experienced psychological distress so seriously. Nevertheless, they expressed their filial duty of taking care of the patients as far as the patients are alive. The findings were discussed in the context of suggesting that burnout prevention education program should be given to the caregivers as well as the general population.

응급의료센터를 내원한 헬기이송 환자의 분석

권혜란,이영현,조남수 광주보건대학 2000 論文集 Vol.25 No.-

This study was a synoptic assessment of availability of the emergency medical transport by EMS helicopter. There have been 3 helicopters that belong to the Chonnam Regional Police Department. All of them could have been used in transporting emergency medical patients, especially when the patients would be islanders or be occurred in mountainy areas. During the past 5 years from the early 1995 to the late 1999, however, a total of 27cases were transported to the Chosun Univertiy Emergency Medical Center by EMS helicopter. In order to augment the availability or feasibility of the patient transport by EMS helicopter, the emergency medical technician or staff should be accompanied. At the same time, the merits of using the EMS helicopter should be disseminated to the general population.

병원 전 단계 응급의료 서비스 개선방안에 관한 연구 : 119 구급대원과 응급실 간호사의 응급처치 지식 및 기술 숙련도 비교

권혜란,Kwon, Hay-Ran 한국지역사회간호학회 1998 지역사회간호학회지 Vol.9 No.2

During the past decade or so in Korea, 119 relief squad members were supposed to respord first urgent or emergency cases. The primary purpose of this study was to assess what levels of knowledge and techniques in prehospital care the 119 relief squad members showed. Data regarding the knowledge and technique levels were collected from both the 119 relief squad members (n=63) and the emergency room nurses(n=46). The Results indicated that the 119 relief squad when compared to emergency nurses, showed higher scores for knowledge and techniques in some areas of prehospital care but not in other areas, However, no differences in knowledge and technique were found when the ANOVAs were calculated with two covariates : duration of their career in emergency medical services and frequency of their exposure to lectures on emergency medical technology. In addition, many respondents in the 119 relief squad group rated themselves poorly in knowledge and techniques of prehospital care, The findings imply that qualitatively better curricula should be given to the 119 relief squad members before they are allowed to play an important role in the emergency medical service system. These findings are also discussed in the context of improving the emergency medical service system.

일부지역 119 노인전용구급차(Silver Ambulance)의 활동분석 및 발전방안

권혜란,Kwon, Hay-Rran 한국응급구조학회 2007 한국응급구조학회지 Vol.11 No.3

This study analyzes use and operation of silver ambulance with 110 patients who had used silver ambulance in Gwangju and Jeonnam regions from June of 2006 to June of 2007 and 53 paramedics who are involved directly in ambulance operation and the results of this analysis are as follows. 1. Users' health conditions, 69.1% of users answered as bad and 67.3% suffered from chronic diseases over 3 months and it was found that they used silver ambulance due to their bad health conditions. 2. Cronbach's alpha was 0.630 and family function index was generally reliable and solution was high as 1.60, but total points were low as 7.11 and it was considered that they had family troubles. 3. On the question of ambulance use, 44.5% answered they used it because it is free, 53.6% used it for appointed medical examination and treatment and 18.1% used it for emergency. 4. Degrees of satisfaction with ambulance and paramedics were 95.4% and 76.4% respectively and 80.0% of ambulance users answered ambulance arrived quickly within 15 min. 5. Correlation($x^2 $) between family or relative's residence and frequency of visits was 86.367 and its significance probability was 0.00 and it was found that it was significant in the level of 0.1%, but correlation($x^2 $) between visitors other than family or relatives and frequency of visits was 14.768 and its significance probability was 0.25 and it was found that it was not significant in the level of 5%. 6. Correlation($x^2 $) between transfer operation speed and mobilization time was found that it was not significant in the level of 5%. Correlation($x^2 $) between their own health condition purpose of ambulance use was 13.802 an 5.696 and its significance probability was 0.93 and it was found that it was not significant in the level of 1%, and it was considered because paramedics carried patients with safe operation.

말기신부전 환자에서 복강 내 림프절에서 확인된 ALK 재배열 폐선암종

권혜란,송성헌,좌혜영,김현,하창원,한상훈 대한내과학회 2019 대한내과학회 추계학술대회 Vol.2019 No.1

응급의료서비스 중 발생되는 소송사례와 대책 연구

권혜란 한국응급구조학회 2009 한국응급구조학회지 Vol.13 No.3

섬폐소생술 시행 위치변회에 따른 흉부압박의 질 비교

권혜란,박대성 한국응급구조학회 2011 한국응급구조학회지 Vol.15 No.1

보건계열 학부생의 대학생활 스트레스, 우울 취약성 및 스마트폰 과다사용의 관련성

권혜란,박시은,박대성 한국응급구조학회 2013 한국응급구조학회지 Vol.17 No.3

심폐소생술 시행 위치변화에 따른 흉부압박의 질 비교

권혜란,박대성 사단법인 한국응급구조학회 2011 한국응급구조학회지 Vol.15 No.1

Purpose : This study is equivalence experiment performed to test practice effects between experimental group from both left and right direction of mannequin and control group having practice from only right direction in cardiopulmonary resuscitation education. Methods : Subject of the research were total 71 elementary and middle school teachers in J province who had not experience to have cardiopulmonary resuscitation. They were divided into experimental group of 35 participants who practiced cardiopulmonary resuscitation from both right and left direction of mannequin on Dec. 27, 2009 and control group of 36participants who performed cardiopulmonary resuscitation from only right direction of mannequin on Dec. 28, 2009. Collected data were analyzed by SPSS/PC+(version 14.0). Results :1. There was no statistically significant difference by sex among general characteristics of the subjects. 2. According to the quality of chest compression performed from the right direction of mannequin, experimental group showed better results in proper depth (time), insufficient depth (time), too lowered compression position (time) and inexact position (time) than control group(p< .05). In the quality of chest compression from the left side of mannequin, experimental group performed better results in proper depth (time),insufficient depth (time), inexact compression position (time) and mean chest compression depth(mm) than control group(p<.05) and also in more left-centered compression position (time) than control group(p<.001). 3. The quality of chest compression by experimental group, the right side of mannequin was superior in proper depth (time) to the left side of mannequin (p< .001) and showed better results in insufficient depth (time) and chest compression/recoil rate (p< .05). According to the quality of chest compression by control group, the right side of mannequin showed superior results in proper depth (time), insufficient depth (time), too left-centered compression position (time) and mean chest compression depth (mm) (p<.05) to the left side of mannequin. Conclusion : The group having practice from both right and left sides of mannequin was superior in the quality of chest compression to the group having practice from only right side of mannequin. How to practice cardiopulmonary resuscitation from both right and left sides of mannequin can be recommended and practice from left side of mannequin is also useful.