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성인여성의 생애주기별 자각하는 피부상태 및 피부건강관리행태
박옥향 ( Ok Hyang Park ),정주임 ( Ju Im Jung ),강수경 ( Soo Kyung Kang ) 한국미용학회 2013 한국미용학회지 Vol.19 No.6
The purpose of this study is skin conditions, skin problems, skin phototype, skin health care types which were perceived by adult females of different life cycle such as the early adults, the mid-life, and the elderly. The results of this study can be summarized as follows. The perceived skin conditions of different life cycle were various. On the item of ‘sticky vs. moistless’, ‘sensitive vs. insensitive’ and ‘thick vs. thin’, the elderly perceived their skin ‘moistless’, ‘insensitive’ and ‘thin’, more than the mid-life and the early adults. On the item of ‘dryvs. moist’, ‘inelastic vs. taut’, and ‘rugged vs. smooth’, which showed significant difference. On the item of ‘coarse vs. sleek’ and ‘dark vs. white’, the early adults perceived their skin ‘sleek’ and ‘white’ more than the mid-life and the elderly. On the item of ‘shallow vs. lively’, the early adults and the elderly perceived their skin ‘lively’ more than the mid-life. On the skin problems depending on the life cycle, more of the elderly regarded wrinkles, pigmentation, dark skin color, small vein burst as their skin problems, and the more early adults perceived the sensitivity and skin rash as the skin problems, which showed significant difference. On the skin phototype, the order of the elderly were the type II, III, and, the mid-life were the type II, I, and III, and the early adults were the type I, II, and III, which showed significant difference. Skin health care types were classified by five factors; eating habits, skin care, sources of skin care, lifestyle, and personal preference of drinking or smoking. The elderly were more active in skin health care in eating habits, lifestyle, and personal preference, while the early adults were more active in skin care and sources of skin care, where significant differences were found.
중환자실 흡인간호 및 인공호흡기관리 표준화를 통한 인공호흡기 관련 폐렴발생 감소효과에 관한 연구
송경자,유정숙,권은옥,정은자,신현주,박옥향,옥순옥,유미,윤선희,이복남,최진아,황정해,오향순,Song, Kyung Ja,Yoo, Cheong Suk,Kwon, Eun Ok,Jung, Eun Ja,Shin, Hyeon Ju,Park, Ock Hyang,Ok, Sun Ok,Yu, Mi,Yun, Sun Hee,Lee, Bok Nam,Choi, Jin Ah,Hwan 한국의료질향상학회 2001 한국의료질향상학회지 Vol.8 No.1
Background : This study aimed at identifying the effect of the standardized protocol on lowering the incidence of the ventilator associated pneumonia(VAP). Methods : The standard protocol focusing on decreasing VAP was made and applied at 5 ICUs (Medical ICU, surgical ICU, Respiratory ICU, Neonatal ICU, Pediatric ICU) in a university affiliated tertiary hospital, from April 1, 2000 to Oct 31, 2000. The protocol involved 3 parts : hand washing, the suctioning method and ventilator circuit management. All the nursing personnel received intensive education which was consisted of lecture, video film and demonstration. 176 nurses reported the performance of handwashing pre and post intervention. And randomly selected 15 nurses were observed by charge nurse and the handwashing practice was analyzed pre and post intervention. The incidence of VAP was compared with the former year incidence. Results : The self reported frequency of hand washing increased. In the direct observation of handwashing, the frequency, time, thoroughness of hand washing during 8 hours day duty was found to be improved. The frequency was increased from 1.1 time to 4.1 times; the time was improved from 1.7 seconds to 5.7 seconds and the thoroughness of the washing practice was from 0.2 times to 3.0 times respectively (p<0.001). The incidence of VAP decreased from at a rate of 15.63 number of case per 1,000 ventilator-day (April 1~August 31, 1999) to 7.23 number of case per 1,000 ventilator-days(April 1~Oct 31, 2000)(P<0.001). Conclusion : We developed the protocols which included hand washing, the suctioning method, and ventilator circuit management. Through the implementation of the protocol, the performance of hand washing improved and the VAP incidence rate in ICU was decreased.