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편측 안면경련 환자에서 미세혈관감압술 후 두개절제부위의 재건
박정윤,고은정,최하영 대한신경외과학회 2002 Journal of Korean neurosurgical society Vol.32 No.3
Objective:This study is designed to demonstrate a relationship between reconstruction methods of the craniectomy site and the development of postoperative complications including headache, tinnitus, and operation site pain after microvascular decompression(MVD) in patients with hemifacial spasm. Methods:This study included 44 consecutive patients who underwent MVD due to hemifacial spasm from 1995 to 2001. Craniectomy site was reconstructed with only Gelfoam(group 1) in 20, the bone dust and Gelfoam(group 2) in 11, the bone chips and Gelfoam(group 3) in 13. Group 1, 2 were studied retrospectively and group 3 was studied prospectively on the postoperative complications. Results:Postoperatively, wound infection occurred in 3(6.8%), headache in 14(31.8%), operation site pain in 17(38.6%), tinnitus in 15(34.1%), hearing loss in 1(2.2%). Wound infection was noticed in 5% of group 1, 18.2% of group 2, and none of group 3. Headache developed in 45% of group 1, 27.3% of group 2, and 15.4% of group 3. Operation site pain was noticed in 50% of group 1, 27.3% of group 2, 15.4% of group 3. Tinnitus revealed in 45% of group 1, 18.2% of group 2, 30% of group 3. Conclusion:Reconstruction of the craniectomy site with the bone chips in patients with hemifacial spasm might have effects on diminution of the postoperative headache, operation site pain and wound infection. Key words:Microvascular decompression(MVD);Hemifacial spasm;Bone chip.
가족사례관리사업 운영 현황 및 효율성 제고 방안에 관한 연구: 서울지역 건강가정·다문화가족지원센터를 중심으로
박정윤,박연숙,전미경 한국가족자원경영학회 2019 가족자원경영과 정책 Vol.23 No.1
The main purpose of this study are to investigate the current situation of family-centered case management practices by case managers working in the healthy family support centers and multi-cultural family support centers, in order to propose a practical direction for improving the efficiency of family-centered case management services. Research participants included 24 case manager working in the healthy family support centers and multi-cultural family support centers in Seoul, who have performed case management services for families for one to 7 years. The Date was collected through focus group interview(FGI) and demographic characteristics research. The results of this study are as follows: first, in the area of cognition about family-centered case management conceptualization, confused and ambiguous. Seconds, in the area of practicing as a case manager, there were limitations and biases in community resources contact and multiple intervention and limited sharing information between organizations. Third, family-centered case manager’s have periodically been requested to provide diverse training and education for performance of challenging case managers roles. The Standardized manual and burnout precautions should also be prepared.