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이차성 자연기흉 환자에게 폐쇄식 흉관삽입술로 인한 재팽창성 폐부종에 관한 증례보고
오선우,김수완 제주대학교 의과학연구소 2021 The Journal of Medicine and Life Science Vol.18 No.3
Although re-expansion pulmonary edema (RPE) is rare (incidence rate <1%), it is associated with a mortality rate of >20%; therefore, early diagnosis and treatment are important. We report a case of RPE following chest tube insertion in a patient with spontaneous pneumothorax. We have specifically focused on the mechanism underlying RPE and the possible etiology. An 82-year-old man with a history of chronic anemia, chronic obstructive pulmonary disease, diabetes mellitus, and hypertension was referred to the emergency department for management of recurrent right-sided pneumothorax. We performed emergency closed thoracostomy for suspected tension pneumothorax, which led to stabilization of the patient’s vital signs; however, he coughed up frothy pink sputum accompanied by severe right-sided chest pain 30 min postoperatively. The patient showed new-onset right pulmonary consolidation on chest radiography, as well as desaturation, tachycardia, and tachypnea and was diagnosed with RPE. He was transferred to the intensive care unit for mechanical ventilation and supportive treatment using diuretics, ionotropic agents, and prophylactic antibiotics. RPE gradually resolved, and the patient was extubated 3 days after admission. He has not experienced recurrent pneumothorax or pulmonary disease for 4 months. We emphasize the importance of RPE prevention and that aggressive ventilator care and supportive treatment can effectively treat RPE following an accurate understanding of the underlying pathogenetic mechanisms and risk factors.
완벽주의적 자기제시와 외로움의 관계 : 정서표현 양가성, 사회적지지 및 관계욕구 충족을 중심으로
오선우,서수균 한국청소년상담복지개발원 2016 청소년상담연구 Vol.24 No.2
본 연구는 완벽주의의 대인관계적 측면인 완벽주의적 자기제시와 외로움의 관련성을 살 펴보고, 이들 간의 관계에서 사회적지지, 정서표현 양가성 및 관계욕구 충족의 매개효과 를 알아보고자 수행되었다. 이를 위해 부산 소재 남녀 대학생을 대상으로 완벽주의적 자 기제시 척도, 정서표현 양가성 척도, 사회적지지 척도, 기본 심리적 욕구 척도, 외로움 척 도를 실시하였고, 344명의 자료가 최종분석에 사용되었다. 완벽주의적 자기제시, 정서표 현 양가성, 사회적지지, 관계욕구 충족, 외로움 간의 상관을 알아보았고, 매개효과를 살펴 보기 위해 구조방정식 검증을 수행했다. 연구 결과는 다음과 같다. 첫째 완벽주의적 자기 제시는 외로움과 유의한 정적 상관을 보였고, 정서표현 양가성과는 유의한 정적 상관을, 사회적지지 및 관계욕구 충족과는 유의한 부적 상관을 보였다. 둘째 정서표현 양가성, 사 회적지지 및 관계욕구 충족은 완벽주의적 자기제시와 외로움 간을 매개 했다. 본 연구는 완벽주의적 자기제시가 외로움에 영향을 미치는 과정을 설명하는 변인인 정서표현 양가 성, 사회적지지 및 관계욕구 충족의 매개효과를 밝혔다는 점에서 의의가 있다. The purpose of this research is to verify mediating effect of Ambivalence over Emotional Expressiveness, Social Support, Satisfaction of Need for Relatedness to establish a specific relationship between Perfectionistic Self-presentation and Loneliness. The Perfectionistic Self Presentation Scale-K, Ambivalence over Emotional Expressiveness Questionnaire-K, Social Support Scale, Basic Psychological Need Scale-K, UCLA loneliness Scale-K were implemented. A total of 344 people’s Data were analyzed. The structure equation model analysis with AMOS was performed in order to verify of mediating effect. The major findings of this study can be summarized as follows. First, Perfectionistic Self-presentation was positively associated with Ambivalence over Emotional Expressiveness and Social Support. Second, Ambivalence over Emotional Expressiveness had an effect on Social Support, Need for Relatedness and Loneliness and Loneliness. Third, Social Support influenced Satisfaction of Need for Relatedness and Loneliness. Fourth, Satisfaction of Need for Relatedness significantly influenced Loneliness. Results suggest that the mediation roles of Ambivalence over Emotional Expressiveness, Social Support and Satisfaction of Need for Relatedness are important in the relation of Perfectionistic Self-presentation and Loneliness. Given these results, in order to promote intimacy relationship among people with perfectionistic self-presentation, it is necessary to enhance social support and to reduce ambivalence over emotional expressiveness.