Effect of Gd-based MR contrast agents on CT attenuation of PET/CT for quantitative PET-MRI study

오인옥,박지애,이원호,임상무,김경민 대한방사성의약품학회 2015 Journal of radiopharmaceuticals and molecular prob Vol.1 No.2

We evaluate the influence of MR contrast agent on positron emission tomography (PET) image using phantom, animal and human studies. Phantom consisted of 15 solutions with the mixture of various concentrations of Gd-based MR contrast agent and fixed activity of [18F]FDG. Animal study was performed using rabbit and two kinds of MR contrast agents. After injecting contrast agent, CT or MRI scanning was performed at 1, 2, 5, 10, and 20 minutes. PET image was obtained using clinical PET/CT scan, and attenuation correction was performed using the all CT images. The values of HU, PET activity and MRI intensity were obtained from ROIs in each phantom and organ regions. In clinical study, patients (n=20) with breast cancer underwent sequential acquisitions of early [18F]FDG PET/CT, MRI and delayed PET/CT. In phantom study, as the concentration increased, the CT attenuation and PET activity also increased. However, there was no relationship between the PET activity and the concentration in the clinical dose range of contrast agent. In animal study, change of PET activity was not significant at all time point of CT scan both MR contrast agents. There was no significant change of HU between early and delayed CT, except for kidney. Early and delayed SUV in tumor and liver showed significant increase and decrease, respectively (P<0.05). Under the condition of most clinical study (< 0.2 mM), MR contrast agent did not influence on PET image quantitation. J Radiopharm Mol Probes 1(2):130-136, 2015

정신과 환자의 폭력행동 예측과 중재에 따른 치료진의 폭력노출 감소

오인옥,외 간호사 9인,김호중,외 보호사 3인,고광범,외 전공의 3인 한국의료QA학회 2008 가을학술대회 Vol.2008 No.3

간호 요구에 기반한 정신건강의학과 입원환자 분류체계 개발

오인옥,남경아 한국정신간호학회 2020 정신간호학회지 Vol.29 No.3

Purpose: The purpose of this study was to develop and validate the Psychiatric Inpatient Classification System (PICS) based on nursing care needs of psychiatric inpatients. Methods: The preliminary items of the PICS based on the Korean Patients Classification System-1 (KPCS-1) were revised through literature review and interviews with psychiatric nurses. Content validity was assessed by 11 psychiatric nursing experts. In a convenience sample of 154 psychiatric inpatients, nurses reported nursing activities performed for their patients using the PICS. Criterion validity of the PICS was evaluated by testing correlation between the PICS and the Subjective Patient Classification (SPC). To identify groups of patients, the cluster analysis was performed with the PICS as a cluster variable, and cluster analysis was used. Results: The final PICS comprised 12 nursing areas, 61 nursing activities, and 104 items. Significant correlation between the PICS and the SPC showed criterion validity of the PICS. Conclusion: Results suggest a patient classification system based on psychiatric nursing needs. This will improve the quality of psychiatric nursing by providing substantial data on an appropriate ratio of psychiatric nursing staffing.

정신건강간호의 실체규명을 위한 업무경험 탐색

오인옥,남경아 한국정신간호학회 2018 정신간호학회지 Vol.27 No.4

Purpose: This study aimed to explore the essentials of psychiatric and mental health nursing by identifying the care experience of the psychiatric nurses. Methods: Eleven psychiatric nurses were recruited across five geographical areas in the Korea. Data were collected using semi-structured interviews from two focus groups, which were analyzed with an inductive content analysis. Results: Participants constructed two categories including ‘nursing tasks for the client’ and ‘nursing tasks for the organization’. Subcategories of nursing tasks for the client are ‘staying alert on crisis prevention’, ‘leading them to be real with eager and persistent will’, ‘nursing beyond role boundaries’, ‘tuning the needs of clients’ family’, ‘taking journey with clients’ personal life history’, and ‘doing invisible but recognizable nursing’. Subcategories of nursing tasks for the organization are ‘working as a responsible team member’, ‘integrating team competencies at the center of team’, and ‘balancing protection and control’. Conclusion: Psychiatric nurses played professional and holistic care roles for the clients, and managerial roles for the organizations. This study provides essential data for defining psychiatric nursing and estimating the appropriate ratio of psychiatric nursing staffing.

인지행동 집단치료가 여대생의 우울과 자아존중감에 미치는 효과 : 간호대학생을 중심으로

오인옥 대한간호학회정신간호학회 1998 정신간호학회지 Vol.7 No.2

The purpose of this study is to identify the effect of a cognitive behavioral group therapy on the depression and self-esteem of college women. This study employed a one group pre-post test study design. The data were collected from 10 subjects from October 8 December 17th, 1998 in a Y. University in Seoul. Korea. The cognitive behavioral group therapy used in this study was developed based upon the cognitive behavioral therapy of Beck(1978). The subjects were participated in the therapy 90 minutes or 2 hours a session for 8 session. The session was opened once or twice a week. Beck Depression Inventory of Beck(1978) and Self-Esteem Inventory of Coopersmith(1968) were the instruments to collect the data. Data analysis was done using SPSS Windows and Wilcoxon sign rank test used to find the differences between pre-test and post-test. There were 10 subjects in thise group. This group has 3 freshmans, 1 sophomore, 3 juniors and 3 seniors and average age of subjects was 21.1. This study indicated that the depression was significantly decreased and the self-esteem was significantly increased after the therapy indicating the positive effect of the therapy. As a conclusion, this cognitive behavioral group therapy was effective in improving the depression and self-esteem of college women.

국내 의료기관의 표준진료지침 개발 및 운영 현황

오인옥,장태익,김현진,한정미,이천균 한국의료질향상학회 2022 한국의료질향상학회지 Vol.28 No.1

Purpose: This study assessed the status of the Development and Utilization of critical pathways (CP) in South Korea. Methods: We surveyed 195 hospitals obtained on the Korean Hospital Association website. Data were collected using structured questionnaires for staff members in charge of CP management personnel in these hospitals. The questionnaire included CP developed by the institutions, the coverage rates and completion rates of CP in the current year, and management indicators related to CP. The questionnaire also included CP support systems and content within the institutions and questions regarding the advantages of CP utilization and obstacles associated with the CP development process. Results: Analysis of the responses from 70 hospitals (35.9% response rate) showed that a total of 1,370 CP sets were developed. The number of CP related to surgery departments was 365 (26.6%), and CP related to surgery and procedure was 1,093 (79.8%), respectively. The CP coverage rate was the most frequently used indicator to monitor the effect of CP (97.1%), followed by the completion rate (90.0%) and the length of stay in hospital (61.4%). CP managers reported that CP were highly useful for communication (3.39±0.493) and accurate information provision (3.39±0.491). The perception that CP violated doctors’ autonomy in treatment was relatively low (2.87±0.645). Conclusion: It is necessary to establish an infrastructure in hospitals for CP. CP can facilitate communication and provide accurate information.

근거기반의 수술 후 오심·구토 관리 프로토콜의 개발 및 임상적 평가

오인옥,유재용,오의금 기초간호자연과학회 2017 Journal of korean biological nursing science Vol.19 No.2

수술 후 오심 및 구토(postoperative nausea and vomiting, PONV)는 비교적 흔히 나타나며, 수술 후 통증 못지않게 고통스러운 증상으로 알려져 있다. 일반적으로 수술 후 오심과 구토는 수술 후 24시간 이내에 발생하는 것을 말하며, 전체 수술 환자의 32-91%에서 발생하는 것으로 보고된다[1].

정신질환자 가족의 돌봄경험 구조모형

오인옥(Oh, In Ohg),김선아(Kim, Sunah) 한국간호과학회 2015 Journal of Korean Academy of Nursing Vol.45 No.1

Purpose: This study was done to develop and test a structural model for caregiving experience including caregiving satisfaction and caregiving strain in families providing care for family members with a mental disorder. Methods: The Stress-appraisal-coping model was used as the conceptual framework and the structural equation model to confirm the path that explains what and how variables affect caregiving experience in these families. In this hypothesis model, exogenous variables were optimism, severity of illness and uncertainty. The endogenous variables were self efficacy, social support, caregiving satisfaction and caregiving strain. Data were collected using structured questionnaires. Results: Optimism and caregiving self-efficacy had significant direct and indirect effects on caregiving satisfaction. Optimism, severity of illness and uncertainty had significant direct and indirect effects on caregiving strain. The modified path model explained effects of optimism on caregiving self-efficacy with social support in the path structure as a mediator. Also, there were direct and indirect effects of optimism and uncertainty on caregiving satisfaction with social support and caregiving self-efficacy in the path structure as a mediators. Conclusion: Results suggest the need to improve caregiving self-efficacy of these families, establish support systems such as a mental health professional support programs for caregiving self-efficacy. Optimism, severity of illness and uncertainty perceived by families need to be considered in the development of support programs in order to increase their effectiveness.

COVID-19 거점전담병원 간호사의 업무 경험

오인옥(Oh, In Ohg),윤수진(Yoon, Soo Jin),남경아(Nam, Kyoung A) 한국성인간호학회 2021 성인간호학회지 Vol.33 No.6

이주배경청소년 상담의 특수성 탐색

오인수,김현수,반지윤,박연옥,이은지,김주희,송아름 한국청소년상담복지개발원 2023 청소년상담연구 Vol.31 No.1

The purpose of this study was to explore the unique characteristics of counseling for adolescents who have migrated into South Korea. To this end, data were collected through focus group interviews with seven counselors working with migrant adolescents. The data were analyzed using the Consensus Qualitative Research (CQR) method. From the data, the following categories emerged: eight client characteristics, six counseling relationships, five institutional needs, and seven systems. There were four major conclusions drawn from the results. First, it is necessary to understand the specific characteristics of migrant adolescents, that is, hostility toward their parents and sense of loss formed during the migration process, as well as difficulties in social adaptation. Second, it is critical to understand distinctive features of the counseling relationship which include the need of counseling interpreters and strong emphasis on understanding and empathy. Third, there is a need for institutions and/or counseling centers that are specialized in counseling services for migrant adolescents and that can train professional counselors and provide the adolescents and their families with information and resources tailored to them. Fourth, it is essential to establish various support systems, such as education programs and psychological and developmental testing and assessment. Based on the findings, discussions for counseling practice and suggestions for future research were presented. 본 연구의 목적은 이주배경청소년 상담의 특수성을 탐색하는 데 있다. 이를 위해 이주배경청소년 상담 전문가 7명을 대상으로 초점집단면접을 통해 자료를 수집하고, 합의적질적 연구(CQR) 방법으로 자료를 분석하였다. 분석결과 이주배경청소년 상담의 특수성은 내담자 특성 8개, 상담관계 6개, 기관 필요성 5개, 체제 7개의 범주로 구분되었다. 결과에 기초한 주요 결론은 크게 네 가지이다. 첫째, 이주배경청소년의 특성, 곧 이주과정에서 형성된 부모에 대한 적대감 및 상실감과 사회적 적응에서의 어려움에 대한 이해가필요하다. 둘째, 상담통역지원사를 활용하고 이해 및 공감을 우선으로 하는 상담관계의특수성에 대한 이해가 필요하다. 셋째, 전문상담자양성과 맞춤형 정보 및 자원 연계가가능한 이주배경청소년 상담 전문 기관이 필요하다. 넷째, 교육, 심리・발달 검사 체제등 다양한 지원 체제를 구축할 필요가 있다. 본 연구의 결과에 기초하여 상담적 논의및 후속 연구를 위한 제언을 제시하였다.