경피적 전기신경자극이 폐암 환자의 폐엽절제술 후 통증과 폐기능에 미치는 효과

전현례(Jeon Hyun Rye),박정숙(Park Jeong Sook) 한국성인간호학회 2009 성인간호학회지 Vol.21 No.5

개심술 환자의 수술 후 급성 신부전 발생 위험요인

전현례(Jeon, Hyun Rye),박정숙(Park, Jeong Sook) 한국산학기술학회 2013 한국산학기술학회논문지 Vol.14 No.4

본 연구의 목적은 개심술 후 급성 신부전 발생 빈도와 급성 신부전 발생의 예측요인을 분석하기 위함이다. 2008년 1월에서 2011년 12월까지 A 대학병원에서 개심술을 시행한 483명을 대상으로 전자의무기록을 후향적으로 조 사하여 복막투석, 혈액투석, 지속적신대체요법을 사용한 급성 신부전 발생군(n=59)과 신대체 요법을 시행하지 않은 대 조군(n=424)으로 분류하였다. 연구결과 개심술 후 급성 신부전 발생률은 12.2%로 나타났다. 다변량 로지스틱 회귀분 석 결과 수술 전 위험요소로는 크레아티닌(OR 3.92, p=<.001), 고령(OR 2.142, p=.015), 여자(OR 2.165, p=.015), 고혈 압(OR 2.513, p=.005), NYHA(New York Heart Association) class Ⅱ(OR 3.081, p=.003), NYHA class Ⅲ(OR 6.759, p=.004)이었으며, 수술 중 위험요소로는 수혈량(OR 3.753, p=<.001), 수술 후 위험요소로는 빌리루빈(OR 4.541, p=.028), 크레아티닌(OR 8.554, p=.003), 심박출량(OR 0.214, p=.033)이 의미 있는 예측인자로 확인되었다. 심장수술 후 급성 신부전 발생은 합병증과 사망률을 증가시키는 원인이 되므로 조기에 위험인자를 발견하여 예방하는 것이 중요하다. The purpose of this study is to identify prognostic predictors of postoperative acute renal failure(ARF) for the patient undergoing cardiac surgery. Retrospectively review the electronic hospital database at a A hospital from Jan 2008 to Dec. 2011. 483 patients were included in this study. They were divided into a occurrence of ARF group(n=59) and a non occurrence of ARF group(n=424). ARF occurred in 59 cases (12.2%). Multi-variable logistic regression analysis identified that preoperative risk factors include creatinine(OR 3.92, p=<.001), advanced age(OR 2.142, p=.015), female(OR 2.165, p=.015), hypertension(OR 2.513, p=.005), NYHA(New York Heart Association) class Ⅱ(OR 3.081, p=.003), and Ⅲ(OR 6.759, p=.004), and intraoperative risk factor includes blood transfusion(OR 3.753, p=<.001), and postoperative factors include bilirubin(OR 4.541, p=.028), creatine(OR 8.554, p=.003), and cardiac output(OR 0.214, p=.033) as a prognostic predictors. The development of postoperative ARF could be a reason for increase in rate of complication and mortality after cardiac surgery. therefore the prevention of ARF is of paramount importance and treatment strategies are urgently needed.

심장판막수술 후 프로트롬빈 INR 모니터링형 자가관리프로그램 개발 및 적용

전현례(Jeon, Hyun Rye),박정숙(Park, Jeong Sook) 한국간호과학회 2015 Journal of Korean Academy of Nursing Vol.45 No.4

Purpose: The purpose of this study was to develop and evaluate a self-management program based on INR monitoring for patients with cardiac valve replacement. Methods: This program was comprised of five weekly sessions based on Sousa’s Enhance-Behavior Performance Model. The first session included individual teaching, and the other four sessions included Prothrombin Time International Normalized Ratios (PT INR) self-monitoring, telephone counseling and self-management checklist recording. Participants were patients who had cardiac valve replacement. They were randomly assigned to the experimental or control group. Sixteen in the experimental group participated in the self-management program and seventeen in the control group participated in general care. Selfmanagement knowledge, self-efficacy, self-management behavior and PT INR were measured as dependent variables. Data were analyzed using Mann Whitney U-test, t-test and ANCOVA. Results: The experimental group showed significantly higher post-test scores in self-management knowledge (t=5.86, p <.001), self-efficacy (F=18.32, p <.001), and self-management behavior (t=3.44, p =.002) compared to the control group. Also, the experimental group showed significantly higher frequency in maintaining the treatment range of PT INR compared to the control group (χ 2=4.80, p =.028). Conclusion: The results of the research on the self-management program based on PT INR monitoring showed that it is effective in improving self-management knowledge, self-efficacy, and selfmanagement behavior as well as maintaining treatment range of PT INR of patients with cardiac valve replacement.

표준 기본심폐소생술 교육용 비디오를 이용한 실습교육이 간호사의 심폐소생술에 대한 지식, 태도 및 수행능력에 미치는 효과

박정숙(Park, Jeong Sook),전현례(Jeon, Hyun Rye) 한국간호교육학회 2010 한국간호교육학회지 Vol.16 No.2

Purpose: The study was done to identify variations in Nurses CPR knowledge, attitude and performance before and after BLS Education. Method: This study was designed to evaluate the differences in Nurses CPR knowledge, attitude and performance. For the study we selected 167 nurses working in Daegu K University hospital. The study group was given a test before (pre test) and after (post test) BLS education. The BLS education was given by two BLS instructors certified by the American Heart Association, using a DVD and manikin. Result: The results showed a statistically significant difference the nurse’s knowledge, belief, emotion and performance but there was no significant difference in their behavior after BLS education. CPR knowledge and performance was higher among emergency room nurses compared to surgical ward nurses. Conclusion: CPR education has shown to have a positive effect on nurses’ attitudes towards CPR. It also improved their related knowledge and performance. Therefore, cardiopulmonary education should be given continuously, and different steps of CPR education programs need to be developed in order to fill the knowledge deficiency gap.

회복실 간호사의 수술 후 통증관련 지식, 태도, 간호수행과의 관계

이지영(Lee, Jea-young),이미화(Lee, Mi-hwa),전현례(Jeon, Hyun-rye),안미숙(Ahn, Mi-sook),홍순남(Hong, Sun-nam),추석양(Choo, Seok-yang) 계명대학교 간호과학연구소 2017 계명간호과학 Vol.21 No.1

Purpose: This study conducted to identify the relationship of recovery room nurses knowledge, attitude and nursing performance about postoperative pain management for effective pain management. Methods: Data were collected from 113 recovery room nurses in D. Metropolitan City, using self-administered questionnaires. Data were analyzed using frequency, percentage, mean, standard deviation, t-test, one-way ANOVA, and Pearson s correlation coefficient with SPSS/WIN version 18.0. Results: The average scores of nurses knowledge on pain management, analgesics, classification of analgesics were 10.53/15, 7.10/10, 7.33/9, respectively. The average scores of nurses attitudes and performance were 11.23/12 and 2.92/4, respectively. Nurses knowledge on pain management was significantly correlated with nurses attitude and nurses’ knowledge on analgesics, but not with nursing performance on pain management. There was no correlation between nurses attitude and nursing performance on pain management. Conclusion: Therefore, it is necessary to develop educational programs to improve knowledge and nursing performance on pain management for recovery room nurses. Further research should be done to identify key factors that improve nursing performance.

관상동맥질환자의 심장재활 지식과 교육요구도 조사

전현례,박정숙 병원간호사회 2007 임상간호연구 Vol.13 No.1

Purpose: This study was to evaluate the knowledge of cardiac rehabilitation and the educational need of CAD patients and to provide basic data for developing the educational programs. Method: The subjects were 115 CAD patients aged between 30 and 75 who were hospitalized or in outpatient settings. The data were collected from Nov. 1, to Dec. 2, 2005 using a survey technique. The data were analyzed with descriptive statistics, t-test, ANOVA and scheff test and Pearson's correlation with SPSS program. Result: The highest score of cardiac rehabilitation knowledge was 'diet' and the lowest score was 'drugs'. The highest score of educational need was 'diet' and the lowest score was 'daily living and exercise'. The score of cardiac rehabilitation knowledge was significantly different with education, economic status and occupation. The subjects' educational need was significantly different with having family history, regular exercise, the duration of a disease, the frequency of hospitalization, age and information. There was to be no correlation between the knowledge of cardiac rehabilitation and educational needs. Conclusion: The results suggest for an appropriate educational program development and further research studies on this topic.