한국인의 술전 불안과 정보제공 요구 : 불안에 영향을 주는 요인과 전처치제로서 Midazolam 의 항불안효과 The Contributing Factors of Anxiety and the Effect of Midazolam as an Anxiolytic Premedication

홍정연 대한마취과학회 2001 Korean Journal of Anesthesiology Vol.40 No.6

Background: The objectives of the present investigation were to assess the level and contributing factors of Korean patients' anxiety and information requirement in the preoperative phase, and in addition, to confirm the efficacy of intramuscular midazolam as a routine anxiolytic premedication. Methods: The informed patients were randomized to receive either a placebo (n=155) or 0.05 mg/kg I.M. midazolam (n=92) 1 hour prior to arriving at the operating room. All patients were asked by the anesthesiologist to complete a six-item questionaire, APAIS (Amsterdam Preoperative Anxiety and Information Scale) at a preoperative holding area. Results: Female and cancer patients may serve as useful predictors of patients at risk for preoperative anxiety. There is a positive relationship between anxiety and information requirement. The patients who had taken 0.05 mg/kg midazolam I.M. as a premedication showed lower anxiety scores than the control group. Conclusions: In addition to performing careful in-depth assessment of anxiety and identifying coping bahaviors, anesthesiologiests should try to find more appropriate methods of comprehensive preoperative care.

신임경찰의 심리사회적 성숙도, 성태도, 성희롱․성폭력 인식과의 관계

홍정연 한국범죄심리학회 2018 한국범죄심리연구 Vol.14 No.1

This study tried to provide basic data for preventing and educating secondary damage escaping from social conventions of sexual violence accidents as well as sexual harassment․sexual violence prevention education of recruits in the future through the relationship between psychosocial maturity and sexual attitude by grasping their psychosocial maturity, sexual attitude, and sexual harassment․ sexual violence awareness as police organizations’ violation of duty related to sex has rapidly increased. The conclusions drawn from the study are as follows: 1. It is thought that sexual health education must be done based on open morality of the new concept in a responsible and positive direction Psychosocial maturity and sexual attitude on the basis of future conditions and the time setting as psychosocial maturity and sexual attitude show significant differences according to demographic characteristics. 2. For sexual harassment・sexual violence, the level of awareness has escaped from the existing common notion through gender violence prevention education including sexual harassment and sexual violence as well as gender equality education in the subjects of the Central Police Academy. However, the need to repeat gender violence prevention education arises as awareness of date sexual violence and marital rape is low still now. 3. It has found to be a positive correlation between sexual attitude and sexual harassment・sexual violence awareness. When the sexual attitude is open and morality of the permissible concept is high, recruits can be found to escape from the existing wrong common notions of sexual harassment・sexual violence awareness. However, the result of psychosocial maturity and sexual harassment・sexual violence awareness has found that there is no any positive correlation between them. 4. Recruits’ sexual harassment・sexual violence awareness has escaped from the existing common notions which are rampant in our society. And it is thought that human rights education for improving human rights sensitivity with gender violence prevention education is required by satisfying the sexual attitude that is very much influenced by chronological Change not to be ‘secondary damage’ from victims of all kinds of gender violence accidents. 본 연구는 경찰조직에 성과 관련된 의무위반이 급증하고 있어 신임경찰관의 심리사회적 성숙도, 성태도, 성희롱․성폭력 인식의 정도를 파악하여, 심리사회적 성숙과 성태도와의 관계를 통해 향후 신임경찰관의 성희롱․성폭력 예방교육은 물론 성폭력 사건의 사회적 통념에서 벗어나 피해‘2차 피해’를 방지교육 기초자료를 제공하고자 하였다. 본 연구에서 얻어진 결론은 다음과 같다. 첫째, 인구통계학적 특성에 따라 심리사회적 성숙도, 성태도는 유의한 차이를 보이고 있어 향후 상황과 시대적 배경을 바탕으로 개방적인 신개념의 도덕성을 바탕으로 책임감 있고 긍정적인 방향의 성 건강 교육을 해야 한다고 생각된다. 둘째, 성희롱・성폭력 인식은 중앙경찰학교 교과목에 양성평등교육을 비롯하여 성희롱, 성폭력 등 젠더폭력 예방교육을 실시하고 있어 인식의 수준이 기존의 통념에서 벗어나고 있으나, 아직도 데이트 성폭력, 부부강간의 인식도는 낮게 나타나고 있어 향후 이 부분에 맞는 젠더폭력 예방교육을 반복할 필요성이 대두된다. 셋째, 성태도와 성희롱・성폭력 인식은 정적인 상관관계가 있는 것으로 나타났다. 성태도가 개방적이고 허용적인 개념의 도덕성이 높으면 기존의 잘못된 성희롱・성폭력 인식의 통념에서 벗어나고 있다고 볼 수 있으나, 심리사회적 성숙도와 성희롱・성폭력 인식은 정적인 상관관계가 없는 결과를 가져왔다. 넷째, 연구대상자인 신임경찰관의 성희롱・성폭력 인식은 우리사회 만연된 기존의 통념에서 벗어나고 있고, 앞으로 최 일선에서 근무하게 될 경찰관으로서 각종 젠더폭력 사건사고 피해자의‘2차 피해’방지를 위해 잘못된 사회적 통념을 적용하지 않고 있다는 것으로 생각되므로 시대적 변화의 영향을 많이 받고 있는 성 태도에 맞추어 젠더폭력 예방교육과 함께 인권감수성을 향상시키는 인권교육이 필요하다고 생각된다.

특집/보건의료인의 근골격계 질환 및 외상성 사고

홍정연,구정완 대한의사협회 2010 대한의사협회지 Vol.53 No.6

Recently, the health care system of Korea has grown bigger, specialized and modernized, but the healthcare workers’physical well-being is pushed back on the priority list. Musculoskeletal disorders (MSDs) involving days away from work per 10,000 full-time workers are 2.6according to the statistics of Ministry of Labor, but it is much lesser compared to US statistics,which is 60.5. The smaller number is mainly due to the different method of calculation between Korea and U.S.; the proportion of all the parties of hospital care system is not calculated in Korea and the real portion is underestimated. Even though there was no exact figure regarding MSDs and occupational injuries, MSDs must be acknowledged that lower back pain and trip are most commonly developed due to an excessive strain and unstable position, and the important factor are acknowledged by their occupation, task, psychosocial factor; on the other hand, the occurrence of occupational injuries are influenced by the tenure, psychosocial state, and the level of education. In addition, for the treatment of the health care workers, its work-relatedness must be concerned, and prevention that takes their variable conditions into consideration can have a higher effectiveness.

최신 임상진료지침을 기준으로 한 야간작업자 특수건강진단의 만성질환 판정

홍정연 대한직업환경의학회 2014 대한직업환경의학회 학술대회 논문집 Vol.2014 No.11

Preoperative Anxiety and Propofol Requirement in Conscious Sedation for Ovum Retrieval

홍정연,InnSooKang,MiKyoungKoong,HeeJoYoon,YoungSuckJee,JeongWookPark,MiHyunPark 대한의학회 2003 Journal of Korean medical science Vol.18 No.6

은피증에서 은 노출에 따른 혈중 은 농도

홍정연,김형렬 대한직업환경의학회 2009 대한직업환경의학회 학술대회 논문집 Vol.43 No.-

야간작업 특수건강진단 사후관리의 실태와 활성화 관련 요인

홍정연,강모열,강충원,김현주,류현철,신경석,이고은,추상효 대한직업환경의학회 2017 대한직업환경의학회 학술대회 논문집 Vol.2017 No.5

Effects of Epidural Fentanyl on Speed and Quality of Block for Emergency Cesarean Section in Extending Continuous Epidural Labor Analgesia Using Ropivacaine and Fentanyl

홍정연,지영석,정형준,송영,길혜금 대한의학회 2010 Journal of Korean medical science Vol.25 No.2

We performed a prospective, randomized, and double-blind study comparing the top-up effects of 2% lidocaine/100 mg fentanyl/epinephrine (n=31) and 2% lidocaine/saline/epinephrine (n=30) when extending an epidural labor analgesia using lowdose ropivacaine and fentanyl. Survival analysis for the sensory blocks to the T4level showed no statistically significant differences in onset time to T4 between the 2 groups. Onset times (min) to T4-sensory blocks for cold and pinprick were not different between the two groups. However, median maximum sensory level in the lidocaine-fentanyl group (T1 for cold and T2 for pinprick) was significantly higher than that in the lidocaine-saline group (T3 and T4, respectively). The lidocaine-fentanyl group exhibited less visceral pain (6.5% vs. 36.7%), less supplementation of lidocaine (6.5% vs. 43.3%), and less nausea (6.5% vs. 26.7%) compared with the lidocaine-saline group during the intraoperative period. It is concluded that adding fentanyl to 2% lidocaine does not speed up the onset of the block when the onset is tested with cold or sharp pinprick but improves the quality of analgesia with fewer side effects in emergency top-up for cesarean section.

The Effect of Preoperative Ketorolac on WBC Response and Pain in Laparoscopic Surgery for Endometriosis

홍정연 연세대학교의과대학 2005 Yonsei medical journal Vol.46 No.6

Surgical stress causes changes in the composition of white blood cells (WBCs). Ketorolac is believed to have analgesic effects and to reduce the stress response and may therefore improve postoperative outcomes. The aim of this study was to assess the effect of preoperative ketorolac on the WBC subsets in patients who had laparoscopic surgery for endometriosis. Fifty patients who had laparoscopic surgery for endometriosis were randomly assigned to one of two groups: the ketorolac group (n=25) received ketorolac 0.5mg/kg before the induction of anesthesia, and the control group (n=25) received saline. White cell count, differential, and pathology studies were done immediately after surgery, on postoperative day 1, and on postoperative day 3. We compared the baseline values within and between the two groups. We also assessed postoperative pain and side effects. The time that elapsed before the first patient request for analgesia, total meperidine dose and VAS (Visual Analog Scale) for postoperative pain were significantly lower in the ketorolac group than in the control group. Compared to the pre- surgical values, there was an increase in total WBC count and percentage of neutrophils, but a decrease in percentages of lymphocytes, monocytes, eosinophils, basophils, and leucocytes. Total WBC count, neutrophils, monocytes, eosinophils and leucocytes showed significant differences between the two groups. The incidences of postoperative side effects, such as nausea, dizziness, headache, and shoulder pain were not different between the groups. Preoperative ketorolac reduced postoperative pain and influenced the WBC response in laparoscopic surgery for endometriosis.

뇌심혈관질환 위험요인의 관리에 영향을 미치는 근무특성

홍정연,이경호,강모열,이소정,김현주,이세영 대한직업환경의학회 2016 대한직업환경의학회 학술대회 논문집 Vol.2016 No.11