중환자실 환자가 경험한 인간중심 간호에 관한 질적 내용분석

홍희진,강지연,Hong, Hee Jin,Kang, Jiyeon 한국중환자간호학회 2018 중환자간호학회지 Vol.11 No.2

Purpose : To explore the person-centered care (PCC) experienced by critical patients. Method : This qualitative study deductively examined the attributes of the PCC model proposed by Jakimowicz and Perry. The participants were 16 patients who were recently discharged from intensive care units at a university hospital. Data were collected through in-depth interviews and were analyzed using the deductive method of content analysis. Results : A total of 4 categories, 16 subcategories, and 33 codes were generated from 171 meaningful statements. The final 4 categories were "compassionate presence," "professional interaction," "outstanding competency," and "patient identity." These were consistent with the main attributes of Jakimowicz and Perry's model. However, most of the codes belonged to the "compassionate presence" and "patient identity" categories. Among the attributes of the model, "continuity of nursing," "therapeutic relationship," "expert knowledge," "clinical knowledge," "evidence-based intervention," and "patient's rights" were not derived as codes. Conclusion : These findings deepen the understanding of the PCC model from the patient's point of view. The main attributes of PCC identified in the current study can be applied to the development of practical guidelines for intensive care nursing. In addition, we recommend the development of a PCC measurement tool for critical care patients.

차세대 UX디자인의 융합 프로세스에 대한 연구

홍희진(Hee Jin Hong),김선철(Sun Chul Kim) 경희대학교 산학협력단 예술디자인연구원 2015 예술· 디자인학연구 Vol.18 No.1

가루녹차를 첨가한 설기떡의 저장중 품질 변화

홍희진(Hee-Jin Hong),최정화(Jeong-Hwa Choi),최경호(Kyoung-Ho Choi),최상원(Sang-Won Choi),이순재(Soon-Jae Rhee) 한국식품영양과학회 1999 한국식품영양과학회지 Vol.28 No.5

본 연구는 가루녹차를 첨가한 가루녹차 설기떡의 저장 중 품질변화를 관찰하기 위하여 가루녹차를 0.5%(GT-0.5군), 10%(GT-1.0군 ), 15%(GT-1.5군 ), 2.0(GT-20군) 첨가한 설기떡을 제조하여 7일간 저장하면서 저장중의 품질변화를 관찰하였다. 총균수는 저장기간이 길어질수록 대조군에 비해서 가루녹차를 첨가한 군에서 세균의 증가가 낮았다. 산도는 저장기간이 길어질수록 증가하였으나 가루녹차를 첨가함량이 높을수록 그 증가율이 낮았다. pH는 가루녹차를 첨가한 군이 대조군보다 낮았으며 저장 기간이 길어질수록 GT-1.0군과 GT-1.5군에서 가장 낮아졌다. 저장기간 중의 색도의 변화를 보면, 색의 밝기를 나타내는 L 값은 대조군이 가장 높았고, 저장기간이 길어질수록 모든 군에서 L값이 낮아졌으며 그 중 GT-0.5군에서 가장 낮았다. 색의 redness를 나타내는 a 값은 대조군이 가루녹차를 첨가한 군에 비해 높았고, 저장기간이 길어질수록 모든 군에서 증가하였으나 대조군에 비해 가루녹차를 첨가한 군에서 증가폭이 높았다. Yellowness를 나타내는 b 값은 가루녹차를 많이 첨가할수록 높으며, 저장기간이 길어질수록 대조군에서 증가하였으나, GT-0.5군, GT-1.0군, GT-1.5군, GT-2.0군에서는 감소하였다. 한편, 가루녹차의 함량이 2.0% 첨가한 GT-2.0군에서 가장 항균력이 높았다. This study was quality changes of sulgiduk added green tea powder during storage. Sulgiduk prepared with various concentrations of green tea powder; 0%(control group), 0.5%(GT-0.5 group), 1%(GT-1.0 group), 1.5%(GT-1.5 group), 2%(GT-2.0 group), and the changes of its quality during 7 days of storage were investigated. Total microbe numbers, the acidity and pH in sulgiduk during storage were decreased with increasing the added amounts of a green tea powder, and especially those of GT-1.0 and GT-1.5 groups had relatively the lower than other groups. The “L” value(lightness) of the control group was the highest among five groups, and its value was decreased throughout storage, and especially GT-0.5 groups had the lowest brightness. The “a” value(reddness) of the control group was higher than other four groups, and increased GT-2.0>GT-1.5>GT-1.0>GT-0.5 groups, in that order. The “b” value(yellowness) was increased in the order; GT-2.0>GT-1.5>GT-1.0>GT-0.5 groups. These results indicated that GT-1.0 group showed the best quality than other groups of sulgiduk during storage.

비위관 영양 환자의 흡인성 폐렴 발생 실태

임여진 ( Yeo Jin Im ),장윤정 ( Yun Jeong Jang ),홍희진 ( Hee Jin Hong ),김동희 ( Dong Hee Kim ) 부산대학교 간호과학연구소 2015 글로벌 건강과 간호 Vol.5 No.1

Purpose: The purpose of this study was to examine the prevalence of aspiration pneumonia and the related risk factors among patients without endotracheal intubation or mechanical ventilation, with nasogastric tubal feeding. Methods: Twenty-two patients administrated in one hospital were participated in this study. A prospective study was done from 27th of August to 10th of November 2013. Results: Aspiration pneumonia was diagnosed in 25.0% of the tube fed patients. The independent factor for incidence of aspiration pneumonia was patient’s body position during tubal feeding. Conclusion: Nurses should be aware of the risk of aspiration pneumonia when they care patients who do not be required endotracheal intubation and mechanical ventilation, with nasogastric tubal feeding.

증 례 : 재발한 자궁경부암에서 전이성 갑상선암

홍소담 ( So Dam Hong ),신재경 ( Jae Kyoung Shin ),홍희진 ( Hee Jin Hong ),허진형 ( Jin Hyung Heo ),정소영 ( So Young Chong ),오도연 ( Do Youn Oh ),오지수 ( Ji Su Oh ) 대한내과학회 2016 대한내과학회지 Vol.90 No.1

비록 자궁경부암이 갑상선으로의 전이는 매우 드물지만, 자궁경부암의 과거력이 있는 경우, 갑상선부위의 부종이나 촉지되는 결절이 발생하면 반드시 전이성 병변을 의심해봐야 한다. 비록 갑상선으로의 전이는 매우 나쁜 예후를 의미 하지만 고식적 치료로 전신항암요법 및 방사선요법이 환자의 삶의 질 개선에 도움을 줄 수 있다. 드물기는 하지만 갑상선으로의 악성전이 보고가 증가하는 추세로, 이에 대해 어떠한 치료가 가장 효과적일지에 대한 연구가 필요하겠다. Most patients with recurrent uterine cervical cancer have intra-pelvis metastasis with adjacent lymph node involvement, while a lone, distant metastasis is extremely rare. We report a 79-year-old woman with recurrent uterine cervical cancer that presented as thyroid mass with no intra-pelvic recurrence. Four years earlier, the patient had been diagnosed with uterine cervical cancer. She had undergone a course of concurrent chemoradiotherapy to the pelvis and had no subsequent evidence of recurrence. Several weeks before presenting, she had noticed a foreign body sensation in her throat and a palpable mass in the left side of her neck. Clinically, this was metastatic squamous cell carcinoma from the uterine cervix. Patients who present with swelling or palpable nodules in the neck with a previously diagnosed malignancy must be evaluated for metastatic disease, although metastasis from uterine cervical carcinoma to the thyroid gland is rare. (Korean J Med 2016;90:68-71)

집중치료 후 증후군 경험에 관한 질적 통합 연구

강지연,정연진,윤선영,이민주,백민정,신소영,홍희진,김수경,조영신,Kang, Jiyeon,Jeong, Yeon Jin,Yun, Sun Young,Lee, Min Ju,Baek, Min Jung,Shin, So Yeung,Hong, Hee Jin,Kim, Soo Kyung,Cho, Young Shin 한국중환자간호학회 2017 중환자간호학회지 Vol.10 No.1

Purpose: The purpose of this study was to integrate the results of qualitative studies to understand critical care survivors' experience of the post-intensive care syndrome (PICS). Methods: This was a meta-synthesis of primary studies that used qualitative methods. We reviewed 26 qualitative studies on PICS selected from 8 international and Korean databases and from a manual search. Thomas and Harden's 3 stages (free coding, development of descriptive themes, generation of analytical themes) for thematic synthesis were utilized to analyze the collected qualitative data. Results: Four descriptive themes emerged from the thematic synthesis: weak physical conditions, psycho-emotional changes, the painful-memory of intensive care units, and social vulnerability. The analytical theme for the current study was "unfamiliarity with the vulnerable self." Critical care survivors had to confront entirely different "selves" after discharge from intensive care units. They had become physically weak, psychologically unstable, and the critical memories continued to create distress. These changes increased their social vulnerability by making them dependent on others, causing family conflicts, and changing interpersonal relationships. Conclusions: Finding from this qualitative synthesis and other related literature highlight the severity of PICS and the importance of rehabilitative intervention for critical care survivors.

증 례 : 간세포암 환자에서 반복적인 방사선 투시검사로 인한 아급성 방사선 피부염

김보혜 ( Bo Hye Kim ),김희경 ( Hee Kyung Kim ),신재경 ( Jae Kyung Shin ),홍희진 ( Hee Jin Hong ),이주호 ( Joo Ho Lee ),박하나 ( Hana Park ),황성규 ( Seong Gyu Hwang ),임규성 ( Kyu Sung Rim ) 대한소화기학회 2016 대한소화기학회지 Vol.67 No.2

Radiation dermatitis can develop after fluoroscopy-guided interventional procedures. Cases of fluoroscopy-induced radiation dermatitis have been reported since 1996, mostly documented in the fields of radiology, cardiology and dermatology. Since diagnosis and treatment of fluoroscopy-induced radiation dermatitis can be difficult, high grade of suspicion is required. The extent of this reaction is determined by radiation dose, duration of exposure, type of procedure, and host factors and can be aggravated by concomitant use of photosensitizers. Follow-up is important after long and complicated procedures and efforts to minimize radiation exposure time will be necessary to prevent radiation dermatitis. Herein, we report a case of a 58-year-old man with hepatocellular carcinoma presenting with subacute radiation dermatitis after prolonged fluoroscopic exposure during transarterial chemoembolization and chemoport insertion. Physicians should be aware that fluoroscopy is a potential cause of radiation dermatitis.

Xylooligo당이 고콜레스테롤 식이 흰쥐에서 간조직 HMG - CoA Reductase 활성과 지질 조성에 미치는 영향

김성옥(Sung-Ok Kim),최정화(Jeong Hwa-Choi),홍희진(Hee-Jin Hong),주길재(Gil-Jae Joo),이인구(In-Koo Rhee),이순재(Soon-Jae Rhee) 한국식품영양과학회 2001 한국식품영양과학회지 Vol.30 No.6

고콜레스테롤 식이 흰쥐에서 xylooligo당이 간장에서의 콜레스테롤대사에 미치는 영향을 관찰하였다. 실험동물은 100±10 g의 Sprague-Dawley 흰쥐를 이용하여 정상 식이군과 1% 고콜레스테롤 실험군으로 나누고 다시 실험군은 1%의 고콜레스테롤 식이에 xylooligo당을 0%, 5%, 10%및 15% 농도 첨가군(C, C5XO, C10XO 및 C15XO군)으로 나누어 4주간 자유섭식시킨 후 콜레스테롤 대사 개선효과를 알아보았다. 간조직중의 중성지방과 콜레스테롤함량은 정상군에 비해 C군에서는 각각 3.9배, 20배씩 증가되었으며 C군에 비해 C10XO군은 거의 절반으로 감소되었다. 간조직의 HMG-CoA reductase 활성은 정상군에 비해 C군은 45% 감소되었으나, xylooligo당 공급군에서는 정상군 수준이었다. 간조직중의 지방산 조성은 oleic acid(C_(18:1))과 linoleic acid (C_(18:2))은 정상군에 비해 C군에서 유의적(p<0.05)으로 증가되었고, arachidonic acid(C_(20:4))는 감소되었으나 xylooligo당 공급으로 증가되었다. 총포화지방산(SFA)은 정상군에 비해 고콜레스테롤 식이로 인해 감소되었으나, xylooligo당 공급으로 정상화되었다. 고콜레스테롤군에서는 총 단일불포화지방산(MUFA)은 증가되었으나, xylooligo당 공급으로 감소되었다. 항혈전지수인 n-3/n-6 지방산 비는 정상군에 비해 C군에서 감소되었으나, xylooligo당 10% 공급군에서는 C군에 비해 유의적으로 증가하였다. 결론적으로 식이 xylooligo당은 고콜레스테롤 식이로 인한 고콜레스테롤 혈증이나 고지혈증의 위험인자인 콜레스테롤을 감소시킬 수 있는 콜레스테롤 대사 개선기능이 우수하므로 기능성 식품 신소재나 식이섬유의 대용품으로도 활용될 수 있으리라 생각된다. This study was conducted to examine the effects of dietary xylooligosaccharides on HMG-CoA reductase activity and lipid composition of liver in rat fed high cholesterol diet. Sprague-Dawley male rats weighing 100±10 g were randomly divided into groups of one normal diet, and four high cholesterol diet containing 1% cholesterol. The high cholesterol (1%) diet groups were classified into xylooligosaccharides free diet (C group), 5% xylooligosaccharides diet (C5XO group), 10% xylooligosaccharides diet (C10XO group), and 15% xylooligosaccharides diet (C15XO group) according to the levels of dietary xylooligosaccharides supplementation. The experimental diets were fed ad libidum for 4 weeks. The hepatic lipid contents, cholesterol and triglycerides in xylo-oligosaccharides supplemented groups were significantly lower than those of C group. An antithrombosis index, a ratio of n-3 to n-6 fatty acids of liver was significantly increased in 10% xylooligosaccharides supplemented groups compared to that of C group. The activity of hepatic HMG-CoA reductase, a rate limiting enzyme of cholesterol biosynthesis, in xylooligosaccharides supplemented groups was more significantly increased than in C group. These results suggest that dietary xylooligosaccharide may be act as potential substitute for a dietary fiber to improve lipids metabolism in rat fed high cholesterol diet.

증례 : 류마티스 ; 분류 불능형 면역 결핍증(Common Variable Immunodeficiency)과 병발된 쇼그렌 증후군 1예

강산하 ( San Ha Kang ),조혜정 ( Hye Jeong Cho ),홍희진 ( Hee Jin Hong ),홍소담 ( So Dam Hong ),김보혜 ( Bo Hye Kim ),정상윤 ( Sang Yoon Jung ),최진정 ( Jin Jung Choi ) 대한내과학회 2015 대한내과학회지 Vol.89 No.2

Common variable immunodeficiency (CVID) is a heterogeneous group of primary immune deficiencies in adults characterized by hypogammaglobulinemia, recurrent bacterial infections, and a higher incidence of autoimmune diseases. More than 25% of CVID patients also have autoimmune diseases such as autoimmune hemolytic anemia, immune thrombocytopenic purpura, rheumatoid arthritis, and systemic lupus erythematosus. However, the pathogenesis of autoimmunity in CVID remains obscure. We report a 56-year-old woman with CVID and Sjogren`s syndrome. In addition to a long history of recurrent upper respiratory infections, acute gastroenteritis, and cellulitis, she has also suffered from persistent xerostomia and xerophthalmia for the past 10 years. Serologic studies revealed hypogammaglobulinemia (low levels of IgG, IgA, and IgM in serum) and the presence of anti-Ro antibodies, and salivary scintigraphy indicated salivary gland involvement. These findings led to a diagnosis of CVID and Sjogren`s syndrome, which was treated by monthly intravenous immunoglobulin therapy. (Korean J Med 2015,89:254-258)

십이지장 봉합부의 장석에 의한 담관 폐쇄

신재경 ( Jae Kyoung Shin ),최성훈 ( Sung Hoon Choi ),홍소담 ( So Dam Hong ),김새암 ( Saeahm Kim ),조혜정 ( Hye Jeong Cho ),홍희진 ( Hee Jin Hong ),김희경 ( Hee Kyung Kim ),고광현 ( Kwang Hyun Ko ) 대한소화기학회 2016 대한소화기학회지 Vol.67 No.3

Enterolith is a rare complication of Billroth II gastrectomy. Most enterolith cases have been reported in association with diverticula, tuberculosis, and Crohn’s disease. We report the case of a huge enterolith that developed in the duodenal stump following common bile duct obstruction and cholangitis, necessitating surgery. The enterolith was clearly visible on the abdominal computed tomography. It was removed through a duodenotomy. The surgery was successful without any significant complications. (Korean J Gastroenterol 2016;67:150-152)