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    인공호흡기 가습기 적용방법이 초극소 저출생 체중아의 경비지속 기도 양압 환기법 유지기간에 미치는 영향 = Effect of Optimal Humidification for Extremely Low Birth Weight Infants During Nasal Continuous Positive Airway Pressure

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    https://www.riss.kr/link?id=A103938810

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    다국어 초록 (Multilingual Abstract) kakao i 다국어 번역

    Purpose: To evaluate the efficacy of Optimal humidification during Nasal Continuous Positive Airway Pressure (nCPAP) for Extremely Low Birth Weight Infant (ELBWI). Methods: The study design was a pre-test-post-test nonequivalent nonsynchronized quasi-experimental design. The participants were 218 ELBWI on nCPAP (experimental group: 102 and control group: 116). Data collection was conducted from January 2005 to April 2010. In order to measure and analyze the nCPAP duration, reintubation and nasal condition, Chi-square test and t-test were used. Results: Hypothesis 1, that the duration with nCPAP in the experimental group is longer than that of the control group and hypothesis 2-3, that the rate of reintubation and nasal problems in the experimental group are lower than the control group, were all supported as there were statistically significant differences between two groups. Conclusion: The findings suggest that the Optimal humidification in this study is an efficient intervention because it helps increase the last time of nCPAP with ELBWI and minimize complications. It is expected that Optimal humidification is beneficial and helpful in preventing and caring for respiratory problems in these infants.
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    Purpose: To evaluate the efficacy of Optimal humidification during Nasal Continuous Positive Airway Pressure (nCPAP) for Extremely Low Birth Weight Infant (ELBWI). Methods: The study design was a pre-test-post-test nonequivalent nonsynchronized quasi-...

    Purpose: To evaluate the efficacy of Optimal humidification during Nasal Continuous Positive Airway Pressure (nCPAP) for Extremely Low Birth Weight Infant (ELBWI). Methods: The study design was a pre-test-post-test nonequivalent nonsynchronized quasi-experimental design. The participants were 218 ELBWI on nCPAP (experimental group: 102 and control group: 116). Data collection was conducted from January 2005 to April 2010. In order to measure and analyze the nCPAP duration, reintubation and nasal condition, Chi-square test and t-test were used. Results: Hypothesis 1, that the duration with nCPAP in the experimental group is longer than that of the control group and hypothesis 2-3, that the rate of reintubation and nasal problems in the experimental group are lower than the control group, were all supported as there were statistically significant differences between two groups. Conclusion: The findings suggest that the Optimal humidification in this study is an efficient intervention because it helps increase the last time of nCPAP with ELBWI and minimize complications. It is expected that Optimal humidification is beneficial and helpful in preventing and caring for respiratory problems in these infants.

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    참고문헌 (Reference)

    1 Seol, T. M., "호흡부전 환자에서 비침습적 양압환기법의 적용" 대한결핵및호흡기학회 61 (61): 26-33, 2006

    2 최창원, "초극소저출생체중아에서 출생체중별 발관시기 및첫 발관 시의 성공/실패 예측인자" 대한소아과학회 48 (48): 488-494, 2005

    3 김성신, "신생아 집중치료를 받은 극소저출생체중아 치료성적의 시기에 따른 변화" 대한소아과학회 45 (45): 828-835, 2002

    4 이지민, "산소요법 적용 미숙아 어머니에 대한 재가 돌봄 퇴원프로그램 효과" 아동간호학회 16 (16): 144-155, 2010

    5 김정숙, "미숙아의 시술 관련 통증 반응" 아동간호학회 16 (16): 352-359, 2010

    6 Lemons, J. A., "Very low birth weight outcomes of the national institute of child health and human development neonatal research network, january 1995 yhrough december 1996"

    7 Gillespie, L. M., "Usefulness of the minute ventilation test in predicting successful extubation in newborn infants: A radomized controlled trial" 23 : 205-207, 2003

    8 Williams, R. N., "The effects of excessive humidity" 4 : 215-228, 1998

    9 Heldt, G. P., "The effect of gavage feeding on the mechanics of the lung, chest wall, and diaphragm of preterm infants" 24 : 55-58, 1988

    10 Hwang Jong Hee, "The Efficacy of Clinical Strategies to Reduce Nosocomial Sepsis in Extremely Low Birth Weight Infants" 대한의학회 20 (20): 177-181, 2005

    1 Seol, T. M., "호흡부전 환자에서 비침습적 양압환기법의 적용" 대한결핵및호흡기학회 61 (61): 26-33, 2006

    2 최창원, "초극소저출생체중아에서 출생체중별 발관시기 및첫 발관 시의 성공/실패 예측인자" 대한소아과학회 48 (48): 488-494, 2005

    3 김성신, "신생아 집중치료를 받은 극소저출생체중아 치료성적의 시기에 따른 변화" 대한소아과학회 45 (45): 828-835, 2002

    4 이지민, "산소요법 적용 미숙아 어머니에 대한 재가 돌봄 퇴원프로그램 효과" 아동간호학회 16 (16): 144-155, 2010

    5 김정숙, "미숙아의 시술 관련 통증 반응" 아동간호학회 16 (16): 352-359, 2010

    6 Lemons, J. A., "Very low birth weight outcomes of the national institute of child health and human development neonatal research network, january 1995 yhrough december 1996"

    7 Gillespie, L. M., "Usefulness of the minute ventilation test in predicting successful extubation in newborn infants: A radomized controlled trial" 23 : 205-207, 2003

    8 Williams, R. N., "The effects of excessive humidity" 4 : 215-228, 1998

    9 Heldt, G. P., "The effect of gavage feeding on the mechanics of the lung, chest wall, and diaphragm of preterm infants" 24 : 55-58, 1988

    10 Hwang Jong Hee, "The Efficacy of Clinical Strategies to Reduce Nosocomial Sepsis in Extremely Low Birth Weight Infants" 대한의학회 20 (20): 177-181, 2005

    11 Bae Young Min, "The Changes in the Mortality Rates of Low Birth Weight Infant and Very Low Birth Weight Infant in Korea over the Past 40 Years" 대한의학회 19 (19): 27-31, 2004

    12 Williams, R. N., "Relationship between the humidity and temperature of inspired gas and the function of the airway mucosa" 24 : 1920-1929, 1996

    13 Ahn, H. S., "Pediatrics (9th ed.)" Daehan printing & publishing CO., Ltd 2007

    14 Davis, P. G., "Nasal continuous positive airway pressure immediately after extubation for preventing morbidity in preterm infants" (2) : 2003

    15 Higgins, R. D., "Nasal continuous positive airway pressure facilitates extubation of very low birth weight neonates" 88 : 999-1003, 1991

    16 Kilgour, E., "Mucociliary function deteriortes in the clinical range of inspired air temperature and humidity" 30 : 1491-1494, 2004

    17 Korea Statistical Information Service, "Korea Statistical Information Service.(2009).Annual Report on the Vital Statistics.2008,from"

    18 Davis, K., "Influence of airway management on ventilator-associated pneumonia. Prolonged use of heat and moisture exchangers does not affect device efficiency or frequency rate of nosocomial pneumonia" 28 : 1412-1418, 2000

    19 전가원, "Improved survival rate with decreased neurodevelopmentaldisability in extreme immaturity" 대한소아과학회 50 (50): 1067-1071, 2007

    20 Branson, R. D., "Humidification of respired gases during mechanical ventilation: Mechanical considerations" 12 : 253-261, 2006

    21 Edwards, E. A., "Humidification difficulties in two tracheostomized children" 27 : 656-658, 1999

    22 Ryan, S. N., "Energy balance in the intubated human airway is an indicator of optimal gas conditioning" 30 : 355-361, 2002

    23 Blondheim, O., "Effect of enteral gavage feeding rate on pulmonary functions of very low birth weight infants" 122 : 751-755, 1993

    24 Dani, C., "Early extubation and nasal continuous positive airway pressure after surfactant treatment for respiratory distress syndrome among preterm infants <30 weeks’ gestation" 113 : 560-563, 2004

    25 De Paoli, A. G., "Devices and pressure sources for administration of nasal continuous positive airway pressure (NCPAP) in preterm neonates (Review)" The Cochrane Collaboration and Published in the Cochrane Library 23-, 2008

    26 Lee, H. Y., "A study on the incidence and risk factors of nosocomial sepsis in very low birth weight infants" 6 : 90-97, 1999

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