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프라이버시 보호 행동에 대한 전신마취 수술환자와 마취⋅수술실 간호사의 인식, 실천 정도 및 전신마취 수술환자의 입원경험 만족도 연구
박석종,함상희,백금선,안수민,Park, Suk Jong,Ham, Sang Hee,Baek, Gum Sun,An, Soomin 경희대학교 동서간호학연구소 2023 동서간호학연구지 Vol.29 No.1
Purpose: This study aims to examine level of perception and performance of privacy protection behavior of anesthesia and operating room (OR) nurses for patients who underwent general anesthesia surgery. Methods: Data collection was conducted from August 2020 to January 2021 for a total of 101 participants, consisting of 49 patients and 52 nurses. Independent t-test and Pearson's correlation were conducted using SPSS 21. Results: Anesthesia and OR nurses showed the highest score in patient privacy, followed by patient information management, body privacy, and the lowest score in communication. There was a significant difference between the patient information and the communication. Conclusion: Anesthesia and OR nurses had the highest level of perception and performance of patient privacy protection behavior for body privacy, and the lowest for communication. In addition, there was a significant difference in patient information management and communication. In order to protect the privacy of patients undergoing general anesthesia surgery, efforts are needed to learn standardized nursing knowledge, attitudes, and practice.
약학박사 정 시련 교수 정년퇴임 기념호 : 연구논문(재록) ; 생명과학 : 단삼추출물의 MMP-9억제 및 종양괴사인자 유도한 혈관 평활근 이동 억제
진은호 ( Un Ho Jin ),강성구 ( Sung Koo Kang ),서석종 ( Suk Jong Suh ),홍성유 ( Sung Yoo Hong ),박선동 ( Sun Dong Park ),김동욱 ( Dong Wook Kim ),장현욱 ( Hyeng Wook Chang ),손종근 ( Jong Keun Son ),이승호 ( Seung Ho Lee ),손건호 ( 영남대학교 약품개발연구소 2006 영남대학교 약품개발연구소 연구업적집 Vol.16 No.-
박승원,박관,김영백,민병국,황성남,석종식,최덕영 대한신경외과학회 1992 Journal of Korean neurosurgical society Vol.21 No.1
Of eighty-two patients who were hospitalized for acute cervical injuries, seventy five lived, seven died within 5 months of injury, and one was lost to follow-up. These patients were grouped by injury mechanism, level of vertebral injury, level and type of cord injury, and management. Degree of injuries and prognosis were classified by modified Frankel's classification. The ratio of male to female was 3.3 to 1. The causes of traumas were traffic accidents, falling down, sports, diving, slip down. Traffic accident was the most common cause of trauma, and passenger injury was the most frequent cause among that. The most common level of dislocation was C5-6 followed by C4-5 level. The C5 vertebra was most commonly fractured. Injury mechanisms divided into 4groups(compressive or disruptive flexion, compressive or disruptive extenstion). Disruptive extension was less common than other three groups. Vertebral fractures were more common in flexion mechanism than in the extension mechanism. Cord injuries were more common in the compressive injury groups than disruptive one. Spinal cord was frequently injured by compressive flexion mechanism(p<0.005). Complete cord injury was the most common type of cord injury. And complete cord injuries were most frequently occured by compressive flexion mechanism(p<0.005). On the other hand, forty one cases of asymtomatic spinal column injures were frequently seen in disruptive flexion mechanism group(p<0.005). Of twenty four patients were operated, forty one were fused posteriorly, one anteriorly, one was performed discectomy, and one was fused anteriorly and posteriorly. Operations were more frequently applied in the compressive mechanism groups(p<0.005). The rate of neurologic improvement was 65.2%, 91.3%, 73.9% and 75% in compressive flexion, disruptive flexion, compressive extension and disruptive extension group respectively. The rate of neurological improvement in the operated group was 83.3%, and 73.7% in the non-operated group. Common complications were urinary tract infection, pneumonia, bed sore, gastrointestinal bleeding. The more frequent complications were urinary tract infection and pneumonia. The rate of complications was more common when the initial neurologic status was worse(p<0.005). Expire rate was high in the compressive flexion mechanism group. when the initial neurologic statue was A, when cord injury was at C6 or higher levels. The most common cause of was pulmonary problem.
박승원,박관,김영백,민병국,황성남,석종식,최덕영 대한신경외과학회 1992 Journal of Korean neurosurgical society Vol.21 No.7
We experienced 2 cases of cauda equina syndrome with lumbar and lumbosacral disc herniations. They have symptoms of motor paralysis, decreased deep tendon reflex, sensory change on the corresponding dermatome or saddle area, and bladder dysfunction. We had performed neurologic examination, simple spine radiography, lumbosacral myelography, computed tomography, and cystometry for diagnosis. Patients were received operations of laminectomy and discectomy, and revealed significant degree of recovery on motor sensory change, but not for the bladder dysfunction.
박종혁,석종식,목진호,박관,김영백,민병국,황성남,최덕영 대한신경외과학회 1995 Journal of Korean neurosurgical society Vol.24 No.6
In rare occasions in which aneurysmal neck clipping is nearly impossible, coating is employed. During the period from 1985 to 1992, 312 patients with aneurysm underwent surgery ; aneurysmal neck clipping were performed in 284 cases while coating only in 28. The reasons that coating was required were ; wide and broad neck in 13, perforators arising from the neck in 4, neck tearing during dissection in 3, very friable neck in 2, severe adhesion with surrounding structures in 3, and small aneurysm without enough room for clipping in 3. In twenty-three cases, cotton wisp and bioglue were used as coating materials. In another five cases, the aneurysmal wall was reinforced using Surgicel or Gelfoam. Patients were followed for 24 months on average of all the patients. Four had last contact Six died(4 due to rebleeding and 2 due to pneumonia). Fourteen were good and 4 were moderately disabled. There were no rebleeding incidences during first three months' follow-up after coating. We thus concluded that coating an aneurysm offers some protection from rebleeding, particularly when the rebleeding risk period is over.
미만성 축삭손상의 예후에 영향을 미치는 인자에 관한 연구
박승원,박관,김영백,민병국,황성남,석종식,최덕영 대한신경외과학회 1991 Journal of Korean neurosurgical society Vol.20 No.12
Sixty-seven patients with moderate to severe cerebral diffuse axonal injuries(that is, in post-traumatic coma for over 24 hours without mass lesions or ischemic insults) were admitted during past years and four months period ending April 30, 1991. A retrospective study of these patients was done for identification of prognostic factors. The ratio of male to female was 2.7 to 1 and the peak incidence was at the second decade. The most common cause of trauma was traffic accident and pedestrian trauma was the most common event among that. Forty-nine patients(73%) recovered from coma, nine(13%) remained in vegetative state and another nine(13%) died. The median duration of coma was 13 days. The age, initial Glasgow Coma Scale(GCS), prolonged duration of coma, initial motor reactivities, signs of hypothalamic damage, corpus callosum and brain stem lesions on brain MRI were proved as adverse factors for prognosis.
Park, Kwan,Kim, Young Baeg,Min, Byung Kook,Hwang, Sung Nam,Suk, Jong-Sik,Choi, Duck-Young 대한신경외과학회 1992 Journal of Korean neurosurgical society Vol.21 No.2
모야모야병은 주로 소아나 청년기에 발생하는 뇌내 내경동맥의 진행성협착증으로 뇌허혈 및 뇌내출혈을 유발하며 뇌혈관촬영상 특징적인 모야모야혈관이 관찰된다. 그러나 이러한 특징적인 뇌혈관찰영상의 소견은 모야모야병이외에도 관찰되는 비특이성 소견이다. 본 증례들은 모야모야병에 해당되지 않으면서 특징적인 모야모야혈관이 관찰되는 환자 3예를 대상으로 하였다. 1례는 뇌실내출혈로 증세를 발현한 자발성 증대뇌동맥 협착증이었으며, 다른 2례는 허혈 및 자발성 지주막하출혈로 증세를 발현한 동맥경화성 뇌혈관병변을 동반하였다. 모야모야혈관을 유발할 수 있는 병변을 문헌고찰과 더불어 살펴보았다.
정찬,박관,김영백,민병국,황성남,석종식,최덕영 대한신경외과학회 1992 Journal of Korean neurosurgical society Vol.21 No.10
Intracranial hemorrhage(IVH) from aneurysmal rupture is generally considered to be of grave significance in prognosis. Retrospectively the operative outcome in the patients with IVH from ruptured anterior communicating artery aneurysm had been evaluated using the variables of amount of hemorrhage, ventricular dilatation, SAH extent, associated intracerebral hematoma, grade on adimission, and blood pressure. Sixty-five cases of ruptured anterior communicating artery aneurysm in the past three years were operated on, of which 24 cases had a ventricular hemorrhage. According to Graeb's score on the basis of hemorrhage amount they were divded into three groups ; 14 mild, 6 moderate, and 4 severs. Ventricular dilatation also was estimated in terms of ventricular size index(VSI). The cases with hemorrhage in the fourth ventricle by reflux were excluded. IVH was not and event in isolation. The majority were associated with intracerebral hemorrhage. Close correlation between IVH and ventricular dilatation was demonstrated. Mild or moderate IVH per se had no influence on the operative outcome or operative difficulty. The authors herewith sugtest that IVH is of little significance in prognosis.