응급구조과 학생의 환자안전에 대한 지식 및 태도가 환자안전관리 자신감에 미치는 영향

함영림,박미정,이해영 한국응급구조학회 2017 한국응급구조학회지 Vol.21 No.1

중년여성이 경험하는 만성요통의 통증양상 및 영향요인

함영림,서복남,안양희,Ham, Young-Lim,Seo, Bok-Nam,Ahn, Yang-Heui 대한근관절건강학회 2007 근관절건강학회지 Vol.14 No.1

Purpose: The purpose of the study was to identify the pain patterns and factors affecting low back pain in middle-aged women with backache. Method: A descriptive research design was utilized. The participants were middle-aged women who visited to two back pain clinics in Wonju from October, 2006 through February, 2007. A total of 195 low back pain patients agreed to participate in this study, and data from 177 were analyzed. Data were collected using a questionnaire which included a modified short-form Korean pain rating scale, demographic factors, factors related to low back pain and health behavior. Descriptive statistics and multiple regression analysis was utilized in the analysis. Results: The mean score for low back pain was relatively low(M=21.57, SD=11.44). Among pain patterns, scores for dull pain were the highest of all the dimensions. In the regression analysis, significant factors affecting low back pain were found to be age, level of education, religion, BMI, experience of pregnancy, delivery type and exercise. These variables explained 24.8% of variance in low back pain(F=3.79, p<.001). Conclusion: These results suggest that nurses need for assessment and intervention to take into consideration pain patterns as well as factors affecting middle-age women with backache.

등마사지가 위절제술 환자의 통증, 기분상태 및 상처치유에 미치는 효과

함영림 연세대학교 간호정책연구소 2003 간호학탐구 Vol.12 No.2

The purpose of this study was to investigate the effects of back massage on pain, mood state and wound healing in the patients with gastrectomy. In this study, nonequivalent control pretest-posttest design was employed. Data were collected from April 1, 2003 to June 10, 2003 at one general hospital in W city. Of the twenty six adult subjects, twelve were assigned to the experimental group and fourteen to the control group. Instruments used in this study were the VAS (visual analogue scale) for pain scale and POMS (profile of mood states) for mood state assessment. For measurement of wound healing state, levels of pus, heating, pain, edema, redness and half stitch out were used. Data were analyzed by the descriptive statistics, repeated measures of ANOVA, Mann-whitney U test and Wilcoxon signed ranks test using SPSS version 11.0 program. The results were summarized as follows: 1. Hypothesis 1 : “The gastrectomy patients who received back massage during post operative day would perceive much less pain than control group” was supported (post operative 2 day: U=33.000, p=.007; 4 day: U=460000, p=.049; 5 day: U=42.000, p=.029; 6day: U=25.500, p=.002; 7 day: U=18.000, p=.001). Additional repeated measures analysis showed that there were significant differences in pain relief trends between the groups (F=11.92, p<.01). 2. Hypothesis 2 : “The gastrectomy patients who received back massage during post operative day would perceive more positive mood state than control group” was supported (U=2.000, p=.000). 3. Hypothesis 3 : “Wound healing states of the gastrectomy patients who received back massage during post operative day would be faster than those of control group” was rejected (U=69.0, p=.32). In conclusion, back massage is an effective nursing intervention for pain control, positive mood state of post gastrectomy patients.

비디오 후두경을 통한 기관내 삽관 교육의 필요성- 응급구조과 학생을 중심으로 -

함영림,이재국,김진화 사단법인 한국응급구조학회 2019 한국응급구조학회지 Vol.23 No.1

Purpose: The aim of this study was to verify the necessity of endotracheal intubation through video laryngoscope and to provide basic data to inform the provision of video laryngoscope education. Methods: Eighty paramedic students participated in this study. A survey was conducted from November 5, 2018 to December 7, 2018. Data were analyzed with independent t-tests, and the chi-squared test. Results: The video laryngoscope is a highly usable instrument that can easily be applied during training. The instrument provides better visual evaluation of the normal airway (p=.004), the airway in case of cervical collar and head fixation (p=.000), and the airway in case of tongue edema (p=.000). The time of endotracheal intubation in the normal airway was significantly less with the video laryngoscope compared with the direct laryngoscope. The success rate of tracheal intubation was significantly higher in the video laryngoscope group than in the direct laryngoscope. Conclusion: This study suggests the necessity of education on endotracheal intubation through video laryngoscope in the professional airway maintenance training course of emergency department students. The video laryngoscope is easier to apply than the direct laryngoscope in cases of intubation in various clinical situations.

대학생의 체형지각 유형이 건강관심, 우울, 식이제한 및 운동실천에 미치는 영향

함영림(Ham, Young Lim),박미정(Park, Mijeong) 대한근관절건강학회 2013 근관절건강학회지 Vol.20 No.2

Purpose: The purpose of this study was to identify the effect of type of body shape perception on health concern, depression, dietary restriction and exercise practice in university students. Methods: A descriptive design was used. Data were collected from 308 university students by using structured questionnaires. Results: The results showed that 65.6% of the students believe that they are overweight. There are no differences in health concern, depression, and exercise practice among the skinny perception group, satisfaction group, and obesity perception group. However, there was a significant difference in dietary restriction among the three groups (p<.001). The type of body shape perception was significantly associated with dietary restriction (p=.007). Conclusion: Integrated and effective interventions are necessary for university students to establish healthy body image and learn healthy weight control.

소방서에 근무하는 응급의료종사자의 요통 유병 실태 및 관련 요인 분석

함영림(Ham Young Lim),안양희(Ahn Yang Heui) 대한근관절건강학회 2008 근관절건강학회지 Vol.15 No.2

Purpose: The purpose of the study was to identify low pain prevalence rate and factors affecting low back pain in emergency medical technicians. Method: A descriptive relationship research design was utilized. The participants were 74 emergency medical technicians who worked at fire stations in Wand J city and agreed to participate in this study. Data were collected between April and August 2008 using a questionnaire, which included demographic factors, severity of low back pain using a visual analog scale, factors related to low back pain and health behavior, and BMI. Descriptive statistics and multiple regression were performed for data analysis. Results: 85.1% of emergency medical technicians experienced low back pain. The mean score of low back pain was relatively low (M=4.0, SD=2.33). Significant factors affecting low back pain were found to be age, marital status, exercise, hours of stand ing work, and BMI. These variables explained 35.1% of variance in low back pain (F=8.45, p<.001). Conclusion: These results suggest that further research is needed to develop interventions for prevention and management of low back pain among emergency medical technicians.

한국응급구조학회지 게재 논문의 중심 단어 분석(2005년-2011년)

이경희,함영림 사단법인 한국응급구조학회 2012 한국응급구조학회지 Vol.16 No.2

Purpose : We try to disclose how much the keywords of the papers from the Korean Journal of Emergency Medical Services with Medical Subject Headings(MeSH) terminologies and to understand the major subjects of the recent emergency medical technology research in Korea from keywords. Methods : We analyzed keywords from 524 articles of the Korean Journal of Emergency Medical Services that were published between 2005 and 2011. We investigated frequently used keywords and what percentages of keywords agree with MeSH terms using the MeSH browser. Results : There were on average 3.2 keywords per article. The most frequent key words were AED, Attitude, Cardiopulmonary Resuscitation, CPR, EMT, EMT students, External Defibrillator, Job satisfaction, Knowledge, 119 EMT in order. The number of terms in precise agreement with MeSH headings was 101(19.3%); 327 terms(62.4%) were not found in the MeSH browser and 96 terms(18.3%) partially matched MeSH terms. Conclusion : Many keywords used in the Korean Journal of Emergency Medical Services did not agree with MeSH terms. We conclude that contribution rules should be using MeSH terms and authors should be educated in the proper use of MeSH terms in their research and subsequent publication.

부산 ․경남 컨소시엄에서 임상수행평가의 시행 경험

감비성,오영림,이상화,노혜린,함종렬,임선주 한국의학교육학회 2013 Korean journal of medical education Vol.25 No.4

Purpose: The purpose of this study is to judge the quality of clinical skills assessment in Busan-Gyeongnam Consortium. Methods: Fourth grade medical school students (n=350 in 2012 and n=419 in 2013) in the Busan-Gyeongnam Consortium were included in the study. The examination was consisted of 6 clinical performance examination (CPX) and 6 objective structured clinical examination (OSCE) stations. The students were divided into groups to take the exam in 4 sites during 3 days. The overall reliability was estimated by Cronbach α coefficient across the stations and the case reliability was by α across checklist items. Analysis of variance and between-group variation were used to evaluate the variation of examinee performance across different days and sites. Results: The mean total CPX/OSCE score was 67.0 points. The overall α across-stations was 0.66 in 2012 and 0.61 in 2013. The α across-items within a station was 0.54 to 0.86 in CPX, 0.51 to 0.92 in OSCE. There was no significant increase in scores between the different days. The mean scores over sites were different in 30 out of 48 stations but between-group variances were under 30%, except 2 cases. Conclusion: The overall reliability was below 0.70 and standardization of exam sites was unclear. To improve the quality of exam,case development, item design, training of standardized patients and assessors, and standardization of sites are necessary. Above of all, we need to develop the well-organized matrix to measure the quality of the exam.

Felder-Silverman 학습유형에 따른 전문심장소생술 시뮬레이션교육의 지속효과

김유정,박미정,함영림 한국응급구조학회 2016 한국응급구조학회지 Vol.20 No.3

한국 청소년을 대상으로 한 의사결정역량 도구의 신뢰도와 타당도 검정

박미정,오두남,함영림,임승주,임영미 한국아동간호학회 2012 Child Health Nursing Research Vol.18 No.2

본 연구에서는 한국 청소년의 의사결정역량을 측정하기 위해 Miller와 Byrnes의 DMCI를 한국어로 번안하고 그 신뢰도와 타당도를 평가하였다. 406명의 중고등학생을 대상으로 신뢰도와 타당도를 검정한 결과, 18문항과 3개의 하부요인으로 구성된 한국어판 DMCI는 신뢰도가 높고 구성타당도가 적절하여 한국 청소년의 의사결정역량을 측정하는 도구로 적합한 것으로 나타났다.