말기신부전 환자에서 복강 내 림프절에서 확인된 ALK 재배열 폐선암종

권혜란,송성헌,좌혜영,김현,하창원,한상훈 대한내과학회 2019 대한내과학회 추계학술발표논문집 Vol.2019 No.1

심폐소생술 시행 위치변화에 따른 흉부압박의 질 비교

권혜란,박대성 사단법인 한국응급구조학회 2011 한국응급구조학회지 Vol.15 No.1

Purpose : This study is equivalence experiment performed to test practice effects between experimental group from both left and right direction of mannequin and control group having practice from only right direction in cardiopulmonary resuscitation education. Methods : Subject of the research were total 71 elementary and middle school teachers in J province who had not experience to have cardiopulmonary resuscitation. They were divided into experimental group of 35 participants who practiced cardiopulmonary resuscitation from both right and left direction of mannequin on Dec. 27, 2009 and control group of 36participants who performed cardiopulmonary resuscitation from only right direction of mannequin on Dec. 28, 2009. Collected data were analyzed by SPSS/PC+(version 14.0). Results :1. There was no statistically significant difference by sex among general characteristics of the subjects. 2. According to the quality of chest compression performed from the right direction of mannequin, experimental group showed better results in proper depth (time), insufficient depth (time), too lowered compression position (time) and inexact position (time) than control group(p< .05). In the quality of chest compression from the left side of mannequin, experimental group performed better results in proper depth (time),insufficient depth (time), inexact compression position (time) and mean chest compression depth(mm) than control group(p<.05) and also in more left-centered compression position (time) than control group(p<.001). 3. The quality of chest compression by experimental group, the right side of mannequin was superior in proper depth (time) to the left side of mannequin (p< .001) and showed better results in insufficient depth (time) and chest compression/recoil rate (p< .05). According to the quality of chest compression by control group, the right side of mannequin showed superior results in proper depth (time), insufficient depth (time), too left-centered compression position (time) and mean chest compression depth (mm) (p<.05) to the left side of mannequin. Conclusion : The group having practice from both right and left sides of mannequin was superior in the quality of chest compression to the group having practice from only right side of mannequin. How to practice cardiopulmonary resuscitation from both right and left sides of mannequin can be recommended and practice from left side of mannequin is also useful.

환경과 인간 그리고 예술을 논하다

권혜란,Gwon, Hye-Ran 한국주택협회 2006 주택과 사람들 Vol.196 No.-

헤이리 아트 밸리는 이제껏 볼 수 없었던 새로운 문화, 예술의 공간이자 일반인들에게는 삶의 휴식처로 급부상하고 있는 곳이다. 편안하면서도 환경 친화적인 마을을 만들고자 뜻 있는 예술인들이 모여 만든 이곳은 마치 건출물과 그림, 공연을 한꺼번에 볼 수 있는 커다란 갤러리 같다.

병원 전 단계 응급의료 서비스 개선방안에 관한 연구 : 119 구급대원과 응급실 간호사의 응급처치 지식 및 기술 숙련도 비교

권혜란,Kwon, Hay-Ran 한국지역사회간호학회 1998 지역사회간호학회지 Vol.9 No.2

During the past decade or so in Korea, 119 relief squad members were supposed to respord first urgent or emergency cases. The primary purpose of this study was to assess what levels of knowledge and techniques in prehospital care the 119 relief squad members showed. Data regarding the knowledge and technique levels were collected from both the 119 relief squad members (n=63) and the emergency room nurses(n=46). The Results indicated that the 119 relief squad when compared to emergency nurses, showed higher scores for knowledge and techniques in some areas of prehospital care but not in other areas, However, no differences in knowledge and technique were found when the ANOVAs were calculated with two covariates : duration of their career in emergency medical services and frequency of their exposure to lectures on emergency medical technology. In addition, many respondents in the 119 relief squad group rated themselves poorly in knowledge and techniques of prehospital care, The findings imply that qualitatively better curricula should be given to the 119 relief squad members before they are allowed to play an important role in the emergency medical service system. These findings are also discussed in the context of improving the emergency medical service system.

응급구조사의 업무에 관한 연구

권혜란 사단법인 한국응급구조학회 2004 한국응급구조학회지 Vol.8 No.1

일부지역 119 노인전용구급차(Silver Ambulance)의 활동분석 및 발전방안

권혜란,Kwon, Hay-Rran 한국응급구조학회 2007 한국응급구조학회지 Vol.11 No.3

This study analyzes use and operation of silver ambulance with 110 patients who had used silver ambulance in Gwangju and Jeonnam regions from June of 2006 to June of 2007 and 53 paramedics who are involved directly in ambulance operation and the results of this analysis are as follows. 1. Users' health conditions, 69.1% of users answered as bad and 67.3% suffered from chronic diseases over 3 months and it was found that they used silver ambulance due to their bad health conditions. 2. Cronbach's alpha was 0.630 and family function index was generally reliable and solution was high as 1.60, but total points were low as 7.11 and it was considered that they had family troubles. 3. On the question of ambulance use, 44.5% answered they used it because it is free, 53.6% used it for appointed medical examination and treatment and 18.1% used it for emergency. 4. Degrees of satisfaction with ambulance and paramedics were 95.4% and 76.4% respectively and 80.0% of ambulance users answered ambulance arrived quickly within 15 min. 5. Correlation($x^2 $) between family or relative's residence and frequency of visits was 86.367 and its significance probability was 0.00 and it was found that it was significant in the level of 0.1%, but correlation($x^2 $) between visitors other than family or relatives and frequency of visits was 14.768 and its significance probability was 0.25 and it was found that it was not significant in the level of 5%. 6. Correlation($x^2 $) between transfer operation speed and mobilization time was found that it was not significant in the level of 5%. Correlation($x^2 $) between their own health condition purpose of ambulance use was 13.802 an 5.696 and its significance probability was 0.93 and it was found that it was not significant in the level of 1%, and it was considered because paramedics carried patients with safe operation.

보건계열 학부생의 대학생활 스트레스, 우울 취약성 및 스마트폰 과다사용의 관련성

권혜란,박시은,박대성 한국응급구조학회 2013 한국응급구조학회지 Vol.17 No.3

대학생의 응급처치 지식수준 실태조사

권혜란,정지연 한국응급구조학회 2003 한국응급구조학회지 Vol.7 No.1

This study tries to examine the level of safety consciousness and first and knowledge of 124 college students who attend non-public health departments in Gwangju from April 1 to 30, 2003 and apply the results of the study to curriculum. The results of this study are as follows; 1. On experiences of need of first-aid, 87.5% of respondents said 'yes' and there was a significant difference in the number of their siblings(x² = 7.482, p = .048). 2. Sources of education of first aid were mostly at school(46.8%), no education(23.4%), through mass communication(22.6%) and by themselves(7.3%). There were significant differences by characteristics in sex(x² = 30.230, p = .000), year(x² = 10.821, p = .013) and mother's education(x² = 18.932, p=.025). 3. Sources of information of first aid were mostly through TV(46.8%), followed by others(42.7%), newspapers(7.3%) and magazines(3.2%). 4. On the opinions of the most suitable period for education first aid, elementary school was highest(41.9%), followed by kindergarten(29.0%), middle school(21.0%) and high school(8.1%) and there were significant difference by characteristics of subjects in sex(x²=9.689, p=.021) and year(x²=19.661, p=.000). 5. Score of knowledge level of safety consciousness was mean 71.58±12.05 based on Likert 5-point scale with a full mark of 100 points and there was a significance only in current residence of subjects' general characteristics(F or t=3.894, p=.023). 6. Score of knowledge level of first aid was mean 62.73±13.29 based on Likert 3-point scale with a full mark of 90 points and there was significance only in residential type of subjects' general characteristics(F or t=3.058, p=.031). Although college students felt needs of first aid more than middle and high school students, it was found that their actual safety consciousness and knowledge level of first aid were low. Therefore, knowledge and ability should be developed to save human life from all kinds of emergencies and safety accident and first aid subjects should be separated in college curriculum and opportunity for actual education should be given.

응급구조과 학생 현장실습의 실제와 개선방안 연구

권혜란 한국응급구조학회 2002 한국응급구조학회지 Vol.6 No.1

As a result of analyzing problems in field practice and its effects, the following conclusions can be obtained. Man students were more satisfied with their choice of this department than woman students and woman students recognized the importance of hospital practice although they felt the need of fire fighting station practice and man students felt the necessity of hospital practice, but they answered the fire fighting station practice was important. Departments of field practice are emergency and nurse departments in hospitals and emergency aid section in fire fighting stations. And it is found that field practice was performed well in relation to major subject. Areas of practice included emergency room, operation room and extensive cure unit and the experience of ambulance was more in fire fighting station than in hospital. Clinical guidance of professor was preferred to once a week and the students answered they felt satisfaction with practice through conference. Answer that field practice was helpful in understanding class was very high as 96.8% and its connection with employment was low as 12.8%. It is found that a proper timing of field practice was winter vacation for hospital practice after completing the second semester of the first year and summer vacation for fire fighting station practice after the first semester of the second year. The most difficult department in field practice was nurse department in hospital because 'respondents were practice students' and administrative department in fire fighting stations because 'they lacked recognition of paramedic'. In making practice diary, 'describing measure results' was difficult most and the respondents wanted to keep the diary in their custody.

셀프코칭 유지요인에 대한 현상학적 연구

권혜란,탁진국 인문사회 21 2023 인문사회 21 Vol.14 No.2

The purpose of this study is to phenomenologically analyze self-coaching maintenance factors by deriving the meaning and essence of the experiences of those who have maintained self-coaching for a long time. To this end, in-depth interviews were conducted with 6 people who were maintaining self-coaching for a long time, and the collected in-depth interview data were analyzed using Giorgi’s descriptive phenomenology method. As a result of the analysis, 72 meaning units, 34 sub-categories, and 7 supper-categories were finally derived. In this study, 7 supper-categories were presented by dividing them into four themes. The four themes were ‘technical factors’, ‘consequential factors’, ‘psychological factors’, and ‘situational factors’. As a result of the study, it was found that 'individualization' that can utilize self-coaching according to one's inclination, goal, situation, etc. is important, and the coaching skill that enables this and the personalization period of self-coaching that precedes it are important. Through this, self-coaching was used, evaluated, and modified, and when they felt ‘satisfied with the result’, they voluntarily repeated it, leading to long-term maintenance. In addition, psychological understanding and intervention were very important in all these processes and results. Based on the results, basic and utilization research of self-coaching was suggested.