광주광역시 응급의료 전달체계에 관한 연구

권혜란 광주보건대학 2000 論文集 Vol.25 No.-

There have been 22 emergency rescue teams including 119 and about 64% of special ambulance and general others(van type) in Kwangiu City. Equipment condition in ambulance is almost 100% fitted to the standard of the Ministry of Government Administration and Home Affairs and there are 96 rescuing crew of which 15 (15.6%) ones are unqualified. Total 41 times of rescuing and emergency measure education are practiced by means of entrusted education and one by their own fire fighting band. It is researched that total numbers of 119 rescuing reports are 10,149 which 7,907 cases of them are transferred, 2,242 cases are not. The distinction of sex show 4,899(57.9%) cases of men, 3,563(42.1%) of women among the 8,462 cases of transferred patients. Also the distinction of area, SeoBu Fire Station have showed the highest transferred cases. It usually takes between 31~60 minutes to transfer of emergency patients. As a result of this research, Kwangju city, which was specific regional conditions, must, among are the things, unify the receipt desk, modernize equipment, exchange general ambulances for special ones, strengthen qualified rescue crews, and repeatedly educated those chrews in order to establish an emergency medical system capable of providing better medical service to it's residents. Therefore, I think that the emergency medical system which is suitable to our country and reasonably acceptable to all conditions before mentioned and positive and future oriented role alble to solve all matters needed to manage the emergency medical system are required and for all of this arduous labor interest are need.

고령사회에서의 케어기술발달과 응급구조사의 역할

권혜란,박대성 한국노년학연구회 2012 한국 노년학연구 Vol.21 No.-

우리나라는 근래 노인인구 증가로 인하여 홀로 거주하는 노 인들의 가구 수 증가는 물론 노인성 질환으로 지출하는 의료비가 폭등하고 있다. 아울러 노인성질환으로 인한 응급의료서비스 요구도 커지고 있다. 이에 본고에서는 정보기술을 응용한 노인 care기술의 현황을 응급의료서비스 체계에 초점을 맞추어 소개했는데, 이들은 무선페이징 시스템, 노인전용구급차, U-안심콜서비스, 효심이 119서 비스, 및 독거노인 U-care 서비스 사업에 관한 것들이었다. 아울러 고령사회에 대비할 응급구조의 미래에 대해서는 home care의 발달 에 따른 환자의 요구 변화 그리고 병원 전 응급케어 기능의 앰뷸런 스나 응급오토바이의 역할을 논했다. 마지막으로 응급구조사의 미래 적응을 위한 과제를 언급하면서 구급서비스나 care에 응용되는 기기 의 활용 부분의 개선방안을 제시하였고 그리고 구급서비스 제공자 인 응급구조사의 질적 향상을 위한 교육과정의 변화를 제언하였다.

응급의료서비스 중 발생되는 소송사례와 대책 연구

권혜란 한국응급구조학회 2009 한국응급구조학회지 Vol.13 No.3

말기신부전 환자에서 복강 내 림프절에서 확인된 ALK 재배열 폐선암종

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

119무선페이징의 이용실태에 관한 연구 - 일 지역을 중심으로 -

권혜란,정지연,최길순,Kwon, Hay-Rran,Jung, Ji-Yun,Choi, Gil-Soon 한국응급구조학회 2007 한국응급구조학회지 Vol.11 No.2

Health and disease related characteristics of 226 selected by systematic sampling from 452 personal emergency response system(PERS) beneficiaries and actual conditions of using PERS by them are as follows. Over 86% of PERS beneficiaries have not good health conditions and 70.7% of them have chronic diseases. On social supports family was highest as 52.2% and cases having social workers' assistance were 15.2%, but 53 as 23.7% had not visit or call from anyone and showed very low social supports. 86.2% was given PERS within 3years and 79.1% had it by the recommendation from related agencies and 4.0% was by their demand. On wearing it, 78.3% didn't bring it with them and 92% of them answered they were not sick and then it was found that they didn't use it because they had not special emergency. On satisfaction with paging system's operation, 81.3% answered they were satisfied with it, 48.8% used it for 'acute and emergency diseases' and 29.3% called ambulance for 'appointed medical treatment'. Time required for ambulance to arrive at the field was within 10 min. in 87.8% and after 10 min. in 12.2% and emergency service for beneficiaries by fire service was very good. On satisfaction with use of PERS, 85.4% were satisfied with it, 81.9% who requested repair or replacement of radio paging got it back after one or two days of their request and they answered they were satisfied with A/S. 45.5% answered they powered off it because 'they didn't use it' and 12.1% had 'economical reason of phone charge'.

일 지역 학령기 아동의 비만수준과 비만관련 요인

권혜란,최길순 사단법인 한국응급구조학회 2008 한국응급구조학회지 Vol.12 No.1

고령사회와 치매환자의 운전 적절성에 관한 고찰

권혜란,신동민 한국노년학연구회 2014 한국 노년학연구 Vol.23 No.-

인구 고령화로 인하여 수많은 사회적 문제들이 발생하고 있 다. 그 중 하나가 고령운전자 및 치매환자의 수나 빈도가 빠르게 증 가하면서 초래되는 문제이다. 즉 치매상태임에도 불구하고 자동차를 운전하는 고령자가 생기면서 환자 자신은 물론 가족이나 대중의 안 전에 위협을 준다는 것이다. 이에 본고에서는 치매환자의 운전 적절 성을 평가하는 도구가 무엇인지, 그 평가도구들의 적절성은 어느 정 도인지, 그 평가 결과에 따라서 어떻게 치매환자의 운전을 중단시킬 것인지, 중단시킨다면 누가 그리고 어떻게 중단시켜야 하는지, 중단 이후 대체할 수 있는 교통수단은 어떤 것인지 등을 제도적 발전과 변화의 측면에서 서술하였다. 아울러 치매 상태의 고령운전자의 운 전중단이 삶의 질 저하와 어떠한 관련성이 있는지, 그와 같은 운전 중단의 결정에 환자의 가족이나 의료인은 어떤 역할을 해야 하는지 를 논했다. The aging population has been causing a number of social issues. As one of the issues, the numbers of the older drivers and people with dementia have been increasing so fast. Thus, the older drivers with dementia have recently been on the increase, and it has become a risk or threat to the public safety. This paper was to review what the tools for evaluating safe driving were, how proper the tools were, when the older drivers with dementia should stop driving, who would ask to stop driving them, what kinds of alternative transportation services would be offered to them, and so on. At the same time, the relation between discontinuation of driving and decline of the quality of life for the older drivers with dementia was discussed.

치매환자 간호에서의 탈진경험 : 현상학적 접근

권혜란,오미성 한국노년학연구회 1999 한국 노년학연구 Vol.8 No.-

When patients with irreversible dementia show severe deterioration in cognitive abilities, caretakers begin to perceive it as stressful situation. Caregiving burden or stress, which can result in burnout, was understood through in-depth interview with two primary caregivers who were family members of the dementia patients. It seemed that both of them have experienced psychological distress so seriously. Nevertheless, they expressed their filial duty of taking care of the patients as far as the patients are alive. The findings were discussed in the context of suggesting that burnout prevention education program should be given to the caregivers as well as the general population.

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.

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.