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항암 화학요법을 받는 유방암 환자의 삶의 질에 관한 연구
심주현,박경숙 성인간호학회 2004 성인간호학회지 Vol.16 No.1
Purpose: This study is a descriptive research study to measure the quality of life of those who suffer from breast cancer and take the chemotherapy. Method: The Subjects were 70 breast cancer patients who took the chemotherapy from September 2 to October 31, 2003. Quality of life was measured by Ferrell's measurements. Result: Quality of life indicators were spiritual domain=6.44, physical domain=5.45, social domain=4.15, and mental domain=3.95. Whole quality of life was 4.68 out of 10 points. The quality of life of those with a practicing religion was significantly higher than those without(F=3.88, P=0.026). Subjects who were less than 2 months post-operation had higher points in the physical domain than those who were more than 2 months post-operation (t=2.76, p=0.007). Subjects who had less than 4 treatments of chemotherapy had higher points in the physical domain than those who had more than 4 treatments of chemotherapy (t=2.03, p=0.046). Conclusion: The results of this study serve as a meaningful source to promote quality of life of breast cancer patients who undergo chemotherapy. The results can also be applied to the development of education programs and counseling materials for chemotherapy patients. Health care strategy can also raise the quality of life of brest cancer patients.
심주현,김휘영,박주경,이정훈,이창수,남수연,최기돈,송호준,김상균,김주성,정현채,송인성 대한소화기내시경학회 2004 Clinical Endoscopy Vol.29 No.4
소장 질환은 진단적 접근법의 한계로 인하여 정확한 진단이 어려운 분야이나, 최근 캡슐 내시경이 도입된 이후 기존의 위장관 내시경 검사 및 방사선학적 검사로는 진단적 접근이 용이하지 않았던 소장의 병변을 비침습적으로 진단하는 데 유용하게 쓰고 있다. 현재 캡슐 내시경 검사는 소장 질환, 특히 원인 불명의 위장관 출혈, 염증성 장질환, 소장의 용종증 등을 진단하는 데 유용하게 이용되고 있으며, 그 진단적 가치에 대한 연구가 활발히 진행 중에 있다. 최근 저자들은 흑색변을 주소로 내원한 환자에서 기존의 상부 위장관 내시경과 대장 내시경 검사로 출혈 병소를 발견할 수 없었으나, 캡슐 내시경 검사로 회맹판 상부의 소장 용종에서 기인한 출혈을 확인한 증례를 경험하였기에 이를 문헌 고찰과 함께 보고하는 바이다. Small bowel diseases are uncommon and difficult to be diagnosed by conventional methods such as endoscopy and radiologic study. Recently, wireless capsule endoscopy has been known as a new diagnostic method to detect the small bowel diseases, especially in patients with obscure gastrointestinal bleeding. A 48-year-old male patient admitted our hospital with signs of gastrointestinal bleeding and iron deficiency anemia. There was no evidence of bleeding in upper and lower endoscopic exams. Finally, wireless capsule endoscopy demonstrated small bowel polyp as a cause of obscure gastrointestinal bleeding. We report a case of small bowel polyp bleeding diagnosed by wireless capsule endoscopy with a review of relevant literatures.
심주현,곽재영,정윤태 대한중환자의학회 2020 Acute and Critical Care Vol.35 No.3
Background: Postoperative fluid overload may increase the risk of developing pulmonary complications and other adverse outcomes. We evaluated the impact of excessive fluid administration on postoperative outcomes in critically ill patients. Methods: We reviewed the medical records of 320 patients admitted to intensive care unit (ICU) after emergency abdominal surgery for complicated intra-abdominal infection (cIAI) between January 2013 and December 2018. The fluid balance data of the patients were reviewed for a maximum of 7 days. The patients were grouped based on average daily fluid balance with a cutoff value of 20 ml/kg/day. Propensity score matching was performed to reduce the underlying differences between the groups. Results: Patients with an average daily fluid balance of ≥20 ml/kg/day were associated with higher rates of 30-day mortality (11.8% vs. 2.4%; P=0.036) than those with lower fluid balance (<20 ml/kg/day). Kaplan-Meier survival curves for 30-day mortality in these groups also showed a better survival rate in the lower fluid balance group with a statistical significance (P=0.020). The percentage of patients who developed pulmonary consolidation during ICU stay (47.1% vs. 24.7%; P=0.004) was higher in the fluid-overloaded group. Percentages of newly developed pleural effusion (61.2% vs. 57.7%; P=0.755), reintubation (18.8% vs. 10.6%; P=0.194), and infectious complications (55.3% vs. 49.4%; P=0.539) showed no significant differences between the two groups. Conclusions: Postoperative fluid overload in patients who underwent emergency surgery for cIAI was associated with higher 30-day mortality and more frequent occurrence of pulmonary consolidation. Postoperative fluid balance should be adjusted carefully to avoid adverse clinical outcomes.