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안영미(Young-Mee Ahn) 한국생활환경학회 2010 한국생활환경학회지 Vol.17 No.1
While the direct measurement of body surface area (BSA) is impractical, there is an urgent need for the accurate BSA estimation in neonates considering increasing of high-risk infants. Particularly, it would be feasible to have a BSA equation using only weight of neonate, considering the body posture and inconvenience of measuring height of neonates. A research was conducted to develop BSA equation using weight of 5014 neonates including very-low-birth weight infants. BSA of subjects was calculated using existing BSA equations, from which Mean-BSA was arithmetically derived as a true BSA. Multiple-regression was performed to generate the equation for Mean-BSA with the best goodness-of-fitness of weight and height using Excel and SPSS 16.0. Then the final BSA equation with weight of neonates (Ahn-BSA) was formulated using the relationship between weight and height. Ahn-BSA equation was as follows: Ahn-BSA = 10.8 ×W<SUP>0.6539</SUP>. The validity of Neo-BSA was examined using 3-D scanning of neonate-simulator and paired t-test between Mean-BSA and Ahn-BSA. Ahn-BSA, using only body weight, could provide an accurate measurement of BSA in neonates from very low birth weight to normal weight. It would accelerate understanding the body of knowledge and serve as a base for accurate application of various interventions in BSA practice for neonates.
안영미,구현영,Ahn Young Mee,Koo Hyun Young 한국아동간호학회 1998 Child Health Nursing Research Vol.4 No.1
Newborn period is a transitional stage for independent adaptation from intrauterine to extrauterine life by maintaining respiration, temperature and nutrition. In general, the adaptability of the newborn is proportional to the gestational age(GA), so knowing the accurate GA is critical to develop nursing process in the newborn nursery. A newborn ma turity rating, a Ballard examination, has been used to measure GA by assessing the maturity of new-born. It consists a total of 12 items, which is the 6 items for the neuromuscular maturity and the 6 items for the physical maturity A total of 75 new-born were assessed for the maturity and GA using the Ballard examination. The results are follows : 1) The score of each item of Ballard examination is propotional to GA using the Ballard examination as well as LMP. 2) There was a greater positive relationship between neuromuscular, physical and total maturity, and the GA measured by Ballard examination, than the GA measured by LMP. 3) Any stressful environment to the newborn could influence to the maturity of newborn. In summary, the study showed the Ballard examination Is more reliable and clincially feasible method to measure the accurate G4 compared to the GA by LMP. Therefore, it suggests the application of Ballard examination to measure the new born maturity and GA is beneficial in developing nursing process. The expansion of the study with the variety of the subject characteristics nil on hance the clinical applicability of the examination.
미숙아의 기관지흡인 전 흉곽진동 간호중재가 산소포화도, 심박동수와 기도분비물의 양에 미치는 영향
안영미,Ahn Young Mee 한국아동간호학회 1998 Child Health Nursing Research Vol.4 No.2
Prematurity is the main cause for respiratory disorders in neonates. The goal in respiratory management is to maintain respiration with adequate oxygenation. Chest vibration(CV) prior to on dotracheal suctioning(ETS) has been arbitrarily applied to ventilated premature infants without the scientific evaluation of its safety and efficacy. A repeated measure within subjects experimental study was conducted to investigate the effects of CV prior to 875 on oxygenation and lung secretions in twenty-one ventilated premature infants. The independent variable was the type of research protocol, the control type (275 without C.V) and t he intervention(ETS with CV). The dependent variables were oxygen saturation(SpO₂), heart rate (HR), measured by pulse oximeter, and the amount of lung secretions measured in gram. The results showed there was no difference in SpO₂ responses regardless CV employed before ETS. But there was a significant difference in HR responses between the control and the intervention, even without clinical significance. There was a significant difference in the amount of lung secretions retrieved during ETS with CV, compared to ETS without CV. This study suggested the safety of CV by demonstrating no clinically significant changes in SpO₂ and HR in premature infants. The efficacy of CV could be supported by the increases in the amount of sputum during ETS with CV compared to ETS without CV in premature infants.