1.The Effect of 30degree laterally Inclined Position Change on the Pressure Sores of Patients in Intensive Care Unit.
Eun Hee CHOI ; Kyung Sook PARK ; Kyung Sook CHOI
Journal of Korean Academy of Adult Nursing 1998;10(2):245-258
The purpose of this study was to test the effects of position change with 30degree laterally inclined position on pressure sores prevention. This study was designed as a Nonequivalent Control Group Quasi-experiment study. The subjects were collected with convenience sample of 30 patients who were hospitalized at ICU(Intensive Care Unit) of C university hospital in Seoul from March 1 to October 31, 1997. The patients were not able to change of position without help. The 15 patients were assigned to the control group and the other 15 patients to the experimental group. The both group were done position change every 2 hours and were observed whether pressure sores was developed for 2 weeks. For the experimental group, two positioning methods were alternatively used : 30degree right lateral, 30degree left lateral. For the control group, 90degree right and left lateral position were applied instead of 30degree lateral position. New Pressure Risk Assessment Scale was utilized to assess pressure sore risk. It is consists of 8 subscales which reflect sensory perception, skin moisture, activity, mobility, friction and shear, nutritional status, body temperature, and amount of medications(analgesics and sedatives). The results of this study are as follows ; 1. The incidence of pressure sores in total sample was 13 cases(43.3%) : 10 cases(76.9%) in control group, 3 cases(23.1%) in experimental group. the incidence rate of pressure sores in experimental group was significant lower than control group. 2. The sites of pressure scores development were 5 cases in trochanteric region, 4 cases in hip region, 2 cases in flank region, 1 cases in sacral region and 1 case in occipital region. Trochanteric region sores were not developed in experimental group. 3. The mean hospitalized period before pressure sores development were 7.3 day in experimental group and 4.1 day in control group. According to the results from this study, suggestions are as follows ; 1. Development of device which enable to keep 30degree laterally inclined position for 2 hours is needed. 2. It is necessary to study variously and objectively usefulness of 30degree laterally inclined position change which is applied to the other pressure risk assessment scale.
Body Temperature
;
Femur
;
Friction
;
Hip
;
Humans
;
Incidence
;
Intensive Care Units*
;
Critical Care*
;
Nutritional Status
;
Pressure Ulcer*
;
Risk Assessment
;
Sacrococcygeal Region
;
Seoul
;
Skin
2.The Factors Influencing on Employment Stress of University Students.
Eun Kyung BYUN ; Suk Ja YOON ; Kyung Hee KIM
Korean Journal of Occupational Health Nursing 2014;23(3):146-153
PURPOSE: This study examined to explore factors influencing on employment stress of university students. METHODS: The data were collected by structured questionnaires to students who agreed to be the subjects of this study. And 230 cases were finally analyzed. T-test, one-way ANOVA, Pearson's correlation coefficients, and multiple regression were conducted for data analysis using SPSS/WIN 18.0. RESULTS: Significant differences revealed in age, department of major, residental type and school year on employment stress by general characteristics. Also, employment stress showed negative correlation with self-esteem, and satisfaction in major. Self-esteem and satisfaction in major, department of major were confirmed as a factors influencing on employment stress and accounted for 36% of the variance. CONCLUSION: Further studies that discover factors influencing on employment stress of university students are needed, and also practical programs are necessary to decrease employment stress of university students.
Employment*
;
Humans
;
Surveys and Questionnaires
;
Statistics as Topic
3.A study on serum immunoglobulins and complements in newborn infants by gestational weeks.
Ji Eun LEE ; Kyung Hyo KIM ; Kyung Hee KIM
Journal of the Korean Pediatric Society 1993;36(11):1555-1561
The author investigated serum immunoglobulin (IgG, IgA, and IgM) and complements (C3) of cord blood in 74 cases of normal fullterm infants and 50 cases of premature infants. Serum immunogloblin and complement levels were measured by the single radial immunodiffusion method. The following results were obtained; 1) The mean seru IgG levels of cord blood in 74 cases of the normal full term infants was 1407.3+/-230.5mg/dl. 2) The mean serum IgG levels of cord blood in 50 cases of the premature infants was 675.2+/-329.4mg/dl. In comparison of serum IgG levels between the premature infants and the normal full term infants, serum IgG levels in the premature infants was significantly lower than that level of the normal infants (P< 0.05). 3) The serum IgA levels were measured in 28 (37.8%) of 74 cases of the normal full term infants and in 6 912%) of 50 cases of the premature infants. The serum IgA levels measured ranged from 0.4mg/dl to 3.7mg/dl in the normal full term infants and ranged from 0.4mg/dl to 2.4mg/dl in the prematre infants. 4) The mean serum IgM levels of cord blood in 74 cases of the normal full term infants was 4.05+/-3.53mg/dl and that in 50 cases of the premature infants was 2.20+/-2.15mg/dl. 5) The mean serum C3 levels of cord blood in 74 cases of normal full term infants was 49.7+/-18.1mg/dl and those of the premature infants was 30.9+/-10.5mg/dl. In comparison of serum C3 levels between the premature infants and the normal full term infants, the mean levels of serum C3 in the premature infants was significantly lower A statistically significant increase of IgG and C3 levels of cord blood in newborn infants were observed in accordance with the increase of the gestational age. It has been suggested that decreased IgG levels among premature infants may provide a rationale for prophylactic gamma globulin administration.
Complement System Proteins*
;
Fetal Blood
;
gamma-Globulins
;
Gestational Age
;
Humans
;
Immunodiffusion
;
Immunoglobulin A
;
Immunoglobulin G
;
Immunoglobulin M
;
Immunoglobulins*
;
Infant
;
Infant, Newborn*
;
Infant, Premature
4.Structual Equation Modeling on Adjustment of Cancer Patients Receiving Chemotherapy.
Eun Kyung LEE ; Eun Jung RYU ; Kyung Hee KIM
Journal of Korean Oncology Nursing 2011;11(2):101-107
PURPOSE: This study was to understand and explain the adjustment of cancer patients receiving chemotherapy. Variables in this model were social support, uncertainty, resilience and coping. METHODS: The data were collected for approximately five months from May through to September 2006 with cancer patients receiving chemotherapy or cancer patients finished chemotherapy using self-administered questionnaires. Descriptive statistics program, Amos 5.0, was employed to verify the goodness of the hypothetic model and the hypotheses formulated in the study. RESULTS: The fitness of the finalized model turned out to be improved (chi2=332.644, df=70, GFI=.809, AGFI=.714, RMSEA=.138, AIC=402.644). Those variables made a 60.8% prediction of the patients adjustment. CONCLUSION: The hypothetic model presented in the study could serve to explain the adjustment of cancer patients receiving chemotherapy. Moreover, the use of the conceptual framework of the theory of planned nursing intervention would be very worthwhile as a strategy to boost the adjustment of cancer patients when receiving chemotherapy.
Humans
;
Surveys and Questionnaires
;
Uncertainty
5.Effects of Nutrition Education on Food Waste Reduction.
Seoung Hee KIM ; Eun Hui CHOI ; Kyung Eun LEE ; Tong Kyung KWAK
Journal of the Korean Dietetic Association 2007;13(4):357-367
This research was performed to evaluate the effects of nutrition education on food waste reduction at school food service. A dietitian conducted nutrition education on environmental protection and proper eating attitude and poor eating habits for 3rd and 5th graders at an elementary school in Seoul. The effectiveness of the education was evaluated by surveying the students before and after the education; 375 responses were analyzed. A questionnaire was designed to compare changes of the students' attitudes and plate waste before and after education. Plate wastes of boiled black rice(p<0.05), potato soup(p<0.05), amaranthus herb salad(p<0.01), and cabbage kimchi(p<0.05) decreased significantly after education. Students' eating attitudes improved significantly(t= -6.22, p<0.01) after nutrition education. Major reasons the students did not eat all foods they were served were large portion sizes (30.59%), low menu preference (29.79%), and tastes (17.82%). The menus with high plate waste rates were cooked vegetable items (35.64%) and soup items (26.6%). After education, students' attitudes on 'food waste pollutes the Earth(p=0.013)', 'food preparation for birthday parties(p<0.01)', and 'restaurant selection for eating out (p<0.01)' changed significantly. After education, plate waste and portion sizes that the students perceived were not negatively correlated. In conclusion, nutrition education on proper eating habits and source reduction is an effective method to reduce food waste generation and to improve students' eating attitudes and awareness on environment.
Amaranthus
;
Brassica
;
Natural Resources
;
Eating
;
Education*
;
Food Services
;
Humans
;
Nutritionists
;
Portion Size
;
Surveys and Questionnaires
;
Seoul
;
Solanum tuberosum
;
Vegetables
6.Effects of neuropeptide Y on the motility of rabbit uterine strip.
Hee Sug RYU ; Kyung Eun LEE ; Young Soo AHN
Korean Journal of Obstetrics and Gynecology 1991;34(4):476-487
No abstract available.
Neuropeptide Y*
;
Neuropeptides*
7.The Apgar Score and Umbilical Arterial pH in the Newborn.
Hoo Jae HANN ; Eun Ae PARK ; Kyung Hee KIM
Journal of the Korean Pediatric Society 1990;33(8):1048-1056
No abstract available.
Apgar Score*
;
Humans
;
Hydrogen-Ion Concentration*
;
Infant, Newborn*
8.Study of the Normal Value of Neonatal Blood Pressure according to Postconceptional Age.
Jin Ah KIM ; Eun Ae PARK ; Kyung Hee KIM
Korean Journal of Perinatology 1999;10(1):3-9
OBJECTIVE: Neonatal blood pressure is one of the vital signs used to assess the general health of a newborn infant. But, it is difficult to measure and varies according to the model of sphygmomanometer, the used method, the postconceptional age, birth weight, asphyxia, postnatal age and activity. We have assessed the rnean value of blood pressure(BP) according to postconceptional age. Variations caused by the postconceptional age, birth weight, body surface area(BSA), postnatal age, and sex were analyzed to determine the rnost important factor influencing the neonatal BP. METHODS: This study included 448 normal fullterm infants and healthy preterm infants born from Jan. 1995 to Aug. 1997 at Ewha Dongdaemoon and Mokdong Hospital. The BP was taken on day 1, 3, 5 with the oscillometric device(Dinamap 1846 critikon Inc.), for premature infants BP was followed up every week afterward. RESULTS: The neonatal BP was related to the postconceptional age(R=0.204, P<0.05), BSA(R =0.191, P<0.05), birth weight(R=0.183, P<0.05) and the postnatal age in fullterm infants(R=0.022, P<0.05) but not with the sex of the infant. The postconceptional age was the most significant variable among those influencing the BP. The normal value of the systolic and the diastolic BP was expressed as mean+/-2SD according to the postconceptional age, less than 28 weeks(n=27) systolic/diastolic pressure 50.4+/-23.1mmHg/26.2+/-12.8mmHg, 28-32weeks(n= 63) 60.1+/- 30.6mmHg/33.6+/-16.7mmHg, 32-36weeks(n = 139) 63.2+/- 20.4mmHg/37.7+/- 19.8 mmHg, 36- 40weeks(n=543) 65.6+/-18.5mmHg/38.6+/-17.3mmHg, more than 40weeks(n= 136) 67.7+/-16,9mmHg/39.3+/- 15.8mmHg. The increase in blood prssure with the postconceptional age was statistically significant. CONCLUSION: The normal range of neonatal BP, especially preterm infants, was presented, and it would be much valuable for the evaluation of BP in neonate if standardized by postconceptional age.
Asphyxia
;
Birth Weight
;
Blood Pressure*
;
Humans
;
Infant
;
Infant, Newborn
;
Infant, Premature
;
Parturition
;
Reference Values*
;
Sphygmomanometers
;
Vital Signs
9.Beta Dosimetry in Intraperitoneal Administration of 166Ho-chitosan Complex.
Kyung Bae PARK ; Sang Moo LIM ; Eun Hee KIM
Korean Journal of Nuclear Medicine 1998;32(1):99-108
Intraperitoneal adminstration of radioisotopes is suggested to treat the metastatic ovarian cancer in the pertioneal cavity. Administering beta-emitting radioisotopes into the pertioneal cavity allows the maximum energy delivery to the cancerous cells of the pertioneal wall surface while sparing the normal cells located in deep site of the peritoneal wall. In this study, dose estimates of the peritoneal wall are provided to be used for prescribing the amount of 166Ho-chitosan complex administered. The 166Ho-chitosan complex diffused in the peritoneal fluid may attach to the peritoneal wall surface. The attachment fraction of 166Ho-chitosan complex to the peritoneal wall surface is obtained by simulating the ascites with Fischer rats. Both volume source in the peritoneal fluid and the surface source over the peritoneal wall surface are counted for the contribution to the peritoneal wall dose. The Monte Carlo code EGS4 is used to simulate the energy transfer of the beta particles emitted from 166Ho. A plane geometrical model of semi-infinite volume describes the peritoneal cavity and peritoneal wall. A semi-infinite plane of 10 micrometer in thickness at every 1 mm of depth in the peritoneal wall is taken as the target in dose estimation. Greater han 98 percents of attachment fraction has been observed from the experiments with Fischer rats. Given 1.3 microcurie/cm2 and 2.4 microcurie/ml of uniform activity density, absorbed dose is 123 Gy, 8.59 Gy, 3.00 Gy, 1.03 Gy, and 327 Gy at 0 mm, 1 mm, 2 mm, 3 mm, and 4 mm in depth to the peritoneal wall, respectively.
Ascites
;
Ascitic Fluid
;
Beta Particles
;
Energy Transfer
;
Ovarian Neoplasms
;
Peritoneal Cavity
;
Radioisotopes
;
Rats, Inbred F344
10.Influence of Job Stress and State of Sleep on the Depression of Emergency Medical Technicians.
Chun Yee LEE ; Eun Kyung BYUN ; Nam Hee KIM
Korean Journal of Occupational Health Nursing 2013;22(3):191-197
PURPOSE: The purpose of this study was to identify the relationship of job stress, state of sleep, and depression and to identify factors influencing depression of emergency medical technicians. METHODS: The research was a cross-sectional, descriptive study. Data collection were done using self-report questionnaires with 162 emergency medical technicians working in hospitals who agreed to participate in the study. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation coefficients and multiple regression with the SPSS/WIN 18.0 Program. RESULTS: Depression had significant negative correlations with state of sleep, (r=-482, p<.001) and positive correlations with job stress (r=.196,p=.013). State of sleep had significant negative correlations with job stress (r=-.168, p=.033). The variance for life satisfaction was 23.7% (F=25.964, p<.001). Variable of state of sleep significantly predicted depression of emergency medical technicians. CONCLUSION: Considering these results, for emergency medical technicians' job stress, state of sleep, and depression, further studies are needed. Furthermore, there is a need to develop and implement new strategies to improve depression among emergency medical technicians.
Data Collection
;
Depression
;
Emergencies
;
Emergency Medical Technicians
;
Humans
;
Surveys and Questionnaires