디지털융복합연구 (Journal of Digital Convergence)

  • 제15권5호
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  • Pages.263-269
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  • 2017
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  • 2713-6434(pISSN)
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  • 2713-6442(eISSN)
한국디지털정책학회 (The Society of Digital Policy and Management)
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건강한 성인에서 자세변화와 검사방법의 이해도가 폐기능검사 결과에 미치는 영향

A comparative study to evaluate the effect crook sitting position and understanding of test in pulmonary function test on healthy individuals

  • 연정민 (충북대학교 동물의학연구소) ;
  • 이옥경 (대전보건대학교 임상병리학과)
  • Yon, Jung-Min (Research Institute of Veterinary Medicine, Chungbuk National University) ;
  • Lee, Og-Kyoung (Dept. of Clinical Laboratory Science, Daejeon Health Institute of Technology)
  • 투고 : 2017.03.07
  • 심사 : 2017.05.20
  • 발행 : 2017.05.28
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초록

폐기능검사는 호흡기 질환을 진단하는 검사방법으로 정확한 검사 결과를 얻기 위해서는 환자의 이해와 협조가 절대적으로 필요하다. 본 연구는 폐활량검사에서 환자의 이해도와 자세의 중요성에 대하여 실험하였다. 2016년 110명의 건강한 사람을 대상으로 1) 검사자의 설명만으로, 2) 동영상 상영과 검사자의 시연 후, 3) 자세에 제한을 주기 위하여 다리를 꼰 후 어깨를 구부린 상태로 측정하였다. 폐활량 검사기기를 이용하여 FVC, $FEV_1$, $FEV_1/FVC$, $FEF_{25-75%}$, PEF를 측정하였다. 대상자가 검사방법을 이해하기 전과 후의 FVC, $FEV_1$, $FEV_1/FVC$, $FEF_{25-75%}$, PEF가 유의적으로 증가하였다. 잘못된 자세에서 검사 시 FVC, $FEV_1$, PEF의 유의적으로 차이가 있었다. 재현성은 대상자의 이해도와 자세이상에서, 적합성은 자세이상에서 유의적인 차이를 보였다. 폐기능 검사의 정확한 결과를 도출해 내기 위해서는 검사 시 환자의 정확한 이해와 올바른 자세를 유지하여야 신뢰할 수 있는 결과를 얻을 수 있을 것이다.

Pulmonary function test (PFT) is a test method to determine respiratory disease. In order to obtain accurate PFT results, it is absolutely necessary to induce the inspector and cooperate with the patient. This study was to observe the importance of understanding and posture of the patient in spirometry. In 2016, 110 healthy experimenter performed spirometry; 1) only heard the explanation, 2) watching video and inspector,s demonstration, 3) twisting legs and bending shoulder. FVC, $FEV_1$, $FEV_1/FVC$, $FEF_{25-75%}$, PEF were measured by spirometry. FVC, $FEV_1$, $FEV_1/FVC$, $FEF_{25-75%}$, PEF were significantly increased before and after the understanding the test method. There was a significant difference in FVC, $FEV_1$, and PEF in the false posture. Reproducibility was significantly different in the experimenter' comprehension and false posture. This study provides accurate understanding of the patient and correct posture should be maintained during the examination to obtain correct and reproducible results of PFT.

키워드

참고문헌

  1. W. M. Gold, "Pulmonary function testing. In: Murray JF, Nadel JA, editors," Textbook of respiratory medicine. 4th ed. Philadelphia: Saunders pp. 671-733, 2005.
  2. E. O. Attinger, R. G. Monroe, M. S. Segal, "The mechanics of breathing in different body positions. I. In normal subjects," J Clin Invest, Vol. 35, pp. 904-911, 1956. https://doi.org/10.1172/JCI103343
  3. A. B. Lumb, J. F. Nunn, "Respiratory function and ribcage contribution to ventilation in body positions commonly used during anesthesia." Anesth Analg, Vol. 73, pp. 422-426, 1991.
  4. P. Pelosi, D. Tubiolo, D. Mascheroni, P. Vicardi, S. Crotti, F. Valenza, L. Gattinoni, "Effects of the prone position on respiratory mechanics and gas exchange during acute lung injury." Am J Respir Crit Care Med, Vol. 157, pp. 387-393, 1998. https://doi.org/10.1164/ajrccm.157.2.97-04023
  5. P. K. Behrakis, A. Baydur, M. J. Jaeger, J. Milic-Emili, "Lung mechanics in sitting and horizontal body positions," Chest, Vol. 83, pp. 643-646, 1983. https://doi.org/10.1378/chest.83.4.643
  6. K. Sembulingam, "Essentials of Medical Physiology," 4th Edition, pp. 609-629, 2006.
  7. P. K. Behrakis, A. Baydur, M. J. Jaeger, J. Milic-Emili, "Lung mechanics in sitting and horizontal body positions," Chest, Vol. 83, pp. 643-646, 1983. https://doi.org/10.1378/chest.83.4.643
  8. E. H. CASE, J. A. STILES, "The effect of various surgical positions on vital capacity," Anesthesiology, Vol. 7, pp. 29-32, 1946. https://doi.org/10.1097/00000542-194601000-00005
  9. Korea Tuberculosis and Respiratory Society, "2016 Guidelines for Pulmonary Function Test," pp. 2-60, Medlan, 2016.
  10. J. K. Choi, D. Paek, J. O. Lee, "Normal predictive values of spirometry for Korean population," Tuberc Respir Dis, Vol. 58, pp. 230-242, 2005. https://doi.org/10.4046/trd.2005.58.3.230
  11. H. Y. Jang, J. H. Kim, "A comparison of cardiopulmonary function, RPE, and blood lactate following in wheelchair treadmill and arm ergometer GXT test through convergence," The Society of Digital Policy & Management, Vol. 14, pp. 553-561, 2016.
  12. J. F. Morris, A. Koski, L. C. Johnson, "Spirometric standards for healthy nonsmoking adults," Am Rev Respir Dis, Vol. 103, pp. 57-67, 1971.
  13. Y. M. Oh, S. B. Hong, T. S. Shim, C. M. Lim, Y. Koh, W. S. Kim, D. S. Kim, W. D. Kim, Y. S. Kim, S. D. Lee, "Effect of a new spirometric reference equation on the interpretation of spirometric patterns and disease severity," Tuberc Respir Dis, Vol. 60, pp. 215-220, 2006. https://doi.org/10.4046/trd.2006.60.2.215
  14. H. Yun, S. Kim, H., Jeon, B. Lee, "The effect of transverse abdominal muscle contraction with visual feedback on lung function in healthy adults," Journal of The Korean Society of Integrative Medicine, Vol. 4, pp. 23-28, 2016. https://doi.org/10.15268/ksim.2016.4.2.023
  15. J. E. Cotes, "Lung function : Assessment and application in medicine," Oxford Blackwell Scientific 4th ed. 1979.
  16. M. D. Morgan, A. R. Gourlay, J. R. Silver, S. J. Williams, D. M. Denison, "Contribution of the rib cage to breathing in tetraplegia," Thorax, Vol. 40, pp. 613-617, 1986.
  17. D. Pierson, N. Dick, T. Petty, "A comparison of spirometric values with subjects in standing and sitting positions," Ches, Vol. 70, pp. 17-20, 1986.
  18. B. K. Lee, "Effects of Postural Pulmonary Function and Contraction of Abdominal Muscle on Standing Posture on Effective Pulmonary Function," Journal of the Korean Physical Society, Vol. 7, pp. 267-274, 2012. https://doi.org/10.13066/kspm.2012.7.3.267
  19. E. H. Park, H. R. Park, H. S. Kim, “Approaches to Convergence Curriculum for Healthcare-Affiliated Students with Clinical Competence Assessment Program,” Journal of the Korea Convergence Society, Vol. 6, No. 3, pp. 76-86, 2015.
  20. S. Park, J. Shim, “Effect of 8 Weeks of Schroth Exercise (Three-dimensional Convergence Exercise) on Pulmonary Function, Cobb's Angle, and Erector Spinae Muscle Activity in Idiopathic Scoliosis,” Journal of the Korea Convergence Society, Vol. 5, No. 4, pp. 61-68, 2014. https://doi.org/10.15207/JKCS.2014.5.4.061
  21. L. Sipoli, L. Martinez, L. Donaria, V. S. Probst, G. L. Moreira, F. Pitta, "Spirometry in healthy subjects: do technical details of the test procedure affect the results?" PLoS One, Vol. 22, e107782, 2014.
  22. Occupational Safety and Health Research Institute, "Pulmonary Quality Control, Pulmonary Function Test," PP. 137-158, Korea Occupational Safety and Health Agency, 2017.
  23. Seung-kyoong Jung, "Effects of Obesity on Pulmonary Function in Adult Women," Korean Journal of Public Health Nursing, Vol. 28, pp. 22-31, 2014. https://doi.org/10.5932/JKPHN.2014.28.1.22
  24. Y. K. Yang, "Relationship of cardiorespiratory function, muscular strength and bone mineral density in female college students," The Korea Journal of Sports Science, Vol. 22, pp. 1205-1214, 2013.