• 제목/요약/키워드: 성분헌혈

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성분헌혈자의 자기효능감과 관련변인 (The Self-efficacy and Critical Factors of Apheresis Blood-Donors)

  • 홍경희;박호란;송경애
    • 한국보건간호학회지
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    • 제17권1호
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    • pp.122-131
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    • 2003
  • This study was designed to provide the base of nursing intervention that could help apheresis blood-donors to promote self-efficacy effectively by analyzing critical factors that influence on this. The subjects recruited for the research were 468 persons who participated in platelet donation at a university hospital apheresis unit in Seoul. The data for this study were collected between May and June, 2002 using questionnaires. Data were analyzed by t-test, ANOVA, Scheffe test, and stepwise multiple regression. The results were as follows. 1. The mean self-efficacy score on the questions related to blood donation was $32.9\pm5.1$, indicating that blood donors have above the mean level of self-efficacy related to blood donation. 2. The self-efficacy score was significantly higher for the group of persons who have more than 5 times of experiences in blood donation than others who have only one experience. 3. The critical factors that influence self-efficacy related to donation were the marital status, educational level. and previous experiences of whole blood donation, while the critical factor that influence on general self-efficacy was previous experiences of whole blood donation. Therefore, it is necessary to establish more effective and organized nursing intervention strategies that can promote the self-efficacy of apheresis blood-donors.

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혈액백용 UHF RFID Tag 안테나와 혈액관리용 시스템 (UHF RFID Tag Antenna for a Blood Bag and BIS (Blood Information System))

  • 최재한;전병돈;정유정
    • 대한전자공학회논문지TC
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    • 제48권1호
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    • pp.102-107
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    • 2011
  • 헌혈원에서 현재 헌혈원 혈액백에 부착된 바코드를 하나씩 스캔하여 관리하는 것을, 관리의 효율성을 높이고 정확성을 높이기 위해 UHF RFID 혈액관리시스템 BIS(Blood information system)을 구현하였고, 고유전율인 혈액이 들어있는 헌혈용 혈액백 (blood bag)에 부착 가능한 UHF RFID Tag 안테나를 설계하였다. RFID Tag 안테나는 부착된 물체의 전기적인 특성으로 인하여 영향을 받으므로, 고유전율인 혈액에 근접 시 태그 안테나의 임피던스 성분이 변하게 되어 태그의 반사손실 및 대역폭에 영향을 주게 된다. 고유전율에 부착된 일반 태그가 냉장고 안에서 인식률이 20%도 미치지 못한다. 그래서 이러한 영향을 고려하여 일반 다이폴 형태의 태그에 반사판을 사용하여 설계하였다. 반사판이 있을 때와 없을 때, 반사판과 다이폴 태그와의 간격, 다이폴 안테나에 T 매칭 구조의 존재에 따라 임피던스를 조절하여 칩과의 정합 회로를 구성하여 최적화된 태그를 설계 및 제작하였으며 제작된 태그의 특성과 인식거리 패턴을 측정 비교하였다. 또한 본 태그를 사용하여 BIS를 구현하여 혈액관리가 실시간으로 되도록 하였다.

혈소판성분채집술: 채집과정, 장비, 성분채집혈소판 질의 지표들 (Plateletpheresis: the Process, Devices, and Indicators of Product Quality)

  • 김성인;장철수;김현경;권창오;김병원;김동찬;김윤석;이기종;류재기
    • 생명과학회지
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    • 제24권9호
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    • pp.1030-1038
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    • 2014
  • 혈소판제제는 출혈질환이나 혈소판의 기능장애 치료를 위해 사용되고 있다. 혈소판성분채집술은 혈액성분채집기를 사용하여 혈소판 성분을 채집하는 방법으로, 성분채집혈소판의 질 평가에는 다양한 지표들이 이용되고 있다. 채집된 혈소판의 생산성은 채집효율(collection efficiency)과 채집률(collection rates)로 평가되고 보관된 혈소판의 질은 in vitro 상에서 시각적 외양, 대사활성도, 양, 혈소판 수, 백혈구 수, 미세입자(microparticles), 그리고 다양한 혈소판 활성 표지자들로 평가된다. 혈소판 활성 표지자들은 여러 연구분야에서도 이용되고 있다. 수혈된 후의 혈소판의 질은 교정증가치(corrected count increment)와 혈소판회복퍼센트(percentage platelet recovery)로 평가된다. 본 논문은 혈소판성분채집술의 채집과정, 사용되는 장비, 성분채집혈소판의 질, 전반적인 효율성, 그리고 질평가 지표들에 대한 리뷰(review)와 함께 다른 혈액성분채집기 간의 기능의 차이점을 비교하였고, 또한 혈소판성분채집술은 구연산염 항응고제에 의한 부작용을 일으킬 수는 있지만 전혈 헌혈시에 실신의 전구증상이나 실신을 일으킬 위험이 있는 헌혈자들에게는 더 안전한 방법임을 보여주고 있다.

성분 헌혈자가 혈소판 반출시 지각하는 불편감 (The Perceived Discomfort of Plateletpheresis Donors)

  • 김상돌
    • 대한간호학회지
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    • 제27권3호
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    • pp.577-587
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    • 1997
  • Purpose : To collect and interpret basic data involving the discomfort level of platelet donors and to see which nursing interventions would help make plateletpheresis more comfortable. Methods : Using "the Platelet Donor's Discomfort Scale" developed by the researcher herself and reviewed by an expert panel, the severity of discomfort as well as factors contributing to the development of this discomfort were analyzed. This scale contained 59 items and each item was scored by the 4-point Likert manner. Between March 1, 1996 and May 31, 1996, 500 platelet donors(16 years of age and older) were enrolled in this study. The Statistical methods used were factor analysis, t-test, and ANOVA. The results were as follows : 1. The mean of the platelet donor's discomfort scale was 130, range 69-207, possible score ranging from 59-236. 2. The platelet donor's discomfort scale had psychological, environmental, physical, and time-related factors. The time- related factor was the highest positive correlation with the development of the discomfort. 3. In looking at the psychological and environmental factors of the discomfort scores, the 16-20 age group had significantly higher ratings than those of the 26-30 age group. The students' group had higher scores than the soldier's group, and those who used the V-50, MCS -3P, or the PCS Plus machines had higher scores than those who used the COBE Spectra machine(P<.05, respectively), 4. In relation to the physical factor of the discomfort score, the youngest group felt significantly more discomfort, the student's group had a higher score than the soldier's group, and those who used the V-50, MCS-3P, or or the PCS Plus machines had higher scores than those who used the COBE Spectra machine(P<.05, respectively). 5. The time related factor of the discomfort score had the highest scores in every variable, however, statistically significant differences were not found between any of the variables(P>.05). Conclusion : Based on the above results, it can be oserved that the time-related factor was the most important factor influencing discomfort. The age and job of the donor, as well as the type of machine used, were significant variables in predicting the level of discomfort, regardless of psychological, environmental, and physical factors. This data could be used to determine nursing interventions that would relieve some of the discomfort of patients, as well as donors, undergoing plateletpheresis. Furthermore, consideration of the donor's time, introduction of a platelet donor pool system, publicity and education about platelet donation are required.

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성분헌혈자의 건강증진행위에 영향을 미치는 요인 (Factors Affecting Health Promotion Behavior of Apheresis Blood-Donors)

  • 홍경희;박호란
    • 한국보건간호학회지
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    • 제19권1호
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    • pp.41-52
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    • 2005
  • This study was designed to provide a base for nursing intervention to help apheresis blood-donors to perform health promotion behavior effectively by surveying their health promotion behavior and by analyzing the critical factors. The study subjects were 468 participants in platelet donation at a university hospital apheresis unit in Seoul. The data for this study were collected between May and June. 2002. by questionnaire. Data were analyzed by t-test, ANOVA. Scheffe test, Pearson correlation coefficient. and stepwise multiple regression. The results were as follows. 1. The degree of performance of health promotion behavior of the subjects was a total average score of $152.9\pm21.5$ points and a mean score of 2.7 points. The highest score was 'I have a good relationship with others' in the factor of self-actualization and interpersonal support. The lowest score was 'I have my blood pressure checked regularly' in the factor of health responsibility. 2. Considering the classification according to the subjects' general characteristics. the health promotion behavior score was significantly higher for soldiers than high school students, for religious believers than atheists. and for high class economic status than mid and low class economic status. Also the health promotion behavior score was higher for those who had made more than five blood donations than those who had made zero or one donation. and for those who had made more than four blood donations than for those who had made less than four blood donations in the previous times of apheresis blood donation. The score was also higher for those not having a relationship with recipient than those having a relationship. 3. The self-efficacy related to donation. general self-efficacy and self-esteem had a significant correlation with the performance in health promotion behavior. 4. The critical factors that influenced the health promotion behavior were explained by $35.6\%$ of the general self-efficacy and by $40.2\%$ of the total of self-efficacy related to donation, and previous times of apheresis blood donation. The health promotion behavior score of apheresis blood-donors differed according to job, religion, economic status, previous times of whole blood donation, previous times of apheresis blood donation, and relationship with recipient. The health promotion behavior and self-efficacy related to donation, general self-efficacy, and self-esteem showed significant positive correlation with one another. The general self-efficacy, self-efficacy related to donation, and previous times of apheresis blood donation appeared to be the significant predictive factors of health promotion behavior. Therefore, from these study results, it is necessary to establish more effective and organized nursing intervention strategies for the health promotion behavior of apheresis blood-donors.

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폐결핵 환자의 말초 혈액에서 중합효소연쇄반응을 이용한 결핵균 DNA의 검출 (Detection of Mycobacterium tuberculosis DNA by PCR in Peripheral Blood of Patients with Pulmonary Tuberculosis)

  • 홍윤기;조경욱;이혜영;김미나;성흥섭;오연목;이상도;김우성;김동순;김원동;심태선
    • Tuberculosis and Respiratory Diseases
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    • 제63권4호
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    • pp.331-336
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    • 2007
  • 연구배경: 결핵은 호흡기를 통한 전염성 질환이지만 말초혈액에서 결핵균 PCR이 양성이거나 결핵균이 배양된 보고가 일부 있었다. 이는 결핵의 진단에 있어서의 유용성과 헌혈을 통한 결핵의 전염 가능성의 두 가지 문제를 제기하게 되었고, 저자들은 상기 문제들에 대한 향후 연구방향의 기초자료로 사용하고자 연구를 시행하여 보았다. 방법: 속립성 결핵이 아닌 폐결핵, 비결핵항산균 폐질환, 폐암 및 폐렴 환자 69명을 대상으로 말초혈액에서 결핵균 PCR을 시행하였고, 결핵균이 많을 것으로 추정되는 10명의 폐결핵 환자의 말초혈액을 대상으로 결핵균 배양을 시행하였다. 결핵균 PCR은 nested PCR을 이용한 TB-taq (M&D, Korea)을 이용하였고 혈액배양에는 BACTEC Myco/F Lytic 혈액배양병(Becton Dickinson, Sparks, Md)을 사용하였다. 결과: 결핵균 PCR을 시행한 환자는 69명으로 각각 폐결핵 35명, 비결핵항산균 폐질환 6명, 폐암 20명, 폐렴 8명이었다. 폐렴이나 폐암 환자 28명 모두에서 PCR은 음성이었고, 비결핵항산균 폐질환 6명 중 1명(16.7%), 폐결핵 35명 중 8명(22.8%)에서 양성이었다. 혈액 배양은 폐결핵 10명 모두에서 음성이었다. 결론: 미만성 결핵이 동반되지 않은 폐결핵 환자의 말초혈액에서 결핵균의 DNA가 검출됨을 확인할 수 있었으나 균배양이 되지 않는 것으로 보아 살아있는 균이 존재하기 보다는 균의 일부 성분만 존재할 가능성을 제시하였다.