• Title/Summary/Keyword: 화상환자

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Convergence Study on Burden in Families Caregivers of Patients with Burn (화상환자 가족의 부담감에 대한 융합적 연구)

  • Jung, Gye-Hyun;Na, Hyun-Ju
    • Journal of the Korea Convergence Society
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    • v.7 no.6
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    • pp.275-285
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    • 2016
  • The purpose of this study is to identify the factors influencing on the burden on the family caregivers of patient with more than second degree burn. The participants of this study were 120 family caregivers sampled for convenience from 4 Burn hospitals in D, S, B, P cities in South Korea. Data analysis was performed by t-test, ANOVA, Scheffe' test, Multiple linear regression. According to the result, the burden of assess & mean of care and the future of the patient was the highest score for family caregivers. Factors that affect the burden of family caregiver with burn patients were marital status, time, care, skin transplants, body surface area (%) and these factors explained 25.9%. This study concludes that intervention program is developed to reduce physical and emotional burden and nursing care services is required to adjust the amount time to care for the family caregivers with burn patients for a long time.

A Study Symptoms by Types of Burn Patients in Pre-hospital Stage (병원 전 단계 화상환자의 유형별 징후에 관한 연구)

  • Park, SangKyu;Lee, JeongHyeok
    • Fire Science and Engineering
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    • v.29 no.4
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    • pp.95-104
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    • 2015
  • The purpose of this study is to investigate differences in initial patient states based on types of burn accidents in the pre-hospital stage. 1,223 items of transfer data from burn accidents of Gyeonggi-do emergency medical services in 2013 were used. Burn accidents were most common in children younger than 10 years old (26.0%) and happened mostly at home (51.3%). Patient states by burn type were stable on average, but burns by electricity showed 10.7% of awareness condition U (Unresponsive), which was higher than that of the other burn types. Initial patient states for this type were shown to be serious, unlike other burn types, with temperatures of $35.90^{\circ}C$ and third degree burn depth (39.28%). Understanding initial patient states based on burn type is necessary in order to do effective approach in the pre-hospital stage.

Operating Room Care of Burned Patients Treated with Silver Nitrate (질산은 치료시$\cdot$수술실에서의 화상 환자 간호)

  • 대한간호협회
    • The Korean Nurse
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    • v.7 no.6 s.38
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    • pp.70-73
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    • 1968
  • 심한 화상환자를 치료하는 동안이나 피부이식을 하는 동안에 어떻게하면 환자를 따뜻하고 안전하게 보호할 수 있을까? 사용할 용액들, 홑이불, 수술대, 회복실 침대를 따뜻하게 준비해 놓고 에어컨을 끈다. 너풀거리는 꺼즈를 잘 다듬어 놓고 stockinette도 준비한다. 피부이식을 위하여 피부를 떼어낸 부위에도 화상부위와 마찬가지로 질산은 드레싱을 하며 피부에 식염수나 기름종류는 사용하지 말아야 한다.

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Pruritus in Burn Survivors (화상환자의 소양증 특성 조사)

  • Kim, Kyung Ja;Won, Mi Hwa
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.1
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    • pp.45-53
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    • 2016
  • This study examined pruritus to provide the data based on burn patient pruritus. A self-report questionnaire survey was conducted among ninety five burn survivors, who were over 18 years of age with admission periods longer than two weeks. The results indicated that the average burn range was $18.95{\pm}17.10%$, severity was $48.83{\pm}23.96$, and distress was $46.42{\pm}25.80$. A significant difference in pruritus consequences was observed according to frequency. The patients consistently experienced pruritus, even if it happened less often, difficulty in falling asleep (F=4.817, p=.004), poor mood (F= 5.955, p=.015)), and loss of concentration (F=6.483, p<.000). A significant difference in the pruritus consequences according to duration was observed, lasting for 30 minutes for all groups, more than the population and less than 30 minutes, difficulty in falling asleep (F=7.452, p<.000), poor mood (F=3.655, p<.015), and loss of concentration (F=12.564, p<.000). The frequency, duration (r=.29, p=.004), severity (r=.45, p<.000), distress (r=.44, p<.000), and consequences of pruritus in burn patients (r=.29, p=.004) showed a positive correlation. The results of this study could be used as a base material for the care of burn patients experiencing pruritus.

화상이란, 이런부상입니다.

  • Lee, Seung-Han
    • 방재와보험
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    • s.92
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    • pp.6-13
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    • 2002
  • 다양한 부상 중에서 화상은 아직까지 주요 사망의 원인이 되고 있다. 때문에 화상환자 발생시 이에 대한 현장 응급처치부터 화상센터로의 이송 후 온전한 화상치료와 각종 후유장애를 최소화할 수 있는 총체적인 화상치료와 각종 후유장애를 최소화할 수 있는 총체적인 화상치료 체계의 구축이 필요하다. 이를 위해서는 국내 응급의료 체계와의 공조, 선진국형 화상전문병원의 설립, 화상치료를 위한 각종연구 등이 뒤따라야 하겠다. 우선 일반인의 관점에서 화상에 대한 기본이해, 현장 응급처치부터 병원에서의 전문화상치료 이해, 국내외 화상치료 체계와 자료, 향후 국내에서도 개설될 화상전문병원(예, 소방병원 화상센터)의 바람직한 방향까지 해당 분야 전문가를 통해 알아보자.

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Preliminary Study on Developing Test Items of Swallowing & Communication Screening Protocols for Patients with Head and Neck Burns (안면부 및 경부 화상 환자의 삼킴 및 의사소통능력 선별 프로토콜 개발을 위한 예비 연구)

  • Kim, JungWan;Lee, HyoJin;Lee, Hyun-Joung
    • 재활복지
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    • v.21 no.2
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    • pp.217-231
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    • 2017
  • We have to consider two parts of the evaluation and treatment for the patients with head and neck burns. The primary consideration is swallowing function for nutrition supply for them and the next is speech function for efficient communication and aesthetic impression of them. The purpose of this study is to summarize the preliminary questions of Communication Screening Protocols which can help understand comprehensively on swallowing disorder, motor speech disorder and voice disorder of patients with head and neck burns. We divided the evaluation into 4 evaluation areas including 'oral mechanism', 'respiration/voice', 'articulation', and 'swallowing' by referring to overseas studies dealing with various communication disorders caused by burns, and prepared the final questionnaires by conducting the content validity verification by five expert (speech & language pathologist). The range of Content Validity Index was shown relatively appropriate with .50~.84. There was a conflict of opinions in experts whether the items in the areas of respiration/voice and swallowing may be appropriate, whereas there was no different view of the oral mechanism and articulation area. Through the different characteristics of communication difficulties of patients with head and neck burns, we expect it will be modified appropriately according to the patients through evaluation of burn patients by type and severity.

편측 성대마비와 성대폴립 환자의 수술 전후 음성검사와 이미지 화상분석의 상관관계에 대한 객관적 비교연구

  • 김시찬;최홍식;홍정표;오종석
    • Proceedings of the KSLP Conference
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    • 1999.11a
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    • pp.199-199
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    • 1999
  • 각종 음성질환에 있어서 음성검사는 진단뿐 아니라 치료를 위한 중요한 방법으로 알려져 왔다. 특히 수술전후 음성질환의 평가에는 음성검사 뿐 아니라, 후두스트로보스코피를 이용하여 비교함으로써 가능하다. 이중 후두스트로보스코피는 방법이 간단하여 직접 수술전후의 변화를 알 수 있는 장점이 있으나, 객관적인 자료로는 이용하기가 어려운 문제점이 있다. 후두스트로보스코피의 영상자료를 컴퓨터에 연결, 영상신호를 디지털화하여 후두의 움직임을 객관적으로 관찰하려고 시도되어왔다 특히 편측 성대마비 환자에서는 성대의 위치가 외전 될뿐만 아니라 피열연골의 위치가 마비 후 시간이 경과됨에 따라 외회전 하고 성대가 전방으로 위축되어 성대 막성부의 길이가 짧아지는 틀의 후두스트로보스코피의 영상을 보이고, 성대폴립환자에서는 수술전후에 폴립의 크기와 성문면적에 변화를 보이게 된다. 본 연구의 목적은 편측 성대마비와 성대폴립과 같은 각기 다른 두 질병에서 음성경사와 후두스트로보스코피를 이용한 이미지 화상분석을 통해 각 성대의 길이, 각도, 성문틈의 면적과 폴립의 크기등을 측정함으로써 수술전후의 차이를 알아보고, 이미지 화상분석과 음성검사 사이에 어떠한 상관관계가 있는지를 알아보고자 하였다. (중략)

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