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- W4368405257 abstract "본 연구의 목적은 응급실에 내원한 급성 호흡부전 환자들을 대상으로 산소 제공 요법별 치료 효과를 검정하는 것이다. 본 연구의 대상자는 2022년 3월 1일부터 2022년 6월 1일까지 응급실로 내원한 급성 호흡부전 환자 284명을 대상으로 시행하였다. 자료의 타당도와 신뢰도는 상관관계, 탐색적 요인분석, 내적 일관성 Cronbach’s alpha를 통해 검증하였다. 연구 방법은 내원하는 환자들을 무작위로 선별하여 비강 캐뉼라와 비재호흡 마스크를 혼합하여 적용한 그룹(N=142), 고 유량 비강 캐뉼라를 적용한 그룹(N=142)으로 분류하여 실험을 시행하였다. 두 군의 산소 전달 효과를 비교하기 위해 T-test를 시행한 결과, 비강 캐뉼라와 비재호흡 마스크를 혼합하여 적용한 환자 그룹의 동맥혈 산소 수치 상승(83.2 %±9.32, p<0.05), 흡입 가스분압의 상승(0.21 %±1.32, p<0.05)이 나타났다. 또한 중환자실 입실률을 낮춰 비교적 긍정적인 결과를 나타냈다(OR: 1.01, 95 % CI: 0.607-1.682, p<0.05). 결과적으로 응급실로 내원한 급성호흡부전 환자를 대상으로 고 유량 비강 캐뉼라의 단점을 보완하여 비강 캐뉼라와 비재호흡 마스크를 혼합하여 산소를 제공하면 호흡부전을 호전시키고 중환자실 입실률을 낮추는 데 도움이 될 것이다. This study compares the treatment efficiency according to the oxygen provision methods. The study included data from 284 patients who visited the ER with acute dyspnea between March 1st and June 1st, 2022. Validity and reliability of the data were proven by correlation, exploratory factor analysis, internal consistency, and Cronbachs alpha. Patients were randomly selected and divided into two groups: one treated with NMRB (N=142) and the other administered HFNC (N=142). Results of the T-test determined the oxygen delivery efficiency, and we obtained increased paO2 (83.2%±9.32, p<0.05) and increased Fio2 (0.21%±1.32, p<0.05) in the NMRB treated group. Furthermore, lower ICU hospitalizations (OR: 1.01, 95 % CI: 0.607-1.682, p<0.05) were observed in the same group, which is comparatively positive. Results of this study indicate that providing oxygen with NMRB to supplement the shortcoming of HFNC improves dyspnea and lowers ICU hospitalizations of patients who visit the ER with acute dyspnea." @default.
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- W4368405257 date "2023-04-30" @default.
- W4368405257 modified "2023-09-26" @default.
- W4368405257 title "Effectiveness of oxygenation therapy with simultaneous nasal cannula and non-rebreathing mask for patients with acute respiratory failure in the emergency department" @default.
- W4368405257 doi "https://doi.org/10.5762/kais.2023.24.4.234" @default.
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