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시판 맞춤형 화상환자 압박복의 의복압 분석 -20대 남성 상의를 대상으로-

Analysis of clothing pressure for commercially customized burn patient’s medical compression garments for men in their 20s

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초록

This study analyzed the fabric and product size of the burn patient's custom compression garment and measured the pressure applied by the garment to assess whether proper pressure is being delivered for treatment. The test clothes were presented to the market by body size and commissioned with the same design. The subjects selected four people close to the average body size of men in their 20s determined by 7th Size Korea. The experiment was conducted by wearing a compression suit, performing activities and measuring changes in the pressure of the garment according to changes in posture. The fabric used for the compressive clothing was not ruptured even at 216 kPa, the elasticity recovery rate was measured between 80.5 and 94.5%. The product dimensions of the experimental clothing varied by up to 8cm from brand to brand, requiring the standardization of compression clothing. The experiment showed that four types of compression suit varied in pressure, and the pressure range, excluding the gastric arm (17.9mmHg), was between 2.5-14.1mmHg, which failed to meet the level of pressurization for treatment purposes. The clothing pressure in the chest area dropped when performing movements rather than standing still. This was interpreted to be a result of reduced the adhesion of the compression suit during operation. The peak pressure (31.68mmHg) and the lowest pressure (2.2mmHg) was noted in the scapula, indicating that no pressure was being transmitted on the vertebrae. The pressure of the garment on the right shoulder blade was elevated in a supine position. Because much time is spent laying down, it is necessary for the pattern design to accommodate for the increased clothing pressure on the shoulder blades. Standardization of the level of pressurization for burn patient's custom-made pressure suits for each stage of treatment is urgently required.

Abstract

This study analyzed the fabric and product size of the burn patient's custom compression garment and measured the pressure applied by the garment to assess whether proper pressure is being delivered for treatment. The test clothes were presented to the market by body size and commissioned with the same design. The subjects selected four people close to the average body size of men in their 20s determined by 7th Size Korea. The experiment was conducted by wearing a compression suit, performing activities and measuring changes in the pressure of the garment according to changes in posture. The fabric used for the compressive clothing was not ruptured even at 216 kPa, the elasticity recovery rate was measured between 80.5 and 94.5%. The product dimensions of the experimental clothing varied by up to 8cm from brand to brand, requiring the standardization of compression clothing. The experiment showed that four types of compression suit varied in pressure, and the pressure range, excluding the gastric arm (17.9mmHg), was between 2.5-14.1mmHg, which failed to meet the level of pressurization for treatment purposes. The clothing pressure in the chest area dropped when performing movements rather than standing still. This was interpreted to be a result of reduced the adhesion of the compression suit during operation. The peak pressure (31.68mmHg) and the lowest pressure (2.2mmHg) was noted in the scapula, indicating that no pressure was being transmitted on the vertebrae. The pressure of the garment on the right shoulder blade was elevated in a supine position. Because much time is spent laying down, it is necessary for the pattern design to accommodate for the increased clothing pressure on the shoulder blades. Standardization of the level of pressurization for burn patient's custom-made pressure suits for each stage of treatment is urgently required.

참고문헌 (14)

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  2. 김선규, "원통형의 압박 밴드(Tubular Compressive Bandage;TubifastTM)착용 후 6일간의 압력변화 연구", 대한화상학회지, 19(2), pp.62~66 (2016)
  3. 이준옥, "맞춤거들의 의복압과 착용감에 관한 연구", 한국섬유공학회지, 39(4), pp.503~514 (2002), 한국섬유공학회
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  5. 박지혜, "컴프레션웨어의 압박감 측정 방법 비교 연구", 복식문화연구, 21(4), pp.535~545 (2013), 복식문화학회[DOI]
  6. 백윤정, "탄성 압박 밴드를 이용한 인체 부위별 의복압 가압 수준에 관한 연구", 한국의류학회지, 32(10), pp.1651~1658 (2008), 한국의류학회
  7. 이희란, "거들 및 웨이스트니퍼 착용에 의한 의복압 평가 및 관련된 착용변인", 감성과학, 16(1), pp.1~10 (2013), 한국감성과학회
  8. 정정림, "파운데이션 착용으로 인한 의복압과 주관적 감각의 비교 평가", 한국의류학회지, 30(11), pp.1531~1537 (2006), 한국의류학회
  9. 조신현, "의료용 화상환자 압박복의 제조 국가별 비교", 한국의상디자인학회지, 17(4), pp.31~39 (2015), 한국의상디자인학회
  10. Berman, B., "Prevention and management of hypertrophic scars and keloids after burns in children", Journal of Craniofacial Surgery, 19, pp.989~1006 (2008)
  11. Atiyeh, B. S., "Pressure garment therapy(PGT)of burn scars : evidence-based efficacy", Ann Burns Fire Disasters, 26(4), pp.205~212 (2013)
  12. Davoodi P., "Postburn sequelae in the pediatric patient : clinical presentations and treatment options", Journal of Craniofacial Surgery, 19, pp.1047~1052 (2008)
  13. Giele, H. P., "Direct measurement of cutaneous pressures generated by pressure garment", Burns, 23(2), pp.137~141 (1997)
  14. Mustoe, T. A., "International clinical recommendations on scar management", Plast Reconstr Surg, 110, pp.560~567 (2002)

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