• Title/Summary/Keyword: 급성혼돈

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Effects of nursing intervention program on reducing acute confusion in hospitalized older adults (입원노인 환자를 위한 급성혼돈 간호중재 프로그램 효과)

  • Hwang, Hea-Jeong;Shin, Yeonghee
    • Korean Journal of Adult Nursing
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    • v.26 no.1
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    • pp.89-97
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    • 2014
  • Purpose: During hospitalization, confusion occurs in 15~20% of older adults and persists in 5~10% of them. This study was designed to investigate effects of a five-day nursing intervention program designed to reduce confusion in hospitalized older adults. Subjects were inpatients over the age of 60 years old and were admitted in a surgical care unit. Methods: Data were collected from 111 patients. Subjects divided into one of two groups, 58 patients of the control group which received the usual nursing care; and 53 patients of the intervention group which received the usual nursing care plus nursing intervention program for reducing acute confusion. The Delirium Observation Screening Scale (DOS) and the Korean Mini-Mental Screening Examination (MMSE-K) were utilized. Results: 1) Acute delirium was significantly reduced in the intervention group compared to the control group ($x^2$=4.22, p=.034) as well as the duration of the delirious state was significantly shortened (F=56.62, p<.001). Cognitive function of the intervention group was improved (F=21.14, p<.001). Conclusion: The nursing intervention program reduced the incidence and duration of acute delirium of the elderly inpatients, as well as it helps them keep better cognitive function than the control group.

The Clinical Study on a Case of Acute Myelogenous Leukemia (급성 골수성 백혈병 10세 환아의 한방적 처치에 대한 증례보고)

  • Ha, Kwang-Su;Song, In-Sun;Shin, Ji-Na;Lee, Jeong-Lim
    • The Journal of Pediatrics of Korean Medicine
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    • v.18 no.2
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    • pp.49-59
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    • 2004
  • Objective : The purpose of this study is to demonstrate the therapeutic effect of oriental treatment on Acute Myelogenous Leukemia. Methods : The patient was treated by Acupuncture, Indirect Moxibustion, Herb Medicine (Seogakjihwangtang-gamibang), and had significant improvement in the Acute Myelogenous Leukemia. Results : 1. Acute Leukemia is one of the most common malignant neoplasm of pediatrics, and is chracterised by anemia, infections, bleeding, debility, paleness, fever, anorexia, lymphoadenia, hepatomegaly, splenomegaly, etc. 2. The management of Acute Myelogenous Leukemia consists of the challenge of optimizing chance for prolonged remission and cure, while minimizing the toxicity to the patients. Therefore oriental medical treatment may be useful for this. 3. We experienced a case of the 10-year-old male patient with Acute Myelogenous Leukemia, after oriental medical treatment his chief symptoms(anemia, bleeding, purpura, debility, paleness, fever, anorexia, insomnia, etc)and general condition were improved. Conclusion : A 10-year-old male patient with Acute Myelogenous Leukemia, after oriental medical treatment his chief symptoms and general condition were improved. This oriental medical treatment may be possible or effective in Acute Myelogenous Leukemia. The more clinical study about oriental medical treatment on Acute Myelogenous Leukemia will be needed.

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Prevalence and Precipitating Factors for Delirium in Elderly Patients Admitted to Long-Term Care Hospitals or to General Hospital (요양병원과 종합병원 노인 입원환자의 섬망 유병율과 유발요인)

  • Yang, Young-Hee
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.17 no.1
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    • pp.26-34
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    • 2010
  • Purpose: The purpose of this study was to compare long-term hospital and general hospital for delirium prevalence and precipitating factors in elderly patients. Method: The participants were 184 patients aged 65 or older from one general hospital and 4 long-term facilities. Delirium was assessed using the Confusion Assessment Method and precipitating factors for delirium were classified as demographic, physical condition, disease and drug factors associated with delirium found in a literature analysis. Results: Delirium prevalence was 5.4% and there was no significant difference according to hospital type. Most of the patients with delirium were male, dependent and dehydrated and had sleep disturbances, diseases and drugs associated with delirium and, had multi-drugs prescriptions. Non-delirious patients also had two or more delirious symptoms and several precipitating factors. Delirious patients were more dependent, urinary incontinent and had sleep-disturbances compared to the non-delirious group. The participants in the long-term hospitals were found to have frequently previous delirium history. Conclusion: Even though the prevalence rate of delirium was not high, most elderly patients, regardless of delirium, are a very high risk group and dependent ADL, sleep disturbances, and/or urinary incontinence could be used predictive factors for delirium.

Sixty Years History of the Korean Geographical Society as a Numerical Record (숫자로 본 대한지리학회 60년)

  • Hyong, Kie-Joo
    • Journal of the Korean Geographical Society
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    • v.40 no.6 s.111
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    • pp.748-761
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    • 2005
  • This study attempts to describe and periodinate the sixty years history of Korean Geographical Society. For the purpose, several numerical records concerned with the society were employed. The Korean Geographical Society was established in 1945 as a first academic society in geography. The international participation of Korean geographers started when it applied for the IGU membership in 1959. Next year, Korean's application was approved at the 19th IGC in Stockholm. The 40 years later, Korea came to host the 29th IGC in Seoul. This means that the activity of Korean geographers has been vigorous during the 40 years in accordance with high growth of Korean economy. The number of the society member reached 116 in the latter part of 1960s. It grew steadily from 1970s to 1990s and now amounts to around one thousand. It is believed that such trend is associated with the increase of geographical department and the development of graduate programs during past 40 years in Korea. The number of the advanced degree holders was only 2 in 1960, and now reachs 338 among which 166($43\%$) obtained from the foreign country. The Int issue of the society journal 'Geagraphy' -the title was changed to 'Journal of the KGS' in 1993-was published in 1963. It has gradually developed into the annual for $1966{\~}1973$, the semi-annual for $1974{\~}1990$, the quaterly for $1991{\~}1997$, and the hi-monthly until 2005. One issue per year has been published in English since 1993. The annual number of papers accepted by the editorial board has increased from 7 in 1960s-1970s to 52 in the new millennium. In terms of the specialty distribution of total 725 papers after 1963, many Korean geographers have been preferable to the field of socio-economic and urban geography as their major, and next histro-cultural and physical geography. Recently, a growing number of younger geographers are more interested in such diversified fields as ecological geography, socio-historical geography, applied geography concerned with GIS technic, geography education and so on. Such trend is a reflection of the new era which is characterized by diversity, software, high technology, globalization and others. The sixty years history of the society nay be summarized into the five phases of periodization: (1) establishment and chaos($1945{\~}1959$), (2) reconstruction(1960${\~}$1969), (3)reorganization(1970${\~}$1989), (4) jump and rush($1990{\~}1999$), (5)globalization($2000{\~}\;$).