• 동서간호학연구지
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• 제4권1호
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• pp.7-20
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• 1999

Operation usually brings about psychological stress as well as physical stress to the patient and it greatly influences the maintenance of the homeostasis. Until now, most of the nursing research concerning the anxiety of the patient undergoing an operation has been done while the patient was under general anesthesia. Under local anesthesia, the anxiety of the patient who undergone operation is short. However, there is much demand of the operational nurses to mediate between the patient who is undergoing operation when fully conscious, as they are aware of the patient's anxiety and to decrease the patient's anxiety of this local anesthesia. Therefore, this research tries to verify the effects of the Hand-holding program on the anxiety of the operational patient undergoing local anesthesia and affirms the role of the nursing intervention. As an unequivalent control group non-synchronized designs, this research selects out 20 control groups and 21 experimental groups at random who have received cataract operation while under local anesthesia and after implementing the Hand-holding program to the experimental groups while undergoing the operation, the effect of the experiment was observed. By observing the Epinephrine, Cortisol, blood pressure, and pulse for the physical indexes before and after the enforcement of the hand-holding, and using the measurement of Speilberger(1972) for the psychological indicators for the anxiety of the patient before and after hand-holding, the results were analyzed through SAS program. As a results, intervention of hand-holding had a remarkable effect to decrease the anxiety felt by the patient and the diastolic blood pressure also was effectively decreased. On the other hand, through the decrease of the systolic blood pressure was also observed, it was not statistically significant. In the Epinephrine and Cortisol indicators, the intervention of hand-holding was revealed to have an insignificant effect. The Hand-holding was revealed to have an indicators, the intervention of Hand-holding was revealed to have an insignificant effect. The Hand-holding program may be said to have an effect which decreases the psychological anxiety of the patient undergoing local anesthesia.

• Journal of Korean Biological Nursing Science
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• 제16권2호
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• pp.123-132
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• 2014

Purpose: The purpose of this study was to compare and analyze the effects of gargling using normal saline or essential oil on oral bacterial colonization of the subjects who did transoral endotracheal intubation for general anesthesia. Methods: A repeated measures, non-equivalent control group pretest-posttest design was used in this study. The subjects of the study included 58 people; the gargling group with normal saline (n=19); the gargling group with essential oil (n=20); and the control group (n=19). Data were collected from University hospitals in a Korean province from August 13-31, 2012. The collected data were analyzed with $X^2$-test, t-test, ANOVA and Scheff$\acute{e}$ test using SPSS 19.0. Results: Although statistically significant differences among the three groups did not appear in the change of the aerobic bacterial colony before and after the experiments, the aerobic bacterial colony of the gargling group with normal saline ($71.58{\pm}143.39$) and the group with essential oil ($6.95{\pm}332.07$) have increased less compared to the control group ($145.42{\pm}385.01$). The change of the anaerobic bacterial colony before and after the experiments, the control group was ($167.58{\pm}483.58$) and the gargling group with essential oil was ($169.70{\pm}291.60$) and increased, while the gargling group with normal saline ($-42{\pm}331.09$) reduced, but statistically significant differences have not appeared. Conclusion: These findings indicated that oral gargling with normal saline is effective in reducing anaerobic bacterial colonization.

• 한국산학기술학회논문지
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• 제21권7호
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• pp.54-65
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• 2020

본 연구는 경막외강차단 시술 후 Healing Beats 프로그램 적용하였을 때 환자의 불안, 스트레스, 수축기 혈압, 심박동수 및 Bis index에 미치는 효과를 확인하기 위한 무작위 대조군 전후 실험연구이다. 대상자 선정은 경막외강차단 시술을 위해 2018년 12월부터 2019년 5월까지 마취통증의학과를 방문하여 모집공고를 통해 자원한 환자를 대상으로 하였으며, 실험군 25명, 위약군 24명, 대조군 25명으로 총 74명의 자료를 수집하여 분석하였다. 수집된 자료는 x2-test, F-test와 시간에 따른 효과를 검증하기 위하여 repeated measures of ANOVA로 반복측정 분산분석하였다. 연구결과 실험군, 위약군 및 대조군의 일반적 특성 및 변수는 모두 동질하였으며, 불안은 사전 사후 2회 측정한 결과 집단간 유의한 차이가 있었고(F=27.175, p<.001), 스트레스(F=4.78, p<.001), 심박동수(F=4.22, p<.001) 및 Bis index(F=7.96, p<.001)는 반복측정 분산분석한 결과 집단과 시간에 따라 교호작용에서 유의한 차이를 나타냈다. 하지만 수축기 혈압에서는 유의한 차이가 없었다(F=1.23, p=.298). 따라서 Healing Beats는 통증 시술 후 회복실에서 진정을 유도하기 위한 간호 중재로 효과적이며, 시간 흐름에 따른 추적 조사를 통해 중재 시간을 파악할 수 있었다. 결론적으로 Healing Beats 프로그램은 임상현장이나 일상생활의 스트레스 상황에서 진정을 위한 효율적, 효과적인 중재로 사용할 수 있다고 본다.