• 제목/요약/키워드: 산과 간호

검색결과 51건 처리시간 0.024초

스마트폰 앱과 자가보고식 설문지의 신체활동 측정 비교 (A Comparative Study on Measurement of Physical Activity between Smartphone App and Self-Reported Questionnaire)

  • 서민희;서경산
    • 근관절건강학회지
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    • 제29권2호
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    • pp.91-99
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    • 2022
  • Purpose: The purpose of this study was to examine the level of agreement between smartphone apps and self-reported physical activity questionnaires. Methods: Quantitative methods were used to assess the correlation and agreement between the number of steps counted by a smartphone app and the amount of walking reported in a survey. A total of 29 adults who used smartphones were recruited from a university, and their step counts from their smartphone pedometers and responses to the international physical activity questionnaire (IPAQ) were collected over a 10-week period. Results: An analysis of 170 data pairs with Spearman's rho correlation and a Bland-Altman plot revealed a positive correlation between step counts from the smartphone app and walking activity from the IPAQ. The Bland-Altman plot also demonstrated the agreement to be improved among female participants. Conclusion: In assessing walking activity, smartphone pedometer apps showed good correlation with the IPAQ and improved agreement with the IPAQ among women. Therefore, it is suggested that the participants' gender and activity intensity, as well as the accuracy of measurement tools, should be considered in an evaluation of the delivery of physical activity promotion programs through smartphone apps.

흉부물리요법이 인공호흡기환자의 객담량, 폐유순도, 일회호흡량 및 산소포화도에 미치는 효과 (The Effects of Chest Physiotherapy on Sputum Amount, Lung Compliance, Tidal Volume and Oxygen Saturation of Intensive Care Unit Patients Mechanical Ventilated)

  • 서경산;권은옥
    • 중환자간호학회지
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    • 제2권1호
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    • pp.15-25
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    • 2009
  • Purpose: This study investigated the effects of chest physiotherapies on intensive care unit patients mechanical ventilated. Methods: Good lung down position, chest percussion, postural drainage was applied to patients who admitted to ICU. Each patients divided into four groups and each group received different treatments. Sputum amount, lung compliance, tidal volume and oxygen saturation were measured before treatment and immediately, and time flowing. Data was analyzed with frequency, percentage, ANOVA and paired t-test using via SPSSWIN 12.0 program. Results: There were significant differences in variables each characteristics of subjects. Chest percussion increased tidal volume, static lung compliance for the mean time. Desaturation related to suction. Conclusion: Chest percussion influences on lung compliance. Based on this study results and limitation, this study suggests repeated studies in various groups

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생리식염수 냉수 거즈와 일반 냉수 거즈의 수술 후 갈증, 구강상태, 타액 산성도에 미치는 효과 비교 (A Comparison of Effect between Wet Gauze with Cold Normal Saline and Wet Gauze with Cold Water on Postoperative Thirst, Oral Cavity Condition, and Saliva pH)

  • 문양희;이연희;정인숙
    • 기본간호학회지
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    • 제22권4호
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    • pp.398-405
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    • 2015
  • Purpose: This study was aimed to compare the effect between wet gauze with cold normal saline and wet gauze with cold water on thirst, oral cavity condition, and saliva pH among postoperative patients. Methods: This study was a quasi-experimental study with 56 participants. The experimental group received wet gauze with cold normal saline, and control group received wet gauze with cold water for three times at 15 minute intervals. Data were collected using visual analog scale for thirst, oral assessment guide for oral cavity condition and acidity tape for saliva pH. Measurement were made before applying the gauze and at 15min, 30min, and 45min after applying gauze. Data were analyzed using repeated measured ANOVA. Results: Thirst, oral cavity condition, and saliva pH improved in both groups with increasing number of gauze application. Thirst for the experimental group improved more than for the control group (F=4.29, p=.009), oral cavity condition except saliva, and saliva pH were not significantly different between the groups. Conclusion: This study results indicated that nurses can apply wet gauze with cold normal saline to reduce thirst and saliva acidity, and to improve the oral cavity condition for postoperative patients.

산전관호 결과에 대한 고찰(임상 통계적 관찰에 의한) (Review of Prenatal Care on Clinical and Statistical Observation)

  • 윤영숙
    • 대한간호학회지
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    • 제2권1호
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    • pp.131-140
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    • 1971
  • Anions a total of 1,410 women who were taken in th the Ilshin Maternity Hospital in Pusan for child-bearing front January 1 to Hay 31, 1970, review and observation were made on 653 mothers and 661 babies delivered (including twin) who had received parental care, and on 757 mothers and 773 babies delivered (including twin) who had not received parental care. The results are: 1. Out of 1,410 women 653 received parental care, The number is 46.4% 2. Most of them are between 25 and 29 years of age, and it shows the highest percentage. 3. Twenty five % of them visited the hospital care for the first time in the tenth month of pregnancy It was the highest percentage. 4. Those who visited the clinic only once for parental care during the pregnancy were 25.7%, the highest percentage. 5. Those who got parental care among primiparae were 43.7%, and among multiphase were 48.5% The rates are similar to each other. 6. Maturity rate of the babies delivered after receiving prenatal care: mature 91%, Immature- 1% and premature- 8%. 7. It was found that among primiparae were the higher frequency of prematurity. 8. Among babies delivered by mothers after receiving parental care, 8.1% were premature, while 16.1% of babies delivered by those who han't received the care were premature. 9. Mothers between 25 and 29 years of age brought birth to premature. babies most. 10. Frequency of prematurity based on the times of parental care received was: once or twice -8.7% 3 or 4 time-8.9%, 5 or times-10.3%, 7 or 8 times-4.5%, 11 or 12 times-2.7%, 13 or 14 times-3.8%. 11. Percental death rate shows 2.9% among the mothers received prenatal care, and 7.3% among those without parental care. 12. Average weight of a baby boy was 3,114 gm, and that of a baby girl was 3,021 gm. 13. Obstetric complication rate was 63,2% in the babies delivered by mothers with prenatal care, and 85.6% in those delivered by mothers without parental care.

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수액가온요법과 피부가온요법이 개복술 환자의 저체온 예방에 미치는 효과 비교 (A comparison of the Effects of Intravenous Fluid Warming and Skin Surface Warming on Peri-operative Body Temperature and Acid Base Balance of Elderly Patients with Abdominal Surgery)

  • 박효선;윤혜상
    • 대한간호학회지
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    • 제37권7호
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    • pp.1061-1072
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    • 2007
  • Purpose: The purpose of this study was to compare the effects of intravenous fluid warming and skin surface warming on peri-operative body temperature and acid base balance of abdominal surgical patients under general anesthesia. Method: Data collection was performed from January 4th, to May 31, 2004. The intravenous fluid warming(IFW) group(30 elderly patients) was warmed through an IV line by an Animec set to $37^{\circ}C$. The skin surface warming(SSW) group(30 elderly patients) was warmed by a circulating-water blanket set to $38^{\circ}C$ under the back and a 60W heating lamp 40 cm above the chest. The warming continued from induction of general anesthesia to two hours after completion of surgery. Collected data was analyzed using Repeated Measures ANOVA, and Bonferroni methods. Results: SSW was more effective than IFW in preventing hypothermia(p= .043), preventing a decrease of $HCO_3{^-}$(p= .000) and preventing base excess(p= .000) respectively. However, there was no difference in pH between the SSW and IFW(p= .401) groups. Conclusion: We conclude that skin surface warming is more effective in preventing hypothermia, and $HCO_3{^-}$ and base excess during general anesthesia, and returning to normal body temperature after surgery than intravenous fluid warming; however, skin surface warming wasn't able to sustain a normal body temperature in elderly patients undergoing abdominal surgery under general anesthesia.

대장내시경 전처치로 설탕 첨가법, 껌 씹기법 및 표준복용법의 비교연구 (Comparison of sugar addition, gum chewing, and standard methods for the colonoscopy bowel preparation ; an endoscopist-blinded, randomized controlled trial)

  • 황유리;허명행
    • 한국융합학회논문지
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    • 제12권8호
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    • pp.335-343
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    • 2021
  • 본 연구는 대장내시경을 위한 대장정결 방법으로 쿨프렙산을 복용하는 대상자에게 설탕 첨가 및 껌 씹기를 적용하여 오심, 혐오, 대장정결도에 미치는 효과를 확인하기 위한 무작위 대조군 연구이다. 연구대상은 20~65세의 성인으로 120명이 실험을 완료하였다. 수집된 자료는 SPSS/WIN 25.0을 사용하여 X2 test, ANOVA을 시행하여 오심, 혐오, 대장정결도의 효과를 확인한 결과 설탕 첨가법 및 껌 씹기법을 사용하여 쿨프렙산을 복용하는 것은 표준복용법과 비교하여 오심, 혐오, 대장정결도에 유의한 차이는 없었다. 대장정결제 복용 시 어려움을 줄이기 위한 융합적인 노력이 필요하다. 다만, 연구 대상자에서 고혈당 등의 부작용이 관찰되지 않아 개인의 기호에 따라 일부 적용 가능하다고 생각된다.

구조방정식모형을 이용한 간호장교의 직무만족도 관련요인 분석 (Analysis of the Related Factors on Job Satisfaction in Nursing Officers Using the Structural Equation Model)

  • 박안숙;조영채
    • 한국산학기술학회논문지
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    • 제12권10호
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    • pp.4502-4512
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    • 2011
  • 본 연구는 간호장교의 인구사회학적 및 직업관련 특성에 따른 직업전문성 인식도, 직무스트레스, 사회적 지지 및 직무만족도 수준을 알아보고, 직업전문성 인식도와 직무스트레스 및 사회적 지지가 직무 만족도에 미치는 영향을 규명해 보고자 시도하였다. 조사대상은 전국 16개 군병원에 근무하는 육군 간호장교 542명으로 하였으며, 조사는 2010년 10월 1일부터 2010년 11월 30일까지의 기간 동안에 구조화된 무기명 자기기입식 설문지를 이용한 설문조사에 의하였다. 연구결과, 조사대상자의 직무만족도는 연령이 높을수록, 기혼군, 주관적인 수면의 질이 좋다는 군, 주관적인 건강상태가 좋을수록, 직위가 높을수록, 근무경력이 길수록, 업무의 신체적 부담정도가 적당하다는 군, 업무에 만족한다는 군, 직업에 대한 적성이 맞는다는 군, 직업전환의사가 없다는 군에서 유의하게 높았다. 조사대상자의 직무만족도는 직업전문성 인식도, 사회적 지지와는 유의한 양의 상관관계를 보인 반면, 직무스트레스와는 유의한 음의 상관관계를 보였다. 공분산 구조분석 결과, 직업전문성 인식도는 직무스트레스나 사회적 지지 보다 직무만족도에 더 큰 영향을 미쳤으며, 직업전문성 인식도와 사회적 지지가 높을수록, 직무스트레스가 낮을수록 직무만족도를 증가시키는 효과가 있는 것으로 나타났다. 한편, 직업전문성 인식도와 사회적 지지가 높을수록 직무스트레스 요인을 감소시키는 효과가 있는 것으로 나타났다.

음악요법이 초산부의 경막하 무통 분만 중 분만통증, 분만경험, 자아존중감에 미치는 효과: 유사실험 연구 (The effects of music therapy on labor pain, childbirth experience, and self-esteem during epidural labor analgesia in primiparas: a non-randomized experimental study)

  • 안성연;박은지;문유리;이보영;이은별;김동연;정성희;김진경
    • 여성건강간호학회지
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    • 제29권2호
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    • pp.137-145
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    • 2023
  • Purpose: This non-randomized study was performed to evaluate the effects of music therapy on labor pain, the childbirth experience, and self-esteem in women during vaginal delivery. Methods: In total, 136 primiparous women over 37 weeks of gestation receiving epidural analgesia during vaginal delivery were recruited via convenience sampling. To minimize diffusion effects, data from the control group (n=71) were collected first (April 2020 to March 2021), followed by data from the music group (n=65; April 2021 to May 2022). Participants in the music group listened to classical music during labor, while the control group was offered usual care (no music). Labor pain was measured using a numeric rating scale (NRS), and self-esteem and childbirth experience were collected using self-report questionnaires. Data were analyzed using the independent t-test, chi-square test and Cronbach's α coefficients. Results: The overall pain level (NRS) at baseline was 0 in both groups. Mothers in the music therapy group had lower levels of latent pain (t=1.95, p=.005), active pain (t=3.69, p<.001) and transition-phase pain (t=7.07, p<.001) than the control group. A significant difference was observed between the two groups, and the music therapy group expressed more positive perceptions of the childbirth experience (t=-1.36, p=.018). For self-esteem, the experimental group's score was slightly higher, but without a statistically significant difference from the control group. Conclusion: Using music therapy during labor decreased labor pain and improved the childbirth experience. Music therapy can be clinically recommended as a non-pharmacological, safe, and easy method for nursing care in labor.

N-6와 n-3 지방산이 풍부한 식이가 뇌졸중 유발 모델에서 뇌경색 크기 및 항산화 효소계에 미치는 영향 (Neuroprotective & antioxidant effects of diets high in n-6 and n-3 fatty acids in rat focal brain ischemia model)

  • 이희주;박경애;박명숙;이정희;전상은;최명애;최스미
    • Journal of Korean Biological Nursing Science
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    • 제3권1호
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    • pp.41-52
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    • 2001
  • This study was undertaken to investigate the effects of n-6(corn oil) & n-3(fish oil) fatty acids on infarction size and the cerebral activities of antioxidant enzyme in rat focal brain ischemia model. Weaning Sprague-Dawley rats were fed with either corn oil supplemented diet(COD, 14% corn oil) or fish oil supplemented diet(FOD, 14% menhaden oil) for 6 weeks. The right middle cerebral artery was occluded for 2 hours with a silicon rubber coated nylon surgical thread. After 24 hours of recirculation, the rats were sacrificed and brain sections were photographed using CCD camera after staining with 2, 3, 5-triphenyltetrazolium chloride for 60 minutes in room temperature. The infarcted area was measured and the volume of infarction was calculated. Catalase(CAT), superoxide dismutase(SOD) activities, and fatty acid composition in the brain were also measured. The total and corrected infarction volumes were not significantly different between FOD and COD group. The docosagexaenoic acid(DHA) and DHA content/arachidonic acid(AA) ratio of the cerebral cortex, an index of defense against lipid oxidation, were significantly increased in FOD group compared to those of COD group(p<0.05). In the left cortex(non-infarction side) as well as the right cortex(infarction side) of FOD group, CAT and Cu/Zn SOD activities were higher than those of the COD group(p<0.05). However, CAT and Cu/Zn SOD activities were not significantly different between the left cortex(non-infarction side) and the right cortex(infarction side) of both FOD and COD group. GPx activities were also not significantly different between two groups. Our results demonstrate that the brain infarction size in FOD and COD were not significantly different. However, cerebral lipid composition and antioxidant enzyme activities in FOD and COD group were different. Fish oil, a source of n-3 polyunsaturated fatty acid(PUFA) and corn oil, that of n-6(PUFA) may have a protective effect against oxidative stress induced via different mechanisms.

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신생아 구강분비물의 당과 pH 및 영향 요인 탐색 (Glucose and pH of Oral Secretions in Newborns)

  • 김남희;안영미
    • Child Health Nursing Research
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    • 제23권3호
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    • pp.353-363
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    • 2017
  • Purpose: Oral glucose and pH are known as critical indicators for the growth of microorganism inside the oral cavity. This study was performed to identify oral glucose and pH variances in the early postnatal days of newborns. Methods: An explorative study which included 67 newborns was conducted to measure the oral glucose and pH during the first three days of life. Oral secretions were collected every 8 hours for three days or 6 to 9 times immediately after birth up to discharge. Oral glucose and pH variances during the three days were analyzed using the SPSS 22.0. Results: Oral glucose was $30.66{\pm}22.01mg/dl$ at birth then increased to $54.77{\pm}27.96mg/dl$ at the third day of life (F=8.04, p<.001) while oral pH decreased from $7.35{\pm}0.36$ to $5.53{\pm}0.39$ during the three days (F=113.35, p<.001). Oral glucose and pH were related to gestational age, regurgitation, and maternal diabetic mellitus. A negative correlation was found between oral glucose and pH (r=-.34, p<.001). Conclusion: Oral glucose and pH can be utilized for oral health assessment in newborns. Further study is needed to explore the factors which influence oral glucose and pH in high-risk newborns.