• Title/Summary/Keyword: 수술전간호

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증모판막부전증 환자를 중심한 심장 수술 전후의 간호

  • 송재은
    • The Korean Nurse
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    • s.5
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    • pp.52-64
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    • 1963
  • mitral insufficiency환자를 일렬로 하여 open heart surgery에 있어서의 수술 전, 수술 후의 nursing care에 대해 적어보았다. 수술 전 nursing care에 있어서는 이 환자의 심장질환을 정확하게 진단 후 대수술을 받기에 알맞도록 전신상태나 심장질환 그 자체를 호전시키는 데에 의사와 함께 적극적으로 협조 노력하여야 한다. 수술 후에 있어서는 회복기에 들어갈 때까지 한시도 쉴새없이 환자를 감시하고 조금이라도 이상이 있으면 즉시로 그것을 교정하는 방법을 강구하여야 한다. 심장수술은 다른 수술과는 달리 특별히 훈련된 nurse에 의해 care되어야 한다는 점을 강조하고 싶다.

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Pre-operative Nursing Care for the Child Who has Heart Disease (심장병환아의 수술전 간호)

  • Han K.J.
    • The Korean Nurse
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    • v.21 no.1 s.114
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    • pp.35-38
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    • 1982
  • 대부분의 심질환아들은 당면하는 신체적 문제에 스스로 적응하면서 생존해 가지만 죽음에 대한 위기에 계속적으로 직면하게 됨을 피할 수가 없다. 그러므로 그들은 주의 깊은 보살핌이 항상 요구되며 특히 육체적으로 적응이 시작되는 영아기의 환아는 더운 세심한 간호가 필요하게 됨에 따라 영아기와 그 이후의 환아 사이에는 본질적으로 측면이 다른 수술전 간호가 제공되게 된다.

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Effects of Fundamental Nursing Practice Education Applying Reciprocal Peer Tutoring on Confidence in Performance, Core Nursing Skills, and Practice Satisfaction of Nursing Students (상호동료 교수학습 기반의 기본간호학실습 교육이 간호대학생의 핵심간호술 수행자신감, 숙련도 및 실습만족도에 미치는 효과)

  • Kim, Hyun-Ju
    • Journal of Digital Convergence
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    • v.18 no.4
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    • pp.315-323
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    • 2020
  • This study is a similar experimental study before and after non-equivalence control to examine the effect of fundamental nursing practice education applying reciprocal peer tutoring on confidence in performance, core nursing skills, and practice satisfaction of nursing students. Data collected by 83 people sophomore P university nursing students, the study period is from May 17 to 11 March 2019. As a results, the fundamental nursing practice education applied with the reciprocal peer tutoring method had an effect on the confidence in performance and core nursing skills of 'medium' degree of difficulty, and had a positive effect on the satisfaction of practice. In the future, this study suggests that the method of reciprocal peer teaching is extended to various practical majors and the effects of core nursing skills are tested.

Statistical Observation on Surgical Stomach Disturbance Patient (외과적 위질환환자의 통계적고찰)

  • 안홍자
    • The Korean Nurse
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    • v.12 no.5 s.67
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    • pp.83-92
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    • 1973
  • 1972년 1월부터 1972년 12월말까지 충남대학교 의과대학 부속병원에서 위 수술을 받은 환자 66명을 대상으로 여러 가지 통계 결과 1. 성별 분포에선 남자가 51명 여자가 15명으로 약 3.4:1의 비율을 나타냈다. 2. 연령별 분포에선 $69.7\%$가 40세 이상에서 나타났다. 3. Chief complain은 Indigestion이었다. 4. 증상의 평균 연한은 1년 전후의 Chronic symptom을 경험했다. 5. Vital sign의 변화는 대부분이 별로 나타나지 않았다. 6. 수술 전 수혈은 1000cc 이내로 환자의 $78\%$에 필요했었다. 7. 수술 전의 Hb은 정상보다 낮은 율은 $45.4\%$였고 정상은 $54.6\%$였다. 8. 수술 전의 W.B.C는 정상보다 낮은 율은 $10.6\%$, 정상이 $42.4\%$, 정상보다 높은 율이 $47\%$였다. 9. 수술 전의 Ht치는 정상보다 낮은 율은 $60.6\%$, 정상은 $36.4\%$ 정상보다 높은 율은 $3\%$였다. 10. 수술 전 위액검사 결과는 Cancer인 경우는 Free acid와 Total acid가 모두 거의 정상보다 낮았고 Ulcer인 경우 대부분 높았다. 11. Liver function test에서는 표에서 나타난 대로 많은 변화는 없었다. 12. 병소 부위는 Cancer의 경우 $51.8\%$에서 Pylorus부위에 왔었고 Ulcer의 경우 $62.4\%$에서 Lesser curvature (ciratricial region포함)에 왔었다. 13. 수술방법은 $77.7\%$가 Subtotal gastrectomy였었다. 14. 위 수술을 위한 입원 일자는 $60\%$ 이상에서 $11\~15$일간의 평균을 보였었다.

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The Effects of the Pre-Operation Provision of Information on the Anxiety and Uncertainty of Mothers with a Pre-school Child of Tonsillectomy and their Satisfaction with Post-operation Nursing (수술 전 정보제공이 학령전기 편도선절제술 환아 어머니의 불안, 불확실성 및 수술 후 간호만족도에 미치는 효과)

  • Jeong, Kyeong-Sook;Park, Jin-Ock
    • The Journal of the Korea Contents Association
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    • v.16 no.1
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    • pp.158-166
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    • 2016
  • This study is a nonequivalent control group pre- and post-test design research whose purpose was to determine what effects the pre-operation provision of information has on the anxiety and uncertainty of mothers with a pre-school child of tonsillectomy and nursing satisfaction after the operation. Data were collected from mothers whose child underwent tonsillectomy at S general hospital. For the collection, those mothers were divided into the experimental and control groups, respectively consisting of 19 and 20 members. The experimental group was provided general education about the operation. In addition, they individually received information about the procedure that the researcher and an assistant provided on one-to-one basis for about 20 minutes, in which brochures containing the information were used. While, the control group was provided only general education as mentioned above. For data analysis, this study conducted ${\chi}^2$-test, Fisher's exact test and Mann-Whitney U-test. The pre-operation provision of information was found having brought significant differences between the control and experimental groups in their anxiety(U=104.5, p=.015) and uncertainty(U=83.5, p=.002) as well as their satisfaction after the operation(U=109.5, p=.022). The findings of this study strongly suggest that information provision before the operation is positively effective in reducing the anxiety and uncertainty of mothers with a tonsillectomy child and increasing their nursing satisfaction after the operation. These effects need to be more verified through repetitive and subsequent researches and by using many other methods of information provision.

The Effects of Supportive Nursing Intervention Using Video-Program of Operating Room Nurses before Operation on Laparoscopic Hysterectomy Patient's Anxiety (수술 전 수술실간호사의 동영상 프로그램을 활용한 지지간호중재가 자궁적출술 환자의 불안에 미치는 효과)

  • Eo, Yong-Sook;Lee, Nae-Young;Lee, Ji-Won;Cha, Hyeon-Jun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.4
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    • pp.2639-2646
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    • 2015
  • This study was to identify the effects of supportive nursing intervention using video-program of operating room nurses before operation on laparoscopic hysterectomy patient's anxiety. This study was nonequivalent control group pre-post test design. The data were collected from May 1 to Jun 20, 2013 and analyzed by $x^2-test$, Fisher's exact test and t-test using SPSS 20.0 program. Experimental group(who received supportive nursing intervention) and control group(who received booklet education) was respectively consisted of 25 patients who were laparoscopy hysterectomy. The anxiety(p=.002) of experimental group was significantly lower than control group. The systolic(p=.012) and diastolic(p=.045) pressure of experimental group was significantly lower than control group, but pulse wasn't. The supportive nursing intervention for preoperative patient is considered effective and useful in reducing anxiety. Further research is warranted to investigate the supportive nursing intervention long-term effect.

Influences of Milk of Magnesia and Chewing Gum on Oral Conditions of Patients

  • Lee, Eun-Ok
    • Journal of Korean Academy of Nursing
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    • v.1 no.1
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    • pp.44-48
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    • 1970
  • 무의식환자와 수술후환자의 구강청결방법으로 Milk of Magnesia를 사용하였을 때의 효과여부와 수술 환자에게 Milk of Magnesia와 함께 Chewing Gum을 사용했을 때의 효과여부를 측정하기 위하여 인디아나대학 Medical Center에 입원한 무의식환자 2명과 수술 후 마취에서 깨어난 환자 4명을 대상으로 하여 7-8시간 간격으로 2일간 구강청결을 실시했다. 본 연구는 1969년 가을학기에 시행했으며 분석방법으로는 표본 크기가 적은 경우에도 사용할 수 있는 방법의 T-test를 사용했으며 그 결과는 다음과 같다. 1. 무의식환자에서 Milk of Magnesia로 구강청결을 시행했을 때의 구강상태는 시행전보다 유의적으로 호전되지 못했다(p>0.1). 2. 수술 후 환자에서 Milk of Magnesia로 구강청결을 시행했을 때의 구강상태는 시행전보다 유의적으로 호전되었다(p>0.05). 3. 수술 후 환자에서 Milk of Magnesia와 Chewing Gum을 동반하여 사용했을 때의 구강상태는 유의적으로 호전되었다(p<0.05).

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A Study on Postoperative Pain Perception by Effects of the Video Program as Preoperative Nursing Intervention (수술전 비디오간호중재에 따른 수술후 환아의 동통지각정도)

  • 주미경
    • Journal of Korean Academy of Nursing
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    • v.25 no.2
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    • pp.210-221
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    • 1995
  • The purpose of this study was to identify relationships between a preoperative video program as nursing intervention and the perception of postoperative pain. The subjects consisted of an experimental group of 17 children and a control group of 13 children, for a total of 30 patients who were admitted the ENT Department for tonsilectomies. Data were collected from August 1, 1993 to September 31. The video program was made by the pediatric operating theater nursing staff. Postoperative painwas measured using the Face Pain Rating Scales devised by Beyer in 1984. The data were analyzed by a SPSS using frequencies, means, percentages, t-test and ANOVA to analyze the variables and demographic characteristics. The results of this study are as follows : The hypothesis, “Score of the experimental group which was shown the preoperative video program as a nursing intervention will be lower than the control group which did not see the video in postoperative pain perception.” was rejected by t=-.42, p>.05. No significant difference was found between the experimental group and the control group according demographic characteristics. From the above findings, this study suggests the following : 1. Further studies as randomized control-group pretest-posttest design are needed to control the extraneous variables. 2. A review will be suggested to be done by the preoperative video program as nursing intervention and an exploration to improve preoperative nursing care for pediatric patients with the inclusion such activities as preoperative visiting, operation theater tour etc.

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Effects of a Web-based Learning Contents in Operating Room Nursing for Nursing Students (간호학생을 위한 웹기반 수술간호 학습콘텐츠의 효과)

  • Park, Eun-Hee;Hwang, Seon-Young
    • The Journal of the Korea Contents Association
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    • v.11 no.9
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    • pp.384-394
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    • 2011
  • This study was conducted to develop a web-based learning contents that assists nursing students' clinical practice on operating room nursing and to examine its learning effects. Based on contents and need analysis, 6 learning modules were developed regarding nursing care in surgical operation and operating equipments. In order to verify the effects of the program, this study employed a quasi-experimental pretest-posttest control group design. Knowledge was significantly higher in experimental group that was enhanced by the web-based learning contents than that of the control group (p<.001). However, there was no significant difference between the two groups in self-directed learning. Experimental group had significantly higher motivation toward learning, which was examined posttest only, compared to control group (p<.001). These results support that the implementation of an web-based learning contents need to be continued as an effective educational material but we need more research to establish how this can be effectively implemented in a students' practicum.

Effects of Foot Massage on Preoperative Anxiety, Depression and Sleep Pattern in Patients with Breast Surgery (발 반사마사지가 유방수술 환자의 수술 전 불안, 우울 및 수면상태에 미치는 효과)

  • Kim Tae-Hee;Kim Jong-Im
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.12 no.2
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    • pp.240-246
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    • 2005
  • Purpose: This study was done to examine the effects of foot massage as a nursing intervention on preoperative anxiety, depression and sleep satisfaction in patients with breast surgery. Method: Research design was a nonequivalent control group non-synchronized design. Forty-one patients were assigned to the control group (21) and the experimental group (20). The patients answered a questionnaire containing measures of anxiety, depression and sleep satisfaction before and after the intervention. The collected data were analyzed by means of descriptive statistics, Cronbach's ${\alpha}$, Chi-square test, and t test using the SPSS WIN 11.0 program. Result: Anxiety and depression for the experimental group were significantly lower than those for the control group(t=2.556, p=0.008, t=2.932, p=0.006). Sleep pattern of the experimental group was significantly higher than that of the control group (t=2.313, p=0.013). Conclusion: Judging from these results, it is suggested that foot massage might have beneficial effects on reducing preoperative anxiety, depression, and increasing sleep satisfaction.

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