• Title/Summary/Keyword: 지지요법

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The Effect of Cool Dialysis on Dialytic Stability, Feeling of Fatigue, Pruritus and Dialysis adequacy in Hemodialysis Patients (저온투석이 혈액투석환자의 투석안정성, 피로감, 소양증과 투석적절도에 미치는 영향)

  • Kim, Yun Ah;Han, Eun Kyoung;Kim, Mi Young
    • The Journal of the Convergence on Culture Technology
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    • v.4 no.4
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    • pp.11-20
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    • 2018
  • The purpose of this study was to examine the effect of the application of cool dialysis on dialytic stability, feeling of fatigue, pruritus and dialysis adequacy in hemodialysis. Methods: The study design was nonequivalent control group pretest-posttest design. The subjects were 50 patients who were hospitalized to hemodialysis. The experimental group cool dialysis(n=25) and the control group received only the usual treatment (n=25). The collected data were analyzed using independent t-test to examine study hypothesis. Results: The level of dialytic stability (F=5.53, p=.023) and feeling of fatigue (F=4.01, p<.001) in the experimental group were significantly different from that of the control group. However, the level of pruritus(F=.74, p=.394) and dialysis adequacy(F=1.02, p=.327) in the experimental group were not different from that of the control group. Conclusion: The study findings confirm that cool dialysis as an effective intervention alleviating dialytic stability and feeling of fatigue.

Generalized Tetanus from a Foot Injury (족부 부상으로 인한 전신 파상풍)

  • Park, Hong-Gi;Kim, Han Soul
    • Journal of the Korean Orthopaedic Association
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    • v.56 no.5
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    • pp.433-439
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    • 2021
  • The definitive and effective method for tetanus prevention has contributed to decreased incidence and mortality of tetanus infections in developed countries. On the other hand, there has been a recent increase in incidence due to the lack of awareness of the disease and lack of adherence to preventive measures. Tetanus infections can be fatal. Therefore, prevention must be the utmost priority, followed by aggressive surgical management along with supportive care. The authors present a case of a 59-year-old male patient diagnosed with a generalized tetanus infection from a foot injury. The patient recovered successfully after aggressive surgical debridement and amputation of the infected toe at the metatarsal level, followed by two months of supportive care.

The Effect of Social Support on Compliance with Sick Role Behavior in Hypertensive Clients and Duration-of the Effect for up to 6 months (사회적 지지가 고혈압환자의 역할행위 이행에 미치는 영향과 지지요법 효과의 지속에 관한 연구 I)

  • 박오장;홍미순;장금성;김지영
    • Journal of Korean Academy of Nursing
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    • v.28 no.1
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    • pp.159-170
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    • 1998
  • This study was done using a Quasi-experimental research design to determine the effects of social support on compliance with sick role behaviors in hypertensive patients and to know if the effect of the social support on compliance lasted for at least 6 months. The subjects consisted of 81 hypertensive patients who were registered in the Cardio-Vascular OPD at Chonnam National University Hospital. They were divided by random sampling into 42 people for the experimental group and 39 for the control group. Data were gathered from June 3, 1996 to June 10, 1997 through individual interviews using a structured questionnaire. The results of the study were summarized as follows : 1. Compliance with sick role behaviors in hypertensive clients was significantly increased in the experimental group who received social support from the nurse as compared to the control group who did not receive social support(t=15.99. p<.001). 2. The effect of social support on compliance with sick role behaviors in hypertensive clients lasted for 6 months(t=7.99, p<.001). 3. Four of six people stopped smoking in experimental group after the intervention of social support, but none of the five in control group were able to stop smoking. Fisher's Exact test showed a significant difference between the experimental and control group(x²=4.385. p< .05). Mantel Haenszel test showed that the effect of social support on stopping smoking in the experimental group lasted for six months because there were no significant differences between one month after the social support and six months after, in the number of subjects who stopped smoking(x²=1.154, P>.05). Finally, social support was effective on compliance with sick role behaviors and stopping smoking in the hypertensive clients, and the effect of social support on compliance lasted for 6 months.

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THERAPY FOR ADOLESCENTS WITH BORDERLINE DISORDER (청소년기 경계선 장애의 치료 - 정신분석적 입장에서 -)

  • Lee, Dong-Soo
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.6 no.1
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    • pp.43-46
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    • 1995
  • Like each treatment for the psychiatric patients psychotherapeutic approach for the adolescent borderline patients is case by case. However some principles are derived from the characteristics of the adolescent psychology. As they put it adolescence is psychologically 'the second individuation period'. Both sexual dvive and aggressive drive are aggrevated, and 'the actual object' like parent are to be separated. Given that borderline patients are weak in their egos and show poor indentity formation 'analytic supportive psychotherpay' would be more effective than analysis itself.

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A Case Report about Treatment of Childhood Conversion Disorder with Psychotherapy of Oriental Medicine -The Giungoroen(至言高論), Supportive Psychotherapy and Behavioral Therapy- (한의학 정신요법을 이용한 소아 전환장애 환자 1례 - 지언고론요법(至言高論療法), 지지적 정신치료와 행동치료 -)

  • Suh, Hyun-Uk;Suh, Jin-Woo;Hwang, Eun-Young;Kim, Jong-Woo;Jung, Sun-Young
    • Journal of Oriental Neuropsychiatry
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    • v.20 no.4
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    • pp.185-196
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    • 2009
  • Objectives : This case report presents a 7-year-old female patient diagnosed with conversion disorder improved by application of oriental medical psychotherapy, the Giungoroen. Her chief complaint was dysesthesia of anal. Methods : Through interview and several psychological testing such as HTP test, DAF test, JTCI 7-11, we assessed her psychological state and seek for the psychological reason induced her physical symptom, dysesthesia of anal. After assessment we concluded her main psychological problem was loss of love relationship with her parents. So we decided to use supportive psychological therapy and behavioral therapy-like changing upbringing attitudes of her parents, for example- with Herbal medicine treatment. Results : After 2-month of therapeutic period, chief physical symptom of patient-dysesthesia of anal-was reduced to 20% compared with first visit day. Conclusions : The Giungoroen corresponds to supportive psychotherapy and behavioral therapy. And this oriental medical psychotherapy is fairly effective on the treatment of conversion disorder in childhood.

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Educational Needs for Home-Based Lung Cancer Patients Receiving Chemotherapy : focused on the content analysis (항암화학요법을 받는 재가 폐암환자의 교육요구 : 내용분석을 중심으로)

  • Mo, Moon Hee;Jang, Hee Jung;Kim, Hye Jin
    • The Journal of the Convergence on Culture Technology
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    • v.8 no.3
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    • pp.33-41
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    • 2022
  • This study is a qualitative study to identify the educational needs for home-based lung cancer patients receiving chemotherapy. The study participants were 20 patients with home-based lung cancer patients receiving chemotherapy at a university hospital at D city. Data collected through interviews from July 2016 to September 2017 were analyzed using Krippendorff's method. As a result, 3 categories, 9 themes, 19 sub-themes, and 54 meaningful statements were derived. The three categories of educational needs were 'psychological needs', 'knowledge needs', and 'social needs'. Home-based lung cancer patients receiving chemotherapy wanted to support prognosis and stress and receive accurate knowledge of side effects and information on social support systems through education. The results of this study are expected to be used as basic data for the development of educational intervention programs for home-based lung cancer patients receiving chemotherapy in the future.

Effects of Foot Massage and Supportive Communication by Hospice Volunteers on Depression, Anxiety, and Mood of Cancer Patients Who Undergo Intravenous Chemotherapy at Out-patient Department (호스피스 자원봉사자의 발마사지와 지지적 의사소통이 외래 항암화학요법 환자의 우울, 불안 및 기분에 미치는 효과)

  • Hur, Hea-Kung;Song, Hee-Young
    • Journal of Hospice and Palliative Care
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    • v.13 no.4
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    • pp.232-242
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    • 2010
  • Purpose: This study was done to investigate effects of foot massage and supportive communication provided by hospice volunteers on depression, anxiety, and mood of cancer patients who are going under intravenous chemotherapy at out patient department (OPD). Methods: A non-equivalent control group non-synchronized design was used. Sixty-four participants were recruited from out-patients setting in a university hospital by a convenient sampling. Two trained- hospice volunteers first provided regular hospice volunteer service to 34 patients in the control group. Subsequently, foot massage and supportive communication were provided to 30 participants in the experimental group. After the intervention, all participants answered the structured questionnaire with visual analog scales on depression, anxiety, and mood including general characteristics. Data were analyzed using descriptive statistics, two sample t-test, and paired t-test by PASW 17. Results: After the intervention, changes in negative moods, i.e. strain and powerlessness in the experimental group were significantly different from those in control group; strain and powerlessness in the experimental group were significantly decreased by foot massage and supportive communication provided by hospice volunteers. Conclusion: The current findings provide an empirical evidence of a brief and efficacious intervention for cancer patients. Further studies are warranted with larger sample size to validate the effectiveness of foot massage and supportive communication as a solid intervention for cancer patients who are undergoing intravenous chemotherapy at OPD.

Multiple extrarenal manifestations in hemolytic uremic syndrome: A case report (다발성 신외 증상이 동반된 용혈요독증후군 1례)

  • Kim, Eugene;Kim, So-Young
    • Clinical and Experimental Pediatrics
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    • v.50 no.12
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    • pp.1261-1265
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    • 2007
  • Extrarenal manifestations of hemolytic uremic syndrome (HUS) have increasingly been recognized and may be major determinants of mortality and morbidity. Although microthrombi are often found in the pulmonary and coronary circulation, apparent lung and cardiac involvement are clinically infrequent. We describe here a 10-month-old boy with HUS who developed pulmonary hemorrhage, acute respiratory distress syndrome and dilated cardiomyopathy. Complete renal as well as clinical recovery from these very uncommon complications was achieved by optimum supportive care.

Effects of Telephone Intervention as Supportive Nursing on Self-Care Practices and Qualify of Life for Gynecological Cancer Patients under Chemotherapy (전화를 이용한 지지간호가 항암화학요법을 받는 여성 암 환자의 자가간호수행과 삶의 질에 미치는 효과)

  • Kim, Ae-Sook;Lee, Eun-Sook;Kim, Sung-Hyo
    • Journal of Korean Academy of Nursing
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    • v.37 no.5
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    • pp.744-753
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    • 2007
  • Purpose: The effects of telephone intervention on self-care practices and quality of life for gynecological cancer patients under chemotherapy was investigated. Methods: A non-equivalent control group pre-test post-test quasi-experimental design was used. The subjects were women cancer patients who had received less than two chemotherapy sessions at C university hospital of Chonnam province(26 in the experimental group: 25 in the control group). The patient's self-care practices(Na & Lee, 1999; Jang, 2004) and quality of life(Lee & Jo, 1997) were measured three times. using a questionnaire. The data was analyzed by Repeated Measures ANOVA, the Friedman test, and the Mann-Whitney test using the SPSS window version 12.0 program. Results: This study showed that the score of self-care practices and quality of life for the experimental group under telephone counseling were higher than those of the control group. Conclusion: This study revealed that a telephone intervention as supportive nursing care for women cancer patients under going chemotherapy was effective for self-care practices and qualify of life during the recovery period. Futhermore, this study also suggests that telephone counseling can serve as a continuing nursing supportive intervention for women cancer patients for the upcoming stages of further chemotherapy.