• Title/Summary/Keyword: 편도선

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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 Illustrated Book Information on Post Tonsillectomy Pain and Compliance of Care in Preschoolers (학령전기 아동의 그림동화책 제공이 편도선 수술 후 통증 및 치료이행에 미치는 효과)

  • Sung, Mi-Hae;Ko, Seung Hee;Lim, Bo Ram;Jung, Mi Seon;Kim, Jin Kyung
    • Journal of Korean Clinical Nursing Research
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    • v.19 no.1
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    • pp.143-151
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    • 2013
  • Purpose: The purpose of this study was to evaluate the effect of illustrated children's book in providing information about tonsillectomy to improve post tonsillectomy pain control and compliance to treatment for preschoolers. Methods: The design of the study was a quasi-experimental, post-test only design. Subjects were preschoolers aged between 3 and 7 years old who were admitted to a hospital for tonsillectomy. A group of 25 children were assigned to an experimental group, and another 25 were assigned to a control group. The data were analysed using SPSS 12.0 program. The homogeneity between two groups was examined using $x^2-test$. The hypotheses testing was conducted using t-test. Results: The experimental group had lower pain score than control group at 8 hour after tonsillectomy (p<.05). Pain score was also lower in the experimental group after 24 hour after the surgery (p<.05). The experimental group had higher pain questionnaire score than control group at 8 hours after surgery, however the difference was not significant. The experimental group showed better compliance to treatment than the control group (p<.05). Conclusion: Providing illustrated children's book for the purpose of providing information about tonsillectomy was effective intervention for the control of post tonsillectomy pain and improvement of compliance to treatment for preschoolers. Illustrated children's book could be applied as a nursing intervention to relieve post tonsillectomy pain and improve compliance to treatment for preschoolers.

Avidin-biotin complex for immunohistochemical diagnosis of Aujeszky's disease and hog cholera (Avidin-biotin 복합체를 이용한 오제스키병과 돼지콜레라의 면역조직화학적 감별진단)

  • Kim, Soon-bok;Sur, Jung-hyang;Moon, Un-gyeong
    • Korean Journal of Veterinary Research
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    • v.30 no.4
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    • pp.435-440
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    • 1990
  • Ten pigs infected with Aujeszky's disease virus (ADY) or hog cholera virus(HCV) were tested for the detection of virus antigens in frozens or paraffin-embedded sections by avidin-biotin-peroxidase complex(ABC) method. Tonsils, spleens, cerebra and buffy coats were examined for the immunohistochemical test. Where ADV antigen was detected by ABC, a dark brown deposit occurred in both the nucleus and the cytoplasm of lymphocytes and macrophages, however, HCV antigen was demonstrated in the cytoplasm of the infected cells. ADV-positive cells were most frequently detected in tonsils and cerebra, whereas, HCV -positive cells were frequently observed in spleens. And buffy coat were also good for both virus detection. The results suggested that ABC method is considered as an excellent and reliable tool for confirmative diagnosis of these viral diseases.

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The Effects of Informational Intervention on Postoperative Pain following Tonsillectomy in Children (편도선절제술 아동의 수술 전 절차 정보제공이 수술 후 통증에 미치는 영향)

  • Kim Young-Hae;Lee Hwa-Za
    • Child Health Nursing Research
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    • v.8 no.4
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    • pp.400-413
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    • 2002
  • The purpose of this study was to evaluate the effect of informational intervention on postoperative pain following tonsillectomy in children. This study was performed on 30 children, aged 5-15 years, undergoing tonsillectomy and their parents by providing informational intervention with colored figure; operation procedure and information. Pain assessment was done by Pain Questionnaire. The results from this study were as follows : 1. Children in experimental group with mean 16.07 had lower pain scores than control group with mean 14.87 at 4th hours after operation(p<0.05). It showed 'significant difference' and first hypothesis was adopted. 2. Children in experimental group with mean 20.60 had lower pain scores than control group with mean 17.27 at 8th hours after operation(p<0.05). It showed 'significant difference' and second hypothesis was adopted. 3. Children in experimental group with mean 28.80 had lower pain scores than control group with mean 25.70 at 24th hours after operation(p<0.05). It showed 'significant difference' and third hypothesis was adopted. 4. When we analyzed the time difference and difference between two groups simultaneously by repeated measure ANOVA, the significant difference was not found. And so 'the experiential group with operation-related information will show the lower pain sense than the control group just as the time flows after operation', fourth hypothesis was rejected. Generally, it was found that providing information about operation to children and their parents reduced effectively postoperative pain in children, but in clinical settings there are minimum preoperative information-providing because of insufficient time and inconvenience although nursing staffs and patients know its needs. Conclusionally providing preoperative information should help children and their parents cope with Pre, Peri and Post operative events effectively.

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Study on attachment of bacteria to tonsillar epithelial cell during acute tonsillitis (급성편도선염에서 편도상피세포의 세균부착성에 관한 연구)

  • 이흥만;정형목;최충식;이우섭;이상학;황순재
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1993.05a
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    • pp.98-98
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    • 1993
  • To cause invasive disease, microorganism must attach firmly to the tonsillar epithelial cell. Once attached, the microorganisms can proliferated, form colonies and release extracillular toxins which can injure the underlying cells. The purpose of present study was to asertain whether or not there exist in vivo differences in bacterial attachment between patients with acute tonsillitis and healthy individuals as a control. This study was carried out on 20 patients suffering from acute tonsillitis and 20 healthy persons used as control. After scraping of the surface of tonsil, cellular mixture was stained with Acridine orange and the number of attached bacteria was calculated using a fluorescent microscope. The adherence rate was calculated as number of bacteria attached to each of 50 epithelial cells. simultaneously, we peformed conventional bacterial culture. Conclusively, the attachment of more than 10% bacteria to the tonsillar epithelial cell was significantly greater in acute tonsillitis group than control group, and there was a significant correlation between age and the number of the attached bacteria to the epithlium.

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초유에서 분리한 면역조절물질인 MIEF가 B세포의 분화에 미치는 영향

  • 이종길;한성순;이종호
    • Proceedings of the Korean Society of Applied Pharmacology
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    • 1994.04a
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    • pp.255-255
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    • 1994
  • MIEF는 소의 초유중에 함유되어 있는 분자량 22,000 dalton의 peptide로서 말초혈액 림파구의 배양액에 첨가할 경우 자연살해세포를 활성화 시켜 암세포에 대한 자연살해능을 증가시키는 것으로 이미 보고된 바 있다. 본 연구에서는 수유기간별 MIEF의 함량 및 MIEF가 B세포의 증식 및 분화에 미치는 영향을 조사하였다. 수유기간별 MlEF의 함량을 competitive ELISA inhibition assay를 이용하여 조사한 결과 MIEF의 함량은 수유 첫째날의 초유에 109$\mu\textrm{g}$/ml로 가장 높았으며, 그 이후로 급격히 감소하여 3일째 이후에서는 3-4$\mu\textrm{g}$/ml이하로 존재하였다. MIEF가 B세포의 분화에 미치는 영향은 사람의 편도선에서 분리한 림파구의 배양액에 MIEF를 가하고 5-9일간 배양한후 항체를 생산하는 세포의 수를 ELISPOT assay로 측정하여 조사하였다. MIEF는 10-30$\mu\textrm{g}$/ml의 농도에서 B세포의 분화를 촉진시켰으며, 그 정도는 양성대조군으로 사용한 LPS와 유사하여 MIEF가 B세포의 분화를 유도하는 작용이 아주 강력함을 알수 있었다.

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Carcinoma of the Tonsillar Region -Results of External Irradiation- (편도선 암의 방사선 치료)

  • Seong J. S.;Kim S. G.;Suh C. O.;Kim G. E.;Loh J. K.
    • Radiation Oncology Journal
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    • v.4 no.1
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    • pp.29-34
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    • 1986
  • Thirty-six patients with carcinoma of the tonsillar region treated with radical radiotherapy at Yonsei Cancer Center between Jan. 1971 and Dec. 1980 were retrospectively reviewed. The purpose of this study is to evaluate the clinical characteristics and the treatment results. Seventy-five per cent of patients were in advanced stage when they were first seen. Incidence of nodal involvement at the time of initial presentation was $64\%$. Bilateral nodal involvement was found in $19\%$ of cases. Three-year local control rates for T1, T2, T3, and T4 were $88\%,\;46\%,\;25\%,\;and\;11\%$, respectively. Advanced neck nodes were poorly controlled $(N1\;70\%,\;N2\;20\%,\;N3\;12\%)$. The prognosis is mainly affected by the status of the primary and neck nodes Overall three-year local control rate was $42\%$.

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Factors Related to Patients' Satisfaction Level of Treatment Outcome of Oral Malodor (구취치료 후 만족도에 영향을 미치는 예견인자)

  • Lee, Jeong-Yun;Kho, Hong-Seop;Kim, Young-Ku;Chung, Sung-Chang;Lee, Sung-Woo
    • Journal of Oral Medicine and Pain
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    • v.26 no.1
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    • pp.27-38
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    • 2001
  • 본 연구에서는 환자들에 의해 구취와 관련이 있다고 일반적으로 믿어지고 있는 여러 요인들이 치료 후의 환자의 만족도에 미치는 영향에 대해 알아봄으로써 환자의 만족도의 예후를 판단할 수 있는 자료를 마련하고자 하였다. 서울대학교 치과병원 구강진단과에 구취를 주소로 내원한 환자 194명을 대상으로 설문지를 이용하여 구취와 관련성이 있는 것으로 알려져 있는 항목들을 조사하였다. 조사 항목으로는 1) 본인확인가능여부, 2) 타인확인가능 여부, 3) 구취의 기간, 4) 구취의 빈도, 5) 축농증, 6) 비염, 7) 코수술 병력, 8) 콧물이 목뒤로 넘어감, 9) 코막힘, 10) 비호흡 곤란, 11) 구강건조감, 12) 편도선부종, 13) 가래, 14) 신물의 역류, 15) 소화불량, 16) 흡연여부가 포함되었다. 구취의 평가는 portable sulfide monitor인 $Halimeter^{(R)}$(Interscan Co., Chatsworth, CA, USA)를 이용하여 치료 전, 후에 각각 측정하였고, 혀배면의 세정, 치면 세균막 조절, 0.25% $ZnCl_2$ 양치액의 사용을 내용으로 하는 구취의 치료를 시행한 뒤 자신의 구취개선정도에 대해 %로 질문하여 치료 후 만족도를 조사하였다. 각 조사 항목과 치료 후 만족도 사이의 상관관계 및 실제 $Halimeter^{(R)}$ 수치의 개선정도와 만족도 사이의 상관관계를 분석하였으며, Symptom Checklist - 90 Revised(SCL-90R)의 분석결과에 따라 환자를 두 그룹으로 분류하고 두 그룹 사이의 치료 후 만족도의 차이를 조사한 결과 다음과 같은 결론을 얻었다. 1. 본인 및 타인 확인가능여부, 구취가 항상 나는지 여부, 구취의 기간, 축농증, 비염, 코수술 병력, 코막힘, 비호흡 곤란, 콧물이 목뒤로 넘어감, 흡연여부에 따른 치료 후 만족도의 유의한 차이는 없었다. 2. 신물의 역류(p=0.003), 소화불량(p=0.007), 구강건조감(p=0.016), 편도선 부종(p=0.018), 가래(p=0.033)에 따른 치료 후 만족도는 통계적으로 유의한 수준의 차이를 보였다. 3. $Halimeter^{(R)}$ 수치의 개선정도와 만족도 사이의 유의한 상관관계는 관찰되지 않았다(r=0.092, p=0.201).

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The Effects of Information by using Cartoon on Preoperative Anxiety of children following Tonsillectomy (만화를 이용한 정보제공이 편도선절제술 환아의 수술전 불안에 미치는 영향)

  • 박선남
    • Journal of Korean Academy of Nursing
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    • v.28 no.2
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    • pp.490-497
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    • 1998
  • This study was designed to investigate the effects of information by using cartoon on preoperative anxiety of children following tonsillectomy. The subjects were 30 children aged between 7 and 12 who were hospitalized at C university hospital for undergoing tonsillectomy from December 20, 1996 to August 14, 1997 Sixteen of them were assigned to the experimental group, while fourteen subjects to the control group. The data were collected through preoperative state anxiety, pulse rate, pain before and after giving information by using cartoon. The results were as follows : 1. Preoperative state anxiety increased in both groups (P=0.0348). No significant difference found between experimental and control group. But preopertive anxiety in experimental group was apt to increase less than that in the control group. 2. Pulse rate didn't make significant difference within and between groups. 3. Pain increased in both groups (P=0.0001). No significant difference found between experimental and control group. 4. Experimental group between the aged 7 and 9 decreased preoperative state anxiety, but experimental group between the aged 10 and 12 increased preoperative state anxiety after treatment(P=0.0298). These findings may indicate that the information by using cartoon is effective in children between the aged 7 and 12.

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The Effect of Stellate Ganglion Block in Controlling of Pain after Tonsillectomy (편도선절제술후 성상신경절 차단이 제통효과에 미치는 영향)

  • Lim, Yong-Gul;Kim, Dae-Woo;Park, Yong-Jin;Gang, Yu-Jin
    • The Korean Journal of Pain
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    • v.10 no.1
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    • pp.54-57
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    • 1997
  • Background : The tonsillar region is innervated by the sensory components of the glossopharyngeal nerve(IX) which communicates with certain part of cervical sympathetic ganglion. Some authors suggest stellate ganglion block(SGB) is effective for treatment of recurrent tonsillitis. The goal of this study was to evaluate the effect of SGB in controlling pain after tonsillectomy. Methods : Forty five patients, evaluated to ASA class 1 and 2, scheduled for tonsillectomy under general anesthesia were randomly assigned to 1 of 3 groups (group I: control; group II: SGB with 1% lidocaine 5 ml; group III: SGB with 2% lidocaine 2.5 ml plus 0.5% bupivacaine 2.5 ml), SGB was performed at the end of surgery. Postoperative pain was assessed with Numeric Rating Scale(NRS) NRS assessment was made 30, 60, 90 min, 2 h, 4 h, 24 h, 48 h after tonsillectomy. Results : Pain scores, after 30 min in group II, III and 60, 90 min in group III were significantly lower than group I(p<0.05). Conclusions : We found SGB was effective in controlling pain after tonsillectomy but further studies are required needs to prolong duration of relief..

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