• Title/Summary/Keyword: 환자 불편감

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The Effect of Position Change on Discomfort and Bleeding after Liver Biopsy (체위변경이 간 조직검사 환자의 불편감과 출혈에 미치는 효과)

  • Yun, Mi-Jeong;Min, Hye Sook
    • Korean Journal of Adult Nursing
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    • v.27 no.2
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    • pp.233-241
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    • 2015
  • Purpose: This study examined the effects of e position change upon reported discomfort and bleeding complications during bed rest following a liver biopsy. Methods: The research design for this study was a non-equivalent control group quasi-experimental design. Twenty-nine participants were assigned to the treatment group and twenty seven participants were in the comparison group. Following the biopsy, the treatment group participants had a position change from the supine without compression for two hours followed by compressive right lateral position for two hours. The comparison group maintained continuously the compressive right lateral position with sandbag for four hours. Results: There were statistically significant differences in reported discomfort between the treatment and comparison groups following the intervention. No significant differences were found in bleeding complications between the two groups. Conclusion: The results of the study suggest that the positional change is an effective nursing intervention in reducing discomfort without risk of bleeding following a liver biopsy.

Effects of Music Therapy on Anxiety and Distress in Patients Taking Thoracentesis (음악요법이 늑막천자 환자의 불안과 불편감에 미치는 영향)

  • Kim, In-Sun;Kim, Hye-Soon;Lee, Myung-Hee
    • Journal of East-West Nursing Research
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    • v.17 no.2
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    • pp.103-109
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    • 2011
  • Purpose: The purpose of this study was to examine the effects of music therapy on the anxiety and distress in patients taking thoracentesis. Methods: The quasi-experimental design was used with a nonequivalent control group pre-post test time series. Participatns were divided into the experimental (n=20) or control group (n=20). Music therapy was given to the experimental group with a CD that was made by the investigator by themes. The research tools included the VAS Anxiety Inventory, and the Subjective and Objective Distress Inventory. Data were analyzed using SPSS 14.0 program by ${\chi}^2$-test and t-test. Results: There were statistically significant differences in state (VAS) anxiety and subjective distress between two groups. Conclusion: The music therapy was effective in reducing the anxiety and subjective distress of patients taking thoracentesis. In the future, music therapy will be useful in the field of nursing as a nursing intervention to alleviate stress and enhance well-being.

Myocardial Hamartoma Involving the Posterior Left Ventricular Wall -Surgical Experience of One Case- (좌심실 후벽을 침범한 심근성 과오종 -수술 치험 1예-)

  • Seo Yeon-Ho;Kim Nan-Yeol;Kim Kong-Soo
    • Journal of Chest Surgery
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    • v.39 no.6 s.263
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    • pp.486-489
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    • 2006
  • A 16 year-old boy was admitted to our department because of mild chest discomfort and mild dyspnea. A mass involving posterior wall of the left ventricle near posterior mitral annulus was found on echocardiography and cardiac MRI. Total excision of the mass was performed via posterior ventriculotomy under the cardiopulmonary bypass. The pathologic diagnosis revealed mature cardiac myocyte hamartoma. There was no evidence of arrhythmia and tumor recurrence during the 1 year of follow up after the surgery.

The Effect of Early Ambulation after 4 Hours of Bed Rest in Patients with Transarterial Chemoembolization (간동맥 화학색전술을 시행 받은 환자에게서 4시간 절대침상안정 후 조기 이상의 효과)

  • Nam, Sun Hee;Kim, Young-Ju
    • Korean Journal of Adult Nursing
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    • v.28 no.1
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    • pp.53-60
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    • 2016
  • Purpose: This study was to compare the effects of early ambulation to usual care of late ambulation in patients with transarterial chemoembolization on back pain, discomfort, and puncture site complications. Methods: A nonequivalent control pretest-posttest design was used. Total 40 patients were recruited from a gastrointestinal unit of an urban general hospital in Seoul, South Korea. The experimental group began to ambulate after 4 hours of bed rest with a compression bandage after receiving transarterial chemoembolization. The control group stayed in bed with a compression bandage overnight. Results: Back pain was not significantly different between the two group. The experimental group reported significantly lower discomfort than the control group. There was no incidence of bleeding complications on puncture site between two groups. Conclusion: The results of this study showed that early ambulation with four hours of bed rest after femoral sheet removal did not cause bleeding complications compared to the usual care and even decreased patients' level of discomfort due to bed rest. Repetitive research on the effect of short bed rest is warranted for its clinical utilization.

Case Study of Vision Therapy (시기능 교정의 임상사례)

  • Park, Hyun-Ju
    • Journal of Korean Ophthalmic Optics Society
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    • v.11 no.1
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    • pp.35-41
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    • 2006
  • I performed the refraction and binocular test for study of binocular abnormalities. The problems of the accommodation and binocular on subjects was need to the correction of the refractive error. also the subjects was need to a specific treatment for each of the problems. On two patients who had convergence excess, The full corrections of eyeglasses or (+)ADD for near vision were prescribed and the subjects trained for 4 weeks. After 4 weeks, the unconvenience of near vision have more decrease, and the objective test have good results. On clinical, If the optical correction and vision therapy was applied the treatment for binocular abnormalities. The continuous research of vision training in binocular abnormalities will be good results for treatment of several binocular abnormalities in the future.

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Effects of Postoperative Oral Care Using Cold Therapy on Nausea, Vomiting and Oral Discomfort in Patients with Laparoscopic Myomectomy (냉요법을 이용한 수술 후 구강간호가 복강경 자궁근종절제술 환자의 오심, 구토 및 구강 불편감에 미치는 효과)

  • Jung, Mi-Young;Choi, Hyo-Sun;Park, Kyung-Yeon
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.19 no.3
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    • pp.292-301
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    • 2012
  • Purpose: The purpose of the study was to evaluate the effects of postoperative oral care using cold therapy on nausea, vomiting and oral discomfort after laparoscopic myomectomy. Method: The study was conducted with an experimental group (n=29) and a control group (n=35) sampled from patients admitted to a women's hospital in a metropolitan city in Korea. Data were collected between October 10, 2011 and January 31, 2012 and analyzed using Chi-square, Fisher's exact test, t-test, and repeated measure ANCOVA with SPSS/WIN 19.0. Results: After the intervention, postoperative nausea (p<.001) and oral discomfort for patients in the experimental group were significantly lower than in the control group. There were significant differences in the presence of vomiting between both groups at 12 hours (p<.001) and 24 hours (p=.003) after leaving the recovery room. Conclusion: Oral care using cold therapy was found to be an effective nursing intervention for reducing postoperative nausea, vomiting and oral discomfort up to 24 hours after recovery in patients with laparoscopic myomectomy.

Postinsertion Adjustment Procedures of Removable Partial Dentures (가철성 국소의치의 조정)

  • Shin, Soo-Yeon
    • Journal of Dental Rehabilitation and Applied Science
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    • v.29 no.4
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    • pp.384-390
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    • 2013
  • Postinsertion problems tend to be minimized when a sequential insertion procedure is followed. However, problems may occur as the result of one or any combination of comfort, function, esthetics, and phonetic difficulties. Following the insertion of a partial denture, an appointment for review in approximately 7 days should be made for the patient. At the review visit, the patient should be questioned concerning any problems that have been experienced when wearing the denture. A thorough examination should then be carried out of the oral tissues and the denture, in the course of which signs of tissue damage may be observed. A diagnosis is then made of the cause of all the problems revealed in the history and examination procedures. Appropriate treatment should then be applied to resolve these problems.

Effects of Foot Reflexzone Massage on State-Anxiety and Discomfort in Ovari an Cancer Patients Receiving Chemotherapy (발반사 마사지가 항암화학요법을 받는 난소암 환자의 불안과 불편감에 미치는 효과)

  • Hwang, Kyung-Hye;Choi, Euy-Soon;Yoo, Yang-Sook
    • Women's Health Nursing
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    • v.11 no.3
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    • pp.209-217
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    • 2005
  • Purpose: This study was conducted to investigate the effects of foot reflexzone massage on state - anxiety and discomfort of ovarian cancer patients receiving chemotherapy. Method: A quasi experimental design with a non equivalent control group and non synchronized design was used. The experiment was conducted from October 1, 2003 to September 30, 2004. The subjects consisted of 40 patients admitted to C University Hospital. Twenty subjects were assigned to the experimental group and received foot reflexzone massage everyday for 3 days. The other 20 subjects were in the control group and received routine care. Foot reflexzone massage was done on both feet of the subjects for 30 minutes for 3 days using standard protocol. The 'State-Anxiety Inventory' developed by Spielberger was used to measure the degree of state-anxiety. Discomfort was assessed using the 'Symptom Distress Scale' of McCorkle and Young. Data was analyzed by a SAS program using t-test, Wilcoxon signed rank sum test and Wilcoxon rank sum test. Results: State-anxiety and discomfort of subjects receiving foot reflexzone massage were significantly lower than those of the control group. Conclusion: These findings indicate that foot reflexzone massage could be an effective nursing intervention for relieving state-anxiety and discomfort in ovarian cancer patients.

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Use of Web-Based Evidence-based Clinical Practice Guidelines for Patients following Gastrectomy: Effects on Body Temperature, Shivering, Perceived Thermal Comfort, and Satisfaction with Temperature Management (웹기반 체온 관리 근거중심 간호실무 가이드라인이 위절제술 환자의 체온, 전율, 체온 불편감, 체온 관리 만족도에 미치는 효과)

  • Hong, Sung-Jung;Lee, Eunjoo
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.21 no.2
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    • pp.112-122
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    • 2014
  • Purpose: The purpose of this study was to examine the effects on body temperature, shivering, and perceived thermal comfort of web-based evidence-based practice guideline for patients undergoing gastrectomy. Methods: Eighty patients scheduled for gastrectomy were recruited and assigned to the control or experimental group by sequential order. Before collecting data from the experimental group, a systematic educational program on evidence-based guidelines was provided to the nurses as well anesthesiologists. Data were analyzed using t-test and repeated measured ANOVA. Results: The experimental group showed higher body temperature from the induction of anesthesia until four hours after surgery compared to the control group. In addition, the levels of thermal comfort as well as satisfaction with thermal management were significantly higher in the experiment group. Conclusion: Use of evidence-based guidelines was effective in maintaining body temperature, lowering sensitivity to shivering, and promoting perceived thermal comfort. Therefore, adoption of evidence-based interventions in nursing practice is recommended.

Pilocarpine Mouth Care for Patients with Terminal Cancer (필로카르핀을 이용한 구강간호가 말기 암환자의 구강 상태와 불편감에 미치는 효과)

  • Park, Myung-Hee;Yoo, Yang-Sook
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.13 no.2
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    • pp.217-224
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    • 2006
  • Purpose: This study was done to investigate the effects of pilocarpine mouth care on the condition and discomfort of the oral cavity in patients with terminal cancer. Method: A quasi-experimental design with a non-equivalent control group, pre- and post-test was used. The participants were 30 patients admitted to the hospice care unit of C university hospital. Fourteen patients received pilocarpine mouth care for 5 days. The other sixteen received general mouth care. Results: Improvement in the condition of the oral cavity was significantly higher in the experimental group compared to the control group. Decrease in oral discomfort scores was significantly higher in the experimental group compared to the control group. The incidence of oral candidiasis was significantly higher in the control group compared to the experimental group. Conclusion: These findings indicate that pilocarpine mouth care could be an effective intervention for relieving oral discomfort, improving the condition of the oral cavity, and decreasing the incidence of oral candidiasis in patients with terminal cancer.

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