• Title/Summary/Keyword: 활력징후

Search Result 115, Processing Time 0.027 seconds

The Effect of Listening to Music on Anxiety, Sedation, and Vital Signs of Patients Undergoing Spinal Anesthesia (수술 중 음악청취가 척수마취 환자의 불안, 진정 및 활력징후에 미치는 효과)

  • Moon, Yang-Hee;Kang, In-Soon;Hwang, Sun-Kyung
    • Journal of Korean Biological Nursing Science
    • /
    • v.11 no.2
    • /
    • pp.105-113
    • /
    • 2009
  • Purpose: The aim of this study was to examine the effect of listening to music on the level of anxiety, sedation, and vital signs of patients undergoing surgery with spinal anesthesia. Methods: A convenience sample of 70 adult patients, ASA physical status I-II, scheduled for elective urologic or orthopedic surgery with spinal anesthesia, was included in this study. They were assigned to either an experimental group (n=35), listening to music during surgery, or a control group (n=35), not listening to music. Their anxiety was measured with the Spielberg's Trait and State Anxiety Inventory (STAI-KYZ). Sedation level was monitored with the Bispectral Index, and the vital signs at beginning, 10, 20, 30, and 45 min after operation. Results: The music group reported significantly lower state anxiety level during surgery as compared with the control group (t=3.91, p<.001). Repeated measures of ANOVA indicated a significant by group interaction on BIS index scores of sedation (F=4.23, p=.006). Among the vital signs, only heart rate was a significant by group interaction (F=5.529, p=.004). Conclusion: These findings indicate that listening to music during surgery with spinal anesthesia is a useful and effective nursing intervention to reduce anxiety and to maintain proper sedation.

  • PDF

Effects of Types of Music in Music Therapy on Anxiety and Vital signs of Surgical Patients Undergoing Operation Using Spinal Anesthesia (음악요법 유형이 척추마취 수술환자의 수술 중 불안 및 활력징후에 미치는 영향)

  • Kim, Yeoun-Ok;Kim, Joo-Hyun
    • Journal of Korean Biological Nursing Science
    • /
    • v.13 no.2
    • /
    • pp.149-155
    • /
    • 2011
  • Purpose: The purpose of this research is to examine types of music (relax music or preferred music that patients have chosen) can effects on anxiety, blood pressure and pulse, and whether there are differences depending on the kinds of music in order to reduce anxiety of surgical patients using spinal anesthesia. Methods: This research's design is quasi-experimental design and non-equivalent control group pretest-posttest experimental design conducted on 60 surgical patients(experimental group 1=relax music therapy group, experimental group 2=preferred music therapy group, and group 3=control group) using spinal anesthesia. The Variables were trait anxiety, state anxiety, blood pressure, and pulse. Results: 1) In the state anxiety, there was a significant difference among the experimental groups 1, group 2 and the control group. 2) There was a significant difference in systolic blood pressure among the experimental group 1, group 2, and the control group. 3) In pulse, no significant difference among the experimental group 1, group 2 and the control group was detected. Conclusion: Regardless of the types of music, music therapy is thought to be effective nursing mediation to mitigate the state anxiety of surgical patients undergoing spinal anesthesia.

Effects of Noise Block on Anxiety and Vital Sign of Patients with Gynecologic Laparoscopic Surgery in Operating Room (수술실의 소음차단이 산부인과 복강경 수술 환자의 불안과 활력징후에 미치는 영향)

  • Choi, Mi Son;Lee, Eun Ja
    • Korean Journal of Occupational Health Nursing
    • /
    • v.21 no.3
    • /
    • pp.317-325
    • /
    • 2012
  • Purpose: This study was to examine the effects of noise block on anxiety and vital sign of gynecologic laparoscopic surgery. Methods: The data were collected from March to May 2011. Participants were sixty patients with gynecologic laparoscopic surgery, divided into 30 of experimental group and 30 of control group at C University hospital located in I city. The day before surgery, demographic data, trait-state anxiety and vital signs were measured at ward. After noise block, the data were measured using VAS anxiety and vital signs before anesthesia and in recovery room. And then state anxiety and vital signs were measured in ward after surgery. The data were analyzed by $x^2$-test, t-test, repeated measured ANOVA and Bonferroni comparison method using SPSS/WIN 19.0. Results: After conducting noise block program, the experimental group showed significant decrease in state anxiety and heart rate compared to those of the control group. But there were not significant differences in VAS anxiety, systolic pressure and diastolic pressure between two groups. Conclusion: This program can be regarded as an effective nursing intervention for the management of anxiety with gynecologic laparoscopic surgery.

Benign Mediastinal Cystic Teratoma Complicated by Cardiac Tamponade due to Trauma (외상에 의하여 심장눌림증을 유발한 종격동 양성낭기형종)

  • Choe Ju-Won;Kim Yong-In
    • Journal of Chest Surgery
    • /
    • v.39 no.9 s.266
    • /
    • pp.729-732
    • /
    • 2006
  • Mediastinal teratoma is one of the most common lesions found in the anterior mediastinum, accounting for $8\sim13%$ of all mediastinal tumors. This tumor is incidentally detected by routine chest roentgengography, but pericardial perforation or pleural effusion occurs rarely. In our patient cardiac tamponade was developed due to anterior chest wall contusion, we confirmed the anterior mediastinal tumor. Vital signs were stabilized after the pericardiocentesis, and the patient underwent the tumor resection in the anterior mediastinum for a definite treatment. On histologic examination, the tumor revealed cystic structures composed of mature squamous epithelium, pilosebaceous glands, mature fat tissue, gastrointestinal mucosa, respiratory epithelium, and pancreatic tissues.

The Effects of Music Therapy on Anxiety and Pain in Patients with Retrograde Ureteral Stenting under Local Anesthesia (음악요법이 국소마취 요관부목술 환자의 불안과 통증에 미치는 효과)

  • Chae, Su-Jeong;Yang, Soo;Park, Ho-Ran
    • Journal of Korean Academy of Fundamentals of Nursing
    • /
    • v.14 no.2
    • /
    • pp.173-180
    • /
    • 2007
  • Purpose: The present study was done to examine the effect of music therapy on anxiety and pain in patients for whom a ureteral stent was inserted under local anesthesia. Method: The participants in this study were 22 patients who received a ureteral stent at the Day Surgery Center of C University Hospital during the period from May to October in 2006. The patients were divided into a control group (n=11) and an experimental group (n=11). For the experimental group, music was played according to their musical preference using headphones. The music was provided from the point when the patient took the posture for the operation and was covered with a sterilized drape to the point when the cystoscope was removed after finishing the operation. The control group was only provided with ordinary nursing services. Results: The results show that the provision of music therapy to these patients is effective in reducing the patients' salivary cortisol and Vas-anxiety score and stabilizing their systolic blood pressure. Conclusion: We conclude that music therapy can be actively used as a nursing intervention for reducing anxiety in patients who receive operations under local anesthesia.

  • PDF

The Effects of Aroma Inhalation on Stress, Fatigue, Mood, and Vital Signs of the Nurses in the Operating Rooms (향기흡입이 수술실 간호사의 스트레스, 피로, 기분 및 활력징후에 미치는 효과)

  • Jo, Min-Jeong
    • Korean Journal of Adult Nursing
    • /
    • v.22 no.2
    • /
    • pp.153-160
    • /
    • 2010
  • Purpose: The purpose of this study was to investigate the effects of aromatherapy on stress, fatigue, mood, and vital signs of the nurses in the operating rooms. Methods: The data were collected from September 2007 to February 2008 in the operating room at K hospital located in Seoul, Korea. A total of 48 nurses were recruited. Among them, 25 nurses were randomly assigned to an experimental group and 23 were assigned to a control group. Experimental group was provided with aroma inhalation by necklace which had essential oil mixture of 0.2 cc. For aroma inhalation, Lavender, Zeranium and Mazoram were mixed in ratio of 5:3:2. In order to test the effectiveness of aroma inhalation, the pretest and posttest results for stress, fatigue, mood, and vital signs were compared between the experimental group and the control group. The data were analyzed by unpaired t-test and ANCOVA using the SPSS/WIN 15.0 program. Results: There were statistically significant decreases in the stress and fatigue scores, and increase in the mood scores and showed significant relaxation in the vital signs after the aroma inhalation. Conclusion: The aromatherapy had the positive effects on stress, fatigue, mood, and vital signs.

Effects of Claustrophobia, Vital Signs on Psychological Anxiety of the Patients during MRI Examination(In Patient Safety Accident) (MRI 검사 시 환자의 심리적 불안감이 폐쇄공포 및 활력징후에 미치는 영향(환자안전사고에 있어서))

  • Kim, Jae-Cheon;Bae, Seok-Hwan;Kim, Yong-Kwon;Lee, Moo-Sik
    • Journal of the Korea Safety Management & Science
    • /
    • v.17 no.4
    • /
    • pp.231-240
    • /
    • 2015
  • In this study, to find out the effect of psychological anxiety of the patients during MRI examination on the claustrophobia and vital signs, As for a study tool, to measure Anxiety Sensitivity Index(ASI), Kamsung Evaluation Index of Life Environmental Noise(KEI), Diagnostic and Statistical Manual of Mental Disorders(DSM-IV) was used, and for vital signs, blood pressure and pulse rate were measured pre and post MRI examination. In conclusion, it was indicated that though the effect of the general characteristics, psychological anxiety, on noise sensitivity and claustrophobia was small, the psychological anxiety of the patients during MRI examination affected claustrophobia and vital signs.

The Effects of Neonatal Massage on Weight Gain, Vital Signs and Stress Hormone of low Birth Weight (신생아마사지가 저체중아의 체중, 활력징후 및 스트레스호르몬에 미치는 영향)

  • Kim, Y.H.;Choi, S.Y.;Jeong, G.S.;Park, H.K.;Lee, D.W.
    • Korean Parent-Child Health Journal
    • /
    • v.2
    • /
    • pp.30-52
    • /
    • 1999
  • The purpose of this study is to clarify that neonatal massage is a nursing intervention which is desirable to LBW by making nurses provide such massage service to LBW hospitalized at NICU and confirming effects of the service on weight gain, vital signs and stress hormones(cortisol, norepinephrine, epinephrine). The data were collected from Dec. 14, 1998 to Oct. 4, 1999. The subjects were 28 LBW infants. The data were analyzed with the SAS program with T-test, Chi-square test and ANOVA. 1. The Experimental group that received neonatal massage showed a higher daily gain of weight than the comparative group. Weight gain for 10 days and weight gain of seven days after the massage were also higher in the former group than in the latter, indicating that there are statistically significant differences between the two groups.

  • PDF

A Study on the Meaning of Zong Qi - A Reconsideration of Existing Discussion - (종기(宗氣)의 의미에 대한 고찰(考察) - 기존 논의에 대한 재검토를 중심으로 -)

  • Shin, Sang-won
    • Journal of Korean Medical classics
    • /
    • v.32 no.3
    • /
    • pp.147-166
    • /
    • 2019
  • Objectives : To determine and analyze problems in existing discussions on Zong Qi and to establish a new concept of Zong Qi based on the initial idea that gave birth to this concept through examination of early texts. Methods : Descriptions of Zong Qi in contemporary theoretical texts published in both Korea and China were thoroughly examined. Also, theories of major doctors that dealt with this concept were selectively examined, after which problems of existing discussions on Zong Qi were analyzed. Next, verses that mention contents related to Zong Qi in the "Huangdineijing" were studied for better understanding of the concept. Results & Conclusions : The findings determined that existing discussions could not explain the meaning of Zong Qi properly. Based on new discussions, Zong Qi can be understood as a concept of maintaining the constancy of life dynamic in the Later Heaven(後天) that is lead by Qi from food and drinks. Clinical observation of aforementioned life phenomenon maintained by Zong Qi and additional discussion on its concept is necessary.

The Effects of Breast Milk Olfactory Stimulation on Physiological Responses, Oral Feeding Progression and Body Weight in Preterm Infants (모유후각자극이 미숙아의 생리적 반응, 구강수유 진행 및 체중에 미치는 영향)

  • Lee, Eun Jee
    • Journal of Korean Academy of Nursing
    • /
    • v.49 no.2
    • /
    • pp.126-136
    • /
    • 2019
  • Purpose: This study was conducted to evaluate the effect of breast milk olfactory stimulation on physiological responses, oral feeding progression, and body weight in preterm infants. Methods: A repeated measures design with nonequivalent control group was used. The participants were healthy, preterm infants born at a gestational age of 28~32 weeks; 12 in the experimental group and 16 in the control group. Data were collected prospectively in the experimental group, and retrospectively in the control group, by the same methods. Breast milk olfactory stimulation was provided 12 times over 15 days. The data were analyzed using the chi-square test, Mann-Whitney U test, Wilcoxon signed rank test and linear mixed models using SPSS 19. Results: The gastric residual volume (GRV) of the experimental group was significantly less than that of the control group. The heart rate, oxygen saturation, respiration rate, transition time to oral feeding, and body weight were not significantly different between the two groups. Conclusion: These findings indicate that breast milk olfactory stimulation reduces GRV and improves digestive function in preterm infants without inducing distress.