• 한국임상수의학회지
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• 제23권3호
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• pp.380-382
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• 2006

A 6-day-old male Korean native calf was referred to Veterinary Teaching Hospital, College of Veterinary Medicine Kyungpook National University because of dyschezia with atresia me. Clinical signs included anorexia, dyschezia, abdominal distention and depression. In radiographic examination, the intestinal loops are filled with gas and there is a fistula connecting the large intestine to the urethra. Colostomy was performed immediately and atresia am was healed on 28 day after colostomy without Buy other complication.

• 기본간호학회지
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• 제14권3호
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• pp.288-296
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• 2007

Purpose: This study was conducted to investigate the effects of self-efficacy promoting program on self-efficacy, self-care behavior and psychosocial adaptation in patients with a colostomy. Method: A non-equivalent control group pre test post test design was used. The self efficacy promoting programs was composed of a CD image program based on varicaious experience, education and telephone coaching program based on verbal persuasion, and Stoma care practice, and Self care performance based on performance accomplishment. This study was carried out from July 2, 2005 to April 20, 2006 and 21 patients with a colostomy at one of 2 hospitals participated. Descriptive statistics, ${\chi}^2-test$, and Mann-whitney U test were used to analyze the data. Results: There were significantly different for specific self efficacy, self care and psychosocial adaptation between the experimental group and control group. Conclusion: The self efficacy promoting program for patients with stomas was effective in improving degree of specific self efficacy, self care and psychosocial adaptation.

• 대한간호학회지
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• 제16권3호
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• pp.22-30
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• 1986

The objective of the study was to determine the degree of social support and the quality of life of the 200 colostomy patients who are members of the Korea Ostomy Association. Data was collected by means of a questionnaire which was distributed Foully six Percent of the 200 colostomy patients returned the questionnaire during the period from Mar. 3-Mar. 31. 1986. The results of the study were as follows: 1. The score of the social support was 93.4598 (S.D-20.1787) and the highest score for respect Iron other people was 102.00. 2. The mean score of the quality of life was 3.11 (S.D. 0.58) The highest score for Pull attention received from the family was 3. 85 and the lowest score for insufficient sexual activity was 2.34. 3. The correlation between social support and the quality of life was (r=.1787, p<.05) when the quality of life score was high the social support score was also high. 4. The variables that were found to have a significant correlation to the social support were a9e (r=.2039, p<.05) and number of people who could help them (r=.2847 p<.01) 5. The variables that were found to have a significant correlation to the quality of life were the level of the living standard (F=4.534, p< .05) and the individuals perception of their health. status(F=18.943, p<.001) =Recommendations= The results of this study show that there is a significant correlation between the social support of the individual and the quality of life. It is important for nurses to support self-help groups of colostomy patients as this will contribute highly to the betterment of the quality of the life of patients who have colostomies.

• Advances in pediatric surgery
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• 제8권1호
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• pp.11-15
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• 2002

This is a 20 year analysis of the problems associated with enterostomy formation, and closure. Forty-three stomas were established in 43 patients: 23 for anorectal malformations, 11 for Hirschsprung's diseases, 4 for necrotizing enterocolitis, 3 for multiple ileal atresias, 1 for volvulus neonatorum with perforation, and 1 for diaphragmatic hernia with colon perforation. Thirty boys and 13 girls were included (mean age 4.8 months). Stoma complications were encountered in 13 patients (30.2 %): stomal prolapse, stenosis, obstruction, paracolic hernia, retraction, dysfunction, and skin excoriation, Four patients (9.3 %) required stomal revision. Occurrence of complications was not related to age and primary disease, but sigmoid colostomy showed lower complication rate than transverse colostomy (20.0 % vs 42.9 %, p<0.05). There were five deaths but, only one (2.3 %) was directly related to the enterostomy complication. Twenty-one stomas were closed in our hospital and complications occurred in seven patients (33.3 %). The most common complication was wound sepsis in 5 children. In conclusion, because the significant morbidity of stomal formation still exists, refinements of the surgical technique seem to be required, Sigmoid loop colostomy is preferred whenever possible.

• 대한간호학회지
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• 제39권4호
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• pp.539-548
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• 2009

Purpose: This study was designed to construct and test the structural equation model on sexual satisfaction in patients with a colostomy. Methods: The model construction was based upon Roy's adaptation model. Stoma-related discomfort (SRD), age, frequency of sexual intercourse, treatment modality, and gender affect sexual satisfaction and are mediated by physical, psychosocial, and interdependence modes. Each mode was conceptualized as sexual function, body image/ depression, and marital intimacy. The patients were 112 colostomates with colorectal cancer who were asked to complete a mail-back survey on their demographic data, SRD, body image, depression, marital intimacy, sexual function, and sexual satisfaction. Data were analyzed using SPSS WIN 15.0 and AMOS WIN 7.0. Results: Significant variables for sexual satisfaction in the final model were body image affected by SRD, depression affected by body image and SRD, marital intimacy affected by depression, and sexual function affected by marital intimacy. Conclusion: The results of this study suggest that specific guidelines for SRD are necessary to improve sexual satisfaction among colostomates. Nurses should be vigilant in monitoring depression and body image disturbance, and providing appropriate interventions to increase marital intimacy. Treatment modality, gender, and age should be considered in developing education programs pertaining to sexuality.

• Neonatal Medicine
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• 제15권2호
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• pp.172-175
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• 2008

혈관종은 신생아기에 가장 흔한 양성 종양으로 60% 이상이 두경부에 위치하며 예후가 좋으나 회음부나 항문 주위에 위치한 혈관종은 통증, 출혈, 반복적인 감염 및 궤양과 같은 합병증이 자주 동반된다. 특히 항문 주위에 위치한 혈관종에서 발생한 궤양은 스테로이드나 레이저등 다양한 치료에도 호전되지 않는 경우가 있다. 저자들은 일반적인 집중치료에 호전되지 않아 대장창냄술을 실시하였고 이후 궤양이 호전되는 과정을 경험하였기에 이를 보고하는 바이다.

• 한국가금학회지
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• 제29권4호
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• pp.259-263
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• 2002

본 연구는 닭에 있어서 맹장을 포함한 하부소화관으로 요(尿)의 역류가 음수량 및 수분 배설량에 어떠한 영향을 미칠지를 또한 사료의 섭취량이 요 (尿)의 역류량에 어떤 영향을 미칠지를 시험하였다. 급여사료를 제한 및 무제한 급여의 양조건에서 사육된 대조구 닭과 맹장이 결찰된 닭에 인공항문 수술을 실시하면 음수량, 총 수분배설량 및 음수량/사료섭취 량이 유의하게 증가(P<0.05)하였으며 이 증가량은 사료섭취 량을 무제한 급여하였을 때가 제한 급여하였을 때보다 더 크게 나타났다. 사료의 섭취량을 무제한으로 하였을 때에 대조구 닭과 인공항문이 장착된 닭에 맹장결찰 수술을 실시하면 음수량, 총 수분 배설량 및 음수량/사료섭취량이 유의하게 증가(P<0.05)하였지만, 제한급여 조건에서는 나타나지 않았다. 제한 급여 및 무제한 급여의 양 조건에서 수분균형은 인공항문 수술 및 맹장결찰 수술에 따른 변화는 나타나지 않았다. 대조구 닭과 맹장이 결찰된 닭에서의 인공항문 수술은 사료섭취 량을 증가(P<0.05)시켰지만. 대조구 닭과 인공항문이 장착된 닭에서의 맹장결찰 수술은 사료섭취량에 영향을 미치지 않았다. 이상의 결과 닭에 있어서 맹장을 포함한 하부소화관은 수분균형을 유지하기 위해서 요(尿)로부터 수분을 재 흡수하는 매우 중요한 역할을 하고 있다고 결론을 내린다.

• Advances in pediatric surgery
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• 제10권1호
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• pp.60-62
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• 2004

Leveling colostomy with a frozen-section biopsy in a Hirschsprung's disease is an important factor for a successful procedure. Two neonatal cases of Hirschsprung's disease in the descending colon are reported. In both cases, loop ileostomy was established because of the unavailability of frozen-section biopsy on an emergency basis. At the time of definitive procedure of the first case, transition zone at the splenic flexure was noted and was compatible with the frozen section biopsy. In the second case, an unexpected longer resection at a higher level than transition zone was required because of the poor vascularity after dissection. In conclusion, a leveling colostomy should be selected as a choice in long-segment Hirschsprung's disease. Confirming preservation of the marginal artery of Drummond is particularly important in case of Hirschsprung's disease in the descending colon.

• 한국임상수의학회지
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• 제16권2호
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• pp.486-491
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• 1999

One day to one week-old 3 female Korean native calves were referred to the Veterinary Teaching Hospital, Chonbuk National University, with atresia ani. The authors performed radiographic and ultrasonographic diagnosis with physical examination, general hematology and blood chemical examination as investigation. The atresia ani were type I, II, III in each 3 calves. In abdominal radiography and ultrasonography, there were ventral displacement of descending colon(gas and feces filled) and typical enlargement of the blind end of colon in all cases. Operation site was determined by radiographic and ultrasonographic findings in these cases. Surgical treatment, two cases were translocation of the colon to the body wall exiting as a colostomy and one case was corrected by making a circumcision through the skin covering the site of the anus.

• Advances in pediatric surgery
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• 제12권1호
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• pp.115-125
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• 2006

Postoperative management of anorectal malformation consists of colostomy management and then management after definitive surgery. Colostomy management requires attention to certain details, i. e. complete decompression of the distal limb to avoid secondary megarectosigmoid and prevention and treatment of urinary tract infections in patients with rectourethral fistula. Management after definitive surgery requires the care of catheters placed in the rectourethral fistula or cloacal defect. Prevention and treatment of various complications after definitive operation, i. e. wound infection, anal stenosis or stricture, anal mucosal prolapse, and management of functional disorders, i.e. constipation, fecal incontinence and urinary incontinence are also necessary. In this review, recent trends for the prevention and treatment of the above mentioned problems after operation for anorectal malformation are presented.