• Title/Summary/Keyword: Disturbance score

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A Case Study of the Effect of the Manual Therapy on Patient with Posttraumatic Stress Disorder, Sleep Disturbance and CLBP (외상후 스트레스 장애를 가진 만성요통 환자에게 도수치료가 외상후 스트레스와 수면 장애 및 통증에 미치는 영향-사례 연구)

  • Yu, Seong-Hun;Kang, Yong-Ju;Kim, Tae-Won
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.20 no.1
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    • pp.47-52
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    • 2014
  • Background: This case study is to describe the manual therapy for the patient with posttraumatic stress (PTSD), sleep disturbance, and pain such as chronic low back pain (CLBP). Methods: The patient who participated in this study was a 60 year-old male PTSD patient with CLBP. His CLBP is not from any genetic or family history but a sequelae of torture that he had gone through about 30 years ago. Prior to the intervention, it was assessed that the PDS-K score was 16, PQSI-K was 12, SLR-90-R was low, VAS score was 10, and KODI socre was 25. The intervention was conducted through manual therapy (myofascial release, muscle energy technique, lumbar stabilization) twice a week for eight weeks in total. Results: After eight week-intervention, the PDS-K, SLR-90-R, VAS, and KODI score were improved whereas PQSI-K was not sufficiently fast improved. Conclusions: The manual therapy is substantially effective in dealing with PTSD and CLBP.

A Study on the Disturbing Factors which Work against Therapeutic Atmosphere & Environment on Hospital Wards as Perceived by Patients and Nurses (환자 및 간호사가 지각하는 치료적인 병실분위기 조성의 저해요인에 대한 조사 연구)

  • 김영혜;한명은
    • Journal of Korean Academy of Nursing
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    • v.27 no.1
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    • pp.178-188
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    • 1997
  • As a descriptive survey, this study was attempted to get basic data necessary to recognize the factors that disturb the therapeutic atmosphere of hospital wards as perceived by nurses and hospitalized patients, to identify differences between the perceptions of the nurses and of patients. The subjects, 159 patients in Pusan National Hospital and 68 nurses working there were sampled between March 18 and April 13, 1996. The tool used to measure the disturbing factors was an amended form of the one developed by Kim, Mae Ja(1983). The differences between each subject's score for each factor were analyzed using means & SD. and the highest 3 items above the mean score for each factor were collected and compared. The results are described below : 1. Subject's perception of main disturbing factors : patients reported that the main factors were 'loss of role & economic trouble', 'the prognosis of disease', 'the change of daily life' but nurses replied that the main factors were' the prognosis of disease', 'the communication trouble with the medical team & interpersonal relationships'. 'The change of daily life' was not a perceved factor by nurses, but ranked third by the patients. 2. Subject's perception degree of each disturbing factor : (1) among the items related to interpersonal relationship. the patient group reported that the worst disturbance was dur to severely ill patients in the same room' but the nurse group regarded 'greed to monopolize wheelchairs or other supplies' as the worst disturbance. (2) among the items related to physical factors. the patient group regarded 'limitations to wash their body, physical pain and limitations in physical activity' as the worst disturbance, but the nurse group regarded' physical pain', and 'limitations to activity or change of appearance' as the worst disturbance. (3) among the items related to the change of daily activity, the patient group regarded 'the boredom of hospitalization or infavorable diet' as the worst disturbance, but the nurse group regarded 'too much noise or unclean room' as the worst disturbance. (4) among the items related to the communication trouble with medical team, the patient group regarded 'the ignorance of their disease due to poor information. the inability to understand the language of the medical team or the difficulty in seeing physician in time' as the worst disturbance, but the nurse group regarded 'the inability to trust physicians and physician's poor attention to patients' as the worst disturbance.

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Degrees of Low Back Pain, Knowledge of and Educational Needs for Low Back Pain in Patients with Chronic Low Back Pain (만성 요통 환자의 통증, 지식 및 교육 요구)

  • Kim, Seong Kyong;Kim, Hee Seung;Chung, Sung Soo
    • Journal of muscle and joint health
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    • v.24 no.1
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    • pp.56-65
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    • 2017
  • Purpose: The purposes of this study were to identify degrees of low back pain, knowledge of and educational needs for low back pain of patients with chronic low back pain and to investigate their relationships. Methods: Data were collected from questionnaires distributed to 83 patients with chronic low back pain at a hospital. Results: The low back pain score was $4.70{\pm}2.22$ out of 10. The degree of low back pain was a statistically significant difference according to gender, smoking, radiating pain and frequency and duration, daily life disturbance degree, sleep disturbance and depression. The knowledge score was 8.29 out of 13. The knowledge was a statistically significant difference according to smoking and degree of sleep disturbance. The educational needs score was 39.83 out of 50. The educational needs was a statistically significant difference according to age, duration of disease, radiating pain, standing time, depression, pain treatment experience, and treatment institutions. As the low back pain increased, the educational needs increased (r=.254, p=.021). There were no correlations between low back pain and knowledge (r=-.040, p=.720) and knowledge and educational needs (r=.061, p=.581). Conclusion: It is important to focus on items with statistically significant differences in pain, knowledge, and educational needs, and to select low knowledge and high educational needs items to develop a systematic education plan.

Relationship between Menstrual Distress and Sleep Disturbance in Middle-school Girls (여자 중학생의 월경불편감과 수면장애와의 관계)

  • Park, Se Yeong;Park, SoMi
    • Women's Health Nursing
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    • v.24 no.4
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    • pp.392-403
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    • 2018
  • Purpose: To identify factors associated with menstrual distress and characterize the relationship between menstrual distress and sleep disturbance in middle-school girls. Methods: Participants in this correlational study were 117 middle-school girls who were recruited through convenience sampling. Data were collected from March 2018 to April 2018 using self-reported structured questionnaires and analyzed using IBM SPSS Statistics 23.0. Factors associated with menstrual distress included physiological, psychological, and situational factors based on the theory of unpleasant symptoms. Results: Age of menarche (${\beta}=-.28$, p<.001), amount of menstruation (${\beta}=.23$, p=.004), lifestyle-related exposure to endocrine-disrupting chemicals (${\beta}=.21$, p=.027), and academic and peer-relationship stress (${\beta}=.19$, p=.025) influenced menstrual distress, explaining 47.4% of the variance in this regression model. The relationship between menstrual distress and sleep disturbance was statistically significant. Sleep disturbance was increased 1.26 folds when dysmenorrhea score increased by one unit (OR=1.26, 95% CI: 1.01~1.58). However, parental support was not a significant moderating factor of sleep disturbance. Conclusion: This study provides basis to develop an intervention strategy to alleviate menstrual discomfort in adolescents and improve their quality of sleep.

Effect of Aroma Hand Massage on Sleep Disturbance and Depression in Hospitalized Elderly Patients (향요법 손마사지가 입원노인의 수면장애 및 우울에 미치는 효과)

  • Park, Sun-Ae;Kim, Yi-Soon;Lee, Hai-Woong;Kim, Gyeong-Cheol
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.25 no.2
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    • pp.365-372
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    • 2011
  • The purpose of this study was to identify the effects of aroma hand massage and hand massage on sleep disturbance and depression in hospitalized elderly patients. The study was performed using a nonequivalent control group pretest-posttest design. The data was collected by using questionnaires and the measured values from 1 June to 31 August, 2006. The subjects who were admitted to the B Medical Center Hospital in Busan. A total of 40 subjects were selected : 20 in the experimental group and 20 in the control group. The aroma hand massage was administered to the experimental group, and hand massage was given to the control group. The experimental group were applied the aroma hand massage executed by methods such as effleurage, circling, pressing, etc. to both hands using a solution diluting six drops of lavender oil, and bergamot oil, 3% in jojoba oil 20 cc. In the experimental group, aroma hand massage was given for 10 minutes, three times a week, during 2 weeks. The control group receiving the hand massage was given the massage for 10 minutes every two days for 2 weeks. The result of the study are as follows : 1) The first hypothesis : "The Experimental group would have a higher degree of sleep score than the control group" was supported(F=31.798, p=p<0.001). 2) The second hypothesis : "The Experimental group would have a lower degree of depression score than the control group" was supported(F=21.743, p<0.001). Aroma hand massage is an effective nursing intervention for decreased sleep disturbance and depression. Therefore, aroma hand massage by nursing intervention is strongly recommended for improving psychological and physiological functions in hospitalized elderly patients.

Korean Medicine for Gait Disturbance Accompanying Lower Limb Rigidity Caused by Bleeding of Spinal Cavernous Hemangioma: A Case Report (척추 해면상 혈관종 출혈로 인해 발생한 하지 강직감을 동반한 보행 장애에 대한 한의학 치료의 효과: 증례보고)

  • Hyunjin Choi;Seung Ho Yu;Sangjoon An;Seyun Kim;Woochul Shin;Jae-Heung Cho;Won-Seok Chung;Mi-Yeon Song;Hyungsuk Kim
    • Journal of Korean Medicine Rehabilitation
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    • v.33 no.4
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    • pp.243-249
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    • 2023
  • This case study showed improvement both in pain and gait disturbance caused by SCH. KM can be a positive treatment for reducing pain or improving gait disturbance caused by SCH, and it can be considered a treatment option for SCH. Future studies with a larger number of cases and longer period of follow-up in SCH with gait disturbance and rigidity are needed.

A Study on Overcoming Disturbance Light using Polarization Filter and Performance Improvement of Face Recognition System

  • Yoon, Andy Kyung-yong;Park, Ki-cheul;Lee, Byeong-cheol;Jang, Jung-hyuk
    • Journal of Multimedia Information System
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    • v.7 no.4
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    • pp.239-248
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    • 2020
  • The performance of the facial recognition system is determined by many technical factors. Further, most of the technical factors have been realized or are still in continued research. The recognition rate has a great influence on performance not only by technical factors but also by other factors. However, researchers are trying to improve the recognition rate by focusing only on technical factors. The mechanism of recognizing is to compare a face image obtained by photography to an already stored face image and determine the score of the similarity. However, if the photographed image is damaged by external light, even a system with a good algorithm will fail to recognize it. Therefore, it is important to prevent the disturbance of light entering from the outside, so it should be blocked, but the camera will not work without light. Thus, it is proposed that a method to secure the external light but block the disturbance of light that affects photography. A method of blocking disturbance light is to use a polarization filter. There are three polarization methods: circular polarization, linear polarization, and elliptical polarization. In this paper, an experiment was performed to overcome disturbance of light using only a circularly polarized filter. In addition, a lighting system that reproduces disturbance light was provided for the experiment, and light of varying intensities and angles was installed to affect the face recognition camera. As a result of actual application, it was determined that a very improved recognition performance in various disturbance light environments.

A Correlation Analysis between Physical Disturbance and Fish Habitat Suitability before and after Channel Structure Rehabilitation (하천구조 개선에 따른 어류 서식적합도와 물리적 교란의 상관분석)

  • Choi, Heung Sik;Lee, Woong Hee
    • Ecology and Resilient Infrastructure
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    • v.2 no.1
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    • pp.33-41
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    • 2015
  • In this study, an optimal improvement method of stream channel structure is presented for the enhancement of fish habitat suitability by genetic algorithm. The correlation between fish habitat suitability and physical disturbance in stream is analyzed according to the changes of hydraulic characteristics by channel structure rehabilitation. Zacco koreanus which is an indicator fish of the soundness of aquatic ecosystem was selected as a restoration target species by investigating the community characteristics of fish fauna and river environments in Wonju stream. The habitat suitability is investigated by PHABSIM with the habitat suitability index of Zacco koreanus. Hydraulic analysis by HEC-RAS and physical disturbance evaluation in stream are carried out. The optimal channel width modified for the enhancement of fish habitat suitability is provided. The correlation analysis between habitat suitability and physical disturbance with the change of hydraulic characteristics by channel modification showed that the proper channel modification enhanced fish habitat suitability and mitigated physical disturbance in the stream. The improvement of physical disturbance score by the channel structure rehabilitation for the enhancement of fish habitat suitability was confirmed in this study.

Sleep Patterns and Circadian Types of Nursing Students during Shift Schedules (교대근무형태 임상실습을 하는 간호대학생의 일주기수면유형과 수면양상)

  • Kim, Hyun-Sook;Eom, Mi-Ran;Kim, Eun-Kyung
    • Journal of Korean Academy of Nursing
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    • v.40 no.1
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    • pp.43-51
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    • 2010
  • Purpose: The purpose of this study was to investigate sleep habits, sleep disturbance, and circadian types, and to identify factors influencing sleep disturbance in nursing students. Methods: Participants were 140 senior nursing students. The data were collected from May 19 to 27, 2008 using self-report questionnaires. Results: 1) Evening type delayed sleep-wake schedules were more frequent than for morning type, especially during weekend and evening shift duty. 2) In total sleep time, there were no significant statistical differences between morning type and evening type during weekdays, weekend, day or evening shift duty. 3) On weekdays and day shift duty, the mean score for sleep disturbance was significantly higher in the evening type compared to the morning type. 4) Sleep disturbance in weekday and day shift duty was influenced by circadian types, eating habits, and gender. Conclusion: The circadian types are a very important factor for determining the sleep quantity and quality in nursing students.

Sleep Quality and Factors affecting Sleep Disturbance among Percutaneous Coronary Angiography Patients in a General Hospital (종합병원의 경피적 관상동맥조영술 후 환자의 수면의 질과 수면방해요인)

  • Shin, Sun-Ja;Park, Kyung-Yeon
    • Journal of East-West Nursing Research
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    • v.21 no.1
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    • pp.69-77
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    • 2015
  • Purpose: The purpose of this study was to investigate the variance of sleep quality and factors affecting sleep disturbance among patients with percutaneous coronary angiography in a general hospital. Methods: The subjects of this study was comprised of 101 patients with percutaneous coronary angiography in a general hospital located in B city. Data were collected by a structured questionnaire from November to December 2013. The data were analyzed with descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient and stepwise multiple regression. Results: The levels of the participants' sleep quality and sleep disturbance were 4.35 and 5.91 in order of each out of the total score, 10. There was no significant difference in the quality of sleep between intensive care unit and internal medicine unit. Factors influencing sleep quality were 'uncomfortable bed, gown and pillow'(${\beta}=-.279$, p=.003), 'living alone'(${\beta}=-.273$, p=.003), and 'toilet problem' (${\beta}=-.222$, p=.016), which explained 21.5% of the variance (F=10.03, p<.001). Conclusion: The results of this study will provide a basis for improving the sleep quality of patients with percutaneous coronary angiography.