• Title/Summary/Keyword: Evaluation of Physical Discomfort .

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A Study on Perceived Discomfort in Patients Following Cardiac Catheterization (심도자 검사 환자의 불편감에 관한 연구)

  • 이은자
    • Journal of Korean Academy of Nursing
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    • v.25 no.1
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    • pp.124-140
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    • 1995
  • Cardiac cathererization has become a routine diagnostic procedure indicated for evaluation of a wide varity of cardiac conditions. Patients are admitted to the coronary care unit after cardiac catheterization. These conscious patients report feeling uncomfortable in the CCU, but no studies have been done on the effects of bed rest, sand bags on the femoral puncture site and restricted mobility for 4 to 12 hours or longer postprocedure. The main objective of this thesis is to provide basic data to nursing on interventions which de-crease the uncomfortableness experienced by patients in the CCU following cardiac catheterization. In this phenomenological study, the various discomforts felt by the patients were collected and classified. The study subjects were a convenience sample of 29 patients who were admitted to the CCU of a general hospital in Inchon following cardiac catheterization. They were conscious, so they were able to communicate without difficulty. The data were collected over an U days period from July 21, to October 14, 1994. The subjects were interviewed using unstructured open questions and the interviews were tape recorded with the patient's permission The data were analyzed using the Van Kaams phenomenological method. Reliability and validity were exammed by two professor of nursing science, one head nurse, one staff nurse and one cardiologist. The results of the study are summarized as follows ; 1. The 129 descriptive statements by the postcardiac catheterization patients of discomfort were organized into 19 themes. 2. The 19 themes were divided into 3 categories ; physical, psychological, and environmental aspects. 3. The problems concerning the physical aspect were the discomfort of restriction of movement, dysuria, medical devices, pain in the puncture site, symptom is related to the procedure of cardiac catheterization, headache and dizziness, leg painand tingling sensation, and chest pain. The problems concerning the psychological aspect were regret resulting from dependency, economic burden, dissatisfaction with medical personnel, dissatisfaction with medical service system, anxiety about the result of the procedure, concern about the prognosis, loneliness, and concern over treatment procedure. The problems concerning the environmental aspect were influence from neighboring patients, noise, and maladaptation to environmental change. The necessity for holistic care which satisfies physical, psychological, and environmental need must be emphasized in order to solve these discomforts.

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Evaluation of the Effects of Lower-limb Postures on the Subjective Discomfort, Heart Rate and EMGs of Lower Extremity Muscles (하지 자세가 근전도, 심박수 그리고 불편도에 미치는 영향분석)

  • Kong, Yong-Ku;Kim, Dae-Min;Lee, Soo-Jin;Lee, Jae-Hoon;Lee, Yong-Ho;Lee, Kyung-Suk;Sohn, Seong-Tae
    • Journal of the Ergonomics Society of Korea
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    • v.28 no.1
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    • pp.9-19
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    • 2009
  • Repetitive movement, inadequate working posture, overuse of force, physical contact with sharp edge, vibration and temperature were well known risk factors of WMSDs (Work-related Musculoskeletal Disorders). Many researchers have investigated the relationship between inadequate working postures and incidences of WMSDs of the upper extremities, whereas relatively few researchers have tried to evaluate workload associated with the lower-body postures. The effects of lower-limb postures including various knee flexion angles on the subjective discomfort, heart rate and EMG of lower-limb muscles were investigated in this study. Thirty graduate students were asked to maintain thirteen different body postures, and heart rate and EMG data of five muscle groups (electro spine, biceps femoris, vastus medialis, gastrocnemius and tibialis anterior) from each posture were collected during fifteen minutes sustaining tasks. All participants were also asked to report their discomfort ratings of body parts. Results showed that high subjective discomfort ratings and heart rates were reported at the postures of knee angles of $60^{\circ}$ and $90^{\circ}$, whereas low discomfort ratings were founded at the postures of chair heights with 20cm, 40cm, and sitting with crossed legged. The change of median frequency for each muscle group during fifteen minutes tasks was investigated for each body posture to evaluate the relationship between muscle fatigue and body posture. It was found that the trends of changes of median frequency were different based on muscle group as well as lower-limb body posture from this study.

Usefulness of Vocal Fatigue Index for Hypertension of Extrinsic Laryngeal Muscles (후두외근 과긴장에 대한 음성피로도 검사의 유용성)

  • Kim, Ji-Sung;Lee, Dong-Wook
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.32 no.3
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    • pp.124-129
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    • 2021
  • Background and Objectives This study compares Vocal Fatigue Index (VFI) scores according to the presence or absence of external laryngeal tension in hyperfunctional voice disorder. And through this, it is to confirm the usefulness of VFI to hypertension of extrinsic laryngeal muscles. Materials and Method The subjects were 61 female diagnosed with hyperfunctional voice disorder (hypertension group 41, non-hypertension group 20). The author palpated extrinsic laryngeal muscles for evaluation of hypertension and classified them as the presence or absence. The voice measurements were jitter, shimmer, Korean-Voice Handicap Index-10 (K-VHI-10), and Korean-Vocal Fatigue Index (K-VFI). The voice compared were according to the diagnosis and presence of hypertension only for patients with hyperfunctional voice disorder. Results As a result of comparing the voice measurement according to the presence or absence of hypertension, there was no significant difference in the acoustic variables, K-VHI-10 and K-VFI-Total, K-VFI-Fatigue. Whereas, K-VFI-Physical (p=0.006) and K-VFI-Rest (p=0.022) were significantly higher in the hypertension group. Conclusion These results indicate that the hypertension group has more physical discomfort and less voice recovery than the group without hypertension. It means that K-VFI can measure the physical discomfort and limitations of voice recovery due to hypertension of the external laryngeal muscle. The VFI can be used as one of the methods to evaluate the hypertension of the external laryngeal muscle in Hyperfunctional voice disorder.

Ergonomic evaluation of screw driver-using workstations: Psychophysical approach (스크류 드라이버를 사용하는 작업장의 인간공학적 평가:심리육체적 접근방법)

  • 박희석
    • Journal of the Ergonomics Society of Korea
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    • v.15 no.2
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    • pp.51-62
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    • 1996
  • This research utilized the psychophysical methodology, where secrw drivers are used, to determine the effects of i) the location and orientation of work objects, and ii) wearing gloves, on ratings of perceived exertion at various body parts. The validity of the psychophysical methodology in determining a preferred work pace was also studied. The subjects drove screws with a screw driver into thick wooden sheet at three vertical and three horizontal locations. They drove serews for 3 minutes at each location and assessed the condition using the psychophysical scale. The results showed that only the vertical location was a significant factor in determining the discomfort ratings. Driving screws at elbow height on the vertical surface and with the lower arm close to the body on the horizontal surface were the work locations with the smallest ratings of perceived discomfort. Wearing gloves had significant effects on reducing the pain of the hand. From the experiment in which a comfortable work pace was identified using 20 minute psychophysical adjustment, it was found that the psychophysical method is sensitive to workers perception of the physical stress when the upper limbs are employed. This was confirmend by the high correlation between the psychophysical results and EMG measurement.

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A Study on Urinary Incontinence of Adult Women (여성의 요실금에 대한 연구)

  • Kim, Seong-Hak
    • The Journal of Korean Physical Therapy
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    • v.13 no.2
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    • pp.305-312
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    • 2001
  • The purpose of this study were to identify the characteristics of incontinence in adult women and to identify it's relating factors, physiology, evaluation and treatment related urinary incontinence. Urinary incontinence is a common health problem for adult women. And the symptoms of urinary incontinence are causes of discomfort, shame, loss of self-confidence and result in sufferers to withdraw from social life. But many do not report this problem until they have had the symptoms for a long time. So physical therapy protocol for assessment, treatments, educational programs should be implemented in primary care setting. In conclusion, this study revealed that self·care agency may be a important that it would be necessary to promote quality of life in urinary incontinence women.

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Physical Characteristics of Noise of the High-Speed Train and the Evaluation of the Exterior Noise around Stations (고속철도 소음의 물리적특성과 역사주변의 외부소음 평가)

  • Lee, Sang-Woo;Goo, Jae-Oh;Han, Chan-Hoon
    • The Journal of the Acoustical Society of Korea
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    • v.15 no.4
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    • pp.12-17
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    • 1996
  • With the increase in discomfort of living by serious traffic noise pollution, the desire of relieving from discomfort is boosted up more than ever. For this reason, the researches on environmental impact assessmient and noise pollution control are highly required. This research was aimed to analyze the physical characteristics of noise caused by high-speed train in foreign countries by literature survey and field data. And with the attained results, the exterior noise level around Chon-An station, the first station planned for the high-speed train in this country, was estimated. The results of this study might be used as a tool for predicting the unavoidable noise, lessening the noise impact caused by the high-speed train, and preparing the noise prevention measures for the interior space and the exterior around stations.

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Workload Evaluation of Squatting Work Postures (쪼그려 앉은 작업자세에서의 작업부하 평가)

  • Lee, In-Seok;Chung, Min-Keun
    • Journal of Korean Institute of Industrial Engineers
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    • v.24 no.2
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    • pp.167-173
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    • 1998
  • Many workers like welders work in squatting postures with the object on the ground during an entire work shift. It is suspected that such prolonged squatting without any supporting stool would gradually cause musculoskeletal injuries to workers. This study is to examine the physical stress caused by the prolonged squatting and to recommend a safe work/rest schedule for a welding task with squatting posture based on the lab experiments. In this study, 8 healthy student subjects participated in the experiment. They maintained a squatting work posture for 16 minutes with 4 different stool height conditions: no stool; 10cm height; 15cm height; and 20cm height. Every 2 minutes, the discomfort was subjectively assessed with the magnitude estimation method for the whole body, lower back, upper leg and lower leg. Based on discomfort ratings, we found that a 10cm height stool relieved the workload most. Discomfort rating results also indicated that a 20cm height stool showed the highest workload, and the there were no difference in workload between a 15cm height stool and no stool. We recommend to use low height stools and to maintain such working postures no longer than 6 minutes for prolonged squatting tasks.

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Difference in Premenstrual Syndrome by Physical Activity Level in High School Girls (여고생의 신체활동 정도에 따른 월경전증후군의 차이)

  • Nam, KeonHee;Lee, YoungHee
    • Journal of Korean Public Health Nursing
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    • v.28 no.2
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    • pp.320-332
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    • 2014
  • Purpose: This study was conducted in order to examine premenstrual symptoms (PMS) according to physical activity of high school girls. Method: Data were collected from 323 high school girls using structured questionnaires, Menstrual Distress Questionnaire (MDQ) and International Physical Activity Questionnaire (IPAQ). The data were analyzed using descriptive statistics, t-test, and AVOVA. Results: The mean score of PMS was low (2.200.81). Among the subcategories, negative feeling (2.491.26) was the highest. Physical activity levels were coded as inactive, minimal activity and health enhancing physical activity, among which minimal activity (53.0%) was the highest. Significant differences in PMS were observed according to subjective health condition (F=10.83, p<.001), alcohol intake (t=-1.99, p=.048), caffeine intake (F=3.04, p=.029), dietary habit (F=4.78, p=.009), amount of menstruation (F=4.57, p=.011), discomfort in daily life (F=28.94, p<.001), degree of menstrual pain (F=41.23, p<.001), method of menstrual pain relief (F=4.29, p=.015), and family history (F=11.45, p<.001). Significant difference in PMS was observed according to the physical activity level (F=3.12, p=.046), and health enhancing physical activity (2.540.87) was the highest. Conclusion: These findings suggest that PMS intervention programs would be considered factors related to PMS. Conduct of further studies is recommended for evaluation of the relationship between physical activity and PMS.

A Study on Relationship of Fabric Physical Properties and Subjective Properties for Clothing Comfort (피복재료의 물리적특성과 주관적착용감과의 관계연구)

  • Choi Chul Ho;Park Woo Mee
    • Journal of the Korean Society of Clothing and Textiles
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    • v.10 no.2
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    • pp.29-35
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    • 1986
  • The main purpose of the study was to investigate relationships between subjective evaluation of comfort/discomfort and tactile sensation. It was also attempted to analyse physical properties of fabric, hence to find physical factors which have effects on wearing- comfort. The results were as follows; 1. Polyester fabric B Type ranked the highest on subjective comfort scale of T-shirts. 2. Scratchiness and flexural rigidity among subjective factors were important on overall comfort sensations of the subjects. 3, In winter, subjective factors, suchas Soratchiness, Heaviness & Flexural Rigidity, were significantly correlated with objective factors of Scratchiness, Thickness & Weight, Stiffness, respectively. 4. In summer, subjective factors such as warmth, Heaviness, Clammy & Cling Tension, Flexural Rigidity, were significantly correlated with objective factors of Thermal Insulation, Thickness & Weight, Cling Tension and stiffness, respertively. 5. Scratchiness, Weight, Stiffness & Thermal Insulation among objective factors were important on overall comfort sensation of the subjects.

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A Study on the Use of Physical Restraints in ICUs (일 종합병원 중환자실의 억제대 적용 실태조사)

  • Cho, Yongae;Kim, Jungsook;Kim, Nari;Choi, Heejung;Cho, Junggu;Lee, Heejung;Kim, Ryungin;Sung, Younghee
    • Korean Journal of Adult Nursing
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    • v.18 no.4
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    • pp.543-552
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    • 2006
  • Purpose: The purpose of this descriptive study was to investigate the pattern of physical restraints used in ICUs and to identify influencing factors of application and removal of restraints. Method: The subjects of this study were 90 restrained patients out of 215 patients over 6 years old who were admitted to 6 ICUs in SMC during a 2 weeks period. The data was collected through a questionnaire of characteristics, guidelines and nursing care of restraint uses. The data were analyzed by non-parametric statistic with the use of the SAS program. Results: The restraints were applied to 31.4% of subjects. Mean time of physical restraint was $36.76{\pm}55.7$ hours. There were significant difference with mean time and frequency according to duty shift. GCS, restless behavior and discomfort factors, medical devices, and life sustaining devices had significant relation with application of restraints. In addition, the mean time of restraints used were related significantly with GCS, restless behavior, and discomfort factors. Conclusion: The used of restraints were dependent on mainly the nurses' decision. Thus ICU nurses have to develop the guidelines to applying restraints and removal of restraints in regard to patients rights and ethics. Continuous monitoring and evaluation of application of the restraints is essential in professional nursing.

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