• 한국임상수의학회지
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• 제39권1호
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• pp.32-37
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• 2022

A 2-month-old intact female domestic short hair presented with physical abnormalities, including discharge of watery feces from the vagina, depression, and dehydration. The rectovaginal fistula and atresia ani type 3 were diagnosed on the vaginogram. During the anoplasty, the fistula could not be identified because the patient was too small. Instead of colotomy, feces were flushed out using a feeding tube. To prevent complications, a 1-cc syringe tip was sutured at the surgical site after the anoplasty. At the 3-month telephone follow-up after surgery, the cat was reported to have no further clinical signs.

• The Korean Journal of Pain
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• 제10권2호
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• pp.301-303
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• 1997

A 35-year-old female patient was referred to our hospital with neurologic symptoms after continuous epidural block performed 2 days earlier. She die not have any prior no previous lumbar surgery or experience trauma, intraspinal hemorrhage, infections or other known causative factors to associate with neurologic symptoms. Continuous epidural block is widely used for postoperative pain control. Complications can occur with this block including postduralpuncture headache, epidural abscess and rare cases of arachnoiditis etc. We experienced such a case of spinal arachnoiditis after continuous epidural block. Neurologic examination revealed painful bilateral hypoesthesia below $S_2$ level dermatomes, urinary and fecal incontinence and various degrees of leg weakness. The following day, the patient was noted to have bilateral sacral radiculopathies and lesion on proximal portion of both tibial nerve. CSF study reported: protein 264 mg/dl, sugar 64 mg/dl, WBC $7/mm^3$. L-spine MyeloCTscan results were unremarkable. She was discharged after a month of hospitalization and has regular checkups but her neurologic symptoms show no signs of improvement.

• 재활복지공학회논문지
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• 제9권2호
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• pp.169-175
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• 2015

자동배설처리기는 현재 배뇨 혹은 배변 장애가 있는 노인들에게 사용되고 있는 기저귀를 대치할 수 있을 것으로 기대되고 있다. 이 장치들은 소변이나 대변을 감지하고, 본체에서 운반된 세정수로 배설기관들을 씻어주고, 이 배설물을 본체의 오물 저장용기에 흡입하여 보관하였다가 버릴 수 있도록 하며, 배설기관 주위를 본체에서 공급하는 온풍으로 건조할 수 있다. 따라서 이 장치들은 간병인의 수고를 경감시키고 환자의 위생을 향상시킬 수 있다. 본 논문에서는 소변과 대변을 감지하는 장치와 자동배설처리기의 주요 구조를 살펴보고 현재 사용되고 있는 자동배설처리 장치들을 기기별 특징에 따라 분류하고자 하였다.

• Perspectives in Nursing Science
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• 제11권1호
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• pp.74-85
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• 2014

Purpose: The purpose of this study was to investigate the relationships between anxiety, depression, low anterior resection syndrome, and quality of life after lower anterior resection for rectal cancer. Methods: The participants of this study were 105 rectal cancer patients who visited the outpatient department of a hospital in Seoul for treatment or follow-up consultations. Data were collected using self-reported questionnaires and clinical records. To measure the variables, the Hospital Anxiety and Depression Scale, Low Anterior Resection Syndrome Score, and Quality of Life Questionnaire-Core 30 were utilized. Data were subsequently analyzed using the SPSS/WIN 20.0 program. Results: Low anterior resection syndrome was more severe among patients whose cancer was located closer to the anus, and had a greater range of resection in those who received neoadjuvant treatment. When anxiety, depression, and low anterior resection syndrome score were higher, quality of life scores were lower. Conclusion: These results suggest that low anterior resection syndrome may negatively impact quality of life. Therefore, it is necessary to provide patients with symptom management support/assistance through evidence-based nursing interventions, and evaluations of low anterior resection syndrome to relieve anxiety and depression, and thus enhance quality of life.

• The Korean Journal of Pain
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• 제7권1호
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• pp.106-112
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• 1994

45세 여자 환자에서 요하지통의 치료를 위해 triamcinolone 40 mg과 0.125% bupivacaine 10 ml를 경막외로 주입한후 24시간에 걸쳐 하지마비 및 해리성 감각소설이 발생하였다. 그 원인은 분명하지 않으나 선행절환의 악화, 급성 횡단성 척수염, 전척수동맥증후군, 그리고 신경독성등이 추정된다.

• 임상간호연구
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• 제18권1호
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• pp.149-158
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• 2012

Purpose: The purpose of this study was to investigate incidence and factors related to diarrhea in an intensive care unit (ICU). Methods: Retrospective correlational design was used. Data were collected from reviewing medical records of 210 patients stayed at an ICU in one university hospital, Seoul. Patients were included in the study if they 1) had no gastrointestinal disorders or fecal incontinence before coming to the ICU, 2) stayed longer than 5 days at the ICU, 3) were not on stool softners, 4) were without abdominal surgery, and 5) were 20-year-old or older. Results: The incidence of diarrhea was 27.1%. Durations of ICU stay, antibiotics administration, and enteral feeding were found to be statistically significant factors correlated with diarrhea. The enteral feeding was the significant predictors of the diarrhea in ICU. Conclusion: Since characteristics of diarrhea in ICU patients is shown to be multifactorial, nursing strategies for evaluating and managing related factors are recommended.

• 기본간호학회지
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• 제18권3호
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• pp.317-327
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• 2011

Purpose: The purpose of this study was to contribute data toward prevention from advancing dementia and also prevention of deterioration in cognitive impairment by constructing an optimal prediction model and verifying factors influencing cognitive impairment in elders with dementia who reside at home. Methods: The participants in this study were 351 elders who were registered at dementia day care centers in 11 regions of Metropolitan Incheon. Collected data were analyzed using SPSS Statistics 17.0 and SAS 9.1. Bootstrap method using the Clementine program 12.0 was applied to build an optimum prediction model. Results: Gender and education (general characteristics), alcohol, urinary/fecal incontinence, exercise, weight, and ADL (state of health), and depression (psychological state) were found to have an affect on cognitive impairment in these elders. Conclusion: Study results indicate nine key factors that affect cognitive impairment of elders with dementia who reside at home and that could be useful in prevention and management nursing plans. These factors could also be used to expand the role of nurses who are working in community day care centers, and can be applied in the development and provision of various programs to aid retention and improve cognitive function as well as preventing deterioration of cognition.

• 지역사회간호학회지
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• 제9권2호
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• pp.280-290
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• 1998

This study was carried out to idenify the health problems and needs of crippled persons in order to develop a community based rehabilitation service program through public health center. Information on health problems and needs were obtained from 120 crippled persons staying at home by questionaire and a measuring ADL. The results were summarized as follows 1. Among 120 subjects, male crippled (70.3%) outnumbered female crippled (29.7%). Many crippled persons belonged to the 40-49 age group (33.6%) while others were over 60 years (17.4%). There were 36.8% crippled persons with an elementary education, 26.5% had completed high school, 14.5% had completed middle school. 31% of the crippled persons were employed but most of them had unskilled jobs. 80% of the respondents replied that their monthly income was under 800,000 won. 2. The major causes of their handicap were due to acquired factors(92%) such as accidents, in fectious & communicable diseases and chronic diseases rather than congenital factors(8%). Crippled persons who belong to the first grade of disabilities were 14.8%, the second grade 35.7%, the third grade 21.7%, the forth grade 12.2%, the fifth grade 12.2% and the sixth grade 3.5%. 3. This study measured the degree of the ADL of crippled persons by a modified Barthel Index including 11 items. 73.5% of them were fully independent, 8.5% required minimal help, 2.7% required moderate help, 6.0% required substantial help and 9.4% were unable to perform task. In response to the 11 items of ADL, crippled persons required more help in stair climbing, ambulation and bathing than in other items. 4. In responding to concerning health problems, 10.3% of the subjects replied with incontinence, 8.5% malnutrition, 7.6% fecal incontinence and bedsores 2.6%. Chronic diseases which needs treatment were chronic pain(61.0 %), hypertension(16.5%) and diabetes(16.5%) 5. To the question of what type of rehabilitation services subjects required, chronic diseases management(52.1%) and physical therapy (41.2%) were the highest. The most important social welfare services subjects required were economics support (51.3%) and introductions to job opportunities(42%).

• 한국임상수의학회지
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• 제31권4호
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• pp.307-312
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• 2014

충북대학교 동물의료센터에 16년령 암컷 시츄견이 복부팽만과 배뇨, 배변곤란을 주증으로 내원하였다. 신체검사 시 복부에서 10 cm 가량의 종양이 촉진되었으며 방사선 상에서 확인되었고, 방광은 종양에 의해 배꼽 쪽으로 변위되어 있었다. 초음파 상에서 종양은 불균질한 실질과 국소적으로 무에코성 영역을 가지고 있었다. 혈액검사 소견상 혈소판증가증과 약한 호중구증가증이 나타났으며, 혈액화학치 검사 결과 ALP 상승을 확인할 수 있었다. 개복술을 시행하여 자궁경과 방광 사이의 $10.5{\times}9.6cm$ 크기의 단단한 종양이 요도를 포매하고 있는 것을 확인하고 주위조직과 둔성분리 후 절제하였다. 조직병리학적 검사와 면역화학 적 검사 결과 종양은 평활근육종으로 진단되었다. 수술 후 일주일 뒤 배뇨곤란을 주증으로 재 내원하였다. 배뇨곤란의 원인을 찾기 위하여 요도조영술을 실시하였으나 물리적인 폐색 등 특별한 원인을 찾을 수 없었다. 방광근과 방광조임근에 작용하는 몇몇 약물요법 등을 시행하였지만 반응이 없어 중장기의 보존요법이 지시되었으며 배뇨곤란 증상은 술 후 27일차에 갑작스럽게 호전되어 환자는 원활한 배뇨를 하게 되었다. 본 증례는 요도를 포매하고 있는 복강 내 종양의 수술 후 예후와 배뇨곤란과 같은 후유증을 나타낼 수 있음을 시사하고 있다.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제23권2호
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• pp.137-145
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• 2020

Purpose: The Oral-anal Transit Test (OTT) is a simple method of obtaining information about colonic transit. We aim to assess the correlation of OTT with the neuromuscular integrity of the colon determined by colonic manometry (CM). Methods: All patients who had OTT followed by CM were evaluated. Less than 6 of 24 markers remaining on OTT was considered normal. CM was performed per previously published guidelines. A normal CM was defined as at least one High Amplitude Propagating Contraction progressing from the most proximal sensor through the sigmoid colon. Results: A total of 34 patients underwent both OTT and CM (44% male, age 4-18 years, mean 11.5 years, 97% functional constipation +/- soiling, Hirschsprung's Disease). Of normal and abnormal OTT patients, 85.7% (6/7) and 18.5% (5/27) respectively had normal CM. When all markers progressed to at least the sigmoid colon, this was 100% predictive against colonic inertia. Greater than 50% of patients with manometric isolated sigmoid dysfunction had markers proximal to the recto-sigmoid. Conclusion: OTT and CM are both valuable studies that assess different aspects of colonic function. OTT can be used as a screening test to rule out colonic inertia. However, the most proximal extent of remaining markers does not predict the anatomical extent of the manometric abnormality, particularly in isolated sigmoid dysfunction.