• Title/Summary/Keyword: Foot care

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Verification of the relationship between problematic toenails recognition and nail salon recommendations (문제성 발톱 인식과 네일샵 추천의도의 관계 검증)

  • Kim, Seon-Hee;Kim, Eun-Sook
    • Journal of the Korea Convergence Society
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    • v.10 no.9
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    • pp.301-309
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    • 2019
  • This research's purpose is figuring out the influencing factor on nail salon visitors recommendation intention. For this research, survey data of 305 men and women in their 10s to 50s were gathered in the area. Gathering the surveys, 170 people who did not have insincere response and problematic toenails were excluded. The rest 135 was used for the study. After analyzing the outcome (F=5.588, p<.01), from problematic toenails in the ingrown toenails there was a statistical significant difference. In foot care and location, the difference effectiveness is care/home remedy/pharmacy.(F=4.319, p<.01). Looking at recommendation intention for problematic toenails at the nail salon (F=15.152, p<.01). In addition, is it possible for the nail salon to improve as well as to prevent problematic toenails, can the nail salon care for problematic toenails, foot care behavior, intention of visiting nail salon on recognition of professionalism influences on nail salon recommendation intention by statically appeared to be significant (F=16.847, p<.001). Therefore, this research recognizes and raises the nail salon visitors quality on problematic toenails. Following problematic toenails type, we can further extend to improve as well as to prevent judging from the given data.

Clinical Significance of the Rectus Abdominis Muscle Free Flap for Large Diabetic Ulcer and Necrosis of the Foot (광범위 당뇨병성 족부 궤양 및 괴사에 대한 복직근 유리 피판술의 임상적 유용성)

  • Jung, Heun-Guyn;Jeon, Sung-Hoon;Choi, Dong-Hyuk;Kim, Hee-Dong;Song, Jun-Young
    • Archives of Reconstructive Microsurgery
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    • v.19 no.1
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    • pp.29-36
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    • 2010
  • The purpose of this study was to present the clinical significance of rectus abdominis free muscle flap for large sized diabetic ulcer and necrosis of the foot to salvage limb. From June 2000 to February 2006, eleven patients were included in our study. There were seven males and four females with a mean age of 58.3 years (48~65) at the surgery. All had a history of diabetics and subsequent huge soft tissue defect caused by necrotizing abscess formation around the foot and the ankle. After complete debridement of large sized, infected necrotic tissue, susceptible intravenous antibiotics and wound care were done. After control of infection, confirmed by clinical and laboratory findings, the rectus abdominis free muscle flap was applied to cover remained large soft tissue defect and to prevent the recurrence of infection. All flaps survived and it provided satisfactory coverage for the soft tissue defect on the foot and the ankle area for a mean of 41.1 months (24~85) follow up period. All except of one patients did not have any recurrence of infection on the operation site and could salvage their limbs. The rectus abdominis free muscle flap could be recommended for large sized soft tissue defect after necrotizing abscess in diabetic foot to salvage major limb.

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Diabetic Neuropathy Symptoms and Self-Care Activities in Hypertensive Type-2 Diabetic Patients (고혈압을 동반한 당뇨병 환자의 자율신경병 증상과 자가관리활동)

  • Kim, Young-Hee;Cho, Ok-Hee
    • Journal of Home Health Care Nursing
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    • v.22 no.2
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    • pp.206-215
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    • 2015
  • Purpose: This study aimed to provide basic data to enhance self-nursing ability by investigating the symptoms of autonomic neuropathy and self-management activities in patients with diabetes accompanying hypertension. Methods: Subjects were 113 type-2 diabetic patients who were diagnosed as hypertensive in two primary medical institutions and taking anti-hypertensive treatments. The existence of postural hypotension was evaluated by blood pressure and pulse rate, and the subjective symptoms of autonomic neuropathy and self-management activities were checked by structured questionnaires. The collected data were analyzed by chi-square test, Fisher's exact test, t-test, Wilcoxon rank sum test and analysis of covariance. Results: Postural hypotension occurred in 4.4% of the subjects. Urinary frequency and dizziness during postural changes were the most frequent symptoms of autonomic neuropathy, and 57.5% of the subjects complained of symptoms in two or more domains. The group with autonomic neuropathy symptoms showed higher age, higher living stress, and fewer self-management activities in the diet and foot management domains as compared to the group without autonomic neuropathy symptoms. Conclusion: From these results, we learned that strengthening education on self-management for diet and foot management and customized interventions considering age and living stress are required through early identification of the symptoms of autonomic neuropathy in patients with diabetes accompanying hypertension.

Health Problems and Health Services in Child Day Care Centers (서울시 1개 구 구립 보육시설의 영유아 건강관리 실태)

  • Kim, Ji-Soo;Han, Kyung-Ja
    • Child Health Nursing Research
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    • v.12 no.1
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    • pp.25-33
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    • 2006
  • Purpose: To investigate the health problems and health services in child day care centers. Methods: Data were collected from 115 teachers at 16 child day care centers in Seoul city. A questionnaire was used to collect data, which were analyzed with the SPSS 12.0 program. Results: Most teachers had experienced various child health problems such as colds, hand․foot․mouth diseases, chicken pox, skin injuries, nasal bleeding, vomiting and diarrhea. Furthermore, they even experienced some serious ones including dysentery, measles, asthma and seizures, which demand professional skill. However, there were no registered nurses and most teachers requested that parents take a child home when these health problems happened. Only 31.3% of the child care centers had a teacher with CPR training. Approximately half of the centers kept child health records which included reports on allergic substances, and medical history but only 18.7% of the child care centers offered regular immunizations for the children. Conclusion: Various health problems were found in child day care centers. To maintain the children's health, there is a need to develop and make provisions for health services and programs in child day care centers.

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A Study of Depression, Anxiety, Stress Response and Self-care by Gender in Diabetic Patients (당뇨병 환자의 성별 우울, 불안, 스트레스 반응과 자가관리의 관계연구)

  • Song, Min-Sun;Cho, Young-Im
    • The Korean Journal of Rehabilitation Nursing
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    • v.9 no.2
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    • pp.145-152
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    • 2006
  • Purpose: The purpose of this study was to investigate the depression, anxiety, stress response and self-care, to analyze the correlation among depression, anxiety, stress response and self-care by gender, and to determine factors associated with self-care in diabetic patients. Method: The subjects of this study were 103 participants with diabetes mellitus. Data were analyzed by chi-square test, t-test, Pearson correlation coefficient and multiple regression analysis by using SAS program. Result: Items for self-care evaluation by gender were significant differences in hospital visit, hypoglycemia preparation, proper hygiene, taking a rest, foot injury check, drinking, and smoking. The female patients are more likely to have higher self-care score than the male patients. However, there were no differences in depression, anxiety and stress response by gender. In male patients, there were positive correlations between the degree of depression and stress response, the degree of anxiety and stress response. In female patients, there were positive correlations between the degree of depression and stress response, the degree of anxiety and stress response. In multiple regression analysis, gender and experienced admission is associated with self-care. Conclusion: We should consider integrated approaches for psychological problems in the management of diabetic patients.

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Incidence of Medical Services and Needs for Hospital-based Home Care Nursing in Elder Care Institutions (노인요양시설 내 의료서비스 발생빈도와 병원중심 가정간호 요구도 조사)

  • Kim, Jae-Seung;Lee, Joo-Young;Song, Chong-Rye;Lee, Mi-Gyeong;Hwang, Moon-Sook
    • Journal of Home Health Care Nursing
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    • v.16 no.1
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    • pp.49-58
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    • 2009
  • Purpose: This study aimed to clarify the needs for hospital-based home care nursing medical services in elder care institutions by analyzing the details and frequency of medical services provided by, and the needs for, hospital based home care nursing in select institutions in Korea. Methods: Seventy-seven staffs at elderly care institutions located throughout the country completed self-report questionnaires between February 1 and May 31, 2009. SPSS ver. 14.0 was used for data analysis regarding frequency and percentage, mean and standard deviation. Results: Forty-eight hospital-based home care nursing medical services in eight domains were identified as being needed in elderly care institutions. The most commonly used medical services were providing instruction in oral drug administration, checking drug beneficial/adverse effects, and administering blood glucose test, while the most needed medical services requiring hospital based home care nursing were complex pressure ulcer care, followed by diabetic foot ulcer management and nutrient injection. Conclusion: The present results should provide fundamental data for better healthcare services with hospital based home care nursing at elderly care institutions as part of a 'win-win' strategy through which medical expenses are reduced, insurance costs are kept stable, and safe and high-quality medical services are provided for residents of elder care institutions. Political decisions intended to promote visits by hospital based home care nurses to elder care institutions would be a prudent course.

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Effects of Telephone Consulting Program on Self-efficacy and Self-care in NIDDM Patients (전화상담 프로그램이 당뇨병환자의 자기효능과 자가간호에 미치는 효과)

  • Kim, Chun-Gill;Chung, Chung-Hee
    • Korean Journal of Adult Nursing
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    • v.14 no.2
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    • pp.306-314
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    • 2002
  • Purpose: This study was intended to examine the effects of a telephone consulting program on self-efficacy and self-care in NIDDM patients. Method: Sixty-eight NIDDM patients participated. Thirty-six were assigned to the experimental group and received the telephone consulting program from one to two times per week for 4 weeks. This program was undertaken by base on small booklet relating to diabetic disease summary, diet, drug, exercise, foot management, prevention and treatment of complications, and insulin injection methods. Result: 1. Hypothesis 1 that "the experimental group who receives the telephone consulting program will have higher self-efficacy score than the control group who does not have the telephone consulting" was supported (t=5.12, p= .000). 2. Hypothesis 2 that "the experimental group who receives the telephone consulting program will have higher self-care score than the control group who does not have the telephone consulting" was supported(t=5.29, p= .000). Conclusion: The telephone consulting program improved self-efficacy and self-care in NIDDM patients. Accordingly, this program can be adopted as an effective nursing intervention in the care of the diabetic patients.

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Sensitivity Control and Design of the Silicone Foot Sensor Using FEM (유한요소 해석을 통한 실리콘 족적 센서의 감도 조절 및 설계)

  • Seong, Byuck Kyung;Seo, Hyung Kyu;Lee, Jin Wook;Kwon, Ae-Ran;Kim, Dong Hwan
    • Journal of the Korean Society for Precision Engineering
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    • v.31 no.11
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    • pp.1041-1050
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    • 2014
  • A design and analysis for new foot sensor that measures pressure distribution while walking or running in daily life is introduced. In the process of the sensor design, the shape, mechanism composing of the sensor, and variables that dominate sensor's sensitivity are investigated. Through these variables analysis, an optimal shape and dimension were determined. The effects of variables on sensor's sensitivity and the relationship between each variable are proved by analyses and experiments.

Effects of Foot Massage on Preoperative Anxiety, Depression and Sleep Pattern in Patients with Breast Surgery (발 반사마사지가 유방수술 환자의 수술 전 불안, 우울 및 수면상태에 미치는 효과)

  • Kim Tae-Hee;Kim Jong-Im
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.12 no.2
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    • pp.240-246
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    • 2005
  • Purpose: This study was done to examine the effects of foot massage as a nursing intervention on preoperative anxiety, depression and sleep satisfaction in patients with breast surgery. Method: Research design was a nonequivalent control group non-synchronized design. Forty-one patients were assigned to the control group (21) and the experimental group (20). The patients answered a questionnaire containing measures of anxiety, depression and sleep satisfaction before and after the intervention. The collected data were analyzed by means of descriptive statistics, Cronbach's ${\alpha}$, Chi-square test, and t test using the SPSS WIN 11.0 program. Result: Anxiety and depression for the experimental group were significantly lower than those for the control group(t=2.556, p=0.008, t=2.932, p=0.006). Sleep pattern of the experimental group was significantly higher than that of the control group (t=2.313, p=0.013). Conclusion: Judging from these results, it is suggested that foot massage might have beneficial effects on reducing preoperative anxiety, depression, and increasing sleep satisfaction.

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Bunionette Deformity (소건막류)

  • Kim, Yoon-Chung;Ahn, Jae Hoon
    • Journal of Korean Foot and Ankle Society
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    • v.17 no.1
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    • pp.1-10
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    • 2013
  • The bunionette, or a 'tailor's bunion', is a lateral bony prominence of the fifth metatarsal head. A bony deformity itself rarely causes symptom but if a painful inflammation of the overlying soft tissue is accompanied, it needs treatment. Conservative care using a shoe modification, padding, or orthosis is effective in most cases. Surgical management is indicated when the conservative methods have failed to improve symptoms, and the techniques include exostectomy, metatarsal osteotomies (distal, diaphyseal, or proximal), metatarsal head resection or fifth ray resection. We reviewed the etiology, clinical features, radiographic classification, nonoperative and operative treatments of the bunionette.