• 제목/요약/키워드: Hand-holding

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손마사지와 손잡아주기가 국소마취 수술환자의 불안에 미치는 영향 (Effects of Hand Massage and Hand Holding on the Anxiety in Patients with Local Infiltration Anesthesia)

  • 오현정;박정숙
    • 대한간호학회지
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    • 제34권6호
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    • pp.924-933
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    • 2004
  • Purpose: This study was to examine the effects of hand massage and hand holding as nursing interventions on the anxiety in patients with local infiltration anesthesia. Method: The design of this study was a nonequivalent, control group, non- synchronized design. The subjects of this study consisted of 15 patients for the hand massage group, 15 patients for the hand holding group and 17 patients for the control group awaiting surgery in the operation room of a general hospitalin Daegu. As an experimental treatment, hand massage was carried out by the Hand Massage Protocol developed by Snyder(1995) and interpreted by Cho(1998) and hand holding developed by Cho(1998). The data were analyzed by SPSS/WIN, T-test, ANOVA, Cronbach's a, and the Scheffe test. Results: The hand massage group and hand holding group were more effective than the control group in reducing anxiety, VAS score, systolic blood pressure and pulse rate. Conclusion: Hand massage and hand holding are effective nursing interventions that alleviates the psychological and physiological anxiety of patients with local infiltration anesthesia. In particular, the simple contact of hand holding is regarded as an effective and easily accessible nursing intervention in the operating room.

국소마취 백내장 수술환자의 불안에 대한 직접간호중재로서의 손잡아주기 프로그램 효과 (The Effects of the Hand-holding Program as an Independent Nursing Intervention for the Patients with Anxiety in Local Anesthesia)

  • 김귀분;김광주;이향련;신혜숙;채정숙
    • 동서간호학연구지
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    • 제4권1호
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    • pp.7-20
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    • 1999
  • Operation usually brings about psychological stress as well as physical stress to the patient and it greatly influences the maintenance of the homeostasis. Until now, most of the nursing research concerning the anxiety of the patient undergoing an operation has been done while the patient was under general anesthesia. Under local anesthesia, the anxiety of the patient who undergone operation is short. However, there is much demand of the operational nurses to mediate between the patient who is undergoing operation when fully conscious, as they are aware of the patient's anxiety and to decrease the patient's anxiety of this local anesthesia. Therefore, this research tries to verify the effects of the Hand-holding program on the anxiety of the operational patient undergoing local anesthesia and affirms the role of the nursing intervention. As an unequivalent control group non-synchronized designs, this research selects out 20 control groups and 21 experimental groups at random who have received cataract operation while under local anesthesia and after implementing the Hand-holding program to the experimental groups while undergoing the operation, the effect of the experiment was observed. By observing the Epinephrine, Cortisol, blood pressure, and pulse for the physical indexes before and after the enforcement of the hand-holding, and using the measurement of Speilberger(1972) for the psychological indicators for the anxiety of the patient before and after hand-holding, the results were analyzed through SAS program. As a results, intervention of hand-holding had a remarkable effect to decrease the anxiety felt by the patient and the diastolic blood pressure also was effectively decreased. On the other hand, through the decrease of the systolic blood pressure was also observed, it was not statistically significant. In the Epinephrine and Cortisol indicators, the intervention of hand-holding was revealed to have an insignificant effect. The Hand-holding was revealed to have an indicators, the intervention of Hand-holding was revealed to have an insignificant effect. The Hand-holding program may be said to have an effect which decreases the psychological anxiety of the patient undergoing local anesthesia.

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손마사지 프로그램이 백내장 수술환자의 불안과 면역기능에 미치는 영향 (The Effect of a Hand Massage Program on Anxiety and Immune Function in Clients with Cataract Surgery under Local Anesthesia)

  • 조경숙
    • 대한간호학회지
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    • 제29권1호
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    • pp.97-106
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    • 1999
  • This study was designed to investigate the effect of a hand massage program on anxiety and immune function in patients during cataract surgery. The hand massage program, in this study, consisted of hand massage and hand-holding. The subjects were sixty-three patients, thirty for the experimental and thirty-three for the control group, who were admitted at Kang Nam St. Mary's Hospital for cataract surgery. This study was carried out from December 10, 1997 to February 26, 1998. The level of anxiety as measured by the Visual Analogue Scale, systolic blood pressure, diastolic blood pressure, and pulse rate were measured before, after hand massage, and after hand-holding. Epinephrine, norepinephrine, cortisol, blood sugar levels, neutrophil, lymphocyte, and natural killer cell percentages also were measured before hand massage and five minutes before the end of the operation. Data were analyzed by t-tests, ANCOVA, repeated measures ANOVA, and Bonferroni multiple comparisons. The results were as follows : 1) After hand massage, psychological anxiety levels decreased significantly compared with before hand massage in the experimental group, not in the control group. After hand holding, there were significant decrease in both groups. 2) There were not significant differences on systolic blood pressure, diastolic blood pressure, and pulse rates in both groups. 3) The hand massage program decreased epinephrine, norepinephrine, and cortisol significantly in the experimental group, and increased epinephrine, norepinephrine, and cortisol in the control group. 4) There were no differences in blood sugar levels, neutrophil and lymphocyte percentages in white blood cells after the hand massage program. However, natural killer cells in lymphocytes were significantly increased in the experimental group. These findings indicate that a hand massage program could be a effective nursing intervention in decreasing the psychological and physiological anxiety levels and improving immune function in clients having cataract surgery under local anesthesia.

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플러그묘 이식을 위한 로봇 핸드 개발 (Development of Robot Hand for Transplanting Plug Seedlings)

  • 이현동;김기대;조성화;김찬수
    • Journal of Biosystems Engineering
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    • 제29권3호
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    • pp.251-260
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    • 2004
  • As a basic experiment for robot hand for transplanting plug seedling, the experimental robot hand system which moves up and downward vertically, and allows hand blade to open and close was made. The system was constructed with the robot hand mechanism, the tray, the plug seedling, and the measuring equipments. The penetrating force and holding efficiency were analyzed according to the soil moisture and the variation of hand blade angle. The highest holding efficiency could be obtained at the penetrating angle of approximately from 0 to 0.36 degree and at the moisture content of soil from 71% to 75%. The external force acted on the robot hand should maximum force when the robot hand was penetrated to soil, minimum of approximately 30.4 N when the penetrating angle was 0$^{\circ}$ and moisture content was 66-70%. It was increased with increasing or decreasing the Penetrating angle from 0 degree and also with increasing or decreasing the moisture content of soil from 66-70%. For optimal design of the robot hand and manipulator, the external force acted on robot hand had to be based on the returning force of soil, when the robot hand was penetrated to the soil. In consideration of safety ratio, the appropriate external force seemed to be 39-49 N.

국소마취 환자의 수술시 손잡아주기, 내관지압이 불안과 통증에 미치는 효과 (The Effect of Hand Holding and Nei-Guan Acupressure on Anxiety and Pain under Local Anesthetic Patients during Surgery)

  • 박선희;장희정
    • 한국콘텐츠학회논문지
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    • 제14권11호
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    • pp.378-388
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    • 2014
  • 연구목적은 국소마취 환자의 수술시 불안과 통증을 경감시키기 위해 손잡아주기, 내관지압의 간호중재를 통해 그 효과를 검증하고자 시도되었다. 연구기간은 2013년 7월부터 10월까지이며 연구대상은 H대학교 병원에서 국소마취를 통해 외래수술을 시행한 총 78명을 대상으로 하였다. 연구 설계는 비동등성대조군 사전사후 시차설계로 이루어졌다. 실험군1, 실험군2, 대조군 각 26명이었으며 외래수술환자를 대상으로 실험군1은 손잡아주기, 실험군2는 내관지압 간호중재를 실시하였다. 연구결과 세 군 간의 사전 동질성은 검증되었으며 간호중재 후 불안, 간호중재 후 통증이 실험군1, 실험군2에서 대조군보다 유의미하게 차이가 있었다. 결과에 근거하여 수술시 불안과 통증감소의 효과를 나타낸 손잡아주기와 내관지압의 효과가 시간과 경제적 측면에서 수술실에서 쉽게 접근할 수 있는 간호중재로 활용하는 것이 필요하다.

You Want More When You Have Something in Your Hand

  • Kim, Hakkyun;Han, Youngjee;Jeon, Eunmi
    • Asia Marketing Journal
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    • 제20권4호
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    • pp.49-64
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    • 2019
  • In this research, two studies show that the bodily experience of holding objects in the hand is tied to the mental concept of acquiring material wealth. Holding objects in the hand (a) increased people's desires for possessing fairly luxurious goods (Study 1) and (b) made people judge a controversial issue (e.g., "sweatshops" run by global companies) more favorably based on wanting to generate more wealth for individuals and society rather than on humanitarian concerns (Study 2). These results provide evidence that the bodily experience not only helps to represent an abstract concept but also can shape attitude and judgment congruent with the metaphor represented in the bodily experience.

한.일 트랙터의 보유속도와 수요요인 비교 (The Comparative Analysis of Holding Pace and Decision Factors of Tractor in Korea and Japan)

  • 강창용;김남욱
    • Journal of Biosystems Engineering
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    • 제25권5호
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    • pp.391-398
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    • 2000
  • This study was performed to analyze the holding pace and decision factors of tractor in Korea and Japan, which probably should be used for making master plan of agricultural mechanization. The logistic function is used for holding pace estimation of tractor, and log-log function for analysis of decision factors. The results of this study are as follows: First, the increasing rate of the total amount of holding tractor power in Korea has been over that in Japan during 1980∼、94 which is now, however, under Japan. So, it could be forecasted that the per tractor holding power in Japan will increase continuously, and will be over 30PS in the short run. Second, the most important one of decision factors to support tractor demand is agricultural income in Korea, but on the other hand Non-Agricultural Income in Japan. From these, the fast increase of total amount of holding power of tractor in Korea could not expected, because Korea Agriculture has some difficulties to increase Agricultural Income. There are differences on the holding pace and decision factors of tractor between Korea and Japan, therefore, the plan of agricultural mechanization should be made in accordance with self-features.

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최대 지속 시간에 근거한 관찰적 자세 평가 기법의 평가 (Comparison of Observational Posture Evaluation Methods based on Maximum Holding Times)

  • 문찬영;나석희;기도형;정민근
    • 대한산업공학회지
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    • 제31권4호
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    • pp.289-296
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    • 2005
  • This study aims to measure maximum holding times(MHTs) of symmetric and asymmetric whole body postures, and to compare three representative observational methods including OWAS, RULA, REBA, based on the MHTs. An experiment was conducted for obtaining the MHTs, in which hand position was used as experimental variable, and the MHT and subjective discomfort rating as dependent variables. The hand position was defined by the percentage of the shoulder height(%SH), the percentage of the arm reach(%AR) and rotation angle(R). The results showed that three independent variables of %SH, %AR and R significantly affected on the MHTs at ${\alpha}$=0.01, and that the MHTs were negatively linearly related to the discomfort scores of Borg CR10. It was also revealed that OWAS and REBA were less sensitive to postural stress than RULA. In addition, OWAS and REBA underestimated postural load of given postures compared to RULA. Therefore, it is recommended that among the three observational methods investigated in this study, RULA be used for a more precise evaluation of postural load.

Fenton 반응과 OCV Holding에 의한 PEMFC 고분자 전해질 막의 열화비교 (Comparison of Membrane Degradation of PEMFC by Fenton Reaction and OCV Holding)

  • 오소형;곽아현;이대웅;이무석;이동훈;박권필
    • Korean Chemical Engineering Research
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    • 제57권6호
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    • pp.768-773
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    • 2019
  • 고분자전해질연료전지(PEMFC)의 고분자막의 전기화학적 내구성을 평가하는 펜톤(Fenton)반응과 개회로전위 유지(OCV Holding)방법에 의한 고분자 막의 열화 결과를 비교하였다. 펜톤 반응은 셀 밖에서 OCV Holding 방법보다 더 짧은 시간에 고분자막의 화학적인 내구를 평가할 수 있는 방법이다. 펜톤 반응은 과산화수소 30%, 철이온 80 ppm, $80^{\circ}C$에서 24시간 실시하였다. OCV Holding은 $90^{\circ}C$, 상대습도 30%, OCV에서 168시간 시간 구동하였다. 펜톤 반응에 의해서는 고분자막의 내부에서 열화가 많이 발생하는 현상을 보였다. 반면에 OCV Holding에서는 표면과 내부 전체적인 열화에 의해 막 두께가 얇아졌다. 펜톤 반응에 의해 불소유출속도는 OCV Holding에 비해 10배 이상 높았다. 수소투과속도는 펜톤 반응 24시간에 약 30% 증가하였다. OCV Holding에서는 24시간에 수소투과도가 감소하였고 이후 증가하는 경향을 보였다. 전체적으로 펜톤 반응과 OCV Holding에 의한 고분자막 열화는 차이가 있었다.

Gaussian Mixture Model 기반 전완 근전도 패턴 분류 알고리즘 (A Gaussian Mixture Model Based Pattern Classification Algorithm of Forearm Electromyogram)

  • 송영록;김서준;정의철;이상민
    • 재활복지공학회논문지
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    • 제5권1호
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    • pp.95-101
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    • 2011
  • 본 논문에서는 의수환자의 일상생활을 고려한 1-자유도 동작을 손을 쥐고 폄으로 정의하고, 두 동작에 대한 근전도 패턴 분류를 위한 가우시안 혼합 모델 기반의 근전도 패턴 분류 알고리즘을 제안한다. 근전도 패턴 분류 알고리즘의 핵심이 되는 근전도 신호의 특징점 추출을 위하여 근전 신호의 진폭 특성을 고려하는 절대차분평균치(DAMV)와 평균절대값(MAV)을 사용한다. 또한 동작에 대한 근전 신호의 진폭 특성을 보다 명확히 구분하기 위하여 D_DAMV와 D_MAV를 제안한다. 본 논문에서는 4명의 성인남성을 대상으로 실험을 실시하였고, 두 동작에 대한 근전도 패턴의 정확한 분류 여부를 확인하였다.