• Title/Summary/Keyword: Intervention level

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Effects of Hand Stimulation Intervention on Fatigue and the Blood Cortisol Level of Pregnant Women (손자극 간호요법이 임부의 피로와 혈중 코티졸에 미치는 효과)

  • Shin, Hye-Sook;Song, Young-A;Hwang, Jee-In
    • The Journal of Korean Academic Society of Nursing Education
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    • v.13 no.2
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    • pp.212-219
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    • 2007
  • Purpose: The purpose of this study was to examine the effects of hand stimulation intervention by moxa on fatigue and the blood cortisol level in pregnant women. Method: This study was conducted using a nonequivalent control-group pretest-posttest design from Oct 13 to Dec 15, 2005. The participants were pregnant women in the Gyeong-gi area. The numbers of experimental and control subjects were 16 and 13, respectively. The hand stimulation intervention by moxa was applied to the experimental group three times a week, for a total of fifteen times for five weeks. Result: The blood cortisol level was statistically significantly different between the two groups. However, the degree of fatigue was statistically insignificant. Conclusion: These results suggest that hand stimulation intervention by moxa can be used as an effective nursing intervention in pregnant women. The implications for nursing practice and directions for future research are discussed.

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Effects of Frozen Gauze with Normal Saline on Thirst and Oral Health of the Patients with Nasal Surgery (생리식염수 냉동거즈가 비강수술 환자의 갈증 및 구강상태에 미치는 효과)

  • Park, Jin Ock;Jung, Young Soon;Park, Geum Ja
    • The Journal of Korean Academic Society of Nursing Education
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    • v.22 no.1
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    • pp.25-33
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    • 2016
  • Purpose: The purpose of this study was to examine the effects of frozen gauze with normal saline on thirst and the oral health of patients with nasal surgery. Methods: A quasi-experimental, nonequivalent control group pretest-post test design was used. Participants (n=52) received either gauze frozen with normal saline (n=26), or wet gauze (n=26). The subjective thirst level and oral health of the participants were assessed before the intervention, 30 minutes after the first intervention, 30 minutes after the second intervention, and 30 minutes after the third intervention. Results: After oral hygiene was provided twice, the thirst level was improved in patients receiving the gauze frozen with normal saline. After oral hygiene was provided a third time, the thirst level was improved in patients receiving the gauze frozen with normal saline. Conclusion: Gauze frozen with normal saline can be effective for oral hygiene in reducing the thirst level and improving the oral health in nasal surgery patients.

Effects of Behavior Modification and Aerobic Exercise on the Degree of Obesity, Eating Behavior, Depression and Self Esteem in Obese Adolescent Girls (행동수정프로그램과 에어로빅운동이 비만여중생의 비만도, 식이행동, 우울 및 자아존중감에 미치는 효과)

  • Chaung Seung-Kyo
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.4 no.1
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    • pp.103-117
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    • 1997
  • This study was designed to investigate the effects of behavior medication and aerobic exercise on the degree of obesity, eating behavior, depression and self esteem among adolescent girls who were overweight and obese. Forty seven subjects were selected from one girl's middle school located in Seoul. Seventeen girls received the behavior modification program by joining 60-90 minute group session weekly. Behavior modification, in this study, consisted of self-monitoring, changing patterns of life style and attitudes, teaching nutrition and physical activities, and asking personal help. The aerobic exercise program was given to 16 girls 3 times per week with 60 minutes each time. Forteen girls received both behavior modification and aerobic exercise. These interventions continued for 8 weeks. Changes after intervention were examined twice after 4 weeks and 8 weeks for degree of obesity and once after 8 weeks only for eating behavior, depression and self esteem. The results were as follows ; 1. Degree of obesity was significantly decreased after 4 weeks and 8 weeks in 3 groups. Degree of obesity after 4 weeks and 8 weeks were not significantly different among 3 groups. 2. The mean score of eating behavior related to obesity decresed significantly after intervention in the behavior modification group only. There was significant difference in eating behavior among 3 groups after intervention. 3. The behavior modification group showed no significant changes in depression and self esteem after intervention. In the aerobic exercise group and group who participated in both behavior modification and aerobic exercise, the level of depression decreased significantly and the level of self esteem increased significantly. There were no significant differences in the level of depression and self esteem among 3 groups after intervention. These findings indicate that behavior modification might be effective in decreasing degree of obesity and eating behavior related to obesity, aerobic exercise be effective in decreasing degree of obesity and the level of depression, and also in increasing the level of self esteem.

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Occupational Therapy for Community Mobility in Stroke Patients : Systematic review (뇌졸중 환자의 지역사회이동을 위한 작업치료 중재: 체계적 고찰)

  • Jo, Eun-Ju;Kam, Kyung-Yoon;Chang, Moon-Young
    • The Journal of Korean society of community based occupational therapy
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    • v.8 no.3
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    • pp.77-89
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    • 2018
  • Objective : The purpose of this study was to analyze occupational therapy intervention on the community mobility for stroke patients, and to provide evidence of intervention in the clinical fields. Methods : A systematic review was executed according to the PRISMA checklist. The accessed database was PubMed, EMBASE, Cochrane Library (CENTRAL), ProQuest Dissertations & thesis (PQDT), RISS, and KoreaMed. We included the articles published from 2005 to September 2018. RoBANS checklist was used to evaluate the quality of the articles. Included articles, totally eight, were categorized according to the type of intervention. Results : The study design of the literature was varied from two-group randomized trial, quasi-experimental study, case-control trial, one group pre-post comparison study, and cross-sectional study. In the evidence level, 6 articles were included in level II (75%). The percentage of low risk of bias in each article ranged from 52.5%~87.5%. Four studies (50%) provided intervention based on virtual reality or virtual environment. The three (37.5%) provided intervention based on the protocol, and the other (12.5%) did wheelchair training. All studies reported significant effects of the intervention. Conclusion : This systematic review provided evidences to use proper intervention in the clinical fields. Various type of studies should be conducted to prove the effect of occupational therapy intervention for community mobility.

A Follow up Study on the Mercury Concentration in Air and in Urine of Workers after Implementing Controls of Work Environment in Mercury Vapor Exposed Industry (모 수은폭로 사업장의 작업환경개선에 의한 근로자의 요중 수은 및 공기중 수은 농도의 추적조사 연구)

  • Bang, Shin Ho;Kim, Kwang Jong;Park, Jong Tae
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.4 no.2
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    • pp.198-207
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    • 1994
  • In order to evaluate the effectiveness of environmental intervention of work place, metal mercury concentration in air and in urine of the total 43 workers for 3years from December 1991 to October 1993 in a fluorescent lamp manufacturing industry exposed to mercury, was measured before and after implementation of controls such as establishing exhaust ventilation at the department of exhaustion, coating the floor of work place with epostane, cleaning of the floor, improved housekeeping, and etc. The results were as follows. 1. Before the intervention(December 1991) 39.0% exceeded metal mercury Threshold Limit Value(TLV, $0.05mg/m^3$). After the intervention(October 1993) 10.0% exceeded TLV and geometric mean of mercury in air was $0.1mg/m^3$, and showed effectiveness rate of intervention to be 74.4% 2. After the intervention, geometric means of mercury concentrations in air were 0.013, $0.019mg/m^3$ and showed effectiveness rate of intervention to be 76.6%, 65.5% in A factory(right tube lamp)and at exhaustion department, respectively, A follow up survey fround statistically significant reductions in mercury concetration in air three years later. 3. Mercury concentration in urine of 11 workers(29.7%) exceeded warning level of $100{\mu}l/l$ before the intervention. After the intervention, of 3workers(8.8%) exceeded warning level and geometric mean of mercury concentration($26.5{\mu}l/l$) in urine was 2.4 times than that of before the intervention. Geometric means of mercury concentrations in urine of workers at exhaustion department, at sealing and aging department were 44.0, $77.7{\mu}l/l$, respectively and they decreased 2.3, 3.2 times than that of before the intervention.

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Impact of an Information Leaflet on Knowledge of Hepatocellular Carcinoma and Hepatitis B among Chinese Youth

  • Ouyang, Jun-Jie;He, Wen-Jing;Zheng, Kai-Xin;Chen, Geng-Zhen
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.1
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    • pp.439-443
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    • 2016
  • Background: To assess the effect of an information leaflet on the level of Chinese youth's knowledge about hepatitis B and hepatocellular carcinoma (HCC), the most common type of primary liver cancer (PLC). Materials and Methods: A total of 500 students, from two universities in the Chaoshan area of China, were randomly divided into an intervention group of 280 participants and a control group of 220. Baseline knowledge of HCC and hepatitis B was evaluated by questionnaire interview. Subsequently, only the intervention group was given an information leaflet of HCC and hepatitis B. Three months later, the two groups were contacted for a second interview. Changes in knowledge from baseline of HCC and hepatitis B were compared between the two groups. Results: There was no statistically significant difference in mean PRE-questionnaire scores between the intervention and control groups. However, the mean POST-questionnaire score was significantly higher in the intervention group after the intervention. The leaflet had the greatest effect on the participants' questionnaire score, and raised their level of knowledge about HCC and hepatitis B. Conclusions: The information leaflet intervention is significantly effective in improving the knowledge of HCC and hepatitis B among the youth.

Effect of Oropharyngeal Sensory Stimulation Using Capsaicin in Acute Stroke Patients with Dysphagia (연하장애를 가진 급성기 뇌졸중환자의 캡사이신을 이용한 구인두 감각 자극의 효과)

  • Bae, Hansol;Lee, Eunnam
    • Journal of Korean Critical Care Nursing
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    • v.14 no.3
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    • pp.73-86
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    • 2021
  • Purpose : This study aimed to investigate the effects of oropharyngeal sensory stimulation using low-temperature capsaicin on dysphagia, dietary level, aspiration pneumonia, and nutritional status in acute stroke patients with dysphagia admitted to a stroke intensive care unit. Methods : This study used a randomized controlled trial design and 43 participants were randomly assigned to the experimental group (n=21) or control group (n=22). An oropharyngeal sensory stimulation intervention program was constructed based on previous studies. The intervention was provided before meals twice a day for seven days and started with the first meal after hospitalization. In the control group, a solution was made using only bottled water without adding capsaicin solution, and the intervention was provided at the same time, method, and number of times as the experimental group. Results : As a result of the study, dysphagia and dietary level improved in the experimental group that received oropharyngeal sensory stimulation using capsaicin. There were no effects on the nutritional status or aspiration pneumonia. Conclusion : This study provides basic data for the development of an intervention program for patients with dysphagia by presenting a theoretical basis that oropharyngeal sensory stimulation intervention using capsaicin improves dysphagia and dietary levels.

Identification of Nursing Diagnosis-Outcome-Intervention (NANDA-NOC-NIC) Linkages in Surgical Nursing Unit (일반외과 입원 환자에 적용되는 간호진단-간호결과-간호중재 연계 확인)

  • Lee, Eun-Ju;Choi, Soon-Hee
    • Korean Journal of Adult Nursing
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    • v.23 no.2
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    • pp.180-188
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    • 2011
  • Purpose: This study was to identify nursing diagnosis-outcome-intervention (NANDA- NOC-NIC: NNN) linkages applied to inpatients in general surgical nursing units. Methods: We developed the NNN linkage computerized nursing process program, which consisted of the 107 nursing outcomes and the 190 nursing interventions linked to the 39 nursing diagnoses. This program was applied to 324 patients who admitted to those nursing units from July, 2004 to February, 2005. Results: First, nursing outcomes of each nursing diagnosis were identified as follows: for 'acute pain', pain control, pain level, and comfort level; for 'risk for infection', wound healing: primary intention, wound healing: secondary intention, and infection status; for 'nausea', nutritional status: food & fluid intake, comfort level, symptom severity and hydration. Second, major nursing interventions for each nursing outcome were analyzed as follows: for pain control or comfort level, pain management and medication management; for pain level, pain management and analgesic administration; for wound healing: primary intention, incision site care and wound care; for Wound healing: secondary intention or infection status, infection control; for nutritional status: food & fluid intake, fluid monitoring; for comfort level, nausea management; for symptom severity, nausea management and vomiting management; for hydration, fluid/electrolyte management. Conclusion: This identified NNN linkages will facilitate the use of nursing process in surgical nursing practice and documentation systems.

A Comparison between Home Care Nursing Interventions for Hospice and General Patients (가정 호스피스 대상자와 일반 가정간호 대상자에게 제공된 간호중재 비교)

  • 용진선;노유자;한성숙;김명자
    • Journal of Korean Academy of Nursing
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    • v.31 no.5
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    • pp.897-911
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    • 2001
  • The purpose of the study was to compare home care nursing intervention activities analyzed by the Nursing Intervention Classification (NIC) system for hospice and general patients. Method: For the descriptive survey study, data was collected by reviewing charts of 151 hospice patients and 421 general patients who registered in the department of home health care nursing at K Hospital. Results: According to the NIC system application, there were 2380 total nursing interventions used for the hospice patients and 8725 for the general home care patients. For both sets of patients (hospice vs. general), the most frequently used nursing intervention in level 1 was the Physiological: Complex domain (40.13 vs. 31.06 percent), followed by the Safety domain; in level 2, the Risk Management class (28.4 vs. 27.70 percent), followed by Tissue Perfusion Management; and in level 3, Vital Sign Monitoring (6.18 vs. 4.84 percent), followed by Health Screening. Conclusion: The study showed that there was a lack of specialized hospice nursing interventions such as emotional, family and spiritual support, and care for dying hospice patients.

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The Effects of Cervical Manipulation on Blood Flow Velocity of Cranial Artery and Pain Level in Cervicogenic Headache Patients

  • Kang, Da-Haeng;Park, Seung-Kyu;Kang, Jeong-Il;An, Chang-Sik;Kim, Yong-Nam;Yoon, Hee-Jong;Koo, Ja-Pung;Chang, Duncan;Lee, Joon-Hee
    • Journal of International Academy of Physical Therapy Research
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    • v.1 no.2
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    • pp.99-106
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    • 2010
  • The purpose of this study was to identify the effects of manipulation on the velocity of cerebral blood flow and level of pain in cervicogeinc headache patients. The velocity of cerebral blood flow of 30 cervicogeinc headache patients(male=15, female=15, age=$24.00{\pm}3.60$) and 33 normal subjects(male=15, female=18, age=$23.27{\pm}3.00$) was compared. The 30 cervicogeinc headache patients were divided into suboccipitalis relaxation group, cervical manipulation group, and placebo group, and each were given different interventions. The velocity of cerebral blood flow and pain level was measured before intervention, and 1, 2, 3 weeks after intervention. The velocity of cerebral blood flow was measured with the Transcranial Doppler(TCD), and pain level was measured with visual analog scale(VAS). Blood flow velocity of middle cerebral artery in cervicogeinc headache patients was slower than those in healthy subjects. Physical therapy intervention did not have significant effect on velocity of cerebral blood flow, but slowly decreased at intervention for pain level increased. The suboccipitalis relaxation group and cervical manipulation group showed significant effect in decreasing pain level compared to the placebo group(p<.05). Directly applied manipulation therapy in the neck area not only has effect on joint of cervical and soft tissue but also on blood vessels and nerves which pass the neck area, and because of those results of manual therapy seems to help recovery.

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