• Title/Summary/Keyword: Multimodal group intervention

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The Effect of a Wellness Program on Knowledge of Obesity and Weight Loss in Women Schizophrenia Inpatients (웰리스 프로그램이 여성 조현병 입원환자의 비만지식과 체중감소에 미치는 효과)

  • Chung, Myung Sill
    • The Journal of Korean Academic Society of Nursing Education
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    • v.19 no.1
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    • pp.60-68
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    • 2013
  • Purpose: This research was conducted to compare the effect of a wellness program on knowledge of obesity and weight loss in women schizophrenia inpatients. Methods: A nonequivalent control group pretest-posttest design was used for this study. A total of 44 patients with schizophrenia were randomly divided into an experimental group (22) and a control group (22) in a 12-week multimodal weight control program. For 6 weeks, the experimental group received approximately an hour of teaching on obesity interventions and for another 6 weeks one hour of teaching on exercise and weight control interventions while the control group received the usual care. The outcome variables were measured before and after the program. Data was analyzed with the ${\chi}^2$-test and t-test using PASW Statistics 18. Results: For those who completed the weight control program, there was a mean weight loss of 1.37kg by the end of the intervention. The experimental group showed significant improvement in knowledge of obesity and weight loss. Conclusion: The wellness program was effective in reducing the weight of women schizophrenia patients as well as being effective in increasing knowledge of obesity. Therefore, nurses must consistently educate women schizophrenia inpatients about health care and knowledge of obesity.

Effects of Ankle Sensorimotor Training Program Combined with Hip Strengthening Exercise on Muscle Strength, Static Balance, and Dynamic Balance in Individual with Functional Ankle Instability (발목 감각-운동과 엉덩 관절 근력 강화 통합 훈련 프로그램이 기능적 발목 불안정성 대상자의 정적균형과 동적 균형 및 근력에 미치는 영향)

  • Hwang, Jongseok;Park, Soonjee;Yoo, Kyung-Tae
    • Journal of the Korean Society of Physical Medicine
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    • v.17 no.2
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    • pp.83-93
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    • 2022
  • PURPOSE: This study examined the comparative effects of an ankle sensorimotor training program combined with hip strengthening exercise (ASTPCHSE) and ankle sensorimotor training program (ASTP) alone on muscle strength, static balance, and dynamic balance in individuals with functional ankle instability. METHODS: Sixteen research participants with functional ankle instability were enrolled in this study. The participants were divided randomly into the ankle sensory motor training program group and the ankle sensory motor training program combined with the hip strengthening exercise group. Each group performed a series of exercise programs two times per week for four weeks. The Cumberland ankle instability tool (CAIT) was used to measure the participants' functional ankle instability. A Balance trainer 4 was applied to assess the static and dynamic balance, and a Primus RS multimodal dynamometer was used to evaluate the muscle strength. RESULTS: No significant differences in static balance, dynamic balance, and muscle strength were found between the ASTP and ASTPCHSE groups (p > .05). On the other hand, the dynamic balance and muscle strength improved in the ASTP and ASTPCHSE groups after the intervention (p < .05). The static balance was not enhanced in both groups after the intervention (p > .05). CONCLUSION: Ankle exercise and an ankle sensorimotor training program combined with hip strengthening exercise are effective in improving muscle strength and dynamic balance in individuals with ankle instability. On the other hand, there are no meaningful differences between ankle exercise and ankle and hip combined exercise.

Perioperative duloxetine as part of a multimodal analgesia regime reduces postoperative pain in lumbar canal stenosis surgery: a randomized, triple blind, and placebo-controlled trial

  • Govil, Nishith;Parag, Kumar;Arora, Pankaj;Khandelwal, Hariom;Singh, Ashutosh;Ruchi, Ruchi
    • The Korean Journal of Pain
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    • v.33 no.1
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    • pp.40-47
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    • 2020
  • Background: Duloxetine is an antidepressant that is also useful in chronic neuropathic and central origin pain. In this study, the role of duloxetine in decreasing acute postoperative pain after lumbar canal stenosis surgery is explored. Methods: In this single center, triple blinded, and placebo-controlled trial, 96 patients were randomized for statistical analysis. The intervention group received oral duloxetine 30 mg once a day (OD) for 2 days before surgery, 60 mg OD from the day of surgery to the postoperative second day and 30 mg OD for the next 2 days (a total duration of 7 days). A placebo capsule was given in the other group for a similar time and schedule. The same standard perioperative analgesia protocols were followed in both groups. Results: Total morphine consumption up to 24 hours was significantly decreased in the duloxetine group (P < 0.01). The time to the first analgesia requirement was similar in both groups but the time to the second and third dose of rescue analgesia increased significantly in the duloxetine group. The time to ambulation was decreased significantly (P < 0.01) in the duloxetine group as compared to the placebo group. Pain scores remained similar during most of the time interval. No significant difference was observed in the complication rate and patient satisfaction score recorded. Conclusions: Duloxetine reduces postoperative pain after lumbar canal stenosis surgery with no increase in adverse effects.