• Title/Summary/Keyword: Pain Care

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A STUDY TO DETERMINE THE LEVEL OF OBSTETRIC KNOWLEDGE OF PREGNANT WOMEN AND POSTPARTUM MOTHERS (병원을 이용하는 임산부들의 산과적 지식정도에 관한 일 조사 연구)

  • 이선자
    • Journal of Korean Academy of Nursing
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    • v.4 no.3
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    • pp.81-91
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    • 1974
  • The purpose of this study was to investigate the level of obstetric knowledge of pregnant women and postpartum mothers, and to contribute the data to community health teaching program as well as maternity nursing. 385 pregnant women and postpartum mothers visited at or admitted to Seoul Adventist Hospital were sampled. The results of the study were as follows. 1. 97.9% of the subjects were between the age of 21 to 35, most of them (82.9%) were housewives with high school education and with a middle class family background. 2. The first symptoms of pregnancy were amenorrhea (70.4%), nausea & vomiting (23.9%), change of skin color (1.6%). 3. 77.9% of the subjects did not know how to deal with morning sickness. 4. 52.9% did not know when the sex determination of the fetus-occurs. 5. Concerning the fetus position; 77.1% of them believed it lies head down. head up (12.0%). and not knowing (10.9%). 6. 73.2% recognized the need for a well balanced food during pregnancy. 7. As to the dangerous symptoms during pregnancy: vaginal bleeding was considered the 1st, edema, the and, continuous abdominal pain, the 3rd. 82% of them would confer with physician in case of vaginal bleeding. As to the type of activities restricted by pregnancy: hard exercise was considered first, travel the second, and coitus during 1st and last trimester of pregnancy the 3rd. 8. 82.4% of them visited antenatal clinic at the second or third month of amenorrhea and 88.5% realized the regular physical examination imperative. 9. The purpose of urine test was recognized correctly by 44.7%, blood test: 89.4%, B. P. and weight check ; 69.9%. 10. The need of breast care during pregnancy was recognized by 76.9% of the subject. 11. 75.8% realized that prenatal exercise was needed. The higher the education the better the understanding of the need for it before delivery. 12. The concept of postpartum period was understood correctly by 54.4%. 13. The state of uterus after delivery was understood correctly by 49.1% only. 14, Regarding the management of colostrums: 48.3% knew it was to feed infants, and it was to squeeze and discard 43.4%. 15. Dealing with postpartum exercise; 67.8% answered it was needed, 9.1% not needed, not heard about 23, 1%.

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Occurrence of Low Back Pains for Dental Hygienists (치과위생사의 요통 발생에 관한 연구)

  • Lee, Sook-Jeung
    • Journal of Korean society of Dental Hygiene
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    • v.4 no.2
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    • pp.265-276
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    • 2004
  • The purpose of this study,was to find out health status, characteristics related to working conditions, occurrence of low back pain and its related factors among dental hygienists working in dental clinics, and, thus, to provide basic information necessary to set up some plans for preventing the occurrence of low back pains and improving working conditions for dental hygienists. The data were collected from 310 dental hygienists working at dental clinics in Pusan and Kyungnam area, including Masan, Changwon, Jinhae and Jinju, with a self-administered questionnaire and were analyzed finally for 295 records with SPSS for Windows(7.52K) program. The results were as follows : Working condition was considered to be fair by 562% of dental hygienists were thought to threaten their health in the dental clinics. About seventy percent of dental hygienists worked over ten hours a day and 72.8% were standing while working over 7 hours, 65% considered working hours too long. Health status was thought be more than average for 82.3% while more than half perceived certain degree of stress frequently. The rate of complaining low back pains among dental hygienists was 87.8% with pains more than medium level for 39.3%. The variables significantly related to the degree of low back pains were height, uncomfortable postures, type of working postures and the height of working table, while some variables including height, hours of working on the feet, the presence of hazardous work environment, uncomfortable postures, the presence of hazardous works, the amount of working hours, type of working postures and work-associated stresses, were significantly related to the number of symptoms for low back pains. Multiple regression analysis showed that occurrence of low back pains was significantly influenced by 5 factors such as subjective status of health, work-related stresses, the degree of perception to work environment, the degree of perception to the amount of working hours and age. In conclusion, it might be necessary to manage working conditions effectively by reducing working hours, making good postures while working and removing stressful conditions in order to reduce risk factors for the occurrence of low back pains among dental hygienists. Therefore good working postures, assignment of appropriate rest time and some programs for early detection, care and education of low back pains should be provided for the dental hygienists.

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Active Coping Strategy Model for Chronic Arthritis : Appling Internal Model of World and Coping Resource (내적모형과 대응자원을 이용한 만성관절염 환자의 적극적 대응전략모형)

  • Mun, Mi-Sook;Lim, Nan-Young
    • Journal of muscle and joint health
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    • v.6 no.1
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    • pp.100-135
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    • 1999
  • Typical symptoms of rheumatic disease affect overall daily living and cause severe stress. Individuals afflicted with rheumatic disease have many illness-related stresses. Pain was the predominantly perceived stress followed by limitation in mobility, difficulties in carrying out activities of daily living. helplessness, dependency on others, threat to self-esteem, interference in social activity, interference in family relationships. difficulties performing at work, and discomfort of the treatment. Patients with chronic arthritis are subjected to long periods of continuous stress, which may require the management by the health care provider. In these cases, the purpose of the nursing is helping to promote health through supporting patient's coping. Therefore, for the nursing intervention to be effective, it is critical to build a theoretical framework that describes stress-coping for chronic arthritis. Thus, the purpose of this dissertation is to present a theoretical framework which describes the stress-coping processes and to empirically test pathos of this framework for the people with chronic arthritis. The foundation upon which this framework is built in the Erickson, Tomlin, and Swain(1983) theory of Modeling and role-Modeling. The subjects were 275 patients with rheumatoid arthritis or osteoarthritis who visited the outpatient clinic. A hypothetical model of stress-coping was tested by covariance structure analysis with PC-LISREL 8.12 program. As a result, the overall fit was good(Chi-square=94.49, P=0.00, RMR=0.067, GFI=0.95, AGFI=0.91, NNFI=0.93, NFI=0.91) for the hypothetical model. The results of hypothesis testing were as follows : Basic need satisfaction had a statistically significant influence on illness-related experience, emotional stress and coping resources. Internal health locus of control had a statistically significant influence on coping resources. However, independent variables(basic need satisfaction, internal health locus of control, illness-related experience, emotional stress and coping resource) did not have significantly influence on coping. And then, the hypothetical model was modified by considering both the theoretical implication and statistical significance of the parameter estimates. The revised model had a better fit to the data(Chi-square=83.11(P=0.00), RMR=0.061, GFI=0.96, AGFI=0.92, NNFI=0.95, NFI=0.92). Hypothesis emerged from the revised model was tested. The results of hypothesis testing were as follows : Basic need satisfaction had a statistically significant influence on illness-related experience, emotional stress and coping resources. Internal health locus of control had a statistically significant influence on illness-related experience and coping resources. Internal health locus of control, illness-related experience, emotional stress and coping resources had a significantly influence on coping. According to the results of this dissertation, basic need satisfaction and internal health locus of control play a central role in appraisal of illness-related experience and coping resources. And illness related-experience, emotional stress, and coping resources affect on coping activities. In summary, nursing interventions to enhance basic need satisfaction and internal health locus of control will decrease illness related experience and emotional stress and increase coping resources. Increased coping resources will prompt coping activities.

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Minimally Invasive Cardiac Surgery - Three different approaches - (최소 침습성 심장수술 -세가지 다른 접근법-)

  • Chung, Sung-Hyuk;Yang, Ji-Hyuk;Nam, Hye-Won;Kim, Ki-Bong;Ahn, Hyuk
    • Journal of Chest Surgery
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    • v.32 no.5
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    • pp.438-441
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    • 1999
  • Background: Minimally invasive cardiac surgery has emerged as a new approach to the conventional median sternotomy. The suggested advantages of the minimally invasive technique includes improved cosmesis, simplicity of opening and closing the chest, less postoperative pain, less risk of infection and bleeding, early rehabilitation, and reduced length of hospital stay. Material and Method: Between March 1997 and December 1997, we performed 36 cases of minimally invasive cardiac surgery via three different approaches ; right paramedian, transverse sternotomy and mini-sternotomy with upper sternal split. Result: There was no operative mortality. Postoperative complications were atrial fibrillation in 4 patients, bleeding that required reoperation in 1 patient, and delayed wound closure in 1 patient who underwent 3rd redo operation. Average length of skin incision was 9.1${\pm}$0.9 cm. Average duration of stay in the intensive care unit was 48${\pm}$29 hours and the patients were discharged 10${\pm}$7 days after the operation. Conclusion: In spite of the difficulties in defibrillation, deairing, and cardiac decompensation, minimally invasive approaches will be applied increasingly because of the suggested advantages.

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Exercise Treatment of Knee Joint After Anterior Cruciate Ligament Reconstruction Operation (전방십자인대 재건술 후 슬관절 운동치료 접근에 관한 고찰)

  • Kim, Yeun-Jung;Jung, Jae-Min;Han, Jin-Tae
    • Journal of the Korean Society of Physical Medicine
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    • v.3 no.1
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    • pp.27-37
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    • 2008
  • Purpose : Today, it enjoys a sports and a leisure where the anterior cruciate ligament(ACL) injury patient increase. The knee joint is important means of human body movement and to do an important duty when it encounters ACL injuries of the knee joint and the many restriction follows in the life which is ordinary. When it is damaged ACL, it comes to determinate that ACL reconstruction and preservation treatment that the according to condition of ligament and knee joint. After ACL reconstruction, that is the fact which already becomes known the exercise treatment advances a recovery and to reduce a sequela. Methods : we researched the method of exercise treatment after anterior cruciate ligament reconstruction operation by journal of science direct and KISS in daecu university. Results : The representative exercise treatment is isometric exercise, isokinetic exercise isotonic exercise and complex exercise but what kind of exercise treatment most is effective, it revealed and support it was not. The method of exercise treatment is very various, so It causes a confusion made to the therapist and patients. So it executes once again it sought the kinetic therapeutic method which is efficient from this research and it tried to observe preceding research after ACL reconstruction. To operation a various the exercise treatments, operation only the treatment which is general compared to it was effective in muscular power and muscle functional improvement. But this like improve despite with the exercise treatment consequence which is continuous from research of most the pain leg compares to the health leg, it appeared the discrepancy which is a muscular power, a muscular endurance and a hypertrophy muscle etc, to the health leg or before operating 100% of muscular power to having gets the many therapy time was the recovery rate. Conclusion : Therefore after ACL reconstruction, it will become the many research continuously which is improve the muscle functional and ROM of the exercise treatment method and From therapeutic site of the patients it does to memorizes knowledge in advance about ACL injuries and the application the isokinetic treatment or exercise program are the set of necessary, frequency and amusement that considers complex what kind of therapeutic exercise becomes accomplished with the patient take care of attention.

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Effects of health promotion education experience on present health status of elderly (건강증진 보건교육 경험이 노인의 현재 건강상태에 미치는 영향)

  • Lee, Heung Hun;Hwang, Eun Jeong
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.11
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    • pp.106-114
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    • 2019
  • This study aims to identify the effects of experiencing health promotion education on the present health status of elderly people. The subjects of this study were a total 10,532 elderly people (aged 65 years or older), and who were selected from the data of the '2017 Community Health Survey'. The health promotion education experience consisted of handwashing education/campaign, a non-smoking campaign and non-smoking education. The chronic disease control education experience consisted of education on hypertension, diabetes mellitus and arthritis. Psychiatric counseling consisted of consultations on stress, depression and suicide. The present health status consisted of the patients' ability to exercise, their self-care ability, their activities of daily living, their pain/discomfort and their anxiety/depression. The data was analyzed utilizing the chi-square test, the Mann-Whitney test and multivariate logistic regression analysis. The general characteristics of the subjects were 4,075 males (38.69%) and 6,457 females (61.31%). The average age was 73.71(±6.18) years old. The significant factors influencing the elderly peoples' present health status were age (OR=0.909, 95% CI=0.886-0.933), handwashing education/campaign (OR=2.463, 95% CI=1.703-3.563), a stop smoking campaign (OR=1.624, 95% CI=1.146-2.301) and consultation for mental problems (OR=0.533, 95% CI=0.359-0.791). In conclusion, to modify the personal habits that the elderly have had for a long time and to show the effects of education, long-term continuous education that focuses on the characteristics of the people will be effective.

Integrative Review of Guidelines Related Symptom Management and Physical Activity for Developing of Self-Care Management Program for Cancer Survivors (암생존자의 자가관리 프로그램 개발을 위한 증상관리 및 신체적 활동 관련 가이드라인의 통합적 고찰)

  • Song, Chi Eun
    • The Journal of the Korea Contents Association
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    • v.18 no.4
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    • pp.586-600
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    • 2018
  • The purpose of this study attempted to collect basic data for development of an integrated self-management program for cancer survivors who completed cancer treatment. Self-management programs are divided into symptom management and physical activity management. Symptom management includes fatigue, sleep disturbance, pain, depression and anxiety. PubMed, CINAHL and EMBASE were used for searching guidelines. Based on the guideline quality evaluation, the final 8 guidelines were analyzed. The structured table was used to extract the screening subjects, timing, contents, subjects for comprehensive assessment and contents, and summarized contents related to the physical activity and exercise in non-pharmacological approach. As a result, after the completion of cancer treatment, all cancer survivors should be screened regularly using reliable and validated tools. In the case of fatigue, physical activity was recommended as the primary intervention, but it was recommended for other symptoms as adjuvant therapy. Therefore, Cancer survivors should be encouraged to be active in their physical activity, and maintain the moderate intensity physical activity as long as they have no complication related to the cancer treatment. Motivation strategies for physical activity need to be developed and applied.

Antioxidant Activity of Ogae Egg White Protein Hydrolysates using commercial Protease (단백질 분해효소를 이용한 오계란 가수분해물의 항산화 활성)

  • Ha, Yoo Jin;Ji, Joong Gu;Yoo, Sun Kyun
    • Journal of the Korean Applied Science and Technology
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    • v.34 no.3
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    • pp.631-642
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    • 2017
  • Protein hydrolysates derived from plants and animals having antioxidant, suppression of hypertension, immunodulatory, alleviation of pain, and antimicrobial activity has been known as playing important role like hormone. This study was performed to hydrolysis of Ogae egg white protein using the six proteases. The antioxidant activity of the produced peptides was analyzed. As a result, the maximum value of hydrolysis was protamex(46.3%), DPPH radical scavenging was bromelain(57.23%), hydroxy radical scavenging was alcalase(30.21%), superoxide radical scavenging was alcalase(58.07%), and $Fe^{2+}$ chelation ability was alcalase(72.06%). Furthermore, the antioxidant Inhibition concentration ($IC_{50}$) of peptides was evaluated for each enzyme. As a result, the maximum value of alcalase was $Fe^{2+}$ cheating ability($IC_{50}$, 1.24 mg/mL), bromelain was DPPH radical scavenging($IC_{50}$, 2.46 mg/mL), flavourzyme was $Fe^{2+}$ cheating ability($IC_{50}$, 1.25 mg/mL), neutrase was DPPH radical scavenging($IC_{50}$, 3.64 mg/mL), papain was DPPH radical scavenging ($IC_{50}$, 3.82 mg/mL) and protamex was DPPH radical scavenging($IC_{50}$, 1.93 mg/mL). Therefore, we expect that peptides produced from Ogae egg white protein using protease enzyme are useful as an antioxidant functional food ingredients.

Investigation into the Scaling the Actual Condition of Patients at the Oral Prophylaxis Lab in D College in Gangwon Province and Their use of Oral Hygiene Supplies (강원지역 D대학의 치면세마 실습 내원환자에 대한 스켈링 실태 및 구강위생용품 사용 실태 조사)

  • Hong, Min-Hee;Jeong, Mi-Ae
    • The Journal of the Korea Contents Association
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    • v.9 no.5
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    • pp.166-173
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    • 2009
  • The purpose of this study was to examine the satisfaction level of patients with oral health care provided by a dental hospital, especially scaling, and their oral health behavior. The subjects in this study were 263 college students who were in their 20s and selected from among patients who visited D university dental hospital in Gangwon Province during the oral prophylaxis practice of dental hygiene sophomores and juniors. The findings of the study were as follows: 1. Whether the selected students had ever had their teeth scaled was checked, and those who had outnumbered the others who hadn't. The rates of the former and latter respectively stood at 61.2 percent and 38.8 percent. Regarding places where they got their teeth scaled, the majority of the students that represented 75.2 percent did that at dental clinics. By gender, 34.4 percent of the male students did that at schools, which were larger than 11.8 percent of the female students who did. 88.2 percent of the female students did that at dental clinics, which were larger than 65.5 percent of the male students who did. Gender made significant differences to that(x2=10.79, p<.01). 2. As for satisfaction level with scaling by gender, the male students (38.7%) who had no specific idea outnumbered the female students (26.5%) who did. The female students(57.4%) who felt no pain during scaling outnumbered the male students(55.9%) who did. Gender made a significant difference to their responses. (x2=6.38, p<.05). 3. Concerning the use of oral hygiene supplies, most of the students who represented 72.2 percent had never flossed their teeth, and as many as 86.3 percent had never used a tongue cleaner. But the gaps between them and the others were not statistically significant.

Relation between Maxillofacial Trauma Experience and Temporomandibular Disorder Prevalence among Some College Students (일부 대학생의 악안면외상경험과 측두하악장애 유병상태와의 관련성)

  • Jeon, Eun-Suk;Lee, Jung-Hwa
    • The Journal of the Korea Contents Association
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    • v.9 no.7
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    • pp.218-224
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    • 2009
  • This study was to investigate the relation between maxillofacial trauma experience and temporomandibular disorder prevalence with a view to helping prevent and cure temporomandibular dysfunctions by conducting a questionnaire survey with 370 students attending C Health Care College located in Ulsan Metropolis. Data collected underwent an analysis using SPSS program, resulting in the following:1. As for TMJ(temporomandibular joint) clicking prevalence rate, with 25.7% of male students and 22.7% of female students answering positively, the former showed higher rate of temporomandibular joint clicking (p<0.01), while no significant difference was identified depending on school years. 2. In terms of temporomandibular pain prevalence rates, females were found to have been more affected than male students. 3. When it comes to trismus prevalence rates, 10.8% of female students and 7.0% of male students responded they had experienced the dysfunction and female students showed slightly higher rate of trismus prevalence. 4. 6.5% of males and 4.3% of female students responded they had got treatment experience resulting from temporomandibular disorders, indicating that more male students had gone through treatment for temporomandibular disorders(p<0.05). 5. Male students showed higher experience rate of maxillofacial trauma(p<0.01), mostly due to falling or tumbling down, followed by exercises and etc. 6. The relation between maxillofacial trauma and temporomandibular disorders showed statistically significant relation between maxillofacial trauma and TMJ(temporomandibular joint) clicking (p<0.01).