• Journal of Dental Anesthesia and Pain Medicine
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• v.19 no.3
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• pp.135-141
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• 2019

Background: The fear of needle insertion and pain during anesthesia is a source of patient dissatisfaction in dentistry. Inferior alveolar nerve block (IANB) remains the most common type of block and is in itself painful. Computer-controlled local anesthetic delivery (CCLAD) has been proven to reduce the pain associated with injection of anesthetics in various blocks. However, the efficacy of CCLAD for IANB in adults remains unknown. Methods: Sixty-four adult patients requiring bilateral IANB were selected and divided into two groups: group A (50 patients receiving IANB via CCLAD) and group B (50 patients receiving IANB using a conventional cartridge syringe). Pain perception and patient comfort were assessed using the visual analog scale and the 5-point semantic scale, respectively. Results: The pain perception was compared between the two groups using the Mann-Whitney U-test, and the P value was 0.003. The patient comfort was also compared using the same test, and the P value was 0.484. Conclusion: A significant difference was observed in the pain perception of the patients during CCLAD. The patient comfort was grossly equal for both techniques.

• Asian Pacific Journal of Cancer Prevention
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• v.15 no.5
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• pp.2109-2114
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• 2014

Background: The aim of this planned research was to determine the comfort and anxiety levels of women with breast cancer receiving radiotherapy. Materials and Methods: This descriptive type study covered patients that applied to the radiation oncology breast polyclinic of our university hospital between January and May 2011. Patient Identification Form, Radiation Therapy Comfort Questionnaire (RTCQ), Spielberger State Trait Anxiety Inventory (STAI) were completed and analysed. Results: The mean age of the women who participated in the study was $51.6{\pm}10.4$ years. Mean scores of women were $3.73{\pm}0.31$ for RTCQ, $29.1{\pm}5.88$ for SAI and $37.8{\pm}6.91$ for TAI. While the comfort levels of the women with breast cancer receiving radiotherapy were moderate, they experienced only low levels of anxiety. Conclusions: By determining the comfort level of the patient before radiotherapy, besides providing comfort in this direction, eliminating/minimizing anxiety and stress will positively affect radiotherapy application. More attention of nurses to this issue is to be recommended.

• Imaging Science in Dentistry
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• v.52 no.1
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• pp.93-101
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• 2022

Purpose: This study compared the effectiveness of complementary metal-oxide semiconductors (CMOS) and photostimulable phosphor (PSP) plates as intraoral imaging systems in terms of time efficacy, patient comfort, and subjective image quality assessment in real clinical settings. Materials and Methods: Fifty-eight patients (25 women and 33 men) were included. Patients were referred for a full-mouth radiological examination including 1 bitewing radiograph (left and right) and 8 periapical radiographs for each side (left maxilla/mandible and right maxilla/mandible). For each patient, 1 side of the dental arch was radiographed using a CMOS detector, whereas the other side was radiographed using a PSP detector, ensuring an equal number of left and right arches imaged by each detector. Clinical application time, comfort/pain, and subjective image quality were assessed for each detector. Continuous variables were summarized as mean±standard deviation. Differences between detectors were evaluated using repeated-measures analysis of variance. P<0.05 was accepted as significant. Results: The mean total time required for all imaging procedures with the CMOS detector was significantly lower than the mean total time required for imaging procedures with PSP (P<0.05). The overall mean patient comfort scores for the CMOS and PSP detectors were 4.57 and 4.48, respectively, without a statistically significant difference (P>0.05). The performance of both observers in subjectively assessing structures was significantly higher when using CMOS images than when using PSP images for all regions (P<0.05). Conclusion: The CMOS detector was found to be superior to the PSP detector in terms of clinical time efficacy and subjective image quality.

• Asian Pacific Journal of Cancer Prevention
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• v.16 no.1
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• pp.217-220
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• 2015

Background: Breast cancer is the second most common cancer in the world and by far the most frequent cancer among women. Objective: This study was conducted to observe the effect of progressive relaxation exercises on anxiety and comfort level of breast cancer patients receiving chemotherapy. Materials and Methods: A control group pre-test/post-test quasi-experimental model was applied with experimental (30) and control (30) groups, who agreed to participate in this study. Data collection was with the "Personnel Information Form, State-Trait Anxiety Inventory and General Comfort Scale". Results: The average age of the patients that participated in the study was $49.1{\pm}7.96$ years. Eighty-three point three percent (n=25) of the patients in the experiment group and 86.7 (n=26) percent of patients in control group were married. Patient state of anxiety post-test mean scores were $36.2{\pm}8.21$ in the experimental group and $43.4{\pm}7.96$ in the control group, the difference being statistically significant (p<0.05). The general comfort scale post-test mean scores were $149.5{\pm}13.9$ in the experimental group and $137.7{\pm}15.0$ in the control group, again statistically significant (p<0.05). Conclusions: Progressive relaxation exercises positively affect patient comfort and anxiety levels in Turkey.

• Journal of the Korean Home Economics Association
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• v.42 no.6
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• pp.13-21
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• 2004

Clothing for hospitalized patients is very important because they wear it while they suffer from various kinds of pain and treatments. Therefore, the clothing for patients has to be comfortable and functional as well as well designed. Also correct sizes, suitable materials and convenient fastening devices are features to be considered for proper patient's clothing. However the currently used patient's clothing is provided without sufficient considerations for patient's needs, and is more concerned with price competitiveness. The purpose of this survey was to find out which design and functional features of patient's clothing are favored by patients, doctors and nurses. The results will be useful to develop improved patient's clothing. Based on the results, the following suggestions for improved patient's clothing are made. 1. Gender differentiation and a greater variety of size codes are required for better fit. 2. Depending on various treatments, different functional design features have to be applied. 3. Aesthetic needs should be satisfied for the psychological comfort of patients. 4. Materials should be selected considering required physical properties such as washing duration, dimensional stability and contaminant prevention.

• Journal of Korean Biological Nursing Science
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• v.13 no.2
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• pp.109-116
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• 2011

Purpose: The purpose of this study was to exam the effects of nursing information about intensive care unit environment on ICU patient's environmental stress, anxiety and comfort. Methods: A non-equivalent control group with non-synchronized quasi-experimental research design was used. Participants were 60 (control 30, experimental 30) patients who admitted at ICU in one hospital in Gangneung. Experimental group was provided with nursing information about intensive care unit environment. To avoid contamination of the experiment, data for the control group were collected prior to the experimental group. Paired t-test, t-test, chi-square test were used to analyze the data using the SPSS WIN 19.0 Program. Results: ICU environmental stress (t=-.089, p=.045) and anxiety (t=-5.65, p<.001) were significantly more reduced than before intervention. Also, comfort (t=-2.98, p=.036) was significantly more improved than before intervention. Conclusion: It confirmed that nursing information on ICU environment is effective in reducing environmental stress, anxiety and improving comfort in ICU patients.

• Journal of the Korean Society of Costume
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• v.63 no.2
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• pp.68-81
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• 2013

The purpose of this study is the improvement of the senior patients' life quality by providing aesthetic and emotional stability by creating and providing a newly designed patient wear for them. Empirical research and analysis were done for the research. Survey from advanced research and clothing design for the senior citizens in Japan and German are analyzed. The result of this research extracted characteristics, which applied to the production of a severe senior patient wear. And the following characteristics emerged: affordability, comfort, aesthetics, and ease of putting on the clothes. To meet these conditions by the details of the clothing design, using fasteners like zippers and Velcro is useful. It is able to solve the problem of affordability making the vertically integrated overalls to be able being separated by zippers in order to reduce the volume of laundry. It was able to overcome the discomfort due to contamination of the feces through the use of the fasteners even though the importance of choosing the comfort material related closely to the comfort. Using material mixed with multiple colors, plaid or bright pink, instead of using neutral colors fulfilled the aesthetic requirement. In Particular, utilizing detachable function fasteners contributed great services.

• Quality Improvement in Health Care
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• v.27 no.1
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• pp.26-42
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• 2021

Purpose: This study aimed to explore frontline nurses' experience of patient-centered care and understand the factors affecting its implementation in hospitals. Methods: Four focus group interviews were conducted with 30 nurses in two university hospitals. The following theoretical framework of patient-centered care was used: 1) Respect for patients' values, preferences, and expressed needs, 2) Care coordination and integration, 3) Information, communication, and education, 4) Physical comfort, 5) Emotional support and alleviation of fear and anxiety, 6) Involvement of family and friends, 7) Care transition and continuity, and 8) System issues. We performed a directed content analysis. Results: The most frequent patient-centered nursing practices of the hospital nurses were "promoting physical comfort" in inpatient settings and "providing information and communicating" in outpatient settings. The factors influencing patient-centered nursing included the health professionals' mindfulness, work overload and staff shortage, and unreasonable social demands and regulations. Conclusion: A more comprehensive patient-centered nursing practice should be implemented by improving "care transition and continuity," "family/caregiver involvement," and "system building." Health professionals' mindfulness is significant, and organizational supports addressing work overload and staff shortage are needed alongside change in social awareness.

• The Journal of Korean Physical Therapy
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• v.3 no.1
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• pp.189-201
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• 1991

Hospice, a concept of care for dying patients, focuses on providing comfort measures rather than aggressively searching for a cure. Hospice addresses symptom control from a wholistic view under the direction of an interdisciplinary team. Physical therapy fits with many of the tenets of hospice, such as the interdisciplinary team, inclusion of the patient and family as the care unit, provision of treatment in various in and out patient settings, and attention to the comfort of the patient. Physical therapy educators must recognize the need for medical ethics, psychosocial and medicolegal issues to be incorporated throughout the curriculum.

• The Korean Journal of Pain
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• v.7 no.2
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• pp.199-204
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• 1994

The purpose of this study is to evaluate the feasibility, advantages/disadvantages of patient-controlled sedation (PCS) compared to anesthesiologist-controlled sedation (ACS) during neurolytic pain block and regional anesthesia. Forty patients were divided randomly into two groups of 20 patients each. Group 1(ACS) received 0.01 $mg{\cdot}kg^{-1}$ intravenous midazolam and 0.5 ${\mu}g{\cdot}kg^{-1}$ fentanyl intravenously by anesthesiologist just before, 30, and 60 minutes after the procedure to acheive sedation; Group 2 (PCS) patients self-administered a mixture of midazolam (0.4 mg) and fentanyl ($20{\mu}g$) using a syringe type infusion pump (Terumo, Japan) to acheive sedation. Considering the dermographics of patients, the types and durations of procedure performed, the level of average sedation the comfort level were similar in both groups. But the doses of midazolam and fentanyl administerd in group 2 were smaller than those in group 1 (p<0.01). Patients in PCS group showed their level of sedation more proper than did those in ACS group. However, patients in ACS group rated their level of comfort higher than did those in PCS group. The findings of this study indicate that PCS using a combination of midazolam and fentanyl is a fafe and effective technique. More studies are, however, needed to determinc the best choice of drug(s), doses, lock-out intervals, and possible use of continuous infusion with patient-controlled sedation.