• Title/Summary/Keyword: Patient discomfort

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Study of Human Perceptual Characteristics of Body Inclination Using a Tilt Bed

  • Inooka, Hikaru;Kim, HiSik
    • 제어로봇시스템학회:학술대회논문집
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    • 2001.10a
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    • pp.94.2-94
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    • 2001
  • This paper investigates human discomfort response to the foot-to-head acceleration. During ambulance transport, a patient suffers from the foot-to-head acceleration, which might deteriorate his illness. To investigate the relationship between the ride discomfort and the foot-to-head acceleration, experiments were performed using a van type automobile similar to an ambulance. The experimental results show that head-ward acceleration is more uncomfortable than the foot-ward acceleration. For further investigation of the difference of ride discomfort caused by the direction of acceleration, two experiments were peformed using a tilt bed. In these experiments, foot-to-head acceleration is applied to the subjects by tilting the bed. Using a tilt bed, we investigated two things; relationship between discomfort and inclination of the bed ...

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A Study of Perceived Discomfort of The Patients Under Local Anesthesia - Centering Around the Development of Measures - (국소마취 수술환자의 불편감에 관한 연구 - 도구개발을 중심으로 -)

  • Lee, Gyeong Sug;Kim, Mi Ja;Park, Sun Mi;Paek, Sun Young;Lee, Yang Sug;Bae, Sang Do;Choi, Jung Hoon
    • Quality Improvement in Health Care
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    • v.7 no.1
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    • pp.6-17
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    • 2000
  • Background : This study was attempted to provide a basic information necessary for the development of measures evaluating perceived discomfort of the patients under local anesthesia and the developments of nursing intervention and nursing standard. Method : The study subjects were a convenience sample of 100 surgical patients under local anesthesia. The researcher visited the patients directly and explained the purpose of the study to them. Then they were asked to fill out questionnaires which were developed and structured by the researcher, under their prior permission. Out patient's data were collected at recovery room after operation. Results : Factor analysis on measures evaluating the patients under local anesthesia showed that the measures consisted of eight factors including "explanation", "humane treatment", "motion limitation", "pain", "no togetherness", "waiting", "the environment of operating room", and "unkindness". When analyzing each of the factors regarding their degree of contribution to perceived discomfort, it was found that "waiting" was highest in terms of the degree. According to general chara-cteristics of the sampled patients, the factor of "explanation" contributed to perceived discomfort more in male patients than female ones. Regarding parts of medical examination, the patients of otorhinolaryngology felt perceived discomfort most because of the factor of "pain". Conclusion : To relieve perceived discomfort the patients under local anesthesia require providing individually systematized nursing services which can reduce perceived discomfort according to each of the factors. In doing so, an unlimited attention and much effort should be given to realize CQI reaching the dimension of increase in comfort as well as decrease perceived discomfort.

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Effects of through the intercom during MRI Scans on Patient Anxiety and Intentional Contact (MRI 검사 시 방송을 통한 의도적 접촉이 환자 불안에 미치는 영향)

  • Kim, Sang-Jin
    • The Journal of the Korea Contents Association
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    • v.13 no.1
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    • pp.294-299
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    • 2013
  • This study has investigated the effect of intentional contact through the intercom during MRI scans on the decrease of anxiety in patients. The results obtained through the test group and control group are as follows. 1. The homogeneity of the anxiety score before the scan between the two groups was not acknowledged, hence a significant result could not be deduced. 2. Intentional contact through the intercom displayed decreasing results rational discomfort (t=-2.214, p=.031). 3. Intentional contact through the intercom displayed decreasing results of (t=-3.722, p=.000), and fear (t=-2.74, p=.009). 4. Intentional contact through the intercom displayed decreasing results of heart rate (t=-4.180, p=.000). In conclusion, the attempt to perform MRI scans with intentional contact through the intercom did not display significant effect on the blood pressure of the subject after the scan, however, displayed a decrease in objective and rational discomfort, as well as the heart rate, another vital sign. Accordingly, it is judged that intentional contact through the intercom can be used as an effective substitutive treatment method in patient care and test, as it relieves psychological tension in the patient and allows the patient to feel stability.

A Survey of Patient Satisfaction after Treating Zygomatic Complex Fractures Using a Coronal Approach (관상절개술을 통한 관골 복합골절 치료에 대한 환자의 만족도 조사)

  • Kim, Sin Rak;Park, Jin Hyung;Han, Yea Sik;Ye, Byeong Jin
    • Archives of Craniofacial Surgery
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    • v.12 no.1
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    • pp.17-21
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    • 2011
  • Purpose: It is difficult to objectively evaluate the outcomes of plastic surgical procedures. The combination of aesthetic and medical factors makes outcome quantification difficult. In this study, fracture reduction accuracy was objectively evaluated in patients with zygomatic complex fractures. Patients satisfaction with the accuracy was also examined. In addition, the patients' overall satisfaction and discomfort due to complications were analyzed. Methods: Eighty-five patients who had surgeries via bicoronal incision for zygomatic complex fracture from March 2006 to December 2009 were included in this study. Two plastic surgeons evaluated the accuracy of the fracture reduction with postoperative computed tomography. A survey questionnaire was administered to evaluate the patients' overall satisfaction and the impact of symptoms associated with the procedure on the patients' daily lives. Results: The overall patient satisfaction rate was $82.1{\pm}10.9%$ (range, 45~100%). The level of deformation was $6.7{\pm}10.9%$, the levels of discomfort in daily life due to pain, paresthesia, scar, and facial palsy were $8.5{\pm}13.2%$, $5.8{\pm}8.9%$, $4.4{\pm}9.9%$, and $1.9{\pm}9.2%$, respectively. According to the visual analogue scale, paresthesia was found to be the most frequent symptom (43.5%), and pain was the most troublesome symptom. Conclusion: The use of bicoronal incision for treating zygomatic complex fractures can cause various complications due to wide incision and dissection. However, this technique can provide optimized reduction and rigid fixation. Most of these postoperative complications can cause significant discomfort in the patient. It is thought that the use of correct surgical technique and the accurate knowledge of craniofacial anatomy will result in a reduction of complications and significantly increase patient satisfaction.

A Study on subjective awareness and management status of Dental Implant Patients (임플란트 환자의 보철물에 대한 인식 및 관리 실태에 관한 연구)

  • Lee, Hye-Eun;Im, Joong-Jae
    • Journal of Technologic Dentistry
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    • v.41 no.4
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    • pp.305-317
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    • 2019
  • Purpose: The purpose of this study is to provide basic data for the improvement of dental care service for patient care. Methods: The survey period was from December 10, 2018 to June 10, 2019. The subjects were 180 patients who were treated with dental implant in 20 dental hospitals and clinics in Daejeon and Gyeonggi province. A total of 145 questionnaires were analyzed except for 35 copies which were unreliable or difficult to analyze. Results: The most important care method for prolonging the life time of dental implant prosthesis was the highest rate of correct brushing (39.4%), and a majority in the subjects used oral hygiene products (91.0%). With regard to discomfort after dental implant prosthesis, food particles between the teeth showed the highest response (49.7%), and discomfort with gum infections and bleeding and reduced mastication increased significantly with age (p<0.05), whereas feeling of irritation decreased significantly with age (p<0.05). Conclusion: This study is meaningful in that it approached the perception and discomfort of prosthesis from the patients' point of view. It needs to establish the basic data to improve dental treatment service for patient care.

A Clinical Case Report of Soyangin Female Patients with Flushing (전신열감을 호소하는 소양인 여환 치험 3례)

  • Kim, Jin-Young;Lee, Ji-Won;Yang, Sung-Pil;Lee, Jun-Hee;Lee, Eui-Ju;Koh, Byung-Hee
    • Journal of Sasang Constitutional Medicine
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    • v.28 no.4
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    • pp.381-395
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    • 2016
  • Objectives The aim of this study was to report improvements on the symptoms of Flushing for three soyangin female patients after using sasang constitutional medicines. Methods The patients were diagnosed with Soyangin Symptomatology and treated with Soyangin sasang constitutional medicines. The patient's subjective symptoms of flushing and discomfort in sleeping were observed using the Visual Analogue Scale(VAS) respectively during the treatment period. And the patient's subjective symptoms of the pain were observed using Numerical Rating Scale(NRS). The period of the patient's defecation interval were also observed. Results and Concluions The symptoms of flushing, discomfort in sleeping and the pain improved remarkedly in all respects. In conclusion, this study shows that Sasang Constitutional Medicine can be an effective treatment for Soyangin patient with Flushing.

Leg Amputation due to Buerger's Disease: Management with Combined Korean Medicine

  • Won, Eun Sol;Lee, Hyun;Ryu, Hwa Yeon;Ku, Yong Ho;Jung, Ga Hyeon;Park, Chae Hyun;Kang, Jae Hui
    • Journal of Acupuncture Research
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    • v.38 no.4
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    • pp.325-330
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    • 2021
  • In this Case Report, a patient with Buerger's disease who had a leg amputation below his lower right knee and a vascular bypass of right leg, developed a wound caused by his prosthetic leg and subjective discomfort. The patient received skin flap surgery but the wound did not heal properly. He was admitted to the Korean Medicine Hospital where his wound, right leg coldness, and phantom pain were treated with combined Korean medicine. The patient was hospitalized again where he underwent micro-drilling surgery. The patient was re-admitted to the Korean Medicine Hospital where he received combined Korean medicine treatment (CKMT) and carbon arc light treatment (CALT) for his wound, leg coldness, stiffness, and hypoplasia. The temperature of his right leg increased, the numeric rating scale score for assessing pain fell from 5 to 1.5, and subjective discomfort was reduced (< 20%) suggesting this may be an effective treatment.

The Effects of Position Change on Low Back Pain, Discomfort, and Bleeding after Transarterial Chemoembolization (체위변경이 간동맥 화학색전술 환자의 요통, 불편감, 출혈 합병증에 미치는 효과)

  • Yun, Mi-Jeong;Min, Hye Sook
    • Korean Journal of Adult Nursing
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    • v.26 no.4
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    • pp.424-433
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    • 2014
  • Purpose: This study was to test the effects of the positional change on low back pain, discomfort, and bleeding complications during the period of bed rest following transarterial chemoembolization (TACE). Methods: The research design for this study was a non-equivalent control group quasi-experimental design. The participants were 23 patients for the experimental group, and 23 patients for the control group. The experimental group received positional change of taking the semi-Fowler's position and the 30-degree lateral position alternatively during the period of bed rest after TACE for 4 hours at one-hour intervals. The control group maintained the supine position continuously during the period of bed rest after TACE. Results: There were statistically significant differences in low back pain and discomfort between the experimental and the control group after intervention. And no significant difference was found in bleeding complication between two groups. Conclusion: The results of the study suggest that the positional change is an effective nursing intervention to reduce low back pain and discomfort without increasing the risk of bleeding after TACE.

The Effect of Position Change on Discomfort and Bleeding after Liver Biopsy (체위변경이 간 조직검사 환자의 불편감과 출혈에 미치는 효과)

  • Yun, Mi-Jeong;Min, Hye Sook
    • Korean Journal of Adult Nursing
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    • v.27 no.2
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    • pp.233-241
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    • 2015
  • Purpose: This study examined the effects of e position change upon reported discomfort and bleeding complications during bed rest following a liver biopsy. Methods: The research design for this study was a non-equivalent control group quasi-experimental design. Twenty-nine participants were assigned to the treatment group and twenty seven participants were in the comparison group. Following the biopsy, the treatment group participants had a position change from the supine without compression for two hours followed by compressive right lateral position for two hours. The comparison group maintained continuously the compressive right lateral position with sandbag for four hours. Results: There were statistically significant differences in reported discomfort between the treatment and comparison groups following the intervention. No significant differences were found in bleeding complications between the two groups. Conclusion: The results of the study suggest that the positional change is an effective nursing intervention in reducing discomfort without risk of bleeding following a liver biopsy.

Effect of Jang-Gu Program and Self-help Management Program on Depression, Stress, Pain and Body Discomfort in Women with Osteoarthritis (장구치기와 관절염 자조관리교육이 골관절염 여성 환자의 우울, 스트레스, 통증, 신체불편감에 미치는 효과)

  • Jeong, Yeong-Hee;Kim, Jong-Im;Kim, Sun-Ae;Lim, Keum-Ok
    • Journal of muscle and joint health
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    • v.17 no.2
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    • pp.212-221
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    • 2010
  • Purpose: The purpose of this study was to determine the effects of music therapy (Jang-Gu) on depression, stress, pain and body discomfort in women with osteoarthritis. Methods: The study is designed using one group pretest-posttest experimental design. 31 arthritis patients, the subjects of the group participated in the music therapy program. The program was provided for 12 weeks (two times per week). The questionnaires were used to measure the outcome variables before and after the program. Data were analyzed with the SPSS 17.0 using descriptive statistics, paired t-test. Results: Depression, Stress, Pain did not decrease. But body discomfort decreased (p=0.001). Conclusion: Therefore this program was effective in body discomfort and can be a community based self-help management program for arthritis patient.