• Title/Summary/Keyword: Post care

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Comparison of Oral Care Patterns Before and During the Pregnancy (임산부의 임신 전과 임신 중의 구강건강관리 행태 비교)

  • Park, Ji-Hyun;Lee, Kyeong-Soo
    • Journal of dental hygiene science
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    • v.11 no.3
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    • pp.273-278
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    • 2011
  • This study was performed to compare the status of oral care knowledge, oral care practice, and the patterns of the oral health care utilization before and during the pregnancy. It was conducted on the basis of a survey of 291 pregnant women who were in 9 post-natal care centers for post-natal care after delivery located in Daegu Metropolitan city and Changwon city of Gyeongsangnam-do from April 1st till April 29th on 2010. Forty five percent of them were experienced with the gum bleeding before pregnancy and 55.7% were experienced during pregnancy. The number of average tooth brushing per day was 3.05 times before pregnancy and 2.99 times during pregnancy in the survey. The patients who were experienced in dental health care during pregnancy out of the subjects for study were 51 for 17.5%. The score for the dental health knowledge was 7.82 for 10 grade scale and 5.38 before pregnancy and 5.14 during pregnancy for 10 grade scale in the actual performance scoring for dental care. Pre-dental care, experience in activity restriction due to dental disease, concern about oral health and regular visit to dental clinic were significant associated with use of dental care services during pregnancy.

The use of tissue fiducial markers in improving the accuracy of post-prostatectomy radiotherapy

  • Chao, Michael;Ho, Huong;Joon, Daryl Lim;Chan, Yee;Spencer, Sandra;Ng, Michael;Wasiak, Jason;Lawrentschuk, Nathan;McMillan, Kevin;Sengupta, Shomik;Tan, Alwin;Koufogiannis, George;Cokelek, Margaret;Foroudi, Farshad;Khong, Tristan-Scott;Bolton, Damien
    • Radiation Oncology Journal
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    • v.37 no.1
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    • pp.43-50
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    • 2019
  • Purpose: The aim of this retrospective study was to investigate the use of a radiopaque tissue fiducial marker (TFM) in the treatment of prostate cancer patients who undergo post-prostatectomy radiotherapy (PPRT). TFM safety, its role and benefit in quantifying the set-up uncertainties in patients undergoing PPRT image-guided radiotherapy were assessed. Materials and Methods: A total of 45 consecutive PPRT patients underwent transperineal implantation of TFM at the level of vesicourethral anastomosis in the retrovesical tissue prior to intensity-modulated radiotherapy. Prostate bed motion was calculated by measuring the position of the TFM relative to the pelvic bony anatomy on daily cone-beam computed tomography. The stability and visibility of the TFM were assessed in the initial 10 patients. Results: No postoperative complications were recorded. A total of 3,500 images were analysed. The calculated prostate bed motion for bony landmark matching relative to TFM were 2.25 mm in the left-right, 5.89 mm in the superior-inferior, and 6.59 mm in the anterior-posterior directions. A significant 36% reduction in the mean volume of rectum receiving 70 Gy (rV70) was achieved for a uniform planning target volume (PTV) margin of 7 mm compared with the Australian and New Zealand Faculty of Radiation Oncology Genito-Urinary Group recommended PTV margin of 10 mm. Conclusion: The use of TFM was safe and can potentially eliminate set-up errors associated with bony landmark matching, thereby allowing for tighter PTV margins and a consequent favourable reduction in dose delivered to the bladder and rectum, with potential improvements in toxicities.

Effects of a Video-based Education Program for Cerebral Angiography on Patients' Outcomes: A Randomized Controlled Trial (뇌혈관 조영술에 대한 동영상 교육 프로그램이 환자결과에 미치는 효과: 무작위대조군 전후 실험 설계)

  • Sung-Hyun Tark;Jee-In Hwang
    • Quality Improvement in Health Care
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    • v.30 no.1
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    • pp.76-87
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    • 2024
  • Purpose: We investigated the effects of a video-based education program for cerebral angiography on patients' state anxiety, uncertainty, nursing care satisfaction, and complications. Methods: The randomized experimental study included patients who underwent cerebral angiography at a university hospital in Bucheon, Gyeonggi-do between January 2023 and August 2023. Patients were assigned to the experimental group (n=50) and the control group (n=48). The program included video- and pamphlet-based education. The intervention included video-based education provided to the experimental group and conventional pamphlet-based education provided to the control group. Data were obtained pre-, post-, and 2-7 days post-intervention. Data were analyzed using the x2-test and the repeated measures analysis of variance test with the SPSS software, version 28.0. Results: The experimental group showed lower levels of state anxiety (x2=4.316, p=.038) and uncertainty (x2=3.974, p=.046) than the control group. However, we observed no significant intergroup differences in satisfaction with nursing care and complication rates. Conclusion: The results suggest that a video-based education program for cerebral angiography can effectively reduce state anxiety and uncertainty in patients undergoing cerebral angiography. Video-aided educational interventions can improve the quality of nursing care with regard to reducing state anxiety and uncertainty in patients who undergo cerebral angiography.

Factors Affecting Quality of Life in Family Caregivers of Patients in Intensive Care Units (중환자실 입원환자 가족의 삶의 질 영향요인)

  • Kong, Kyeong Mi;Boo, Sunjoo;Lee, Youngjin;Ahn, Jeong-Ah
    • Journal of Korean Critical Care Nursing
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    • v.17 no.2
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    • pp.12-24
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    • 2024
  • Purpose : This study aimed to identify factors influencing the quality of life of family caregivers of intensive care unit (ICU) patients. Methods : We conducted a study using a cross-sectional design. The study involved 109 family caregivers of ICU patients at a university-affiliated hospital in Gyeonggi-do, South Korea. Data were collected through self-report questionnaires between July 2020 and April 2021 and analyzed using descriptive statistics, independent t-tests, one-way ANOVA, Pearson's correlation coefficients, and multiple regression analysis. Results : The study revealed significant differences in quality of life based on economic status (F=11.63, p<.001), cohabitation with patients (t=-2.04, p=.044), sleep duration after patient's admission to the ICU (t=-2.48, p =.025), and subjective health status (F=30.06, p<.001). There were significant negative correlations observed between quality of life and post-traumatic stress symptoms (r=-.38, p<.001) as well as caregiver burden (r=-.46, p<.001). Factors affecting quality of life were subjective health status, economic status, and caregiver burden (adj. R2=0.52, F=15.64, p<.001). Conclusion : These findings underscore the need to develop and implement intervention programs tailored to the health conditions and economic status of family caregivers, with a focus on alleviating caregiver burden. Such initiatives are essential to ultimately improve the quality of life for family caregivers of ICU patients.

The Effects of an Individual Educational Program on Self-care Knowledge and Self-care Behavior in Kidney Transplantation Patients (신장이식환자에 대한 개별교육프로그램이 자가간호 지식과 자가간호수행에 미치는 영향)

  • Sim, Mi-Kyung;Son, Sun-Young
    • Journal of East-West Nursing Research
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    • v.18 no.1
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    • pp.9-17
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    • 2012
  • Purpose: The purpose of this study was to identify the effects of an individual educational program on self-care knowledge and self-care behavior in kidney transplantation patients. Methods: The kidney transplantation patients were recruited from a transplantation center, at a university hospital located in Korea. Data were collected from June 1, 2010 to January 31, 2011. The research design was a nonequivalent one group pre-post test. Forty-two subjects were participated two times individually in an educational program given by the researcher. Results: After the intervention, the participants showed a significant increase in self-care knowledge(t=-4.10, p=.000) and self-care behavior (t=-6.07, p=.000) than before the intervention. Conclusion: This results suggest that the program developed in this study can be considered an effective nursing intervention for health promotion, prevention of complication and self-care behavior in kidney transplantation patients.

The Effect of Oral Care with Normal Saline on Oral State of Patients in Intensive Care Unit (생리식염액을 이용한 구강간호가 중환자실 환자의 구강상태에 미치는 효과)

  • Choi, Sun Hee;Kim, Yeong Kyeong
    • Korean Journal of Adult Nursing
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    • v.16 no.3
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    • pp.452-459
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    • 2004
  • Purpose: To investigate the effect of oral care either with normal saline or with tantum solution on the oral state of the patients in intensive care unit as well as the frequency of bacteria occurrence inside their oral cavities. Method: The study was performed from March thru May of 2003 on the nonequivalent control group non-synchronized quasi-experimental design. Forty subjects were selected for each group. The data were analyzed using the SPSS 10.0 Win. The pre-experimental homogeneity and post-experimental differences between the two groups were analyzed with t-test. Result: There was a significant difference in the oral cavity state between the experimental group that had used normal saline and the control group that had used tantum solution. Conclusion: Based on the results described above, it is considered that normal saline is more effective than the tantum solution for the oral care of the patients in intensive care unit.

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Effects of Individualized Cardiac Health Education on Self Care Behavior and Serum Cholesterol in Patients with Coronary Artery Disease (심장병 관리 개별교육이 관상동맥질환자의 자가간호수행과 혈중 콜레스테롤에 미치는 효과)

  • Cho, Hye-Young;Kim, Hee-Seung
    • Korean Journal of Adult Nursing
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    • v.22 no.3
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    • pp.322-328
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    • 2010
  • Purpose: The purpose of this study was to investigate the effects of an individualized cardiac health education on self-care behavior and serum cholesterol levels patients with coronary artery disease. Methods: Twenty-two patients in the intervention group and 22 in the control group were assigned randomly in this study. The intervention group received an individualized cardiac health education program which consisted of four different sessions for a total of four sessions. Specifically, two sessions occurred during the patients' hospitalization with a third session at the time of discharge with a fourth session scheduled via telephone one week post discharge. Data were collected through a questionnaire for self-care behavior and a blood test for total cholesterol at the time of admission and the two weeks after discharge. The questionnaire for self-care behavior was a standardized instrument and serum cholesterol was measured by Accutrend GC (Roche, Germany). Results: Self-care behavior scores included diet, medication, exercise, risk factor, blood pressure measurement, and visits to hospital were significantly more in the experimental group compared to the control group. Conclusion: The above findings indicate that the individualized cardiac health education was effective in increasing of self-care behavior.

A Study on the Related Factors and the Change after Foot-reflexo-massage Education Program for Diabetic Patients (당뇨병 환자의 발반사요법 교육프로그램 후 발관리지식, 자가간호행위, 생리적지표의 변화 및 관련요인분석)

  • Lee, Young-Hee
    • Korean Journal of Adult Nursing
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    • v.16 no.2
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    • pp.222-232
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    • 2004
  • Purpose: The purpose of this study was to identify the change in foot care knowledge, self care behavior, and physiologic indexes after foot reflexomassage education program, and the related factors. Method: Data were collected from 20 patients who were visited out patients clinic. The change and difference were analyzed with non-parametric statistics. Result: There were significant differences in foot care knowledge(P=.001), self care behavior(P=.000), dosalis pedis blood flow volume (P=.011), skin temperature of foot(P=.001), dorsalis pedis pulse(P=.000), capillary filling time of foot (P=.000) between pre and post. The level of changes of foot care knowledge was significant differences according to admission experience (P=.049), and negative related to systolic blood pressure(P=.028). The level of changes of self care behavior was related to age(P=.049), that of dosalis pedis blood flow was significant difference according to smoking(P=.042), that of skin temperatureof foot(P=.002) and dosalis pedis pulse(P=.038) were significant difference according to weight. The level of changes of capillary filling time of foot was related to diagnosis period(P=.014). Conclusion: Foot-Reflexo-Massage education program is an effective nursing intervention to promote foot care in diabetic patients. And the related factors can be recommended for the management of diabetic patients.

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Effect of Home Care Service on the Quality of Life in Patients with Gynecological Cancer

  • Aktas, Demet;Terzioglu, Fusun
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.9
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    • pp.4089-4094
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    • 2015
  • The purpose of the research was to determine the effect of home care service on the quality of life in patients with gynecological cancer. This randomized case control study was carried out in a womans hospital between September 2011 and February 2012. Women undergoing gynecological cancer treatment were separated into intervention and control groups, of 35 patients each. The intervention group was provided with nursing care service through hospital and home visits ($1^{st}$, $12^{th}$ weeks) within the framework of a specifically developed nursing care plan. The control group was monitored without any intervention through the hospital routine protocols ($1^{st}$, $12^{th}$ weeks). Data were collected using An Interview Form, Home Visit Monitoring Form and Quality of Life Scale/Cancer Survivors. Effects of home care service on the quality of life in gynecological cancer patients were investigated using chi-square tests, McNemar's test, independent t-test and ANOVA. This study found that the intervention group receiving home care service had a moderately high quality of life (average mean: $6.01{\pm}0.64$), while the control group had comparatively lower quality (average mean: $4.35{\pm}0.79$) within the 12 week post-discharge period (p<0.05). This study found home care services to be efficient in improving the quality of life in patients with gynecological cancer.

A Study on Care-Oriented Morality and Justice-Oriented Morality in High School Students (고등학생의 배려지향적 도덕성과 정의지향적 도덕성에 관한 연구)

  • 정미연;정옥분
    • Journal of the Korean Home Economics Association
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    • v.39 no.10
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    • pp.187-204
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    • 2001
  • The purpose of this study was to investigate the relationship of care-oriented morality and justice-oriented morality with gender and sex-role identity in high school students. Care-oriented morality was assessed by Modified Care-based Morality Measure based on Gilligan's(1982) theory. Justice-oriented morality was assessed by the Korean Defining Issues Test(DIT). Sex role identity was assessed by the Korean Sex Role Inventory(KSRI). The subjects of this study were 157 females and 143 males, the age of 17 to 19 years old. The average level of care-oriented morality of the subjects was on level 1.5(transition from survival to responsibility) and the P score(post conventional level) of justice-oriented morality was pretty high. There were significant differences between females and males in the levels of care-oriented morality as well as justice-oriented morality. There were significant differences in sex role identity types by level of care-oriented morality. On the other hand, there was no significant difference in sex role identity types by level of justice-oriented morality.

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