• Title/Summary/Keyword: Pre-hospital care

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Effect of Preoperative Education using Multimedia on Pain, Uncertainty, Anxiety and Depression in Hysterectomy Patients (동영상을 이용한 수술 전 교육이 양성종양 자궁절제술 환자의 통증, 불확실성, 불안과 우울에 미치는 효과)

  • Jeon, Sooran;Park, Hyojung
    • Women's Health Nursing
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    • v.22 no.1
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    • pp.39-47
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    • 2016
  • Purpose: The purpose of this study was to examine the effect of preoperative education using multimedia on level of pain, uncertainty, anxiety and depression in hysterectomy patients. Methods: A non-equivalent control group, with a pretest-posttest design was used in this study. The level of post operation pain, pre and post operation uncertainty, anxiety and depression of both the groups was measured. The experimental group was provided with preoperative education using multimedia on the preoperative day at the hospital. The control group was only given usual care. Data were analyzed using SPSS/WIN version 22.0 program. Results: Experimental group showed lower level of post-operation pain in 1 hour (t=-5.08, p<.001) and 24 hours (t=-5.20, p<.001) but not 48 hours (t=-0.91, p=.368). Uncertainty showed significant interaction effect of Group by Time (F=4.16, p=.018). Conclusion: Preoperative education using multimedia for patients with hysterectomy would be effective in lowering patients' level of pain, uncertainty, anxiety and depression.

A study on perception of stress and coping patterns of family members of the hospitalized in patients (가족구성원의 입원으로 인한 가족의 스트레스와 대처방안에 관한 연구)

  • Kwon Eun-Ok
    • Journal of Korean Public Health Nursing
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    • v.5 no.1
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    • pp.35-52
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    • 1991
  • The purpose of this study was to assess the degree of stress and patterns of coping for that Stressful events on family members because of the hospitalization of the patients. Stress and coping were measured with a tool on the basis of Volicer and Bell's questionnaire. In data collection, the modified 38 items of Volicer's stress scale and Bell's 18 item coping scale were administered. The subjects consisted of 259 family members of general ward-patients in Seoul National University Hospital during April in 1990. They were randomly selected on the basis of relationship of patients; patient's spouse, patient's daughters or sons. The stressors of the family members were ranked as follows; The first rank Stressful events was related to the patient's diseases and pain, the second ones was related ·to caring of their patients and family's psychosocial life. Families used long term coping method significantly more than short term ones. The results indicated that there was no difference in use of coping method between pre and post hospitalization. Finding out more about situation and optimism were the most common coping methods, and the least frequent coping method was the use of drugs. In conclusion, the identification of perceived stress and coping patterns of family members provides useful information for family nursing and aimes at better nursing care for the hospitalized in patients.

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Effect of Breathing Exercises via Joint mobilization on the Lung Function and Spinal Alignment of Straight-necked Women

  • Kong, Byung-Sun;Jeong, Beom-Cheol;Yoo, Kyung-Tae
    • Journal of the Korean Society of Physical Medicine
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    • v.15 no.4
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    • pp.55-65
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    • 2020
  • PURPOSE: This study examined the effects of breathing exercises via joint mobilization on the lung function and spinal alignment of 30 straight-necked women in their 20 s and 30 s. METHODS: The participants were divided into two groups: an experimental group who performed breathing exercises via joint mobilization, and a control group who performed general stretching exercises. The differences between the two groups were measured and compared at three points in time: during the pre-examination, after four weeks of intervention, and after a four-week maintenance period. The changes in each group were measured before and after the intervention and after a one-month maintenance period and compared. For data analysis, the SPSS 22 was used to obtain the mean and standard deviation with a significance level of α = .05. RESULTS: Eight weeks of breathing exercises via joint mobilization and general stretching exercises positively impacted the lung function and spinal alignment in straight-necked patients. In particular, the experimental group showed more significant differences in spinal alignment after four weeks period of intervention and four weeks of maintenance. CONCLUSION: Breathing exercises via joint mobilization can be considered an effective intervention that can improve the respiratory volume and spinal alignment for patients with straight necks.

The Effects of a Rehabilitation Program Including Koryo Hand-Acupuncture on Elderly People Post-stroke (재가 뇌졸중 노인에게 적용한 고려수지요법을 포함한 재활프로그램의 효과)

  • Choi Young-A;Suh Soon-Rim;Suh Boo-Deuk
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.11 no.3
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    • pp.281-291
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    • 2004
  • Purpose: This study was done to investigate the effects of a rehabilitation program including Koryo Hand-Acupuncture on physical function, self-esteem, and quality of life of post-stroke elderly patients. Method: A nonequivalent control group pre-post test research design was used. Participants in the study were 44 post-stroke elderly people (22 in an experimental group, 22 in a control group) enrolled in a social welfare center and a hospital in K city. Data were collected from April 6 to August 20, 2004. The program consisted of Koryo Hand-Acupuncture, ROM exercise, health education and supportive care. The analyses were carried using frequencies, percentages, $x^2$-test, Fisher exact and t-test with SPSS 10.0. Results: The patients in the experimental group, who took part in the 10-weeks rehabilitation program including Koryo Hand-Acupuncture, had significant increases in shoulder joint flexion, shoulder joint abduction, elbow joint flexion, hip joint flexion, knee joint flexion, knee joint extension, flexibility, self-esteem and quality of life as compared to the control group. Conclusion: These results suggest that a rehabilitation program including Koryo Hand-Acupuncture may be utilized as an effective nursing program to improve physical function, self-esteem and quality of life for post-stroke elderly patients.

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The Effects of Foot Reflexology on Self-Esteem and Vitality of the Elderly Women (발 반사마사지가 시설 노인의 자아존중감과 생기유발에 미치는 영향)

  • Lee, Kang-Yi
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.16 no.1
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    • pp.39-45
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    • 2009
  • Purpose: This study was done to verify the effects of foot reflexology on the self-esteem and vitality of elders. Method: A non- equivalent control group pre- and post-test design was used. Research instruments to measure self-esteem and vitality were used in this study. The participants were elderly women hospitalized in a hospital in Okcheon County, Chungbuk Province, Korea. The 18 patients in the experimental group performed 40 minutes of foot reflexology per time for a total of 12 times over two weeks, and the 18 patients in the control group received regular care only. Before and after the experiment, both groups were tested for self-esteem and vitality. Frequencies, percentages, $\chi^2$-test, t-test and Mann-Whitney U test with the SPSS/WIN 10.0 program were used to analyze the collected data. Results: Vitality of the elderly women patients improved significantly in the experimental group. However self-esteem did not increase significantly. Conclusion: Foot reflexology is effective as a nursing intervention in improving the health of elders.

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Effects of an Information Protocol on Anxiety and Nursing Satisfaction for Family Caregivers of Cerebrovascular Accident Patients in the ICU (정보제공이 중환자실에 입원한 뇌졸중환자 가족의 불안 및 간호만족도에 미치는 영향)

  • Cho, Kyung-Jin;Jun, Eun-Mi
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.14 no.1
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    • pp.53-61
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    • 2007
  • Purpose: The purpose of this study was to investigate the effects of an information protocol for anxiety and nursing satisfaction of family caregivers. The caregivers were caring for a family member who had a CVA (cerebrovascular accident) and who had been admitted to the ICU (intensive care unit). Method: The research design was a non-equivalent control group non-synchronized design. Data were collected from April 1 to October 31, 2005 at D hospital in Busan City The participants were 40 family caregivers of patients with a CVA admitted to the ICU. Caregivers in the experimental group participated in the information protocol for 30 min. Both groups were pre-tested before the intervention for two variables, anxiety and nursing needs. The post-test of both groups included anxiety and nursing satisfaction. The instruments used in this study were the Spielberger's state anxiety inventory (1976) and the nursing satisfaction scale developed by Molter (1979). Results: Anxiety scores were significantly lower and nursing satisfaction scores were significantly higher for caregivers in the experimental group compared to those in the control group. Conclusion: The information protocol was effective in reducing anxiety and increasing the level of nursing satisfaction of family caregivers caring for an ICU patients with a CVA.

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The Development and Effect of a Video Education Program on Uncertainty and Educational Satisfaction among Spinal Surgery Patients (척추수술 환자를 위한 동영상 교육 프로그램 개발 및 효과)

  • Kim, Sun Mi;Lee, Soo Jin
    • Journal of muscle and joint health
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    • v.25 no.3
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    • pp.187-195
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    • 2018
  • Purpose: This study was conducted to develop a video education program for spinal surgery patients and to investigate the effect of the program on patients' uncertainty and educational satisfaction. Methods: This study employed a nonequivalent control group pretest-posttest design. The participants were 54 patients who had undergone spinal surgery in Busan from February to May 2017. The video education program was provided to the experimental group (n=28). The program consisted of providing existing leaflets to patients and repeatedly showing patients educational videos during their hospitalization. Leaflets were also provided to the control group (n=26) as part of traditional care. Patients' reported levels of uncertainty and educational satisfaction were measured. Data were analyzed using the chi-squared test, independent t-test, Mann-Whitney U test, and covariance analysis. Results: A significant difference was observed between the groups in uncertainty pre-post changes (U=239.50, p=.030). With the education variable controlled, there were significant differences between the groups in the educational satisfaction posttest (F=19.79, p<.001). Conclusion: The program was effective in reducing uncertainty and in enhancing educational satisfaction. Therefore, the video education program may be helpful for improving patient satisfaction and outcomes in various clinical fields.

Current status of traffic accident victims who were transported by 119 ambulances in Chungcheongnam-do (충청남도 지역의 119 구급으로 이송된 교통사고 환자의 발생 특성)

  • Kim, Jin-Hyeon;Choi, Eun-Sook;Lee, Kyoung-Youl
    • The Korean Journal of Emergency Medical Services
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    • v.25 no.2
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    • pp.99-112
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    • 2021
  • Purpose: The study aimed to analyze the current status of traffic accident victims who were transported by 119 ambulances within the administrative district of Chungnam province and provide essential data for accident prevention. Methods: The pre-hospital care records of patients who called the 119 emergency service in 2019 were obtained from the Chungnam Fire Department. Data pertaining to 13,663 traffic accident victims who were transported to hospitals were analyzed. Results: Patients in those aged ≥60 years accounted for 49.8% of the total cases. In patients aged ≥80 years(n=2,154), motor cycle accidents were highest as 28.3%. In addition, cultivator (n=135) and buggy car (n=79) accident victims were the highest in aged ≥80 years as 66.7% and 67.1%, respectively. Traffic accident victims-population ratio in Chungnam was 0.65%, wherein 2.03% included population aged ≥80 years. Conclusion: It was clear that accidents varied across administrative districts depending on the age group of population distribution. Thus, safety measures for preventing motorcycle, cultivator, and buggy car accidents are necessary for areas with many older people aged ≥80 years.

Text-Mining Analyses of News Articles on Schizophrenia (조현병 관련 주요 일간지 기사에 대한 텍스트 마이닝 분석)

  • Nam, Hee Jung;Ryu, Seunghyong
    • Korean Journal of Schizophrenia Research
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    • v.23 no.2
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    • pp.58-64
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    • 2020
  • Objectives: In this study, we conducted an exploratory analysis of the current media trends on schizophrenia using text-mining methods. Methods: First, web-crawling techniques extracted text data from 575 news articles in 10 major newspapers between 2018 and 2019, which were selected by searching "schizophrenia" in the Naver News. We had developed document-term matrix (DTM) and/or term-document matrix (TDM) through pre-processing techniques. Through the use of DTM and TDM, frequency analysis, co-occurrence network analysis, and topic model analysis were conducted. Results: Frequency analysis showed that keywords such as "police," "mental illness," "admission," "patient," "crime," "apartment," "lethal weapon," "treatment," "Jinju," and "residents" were frequently mentioned in news articles on schizophrenia. Within the article text, many of these keywords were highly correlated with the term "schizophrenia" and were also interconnected with each other in the co-occurrence network. The latent Dirichlet allocation model presented 10 topics comprising a combination of keywords: "police-Jinju," "hospital-admission," "research-finding," "care-center," "schizophrenia-symptom," "society-issue," "family-mind," "woman-school," and "disabled-facilities." Conclusion: The results of the present study highlight that in recent years, the media has been reporting violence in patients with schizophrenia, thereby raising an important issue of hospitalization and community management of patients with schizophrenia.

HiGANCNN: A Hybrid Generative Adversarial Network and Convolutional Neural Network for Glaucoma Detection

  • Alsulami, Fairouz;Alseleahbi, Hind;Alsaedi, Rawan;Almaghdawi, Rasha;Alafif, Tarik;Ikram, Mohammad;Zong, Weiwei;Alzahrani, Yahya;Bawazeer, Ahmed
    • International Journal of Computer Science & Network Security
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    • v.22 no.9
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    • pp.23-30
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    • 2022
  • Glaucoma is a chronic neuropathy that affects the optic nerve which can lead to blindness. The detection and prediction of glaucoma become possible using deep neural networks. However, the detection performance relies on the availability of a large number of data. Therefore, we propose different frameworks, including a hybrid of a generative adversarial network and a convolutional neural network to automate and increase the performance of glaucoma detection. The proposed frameworks are evaluated using five public glaucoma datasets. The framework which uses a Deconvolutional Generative Adversarial Network (DCGAN) and a DenseNet pre-trained model achieves 99.6%, 99.08%, 99.4%, 98.69%, and 92.95% of classification accuracy on RIMONE, Drishti-GS, ACRIMA, ORIGA-light, and HRF datasets respectively. Based on the experimental results and evaluation, the proposed framework closely competes with the state-of-the-art methods using the five public glaucoma datasets without requiring any manually preprocessing step.