• Title/Summary/Keyword: Rehabilitation intervention

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Influences of Social Support, Self-esteem and Motivation for Rehabilitation on the Activities of Daily Living in Stroke Patients (뇌졸중 환자의 사회적 지지, 자아존중감 및 재활동기가 일상생활 수행능력에 미치는 영향)

  • Lee, Ji Ye;Kim, Hye Sook
    • Journal of East-West Nursing Research
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    • v.20 no.2
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    • pp.145-153
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    • 2014
  • Purpose: The purposes of this study were to evaluate the degree of social support, self-esteem, and motivation for rehabilitation in stroke patients and examine correlations between activities of daily living and study variables. Furthermore, this study explored factors that influence on activities of daily living. Methods: The study population was 192 stroke patients admitted in two general hospitals and two rehabilitation hospitals in M city. We collected the data using the structured questionnaires from July 11 to September 30, 2013. Results: The higher degree of social support, self-esteem, motivation for rehabilitation, the higher performance level for activities of daily living. Influencing factors of activities of daily living in the participants were motivation for rehabilitation(${\beta}$=.32, p<.001) and social support(${\beta}$=.31, p<.001). The model explained 45.9% of the variance. Conclusion: This study shows that intrinsic motivation of change in stroke patients themselves, a strong will to return to society and social supports are important factors on activities of daily living. Therefore, it is needed to develop a systemic nursing intervention improving activities of daily living in stroke patients through positive social support from patients' family members and health care providers.

The Effects of Individualized Cardiac Rehabilitation Education for Percutaneous Coronary Intervention (PCI) Patients (개별 심장재활교육이 경피적 관상동맥 중재술(PCI) 환자의 지식과 불안에 미치는 효과)

  • Kim Nam-Cho;Choi Kyung-Ok
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.13 no.1
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    • pp.42-49
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    • 2006
  • Purpose: This study was done to evaluate the effectiveness of cardiac rehabilitation education individualized to PCI patients in order to improve their knowledge of these diseases and to lessen their anxiety. Method: A Quasi experimental design with non-equivalent control group non-synchronized design was used. The experimental group had the PCI operation for ischemic heart disease and individualized cardiac rehabilitation education and counseling twice for 25 minutes each time using an educational booklet developed by the authors. The effects of the education were analyzed using a knowledge assessment tool, state anxiety inventory and anxiety visual analogue scale. Results: The experimental group who received the individualized cardiac rehabilitation education showed a high level of knowledge about diseases compared to the control group and particularly showed a significant difference in knowledge about the drugs used for treatment. However, no significant difference was observed between the two groups in the level of state anxiety and anxiety visual analogue scale. Conclusion: Individualized cardiac rehabilitation education did not reduce anxiety but it was effective in enhancing the participants' knowledge about the diseases. Thus, it can be utilized effectively in addressing risk factors in ischemic heart diseases by providing education individualized according to patients' demands and knowledge levels.

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The Effect of Oral Administration at Herbal Medicines in Animal Models on Obesity: A Review of Animal Study Reports Published in Korea after 2010 (동물실험에서 한약제재 경구투여가 비만에 미치는 영향에 대한 국내 연구보고 고찰 - 2010년 이후 발표된 논문을 중심으로)

  • Kim, Jung-Min;Choi, Soo-Min;Yang, Doo-Hwa;An, Hee-Duk
    • Journal of Korean Medicine Rehabilitation
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    • v.27 no.3
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    • pp.13-32
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    • 2017
  • Objectives This study is to review the effect of herbal medicines on obesity in animal models reported in Korean domestic journals after 2010. Methods The Databases (Koreantk, KISS, NDSL) are searched with terms as obesity, and animal study reports on obesity with herbal medicines after 2010 were reviewed. Animal model, intervention, and obesity indicator were extracted. Results 69 articles were reviewed. 57 studies used high fat diet to induce obesity. 56 studies used complex herbal medicines. Most used herbal material for anti-obesity effect is Ephedrae Herba. Each study shows significant changes of obesity indicators. Conclusions These results suggest that herbal medicine is effective treatment to obesity. But we need continuously agonize and research more effective and safe herbal medicine.

The Effect of Therapeutic Intervention by Aquatic Physical Therapy on Stroke Patient (수중물리치료를 통한 뇌졸중환자의 치료적 중재효과)

  • Lee, Tae-Han;Kim, Soon-Young;Kim, Jong-Pil;Kang, Eun-Cheol;Lee, Sang-Pyung
    • Journal of the Korean Academy of Clinical Electrophysiology
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    • v.10 no.2
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    • pp.15-21
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    • 2012
  • Purpose : The purpose of this study is to compare the rehabilitation effects of hydrotherapy and Bobath therapy. Methods : The study was performed with patients of hemiparesis caused by cerebral stroke. The participants were divided into two groups based on random sampling method. One group received hydrotherapy while the other received Bobath therapy. Each rehabilitation program lasted 40 minutes a day, 5 days a week, for 6 weeks. Pertinent indicators-Berg's balance scale (BBS), gait parameter, and static balance analysis-were recorded before andafter the programs, as well as every 2 weeks during the rehabilitation programs Results : There was showed a significantly increase of BBS score. Static open and close showed statistically significant in interaction by time and groups. There was significant differences of gait velocity. Conclusion : These findings in this study that the hydrotherapy was effective therapy in improving balance and gait velocity.

Effects of an Inpatient Pulmonary Rehabilitation Program on Dyspnea, Exercise Capacity, and Health Related Quality of Life for Patients with Chronic Lung Disease (입원 호흡재활 프로그램이 만성 폐질환자의 호흡곤란, 운동능력과 건강관련 삶의 질에 미치는 효과)

  • Lee, Chang-Kwan
    • Journal of Korean Academy of Nursing
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    • v.37 no.3
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    • pp.343-352
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    • 2007
  • Purpose: The purpose of this study was to examine the effects of an inpatient pulmonary rehabilitation program on dyspnea, exercise capacity, and health related quality of life in inpatients with chronic lung disease. Method: This quasi experimental study was designed with a nonequivalent control group pre-post test time series. Twenty three patients were assigned to the experimental group and nineteen to the control group. The inpatient pulmonary rehabilitation program was composed of upper and lower extremity exercise, breathing retraining, inspiratory muscle training, education, relaxation and telephone contacts. This program consisted of 4 sessions with inpatients and 4 weeks at home after discharge. The control group was given a home based pulmonary rehabilitation program at the time of discharge. The outcomes were measured by the Borg score, 6MWD and the Chronic Respiratory Disease Questionnaire(CRQ). Results: There was a statistically significant difference in dyspnea between the experimental group and control group, but not among time sequence, or interaction between groups and time sequence. Also significant improvements in exercise capacity and health related quality of life were found only in the experimental group. Conclusions: An Inpatient pulmonary rehabilitation program may be a useful intervention to reduce dyspnea, and increase exercise capacity and health related quality of life for chronic lung disease patients.

The Effects of Kinesio Taping and Neuromuscular Rehabilitation Exercise for Patients with Acute Whiplash-Associated Disorder (급성 편타성-관련손상 환자에게 키네지오 테이핑과 신경근 재활 운동이 미치는 영향)

  • Lee, Yun-sang;Ahn, Seung-won
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.22 no.2
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    • pp.41-49
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    • 2016
  • Background: The purpose of this study was to investigate the effects of kinesio taping and neuromuscular rehabilitation exercise for patients with acute whiplash-associated disorders. Methods: Twenty acute whiplash-associated disorders patients were recruited for the study. Subjects were randomly allocated into two groups. Neuromuscular rehabilitation group (NRG) received neuromuscular rehabilitation exercise, kinesio taping group (KTG) received kinesio taping. All subject was evaluated before and after intervention by their range of motion (ROM), neck disability index (NDI), numeric pain rating scale (NPRS) and fatigability. Results: First, the ROM was significantly increased in all group (p<.05). The NDI, NPRS and fatigability were significantly decreased in all group (p<.05). Secondly, NRG had significantly more increased ROM (flexion, both rotation) than KTG (p<.05). NRG had significantly more decreased NDI, NPRS and fatigability than KTG (p<.05). Conclusion: According to the results above, increased in range of motion in the neck, decreased in NDI, NPRS, fatigability were more effective in the NRG that received neuromuscular rehabilitation exercise than the KTG that received kinesio taping.

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Reliability and Validity of the Clinical Judgment Rubric on Simulation Practice with a Post-operative Rehabilitation Case (수술 후 재활 사례에 적용한 임상 판단력 평가도구의 신뢰도 및 타당도)

  • Oh, Hye Kyung
    • The Korean Journal of Rehabilitation Nursing
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    • v.18 no.2
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    • pp.145-152
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    • 2015
  • Purpose: The purpose of this study was to evaluate the reliability and validity of the clinical judgement rubric on simulation practice with a post-operative rehabilitation case. Methods: Methodological study design was used to evaluate the reliability and validity of the clinical judgement rubric on simulation practice. The participants were 35 students in a college of nursing. Results: There were showed reliability and validity of the clinical judgement rubric on simulation practice with a post-operative rehabilitation case. In terms of internal consistency, the Cronbach's ${\alpha}$ for all columns was .821. Factor analysis showed that planning, intervention and evaluation domains with Eigen values of 69.87% were bound, unlike the original tool where four factors including noticing, interpretation, responding and reflecting domains were bound. Convergent validity was established by the correlation between the total clinical judgement score and critical thinking disposition before and after simulation practice. Discriminative validity was established by the correlation between the total clinical judgement score and simulation effectiveness score. Conclusion: The findings of this study suggested that clinical judgement rubric on simulation practice is reliable. Repeated studies are needed to objectively evaluate the clinical judgement rubric of simulation practice for applying various clinical situations.

Electoacupuncture for Patients Undergoing Hip Arthroplasty: A Systematic Review and Meta-Analysis (고관절 치환술 환자에 적용한 전침치료: 체계적 문헌고찰 및 메타분석)

  • Oh, Eun-Mi;Hong, Su Min;Kim, Ho-Geol;Lee, Eun-Jung
    • Journal of Korean Medicine Rehabilitation
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    • v.30 no.4
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    • pp.105-117
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    • 2020
  • Objectives The objective of this study is to assess the effectiveness of electroacupuncture for patients with hip arthroplasty. Methods According to participants, intervention, comparison, outcome, study design, we searched for clinical studies that conducted electroacupuncture for patients with hip arthroplasty. Results Finally 11 randomized controlled trials were chosen for systemic review and meta-analysis. The frequently used evaluation tools were Incidence of postoperative cognitive dysfunction (POCD), heart rate, blood pressure. Almost studies showed electroacupuncture has effects for patients with hip arthroplasty. Through meta analysis, Electoacupuncture showed statistically significant effect of reducing the anesthetic dosage and incidence of postoperative psychonosema and adverse reactions in intra-operation period, reducing the incidence of POCD in peri-operation period, incidence of deep venous thrombosis in post-operation period. Conclusion 11 studies reported that electroacupuncture has significant effects on hip arthroplasty. But, many studies were assessed in a probable high risk of bias. And all studies published in one overseas country. So, it requires attention to comprehend this study. To make up for this limitaion, more well designed clinical research are needed.

Itching among Burn Patients in the Rehabilitation Phase (재활단계 화상 환자의 가려움증)

  • Kim, Kyung Ja;Seo, Cheong Hoon;Kim, Eun Jung
    • Journal of muscle and joint health
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    • v.23 no.1
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    • pp.28-38
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    • 2016
  • Purpose: The purpose of this study was to investigate post-burn itching relevant characteristics in the rehabilitation phase. Methods: Ninety four burn patients who were hospitalized in the rehabilitation phase participated in the study. Self-reported Leuven itch scale-Korean was used to evaluate itching related characteristics. Data were analyzed with descriptive analysis, $x^2$ test, and Kruskal-Wallis test. Results: All subjects except two had the itching. Itching frequency revealed that 68.1% of subjects experienced itching one or more episodes a day or always, and 18.7% had episode durations lasting more than 2 hours per incidence. Mean severity and distress of itching was $5.3{\pm}2.4$ and $5.2{\pm}2.5$, respectively. Itching sensation dimension of tickling was 56.4%. More than 25% of subjects "often" or "always" affected reduced quality of life, loss of concentration, bad mood, and difficulty in falling asleep. Satisfaction with itching treatment was intermediate level. Conclusion: Post-burn itching in the rehabilitation phase was a significant problem despite pruritus treatment. Based on the finding of this study, development of comprehensive and tailored nursing intervention programs for itching could be suggested.

Effects of Robot Rehabilitation for Range of Motion and Balance in Ankle Sprain Patient: A Single Case Study

  • So Yeong Kim;Byeong Geun Kim
    • The Journal of Korean Physical Therapy
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    • v.35 no.1
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    • pp.8-12
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    • 2023
  • Purpose: Recently, many studies on robotic rehabilitation have been conducted, but such studies on patients with ankle sprains are lacking. This study aimed to investigate the effects of robot-assisted rehabilitation on the range of motion of the ankle and balance in patients with ankle sprain. METHODS: This study used the A-B-A' design and was conducted for a total of fifteen days. The subjects performed general physical therapy for five days each, during the baseline A and A' periods. In period B, robot rehabilitation was performed for five days, along with general physical therapy. The subjects were evaluated based on weight-bearing lunge test (WBLT), single leg stance (SLS), and functional reach test (FRT). RESULTS: The WBLT, STS, and FRT showed significant improvement in periods B and A' compared to period A, but there was no significant improvement in period A' compared to period B. Conclusion: This study confirmed that robot-assisted rehabilitation was an effective intervention for improving the function of patients with ankle sprain. In the future, a study with a control group comparison should be performed.