• Title/Summary/Keyword: Self-adaptation

Search Result 687, Processing Time 0.027 seconds

A Comparative Study of Clinical Sffects Following Periodontal Surgery with and without Dressing (치주수술후 치주포대의 사용유무에 따른 임상적 효과에 대한 비교논문)

  • Bae, Sang-Bum;Lim, Sung-Bin;Chung, Chin-Hyung
    • Journal of Periodontal and Implant Science
    • /
    • v.29 no.3
    • /
    • pp.693-703
    • /
    • 1999
  • Since they were introduced by Ward in 1923, periodontal dressing have been routinely used following the periodontal surgery to avoid pain, infection, desensitizing teeth, inhibiting food impaction of the surgical areas, and immobilizing injured areas. Recently, however, the value of periodontal dressings and their effects on periodontal wound healing have been questioned, several authors have been reported that the use of dressing has little influence on healing following periodontal surgical procedures. In addition, there is evidence that when good flap adaptation is achieved, the use of a periodontal dressing does not add to patient comfort nor promote healing. The purpose of this study was to evaluate patient postoperative pain experience and discomfort with and without the use of periodontal dressing following periodontal surgery. Twenty-eight patients, 11 male and 17 female. were selected for this study; The age range was 31 to 56, with an average of 40.2years. Patient selection was based on existence of two bilateral sites presenting similar periodontal involvement, as determined by clinical and radiographic assessment, and requiring comparable bilateral surgical procedures. Using a splitmouth dressing. one site received a periodontal dressing while the other site did not. Pain assessment was made according to a horizontal, rating scale(0-10). After at least a two-week period, the second surgical precedure was performed using the alternate postoperative treatment. At the conclusion of the trial, a self-administered questionnaire on postoperative experience was administered, and were asked of their preference of either, dressed or undressed. The results were as follows: 1. A similar trend for mean pain and discomfort scores as assessed by patients both dressed and salinetreated procedures was evident during 7-day postsurgical period. 2. Statistical analysis of differences between the dressed side and salinetreated side with respect to pain, discomfort and patient's experiences revealed that both treatment sides behaved similarly at any postoperative day(P>0.05). 3. Considering the patient's preference, on the basis of pain and discomfort experienced, 43% preferred the saline-mouthwash and 32% preferred the dressing, 25% showing no preference for either the dressing or the saline-mouthwash. There is evidence to support the use of a periodontal dressing in retention of an apically positioned flap by preventing coronal displacement, or its use to provide additional support to stabilize a free gingival graft. However, there will always be a use for periodontal dressing although routine use of dressings may decrease because of better surgical techniques and the use of antibacterial mouth rinses.

  • PDF

Defining the Core Competencies of the Nurses in A Tertiary Hospital and Comparing Different Units based on Their Respective Characteristics (일 종합전문요양기관 간호사의 핵심역량 도출 및 근무지 특성별 중요도 인식 비교)

  • Sung, Young-Hee;Jeong, Jeong-Hee
    • Journal of Korean Academy of Nursing Administration
    • /
    • v.12 no.1
    • /
    • pp.76-93
    • /
    • 2006
  • Purpose: The purpose of this study was to define the core components required of nurses to provide quality nursing care to patients and analyze the significance of these components in the hospital's various units to maintain a high level of competence among nurses. Method: The study evaluated 3 categories included 35 subcategories with 148 core components that were derived from literature review and interviews of nursing professionals. The nursing professional category included 18 subcategories with 98 components, the organizational culture category included 4 subcategories with 16 components, and the temperament-attitude category included 13 subcategories with 34 components. The study included 335 nurses with more than one year of hospital experience and measured disparities among different hospital units. The data was analyzed with SPSS-Win 10.0, differing perceptions of the importance of general traits among the participants were measured using standard deviation, and differing perceptions of the importance of professional traits among the participants were assessed using ANOVA and subsequently with the Bonferroni Test. The reliability of the aforementioned research tools were evaluated using the Cronbach's ${\alpha}$. Result: The results of the study were as follows: 1. Among the three categories, temperament-attitude category was perceived to be the most important, followed by nursing professional category and organizational culture category. Among the ten most important subcategories within the three categories, safety and infection prevention as well as responsibility were perceived to be the most important, followed by promotion of physiologic adaptation, document management and presentation, self-control, ethics, observance law, coping with emergency, humanity, and medication. 2. The relative importance of category associated with the core competencies within the hospital unit were as follows : 1) The units that rated nursing professional category as being the most significant were: internal medicine, surgical unit, mother-child unit, emergency room, intensive care unit, and operating room, in that order. 2) The units that rated the organizational culture competencies as being the most significant were: mother-child unit, internal medicine, surgical unit, emergency room, operating room, and intensive care unit, in that order. 3) The units that rated temperament-attitude category as being the most significant were: internal medicine, surgical unit, emergency room, mother-child unit, operating room, and intensive care unit, in that order.

  • PDF

The Hope of the Stroke Patients (뇌졸중환자의 희망)

  • 김이순
    • Journal of Korean Academy of Nursing
    • /
    • v.27 no.1
    • /
    • pp.212-227
    • /
    • 1997
  • Cerebrovascular diseases in Korea is an important health problem since mortality and mobidity have been increased rapidly. It marked the 2nd cause of specific death rates in 1993. The stroke causes physical function disorder due to hemiparalysis and emotional disorder, and stroke patients experience helplessness, powerlessness. sense of alienation and loss of hope. These feelings make the rehabilitation difficult because they lose the will of life. The subjects of the study were seven citizens who live in Pusan, are over 50 years old and belong to low income-level. The data were collected from Jan. to Sep. 1995. The researcher as a caregiver and volunteer made confidence of them and asked for their agreement on the purpose of the study. The subjects expressed their experience as openheartedly as possible. The analysis of the data was made through the phenomenological analytic method suggested by Giorgi, which is as follows ; as an unit of description which include the subject' expressions and the researcher's observation, it is examined the theme that express the hope experience with the subject's language(underlining), and the focal meanings are identified. The focal meaning is the crystalization of the theme, which is written in the language of the researcher. After intergrating the focal meaning and make the situated structural description as the meaning of the hope experience identified on each subject's point. After intergrating the situated structural description and make the general structural description as the meaning of the hope experience identified on total subject's point then the systemizing of the structure of the hope experienced phenomena and the flowing of the conciousness was researched. The conclusions of this study was as follows : The ten sources of hope which the subjects experienced were sorted as under 〈mutual relations to others : spouse, children, relatives, fellow believer. health professioner. associate patient group〉, 〈spiritual dependence〉. 〈recovery of physical function〉. 〈rumination of the past life〉, 〈expectation of the future〉. 〈economic power〉, 〈belief〉, 〈ability〉. 〈spontaneous participation〉 and 〈recovery of roles〉. Their hope was spoken out by the following two kinds of linguistics. First. the hope was expressed in the affirmative expression as follows : 〈 to be dependable〉, 〈to make efforts〉, 〈to keep under control〉, 〈to desire〉, 〈to be pleasant〉, 〈to be peaceful〉, 〈to be grateful〉, 〈to give help〉, 〈self-confidence. Courage〉, 〈to be happy〉, 〈to satisfy oneself〉, 〈to share with others〉, 〈to understand〉 and 〈to be affected, be impressed〉 Second, the hope was expressed in the negative on pression as under : 〈to be distressed〉, 〈to be uneasy〉, 〈to be sorry, be unsatisfied〉 〈despair〉, 〈to abandon〉, 〈to be fearful〉, 〈to suffer〉, 〈to bear a burden〉 〈to be confused〉, 〈to be solitary〉, 〈chest trouble〉, 〈to feel heavy〉 〈grief〉, 〈to be daunted〉, 〈to get angry〉, 〈to be uncomfortable〉, 〈to have something regretable〉 and 〈to feel guilty〉. And their hope was expressed by the following four behavioral expressions : 〈physical sphere〉, 〈psychological sphere〉, 〈social support sphere〉 and 〈spiritual sphere〉. The reaction patterns of their hope experience appeared in the following 4 coping method : 〈conquest type〉, 〈dependence type〉, 〈adaptation type〉 and 〈fate type〉. Finally, in the hope structure the sense of certainty don't always coexict with the sense of uncertainty, When the stroke patients try to search for the best quality of life, the senses of certainty and uncertainty make a continual cyclic system in the hope structure.

  • PDF

Comparative Effects of Mattress Type on Subjective and Objective Sleep Quality : A Preliminary Study (매트리스의 종류가 건강한 성인의 주관적, 객관적 수면의 질에 미치는 영향에 대한 탐색적 연구)

  • Choi, Jae-Won;Lee, Yu Jin;Kim, Soohyun;Lee, Joonki;Jeong, Do-Un
    • Sleep Medicine and Psychophysiology
    • /
    • v.23 no.2
    • /
    • pp.61-67
    • /
    • 2016
  • Objectives: We aimed to evaluate the effects of mattress type on both objective and subjective sleep quality in healthy good sleepers. Methods: Fifteen healthy good sleepers with a mean age of 30.8 years participated in this study. A randomized crossover trial was carried out using two different mattress types: a standard mattress and a contour coil mattress. After a night of adaptation, all participants were randomized to either a standard mattress or a contour coil mattress. Then, nocturnal polysomnography was conducted for two consecutive nights. Subjective evaluations were obtained using a self-report questionnaire before and after the polysomnographic recording sessions. Results: The polysomnographic showed no differences in total sleep time, sleep stage, or wake time after sleep onset between the two mattress conditions. Of the polysomnographic variables, only sleep onset latency was significantly reduced for the contour coil mattress. Additionally, participants reported better subjective sleep quality when sleeping on the contour coil mattress, according to the questionnaires. Conclusion: The type of mattress might affect not only subjective, but also objective sleep quality, including sleep onset latency.

Comparison of Satisfaction on Each Major Dept. of Health-Related Universities Located in Busan and Gyeongnam (부산, 경남 지역 보건계열 대학(교)의 전공학과별 전공만족도 비교)

  • Shin, Sung-Gyu
    • Journal of radiological science and technology
    • /
    • v.34 no.2
    • /
    • pp.131-140
    • /
    • 2011
  • This study is to investigate the satisfaction rate and relative factors from the students majored in Radiology, Clinical Pathology and Physical Therapy, which can provide basic knowledge of satisfaction and guide the university life and further careers. The survey was performed with respect to 107 students of Radiology, 97 of Clinical Pathology and 89 of Physical Therapy at three-year or four-year colleges(universities) located in Busan and Gyeongsangnam-do. The results show that the satisfaction rate through whole majors was $3.40{\pm}0.57$ point. The scores of each major are: $3.38{\pm}0.62$ for Radiology, $3.37{\pm}0.56$ for Clinical Pathology, and $3.45{\pm}0.50$ for Physical Therapy. The score of social status was highest and the environment of major was the lowest. The satisfaction of three-year colleges was higher than that of four-year universities. Academic system, social status and adaptation to major affected satisfaction on major. In addition job outlook affected on all majors. Thus, we propose that every major must be equipped with specialized environment different from general colleges (universities), and provide environment where students can cause self-motivation. In addition, we found the special way to improve social status and satisfaction by using career guidance, offering career information and performing university-industry collaborations. Especially, it is important to improve the satisfaction on major of students at four-year universities.

A Phenomenological Study on Growth Experience of Youth with Part-time Jobs (아르바이트 청소년의 성장경험에 관한 현상학적 연구)

  • Koo, Seung-Shin
    • The Journal of the Korea Contents Association
    • /
    • v.17 no.10
    • /
    • pp.406-419
    • /
    • 2017
  • This study is to explore the essence and meaning of part-time job experience, in particular, to deduce growth experience through part-time jobs. This study is based on time-experience of phenomenological research method developed by the van Manen. For this research, the research data was collected by reviewing high school student part timer in Gyeonggi-do, those who had experience of average of two-year part time work or currently at work, and by undertaking in-depth interviews with seven of them from the March to April of 2017 with the agreements of the participants of this study. Time-experiences, i.e. part-time job experiences of youths, can be arranged as the following subjects. 'the feeling necessity part-time job and seeking it', 'adapting hard life of part-time', growth-experiencing through part-time work..The necessities for part-time job are feeling up consumption needs, aidsing domestic economy, pursuing independence, social and leisure life, self growth and preparing for the future. Adapting of part-time jobs are mastering, enduring, skillfuling work related to work adatation, and enduring ostracizing of old members, stopping and lasting, building bonds related to relationship adaptation. Growth-experiencing through part-time work are formig rational management for money, mental growth, preparing for the future. Based on these findings, the suggestion and limitation of the study were presented.

The effect of clinical dental hygienist psychological well-being on emotional intelligence in an area (임상치과위생사의 심리적 안녕감이 감성지능에 미치는 영향)

  • Kim, Young-im
    • Journal of the Korea Academia-Industrial cooperation Society
    • /
    • v.21 no.7
    • /
    • pp.504-509
    • /
    • 2020
  • This study analyzed the factors that affect the emotional intelligence of clinical dental hygienists' psychological well-being. The study was conducted from September 1, 2019 to November 30, 2019 with 180 dental hygienists living in Jeollabuk-do province. The data was analyzed by independent t-tests, one-way ANOVA, Scheffé test, Pearson's correlation coefficient, and stepwise multiple regression using SPSS 18.0. Psychological well-being has a significant correlation with emotional intelligence (r=.596, p<.001). Emotional intelligence of clinical dental hygienists was found to be significant in a suitable regression model (F=116.575, p<.05), and the explanatory power was 53.6%. The higher the psychological well-being was, the higher the emotional intelligence was. The factors related to emotional intelligence of clinical dental hygienists were psychological well-being, self-acceptance, positive relations to others, personal growth, environmental mastery and clinical experience. The results of this study show that psychological well-being is related to emotional intelligence. It is necessary to establish an effective strategy to enhance the psychological well-being of clinical dental hygienists and strengthen their emotional intelligence.

A Study on the Home Nursing Care Need Trajectory of the patients with chronic illnesses after discharged from Hospital (만성질환자의 퇴원후 가정간호 요구변화 추이에 관한 조사 연구)

  • Lee, Soo-Woo;Suh, Moon-Ja;Kim, Keum-Soon;Lee, In-Sook;Lee, Eun-Sook;Kim, Myung-Ae
    • Journal of Home Health Care Nursing
    • /
    • v.3
    • /
    • pp.86-97
    • /
    • 1996
  • The traditonal inpatient acute hospital setting is organized primarily for the intensive management of disease, but not well-suited for continuity of care for the chronically ill patients after being discharged from hospital. For the planning of the continuity of care, firstly, it is necessary to assess the home care needs of the discharged pateints in the context of the nursing diagnosis. Therefore, this study is designed to identify the home nursing care need trajectory of the patients with chronic illness after discharged from one of the the General Hospitals in Seoul, Korea. The subjects are the patients with chronic illness such as stroke, musculoskeletal disease, hypertension, cancer etc., in average age of 52. 2 years old. The findings of this study are as follows : 1) The limitaion of ADL has been constantly facing to the subjects and has not been changed 4 weeks after being discharged. And the sense of with-drawal was getting worse at 4th weeks than the 1st week after being discharged. 2) The lists of the patient's problems are the impairment of mobility, elimination pattern, inactivity, impairment of skin integrity, ineffective airway clearance, and potential anxiety, self concept deficit, ineffective family coing, etc. Those problems were diminished in quantity at the first week after discharged, but at the 4th week, those problems were getting worse. 3) The need of specialized nursing care such as tube feeding, ostomy care, $O_2$ inhalation, IV therapy, teaching and exercise are considered as the most consisting problems facing to the subjects. 4) In general, the chronically ill patients and their caregivers have not been adapted well even at the 4th weeks after being discharged. 5) Considering those findings, the basic care for patients should be given and the trainging for process of the adaptation after discharged should be encouraged prior being discharged from hostital. For this suggestion, the systematic discharge planning should be carried and the hospital based home nursing model should be implemented at the general hospital for the chronically ill patients.

  • PDF

A Study on the Distributive Equity of Neighborhood Urban Park in Seoul Viewed from Green Welfare (녹색복지 관점에서 서울시 생활권 도시공원의 분배적 형평성 분석)

  • Kim, Yong-Gook
    • Journal of the Korean Institute of Landscape Architecture
    • /
    • v.42 no.3
    • /
    • pp.76-89
    • /
    • 2014
  • The functions of urban park including health related benefit and climate adaptation and mitigation are expanding. However, in-depth research and discourse on the equitable distribution of expanded park function has been limited so far. Following research suggests Green Welfare concept to reflect distributive equity and multifunctionality in the process of urban park policy development and execution. This study developed park welfare indices to analyze disparities of neighborhood urban park(NUP) distribution viewed from green welfare by literature review. The findings analyzed through the Correlation Analysis and Cluster Analysis by SPSS 18.0. The results of the study are as follows. First, green welfare is defined as "to receive equitable benefits and participate in the delivery process of green services which are promoting health and securing safety from climate change risks for every citizen by life cycle regardless of socioeconomic status". Second, NUP per person in Seoul indicate meaningful differences by socioeconomic and environmental status of Seoul administrative districts. Park welfare indices correlated to NUP per person were shown population density(negative), percentage of individuals $aged{\geq}65$(positive), percentage of self-reliance of local finance(positive), flood and air pollution vulnerability by climate change(negative). Third, the cluster analysis identifies three significant clusters that indicate differences of park welfare level. Thus, it was found that NUP in Seoul from a green welfare perspective was provided disproportionately. Future urban park policy in Seoul was required equitable distribution of multifunctionality of park beyond quantitative expansion, and priority consideration should be given to park service consumer.

A Study on Family Functioning and Burden of Parents with Cerebral Palsy Children (뇌성마비아 부모의 부담감 및 가족기능에 관한 연구)

  • Lee Hwa Ja;Eo Yong Sook
    • Child Health Nursing Research
    • /
    • v.6 no.2
    • /
    • pp.199-211
    • /
    • 2000
  • Today, more chronically ill and handicapped children are being cared for at home by a family member caregiver. The task of caring for a family member may feel burden that the caregiver has less time and money and more work. Family functioning and their burden have influence on coping and adaptation of families with chronically-ill children. This study attempted to identify the levels of burden and family functioning in families of children with cerebral palsy and to examine their relationships. The instruments were burden scale developed by Suh and Oh(1993), and a modified Feetham Family Functioning Survey based on Roberts and Feetham.(1982). The subjects were 98 parents of children, under 15 years, who have cerebral palsy and being treated and living in Pusan. Data were collected through a self-administered question- aire from April 26 to May 29. The collected data were tested using frequencies, percentiles, means, t-test, ANOVA, and Pearson correlation coefficient with SPSSWIN program. The results of this study were as follows ; 1. The mean rating scores of burden and family functioning were 2.79±.51 and 4.12±.69, respectively. 2. The relationships between general character- istics and burden were statistically significant difference : degree of children's handicap(F=6.333, P<.01). The relationships between general characteristics and family functioning were statistically significant differences : familial relation with the children(F=3.628, P<.05), caregiver's health status(F=4.359, P<.05), age of children (F=4.185, P<.05), and duration of treatment (F=6.802, P<.01). 3. In families of children with cerebral palsy, there was significantly negative correlation between the burden of parents and the performance of family functioning(r=-.230, P<.05). There were significantly negative correlations between the burden of parents and the satisfaction of family functioning (r=-.211, P<.05), and between the perceived importance and the satisfaction of family functioning(r=-.481, P<.01); however, there was a positive correlation between the performance and the perceived importance of family functioning(r=.425, P<.01). In conclusion, this study suggests that families of children with cerebral palsy need family-focused nursing interventions as supportive care for relieving their burden and for improving family functioning.

  • PDF