• Title/Summary/Keyword: discomfort

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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.

Effects of a Simulation-based Educational Program for Gastroendoscopic Surgery Patients (위내시경 수술을 받는 조기 위암 대상자를 위한 동영상 시뮬레이션 교육 프로그램의 효과)

  • Kwon, Su Young;Lee, Jia
    • Korean Journal of Adult Nursing
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    • v.25 no.5
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    • pp.494-503
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    • 2013
  • Purpose: The purpose of this study was to examine the effects of a simulation-based educational program on anxiety and discomfort in patients with early stage of stomach cancer or stomach adenoma undergoing gastroendoscopic surgery. Methods: The study employed a non-equivalence control group and non-synchronized design to prevent diffusion of treatment. Data were collected from 110 patients (experimental group=55, control group=55) admitted to a department of gastroenterology to undergo gastroendoscopic surgery for early stage of stomach cancer or stomach adenoma. The program was conducted as a 30-minute simulation-based education including 12 processes which patients would experience. Outcome variables were state anxiety, objective discomfort, and subjective discomfort. Results: The scores of state anxiety in the experimental group significantly decreased over time compared to those in the control group. The scores of objective and subjective discomfort after surgery in the experimental group were significantly lower than those in the control group. Conclusion: The study findings suggested that the simulation-based educational program making a person feel sense of real experiences could reduce anxiety and discomfort in gastroendoscopic surgery patients.

Effects of Bed Angles and Bed Rest Time Combined with Hemostatic Methods on Discomfort and the Occurrence of Hemorrhagic Complications in Patients after Transfemoral Cerebral Angiography (뇌혈관조영술 후 침상각도와 지혈방법에 따른 침상안정 시간이 불편감과 출혈합병증에 미치는 효과)

  • Kang, Young Ok;Park, In Sook
    • Journal of Korean Clinical Nursing Research
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    • v.23 no.3
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    • pp.293-301
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    • 2017
  • Purpose: The purpose of this study was to examine the effects of bed angles and bed rest time combined with hemostatic methods on discomfort and hemorrhagic complications in patients after transfemoral cerebral angiography. Methods: Data were collected from 93 inpatients following transfemoral cerebral angiography, from April 20 to September 23, 2016. Patients were grouped according to bed angle ($0^{\circ}$ vs. $30^{\circ}$) and bed rest time combined with hemostatic methods (4-hour bed rest after manual compression vs. 2-hour bed rest after applying vascular closure device). Results: There was a significant group differences on discomfort (F=46.44, p<.001). The post-hoc analysis showed the lowest score of discomfort in those with bed angle $30^{\circ}$ and 2-hour bed rest. There was no difference in hemorrhagic complications among 4 groups. Conclusion: The postangiograpy discomfort can be effectively reduced with the least hemorrhagic complications by bed angle $30^{\circ}$ elevation and 2-hour bed rest after applying vascular closure device for those underwent transfemoral cerebral angiography.

The Anxiety and Discomfort of Platelet Donors (혈소판 공여자의 불안과 불편감 - 첫 공여자를 중심으로 -)

  • Hong Sook-Im;Choi So-Eun;Park Ho-Ran
    • Journal of Korean Public Health Nursing
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    • v.14 no.1
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    • pp.172-181
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    • 2000
  • This study was designed to evaluate the degree of the anxiety and discomfort experienced by first-time donors in platelet donation. The subject of this study was 309 first-time platelet donors visiting apheresis unit of St. Mary hospital in Seoul. The data was collected from Questionnaire during period of 28 April to 10 September 1999. The statistical methods used were t-test. ANOVA and stepwise multiple regression. The results were as follows. 1. The most common group were 21-30 years of age and soldier of job. 2. The mean scores of the platelet donor's anxiety was $1.60\pm0.32$. 3. The mean scores of platelet donor's discomfort was $1.72\pm0.44$. 4. The variables influencing anxiety were the physical condition. the level of education and donation experience. 5. The variables influencing discomfort were the job. diet before donation and physical condition. As the result above. the student group of the first time platelet donor experienced highest anxiety. It is important to assess the physical condition and diet before donation for more comfortable platelet donation. Furthermore. the developments of nursing interventions are required to reduce anxiety and discomfort of platelet donors.

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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.

Wearing Satisfaction and Improvement Needs of the Caregiver's Uniform (간병사 유니폼의 착용만족도와 개선요구도)

  • Kim, Jin-Sun;Kweon, Soo-Ae
    • Korean Journal of Human Ecology
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    • v.17 no.1
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    • pp.127-139
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    • 2008
  • The purpose of this study is to examin wearing satisfaction and needs of the caregivers' uniforms. The questionnaire survey was conducted on 303 who are serving in the geriatric hospital and general hospitals in Seoul and Gyeonggi, Chungcheong region. It was coherently found on the whole that the irrelevance to the fitness of size system influenced the discomfort, and the relation between discomfort and satisfaction revealed negative-correlation, and the higher the discomfort is and the lower satisfaction is, the higher their improvement needs are. Particularly, the higher the discomfort on the fitness of size system is and the lower its satisfaction is, the higher the improvement needs on the size system and activities are. As a result, the clothing construction and the selection of materials for the complement of the fitness and discomfort's incongruity is required. Namely, the yoke of the back area and the various detail for the activity, the materials satisfying stretch, good-touch, antibiotic functionality, and the expansion of the size system are needed.

Crime Prediction Model based on Meteorological Changes and Discomfort Index (기상변화 및 불쾌지수에 따른 범죄발생 예측 모델)

  • Kim, JongMin;Kim, MinSu;Kim, Kuinam J.
    • Convergence Security Journal
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    • v.14 no.6_2
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    • pp.89-95
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    • 2014
  • This study analyzed a correlation between crime and meteorological changes and discomfort index of Seoul and p resented a prediction expression through the regression analysis. For data used in this study, crime data from Januar y 2008 to December 2012 of Seoul Metropolitan Police Agency and meteorological records and discomfort index recor ded in the Meteorological Agency through the portal sites were used. Based on this data, SPSS 18.0 was used for the regression analysis and the analysis of correlation between crime and meteorological changes and discomfort index and a prediction expression was derived through the analysis and the risk index was shown in 5 steps depending on predicted values obtained through the prediction expression derived. The risk index of 5 steps classified like this is considered to be used as important data for crime prevention activities.

Effects of Aromatherapy on Anxiety and Discomfort in Patients Having Colonoscopy (아로마 요법이 대장내시경 검사 대상자의 불안과 불편감 감소에 미치는 효과)

  • Lee, Yun-Mi;Ahn, Hye-Young
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.17 no.4
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    • pp.539-547
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    • 2010
  • Purpose: This study was done to determine the effects of aromatherapy on anxiety and discomfort for patients who were having colonoscopy. Methods: The study used a nonequivalent control group non-synchronized design. The participants were 48 people who were undergoing colonoscopy in a university hospital. The experimental group inhaled a blend of essential oil with neroli, camomile, lavender and lemon through an aroma stone for 5minutes before the examination. Then the aroma stone was put on the side of the pillow to spread the aroma scent in the room. The experimental group could inhale the aroma scent as soon as they came into the room and during the examination process. The control group received only fundamental nursing care. Results: Aromatherapy significantly decreased VAS anxiety. There were also significant differences in facial change and, tone change for objective discomfort. But there were no significant differences in subjective discomfort between the groups nor were there any significant differences in vital signs. Conclusion: Aromatherapy was perceived as an useful intervention to reduce anxiety and objective discomfort of patients receiving colonoscopy. The results of this study could be utilized as a clinical nursing intervention.

Effect of the Meridian Pressure on the Functions of Upper Extremities and Discomfort of ADLs of Hemiplegic Patients (상지경혈지압이 편마비환자의 상지기능과 일상생활동작 시 불편감에 미치는 효과)

  • Kim, Jeong-Wha;Choi, Sung-Nam
    • Korean Journal of Adult Nursing
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    • v.20 no.1
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    • pp.55-64
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    • 2008
  • Purpose: The purpose of this study was to identify the effect of Meridian pressure on the functions of upper extremities and discomfort of ADLs of hemiplegic patients. Methods: The research design was a nonequivalent control group, non-synchronized design. Subjects were 35 hemiplegic patients who were hospitalized at L Oriental Medical Hospital; 18 for the experimental group and 17 for the control group. The experimental group was given meridian pressure for 10 minutes daily for 2 weeks. The data were analyzed by SPSS 12.0 program. The ${\chi}^2$-test and t-test were used for the two groups' homogeneity, and t-test was used for the hypothesis test. Results: Manual muscle test, ROMs of wrist extension, elbow flexion, and shoulder extension of the experimental group increased compared to the control group. Shoulder pain and index finger circumference of the experimental group decreased compared to the control group. The experimental group showed to have less discomfort of ADLs than the control group. Conclusion: The study results verified that meridian pressure is effective for improving the functions of hemiplegic patients' upper extremities as well as reducing discomfort of ADLs.

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Relationship between the Discomfort of Tinnitus and the Quality of Life in Tinnitus Patients (이명장애와 삶의 질의 관계)

  • Park, Mi-Ok;Kim, Ju-Sung;Shin, Jae-Shin
    • The Korean Journal of Rehabilitation Nursing
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    • v.6 no.1
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    • pp.40-50
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    • 2003
  • Purpose: To investigate audiometery and characteristics related to tinnitus in tinnitus patients, and to understand the relationship between the discomfort of tinnitus and the quality of life. Methods: The subjects were 110 patients with tinnitus. The data were collected using tinnitus handicap questionnaire, quality of life, and pure tone audiometry, which measured hearing level in dB and frequency in Hz matching of tinnitus. Results: Majority of tinnitus patients (75.5%~81.8%) had normal auditory sensation. but 82.7% of patients indicated that they have heard tinnitus "frequently" or "always", and the major sounds of tinnitus were "wing, wung, wang". The matching sounds of tinnitus had various range in hearing level(dB) and frequency(Hz). Tinnitus patients reported moderate levels of the discomfort of tinnitus and the quality of life, and there were negative correlation between the discomfort of tinnitus and the quality of life(r=-.314, p<.001). Conclusion: These findings suggest that special attention is needed for tinnitus patients because the physical, psychological, and social impacts of tinnitus could be decrease their quality of life. Specialized nursing intervention considering specific conditions related to tinnitus is required to solve various health problems of tinnitus patients.

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