• 제목/요약/키워드: group room

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소아의 편도절제술시 Nalbuphine정주가 술후 진통에 미치는 영향 (The Effects of Intravenous Nalbuphine on the Posttonsillectomy Pain in Children)

  • 조대현;박재건;김명희
    • The Korean Journal of Pain
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    • 제11권2호
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    • pp.247-252
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    • 1998
  • Background: Tonsillectomy is one of the most common operation in children. Postoperative pain and its sequelae are universal complaints of the patients. The purpose of this study was to evaluate the effects of nalbuphine on the posttonsillectomy pain in children. Methods: Fifty-four pediatric patients undergoing tonsillectomy under general anesthesia were randomly allocated to one of the 3 groups 1) control group who received no analgesics, 2) received IV nalbuphine before induction of anesthesia and 3) received IV nalbuphine after both tonsillectomy. In postanesthetic recovery room, comfort level in all patients was assessed using the objective pain scale (OPS). Systolic blood pressure, diastolic blood pressure and heart rate were measured at just before and immediately after extubation and postanesthetic recovery room. Results: The pain scale score in group 2 was significantly lower than group 1, but no significantly different with group 3. There were no significant differences in blood pressure among three groups. The heart rate in group 2 and 3 was significantly lower than group 1 only at immediately after arriving recovery room. Conclusions: Administration of nalbuphine before induction is more effective on postoperative pain control after tonsillectomy in children.

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편마비 환자들의 환측 슬관절 중심으로 등속성 및 등장성 운동 비교연구 -Cybex II+ Isokinetic Dynamometer를 이용한 평가를 기준으로- (The Comparative Study with Isokinetic and Isotonic Exercise Knee Joint Involved Side in Hemiplegia Patients)

  • 채수성;전건식;문성기
    • 대한물리치료과학회지
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    • 제1권1호
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    • pp.165-173
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    • 1994
  • The purpose of this study was to find out the effect of muscular strength of quadriceps, hamstring of knee joint to isokintic, isotonic exercise treatment in stroke. Data was collected from 80 stroke from January 10. 1994 to april 10, 1994 in a Chungnam university hospital. The results were as follows; 1. Peak torque was higher isokinetic than isotonic excercise group both in quadriceps and hamstring of knee joint, 6 weeks, 8 weeks 10 weeks showed statistically significant in isokinetic exercise training group. 2. Total work was high isokinetic than isotonic exercise group both in quadricaps and hamstring of knee joint, 10 weeks 12 weeks showed statistically significant in isokinetic exercise training group. 3. Average peak torque and total work was higher isokinetic than isotonic excercise group both in quadriceps and hamstring of knee joint, showed statistically significant in isokinetic exercise training group (p<0.05).(p<0.01). Isokinetic and isotonic exercise treatment were needed for sutable walk training in stroke. But I think that better method was isokinetic exercise treatment in muscular strength and endurance.

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함정 기관실내 활동의 순환 및 호흡 기능에 대한 영향 (Changes in Circulatory and Respiratory Activities Observed on Men in an Engine Room of a Navy Ship)

  • 현광철;남기용
    • The Korean Journal of Physiology
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    • 제1권2호
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    • pp.199-213
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    • 1967
  • Circulatory and respiratory activities were observed in men exposed to the environment of engine room of a cruising Republic of Korea Navy ship and compared to the control values obtained in an ordinary laboratory room on land. The environment of an engine room of cruising navy ship was presumed to be a multiple stress acting on men. The environment of the engine room included high temperature $(35-42^{\circ}C)$, low relative humidity (20-38% saturation), vibration (about 7 cycles per second), rolling and pitching of ship and noises. Sixteen men were divided into two groups consisted of each 8 subjects. Subjects of sea duty group had experience of continuous on board duty averaging 3.5 years. Men of land duty group had no experience of on board activity. On land observations were made on one day prior to the boarding and leaving the port and four days after landing. In between observations in the engine room were made on the first, 5 th, 9 th, 12 th, and 14 th day of on board activity. The whole experimental period lasted for 20 days. Measurements on circulatory and respiratory parameters were at standing resting state (after 30 minutes standing in the case of on land study and 15 minutes in engine room study) and within one minute after cessation of on the spot running of which rhythm was 30/min. and lasted for 5 minutes. Oxygen consumption and pulmonary function test were done in the period of two minutes from the 3rd to 5th minutes of running. The following results were obtained. 1. Body temperature showed no change regardless of group difference or on land or on board measurements. 2. Pulse rate increased markedly after boarding the ship id both groups. Pulse rate increased from the first day on board at rest and after exercise as compared to the on land control value. This increase in pulse rate was more marked after exercise. Sea duty group showed less increase in pulse rate at rest than the land duty group. Standing and resting pulse rate of sea duty group on lam was 81 and increased to 87 at the 5th day on board and remained smaller than the land duty group throughout the period on board. Control standing and resting pulse rate of land duty group on land was 76 and reached 89 at the 9th day on board and thereafter decreased a little. Pulse rate of land duty group at rest on board remained greater than that of sea duty group throughout the period on board. 3. Systolic blood pressure of sea duty group increased after boarding the ship and remained higher than the control value on land. In the land duty group, however, systolic blood pressure decreased during the period on board the ship. Diastolic blood pressure decreased in both groups. 4. Resting breathing rate of land duty group increased and remained higher than the control value on land. In sea duty group, however, resting breathing rate showed a transient increase on the 1st day on board and decreased thereafter to the control value on land and kept the same level throughout the period of cruise. Absolute value of breathing rate in the sea duty group was greater than the land duty group both at rest and after exercise. 5. There was a lowering of breathing efficiency in both groups. Thus, increases in tidal volume and minute ventilation volume and decreases in maximum breathing capacity, vital capacity, capacity ratio and air velocity Index were observed after boarding the ship. An increase in ventilation equivalent was also observed in both groups. The lowering of breathing efficiency was more marked in the land duty group than the sea duty group. 6. Energy expediture increased in both groups during their stay on the ship and was more marked in the sea duty group. 7, Lactate concentration in venous blood at rest and after exercise increased after boarding the ship and no group difference was observed.

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대학도서관건립(大學図書館建立)에 있어서 배치(配置)와 모형(模型)에 관(関)한 시안(試案) -특(特)히 "J대학" 제(第) 2 도서관(図書館)을 중심(中心)으로- (A TENTATIVE PLAN ON AN ARRANGEMENT AND A MODEL OF UNIVERSITY LIBRARY BUILDING)

  • 최정태
    • 한국비블리아학회지
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    • 제5권1호
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    • pp.165-184
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    • 1981
  • This study is concerned with a tentative plan on an arrangement and a model of university library building which is the 2nd (branch) library of J. National University in North Jeonla province. At first, it is necessary to have built new library building for undergraduate student in J. National University. Secondary, I studied on the site problems, a model, size and an arrangement planning in this campus. Finally, at least, to install modernized facilities for this library have to require as follows: 1. General Reading Room 2. Reference Room 3. Basic Reading Room 4. Free Reading Room 5. Reserved Room 6. Periodical Room 7. Seminar and Group Study Room 8. Brousing Room 9. Smoking Room 10. Display Hall.

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아파트 평면의 실 크기와 치수 특성에 관한 연구 - $2000{\sim}2007$년 건설된 아파트를 대상으로 - (A Study on Areal & Dimensional Characteristics of Apartment Unit Plans)

  • 김준래;윤재신;김민경
    • 한국주거학회:학술대회논문집
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    • 한국주거학회 2008년 추계학술발표대회 논문집
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    • pp.363-368
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    • 2008
  • The purpose of the study is to elicite a dwelling standard for the low-income group as belong to future socially underprivileged class through an investigation of the average size of each zone in plane figures of the apartment. The investigation has been executed to 2 kinds of plane pictures of the most spread exclusive using area scale: $85m^2$ and $65m^2$, which would be a groundwork of data to harmonize with the future dwelling needs, especially those of low-income group. 312 cases were selected to be investigated about each floor space of the living room, the main room, room1, room2, and the kitchen based on wall distance, to be calculated and charted about the average and the proportion of width and depth of each zone. The investigation about how those elements effect to the overall width and depth of the apartment according to the composition and the floor space shape executed as well.

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전 병상 1인실 구조인 중환자실에 근무하는 간호사의 경험 (Experiences of Nurses Working in a Single-Room-Structured Intensive Care Unit)

  • 윤정희;신영미;신수진;홍은민
    • 중환자간호학회지
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    • 제14권3호
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    • pp.1-13
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    • 2021
  • Purpose : This study aims to provide basic data for effective nursing interventions and improvement of nurses' work by exploring their work experiences in single-room-structured intensive care units (ICU) through focus group interviews. Methods : Data were collected through two focus group discussions conducted from March to November 2020 with 13 ICU nurses. Interviews were audio-recorded and analyzed thematically by investigators. Results : Through content analysis, 15 sub-categories and 6 categories were formed. Two themes, "positive experiences patients care in an independent space" and "difficulties in nursing work according to space separation of patients" emerged. There are positive aspects of single-room-structured ICUs, but it was found that practicing nurses had difficulties and required specialized nursing competencies. Therefore, efforts to reduce the burden of nurses in single-room-structured ICUs are necessary. Conclusion : The limitation of this study is that it was conducted in a single hospital because single-room-structured intensive care units are uncommon in Korea. However, this study is of great significance as a basis for establishing guidelines on the efforts required from nurses, hospitals, and governments single-room-structured ICUs in the future.

초등학교 저학년 아동의 체온조절반응 -일본아동과 한국아동의 비교- (Thermo-physiological Responses of the Lower Grade Elementary School Children -A Comparison Between Japanese and Korean Children-)

  • 김성희;이욱자;전촌후자
    • 한국의류학회지
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    • 제29권12호
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    • pp.1527-1534
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    • 2005
  • 본 연구는 아동의 체온조절반응의 특징에 성장환경이 어떠한 영향을 미치는가를 명확히 하기 위해, 한국아동(K group)과 일본아동(J group)의 체온조절반응을 검토하였다. 팬츠 착용의 피험자는 중립환경 $(28.5^{\circ}C)$에서 1시간, 추운환경$(22^{\circ}C)$ 또는 더운환경$(37^{\circ}C)$으로 옮겨져 1시간 동안의 체온조절반응이 검토되었다. 그 결과, 직장온은 환경온이 높아짐에 따라 약간 높아졌으며, K group의 직장온이 J group보다 약간 높았다. 추운환경에서의 손과 발의 피부온은 현저히 저하되었으며, J group보다 K group에서 더 현저히 나타났다. 그리고, 두 group의 절대 국소 증발량은 환경온 $22^{\circ}C$$28.5^{\circ}C$에서 비슷한 분포를 나타내는 반면, 환경온 $37^{\circ}C$에서는 J group은 몸 전체에서 발한을 나타냈으나 K group은 사지보다 몸통부위의 발한량이 많았다. 맥박은 환경온의 상승에 따라 높아졌으며, J group의 맥박이 K group보다 더 높았다.

신생아실에서의 모유 퇴원팩이 산후 모유수유 실천에 미치는 효과 (Effects of different Discharge Packs given at the Nursery Room on Postpartum Breast-feeding)

  • 최자윤;김미원
    • Child Health Nursing Research
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    • 제1권1호
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    • pp.37-46
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    • 1995
  • The effects of different discharge packs on the rate of breast-feeding practice were investigated in 2, 4 and 8 postpartal weeks. The subjects were those who have made delivery at Chonnam University Hospital from Jan to Feb 1994. They were divided into three groups by the discharge pack provided at the nursery room : the one group was given with formula discharge pack, another with breast-feeding discharge pack and the other nothing. The formula discharge pack contained formula samples, a feeding bottle and a pamphlet prepared by a formula company, and breast-feeding discharge pack contained a manual pump and a pamphlet made by Korean Nurses Association. Following results were obtained : 1. Different discharge packs significantly affected the rate of breast-feeding practice at 2 week postpartum, while not at 4 and 8 week postpartum. 2. At 2 week postpartum, the rate of breast-feeding practice was significantly higher in the group given with breast-feeding discharge pak than in that given with formula discharge pack. It was also significantly higher in the group given with breast-feeding discharge pack compared with the group given nothing. The breast feeding rate, however, did not significantly differ between the formula discharge pack group and the group given nothing. 3. The most common cause for the artificial feeding was 'lacking breast milk'. The most common cause to select a specific brand of formula milk was 'the same as in the nursery room'. In conclusion, it is suggested that encouraging mothers to perform breast feeding and providing them with a breast-feeding discharge pack instead of a formula pack at the nursery room are helpful in promoting the breast-feeding.

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Clinical effect of preoperative intravenous non-steroidal anti-inflammatory drugs on relief of postoperative pain in patients after laparoscopic cholecystectomy: Intravenous ibuprofen vs. intravenous ketorolac

  • Gyeong Geon Lee;Joon Seong Park;Hyung Sun Kim;Dong Sup Yoon;Jin Hong Lim
    • 한국간담췌외과학회지
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    • 제26권3호
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    • pp.251-256
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    • 2022
  • Backgrounds/Aims: Postoperative pain management is a key to enhanced recovery after surgery. The aim of this study was to evaluate clinical effect of preoperative intravenous (IV) non-steroidal anti-inflammatory drugs (NSAIDs) on relief of postoperative pain in patients after laparoscopic cholecystectomy. Methods: This single center, retrospective study was conducted between September 2019 and May 2020. A total of 163 patients were divided into two groups: Ibuprofen group (preoperative IV ibuprofen, n = 77) and Ketorolac group (preoperative IV ketorolac, n = 86). The primary outcome was postoperative pain score measured immediately in the recovery room. Results: There was no difference in demographic characteristics between the two groups of patients. Postoperative pain score measured immediately in the recovery room was significantly higher in the Ibuprofen group than in the Ketorolac group (mean value: 5.09 vs. 4.61; p = 0.027). The number of patients who needed analgesics immediately in the recovery room was also higher in the Ibuprofen group than in the Ketorolac group (28 [36.4%] vs. 18 [20.9%]; p = 0.036). Conclusions: In this study, preoperative IV injection with ketorolac reduced postoperative pain and analgesic requirement in the recovery room more effectively than that with ibuprofen. However, both showed similar effects on peak pain and pain at discharge. Numbers of patients requiring additional analgesics were also similar between the two groups.

간호학생을 위한 수술간호 e-Learning 프로그램의 개발 및 효과 (Development and Effects of an e-Learning Program in Operating Room Nursing for Nursing Students)

  • 박은희;황선영
    • 대한간호학회지
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    • 제41권1호
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    • pp.36-46
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    • 2011
  • practice in operating room nursing and to examine the learning effects. Methods: Based on content and need analysis, 9 learning modules were developed for nursing care in operating rooms and with operating equipment. To verify the effects of the program, a quasi- experimental pretest-posttest control group design was employed. The participants in this study were 74 third-year nursing students (34 in the experimental and 40 in the control group) from a junior college in G-city, Korea, who were engaged in a one week clinical practicum in an operating unit. Frequencies, $X^2$-test and t-test with the SPSS program 17.0 were used to analyze the data. Results: Knowledge was significantly higher in the experimental group compared to the control group (p=.018). However, there was no significant difference between the two groups in self-directed learning. The experimental group had significantly higher motivation toward learning, which was examined posttest only (p=.027). Conclusion: These results indicate that the implementation of an e-Learning program needs to be continued as an effective educational tool, but more research on the best way to implement e-Learning in students' practicum is needed.