Purpose: The purpose of this study was to understand the meanings and nature of ICU admission experienced among patients with critical illness. The present study adopted a hermeneutic phenomenological method which was developed by van Manen. Methods: The participants for this study were 6 men and 3 women, who were over the age of 20 with ICU admission period more than 3 days. Data were collected by using in-depth interviews and observations from March, 2007 to September, 2007. The contents of the interviews were tape-recorded with the consent of the subject. Results: The essential themes that fit into the context of the 4 existential grounds of body, time, space and other people were as follows: a body that cannot react the way it wants, a wave of fear and insecurity everywhere, a struggle to survive, coming out from death's door, loss of time path, a long and continued waiting until escaping, more of machinery room than a patient's room, existence of life and death, an abyss of suffering seen thru another patient, taken care of by a doctor, trust and distrust, family, the ultimate safe zone. Conclusion: Critically ill patients in ICU experienced feelings of discomfort, unsafety, and insecurity. The result of this study can give nurses some insight into these experiences and help promote empathetic care.
Eater Seal, the child care experts, observes that children with disability significantly benefit from receiving appropriated care along side their peers. Typically developing children serve as role models from which children with disabilities learn age-appropriated communications and social behavior. Therefore the children with disability can actively participate in well-designed child care settings. But unfortunately in Seoul, Korea, only 2% of children with disability are taken care of in child care centers. And even the disabled children at the child care centers are mostly mentally or emotionally disabled because the building, programs and services of the centers are restrictive to the children with severe physical disabilities. This study reviewed Korean domestic physical environment of child care centers for children with disabilities. Questionnaire survey was conducted to 103 centers located in Seoul by mail. Our survey revealed that they need more areas for nursing room and special rooms and the accessibility to buildings has to be improved. Also, there are no elevators in all buildings surveyed. Accessibility to toilet is noted as significant problem, especially wet floors in toilets. In a nursing room, a space for psychological rest and special education is needed for children with mental disability. Technical specifications on how to make buildings and facilities accessible for the children with disability should be developed. The goal of this study is to provide basic information to develop domestic design guidelines to ensure that the child care centers are safe, convenient, and usable for everyone possible.
Proceedings of the Korea Institute of Fire Science and Engineering Conference
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1997.11a
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pp.413-422
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1997
Fire characteristics of a typical apartment building in Korea was studied through full scale experiment and zone model simulation. The fire was ignited at the living room and allowed to spread to other parts of a single unit in a five storied apartment building. Various data including temperatures, species concentrations, and images were collected in the experiment. A zone model(CFAST) was used to analyze the same apartment building that represents the average households in Korea. The results were compared with a full scale experiments. While CFAST allows one compartment involved with fire, the experiment allowed the fire to spread to other compartments. Therefore, the comparison between experimental data and Zone-Model data is valid until the living-room fire spread to other parts of the apartment. Flashover occurred at approximately 380 seconds in a fire experiment, and at approximately 420 seconds in Zone-Model. Based on all of data between experimental data and Zone-Model data, it is concluded that the safe escape time is about 250 seconds.
Contemporary nursing is concerned with meeting patients physical psychological and secio-economical needs and with helping persons to sore their own problems. At the time of confinement and delivery, women often have physical and psychological disco- mort related to fear, tension or anxiety. Pain related to these causes varies with the individual woman. Effective nursing care to meet individual needs during labor and delivery is important if nurses are to understand and relieve woman's physical and psychological pain. A questionnaire prepared for the purpose by the investigator was administered to 162 women in two general hospitals, one in Seoul and one in TaeGu, during August 1 and September 20, 1975 and to the 13 delivery-room nurses who cared for them. It was hoped that the study would contribute to comprehensive nursing care during labor and delivery and to improve maternal and child health. 1. The sample of mothers ranged in age from 18 to 39; the majority were from 25 to 29 years old (54.3%). Most of them were housewives (87.6%). Sixty-three percent had high school or higher education. They had a range of one to seven deliveries. Sixty-one percent were primiparas Most had some prenatal care (87.6%). 2. The age of the group of nurses ranged from 22 to 39. Ten were 22 or 23. Five of the 13 had from six to ten months experience in the de]ivory room. Twelve were single and ten had a religious affiliation. 3. Both primiparas and multiparas thought equally that physical and psychological care, nursing skills and attitudes were important during labor and delivery, but did not relate basic nursing care directly to normal delivery. Need for nursing care was rated more highly by primiparas (2.83-3.48) than by multiparas (2.51-3.17) (p〈0.05). 4. There was no difference in need for nursing care according to the educational level of the women nor according to whether they had a religious affiliation or not (p〉0.05). 5. There was no difference in the reported nursing care given regarding of the educational preparation of the nurses (p〉 0.05). 6. There the reported nursing needs of the women and the reported nursing care given were compared, physical and psychological nursing care directed toward protecting the mother and fetus and a safe do]ivory were considered important by both groups. Neither group related simple nursing care directly to protection of the mother and fetus or to a safe delivery. The women rated highly their needs for nourishment (3.05) and having a relative with them (2.90) for emotional support but there was little evidence (2.39) that the nurses provided care to meet these needs (p〈0.05). In conclusion, the nursing needs of the women during the three stages of labor and the nursing care given were generally similar. The women had more psychological needs than physical needs but in comparison, nurses gave a little more physical than psychological care. The results point up the need to make adjustments in labor and delivery room nursing care the nurse should Prepared to pay more attention and bigger consideration in psychological comfort care than physical care.
Seong Yeon An;Eun Ji Park;Yu Ri Moon;Bo Young Lee;Eunbyul Lee;Dong Yeon Kim;Seong Hee Jeong;Jin Kyung Kim
Women's Health Nursing
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v.29
no.2
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pp.137-145
/
2023
Purpose: This non-randomized study was performed to evaluate the effects of music therapy on labor pain, the childbirth experience, and self-esteem in women during vaginal delivery. Methods: In total, 136 primiparous women over 37 weeks of gestation receiving epidural analgesia during vaginal delivery were recruited via convenience sampling. To minimize diffusion effects, data from the control group (n=71) were collected first (April 2020 to March 2021), followed by data from the music group (n=65; April 2021 to May 2022). Participants in the music group listened to classical music during labor, while the control group was offered usual care (no music). Labor pain was measured using a numeric rating scale (NRS), and self-esteem and childbirth experience were collected using self-report questionnaires. Data were analyzed using the independent t-test, chi-square test and Cronbach's α coefficients. Results: The overall pain level (NRS) at baseline was 0 in both groups. Mothers in the music therapy group had lower levels of latent pain (t=1.95, p=.005), active pain (t=3.69, p<.001) and transition-phase pain (t=7.07, p<.001) than the control group. A significant difference was observed between the two groups, and the music therapy group expressed more positive perceptions of the childbirth experience (t=-1.36, p=.018). For self-esteem, the experimental group's score was slightly higher, but without a statistically significant difference from the control group. Conclusion: Using music therapy during labor decreased labor pain and improved the childbirth experience. Music therapy can be clinically recommended as a non-pharmacological, safe, and easy method for nursing care in labor.
The Journal of The Korea Institute of Intelligent Transport Systems
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v.15
no.1
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pp.87-94
/
2016
Although studies and investments on electro-magnetic fields in terrestrial areas are being conducted, they are not applied to a ship. Especially ship is consist of Top Side, Bridge, and Engine Room. Top Side is mounted Antenna and radar. Bridge is mounted navigation and navigation equipment that have a safe voyage. Finally, Engine Room is mounted switchboard and this is used to ship propulsion system. Therefore the purpose of this paper is for suggesting optimized standard to apply to marine environment through analyzing electromagnetic wave environment in ship. For this, we were measured EMF in Hanbada ship in Korea Maritime and Ocean University and we compared and analyzed to measured values in Korea standards and international standards. Consequently, Engine Room of ship for the identified that there are limits to apply. The proposed results of this research will be expected to utilize for establishing standard a plan for EMF in ship.
The ZZimzilbang is a room where many women eagerly go due to the special meaning women give to it related to their health. It is a different type of sauna room which maintains low degree of temperature, consisting of an Ondol room(Korean under-floor heating system, hypocaust) built with mineral stone radiating ultrared rays. Even though many women mention that they utilize it for health, there is no precise evidence of the effects on their health. This ethnographic study sought to define the phenomenon from the perspective of the women who experienced the ZZimzilbang. A convenience sample of 27 women was interviewed during a 15 month period from December 1995 to July 1997 in 12 ZZimzilbangs located in Seoul, Korea. The mean ages of the women 57.3 years ; seventeen women were housekeeper and only eight women had job : twenty women were married and three women among them were widows. The main reasons women patronize the place are : for mitigation and healing of physical signs and symptoms : composure ; safe lodging and boarding : control of outward appearance : control of health ; meeting and fellowship with friends : and custom. The outcomes of the utilization of the place were : mitigation of physical signs and symptoms : psychological tranquility : cosmetic and diet ; good use of spare time : and utilization of services provided there. Most women who visited ZZimzilbang for relief of physical signs and symptoms strongly mentioned a correlation to inadequate Sanhujori, the traditional postpartal and postabortal care for woman. Some of specific kinds of services provided in that place were alternative therapy such as acupuncture, negative cupping, finger-pressure, mugwort steam and various kinds of massage including massage of blood vessels that are influenced by Oriental medicine ; health education of breathing such as abdominal breathing or Danjeon(단전호흡) : and selling of many things including health foods, drugs for osteoporosis, and eutrophics. This study suggests that professional caregivers should further study this phenomenon for the development of adequate care of women with a resulting important in their quality of life.
Kim, Hyunjoo;Kim, Jin Seog;Lee, Jongman;Kim, Dalho
Analytical Science and Technology
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v.33
no.1
/
pp.49-57
/
2020
Controlling the quality of indoor air is important in order to maintain a healthy life. In this study, we investigated the correlation between the hazardous substance concentration of indoor air and circulation based on different ventilation methods in the apartment, which is one of the representative housing types in Korea. As target substances, we considered the hazardous substances which are generated during the cooking process and radon gas which is originated from building materials. We measured the concentrations of carbon dioxide and fine particles in relation to type of food and ventilation methods in order to determine the change in the concentration levels of hazardous substances which are generated during the cooking process. On the other hand, we measured the concentration of radon gas before and after letting fresh air into a room through windows in order to determine the change in the concentration level of radon gas which is originated from building materials. The results show that turning on the ventilation fan plays a major role in reducing the concentration levels of hazardous substances in the kitchen, and that it is more effective to turn on the ventilation fan during cooking than after cooking to prevent the diffusion of hazardous materials produced by cooking through the indoor air. Also, the results indicate that letting fresh air into a room through windows more than one time a day is necessary to reduce the concentration level of radon gas in the room to safe concentration range.
Tracheobronchial injuries are uncommon. Except for the cervical region, most tracheobronchial injuries are due to blunt chest trauma in Korea. The depth of the tracheobronchial trees renders these structures relatively safe from stab wound. We experienced a case of left main bronchial laceration with azygos vein tear following stab wound in the back of right chest firstly in Korea. The patient was a 24 years old male. A routine chest radiography showed a knife in chest at emergency room. We didn't remove the knife at emergency room. This patient was carried to operation room in 30 minutes after arrival of our hospital without computed tomography and bronchoscopy. The operation was performed through standard right posterolateral thoracotomy and then the knife was removed. The left main bronchus and azyos vein were lacerated obliquely. The penetrated azygos vein was ligated and the laceration of the left main bronchus was repaired. Postoperative course was uneventful.
The present study evaluated a preliminary control room (CR) design of radioactive waste facility using the $JACK^{(R)}$ human simulation system. Four digital humanoids ($5^{th}$, $50^{th}$, $95^{th}$, and $99^{th}$ percentiles) were used in the ergonomic evaluation. The first three were selected to represent 90% of the target population (Korean males aged 20 to 50 years) and the last to reflect the secular trend of stature for next 20 years in South Korea. The preliminary CR design was assessed by checking its compliance to ergonomic guidelines specified in NUREG-0700 and conducting an in-depth ergonomic analysis with a digital prototype of the CR design and the digital humanoids in terms of postural comfort, reachability, visibility, and clearance. For identified design problems, proper design changes and their validities were examined using JACK. A revised CR design suggested in the present study would contribute to effective and safe operations of the CR as well as operators' health in the workplace.
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