• Title/Summary/Keyword: vital sign

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The Effects of Music Therapy on Vital Sign Changes of operational Patients (음악요법이 수술환자의 활력징후 변화에 미치는 영향)

  • 홍순탁
    • Journal of Korean Academy of Nursing
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    • v.24 no.3
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    • pp.377-388
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    • 1994
  • The purpose of this study was to determine the effects of music therapy on changes in the vital signs of patients about to undergo an operation. The patients listened to the music at a time when they were feeling preoperative anxiety up until the preanesthesia was given in the operating room. The subjects for this study were selected from sixty patients to undergo operations, who were hospitalized at Dong Eui hospital in Pusan city. They were assigned to two groups, thirty to the experimental group and thirty to the control group. The subjects were from 20 years old to 69 years old, and had no other problem except the one requiring the operation, and no premedication. The data were collected during the period from July 1 to September 30, 1993. The method used in this study was to measure state-anxiety on the ward in the morning of the operation, and vital signs immediately before leaving for the operating room. Vital signs were measured immediately before the anesthesia was given and after the experimental group had listened to the music during the ten minutes needed to prepare the operation setting. The control group just waited during ten mimutes. Vital signs were check again before the anesthesia was given. The data were analyzed by descriptive statistics, mean±SD, p-value, and t-test using the SPSS progrom. The results of this study are : 1. Systolic blood pressure taken in the operating room was elevated, over the level measured on the ward, by 5.00 ± 15.26㎜Hg in experimental group and 18.67±14.56㎜Hg in control group. (t=-3.5496, p=.0008) 2. Diastolic blood pressure was elevated by 6.67±12.95㎜Hg in experimental group and 18.67±12. 79㎜Hg in control group. (t=-3.6100, p=.0006) 3. Pulse was elevated by 2.931±9.44 / min in experimental group and 8.03±8.37 /min in control group. (t=-2.2144, p=.0307) 4. Respiration was elevated by 0.60±1.35 /min in experimental group and 1.57±1.48 /min in control group. (t=-2.6409, p=.0106) 5. Body temperature was down by 0.13±1.91'c in experimental group and elevated by 1.13±1.11'c in control group. (t=-3.1471, p=.0026) Thus, in this study there was a statistically significant difference in the change in the vital signs between the experimental group treated with music therapy and the control group which received no treatment. Because music therapy is valuable to decrease the anxiety of patients facing operations, the result of this study support its effect in relieving anxiety as a valuable nursing intervention. From this study, the following recommendations can be made : First, it is necessary to further study music therapy to develope a better system and determine optimal time. Second, it is necessary that more detailed re-search on measurement of changes in vital signs be done to determine changes over time intervals.

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The Effects of Music Therapy on recovery of consciousness and vital signs in post operative patient in the recovery room (음악요법이 수술직후 환자의 의식회복과 활력징후에 미치는 영향)

  • Kim Sook-Jung;Jun Eun-Hee
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.7 no.2
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    • pp.222-238
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    • 2000
  • The purpose of this study was to demonstrate the effect of music therapy as a nursing intervention on changes in recovery of consciousness and vital signs for postoperative patients in the recovery room. The subject for this study were fifty three of postoperative patients who were transferred from the OR to the RR at Kwangju Christian Hospital in Kwangju City. Thirty of them were assigned to the experimental group, and twenty three, to the control group. The age of the subject was between twenty and sixty years of age. The subject had a general anesthesia without any special complications, and they were not completely awake. The data were collected for six months from July 1999 to February 2000. The method used was to compare the condition of the subjects in each group at the beginning and at certain times repeatedly. The features observed were the level of consciousness, the frequency of complaints of pain, and vital signs of the subject before and 15 minutes, 30 minutes, and 60 minutes after hearing their favorite music for 30 minutes. The results are as follows 1. The recovery of consciousness was revealed through significant changes in facial expression, facial color, and grip strength in the experimental group more strongly than in the control group. No significant changes were shown in verbal order. The differences in recovery of consciousness in the pre-post music therapy between the two groups was not significant in verbal order, facial expression, or grip strength. However, significant changes were seen in facial color. 2. There were no significant differences between the two groups in changes in the frequency of pain complaints after music therapy. However, a significant difference was shown in the pre-post music therapy scres. 3. Vital signs did not show a significant difference between the two groups. However, the $SPO_2$ of the experimental group was significantly elevated after 60 minutes. The difference pre-post to the music therapy in the vital signs between two groups was significant only in body temperature. This study showed that the effect of music therapy given to postoperative patients is that it promotes changes in facial expression, facial color, and grip strength helping recovery of consciousness, stabilizing vital signs, elevating levels of $SPO_2$. and reducing complaints of pain. It is recommended that if the patient wants it music therapy be given right after surgery in the recovery room as a nursing intervention.

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A Case Study of a Mobile Hospital Information System Usability (모바일 병원정보시스템 사용성에 대한 실증연구)

  • Ahn, Myong-Jin;Yang, Joon-Young;Ryu, Hyo-Seon;Park, Chan-Seok
    • Korea Journal of Hospital Management
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    • v.18 no.4
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    • pp.97-112
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    • 2013
  • This study is a proposal of quality scale and measurement for the Mobile Hospital Information System Usability used to the Chungnam National University Hospital in Daejeon Korea. This study is to provide decision- making guideline for hospital managers and to provide feedback for the users' information needs in Mobile Hospital Information System. The target people of the study were medical doctors in Chungnam National University Hospital. The service contexts of usability were request of medical Care, Vital sign check of Patient, Care Agreement of Patient, Blood management, Check of care state, Sign of choice doctors, Query of doctor order and patient measurement result. The Usability factors were the efficiency, effectiveness and satisfaction of quality model ISO9241-11. This study shows that the Mobile HIS is used for the communication and education between doctor and patients. Especially, The Care Agreement of Patient is a part of the most utilized in the Mobile HIS.

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Comparison of the Effects on Sleep and Vital Signs of the Elderly Between the Hand Bath Group and the Foot Bath Group (수욕(手浴)과 족욕(足浴)이 노인의 수면과 활력징후에 미치는 효과비교)

  • Kang, So-Yean;Kim, Joo Hyun
    • Journal of Korean Biological Nursing Science
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    • v.19 no.3
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    • pp.151-157
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    • 2017
  • Purpose: The purpose of this study was to identify the effects of hand and foot baths on sleep and body temperature of the elderly. Methods: The research was designed for a nonequivalent control group before and after the test design. The subjects of this study totaled 43, aged 65 and over (23 people in hand bath group and 20 people in a foot bath group), who received a written voluntary consent to participate in experimental treatment and are in the W care center, S Nursing Home, and H care center in Seoul. Data were collected with questionnaires and observations, and were analyzed on the basis of frequency, percentage, mean, standard deviation, ${\chi}^2-test$, Fisher exact test, t-test and paired t-test. Results: There are no significant differences in homogeneity test of a dependent variable between groups (hand bath, foot bath). The differences between 2 groups on the sleep quality score and systolic blood pressure, diastolic blood pressure temperature were not significant statistically except on the pulse. Conclusion: Based on the results of this study, hand bath is as efficient as foot bath. Therefore, a hand bath can be a nursing intervention in order to enrich sleep quality for the elderly because a hand bath is more convenient than foot bath.

Development of HL7 V 2.5 Middleware for Patient Monitoring Device (환자감시장치를 위한 HL7 V2.5 미들웨어의 개발)

  • Kim, Hyung-Hoi;Cho, Hune;Tran, Tung;Hong, Hae-Sook;Kim, Hwa-Sun
    • The Transactions of The Korean Institute of Electrical Engineers
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    • v.56 no.9
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    • pp.1680-1687
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    • 2007
  • A hospital room has multiple patient monitoring devices at the bedside to monitor his or her status. However, vital sign monitors, ventilator and other bedside devices are made by a variety of different manufacturers and often cannot easily interface to the hospital information system. Medical environments incorporate complex and integrated data networks to transfer vast amounts of patient information, such as images, waveforms, and other forms of digital data. Hence, to assure interoperability of images, waveforms and patient data, Health Level Seven (HL7) was developed as an international standard to facilitate the communicating and storing of medical data. In this study, we developed middleware capable of receiving data from mCare 300 vital signs monitoring devices and converting the data to HL7 data format. The HL 7 middleware streamline clinical workflow and support patients. Therefore, clinical expertise are empowered to respond to dynamic healthcare situation as soon as they emerged, and consequently quality of care while helping to reduce the length of a patient's stay in a hospital.

A Literal Study about the Apoplexy Prognosis of Primary Factors and the Method of the Function Assessment (중풍의 예후 인자 및 기능 평가방법에 관한 문헌적 고찰)

  • 조은희;권정남;김영균
    • The Journal of Korean Medicine
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    • v.21 no.4
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    • pp.138-147
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    • 2000
  • Objectives and Method : In this study, I have investigated what kind of primary factors detennine the apoplexy prognosis, and the method of the function assessment about the apoplexy by inquiry into the literature on this subject Results and Conclusions : 1. The primary factors to have an effect upon the appoplexy are : the location of Pungsa; whether five organs ki is existent or not; pulse feeling; tongue condition; whether or not the patient produces stool or urine; for males, the left side; for females, the right side ; whether or not the patient sweats; consciousness; vital signs; and the region and size of disease and brain hernia. 2. MBI is often used because it is considered to be objective, simple, and highly reliable. But its absence of a legal recognition assessment is a major incongruence. 3. Inclusive and standard assessment are key points in the reinforecement by AM of legal recognition assessment, but it takes a lot of time and is not endowed with adding an extra weight and is vague to the division between the communication and social recognition grade. 4. AI is useful and easy to evaluate the mental ability, the capacity for locomotion and the daily activities inclusively.

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Development for body temperature sensor and monitoring telemetry system (체온측정용 온도 센서 및 모니터링 텔레메트리 시스템 구현)

  • Lee, Jyung-Hyun;Seong, Ki-Woong;Kim, Myoung-Nam;Cho, Jin-Ho
    • Journal of Sensor Science and Technology
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    • v.19 no.6
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    • pp.435-442
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    • 2010
  • Typically, the vital signs that are representing the state of human body, are the body temperature, sphygmus, respiration and blood pressure. The body temperature is the result of metabolic regulation and human steady-state body temperature is maintained from 35.9 to $37.4^{\circ}C$ by heat regulatory center. The body temperature is indicative of infection and especially it should be monitored to requiring intensive care patients or after surgical patients. But, measuring of body temperature to a heavy workload on nursing staff has been recognized. And, the health service of nurse is limited by simple tasks such as the measurement and record of vital sign. In this paper, the body temperature monitoring telemetry system was proposed to prove the recoding and transmission of body temperature patch system according the standard(ISO TS11073-92001). We proposed the transmission protocol to suit the MFER(medical waveform format encoding rules). The telemetry patch system was implemented and it was verified by experiments.

Completeness of Patient Care Report (PCR) by Paramedics

  • Lee, HyoJu;Kim, JongHo;Yun, Seong Woo
    • Journal of information and communication convergence engineering
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    • v.20 no.3
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    • pp.204-211
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    • 2022
  • This study evaluated the completeness of patient care report (PCR). A retrospective quality analysis was conducted using raw data of 122,140 EMS activity reports prepared by paramedics in Gyeonggi-do from April 1 to May 31, 2021. In all, 67,830 cases of normal transfers were statistically analyzed using IBM SPSS Statistics version 22, and statistical significance was set at p<0.5. The 119EMT_2 certificate was omitted in 50,037 (73.8%) cases, followed by time-related items in 1,227 (1.8%) cases. In the primary assessment of vital signs, systolic blood pressure was omitted and erroneous in 1,218 (1.9%) and 1,129 (1.8%) cases, respectively. In the secondary assessment, the completeness of all vital sign items was approximately 70%. Advanced emergency care and online medical control (OLMC) reporting showed discrepancies in all items. As the severity of the patient's condition increased, the errors in the Patient care report (PCR) also increased, at a significant level (p= .00). Paramedics must be aware of the importance of completing the activity report.

The development and effects of metaverse-based core nursing skill contents of vital signs measurements and subcutaneous injections for nursing students (간호학생을 위한 메타버스기반 활력징후측정과 피하주사 핵심간호술 콘텐츠 개발 및 효과 검증)

  • Ahn, Min Kweon
    • The Journal of Korean Academic Society of Nursing Education
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    • v.28 no.4
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    • pp.378-388
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    • 2022
  • Purpose: The purpose of this study was to evaluate the effects of Metaverse-based core nursing skill contents (CNSC) developed for undergraduate nursing students. Methods: A nonequivalent control group was sampled with a non-synchronized design. Seventy-two participants (experimental group 34, control group 38) were recruited from May to June 2022 in Gwangju metropolitan city. The CNSC consisted of scenarios of vital sign measurements, and subcutaneous injections (including blood sugar tests). The data were analyzed using SPSS version 25 for Windows. Results: At the completion of the CNSC, statistically differences were found between groups in knowledge of core nursing skills (t=6.20, p<.001), confidence in core nursing skills performance (t=5.71, p<.001), and clinical competency (t=3.32, p=.001). Conclusion: These results indicate that the CNSC developed for undergraduate nursing students is effective in improving knowledge of core nursing skills, confidence in core nursing skills performance, and clinical competency for nursing students.

A Study on the Measurement of Respiratory Rate Using a Respirator Equipped with an Air Pressure Sensor

  • Shin, Woochang
    • International journal of advanced smart convergence
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    • v.11 no.4
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    • pp.240-246
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    • 2022
  • In order to measure the respiratory rate, one of the major vital signs, many devices have been developed and related studies have been conducted. In particular, as the number of wearers of respirators increases in the COVID-19 pandemic situation, studies have been conducted to measure the respiratory rate of the wearer by attaching an electronic sensor to the respirator, but most of them are cases in which an air flow sensor or a microphone sensor is used. In this study, we design and develop a system that measures the respiratory rate of the wearer using an air pressure sensor in a respirator. Air pressure sensors are inexpensive and consume less power than the other sensors. In addition, since the amount of data required for calculation is small and the algorithm is simple, it is suitable for small-scale and low-power processing devices such as Arduino. We developed an algorithm to measure the respiratory rate of a respirator wearer by analysing air pressure change patterns. In addition, variables that can affect air pressure changes were selected, and experimental scenarios were designed according to the variables. According to the designed scenario, we collected air pressure data while the respirator wearer was breathing. The performance of the developed system was evaluated using the collected data.