• 제목/요약/키워드: vomiting

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원인불명 오심 구토의 태양인 미후등식장탕 치험1례 (A Case Report of Taeyangin Patient with Unexplained Nausea and Vomiting Treated with Mihudeungsikjang-tang)

  • 오승윤;박수정;박혜선
    • 사상체질의학회지
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    • 제35권4호
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    • pp.116-122
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    • 2023
  • Objective To report the improvements with Mihudeungsikjang-tang on taeyangin patient with unexplained nausea and vomiting. Method The 55-year-old woman had severe nausea and vomiting after taking laxatives about 2 months ago. However, endoscopy and other examination findings were unremarkable except for gastritis. Soyangin Dojeokganggi-tang and taeyangin Mihudeungsikjang-tang were applied as a main treatment. Results The symptoms of nausea and vomiting were immediately improved after constipation disappeared applying Mihudeungsikjang-tang. Conclusion This case showed that Mihudeungsikjang-tang according to the appropriate constitutional diagnosis could improve nausea and vomiting which were not improved by other treatments.

오심, 구토, 구역질 측정도구의 신뢰도와 타당도 검증 (The Index of Nausea, Vomiting, and Retching(Korean Translation))

  • 김영재;김지영;최인령;김미원
    • 성인간호학회지
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    • 제12권2호
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    • pp.278-285
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    • 2000
  • Nausea, vomiting and retching are universal symptoms that affect individuals' state of health and self-care activities of individuals. Accurate measurements of individual symptoms are required to gather more definitive data, and enhance understanding, planning, and implementation of self-care actions. Recently the Rhodes Index of Nausea, Vomiting, and Retching(INVR), a new format of the INV-2(the Rhodes Index of Nausea and Vomiting), was developed to measure the symptoms of nausea, vomiting and retching in an English speaking population. To determine the reliability and validity of the INVR, and the possibility of using the instrument in Korea, the Korean translation of the INVR and the INV-2 were administered to a convenient sample of 105 patients at two University Hospitals in Kwangju, Korea. The Cronbach's alpha to estimate the internal consistency of reliability for INVR was 0.844. Equivalent measures of reliability were conducted to determine the percentage of agreement and the Spearman rank correlation coefficients for responses on the two instruments. The percent agreement was 83% and the correlation coefficient was 0.906 over all. A significant differences between the INVR scores of the patients with and without nausea, vomiting, or retching were seen, which indicated a construct validity. The INVR was found to be more user friendly for the patient and the healthcare providers. As a result, it is suggested that the INVR can provide a scientific base for measuring the symptoms of nausea, vomiting, and retching for nurses to improve patients' care and quality of life.

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소아구토(小兒嘔吐)의 병인병리(病因病理)에 관한 동서의학적(東西醫學的) 문헌적(文獻的) 고찰(考察) (Literatural study on the cause of the Infantile Vomiting)

  • 한재경;유동열
    • 혜화의학회지
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    • 제9권1호
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    • pp.337-352
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    • 2000
  • According to the literatual study on the Infantile Vomiting since the publication of ${\ll}Hwangjenaekung{\gg}$, the results were as follows. 1. The causes of vomiting are classified into the following kind: external cause are the cold and heat, not external and internal are disorder of food and mood, internal are the dysfuntion of spleen, stomach, liver, kidney. 2. The Oriental Medical cause of Infantile Vomiting is disorder of food, intusion of outside evil, heat accumulation in the stomach, deficiency of stomach liquid, reverse flowing of Qi resulted from fear and being frightened. There are so many causes of Infantile Vomiting, but they are all related to the stomach. 3. The Western Medical cause of Infantile Vomiting are classified with the situation of stimulation, age, accompanied symptom. The main cause related with the age is inhalation of amniotic fluid, maternal blood, infectious disease, wrong lactation method, functional and organic abnormality. 4. The Infantile Vomiting is similar with the adults, but the spleen and stomach of infants is so feeble that the vomiting happens very easily. The reverse flowing of Qi resulted from fear and being frightened and disorder of food are the main cause in infants. 5. The cause of Infantile Vomiting between Oriental Medicine and Western's is so similar and both emphasized the function of spleen and stomach. But the comment on the external cause(cold, heat) and not internal & external cause(mood disorder) is a creative view of Oriental Medicine.

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항암화학요법을 받는 암 환자의 오심, 구토관리를 위한 환자용 지침 개발 (Development of Cancer Patient Guide for Nausea & Vomiting Management in Chemotherapy)

  • 이지은;박명화
    • 성인간호학회지
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    • 제22권6호
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    • pp.570-581
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    • 2010
  • Purpose: This study was conducted to develop a Cancer Patient Guide with patients involvement using evidenced based practice research. The purpose of this patient guide was to help patients undergoing chemotherapy to manage their nausea and vomiting based on evidence. Methods: The design of the research was a methodological study. The participants consisted of seven cancer patients who were asked about their ' need for nausea and vomiting management, and secondly, 16 expert & 15 cancer patients to evaluate the Cancer Patient Guide using the DESCERN tool. Results: 1) Sixty-four relevant research evidences based articles were reviewed. 2) Patients were interviewed as to their needs in controlling nausea and vomiting. 3) The preliminary Cancer Patient Guide utilizing the research evidenced and the cancer patients interviews was then evaluated and revised by the experts and cancer patients. Lastly, the Cancer Patient which included an overview of chemotherapy, pathophysiology of nausea & vomiting, pharmacological and non-pharmacological interventions was finalized with each intervention supported by research evidence and patients' narratives of their experience. Conclusion: The Cancer Patient Guide was developed using evidenced based research and cancer patients in-put and be used to improve patients' self-management skill of nausea and vomiting in chemotherapy. The guide t also provides evidence based patient friendly information and contributes as a baseline data for developing and evaluating evidence-based guide for patients.

부인과 수술 환자의 수술 전 금식기간 탈수량이 수술 후 오심.구토에 미치는 영향 (Effects of Preoperative Dehydration on Postoperative Nausea and Vomiting in Gynecological Surgery Patients)

  • 황윤정;박소미
    • 여성건강간호학회지
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    • 제21권1호
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    • pp.23-31
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    • 2015
  • Purpose: The purpose of this study was to investigate the effect of dehydration from preoperative fasting on postoperative nausea and vomiting in patients who underwent gynecologic surgeries. Methods: Study design was a prospective descriptive study. A total of 75 patients in a university hospital were selected. Data were collected from March 17 to May 16, 2014 using self-report questionnaires and clinical electronic chart. Results: Factors influencing the development of postoperative nausea and vomiting were type of surgery (t=3.44, p=.001), use of PCA (t=-2.16, p=.034), and preoperative dehydration level (t=5.93, p<.001), and these variables accounted for 51.7% of postoperative nausea and vomiting. Among these variables, preoperative dehydration amount (${\beta}=.56$) showed the largest influence in the difference in postoperative nausea and vomiting. Conclusion: Reducing dehydration during preoperative fasting can prevent occurrence of postoperative nausea and vomiting. Development of a clinical guideline is necessary to give directions for the prevention of dehydration during preoperative fasting and to ensure the proper duration of fasting according to patient characteristics, type of surgery and time of surgery.

항암화학요법을 받는 입원환자의 오심·구토 및 불안 정도에 관한 조사연구 (Nausea/Vomiting and Anxiety of Hospitalized Cancer Patients Receiving Chemotherapy)

  • 최자윤;소향숙;조인숙
    • 성인간호학회지
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    • 제16권2호
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    • pp.211-221
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    • 2004
  • Purpose: The purpose of this study was to describe the pattern of changes on the score of nausea/vomiting and anxiety during one cycle of chemotherapy. Method: A total of 53 subjects who were admitted to C University Hospital for a period of 3 days and 2 nights for chemotherapy were selected from February to April, 2003. Total scores of nausea/vomiting were measured twice a day 3 days for a total of 6 measurements. Anxiety, anorexia, and fatigue were also measured at the first and last measurement points. Data were analyzed by one-way repeated measures, ANOVA, t-test, paired t-test, & Pearson's correlation. Result: The score of nausea/vomiting increased over time except for the 4th measurement point but no changes were significant over time. There were the significant differences between 1st and 2nd, and 2nd and 3rd nausea/vomiting score at p < 0.05. The scores of anxiety, anorexia, and fatigue between the first and 6th points were significantly different(t=-5.69, p=.001; t=6.25, p=.0001; t=3.65, p=.0007). Conclusion: Further studies are needed to identify the relationship between anxiety, and anticipatory and acute nausea/vomiting respectively.

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향기흡입이 항암 화학요법 환자의 오심·구토와 식욕부진에 미치는 효과 (Effects of Aroma Oil Inhalation on Nausea·Vomiting and Anorexia in Cancer Patients Receiving Chemotherapy)

  • 정은숙;이병숙
    • 성인간호학회지
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    • 제16권1호
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    • pp.135-145
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    • 2004
  • Purpose: The purpose of this study was to examine the effects of aroma oil inhalation using peppermint and bergamot on nausea vomiting and anorexia in cancer patients receiving chemotherapy. Method: Study subjects were 30 patients who had experienced nausea and vomiting when they had been hospitalized in K university hospital located in D city after receiving more than two Cisplatin combination chemotherapy treatments. Among them 15 patients were in the experimental group doing aroma oil inhalation and the other 15 patients were in the control group without aroma oil inhalation. The data were collected from February 1, 2002 to May 17, 2002. The data were analyzed with SPSS WIN 10.0 program using frequency, percentage, $x^2$-test, t-test, Repeated Measures ANOVA. Result: 1) The degree of nausea and vomiting in the experimental group with aroma oil inhalation using peppermint and bergamot were significantly lower than that of the control group. 2) The degree of anorexia in the experimental group with aroma oil inhalation using peppermint and bergamot were significantly lower than that of the control group. Conclusion: aroma oil inhalation was effective for relieving patients' nausea vomiting and anorexia receiving chemotherapy. Therefore, it is proposed that aroma oil inhalation should be applied as a supportive nursing arbitration method to relieve patients' nausea vomiting and anorexia who are receiving chemotherapy.

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군대생활 부적응으로 급격한 체중감소를 나타낸 칠정토(七情吐) 환자 치험 1례 (A Case of Psychogenic vomiting (七情吐) patient who showed loss of the weight due to Maladjustment in a Military life)

  • 유종호;김주호;김근우;구병수
    • 동의신경정신과학회지
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    • 제17권3호
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    • pp.131-141
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    • 2006
  • Psychogenic vomiting (七情吐) is the disease of vomiting due to seven emotions that joy, anger, melancholy, anxiety, grief, fear and terror being the response of the mind to the environmental stimuli. We experienced a 21year-old man who had a psychogenic vomiting due to maladjustment in a military life, and whose condition was improved through oriental medical treatment. We treated the patient with Herbal medications and Giungoroen (至言高論)-wise saying and lofty opinion). Giungoroen is psychological therapy that promotes patient's recognition of disease and will to cure it through conversation. After being treated, the patient showed that symptoms (vomiting, nausea, abdominal discomfort, insomnia, a depressed mood, a feeling of uneasiness) was improved considerably. Tills result suggests that oriental medical treatment bas good effect on psychogenic vomiting due to adjustment disorder.

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장종정(張從正) 토법(吐法)의 경험례 (Experience in Jang Jong-jeong's Vomiting Treatment)

  • 김의태;차웅석;김남일
    • 한국의사학회지
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    • 제19권2호
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    • pp.87-100
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    • 2006
  • Jang Jong-jeong thought that, because all diseases come from miasma, for treating diseases, it is important to attack or remove miasma infiltrating into the body. Thus, he treated diseases using three methods, namely, vomiting against miasma on the top, sweating against miasma on the surface, and diarrhea against miasma on the bottom. Among them, vomiting is rarely used in contemporary Oriental medicine, but still one of major disease treatment methods. Vomiting is quite meaningful in today's clinics and particularly effective for acute diseases, the miasma of which is in the upper chest. According to the present researcher's experiences, it is effective in cases that the pathological symptoms are observed in the upper chest such as early stroke, dyspepsia, chest congestion and congestion heat. For vomiting, the researcher applied Dokseongsan, Samseongsan, Gwachesan, Gangyeomtang, Bangpungtongseongsan, etc. Dokseongsan was used for vomiting in a cool way, and Samseongsan and Gwachesan were used for vomiting in a warm way. Bangpungtongseongsan was used when inner heat was choked up by the attack of external miasma and when the pathological symptoms of Bangpungtongseongsan were observed.

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내관 지압이 자가 통증 조절을 하는 복강경하 전립선절제술 환자의 오심과 구토에 미치는 효과 (Efficacy of Nei-Guan acupressure on Nausea and Vomiting in Patients undergoing laparoscopic prostatectomy with Intravenous Patient Controlled Analgesia)

  • 신미영;하주영
    • 기본간호학회지
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    • 제21권2호
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    • pp.131-140
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    • 2014
  • Purpose: This study was done to evaluate the efficacy of Nei-Guan acupressure on nausea and vomiting in patients undergoing laparoscopic prostatectomy with intravenous patient controlled analgesia (IV-PCA). Methods: Data were collected between August 13, 2012 and January 31, 2013 at a hospital in Busan. The participants were 45 men, who underwent the surgery laparoscopic prostatectomy, with IV-PCA. Data were analyzed using descriptive statistics, $x^2$-test, repeated measures ANCOVA and Games-Howell test with PASW 18.0. Results: Nei-Guan acupressure had an interaction effect on nausea between group and time (F=5.01, p<.001), group (F=10.80, p<.001), time (F=26.51, p<.001) in laparoscopic prostatectomy with IV-PCA and also an interaction effect on vomiting between group and time (F=2.77, p=.032), group (F=8.89, p=.001), time (F=4.01, p=.022). Conclusion: Results indicate that nei-guan acupressure is a potentially effective therapy for the prevention of nausea and vomiting which occur with IV-PCA. Therefore, if patients complain of nausea and vomiting when receiving IV-PCA, nurses can provide patients with information about nei-guan acupressure and help them with nausea and vomiting.