• Title/Summary/Keyword: well-being of patients

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Patient-Reported Outcomes after Subpectoral Breast Augmentation with Microtextured or Macrotextured Implants Using the BREAST-Q

  • Leite, Alice Teixeira;Sabino-Neto, Miguel;Resende, Vanessa Contato Lopes;Veiga, Daniela Francescato;Ferreira, Lydia Masako
    • Archives of Plastic Surgery
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    • v.49 no.3
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    • pp.352-359
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    • 2022
  • Background Breast augmentation with implants is the most commonly performed cosmetic plastic surgery in Brazil and worldwide. The aim of this study was to assess patient satisfaction and quality of life following subpectoral breast augmentation with either microtextured or macrotextured implants, using the BREAST-Q. Methods A prospective study was conducted with 40 women with hypomastia undergoing subpectoral breast augmentation. The patients were randomly allocated to two groups to receive either microtextured or macrotextured breast implants. All participants were assessed preoperatively (baseline) and after 2 and 4 months of surgery for quality of life and patient satisfaction with the surgical results, using the BREAST-Q augmentation module, a patient-reported outcome measure. Results The patients had a mean age of 28.9 ± 6.45 years. The microtextured (n = 20) and macrotextured (n = 20) groups were homogeneous for sex, age, education level, marital status, and number of children (p > 0.05). Both groups showed significant improvement in satisfaction with breasts (p < 0.001), psychosocial well-being (p < 0.001), and sexual well-being (p < 0.001) at the 2- and 4-month follow-up visits compared with baseline. The observed improvements were associated with high effect size values of 5.09, 3.44, and 3.90, respectively. In contrast, significant decreases from baseline in physical well-being scores (p = 0.001) were found 2 and 4 weeks after surgery in both groups. Conclusion Subpectoral breast augmentation with either microtextured or macrotextured breast implants improved satisfaction with breasts and quality of life in patients with hypomastia.

Bronchoplasty -A report of 5 cases (기관지 성형술 5례 보고)

  • Kim, Eung-Jung;Kim, Yong-Jin
    • Journal of Chest Surgery
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    • v.18 no.3
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    • pp.497-505
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    • 1985
  • Bronchoplastic techniques represent the ideal surgical therapy for benign endobronchial tumors as well as tumors of low-grade malignant potential, such as bronchial adenomas, and for repair of traumatic airway injuries and benign strictures. This approach is also applicable to a select group of patients with carcinoma of the lung, with long-term survival being comparable to that achieved by standard pneumonectomy. Five bronchoplastic procedures were performed at Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital during 7 months periods from Dec. 1984 to Jun. 1985. Of the 5 patients, 3 patients were male and 2 patients were female and ages ranged from 8 years to 55 years old. The final diagnoses of 5 patients were as followed; traumatic bronchostenosis, endobronchial tuberculoma, carcinoid tumor, tuberculous bronchostenosis and traumatic bronchial fracture. Operative procedures of 5 patients were as followed; resection and end-to-end anastomosis of right main bronchus, left lower lobectomy and wedge resection of bronchus, left upper sleeve lobectomy, right middle and lower sleeve lobectomy and resection and end-to-end anastomosis of left main bronchus. And 2 lungs and 3 lobes could be preserved by these bronchoplastic procedures. There was no post-operative complication or mortality and all patients are being followed up without specific problem.

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A Study On the Distribution of Malocclusion Patents From Department of Orthodontics, Chong-A Dental Hospital (청아치과병원 교정과에 내원한 환자의 분포와 부정교합분류에 관한 연구)

  • Kim, Nam-Joong;Lee, Tae-Jung
    • Journal of Technologic Dentistry
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    • v.21 no.1
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    • pp.131-138
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    • 1999
  • As a society has developed, much concern has been put on appearances of people with development of economy. Accordingly malocclusion patients have been increasing. With this trend, it has become very important to investigate patients characteristics so as to cure the patients effectively. This study investigated 724 malocclusion patients who had been examined diagmosed and recorded well at Chong-a Dental Hospital for 5 years from 1994 to 1998. The results are as follows ; 1) The total number of orthodontic patients in 1998 increased about 79% than in 1994, and female orthodontic patients(68.1%) were more than male ones(31.9%). 2) Age distribution has shown more than 19 year-old group being the largest(48.9%) 3) Distributions in the types of malocclusion according to the Angle's classification have shown 42.5% for class I division, 21.5% for class II division, 35.9% for class III division, being class I division the largest. 4) 50.1% of the total patients were from Kang-nam Gu, So-cho Gu, and Song-pa Gu.

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Good Nursing Experience of Patients with Cancer in a Korean Cancer Hospital (암 병원 입원 환자들의 '좋은 간호(Good Nursing)' 경험)

  • Suh, Eunyoung E.;Yoo, Hye Jin;Hong, Jeong Hee;Kwon, In Gak;Song, Hyunju
    • Journal of Korean Critical Care Nursing
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    • v.13 no.3
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    • pp.51-61
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    • 2020
  • Purpose : This study aimed to explore and describe good nursing experiences of patients with cancer. Methods : Data were collected using individual in-depth interviews with 15 males and 8 females who were hospitalized in a Korean cancer hospital. The transcribed script was analyzed using Colaizzi's phenomenological method. Results : As a result, three theme clusters and nine themes were identified. The three theme clusters were as follows: "being kind and expert in every step along the cancer care trajectory," "taking an omnipotent mediator role supporting patients' well-being," and "providing professional care touching patients' mind and body." Three themes were assigned to each cluster to illustrate the given phenomena. Conclusion : Cancer patients wanted considerate understanding and sincere care from nurses while they experienced physical and emotional suffering owing to the cancer, treatment trajectory, and hospital system. To improve the quality of nursing care for cancer patients, patient-centered care combined with nurses' expertise in oncology care must be provided based on the insights from our study's findings.

The Clinical Study of Stress Perceived by 50 patients with Bell's palsy (구안와사 환자 50례의 스트레스 정도에 관한 임상적 연구)

  • Ock, Min-Keun;Huh, Yeon-Sik;Kim, Chang-Hwan;Park, Soo-Eun
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.19 no.3 s.31
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    • pp.146-157
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    • 2006
  • Objective : This study is to explore the various of the stress by perceived by paitents with Bell's palsy Methods : 50 patients who were diagnosed as Bell's palsy were sequentially interviewed and examined Results : The results were as follows 1. The mean average PWI(Psychosocial well-being index, total : score)was $41.58{\pm}17.53$ :Factor I(Social performance and self-confidence) with a mean of $11.18{\pm}8.38$, Fact II( Depression) with a mean of $8.94{\pm}6.26$, Factor III(Sleeping disturbance and anxiety) with a mean $of7.56{\pm}5.20$, Factor IV(General well-being and vatality)with a mean $of9.90{\pm}4.44$ 2. With the respect to the general characteristics of subjects, there were statistically significant differences in the patients's stress perception by sex, having an occupation and the amount of sleeping time. Conclusions : We needed the further study about the relation between stress and Bell's palsy

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Exploring Communication Difficulties in Pediatric Hematology: Oncology Nurses

  • Citak, Ebru Akgun;Toruner, Ebru Kilicarslan;Gunes, Nebahat Bora
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.9
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    • pp.5477-5482
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    • 2013
  • Background: Communication plays an important role for the well being of patients, families and also health care professionals in cancer care. Conversely, ineffective communication may cause depression, increased anxiety, hopelessness and decreased of quality life for patients, families and also nurses. Objective: This study aimed to explore communication difficulties of pediatric hematology/oncology nurses with patients and their families, as well as their suggestions about communication difficulties. Materials and Methods: It was conducted in a pediatric hematology/oncology hospital in Ankara, Turkey. Qualitative data were collected by focus groups, with 21 pediatric hematology/oncology nursing staff from three groups. Content analysis was used for data analysis. Results: Findings were grouped in three main categories. The first category concerned communication difficulties, assessing problems in responding to questions, ineffective communication and conflicts with the patient's families. The second was about the effects of communication difficulties on nurses and the last main category involved suggestions for empowering nurses with communication difficulties, the theme being related to institutional issues. Conclusions: Nurses experience communication difficulties with children and their families during long hospital stays. Communication difficulties particularly increase during crisis periods, like at the time of first diagnosis, relapse, the terminal stage or on days with special meaning such as holidays. The results obtained indicate that pediatric nurses and the child/family need to be supported, especially during crisis periods. Feeling of empowerment in communication will improve the quality of care by reducing the feelings of exhaustion and incompetence in nurses.

Park Golf Participation of Physically Disabled Impact on Psychological Well-being and Subjective Happiness (파크골프 참여가 지체장애인의 심리적 웰빙과 주관적 행복감에 미치는 영향)

  • Kim, Dong Won
    • 재활복지
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    • v.18 no.4
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    • pp.187-205
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    • 2014
  • Is to identify how this affects the physically disabled to participate in the program 12 weeks Park Golf psychological well-being and happiness, the purpose of this research is subjective. How to study subjects, only 40-year-old disabled man more than 24 people total delay experimental group and 12 patients(failure cut seven, delayed dysfunction 5) and the control group and 12 patients(failure cut six, delayed dysfunction in 4, two people were involved in the joint disorder). 3 times a week(Mon, Wed, Fri), was carried out 50 minutes into 12 weeks of the experimental period, was located at River Park Golf Course A test place. We calculate the pre-and post-test data mean and standard deviation using SPSS Statistics 21.0 statistical data processing program, binary repeated measures ANOVA to analyze the effects on the psychological well-being of the disabled and subjective effects euphoria Park Golf Participation(was performed 2-way [2] RM ANOVA). First results in psychological well-being of the two groups according to Park Golf participate in group comparisons before and after the exercise involved only fun, immersive and shows were not significantly different, within each group enjoyment, competence, self-realization, all the children of the immersion showed a significant difference in the factors. Second, before and after participation in exercise, there was a significant difference between groups in subjective happiness of two groups according to Park Golf participation, the two groups were not significantly different within. Taken together the results to see more, showed that the positive effects on the psychological well-being and subjective happiness Park Golf participation is the Physically Disabled.

A study on the Nurses' Perception of Comfort (임상간호사가 지각하는 환자의 안위에 관한 연구)

  • Kim Keum-Soon;im Kyung-HeeK;Kang Ji-Yeon;Seo Hyun-Mi;Won Jong-Soon;Jeong In-Sook;Chung Hae-Kyung;Sohng Kyeong-Yae
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.9 no.2
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    • pp.300-310
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    • 2002
  • Purpose: This study describes the perception of comfort by hospital nurses. Q-methodological was used. Method: The participants completed a 37-item a sort made up of statements which could be ranked in terms of their relevance to the subjective meaning of comfort Result: Three interpretable types of comfort were identified. They are as follows : Type I, emotional and spiritual well-being style: The nurses perceived that patients feel comfortable when they feel emotional support from others and spiritual easiness. The nurses felt that the patients put worth in hope for a healthy life. free from pain and fear of death. Type II, acceptive medical environment style: The nurses perceived that patients have a secure and satisfied attitude towards prompt responses, exact information and skilled Intervention techniques. They also perceived that patients feel safe and secure when they feel free of pain and medical staff are kind. Type III, physical well-being style; The nurses perceived that patients feel safe and comfortable when they feel free of pain and have a good sleep and are able to maintain a comfortable position. They perceived that patients put a high value on meeting the basic needs of safety, such pain, sleep and positioning. Conclusion: The result of this study can be used as a basis to develop nursing measures for promoting comfort. Further studies are recommended on factors which influence nurses' perception of comfort and strategies to promote comfort according to the style of the patients.

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Quality of Life in Gestational Trophoblastic Neoplasia Patients after Treatment in Thailand

  • Leenharattanarak, Pattaramon;Lertkhachonsuk, Ruangsak
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.24
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    • pp.10871-10874
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    • 2015
  • Background: Gestational trophoblastic neoplasia (GTN) is a malignant disease which occurs in women of reproductive age. Treatment of GTN has an excellent outcome and further pregnancies can be expected. However, data concerning quality of life in these cancer survivor patients are limited. This study aimed to assess quality of life in women who were diagnosed with GTN and remission after treatment, and to determine factors that may affect quality of life status. Materials and Methods: This cross sectional study was conducted from July 2013 to May 2014 in the Gestational Trophoblastic Disease Clinic, King Chulalongkorn Memorial Hospital, Bangkok, Thailand. Patients who were diagnosed GTN and complete remission were recruited. Data collection was accomplished by interview with two sets of questionnaires, one general covering demographic data and the other focusing on quality of life, the fourth version of Functional Assessment of Cancer Therapy (FACT-G). Descriptive statistics were used to determine general data and quality of life scores. Students t-test and one way ANOVA were used to compare between categorical and continuous data. Results: Forty four patients were enrolled in this study. The overall mean quality of life score (FACT-G) was 98.2. The overall FACT-G score was not significantly correlated with age, education level, stage of disease, treatment modalities, and time interval from remission to enrollment. However, patients who needed further fertility showed significant lower FACT-G scores in the emotional well-being domain (p=0.02). Conclusions: Overall quality of life scores in post-treatment gestational trophoblastic neoplasia patients are in the mild impairment range. Patients who desire fertility suffer lower quality of life in the emotional well-being domain.