• 기본간호학회지
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• 제7권1호
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• pp.86-96
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• 2000

The purpose of the study was to investigate the effects of Warming Therapy used with patients consistantly before and during surgery to on changes in their body temperatures. The data were collected from patients in a university hospital in Taegu between December 1, 1998 and May 31, 1999. The subjects were selected from patients who were hospitalized for total hip replacement surgery. Thirty participants were assigned to two groups : experimental(Warming Therapy) group and control group. Each group consisted of 15 patients. The research design was a repeated measurement design, using a nonequivalent control group. The Warming Therapy, using a forced-air warming blanket, that is a, 'Bair Hugger' was applied to subjects in the experimental group. The subjects in the group were treated with the 'Bair Hugger' to warm up the whole body for 40 minutes before surgery and upper body and face during the operation. The core temperature was measured using a tympanic thermometer. The body temperature of the patients was measured 13 times every 15 minutes during the surgery. After the operation the body temperature of the patients was measured 4 times every 15 minutes, from the time of arrivial in the recovery room to the time of leaving the recovery room. The SPSS Win 9.0 program was used for data analysis. Specific methods tested were done using ${\chi}^2-test$, t-test, repeated measures ANOVA. The findings of the study are as follows. 1. The first hypothesis, 'The level of tympanic temperature for the experimental group which received Warming Therapy will be higher than that of the control group during the operation', was supported (F=32.16, p=.000). 2. The second hypothesis, 'The level of tympanic temperature for the experimental group which received Warming Therapy will be higher than that of the control group after the operation', was supported.(F=33.36, p=.000) 3. During recovery, shivering was observed one patient in the experimental group and seven patients in the control group. In summary, the findings of the study suggest that the 'Warming Therapy' applied before and during the surgery was a very effective treatment for surgical patients in maintaining the core temperature during surgery

• 대한골관절종양학회지
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• 제10권2호
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• pp.61-70
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• 2004

목적: 골반부 전이성 종양의 수술적 치료 후 종양학적 결과, 기능 및 합병증의 발생을 통해 수술적 치료의 적응 가능성을 연구하고자 한다. 대상 및 방법: 1994년 5월부터 2003년 5월까지 골반부 전이성 종양 환자 중 고식적/수술적 치료를 받았던 9례/10례를 대상으로 하였으며 환자의 평균 연령은 57.6/48.0세, 남녀 비는 5:4/7:3이였다. 원발 병소로는 신장암과 자궁 경부암이 각 3례, 폐암, 골수종, 비호지킨 림프종이 각 2례, 유방암, 방광암, 고환암, 전립선암, 위암, 간암, 후복막 평활근육종이 각각 1례 이었다. 고식적 치료로는 방사선 단독 치료가 5례, 항암 화학 단독 치료가 1례, 방사선 치료와 항암 화학 요법의 병합 치료가 2례, 경피적 뼈시멘트 삽입술이 1례에서 행하여 졌으며, 수술적 치료로는 소파술 후 뼈시멘트 삽입술이 1례, 내골반 반절제술 후 Girdlestone 술식이 2례, 재건술이 7례에서 시행되었고, 재건술로는 뼈시멘트 삽입술이 1례, 방사선 조사 또는 저온 멸균 후 자가골 이식술 및 고관절 전치환술이 5례, saddle prosthesis를 이용한 관절 성형술이 1례에서 시행되었다. 치료 후 종양학적 결과 및 Eastern Cooperative Oncologic Group (ECOG) 운동 평가 지수, 술 후 합병증을 조사하였다. 결과: 고식적/수술적 치료군에서 종양학적 결과로는 NED 0/1례, AWD 2/6례, DOC 1/2례, DOD 6/1례였고, ECOG 운동 평가 지수는 고식적 치료군에서 치료 전 1.5에서 치료 후 4.3으로 악화되었으나 수술적 치료군에서는 2.6에서 2.2로 관찰되었다. 합병증으로는 금속 대치물 부전이 3례, 감염이 2례에서 관찰되었다. 결론: 골반부 전이성 종양의 수술 여부 및 수술의 방법은 환자의 상태, 원발 종양의 악성도 및 기대 생존 기간에 따라 결정되어야 될 것으로 사료되었다.