• Title/Summary/Keyword: 복부불편감

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A Descriptive Study on Abdominal Discomfort after Scoliosis Corrective Surgery (척추측만증 수술 후 환자의 복부불편감 실태조사)

  • Lee, Mi Young;Park, Hyun Suk;Kim, Jin Won;Yoon, So Jeong;Moon, Nam Kyung;Choi, Jeoung Hee
    • Journal of Korean Clinical Nursing Research
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    • v.22 no.3
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    • pp.345-351
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    • 2016
  • Purpose: The specific aims of this study were to investigate the incidence, time of occurrence, intervention methods and related causes of abdominal discomfort after scoliosis corrective surgery. Methods: A retrospective review was carried out on all patients with diagnosis of adolescent idiopathic scoliosis (n=420) who received a posterior spinal fusion between January 2012 and December 2014. Logistic regression analysis was used to identify significant related factors. Results: One hundred eighty five of the patients in the study (44.0%) reported abdominal discomfort (AD group). The discomfort was worst on 2nd days after operation (31.4%), and 3rd days (27.0%). Ninety seven patients (52.4%) in the AD group received enema treatment. Significant related factors for developing abdominal discomfort were distal fusion levels (OR=2.43, p<.006) and increased operative blood loss (OR=1.03, p<.001). Conclusion: The incidence of abdominal discomfort after scoliosis corrective surgery in this study was 44%. Abdominal discomfort, therefore, is a main concern in reference to scoliosis corrective surgery, and solutions need to be searched and reported in future research.

The Effects of Education and Test Information Provision on Anxiety, Discomfort, and Satisfaction of Patients During Double Contrast Barium Enema (대장 조영검사에 대한 교육 및 검사정보 제공이 환자의 불안, 불편감, 검사 만족도에 미치는 영향)

  • Lee, Kyu-Hum;Lee, Jin-Yong;Lee, Moo-Sik;Bae, Seok-Hwan;Cho, Bum-Sang
    • Journal of radiological science and technology
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    • v.34 no.2
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    • pp.117-122
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    • 2011
  • The purpose of this study was to evaluate the effects of education and test information provision on anxiety, discomfort, and satisfaction of patients during double contrast barium enema. The experiments were conducted from October 11, 2010 to November 5, 2010. Among all patients who visited the hospital to receive colon study in the outpatient radiology clinic of one general hospital located in Seoul, a total of 50 patients fit for selection criteria were divided into an experimental group (25) and a control group (25). After providing education and test information to the experimental group, we evaluated patients' levels of anxiety and discomfort, as well as satisfaction. The experimental group and the control group had different anxiety scores: 3.76 versus 6.04 respectively (P<0.05). In addition, the levels of abdominal pain and anal pain in the experimental group were lower than those of the control group (P<0.05). Lastly, the scores of test satisfaction between two groups were 89.6 and 67.4 respectively (P<0.05). Education and test information provision about the colon study decreased the levels of patients' anxiety and discomfort and increased satisfaction level of the test.

Comparison with ABCHES and Abdomen Compression Device in Respirational Radiation Therapy on Patients in Hepatocellular Carcinoma (간세포암 환자에서 ABCHES와 복부압박장비의 적용한 호흡동조방사선 치료의 유용성 비교)

  • Cho, Yoon-Jin;Byun, Sang-Joon;Kim, Young-Jae
    • Journal of the Korean Society of Radiology
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    • v.6 no.5
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    • pp.395-402
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    • 2012
  • 4D-Radiation Therapy is the optimal treatment to track moving organs(tumor) and give the appropriate prescription dose to tumor and low radiation dose to normal tissue surrounding tumor volume. The ABCHES is a 4DRT devices maintaining shallow breathing to patients. It allows the tumor's movement was minimize. Meanwhile, Abdominal compression device is limited the breath compressing abdomen on patients. In this paper we will quantitative analysis the movement of tumor on only ABCHES versus ABCHES with Abdomal compression device and Analysis tumor dose and normal tissue's dose by Dose Volume Histogram on two parts. The result of Comparision ABCHES and ABCHES with Abdominal compression device, SI(Superior-Inferior) direction, AP(Anterior-Posterior) direction and LR(Left-Right) direction was limited 1.0 mm, 0.2 mm, 0.2 mm(average). and also reduction rate of voluume in HPTV was $16{\pm}2%$, and LPTV was $15.8{\pm}0.8%$ under only using ABCHES and ABCHES with compression. The analysis dose volume histogram was more radiation dose in ABCHES and abdominal compression device than only using ABCHES, and less normal tissue-ipsilateral lung, whole lung, kidney-dose in ABCHES and abdominal compression device than only using ABCHES. The overall analysis was ABCHES with abdominal compression better than only using ABCHES method. In hereafter it will be studies that limitation of ABCHES and abdomonal compression device. In other words, patient's discomfort on compression intensity, method of application on patient with inaccurate respiration cycle.

A Case of Postviral Gastroparesis in a 7-year-old Boy (바이러스 감염 후 발생한 위마비증 1례)

  • Kim, Eul-Soon;Kim, Jin-Suk;Park, Jae-Ock
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.5 no.1
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    • pp.73-78
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    • 2002
  • Gastroparesis is rare in children and is defined as delayed emptying of gastric contents into the duodenum without mechanical obstruction. We experienced a case of gastroparesis in a 7-year-old boy after a viral illness. He was admitted because of excessive abdominal bloating and diffuse abdominal pain, and was diagnosed by clinical manifestations and measurement of the gastric emtpyting time. He recovered after dietary management and with commbined medication of erythromycin and domperidone in 50 days of illness.

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The Effects of Stellate Ganglion Block for Constipation in the Spinal Cord Injured Patients -Report of 2 Cases- (척수손상환자의 변비에 있어서 성상신경절 차단의 효과 -2예 보고-)

  • Yang, Nae-Yun;Moon, Dong-Eon;Suh, Jae-Hyun
    • The Korean Journal of Pain
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    • v.7 no.2
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    • pp.254-257
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    • 1994
  • In the patients having constipation or irritable bowel syndrome, stellate ganglion block is commonly used in many pain clinics because of its excellent effects. But in the case of patients having spinal cord injury complain constipation, its management is very difficult and there is no report about the effects of stellate ganglion block in this case. We experieced good results that stellate ganglion block was very effective in the patients having spinal cord injury complaining severe constipation and other symptoms.

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The Effect of Abdominal Massage on Sleep Colonoscopy Subjects (수면 대장내시경 검진자에게 시행한 복부마사지의 효과)

  • Lee, Yun-Jeong;Je, Nam-Joo
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.6
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    • pp.410-420
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    • 2019
  • The purpose of this study is to investigate the effect of abdominal massage, on abdominal bloating and the recovery of bowel movement after sleep colonoscopy. The study design is the time difference before and after the non-equality control. The subjects were 22 patients each in experimental group and control group who recieved sleep colonoscopy at the G hospital in C city, The data collection period was from June 1, 2018 to August 25, 2018, and the control group's data were first collected with time difference from the collection of experimental group's data to prevent the spread of the experiment. Data were analyzed using IBM SPSS 24.0 and tested by independent sample t-test, $x^2-test$ and Fisher's exact probability test to verify the homogeneity of general characteristics of the subjects. Shapiro-Wilk was used to verify the normality of the abdominal circumference changes in the experimental and control groups. Mann-Whitney U test was used to verify the pre-homogeneity of the abdominal circumference of the subjects. The experimental results were verified by Fisher's exact probability test, Friedman test and Mann-Whitney U test. These results suggest that the abdominal massage can be used as a nursing intervention after sleep colonoscopy by reducing the gas discharge time($x^2=19.75$, p<.001) and abdominal bloating($x^2=29.93$, p<.001).

A Case Report on a Hwabyung Patient with Binge Eating (폭식을 주소로 한 화병(火病)환자 치험(治驗)1예(例))

  • An, Tae-Han;Jang, Jeong-A;Park, Eun-Young;Jeong, Seong-Sik;Kim, Jin-Won;Seo, Ho-Seok;Kim, Jin-Yi
    • The Journal of Korean Medicine
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    • v.32 no.5
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    • pp.139-146
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    • 2011
  • Hwabyung is a culture-bound anger syndrome in Korea. It manifests as one or more of a wide range of physical symptoms, in response to emotional stress. This case describes a 26-year old woman diagnosed as Hwabyung by HBDIS. She complained chiefly of binge eating and sleep disorder. She also complained of chest discomfort, abdominal discomfort, foreign body sensation in the throat, burning sensation and so on. We treated the patient with herbal medication, acupuncture, cupping, and moxa. After treatment, her condition improved. Standardized patients (SP) were used in teaching and practicing interviewing and physical examination skills for This report suggests that traditional Korean treatment such as herbal medication, acupuncture, cupping, moxa is effective for the treatment of Hwabyung patients.

Effect of Chewing Gum on Abdominal Discomfort, the First Defecation, and Constipation after Spine Surgery (척추 수술 후 껌씹기가 복부 불편감, 변 배출시간과 변비 정도에 미치는 효과)

  • Kim, Hyung Ja;Kim, Jeoung Hee
    • Journal of Korean Clinical Nursing Research
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    • v.24 no.1
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    • pp.85-93
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    • 2018
  • Purpose: This study aim to determine the effect of chewing gum on the reduction of postoperative ileus and recovery after surgery. Methods: The study was conducted as a randomized controlled trial among 82 patients who underwent spine surgery between May 2015 and October 2015. Patients in experimental group chewed sugarless gum 3 times daily for 30 minutes each time until POD 5. Abdominal discomfort, the first defecation, and CAS score (Constipation Assessment Scale) were monitored. Results: After the experiment, abdominal discomfort was significantly decreased in the experimental group compared to that of the control group (F=2.46, p=.044). However, the first defecation occurred on postoperative hour 69.6 in the chewing gum group and on hour 60.2 in the control group (t=-1.63, p=.107). CAS was significantly decreased in the experimental group compared to that of the control group (F=3.51, p=.012). Conclusion: Chewing gum is expected to help patient recover after surgery as safe nurse intervention which can reduce abdominal discomfort and constipation during early postoperative days after spine surgery.

The Effect of Aroma Inhalation Therapy on Nausea, Vomiting, Abdominal Discomfort, Compliance and Colon Cleansing in the Preparation of Patients Undergoing Colonoscopy (아로마 흡입요법이 대장내시경 검사 대상자의 오심, 구토, 복부 불편감, 순응도 및 대장 정결도에 미치는 효과)

  • Seo, Eun Ji;Lee, Eun Jin;Kim, Yu Mi;Lee, Ji Sun
    • Journal of Korean Clinical Nursing Research
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    • v.18 no.3
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    • pp.391-401
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    • 2012
  • Purpose: The purpose of this study was to identify the effects of aroma inhalation therapy on nausea, vomiting, abdominal discomfort, compliance, and colon cleansing for patients having a colon lavage solution before colonoscopy. Methods: This study was performed using a nonequivalent control group post-test design. The study was conducted from 20 Jun to 29 Aug, 2011. The participants were 152 patients (experimental group: 77, control group: 75) who underwent colonoscopy at A hospital, Seoul. Results: The experimental group with the aroma inhalation therapy reported significantly lower nausea and vomiting than did the control group. There were no significant differences in abdominal discomfort, compliance, and colon cleansing between experimental and control group. Conclusion: Use of an aroma inhalation therapy was efficient in nausea and vomiting among patients having a colon lavage solution before colonoscopy. Therefore, aroma inhalation therapy is recommended as an effective nursing intervention for relieving nausea and vomiting among patients having a lavage solution before colonoscopy.

The Effects of Active Warming on Pain, Temperature, and Thermal Discomfort in Postoperative Patients after General Anesthesia for Abdominal Surgery (전신마취 복부 수술 후 적극적인 가온요법이 통증, 체온 및 체온불편감에 미치는 효과)

  • Kim, Unjin;Lee, Yun Mi
    • Journal of Korean Critical Care Nursing
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    • v.10 no.3
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    • pp.53-64
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    • 2017
  • Purpose : This study investigated the effects of active warming using a Warm Touch warming system or a cotton blanket in postoperative patients after general anesthesia for abdominal surgery. Methods : This quasi-experimental study utilized two experimental groups and one control group: a cotton-blanket group (n = 25) were warmed with a cotton blanket and a sheet; a forced-air warming group (n = 24) were warmed with a Warm Touch warming system, a cotton blanket, and a sheet; and a control group (n = 25) were warmed with a sheet. Measurement variables were postoperative pain, body temperature, and thermal discomfort. Data were analyzed using a one-way ANOVA, ${\chi}^2-tests$, Fisher's exact test, and a repeated measures ANOVA. Results : The effects of active warming using a Warm Touch warming system and a cotton blanket on postoperative patients was significant in reducing pain (F = 13.91, p < .001) and increasing body temperature (F = 12.49, p < .001). Conclusion : Active warming made a significant difference in pain and body temperature changes. Active warming methods may help patients' postoperative recovery and prevent complications. Further research is needed to explore the effects and side effects of active warming on recovering normothermia.

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