• 한국콘텐츠학회논문지
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• 제14권11호
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• pp.378-388
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• 2014

연구목적은 국소마취 환자의 수술시 불안과 통증을 경감시키기 위해 손잡아주기, 내관지압의 간호중재를 통해 그 효과를 검증하고자 시도되었다. 연구기간은 2013년 7월부터 10월까지이며 연구대상은 H대학교 병원에서 국소마취를 통해 외래수술을 시행한 총 78명을 대상으로 하였다. 연구 설계는 비동등성대조군 사전사후 시차설계로 이루어졌다. 실험군1, 실험군2, 대조군 각 26명이었으며 외래수술환자를 대상으로 실험군1은 손잡아주기, 실험군2는 내관지압 간호중재를 실시하였다. 연구결과 세 군 간의 사전 동질성은 검증되었으며 간호중재 후 불안, 간호중재 후 통증이 실험군1, 실험군2에서 대조군보다 유의미하게 차이가 있었다. 결과에 근거하여 수술시 불안과 통증감소의 효과를 나타낸 손잡아주기와 내관지압의 효과가 시간과 경제적 측면에서 수술실에서 쉽게 접근할 수 있는 간호중재로 활용하는 것이 필요하다.

• 동서간호학연구지
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• 제4권1호
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• pp.7-20
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• 1999

Operation usually brings about psychological stress as well as physical stress to the patient and it greatly influences the maintenance of the homeostasis. Until now, most of the nursing research concerning the anxiety of the patient undergoing an operation has been done while the patient was under general anesthesia. Under local anesthesia, the anxiety of the patient who undergone operation is short. However, there is much demand of the operational nurses to mediate between the patient who is undergoing operation when fully conscious, as they are aware of the patient's anxiety and to decrease the patient's anxiety of this local anesthesia. Therefore, this research tries to verify the effects of the Hand-holding program on the anxiety of the operational patient undergoing local anesthesia and affirms the role of the nursing intervention. As an unequivalent control group non-synchronized designs, this research selects out 20 control groups and 21 experimental groups at random who have received cataract operation while under local anesthesia and after implementing the Hand-holding program to the experimental groups while undergoing the operation, the effect of the experiment was observed. By observing the Epinephrine, Cortisol, blood pressure, and pulse for the physical indexes before and after the enforcement of the hand-holding, and using the measurement of Speilberger(1972) for the psychological indicators for the anxiety of the patient before and after hand-holding, the results were analyzed through SAS program. As a results, intervention of hand-holding had a remarkable effect to decrease the anxiety felt by the patient and the diastolic blood pressure also was effectively decreased. On the other hand, through the decrease of the systolic blood pressure was also observed, it was not statistically significant. In the Epinephrine and Cortisol indicators, the intervention of hand-holding was revealed to have an insignificant effect. The Hand-holding was revealed to have an indicators, the intervention of Hand-holding was revealed to have an insignificant effect. The Hand-holding program may be said to have an effect which decreases the psychological anxiety of the patient undergoing local anesthesia.

• 대한간호학회지
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• 제34권6호
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• pp.924-933
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• 2004

Purpose: This study was to examine the effects of hand massage and hand holding as nursing interventions on the anxiety in patients with local infiltration anesthesia. Method: The design of this study was a nonequivalent, control group, non- synchronized design. The subjects of this study consisted of 15 patients for the hand massage group, 15 patients for the hand holding group and 17 patients for the control group awaiting surgery in the operation room of a general hospitalin Daegu. As an experimental treatment, hand massage was carried out by the Hand Massage Protocol developed by Snyder(1995) and interpreted by Cho(1998) and hand holding developed by Cho(1998). The data were analyzed by SPSS/WIN, T-test, ANOVA, Cronbach's a, and the Scheffe test. Results: The hand massage group and hand holding group were more effective than the control group in reducing anxiety, VAS score, systolic blood pressure and pulse rate. Conclusion: Hand massage and hand holding are effective nursing interventions that alleviates the psychological and physiological anxiety of patients with local infiltration anesthesia. In particular, the simple contact of hand holding is regarded as an effective and easily accessible nursing intervention in the operating room.