• Title/Summary/Keyword: 수술불안

Search Result 275, Processing Time 0.03 seconds

The Effect of Pre-warming for Patients under Abdominal Surgery on Body Temperature, Anxiety, Pain, and Thermal Comfort (Forced-air Warming System을 이용한 수술 전 가온이 복부 수술 환자의 체온, 불안, 통증 및 온도 편안감에 미치는 효과)

  • Park, Ok-Bun;Choi, Hee-Jung
    • Journal of Korean Academy of Nursing
    • /
    • v.40 no.3
    • /
    • pp.317-325
    • /
    • 2010
  • Purpose: The purpose of this study was to examine the effect of pre-warming on body temperature, anxiety, pain, and thermal comfort. Methods: Forty patients who were scheduled for abdominal surgery were recruited as study participants and were assigned to the experimental or control group. For the experimental group, a forced air warmer was applied for 45-90 min (M=68.25, SD=15.50) before surgery. Body temperature and anxiety were measured before and after the experiment, but pain and thermal comfort were assessed only after the surgery. Hypotheses were tested using t-test and repeated measured ANOVA. Results: The experimental group showed higher body temperature than the control group from right before induction to two hours after surgery. Post-operative anxiety and pain in the experimental group were less than those of the control group. In addition, the score of thermal comfort was significantly higher in the experiment group. Conclusion: Pre-warming is effective in maintaining body temperature, lowering sensitivity to pain and anxiety, and promoting thermal comfort. Therefore, pre-warming can be recommended as a preoperative nursing intervention.

The Effect of Informational Intervention Delivered by Electronic Patient Information Board in The Waiting Room on The Anxiety of Mothers Whose Children Underwent Elective Surgery (수술대기실 환자현황판을 이용한 수술진행 정보제공이 환아 어머니의 불안에 미치는 효과)

  • Hong, Hee Jung;Yi, Myungsun
    • Korean Journal of Adult Nursing
    • /
    • v.16 no.3
    • /
    • pp.388-397
    • /
    • 2004
  • Purpose: The purpose of this study was to explore the effectiveness of informational intervention delivered by electronic patient information board in the OR waiting room for reduction of anxiety of mothers with child having operation. Method: Nonequivalent control group non-synchronized design was used in this study. The subjects was 52 mothers whose children underwent elective surgery in one Pediatric Hospital. Informational intervention in this study consisted of four critical stages. State anxiety by Spielberger, mean arterial pressure, and heart rates at preoperative and postoperative period were measured. The data were analyzed by using Chi-Square test and t-test with SPSS/PC 10.0 program. Results: 1) There was a significant difference in the state anxiety between the control and the experimental groups. 2) There was no significant difference in the mean arterial pressure between the two groups. 3) There was no significant difference in the heart rate between the two groups. Conclusion: The results of this study indicate that informational intervention delivered by electronic patient information board would be an effective intervention during the operation in reducing anxiety of mothers with child having operation.

  • PDF

Effects of Noise Block on Anxiety and Vital Sign of Patients with Gynecologic Laparoscopic Surgery in Operating Room (수술실의 소음차단이 산부인과 복강경 수술 환자의 불안과 활력징후에 미치는 영향)

  • Choi, Mi Son;Lee, Eun Ja
    • Korean Journal of Occupational Health Nursing
    • /
    • v.21 no.3
    • /
    • pp.317-325
    • /
    • 2012
  • Purpose: This study was to examine the effects of noise block on anxiety and vital sign of gynecologic laparoscopic surgery. Methods: The data were collected from March to May 2011. Participants were sixty patients with gynecologic laparoscopic surgery, divided into 30 of experimental group and 30 of control group at C University hospital located in I city. The day before surgery, demographic data, trait-state anxiety and vital signs were measured at ward. After noise block, the data were measured using VAS anxiety and vital signs before anesthesia and in recovery room. And then state anxiety and vital signs were measured in ward after surgery. The data were analyzed by $x^2$-test, t-test, repeated measured ANOVA and Bonferroni comparison method using SPSS/WIN 19.0. Results: After conducting noise block program, the experimental group showed significant decrease in state anxiety and heart rate compared to those of the control group. But there were not significant differences in VAS anxiety, systolic pressure and diastolic pressure between two groups. Conclusion: This program can be regarded as an effective nursing intervention for the management of anxiety with gynecologic laparoscopic surgery.

Effects of Intraoperative Music Therapy on Anxiety in Patients Undergoing Local Anesthesia (수술 중 음악요법이 국소마취 수술환자의 불안에 미치는 효과)

  • Shin Hyo-Youn;Yi Myung-Sun
    • Journal of Korean Academy of Fundamentals of Nursing
    • /
    • v.12 no.1
    • /
    • pp.131-138
    • /
    • 2005
  • Purpose: This study was performed to identify the effects of intraoperative music therapy on the anxiety level of adult patients undergoing local anesthesia in the operating room. Method: The research design was a nonequivalent control group pretest-posttest. Data collection was done with 48 patients undergoing local anesthesia from June 2003 to September 2()03. The 24 patients in the experimental group were given music therapy through headphones from the beginning of the operation to the end of the operation with local anesthesia. The data were analyzed using SPSS/PC 10.0 for Windows. Results: Postoperative state anxiety scores were significantly different between the experimental group and the control group. Intraoperative pulse rates were significantly different between the two groups. But systolic and diastolic blood pressures and respiratory rates were not significantly different between the two groups. Conclusion: Considering these results, music therapy can be regarded as an effective nursing intervention that relieves anxiety for adult patients undergoing local anesthesia. However, to determine the best use of this therapy, further study is required for different types of anesthesia and operations such as ambulatory surgery.

  • PDF

Effect of Abdominal Breathing on Postoperative Pain, State Anxiety, Blood Pressure, and Heart Rate of Patients Undergoing Cardiac Surgery (복식호흡이 심장 수술후 36시간 이내 환자의 통증, 상태불안, 혈압 및 심박동수에 미치는 효과)

  • Lee, Min-Jee;Kim, Keum-Soon
    • Journal of Korean Critical Care Nursing
    • /
    • v.4 no.1
    • /
    • pp.37-50
    • /
    • 2011
  • Purpose: This study is to evaluate the effect of abdominal breathing on postoperative pain, state anxiety, blood pressure, and heart rate of cardiac surgery patients treated in intensive care unit. Methods: A non-synchronized design of nonequivalent control group pre-post test was used. Participants were divided into an experimental group(n=22) and a control group(n=21). Just usual postoperative treatments were provided to the control group, while abdominal breathing interventions were provided to the experimental group, in addition to usual treatments. The intervention was consisted of 4 stages-introductions, breathing perception, breathing training, and closing-and it lasted twelve minutes in total. Pain, state anxiety, blood pressure and heart rate were the dependent variables of the abdominal breathing. Results: Those who carried out abdominal breathing showed a significant reduction in pain, as well as decrease of systolic blood pressure. However, it turned out to have no effect on state anxiety, diastolic blood pressure and heart rate. Conclusion: Abdominal breathing is simple and harmless and is effective for reducing postoperative pain.

  • PDF

The Effect of Preoperative Information on Post-Operative Anxiety, Cortisol and Pain of Patients Undergoing Total Knee Arthroplasty (수술 전 정보제공이 슬관절 전치환술 환자의 수술 후 불안, 코티졸 및 통증에 미치는 효과)

  • Han, Jung Il;Yoon, Hae Sang
    • Korean Journal of Adult Nursing
    • /
    • v.19 no.2
    • /
    • pp.207-216
    • /
    • 2007
  • Purpose: The purpose of this study was to ascertain the effects of preoperative information on postoperative state anxiety, plasma cortisol, and pain for patients under total knee arthroplasty, and to provide generic data with nursing intervention for total knee arthroplasty. Methods: Data were collected from 34 patients who had total knee arthroplasty from January 3, 2003 to January 15, 2004. An experiment group of 17 patients was provided with pre-operative information prepared by the researchers; a control group of another 17 patients was provided with general information. Data were analyzed through Chi-squared test, t-test, paired t-test and ANCOVA using SPSS WIN 11.0. Results: There was no significant differences between the experiment group and the control group in post operative state anxiety(p=.612). However, there was statistically a significant difference between the above two groups in post operative plasma cortisol(p=.012). There was a statistically significant difference between the above two groups in post operative pain(p=.041). Conclusion: According to the results of the study, the authors concluded that the preoperative information for patients under total knee arthroplasty had the effect on the decrease of postoperative plasma cortisol and pain.

  • PDF

The Effect of Aroma Inhalation Method on the Preoperative Anxiety of Abdominal Surgical Patients (향기흡입법이 복부수술 환자의 수술 전 불안 감소에 미치는 효과)

  • Choi, In-Sun;Lee, Myung-Sun;Ryoo, Eon-Na;Park, Kyung-Sook
    • Korean Journal of Adult Nursing
    • /
    • v.20 no.2
    • /
    • pp.311-320
    • /
    • 2008
  • Purpose: The study was done to analyze the effects of aroma inhalation method on preoperative anxiety of abdominal surgical patients. Methods: The research design was a nonequivalent control group non-synchronized design. The data were collected from July 25 to October 21, 2005 at C Medical Center in Seoul. The patients were divided into two group of 24 subjects each. In order for measuring the all patient's anxiety before operation and aroma inhalation, Spidlberger(1975) trait anxiety, VAS(visual analogue scale) state anxiety, blood pressure, pulse rate were taken. After experimental group was taken aroma inhalation, VAS state anxiety, blood pressure, pulse rate were measured for two group. Results: After aroma inhalation, VAS state anxiety level, systolic blood pressure, diastolic blood pressure, pulse rate of the experimental group were decreased significantly than those of control group(p = .000, p = .000, p = .030. p = .000). Conclusion: The aroma inhalation method can be considered an effective nursing intervention that relieves the preoperative anxiety of abdominal surgical patients and stabilizes vital signs.

  • PDF

Effects of Structured Education Program Using CD-ROM on Anxiety and Self-Care Compliance in Patients Undergoing Orthopedic Spinal Surgery (척추환자 대상 수술 전 구조화된 동영상 교육프로그램이 수술 후 불안과 자가간호 이행에 미치는 효과)

  • Koo, Eun-Jung;Kim, Ju-Sung
    • Journal of muscle and joint health
    • /
    • v.18 no.1
    • /
    • pp.39-49
    • /
    • 2011
  • Purpose: The purpose of this study was to identify the effects of CD-ROM education on anxiety and self-care compliance in patients undergoing spinal surgery. Method: This study used a nonequivalent control time difference design. A sample of 51 participants received both CD-ROM education (n=25) or booklet education (n=26) regarding spinal surgery procedure and postoperative self-care. The data were collected using a self-administered questionnaire containing State-Trait Anxiety Inventory (STAI Form Y-2), Visual analog scale, and self-care compliance. Result: The level of trait anxiety in the experimental group was not significantly different from that in the control group (t=-6.44, p=.523). The level of state anxiety in the experimental group was significantly lower than in that the control group according to time changes (F=4.17, p=.018). State anxiety showed significantly negative correlation to self-care compliance (r=-.30, p=.034). Conclusion: The education program using CD-ROM for spinal surgery patients can be applied to nursing practice for relieving state anxiety and promoting self-care compliance.

Current Concept of Anterior Shoulder Instability Repair (견관절 전방 불안정성의 봉합술에 대한 최신 지견)

  • Kim, Young-Kyu
    • Journal of the Korean Arthroscopy Society
    • /
    • v.10 no.1
    • /
    • pp.1-7
    • /
    • 2006
  • 견관절 전방 불안정성의 관절경적 치료는 환자 개개인의 병리 상태를 잘 파악하여 적절한 복원술을 시행함으로써 보다 좋은 결과를 기대할 수 있다. 현재 관절경적 Bankart 복원술시 봉합 나사못이 가장 이상적인 봉합기구로 알려져 있으며 여러 병리 상태를 고려하여 관절경적 복원술을 시행한 결과 여러 학자들이 과거에 비해 좋은 결과를 보고하고 있다(Table 2). 따라서 술기상으로 보다 숙련된 술식을 통해 재발율을 낮출 수 있으며 보다 좋은 결과를 얻기 위하여 수술 후 적극적인 재활 프로그램이 요할 것으로 생각된다.

  • PDF