• Title/Summary/Keyword: 수술불안

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Traumatic anterior instability: Complicated problems and failed repairs

  • Kim, Yeong-Gyu
    • The Academic Congress of Korean Shoulder and Elbow Society
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    • 2007.03a
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    • pp.46-55
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    • 2007
  • 전방 불안정성의 수술적 치료의 목적은 안정성을 회복하고 동통 없는 기능 회복에 있으나 이러한 목적과는 달리 여러 합병증이 발생하여 결과가 불량하게 되는 경우가 종종 발생한다. 따라서 치료의 실패를 줄이기 위해 최대한 노력하여야 하며, 일단 실패가 발생하게 되면 정확한 원인과 해부학적 병적 상태를 정확히 파악하여야 보다 좋은 치료 결과를 얻을 수 있다.

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Chronic Varus Instability of the Hallux Interphalangeal Joint in College Taekwondo Athelete - A Case Report - (대학 태권도 선수의 족무지 지간 관절의 만성 내반 불안정성 - 1례 보고-)

  • Jung, Hong-Geun;Park, Sin-Hyoung
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.7 no.2
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    • pp.142-145
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    • 2008
  • Forefoot injuries are common in runners or martial art athletes, but due to the anatomical stability, collateral ligament injury of the hallucal interphalangeal joint has been rarely reported. We report a college Taekwondo athlete with chronic varus instability of the hallucal interphalangeal joint due to chronic lateral collateral ligament rupture. The patient had been treated with lateral ligament reconstruction and achieved good clinical outcome.

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Physical Examination of Shoulder Instability (견관절 불안정성에 대한 이학적 검사)

  • Kim, Jae-Hwa
    • Clinics in Shoulder and Elbow
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    • v.11 no.1
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    • pp.1-5
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    • 2008
  • Shoulder instability is generally diagnosed from a detailed history, physical examination and various radiological studies. Although, a physical examination is essential for making a diagnosis, it is quite difficult. For a precise physical examination, a thorough anatomical knowledge and a great deal of experience is needed. In addition, normal translation and pathologic laxity should be differentiated. An anatomical and biomechanical understanding of a stable and unstable shoulder joint and a precise physical examination are needed to determine the direction and extent of the instability as well as to diagnose the associated lesions and improve the surgical results.

Arthroscopic Reconstruction of Bony Defect in Shoulder Instability (골 결손을 동반한 견관절 불안정성의 관절경적 재건술)

  • Kim, Yang-Soo;Ok, Ji-Hoon
    • Clinics in Shoulder and Elbow
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    • v.14 no.1
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    • pp.117-124
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    • 2011
  • Purpose: We reviewed arthroscopic reconstruction among the several treatment options for anterior shoulder instability with a bony Bankart lesion. Materials and Methods: Although open Bankart repair has long been considered the optimal surgical management of anterior shoulder instability, advancements in arthroscopic techniques have led to a recent shift to arthroscopic Bankart repair. However, for cases of a glenoid bony defect, several authors have reported various methods to accurately measure the amount of bony defect. Results: The arthroscopic technique of bony Bankart reconstruction continues to evolve and various methods have followed. To overcome the limitations of single fixation of a Bankart lesion, arthroscopic dual fixation (2 point fixation) has recently been tried to anatomically repair and restore the rigid fixation of a bony fragment. The concept of performing the Bristow-Latarjet transfer procedure under arthroscopy has also recently emerged. However, a large series of cases and long term follow up are required to prove the better results. Conclusion: To obtain a successful outcome for patients with anterior instability with a glenoid bony defect, it is imperative that the surgeon be aware of the accurate status of the bony defect and the intraoperative, postoperative factors associated with the proper treatment of this unstable pathology.

The Effects of Information Service Program by Media on Anxiety and Educational Satisfaction in Patients with Cataract Surgery (시청각매체를 이용한 정보제공 프로그램이 백내장 수술 환자의 불안과 교육만족도에 미치는 효과)

  • Oh, Yun Hee;Choi, Eun Joung
    • Journal of Korean Clinical Nursing Research
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    • v.22 no.3
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    • pp.305-313
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    • 2016
  • Purpose: The purpose of this research was to identify the effects of providing an information service program by media on preoperative anxiety and postoperative educational satisfaction in patients with cataract surgery. Methods: For this study 52 patients who visited the ophthalmology clinic at P Hospital in B metropolitan city and who were scheduled to undergo one-day cataract surgery under local anesthesia were recruited. The 52 patients were assigned to the experimental group (25) or the control group (27). This study was conducted from August 27, 2015 to May 29, 2016. Results: Following the provision of cataract surgery related information service by media, the experimental group had a lower mean score for anxiety and higher mean score for educational satisfaction compared to the control group of patients. Conclusion: Results indicate that information service program by media "Goodbye Cataract" is useful educational materials for cataract patients in outpatient department and outpatient operating rooms.

The Effects of Information using Photographs on Preoperative Anxiety in Children and Their Parents (사진을 이용한 정보 제공이 아동과 부모의 수술 전 불안에 미치는 효과)

  • Koo, Hyun-Young;Cho, Yeon-Jung;Kim, Ok-Hee;Park, Ho-Ran
    • Child Health Nursing Research
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    • v.13 no.3
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    • pp.273-281
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    • 2007
  • Purpose: This study was done to verify the effects of information using photographs on preoperative anxiety of children and their parents. Methods: Participants were 48 hospitalized children and their parents (48 pairs). In the experiment group (18 pairs) photographs were used with the children and parents to provide information before the child underwent an operation. Children and parents in control group (30 pairs) received regular care. Anxiety of children and their parents was measured using both a self-report and physiologic responses (heart rate and blood pressure). The data were analyzed using the SAS program. Results: Compared with the control group, self-reports of the experimental group indicated a significant difference in subjective anxiety. However, there was no decrease in physiologic anxiety as shown by heart rate and blood pressure in those in the experimental group as compared to the control group. Conclusions: Preoperative information using photographs were shown to be an effective method to reduce anxiety of children and their parents.

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The Effect of a Preparation Method using Hospital Play on Anxiety and Role Behaviors of Children Undergoing Tonsillectomy (병원놀이 교육이 편도선 적출술 아동의 수술 전 불안과 수술 후 환아 역할행위에 미치는 영향)

  • Lee, Dong-Sun;Shin, Hee-Sun;Lee, Ok-Ju;Jun, Yu-Mi;Yang, Hyun-Hee;Cho, Yun-Ji
    • Korean Parent-Child Health Journal
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    • v.7 no.2
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    • pp.160-167
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    • 2004
  • Purpose: The purpose of this study was to examine the effect of a preparation method using hospital play on anxiety and role behaviors of children undergoing tonsillectomy. Method: Twenty-eight children aged 5 to 7 years who were admitted for tonsillectomy were assigned to either an experimental group or a control group purposefully. The preparation method included provision of information using hospital play. The data were analyzed using Mann-Whitney test and Chi-square test. Result: There was no Significant difference in anxiety before surgery between the experimental and control groups. Also, there was no Significant difference in role behaviors on the 1st and the 2nd day of surgery. Conclusion: Even though there was no statistical significance, the result showed that the preparation method had some positive effect on children and parents. It is needed to develop systematic preparation methods for children undergoing surgery to enhance their coping.

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Effects of Types of Music in Music Therapy on Anxiety and Vital signs of Surgical Patients Undergoing Operation Using Spinal Anesthesia (음악요법 유형이 척추마취 수술환자의 수술 중 불안 및 활력징후에 미치는 영향)

  • Kim, Yeoun-Ok;Kim, Joo-Hyun
    • Journal of Korean Biological Nursing Science
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    • v.13 no.2
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    • pp.149-155
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    • 2011
  • Purpose: The purpose of this research is to examine types of music (relax music or preferred music that patients have chosen) can effects on anxiety, blood pressure and pulse, and whether there are differences depending on the kinds of music in order to reduce anxiety of surgical patients using spinal anesthesia. Methods: This research's design is quasi-experimental design and non-equivalent control group pretest-posttest experimental design conducted on 60 surgical patients(experimental group 1=relax music therapy group, experimental group 2=preferred music therapy group, and group 3=control group) using spinal anesthesia. The Variables were trait anxiety, state anxiety, blood pressure, and pulse. Results: 1) In the state anxiety, there was a significant difference among the experimental groups 1, group 2 and the control group. 2) There was a significant difference in systolic blood pressure among the experimental group 1, group 2, and the control group. 3) In pulse, no significant difference among the experimental group 1, group 2 and the control group was detected. Conclusion: Regardless of the types of music, music therapy is thought to be effective nursing mediation to mitigate the state anxiety of surgical patients undergoing spinal anesthesia.

Effects of Therapeutic Play Program on the Pre-operative Anxiety of the Preschooler (치료적 놀이 프로그램이 학령전 아동의 수술 전 불안에 미치는 효과)

  • Kim, Jong-Sun
    • Korean Parent-Child Health Journal
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    • v.12 no.2
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    • pp.119-130
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    • 2009
  • Purpose: This study was designed to examine the effects of Therapeutic Play Program on the pre-operative anxiety of the preschoolers. The design of this study is a quasi experimental study of non-equivalent control group pre-test/post-test design. Method: The subjects of this study were the hospitalized preschoolers receiving an operation in C University Hospital. These totalled 60 and were divided into a 30-person-control-group and a 30-person-experimental-group. The data was collected from June 1 to October 5, 2002. The Experimental treatment was carried out according to Therapeutic Play Program developed by Researcher. The instruments used in this study were the observational records for Hospitalized preschooler's Anxiety behavior response, pulse rate, and respiration rate of the preschooler's. The collected data were analyzed with real numbers, percentage, t-test, and $X^2$-test, using SPSS WIN 11.0 program. Result: Hypothesis, "The experimental group provided with a Therapeutic Play Program would show a lower score of the pre-operative anxiety behavior(t=13.79, p=.00), pre-operative pulse(t=4.50, p=.00) and pre-operative respiration rate(t=4.29, p=.00) response than when the control group was not provided", was supported. Conclusion: Therapeutic Play Program is determined to be useful for reducing Pre-operative anxiety of the preschoolers.

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