• 동서간호학연구지
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• 제26권1호
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• pp.52-62
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• 2020

Purpose: This study aimed to verify the effects of preoperative video education on delirium and anxiety in elderly patients with general anesthesia. Methods: This study used quasi-experimental research with a non-equivalent control group non-synchronized design. Participants were 70 elderly patients who had undergone of surgery under general anesthesia (35 in the experimental group and 35 in the control group). Preoperative video education was given to the experimental group. Subjective anxiety, blood pressure, pulse and delirium were measured. Data were analyzed using descriptive statistics, test of homogeneity in pretest, independent t-tests, and two-way repeated measures ANOVA with the SPSS/Win 22.0 program. Results: Delirium of the experimental group was significantly lower than that of the control group. Subjective anxiety measured using visual analogue scale was not significantly different between the two groups. However, there was a significant difference in the interaction between the group and time. There was no significant difference in physiological anxiety measured using systolic blood pressure, diastolic blood pressure and pulse between the two groups. Conclusion: The findings suggest that preoperative video education may contribute to reducing delirium and subjective anxiety for elderly patients after surgery.

• 여성건강간호학회지
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• 제21권4호
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• pp.321-331
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• 2015

Purpose: Purpose of this study was to identify the effect of structured information on immediate preoperative anxiety and uncertainty for women undergoing total laparoscopic hysterectomy. Methods: Sixty women who were admitted for total laparoscopic hysterectomy were recruited at a university hospital in Gyeonggi-do from June to October 2014. Thirty women were assigned to either the experimental or the control group. Women in the experimental group were provided structured information, which consisted of visual and auditory materials about surgical preparation and process, practical experience on devices such as IV-PCA pump and Inspiro-meter and actual experience on route to go to the operating room. State-anxiety, uncertainty, and blood pressure and pulse rate as biological indicators were measured before and after the intervention to examine the effect. Results: Significant group differences were found on state anxiety, uncertainty, including ambiguity, inconsistency, and unpredictability at the holding area. There was a significant difference on pulse rate in the operating room between the two groups. Conclusion: Findings demonstrated that the structured information provided for women undergoing laparoscopic hysterectomy preoperatively was effective on immediate preoperative anxiety and uncertainty. Nurses may contribute to decreasing patients' anxiety and uncertainty by utilizing this structured information preoperatively.

• 임상간호연구
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• 제19권3호
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• pp.419-431
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• 2013

Purpose: This study was to evaluate the effect of supportive nursing care program for patients with total hip arthroplasty. Methods: Forty-two patients with total hip arthroplasty were enrolled in this study from September, 20, 2011 to January, 3, 2012. The participants were assigned to one of two groups: Twenty-six subjects in the experimental group were provided with supportive nursing care program which comprised of 6 nurse visits pre and post operation and 4 follow-up phone calls after discharge. Another 26 subjects received conventional nursing care program as a control group. Hip function, anxiety, and uncertainty were evaluated before the intervention, and 5 weeks after completion of the intervention. The analysis included descriptive statistics, Chi-square test, and t-test by SPSS 18.0. Results: Hip function was significantly increased in the experimental group (t=-3.31, p<.002). Anxiety and uncertainty group was significantly lower in the experimental group (t=7.12, p<.001 and t=4.66, p<.001). Conclusion: The results of this study indicate that the supportive care intervention for patients receiving total hip arthroplasty could be utilized as a nursing intervention to improve hip function and to reduce anxiety and uncertainty of patients receiving total hip arthroplasty.

• 임상간호연구
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• 제17권3호
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• pp.319-328
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• 2011

Purpose: This study was done to identify nursing interventions clinically applicable to relieve displeasure and anxiety of patients having an operation in which loud noise was unavoidable. Methods: Participants were 34 patients scheduled to have a total knee replacement. They were assigned to either the control (17 patients) or experimental (17 patients) group. Data were collected from September to November 2010. The instruments used for the survey included noise-control earplugs, a noise level meter (TES-1358) and a structured scale measuring degree of noise perception, displeasure and anxiety. Data were analyzed using frequency, percentage, standard deviation, $x^2$-test, and t-test with the SPSS WIN 18.0 program. Results: Hypothesis 1: 'The displeasure levels of the experimental group of patients wearing earplugs will be lower than the control group patients without earplugs' was accepted (t=-20.769, p<.001). Hypothesis 2: 'The anxiety levels of the experimental group of patients wearing earplugs will be lower than the control group patients without earplugs' was accepted (t=-6.298, p<.001). Conclusion: Based on these findings, the wearing of earplugs for patients having a surgical operation with loud noises is recommended as an effective nursing intervention to relieve patient displeasure and anxiety during their surgical operations.

• 동서간호학연구지
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• 제15권1호
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• pp.54-62
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• 2009

Purpose: The purpose of this study was to examine the effects of relaxation therapy to reduce anxiety level among spinal anesthesia surgery patients. Methods: The study employed a quasi-experimental pre-and-posttest design with nonequivalent control group. The experimental group was provided with the 15-min muscle relaxation therapy on the day before the surgery and an hour before the spinal anesthesia. Data were collected from 44 patients (22 in experimental and 22 in control group) who were planned to have spinal anesthesia surgery from an orthopedic surgery department at a general hospital in Seoul from January 13 to March 21, 2006. Results: The experimental group reported lower level of state anxiety after the surgery (23.18 vs. 33.64) than did control group but was not statistically significant. There were no significant differences in blood pressure or pulse rate between experimental and control groups after surgery. Conclusions: The further research should be conducted to polish the muscle relaxation therapy for various types of patients and to create more comfortable environment setting for application of the therapy. The muscle relaxation therapy may be a convenient and useful nursing intervention to reduce anxiety among spinal anesthesia surgery patients if more studies prove its effectiveness.

• 동서간호학연구지
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• 제15권2호
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• pp.82-90
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• 2009

Purpose: The purpose of this study was to compare the degree of preoperative anxiety and postoperative pain among volunteer and non-volunteer donors in living liver transplantation. Methods: The 32 volunteer and 32 non-volunteer donors were recruited from a university hospital after obtaining research approval. The data were analyzed by $x^2$, t, ANOVA tests and Pearson's correlation coefficients using SPSS 12.0 program. Results: There were no significant differences in pre-operative anxiety between the two groups. However, the non-volunteer donors had significantly more severe pain for 3 post-operative days, measured by visual analogue scale (VAS) and non-verbal pain behavior scale (non-VPBS), compared to that of the volunteer donors. There was a significant correlation between preoperative state anxiety and postoperative non-VPBS score. Conclusions: These results showed that liver donors who belonged to the non-volunteer group needed much more active postoperative pain management and psychological support than the volunteer group.

• 대한정형외과학회지
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• 제55권4호
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• pp.281-293
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• 2020

전방십자인대 재건술은 슬관절 수술 중에서 흔하게 시행되는 수술 중 한가지이나 해부학 및 생역학에 대한 이해가 증가하여 수술 기법의 다양한 변화가 있었음에도 수술 실패는 7%-16% 정도로 보고되고 있어 회전 불안정성에 대한 관심은 지속적으로 강조되고 있다. 최근 들어 전외측인대가 회전 불안정성에 대한 2차적인 지지 구조물로 많은 관심을 받고 연구되고 있다. 하지만 아직까지 전외측인대의 해부학적 형태, 생역학 및 임상 결과에 있어서 논란이 있다. 전외측인대는 대퇴골 외상과 부위에서 경골 근위부의 Gerdy's 결절과 비골 골두 사이에서 슬관절 전외측으로 주행하는 구조물로 알려져 있으며 생역학적 연구에서 경골의 내회전에 따라 전외측인대의 긴장도가 증가하는 슬관절 회전안정성에 기여를 하는 구조물로 알려져 있다. 전외측인대 손상의 진단은 신체검사, 방사선적 검사, 자기공명영상 등의 다양한 검사를 이용하여 종합적으로 판단하며 그중 주로 pivot-shift 검사와 자기공명영상의 결과를 종합하여 진단하게 된다. 최근에는 장경인대의 Kaplan 섬유 등과 같이 전외측인대 복합체로 판단하기도 하며 그 구조물들의 손상여부를 각각 고려하기도 한다. 치료에 있어서 다양한 수술법이 소개되어 사용되고 있고, 연구마다 다른 수술의 적응증을 제시하고 있는 실정으로 최근의 임상적 연구에서 회전 불안정성에 있어 긍정적인 효과를 보고하였지만 앞으로 더 많은 연구가 진행되어야 전외측인대를 강화하는 외측 강화 술식의 유용성에 대한 정확한 평가가 될 수 있을 것으로 판단된다.

• Journal of Chest Surgery
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• 제37권6호
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• pp.536-538
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• 2004

선천성 심기형과 흉벽기형이 동반되어 있는 경우 이 두 질환을 동시에 수술하는 경우에 변형된 늑연골의 광범위한 절제에 따른 합병증이 단점으로 지적되고 있다. 본원 흉부외과에서는 부분 방실중격 결손증과 오목가슴이 동반된 8세 환아에서 개심술 시에 Nuss 술식을 이용하여 오목가슴을 교정함으로써 광범위한 늑골절제에 따른 수술시간의 지연이나 출혈, 흉벽의 불안정성 등의 단점없이 좋은 결과를 얻었기에 이를 보고하는 바이다.

• Clinics in Shoulder and Elbow
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• 제12권1호
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• pp.1-6
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• 2009

목적: 불안정성 쇄골 원위부 골절에 대하여 mini-T 금속판을 이용한 수술적 치료를 시행 후 임상적 및 방사선학적 결과를 알아보고자 하였다. 대상 및 방법: 2004년 12월부터 2007년 7월까지 쇄골 원위부 골절 중 Neer 분류 제 2형인 불안정성 골절에 대하여 mini-T 금속판을 이용한 수술을 시행한 환자 중 1년 이상 추시 관찰이 가능하였던 15예를 대상으로 임상적 및 방사선학적 결과를 분석하였다. 결과: 방사선학적 골유합은 평균 3.1개월(3~4개월)에 이루어졌으며 심부 감염이나 고정 실패 등의 합병증은 없었다. 최종 추시 시 미국 견주관절학회 평가 점수(ASES score)는 평균 97점(85~100점)으로 양호한 결과를 보였으며, 견관절의 운동 범위도 1예를 제외하고 모든 예에서 정상으로 회복된 소견을 보였다. 결론: 불안정성 쇄골 원위부 골절에 대하여 mini-T 금속판을 이용한 수술 방법은 양호한 임상적 및 방사선학적 결과를 보여 좋은 수술 방법으로 사료되나 더 많은 증례를 통한 장기적인 결과 분석이 필요하리라 생각된다.

• 한국산학기술학회논문지
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• 제22권5호
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• pp.207-220
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• 2021

본 연구는 자궁양성종양 환자의 수술 사전 교육이 불안, 불확실성, 통증에 미치는 효과를 분석하기 위해 수행된 체계적 문헌고찰 및 메타분석 연구이다. 문헌검색을 위해 PubMed, OVID MEDLINE, CINAHL, Google Scholar 및 학술연구정보서비스(RISS), 한국학술정보(KISS)등의 데이터베이스를 활용하였으며, 2020년 1월까지 검색하였다. 총 401개의 연구가 확인되었으며 선택배제 과정을 거쳐 최종적으로 13편이 분석에 포함되었다. 문헌의 비뚤림 위험은 RoB(Risk of Bias)와 Robans를 이용해 평가하였으며, 전반적으로 비뚤림 위험은 낮은 것으로 평가하였다. 연구결과 수술사전 교육은 불안 (Hedges's g= -0.89, 95 % CI -1.39, -0.47)과 통증 (Hedges's g= -0.49, 95 % CI -0.95, -0.02)에는 통계적으로 유의한 차이가 있는 것으로 나타났으나, 불확실성( Hedges's g = -1.38, 95 % CI -3.98, 1.23)은 통계적으로 유의한 차이가 없는 것으로 나타났다. 하위그룹 분석결과 중재방법에 따라 인지행동프로그램, 시범교육, 이완요법이 효과가 있는 것으로 나타났으며, 출판 편향의 위험은 낮았다. 이를 토대로 향후 자궁양성종양 환자의 수술 사전 교육에 적용할 수 있을 것이라 사료된다.