• Title/Summary/Keyword: 통증모니터링

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Implication and Evaluation of Pain Monitoring Program for Oncology Nurses (암 병동 간호사를 위한 통증모니터링 프로그램 개발 및 효과)

  • Kim, Yeon-Hee;Gong, Sung-Hwa;Choi, Jin-Sun;Jung, Ji-Young;Jun, Myung-Hee
    • The Journal of Korean Academic Society of Nursing Education
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    • v.12 no.2
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    • pp.196-204
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    • 2006
  • Purpose: This study was purposed to identify the effect of pain monitoring program for improving the knowledge, attitude and assessment ability of cancer pain in oncology nurses. Methods: In this study pain monitoring program was developed based on the literature, and constructed it with various teaching method including several group lectures, workshop, focus group and implementation at the clinical practices. In order to test the effect of this program, contrast group, pretest-post test quasi-experimental design was designed. 46 oncology nurses randomly assigned to either control or experimental group. The tool used are 32 item scale for the evaluation of the nurses' knowledge, attitude toward pain modified by Kim(1997), which was originally developed by McCaffery and Ferrel(1995). Results: The pain monitoring program for the oncology nurses was statistically significant for improving the level of the knowledge about and attitude toward pain management, and pain assessment behavior. Conclusion: More sensitive multiple measurement tool for the attitude toward pain management needs to be developed. Nurses need more knowledge and effective attitude toward cancer pain management. Pain monitoring program in this study is effective to improve the quality of pain management.

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Implementation of the Smartphone Based Carpal Tunnel Syndrome Monitoring System (스마트폰 기반의 손목터널증후군 모니터링 시스템 구현)

  • Hwang, Woo-Jin;Yang, Yoon-Jeong;Jeong, Do-Un
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2016.10a
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    • pp.827-829
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    • 2016
  • 장시간 컴퓨터나 스마트폰을 사용하는 사람들에게서 손목터널증후군(Carpal Tunnel Syndrome)의 발생 가능성이 높아지며, 이를 방지하기 위해서는 꾸준한 손목 스트레칭과 위험성의 모니터링을 통한 사용자 피드백이 중요하다. 본 연구에서는 사용자 스스로가 손목 터널 증후군의 위험성을 인지하고, 손목 스트레칭 할 수 있도록 손목 터널 증후군 예방 시스템(Carpal Tunnel Syndrome Prevention System, CTSPS)을 구현하였다. 전체 시스템은 하드웨어와 소프트웨어로 구성되며, 소프트웨어는 사용자가 설정한 사용 시간과 잠금 시간을 바탕으로 알림 및 잠금을 수행한다. 이때 사용자는 아두이노와 가속도 센서를 이용하여 손목 스트레칭 할 수 있으며, 사용 패턴을 분석하여 사용자에게 맞는 생활 가이드를 제공할 수 있다. 구현된 시스템을 평가하기 위해 피실험자 5명을 대상으로 3일간 스마트폰 사용 시간 및 터치 횟수를 측정하였고, 설문조사를 수행한 결과 스마트폰의 사용 빈도가 줄었으며, 통증 완화 등 긍정적인 효과를 확인할 수 있었다.

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Effects of Shoulder Rehabilitation Exercise Convergence Program on Pain, Range of Motion and Exercise Self-efficacy After Shoulder Surgery (어깨재활운동 융합프로그램이 어깨수술 후 통증, 관절운동범위 및 운동자기효능감에 미치는 효과)

  • Lee, Hye-Rim;Kim, Ju-Sung;Cho, Soo-Min
    • Journal of the Korea Convergence Society
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    • v.9 no.4
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    • pp.409-421
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    • 2018
  • The purpose of this study was to examine the effects of shoulder rehabilitation exercise convergence program. This study used a nonequivalent control group pretest-posttest design. A sample of 58 patients undergoing shoulder surgery, was included. The experimental group was given shoulder rehabilitation exercise convergence program including audiovisual education, shoulder rehabilitation exercise and exercise monitoring. The data were collected using a structured questionnaire and measured range of motion(ROM) of shoulder joint and were analyzed using descriptive statistics, ${\chi}^2-test$, t-test and ANCOVA. The experimental group reported significantly lower shoulder pain than control group(p<.001). Shoulder joint ROM and exercise self-efficacy were significantly higher in the experimental group than in the control group(p=.038; p<.001). This findings indicate that shoulder rehabilitation exercise convergence program can be an effective intervention for shoulder surgery patients. Continued development of convergence interventions for patients undergoing various conditions in practice, is suggested.

Reliability of Infrared Thermographic Imaging in the Orofacial Region (구강안면부에서 적외선 체열검사의 신뢰도에 관한 연구)

  • Han, Dong-Joon;Kim, Ki-Suk
    • Journal of Oral Medicine and Pain
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    • v.26 no.4
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    • pp.355-367
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    • 2001
  • 치의학 분야에서 디지탈 근적외선 체열측정 장치(digital infrared thermographic imaging; DITI)의 응용이 미미한 것은 과거 열측정장치의 기술력이 부족한 것이 주된 요인이었다. 그러나 최근들어 기술이 진보함에 따라 실시간 열영상을 재현할 수 있게 되었고 이는 치의학 및 의학계에 많은 관심을 일으키고 있다. 지금까지의 연구를 보면 두개하악장애시 구강영역의 온도변화의 임상적 효용 가능성을 제시하였으나 안면 및 두경부에 대한 실제 기기 및 측정방법의 신뢰도에 대한 연구는 이루어지지 못한 상태이다. 본 연구에서는 DITI에 대한 신뢰도를 조사하였다. DITI의 모니터 상에서 비활동성 발통점의 부위를 찾아내기가 쉽지 않다. 따라서 모니터상에서 안면발통점(joint, temporalis anterior, masseter anterior, masseter inferior)의 부위를 찾아 온도를 찾아내는 방법과 미리 발통점 피부상에 링모양의 마크를 부착하여 모니터상에서 쉽게 찾아내는 방법을 사용하여 신뢰도를 조사하여 비교한 결과 다음과 같다. 1. 조사한 발통점 중에서 temporalis anterior, joint, masseter anterior과 masseter inferior의 순서로 피부온도가 유의하게 온도가 높았으나(p<0.05) masseter 내에서는 유의한 차이를 보여주지 않았다. 2. 4개의 발통점 모두에서 높은 열적 대칭성을 보였으며, 좌우 온도차이는 $0.1^{\circ}C$미만이었다. 3. 다른 시기에 조사한 조사자내 신뢰도는 두 조사자 모두 높은 상관관계를 보여주지 않았으며 대조군과 마크를 사용한 군간에는 뚜렷한 차이를 볼 수 없었다. 4. 동일한 시기에 조사한 조사자간 신뢰도는 두 시기 모두 joint 부위의 일부를 제외하고 높은 상관관계를 보여주었으며, 마크를 사용한 경우 사용하지 않은 경우 보다 훨씬 신뢰도가 높은 상관관계를 나타내었다. 이상의 결과로 보아 DITI는 두개하악장애환자에 대한 두경부 발통점의 온도변화를 측정하는 데 있어 시간에 따른 신뢰도는 결여되었으나 동일 시기의 측정에는 매우 유익할 것으로 사료되며, 특히 발통점에 대한 표시를 사용하는 경우 매우 정확한 온도를 조사할 수 있을 것으로 판단된다.

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Convergent factors affecting length of stay in the postanesthesia care unit among elderly from general anesthesia patients (노인 전신마취 환자의 회복실 체류에 영향을 미치는 융합적 요인)

  • Lee, Su-Jin
    • Journal of Internet of Things and Convergence
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    • v.3 no.2
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    • pp.21-32
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    • 2017
  • This study is a descriptive investigation for understanding factors influencing the length of stay in the postanesthesia care unit of elderly patients. Retrospective investigation was conducted on 300 patients aged 65 or older among those who had received an operation under general anesthesia and treated in postanesthesia care unit of hospital C located in Gyeonggi-do, from January 1 to December 31, 2014. The patients' average postanesthesia care unit stay was found to be 48.4 minutes and the 30-59 minute section accounted for the highest part with 58.0%. The postanesthesia care unit stay time according to intra-operative factors showed significant differences depending upon muscle relaxants, transfusion, ABGA, body temperature and total hours under anesthesia. Concerning the post anesthesia care unit stay length according to post-operative factors, significant differences were observed depending upon complications, PCA device, and circulatory drug use. In order to find out factors influencing the post anesthesia care unit stay length, the multiple regression analysis was conducted. As a result, the circulatory drug use and intra-operative lower body temperature were found to have an effect on the post anesthesia care unit stay length with the total explanatory power of 13%. Based on these findings above, it is deemed helpful to carefully monitor factors related to the post anesthesia care unit stay length and provide swift response accordingly for shorter post anesthesia care unit stay time of elderly general anesthesia patients.

The Associated Factors with Xerostomia in Adults Aged 30 Years and Over (일부 만 30세 이상 성인에서 구강건조증 관련요인 분석)

  • Han, Hae-Seong;Kwon, Da-Ae;Kim, Ri-Na;Kim, Yu-Na;Lee, Gyeol-Hui;Lee, Na-Ram;Lee, Da-Jeong;Lee, Seung-Hui;Choi, Jun-Seon
    • Journal of dental hygiene science
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    • v.13 no.1
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    • pp.62-70
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    • 2013
  • The aim of this study was to analyze factors related to xerostomia in adults aged 30 years and over. The data were analyzed using the t-test, one-way ANOVA and multiple linear regression analysis in the SPSS version 12.0 program. The results were as follow. 1. The respondents who were older than 51 years old, unemployed and had less than 3 million won of average monthly income were more aware of xerostomia (p<0.05). 2. The respondents who answered poor and moderate for their general and oral health and the group with duplicate medication and comorbidity were more aware of xerostomia (p<0.05). 3. The respondents that had problems in chewing, communication, ordinary activities and complained of pain discomfort and suffered from anxiety depression were more aware of xerostomia (p<0.001). 4. The respondents that answered frequent dryness on their skin, eyes, lips, and nasal mucosa were more aware of xerostomia (p<0.001). 5. Xerostomia showed highest correlation with quality of life ($\beta$=0.436) followed by the number of medications ($\beta$=0.239), sense of entire body dryness ($\beta$=0.200), feeling of hopelessness ($\beta$=0.160) and number of oral mucosa disease symptoms ($\beta$=0.099) (p<0.05). According to the results of the study, xerostomia may cause deterioration in quality of life. Thus, it is advised to improve the patient management system among dental professions to prevent various complications caused by xerostomia and conduct regular health education on the cause and management method of xerostomia.

The Associated Factors with Xerostomia in Patients with Systemic Diseases (일부 전신질환자에서 구강건조증의 관련요인 분석)

  • Kim, Sun-Ju;Choi, Jun-Seon
    • Journal of dental hygiene science
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    • v.13 no.4
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    • pp.386-392
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    • 2013
  • The purpose of this study was to evaluate the factors related to xerostomia in patients with systemic diseases, and the results were analyzed through t-test, ANOVA, and multiple linear regression analysis. There were 62 respondents (56.9%) who reported dry mouth and the season of the most severe dry mouth was reported to be the highest during winter. According to the analysis made in the relationship of xerostomia with the awareness of general health and health behavior, the group that understood their own health poorly, had more than two kinds of diseases, and had been administered more than two kinds of daily medication showed higher xerostomia. Also, those who experienced desperation, had high dryness in other parts of the body, and heavy snoring were more aware of xerostomia (p<0.05). According to the analysis made in the relationship between xerostomia and awareness of oral health state, the group that understood their oral health poorly and had pain in the oral mucous membrane and halitosis was more aware of xerostomia (p<0.05). According to the analysis made in the relationship between quality of life and xerostomia, the group that showed high level of problem in daily living and stress and were self-conscious and felt tense due to halitosis reported more xerostomia (p<0.05). Finally, xerostomia was most correlated with consciousness of the eyes of others due to halitosis followed by the number of transferred systemic diseases and stress level. Based on such results, xerostomia was understood to be an obstacle in maintaining favorable social life and health. Since xerostomia was shown to be related to the number of transferred systemic diseases, the dental professions are asked to further improve their understanding not only on oral health but also systemic diseases. Therefore, these efforts are expected to prevent xerostomia and reduce various complications caused by xerostomia.