• Child Health Nursing Research
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• 제23권4호
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• pp.416-428
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• 2017

Purpose: Tonsillectomy is a very common surgical procedure, particularly in children. The purpose of this study was to identify current evidence in nursing research on pediatric tonsillectomy by analyzing and evaluating Korean nursing studies related to pediatric tonsillectomy. Methods: An integrative literature review of Korean pediatric tonsillectomy research was conducted. Databases were searched to identify research that related to nursing care for pediatric tonsillectomy children. Results: Of the 115 studies identified, 13 studies met the inclusion criteria for this review. All studies were experimental studies and most of those studies had a quasi experimental design. No correlational studies or qualitative studies were found. Providing nursing information and education for children and their mothers at pre, during, and post tonsillectomy by pediatric nurses were found to be effective in reducing children's pain and anxiety and their mother's anxiety and uncertainty, and increasing children's appropriate sick role behaviors and their mother's satisfaction with nursing services provided and knowledge related to tonsillectomy. Conclusion: Although most studies reported positive effects in terms of post tonsillectomy outcomes, lack of methodological rigor limits the current evidences for pediatric tonsillectomy nursing interventions. Greater attention to improve methodological rigor for Korean research on pediatric tonsillectomy is needed.

• 기본간호학회지
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• 제18권1호
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• pp.63-70
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• 2011

Purpose: This study was done to examine the effects of aroma inhalation therapy on pain post tonsillectomy. Method: A non-equivalent control group pre- and post-test design was used. The research instruments used in this study were a pain perception measurement and vital signs (systolic & diastolic blood pressure and pulse rate levels). Twenty-five patients in the experimental group went through aroma inhalation therapy for ten minutes after the tonsillectomy. The aroma inhalation therapy used was a blended oil, a mixture of Lavender and Loman chamomile in the ratio of 2:1. The 25 patients in the control group did not receive the therapy. Before and after the experiment, both groups were tested for pain (pain perception and vital signs). Collected data were processed with the SPSS WIN. Ver. 14.0 program and analyzed using frequencies, percentages, ${\chi}^2$-test, Fisher's exact test, t-test and ANCOVA. Results: Pain perception of patients was not significantly reduced. However systolic and diastolic blood pressure and pulse rate were significantly reduced. Conclusion: The results of the study indicate that aroma inhalation is a partially effective nursing intervention to reduce the post-operative tonsillectomy pain.

• 한국콘텐츠학회논문지
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• 제16권1호
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• pp.158-166
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• 2016

본 연구는 수술 전 정보제공이 학령전기 편도선절제술 환아 어머니의 불안, 불확실성 및 수술 후 간호만족도에 미치는 효과를 파악하기 위한 비동등성 대조군 전후 실험연구이다. 자료수집은 S종합병원에서 편도절제술을 받은 학령전기 환아의 어머니로 실험군 19명, 대조군 20명을 대상으로 하였다. 실험군에게는 수술에 따른 통상적 교육과 함께 소책자를 이용하여 연구자와 연구 보조원이 직접 간호사실에서 1:1 개별로 평균 20분 정도 정보제공을 하였으며 대조군에게는 통상적 교육만 실시하였다. 자료분석은 빈도와 백분율, ${\chi}^2$-test, Fisher's exact test, Mann-Whitney U-test를 이용하였다. 수술 전 정보제공은 대조군과 실험군의 불안(U=104.5, p=.015), 불확실성(U=83.5, p=.002)에 유의한 차이를 보였으며, 수술 후 간호 만족도(U=109.5, p=.022)에도 유의하였다. 본 연구결과를 통하여 수술 전 정보제공은 학령전기 편도선절제술 환아 어머니의 불안, 불확실성 및 수술 후 간호만족도에 긍정적 효과가 있는 것으로 나타났으며, 추후 반복연구와 다양한 교육방법을 통한 정보제공의 효과검증이 필요할 것이다.

• Child Health Nursing Research
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• 제8권4호
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• pp.400-413
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• 2002

The purpose of this study was to evaluate the effect of informational intervention on postoperative pain following tonsillectomy in children. This study was performed on 30 children, aged 5-15 years, undergoing tonsillectomy and their parents by providing informational intervention with colored figure; operation procedure and information. Pain assessment was done by Pain Questionnaire. The results from this study were as follows : 1. Children in experimental group with mean 16.07 had lower pain scores than control group with mean 14.87 at 4th hours after operation(p<0.05). It showed 'significant difference' and first hypothesis was adopted. 2. Children in experimental group with mean 20.60 had lower pain scores than control group with mean 17.27 at 8th hours after operation(p<0.05). It showed 'significant difference' and second hypothesis was adopted. 3. Children in experimental group with mean 28.80 had lower pain scores than control group with mean 25.70 at 24th hours after operation(p<0.05). It showed 'significant difference' and third hypothesis was adopted. 4. When we analyzed the time difference and difference between two groups simultaneously by repeated measure ANOVA, the significant difference was not found. And so 'the experiential group with operation-related information will show the lower pain sense than the control group just as the time flows after operation', fourth hypothesis was rejected. Generally, it was found that providing information about operation to children and their parents reduced effectively postoperative pain in children, but in clinical settings there are minimum preoperative information-providing because of insufficient time and inconvenience although nursing staffs and patients know its needs. Conclusionally providing preoperative information should help children and their parents cope with Pre, Peri and Post operative events effectively.

• Journal of Korean Biological Nursing Science
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• 제9권2호
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• pp.143-152
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• 2007

Purpose: The purpose of this study was to ascertain the effects of anesthetic information on preoperative state anxiety, plasma glucose, cortisol and epinephrine for patients under tonsillectomy and to provide generic data with anesthetic nursing intervention. Method: Data were collected from 60 patients who had tonsillectomy from November 1, 2003 to April 30, 2004. The group were divided into experimental group and control group: an experiment group of 30 patients was provided with an anesthetic information prepared by the researchers; a control group of another 30 patients was provided with general information. Data were analyzed through chi-squared test, t-test, repeated measure ANOVA using SPSS Program(version 12.0). Result: There were no significant difference between the experimental group and the control group in pre-operative state anxiety, glucose and cortisol. However, there were statistically significant difference between the above two groups in pre-operative pre-operative blood pressure(p=.001), heart beat(p=.000), and epinephrine(p=.035). Conclusion: The authors, with the results of this study, concluded that the preoperative anesthetic information for patients under tonsillectomy had direct effect on lessening pre-operative anxiety.

• 대한간호학회지
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• 제28권2호
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• pp.490-497
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• 1998

This study was designed to investigate the effects of information by using cartoon on preoperative anxiety of children following tonsillectomy. The subjects were 30 children aged between 7 and 12 who were hospitalized at C university hospital for undergoing tonsillectomy from December 20, 1996 to August 14, 1997 Sixteen of them were assigned to the experimental group, while fourteen subjects to the control group. The data were collected through preoperative state anxiety, pulse rate, pain before and after giving information by using cartoon. The results were as follows : 1. Preoperative state anxiety increased in both groups (P=0.0348). No significant difference found between experimental and control group. But preopertive anxiety in experimental group was apt to increase less than that in the control group. 2. Pulse rate didn't make significant difference within and between groups. 3. Pain increased in both groups (P=0.0001). No significant difference found between experimental and control group. 4. Experimental group between the aged 7 and 9 decreased preoperative state anxiety, but experimental group between the aged 10 and 12 increased preoperative state anxiety after treatment(P=0.0298). These findings may indicate that the information by using cartoon is effective in children between the aged 7 and 12.

• The Korean Journal of Pain
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• 제8권1호
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• pp.31-36
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• 1995

Post-tonsillectomy pain in children is a difficult problem to manage. We examined the effect of 10% aerosol lidocaine for the post-tonsillectomy analgesia. ASA physical status I or II, between five and thirteen years of age were assigned, in a randomized fashion, into two groups. The Group I, 30 patients, received a total dose of 4 mg/kg of ten percent aerosol lidocaine on the tonsillar beds. Lidocaine was administered at the end of the surgical procedure. The Group II, 30 patients, were not sprayed with lidocaine aerosol. The postoperative pain scores were assessed by a "red and white" visual analoge pain scales (VAPS). VAPS values were obtained at one and eight hours after the operation. Values of one hour after the operation in the group I and II were $20.83{\pm}10.01$ and $34.50{\pm}10.53$, values of eight hours after the operation were $17.33{\pm}9.07$ and $23.5{\pm}11.08$. The post-tonsilectomy pains were significantly lower in the group I compared with the group II at one and eight hours after the operation. In conclusion, 4 mg/kg of ten percent aerosol lidocaine applied directly on the tonsillar beds was showen a superior, immediate post-tonsillectomy analgesic technique.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제13권3호
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• pp.338-345
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• 1991

선천성 혹은 술후성 기형으로 발생하는 구개인두 부전증은 구강과 비강사이의 부적절한 폐쇄기능으로 인해 과비음 등의 발음장애를 초래한다. 그 원인으로는 구개파열, 인두비대증, 편도선절제술후의 구개와 인두의 비율 부조화, 구개인두 괄약근의 기형, 구래부전마비, 연구개 결손, 상악골 전진 절단술 등이 있다. 구개인두 부전증의 진단에는 임상적, 방사선학적 검사와 더불어 섬유광학 비내시경을 이용한 구개인두의 기능검사가 강조된다. 수술방법으로는 구개성형술, 인두증강술, 인두성형술, 인두피판술 등이 있다. 근자에는 상부기저형 인두피판술이 널리 사용되고 있는데, Hogan등이 개선시킨 술식에 의하면, 넓고 긴 피판을 얻을 수 있고 피판의 Raw surface를 연구개의 비강측 점막으로 덮을 수 있으며 측방 통로를 조절할 수 있다는 장점이 있다. 이에 저자등은 본인에 내원한 구개인두 부전증 환자 7례에서 상부기저형 인두피판을 이용하여 구강과 비강 사이의 측방 통로를 적절히 조절함으로서 발음을 개선시켜 본 바 양호한 임상성적을 얻었기에 보고하는 바이다.