• Title/Summary/Keyword: Bed rest

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The Effect of Support for Lumbar Curve on Back Pain, Comfort, and Bleeding Complications in Patients on Bed Rest after Transurethral Resection of Prostate (요추 만곡 지지가 경요도적 전립선 절제술 후 침상 안정기 환자의 요통과 안위 및 출혈성 합병증 발생에 미치는 효과)

  • Lim, Ja-Young;Chaung, Seung-Kyo;Sohng, Kyeong-Yae
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.14 no.3
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    • pp.280-287
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    • 2007
  • Purpose: This study was done to identify effects of lumbar curve support on back pain and comfort during bed rest after transurethral resection of prostate (TURP). Method: A quasi-experimental design with a non-equivalent control group was used. All patients were diagnosed with benign prostatic hyperplasia and underwent TURP. Twenty participants were assigned to the experimental group and twenty to the control group. After TURP, the lumbar curve of patients in the experimental group was supported using gel pads for 6 hours while the control group received the usual care with the both leg straight. The intensity of back pain and comfort levels were assessed on immediate return to the unit and for six hours following TURP. Bleeding complications were detected from hemoglobin and hematocrit levels. Results: Support of lumbar curve was found to be significantly effective in reducing back pain. the need for analgesics was significantly less in the experimental group. Comfort levels were not significantly different between the two groups. There were no bleeding complications in either group. Conclusion: These results suggest that supporting of lumbar curve ameliorates back pain without causing an increased incidence of bleeding complications after TURP and this nursing intervention should help TURP patients to be more comfortable.

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The Effects of Exercise Therapy and Transcutaneous Electrical Nerve Stimulation for the Alleviation of Low Back Pain After Coronary Angiography (관동맥 조영술 후 요통완화를 위한 운동요법과 경피적 전기 신경자극의 효과)

  • Hahn, Sook-Won
    • Korean Journal of Adult Nursing
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    • v.14 no.2
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    • pp.222-232
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    • 2002
  • Background and Purpose: After the coronary angiography procedure, patients are required to remain on bed rest to reduce the risk of bleeding and hematoma formation at the puncture site. This prolonged bed rest in the supine position is difficult for many patients, who frequently complain of low back pain. The purpose of the study was to determine whether a specially designed exercise therapy and transcutaneous electrical nerve stimulation (TENS) had an effect on the alleviation of low back pain. Method: Sixty-two patients were assigned to one of three groups : specially designed exercise therapy plus TENS plus general nursing care (exercise group N=21), general nursing care plus TENS (TENS group, N=23) or general nursing care (control group, N=18). The exercise therapy consisted of five movements including stretching, pelvic tilting, knee to chest, modified situps and trunk rotation with minimizing the motion of the puncture site. The severity of low back pain was assessed by a visual analogue scale(VAS) every two hours. The use of analgesic and any development of bleeding or other complications were monitored as well. The level of serum ${\beta}$-endorphin was determined before and after the three interventions. Result: The pain score of the exercise group was significantly lowered compared to that of the other groups. There was no difference in the serum ${\beta}$-endorphin level among three groups. Analgesic were less frequently taken by the exercise group. However the incidence of bleeding complications was not significantly different among the three groups. Conclusion: Exercise therapy is more effective than general care or TENS in alleviating low back pain of the patients with coronary angiography.

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Perimenstrual Discomforts, Coping and Relief of Symptoms in Female Workers (일부 근로여성이 호소하는 월경전후기 불편감, 월경대처 및 증상완화 정도에 관한 연구)

  • Sung Mi-Hae;Min Kyung-Ok;Jang Youn-Jeong;Jeon Ju-Yeon
    • Journal of Korean Public Health Nursing
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    • v.20 no.1
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    • pp.57-68
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    • 2006
  • Purpose: To identify perimenstrual discomforts, coping and relief of symptoms in female workers. Methods: A convenience sample of 203 women who had worked were obtained from two hospitals in Busan. Data were collected through questionnaires from November 8 to 16, 2004. Three instruments were used in this study: the Perimenstrual Discomfort Questionnaire by Park(1988) and the Menstrual Coping Questionnaire and the Relief of Symptoms by Billings & Moos(1981) modified for this study. The data were analyzed by descriptive statistics, t-test, and ANOVA with SPSS 10.0 program. Results: The prevalence rate of dysmenorrhea was 81.3%. The total mean score for perimenstrual discomforts was 2.83 out of a possible total of 5 and the mean score for each category was, 3.08 for water retention, 2.95 for pain, 2.88 for negative affect, 2.83 for behavioral change, 2.73 for autonomic reactions, and 2.51 for concentration. According to these study results, statistical differences were found for age(F=2.76, p=0.04), feeling to menstruation(F=3.94, p=0.00), dysmenorrhea(t=4.26, p=0.00), and taking medication(t=2.09, p=0.00). The coping modes with the highest scores were 'take a hot bath'(99.0%)', 'rest and go to bed'(83.7%), 'regard menstruation as a physiological and temporary phenomenon'(76.8%), 'take a warm shower'(65.0%). The most frequently used methods to relieve symptoms were 'rest and go to bed'(70.0%), 'take a warm shower'(57.6%), 'take pain killers'(49.8%), 'apply hot water bag on painful parts of the body'(46.8%). Conclusion: Further research is needed to understand perimenstrual discomforts and the variables associated with them. Nursing intervention has to be considered in any program aiming to reduce perimenstrual discomforts.

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A study of the Nursing Interventions performed by the ICU nurses to the patients with Cerebrovascular disorders (중환자실 뇌혈관질환자에게 수행된 간호중재분석)

  • Park, Young-Rye;Choi, Kyung-Sook
    • The Korean Journal of Rehabilitation Nursing
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    • v.4 no.1
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    • pp.94-104
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    • 2001
  • The purpose of this study was to analysis of nursing interventions performed by the ICU nurses to the patients with cerebrovascular disorder practically from one university hospital in Seoul. The data were collected from 15 nurses with 86 cerebrovascular disorder cases from one ICU with the questionaire to write frequency of nursing care done by the surveyee from May, 2, 2000 to July, 3, 2000 and the list of 66 nursing interventions selected out of 433 NIC(Nursing Interventions Classification) of Iowa University which were translated into Korean (44 items) and core nursing interventions by ICU nurses (22 items; KIm, Su-Jin, 1997). The data were analysed with SPSS program. The results are as follow : 1. The most frequently used nursing interventions were vital sign monitoring, fall prevention, cerebral edema management, dysreflexia management, neurologic monitoring, cardiac care, communication enhancement, technology management, bed rest care, respiratory monitoring in rank. 2. The most frequently used nursing intervention domains were 'Physiological : Complex', 'Physiological : basic', 'Behavior', 'Safty', 'Health system' in rank. In the domain of physiological : basic, the most frequently used nursing interventions were bed rest care, urinary elimination management, tube care : urinary, physical restraints in rank. In the domain of physiological : complex, the most frequently used nursing interventions were cerebral edema management, dysreflexia management, neurologic monitoring, cardiac care in rank. In the domain of behavior, the most frequently used nursing interventions were communication enhancement, touch, active listening in rank. In the domain of safty, the most frequently used nursing interventions were vital sign monitoring, fall prevention in rank. In the domain of health system, the most frequently used nursing interventions were technology management, specimen management in rank. 3. some difference of the frequency practicing the nursing interventions according to the shift of duties was found. For example, medication administration was common at day duty, touch was practiced at evening duty, temperature regulation was performed.

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A Study on Menstrual Symptoms, Coping and Relief of Symptoms in Female College Students (일부 여대생의 월경증상.대처방법.증상완화정도에 관한 연구)

  • Jun, Eun-Mi
    • Women's Health Nursing
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    • v.9 no.2
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    • pp.161-169
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    • 2003
  • The purpose of this study was to identify menstrual symptoms, coping and Relief of Symptoms used by female college students. A convenience sample of 202 students were obtained from two colleges in Seoul. Data were collected through questionnaires from September 10 to December 18, 2001, Three instruments were used in this study, the Menstrual Symptoms Questionnaire by Park K. R(1988) and Menstrual Coping Questionnaire and Relief of Symptoms by Billings & Moos(1981) modified for this study. 1)Part time instructor, Department of Nursing, Pochon CHA University The data were analyzed by descriptive statistics, t-test, ANOVA with the SPSS 10.0 program. The result of this study are as follows. 1. Prevalence rate of dysmenorrhea was 91.6%. 2. The total mean score for menstrual symptoms was 1.89 of a possible total of 5 and mean score for each category was, 2.26 for water retention, 2.11 for negative affect, 2.02 for pain, 1.83 behavioral change, 1.69 for autonomic reactions, and 1.53 for concentration. 3. According to the result of this study, statistical differences were found for age (F=3.76, p=0.01), menstrual fear (t=2.02, p=0.04), dysmenorrhea (t=7.73, p=0.02), and taking medication (t=5.95, p=0.00). 4. The coping mode with the highest scores were 'rest and go to bed (83.7%)', 'regard mensturation as a physiological and temporary phenomenon (68.3%)', 'take a warm shower(66.8%)'. The most frequently used methods to relief of symptoms were 'take pain killers (99.9%)', 'to apply hot water bag on painful parts of the body (96.6%)' and 'rest and go to bed (88.8%)'.

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Discomfort and Bleeding in Relation to Bedrest Time after Bone Marrow Examination among Hemato-oncology Patients (혈액종양 환자의 골수검사 후 침상안정 시간에 따른 불편감 및 출혈)

  • Lee, Hye Youn;Jung, Jin Young;Park, Se Yeon;Jo, Eun Mi;Jang, Chang Seob;Kim, Hyang Seon;Park, Mi Jeong;Hwang, Yu Min;Suh, Eun Young
    • Journal of Korean Clinical Nursing Research
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    • v.25 no.1
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    • pp.91-97
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    • 2019
  • Purpose: The purpose of this study was to investigate hemato-oncology patients' discomfort and bleeding in relation to the bedrest time after bone marrow examination. Methods: A descriptive correlational study was conducted. The data were collected using self- report questionnaire from total of 131 patients who underwent bone marrow examination from January 2017 to September 2017. Data were analyzed with descriptive statistics, Wilcoxon Signed-rank test, McNemar's test and logistic regression. Results: The level of discomfort after 4 hours of bedrest was significantly higher when compared to 2 hours of bedrest(p<.001). The occurrence of bleeding after 2 hours of bedrest was significantly higher than 4 hours of bedrest(p<.001), however the degree of bleeding was slight. No bleeding occurred in 84% of the patients after 2 hours of bedrest. Conclusion: The results of this study demonstrated that shortening the bed rest time after bone marrow examination was helpful in improving the patient's well-being. Bedrest time could be shortened according to the site of bone marrow examination and patient's condition.

Reliability of Early Ambulation after Intradural Spine Surgery : Risk Factors and a Preventive Method for Cerebrospinal Fluid Leak Related Complications

  • Lee, Subum;Cho, Dae-Chul;Kim, Kyoung-Tae;Lee, Young-Seok;Rhim, Seung Chul;Park, Jin Hoon
    • Journal of Korean Neurosurgical Society
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    • v.64 no.5
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    • pp.799-807
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    • 2021
  • Objective : Cerebrospinal fluid leakage related complications (CLC) occasionally occur after intradural spinal surgery. We sought to investigate the effectiveness of early ambulation after intradural spinal surgery and analyze the risk factors for CLC. Methods : For this retrospective cohort study, we enrolled 314 patients who underwent intradural spinal surgery at a single institution. The early group contained 79 patients who started ambulation after 1 day of bedrest without position restrictions, while the late group consisted of 235 patients who started ambulation after at least 3 days of bed rest and were limited to the prone position after surgery. In the early group, Prolene 6-0 was used as the dura suture material, while black silk 5-0 was used as the dura suture material in the late group. Results : The overall incidence rate of CLC was 10.8%. Significant differences between the early and late groups were identified in the rate of CLC (2.5% vs. 13.6%), surgical repair required (1.3% vs. 7.7%), and length of hospital stay (2.99 vs. 9.29 days) (p<0.05). Logistic regression analysis revealed that CLC was associated with practices specific to the late group (p=0.011) and the revision surgery (p=0.022). Conclusion : Using Prolene 6-0 as a dura suture material for intradural spinal surgery resulted in lower CLC rates compared to black silk 5-0 sutures despite a shorter bed rest period. Our findings revealed that suture - needle ratio related to dura defect was the most critical factor for CLC. One-day ambulation after primary dura closure using Prolene 6-0 sutures appears to be a costeffective and safe strategy for intradural spinal surgery.

Towards Reinterpretation of Korean Living Behavior: New Design Approach to Spatial Furniture (생활 문화 기반의 재해석 : 공간형 가구의 새로운 접근)

  • Jun, Kye Han;Choi, Kyung Ran
    • Korea Science and Art Forum
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    • v.27
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    • pp.213-219
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    • 2017
  • This paper aims to approach a spatial furniture for sedentary lifestyle which been has derived and evolved from Korea's traditional 'Ondol' heating system. In this living culture, people has been staid on the floor where people would sit directly on without furniture such as chair and bed. With every changing technological advances, sedentary life culture is transformed and mixed instead of sedentary habit. Most of people lived in western house such as apartment forms. As time go by, western furnitures were used became widespread. However, during the process, it impossible to acclimate ourselves to the new lifestyle such as chair, bed etc. This leads to users feeling uncomfortable on certain points. The researcher suggests a spatial furniture through a new approach to rest-taking that also intersects the cultures of East and West while resolving the a fore-mentioned issues. The study is conducted as follows. Firstly, issues are discovered through a user's lifestyle to exist usage and interplay of house and furniture. Furthermore, the issues was not a fragmentary thing but more related to a culture and a coustom of long standing. Secondly, a design experiment is conducted to conclude a new form and function that is better fit for the Korean culture where sitting on the floor is the norm. New direction for space that intersects the cultures of the East and West while using modules made convenient for contemporary life is presented. Finally, this study is meaningful in that it reinterprets furniture used for rest within the context of sedentary culture, in order to propose a new direction and value for design that overcomes the boundaries between eastern and western applied to resting space.

Electroacupuncture for Lumbar Spinal Stenosis: A Systematic Review and Meta-Analysis (요추 척추관 협착증에 대한 전침 치료의 효과: 체계적 문헌고찰 및 메타분석)

  • Bok-Yeon Na;Woo-Seok Shon;Young-Jun Kim;Chang-Hoon Woo
    • Journal of Korean Medicine Rehabilitation
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    • v.33 no.3
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    • pp.67-78
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    • 2023
  • Objectives To evaluate the evidence supporting the efficacy and safety of electroacupuncture for lumbar spinal stenosis. Methods We searched eight electronic databases (PubMed, EMBASE, Cochrane Library, Chinese Academic Journals, Research Information Sharing Service, ScienceOn, KMBASE, DBpia) and related two journals up to March 2023. We included randomized controlled trials of testing electroacupuncture for lumbar spinal stenosis patients. The methodological quality of relevant randomized controlled trials assessed by the Cochrane risk of bias tool. Results Among 90 articles that were searched, seven randomized controlled trials involving 474 participants were finally selected in this systematic review. Electroacupuncture was more effective on lumbar spinal stenosis compared with other treatments including analgesics, acupuncture, bed rest and exercise therapy, but showed ambiguous effect compared with physical therapy. Most of the side effects and adverse reactions were reported as minor and temporary. Conclusions Electroacupuncture for lumbar spinal stenosis was more effective than analgesics, acupuncture, bed rest and exercise therapy. In terms of safety, it was limited because there are many papers that do not mention side effects and adverse reactions related to electroacupuncture. Additional studies are needed to determine the effect of electroacupuncture on lumbar spinal stenosis.

Studes on the Hardwood Cutting of Mulberry(Morus alba L.) I. Effect of Cutting Methods and Seasons n Rootability (뽕나무 고조섭목에 관한 연구 I. 섭목방법 및 시기가 활착률에 미치는 영향)

  • 이동한;김동일
    • Journal of Sericultural and Entomological Science
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    • v.28 no.2
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    • pp.9-14
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    • 1986
  • The rootability of hardwood cutting of mulberry (Morus alba L.) depending upon the kinds of cutting beds, soil of cutting beds, effect of growth regulator (Rootone-F), pretreatments of cutting scion, parts of branches were investigated, The results were as follows ; 1. Rootability was the highest in cutting after callus formed on sand bed, whereas null in the treatment of rice seedling hot bed. 2. Optimum cutting season was around March 26, showed 100% rootability in all treatments except wooden box filled with sand. 3. The order of rootability related with cutting part of branch was upper$^{\circ}C$), and cutting after formation of callus increased rootability, whereas cuttings left in open air for 5 days showed null rootability.

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