• Journal of Korean Academy of Nursing
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• v.16 no.2
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• pp.53-62
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• 1986

The purpose of this study was to understand the pattern of health problems of post hysterectomy women by the period after their operation and to find out the related factors with health problems. A descriptive study was done using a survey methodology. The subjects were women who had undergone a hysterectomy for benign gynecological diseases at two general hospitals. They were all between one month and three year post hysterectomy as of July 15, 1985. The results are summarized as follows; 1. The percentages of the subject who were experiencing operative symptom of 1st, End and 3rd year group 53.8%, 46.2%, 37.4% respectively. The percentages of the subjects who were experiencing menopause symptom of 1st, 2nd and 3rd year group 39.0%, 35.0%, 33.7% respectively. 2. The operative factor scores of 1,2,3 year group were 20.218, 13.646, 14.030 respectively. The menopause factor scores of 1,2,3 year group were 19.055, 17.845, 17.606 respectively. 3. The sociodemographic & physiologic characteristics of the subject were as follows; the mean age of the subject was 44.47 years old, 56.2% of them were high school graduates, 73.5％ had any religion, 18.3% had job, 72.6% were middle economic class, 54.3% had medical insurance, 78.4% lived in nuclei family system, the mean pregnancy number was 5.63, the mean delivery number was 2.92, 71.2% of them were diagnosed as myoma, and half of them had preserved their ovary. 4. No one factors among the 10 factors were indentified having any relation with health problem of post hysterectomy women.

• Journal of Korean Academy of Nursing
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• v.15 no.3
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• pp.5-20
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• 1985

The purpose of this study was to assess the value-of post-operative treatment in terms of nursing care in the allevation of pain. More specifically, the effects of supportive touch and patient education were examined. On the date before each patient's operation, the Bevels of anxiety, depression and affiliation were examined. The post-operative treatment was adminis. tered after an initial measurement of the patient's fain, according to the experimental category for the three days following the operation. On the final day, the level of anxiety and depression were again measured. The subjects of this study were 138 patient from the general surgical and gynecological wards in H university Hospital in Seoul. The study was conducted over a three-month period from June 24, 1984 to September 18, 1984. All patients had undergone laparatomies. Various standard instruments were used to measure the pain, anxiety, depression and affiliation levels. for pain, 5 grate Simple Descriptive Scale, and the Mclachlan four-range Observational Pain Scale were employed. For anxiety and depression, respectively the Spielberger State Anxiety Inventory and Beck Depression Inventory (B.D.I.) were used. Lastly, the affiliation was determined by the Mehrabian Affiliation Scale. The outcome of the research was as follows: 1. The first hypothesis concerning the existence of lower pain levels of Experimental Group A and Experimental Group B than the pain levels of Control Croup C was not supported. 2. The second hypothesis concerning the existence if lower anxiety levels of Experimental Group A and Experimental Group B than the anxiety levels of Control Group C was supported at the level of F=3.58 (p=.03). 3. The third hypothesis concerning the existence of lower depression levels of Experimental Group A and Experimental Group B than the depression levels of Control Group C was not supported. 4. The fourth hypothesis concerning the existence of different levels of pain in accordance with the levels of affiliation in Experimental Group A was not supported. 5. A positive correlation did exist between pain and anxiety after surgery (r=.34, p=.0001). Thus, the fifth hypothesis was supported. 6. A positive correlation did exist between pain and depression following surgery(r=.36, p=.0001). Thus, the sixth hypothesis was supported. Based on the above results, it was found that supportive touch and patient education either through human sources or via tape recorder do influence the anxiety of a patient after surgery, that a Positive correlation between pain, anxiety and deparession exist, that affiliation does not alter the influence of supportive touch, and that the graph on which pain levels were depicted indicates the possibility of development even if the effects of supportive touch did not reach a meaningful level. Thus it can be concluded that patient education, regardless of its form, is essential for the patient after surgery and that supportive touch, when reasonably modified and supplemented, can be an effective method of alleviating pain.