• 임상간호연구
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• 제20권2호
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• pp.256-266
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• 2014

Purpose: This study was done to identify the level of knowledge on and stress from delirium among recovery room nurses, and correlations between these factors. Methods: In this study, 125 nurses agreed to participate in the study were surveyed from October 8 to October 28, 2013. Data were analyzed using t-test, ANOVA, $Scheff{\grave{e}}$ test and Pearson correlation. Results: Average percentage of correct answers to questions about delirium was 81.9% and the mean score was 26.22 (${\pm}5.01$). The mean score for recovery room nurses' work stress from emergency delirium was 3.86 (${\pm}0.99$). Extent of knowledge on delirium significantly differed by age (F=15.017, p<.001), length of clinical experience (F=22.132, p<.001), length of recovery room experience (F=10.538, p<.001), education (F=3.312, p =.040), and marital status (t=4.107, p<.001). Stress from ED was significantly related to age (F=9.185, p<.001), clinical experience (F=7.077, p=.001), and marital status (t=-2.027, p =.045). Knowledge on delirium had a negative relationship with stress from delirium (r=-.514, p<.001). Conclusion: Results show that nurses gained knowledge of delirium from their own clinical experience indicating a need to develop educational programs to improve knowledge on delirium and plans to reduce stress from delirium for recovery room nurses.

• 한국산학기술학회논문지
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• 제18권12호
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• pp.150-156
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• 2017

본 연구는 PSC(Post Tensioned Concrete) 교량 및 사장교(Cable Stayed Bridge) 등에 많이 적용되는 강연선의 국부적 손상에 따른 응력 회복길이를 분석하였다. 강연선은 PC 강선(Prestressing Strand)을 여러 줄을 꼬은 강재이며, 재료의 특성상 준공후 지속적으로 손상이 발생하며 부식 등이 주요 손상원인이다. 이에 따른 손상에 따른 성능저하가 발생하지만, 구조적인 특성상 케이블 내부의 손상 정도 및 응력 변화 패턴을 파악하기 어렵다. 교량에 적용된 케이블의 경우 설치 형상에 따라 채수 등에 따라 부식에 취약한 부분이 발생하며, 이로 인해 국부적인 손상이 발생할 수 있다. 본 연구는 교량 Post-Tensioning 또는 케이블 사장재에 주로 적용되는 강연선(7-Wire Strand)의 국부적 손상에 따른 성능저하 경향 및 응력 회복길이를 FEA 해석을 통하여 분석하였다. 향후 본 연구에서 구축하고자 하는 해석모델을 활용하여 PSC 교량 및 사장교 케이블 등의 안전성 평가 및 잔존수명 예측에 활용될 수 있을 것으로 사료된다.

• Asian Pacific Journal of Cancer Prevention
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• 제15권8호
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• pp.3825-3828
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• 2014

Surgical outcomes of colorectal cancer treatment depend not only on good surgery and tumor biology but also on an optimal perioperative care. The enhanced recovery program (ERP) - a multidisciplinary and multimodal approach, or so called 'fast-track surgery' - has been designed to minimize perioperative and intraoperative stress responses, and to support the recovery of organ function aiming to help patients getting better sooner after surgery. Compared with conventional postoperative care, the enhanced recovery program results in quicker patient recovery, shorter length of hospital stay, faster recovery of gastrointestinal function, and a lower incidence of postoperative complications. Although not firmly established as yet, the enhanced recovery program after surgery could be of oncological benefit in colorectal cancer patients because it can enhance recovery, maintain integrity of the postoperative immune system, increase feasibility of postoperative chemotherapy, and shorten the time interval from surgery to chemotherapy. This commentary summarizes short-term outcomes and potential long-term benefits of enhanced recovery programs in the treatment of colorectal cancer.

• 대한간호학회지
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• 제4권2호
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• pp.44-56
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• 1974

Very few studies regarding the effects of preoperative nursing intervention on children's welfare after surgery have been conducted. The purpose of this study was 1) to evaluate the effects of preoperative nursing instructions on children's physical recovery and emotional state after surgery and 2) to analyse the relationship between the effects of preoperative nursing instructions and the age and general anxiety of child. The study was conducted flow: August 15th to October 30th at Severance Hospital, Seoul, Korea. A total of 41 Pediatric surgical Patients, between the age of 4 to 14, participated in the study. Twenty patients, randomly selected, were visited by the experimenter in the evening before, surgery and received specific preoperative nursing instructions. These instructions were designed to alleviate emotional stress and were adopted to the age of child. The postoperative recovery of these patients were then compared with a randomly selected control group of 21 patients who received only the routine preoperative care by the staff in the hospital Dependent variable were vomiting, pain medication, ability to void, elevation of temperature, infection, the between surgery and hospital discharge and postoperative emotional stress which was measured by the vital signs. Because of the limitation of the sample size it was difficult to obtain valid statistical results. However, the analysis of the raw data indicates that: 1) the preoperative nursing instructions appears to promote physical recovery and it seems especially effective in preventing elevation of temperature and shortening the length of the hospital stay, 2) the preoperative nursing instruction also seems to be effective in relieving the child's emotional stress(situational anxiety) after surgery, 3) the patient's general anxiety level preparatively seems to be a predictor of postoperative problems, 4) the preoperative nursing instructions were an effective means of promoting physical recovery in every age group as long as the child understood the instructions. The above data would seem to indicate that all preoperative pediatric patients four years of age or older, if they can understand, should have preoperative nursing instruction in order to alleviate postoperative stress and enhance physical recovery. The level of general anxiety preparatively deserves special attention since the amount of nursing instruction needed seems to vary with tile level of anxiety.

• 대한간호학회지
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• 제5권2호
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• pp.29-37
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• 1975

The purpose of this study was to measure the extent of stress existing in hospitalized patients which might play an important part in delaying recovery of patients. The study was conducted July l0th through 16th, 1975; a total of 146 patients from 2 general hospitals in Seoul were sampled. Questionnaire, formulated by the researcher, were used to gather necessary information concerning stress in accordance with the physical, psychological, economical and social variables. Data were analysed by mean stress score, and the significances were tested by Critical Ratio. The results were as follows ; 1. No significant difference was revealed in accordance with sex, however, male patients showed higher stress scores on the economic variables. 2. No. significant difference was apparent in accordance with marital status, however, the unmarried showed a tendency of higher stress scores at all variables. 3. Significant difference was revealed between the age group of 35-49 years and that of over 50 years; the age group of 18-34, and 35-49 years showed higher stress scores. 4. No. significant difference was revealed in accordance with previous experience of hospitalization, however, the group with previous experience tends to show higher stress scores in all variables. 5. No significant difference was revealed in accordance with the types of admission, however, group admitted on emergency showed higher stress scores compared to the group admitted plained in advance at social and economic variables. 6. No significant difference was revealed in accordance with the length of hospitalization, however, tendencies were apparent that the longer the length of hospitalization, the lower the mean stress scores.

• Asia Marketing Journal
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• 제17권2호
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• pp.39-62
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• 2015

Relatively little studies have investigated employee recovery from internal service failure, especially from the employees' perspective. When handling customer complaints, employees must not only deal with legitimate customer demands after a service failure, such as providing an apology, rectifying the problem, and offering compensation, but they must also manage illegitimate dysfunctional customers, who may yell, threaten, and even physically harm the employee. These negative experiences can have strong effects, and employees can exhibit higher levels of stress such as burnout and emotional labor, which have been linked to dissatisfaction, tension and anxiety, reduced performance and effectiveness, and a greater propensity to leave the firm, ultimately leading to negative financial consequences for the firm. These conditions result in internal service failure and create the need to recover employees-in other words, internal service recovery. However, little research has examined this issue so far. The purpose of the current study, therefore, is to investigate the relationship between internal service recovery and employee outcomes. A pre-test, post-test between-subjects experimental design was developed. Participants were 166 part-time students who were working full-time. The average age of the participants was 36.74 years, and 57.50% of them were female. The average length of employment was 13 years. Participants were randomly assigned to one of four groups of approximately equal size. Three of the groups were subjected to an experimental situation involving an internal service failure, while one group was not exposed to failure, thereby acting as a control group. This study contributes to the service marketing literature in several ways. First, the study extends service failure and/or recovery research by examining recovery in an employee context. Second, this study attempts to measure internal service recovery and to empirically demonstrate its relationship to employee outcomes. Third, this investigation emphasizes the managerial importance of internal service recovery. For example, understanding the nature of the relationships between internal service recovery and its consequences can improve the effectiveness and efficiency of managers' resource allocation decisions.

• 대한간호학회지
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• 제40권3호
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• pp.307-316
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• 2010

Purpose: The purpose of this study was to identify the levels of relocation stress syndrome (RSS) and influencing the stress experienced by Intensive Care Unit (ICU) patients just after transfer to general wards. Methods: A cross-sectional study was conducted with 257 patients who transferred from the intensive care unit. Data were collected through self-report questionnaires from May to October, 2009. Data were analyzed using the Pearson correlation coefficient, t-test, one-way ANOVA, and stepwise multiple linear regression with SPSS/WIN 12.0. Results: The mean score for RSS was $17.80{\pm}9.16$. The factors predicting relocation stress syndrome were symptom experience, differences in scope and quality of care provided by ICU and ward nursing staffs, satisfaction with transfer process, length of stay in ICU and economic status, and these factors explained 40% of relocation stress syndrome (F=31.61, p<.001). Conclusion: By understanding the stress experienced by ICU patients, nurses are better able to provide psychological support and thus more holistic care to critically ill patients. Further research is needed to consider the impact of relocation stress syndrome on patients' health outcomes in the recovery trajectory.

• 패션비즈니스
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• 제18권3호
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• pp.134-147
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• 2014

The aim of this study is to create smart wear that brings out the perspective person's individuality and creativity wearing these garments through various interactions. It is intended to build a prototype for a "Shape-folding Dress", which is length-adjustable skirt that responses with the environment of the wearer. In this process, four basic physical properties can be identified with fabric samples selected which are relatively stiff, including fusible interlining, organdy, silk, and ramie. In addition, two types of folding pattern specimens, "Basic Pattern" and "Diamond Pattern", and heat-steam were used to make the specimens so that the correlation could be calculated by recovery rate among flexing, stiffness and tensile properties. As a result, compared to other fabrics, the silk showed low stress to repeat folding and unfolding process, and its recovery rate of elongation deformation was stable without being affected by the different folding types and twice repeated process. In this study, forming a circuit using an Arduino, illuminance sensor, motors, and pulley, the prototype was created with a silk fabric.

• 한국염색가공학회지
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• 제7권4호
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• pp.25-32
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• 1995

This study was carried out to examine the influences of fatigue and perspiration on the deterioration of chrome leather for shoes. The samples were treated with acidic and alkaline artificial perspirations and applied cyclic tensile stress, and the elastic recovery from fatigue strain, tensile strength and elongation, stiffness etc. by regions and directions were determined. The physical properties generally indicate considerable difference by regions and directions due to the thickness, entangling state, and arrangement direction of fiber buldles within the leather. By the treatment of artificial perspirations, the length, weight, strength, elastic recovery from fatigue of the lether are decreased and the thicknes, elongation, and stiffness are increased; and their extents by the alkaline perspiration are higher than those by the acidic one. The elastic recovery from fatigue of samples are decreased with increasing fatigue cylcle; and indicate regressive relations against the logarithm of the elapsed time, and the means of regression coefficients are 2.73 > 2.55 > 2.22 for samples treated by the acidic perspiration, untreated, and treated by the alkaline perspiration, respectively. The tensile strength is decreased and elogation is increased by fatigue, but the changes are diminished likely due to a rearrangment of fiber bundles with increasing fatigue cycle. And the samples become a little flexible immediately after fatigue; but stiffen again with elastic recovery from fatigue strain, consequently for some cases their stiffness after recovery are rather greater than those before fatigre.

• 한국간담췌외과학회지
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• 제28권3호
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• pp.344-349
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• 2024

Backgrounds/Aims: The implementation of enhanced recovery after surgery (ERAS) protocols has demonstrated significant advantages for patients by mitigating surgical stress and expediting recovery across a spectrum of surgical procedures worldwide. This investigation seeks to assess the effectiveness of the ERAS protocol specifically in the context of major liver resections within our geographical region. Methods: Our department conducted retrospective analysis of prospectively collected data, gathered from consenting individuals who underwent liver resections from January 2018 to December 2023. The assessment encompassed baseline characteristics, preoperative indications, surgical outcomes, and postoperative complications among patients undergoing liver surgery. Results: Among the included 184 patients (73 standard care, 111 ERAS program), the baseline characteristics were similar. Median postoperative hospital stay differed significantly: 5 days (range: 3-13 days) in ERAS, and 11 days (range: 6-22 days) in standard care (p < 0.001). Prophylactic abdominal drainage was less in ERAS (54.9%) than in standard care (86.3%, p < 0.001). Notably, in ERAS, 88.2% initiated enteral feeding orally on postoperative day 1, significantly higher than in standard care (47.9%, p < 0.001). Early postoperative mobilization was more common in ERAS (84.6%) than in standard care (36.9%, p < 0.001). Overall complication rates were 21.9% in standard care, and 8.1% in ERAS (p = 0.004). Conclusions: Our investigation highlights the merits of ERAS protocol; adherence to its diverse components results in significant reduction in hospital length of stay, and reduced occurrence of postoperative complications, improving short-term recovery post liver resection.