• Journal of Korean Academy of Fundamentals of Nursing
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• v.9 no.3
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• pp.513-523
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• 2002

Purpose : This study aimed to investigate the effect of foot massage on sleep, vital signs and fatigue in the elderly who live in their Home. Method: Data were collected from 20 elderly who live in the Seoul-Kyunggi province area by convenience sampling and analyzed the change of sleep and sleep satisfaction, vital signs(pulse, respiration, systolic and diastolic blood pressure) and general fatigue between pre and post foot massage using Paired t- test at 0.05 of significance level. Result: There were very significant difference in the sleep and fatigue between pre and post foot massage. Conclusion: Foot massage can improve the sleep and decrease fatigue, therefore we recommend to use foot massage as a effective sleep related nursing intervention in the elderly who live in their home.

• Journal of Korean Clinical Nursing Research
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• v.14 no.1
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• pp.187-198
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• 2008

Purpose: Music intervention has long been used in research of patients undergoing surgical operation in reducing anxiety level and improve surgical outcome. However, there are few studies that have considered a patient's music preference. We investigated the effect of the tailored music intervention which chose music according to the patient's preference on anxiety level and vital signs. Method: The subjects were 50 patients who received regional anesthesia for surgical operation at D hospital in Pohang city from April, 2006 to November, 2006. All of the subjects were randomly assigned either music group (30 subjects) or non-music group (20 subjects). As the patients arrived in the operating room, vital signs were monitored until the subjects were transferred to the recovery room, while Spielberger's STAI-KYZ questionnaires were applied twice to measure preoperative and intra-operative anxiety. The data were analyzed by 2-test, t-test, one-way ANCOVA and repeated measures ANOVA using SPSS 12.0/PC+. Results: There were no significant differences between the two groups on vital signs. All of the vital signs increased when the subjects arrived in the operating room, but decreased quickly once the operation began, regardless of the groups. However, the music group reported significantly less intra-operative anxiety, compared to the non-music group (F=15.208, p<.000), when preoperative anxiety was treated as a covariance. Conclusion: The findings support that the use of music which was chosen by patients during the surgery significantly reduced patient's intra-operative anxiety during regional anesthesia.

• Journal of Cerebrovascular and Endovascular Neurosurgery
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• v.25 no.2
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• pp.182-188
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• 2023

Objective: To report our experience with intraprocedural rupture (IPR) of intracranial aneurysms during endovascular treatment and evaluate alterations in vital signs as independent prognostic factors to predict the outcomes of IPR. Methods: Between January 2008 and August 2021, 34 patients (8 ruptured and 26 unruptured) were confirmed to have IPR based on our dataset with 3178 endovascular coiling procedures. The patients who underwent additional surgeries related to IPR were classified as the OP group (n=9), while those who did not receive additional surgeries were classified as the non-OP group (n=25). Vital signs were recorded during the procedure by anesthesiologists and analyzed. Results: Of the 34 patients included in this study, eight initially presented with subarachnoid hemorrhage due to a ruptured aneurysm. The clinical outcomes at discharge were significantly different between the two groups (p=0.046). In the OP group, five patients showed favorable outcomes at discharge, while four showed unfavorable outcomes. In the non-OP group, 23 patients showed favorable outcomes at discharge while two patients showed unfavorable outcomes. Maximal (MAX) systolic blood pressure (SBP) (odds ratio [OR] 1.520, 95% confidence interval [CI] 1.084-2.110; p=0.037) and higher differential value MAX-median blood pressure (MBP) (OR 1.322, 95% CI 1.029-1.607; p=0.044) remained independent risk factors for poor prognosis after IPR on multivariate logistic regression analysis. Conclusions: The MAX SBP and the difference between the maximal and baseline values of MBP are key factors in predicting the prognosis of patients after IPR, as well as providing useful information for predicting the outcome. Further research is required to confirm the relationship between naive pressure and prognosis.

• The Korean Nurse
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• v.4 no.3 s.17
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• pp.46-52
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• 1965

전자신체기능 측정기가 발명되어 현재 그 자동장치의 효능에 대해서 전국 각지에서 조사하고 있다. 그리하여 전자측정기에 의한 vital sign측정이 종례의 방법보다 좋은 점이 있다는 사실을 지금 바야흐로 발견하기 시작하고 있다. 간호원은 종래의 측정방법에 변화성과 오류가 있을 수 있고 두 가지 중 어느 방법을 택하더라도 정상범위 안에서의 변화나 개인차는 있다는 것을 이해하지 않으면 안 된다고 생각한다. 여기에서 가장 강조하고 싶은 것은 vital sign에 어떤 변화가 생겼을 때 그 변화를 현명하게 해석해서 그의 중요성 여하를 평가할 수 있는 간호원이 되어야 한다는 것이다.

• Child Health Nursing Research
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• v.16 no.2
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• pp.128-135
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• 2010

Purpose: This study aimed to confirm the effect of routine suctioning at a nursery for healthy newborns who have undergone immediate oronasopharyngeal bulb suctioning after birth in a delivery room through the observation of their oxygen saturation level, heart rate, respiration rate, the vomiting sign, and the number of instances of vomiting. Methods: Data were collected for 62 days from March 15 to May 15, 2009 at the nursery of a hospital located in Seoul. One hundred forty newborns were assigned to one of three groups: a no suction group, an oropharyngeal suction group, or a orogastric suction group. Collected data were analyzed with the SPSS WIN 15.0 program using ANOVA, cross tabulations and an independent 2-sample t-test. Results: Routine suctioning to healthy newborns resulted in decreasing oxygen saturation levels and increasing the heart and respiration rate regardless of the kind of suctioning. Stabilization of the oxygen saturation level and vital signs was also observed without suctioning. Conclusion: To prevent healthy newborns from the side effect of suctioning, selective suctioning is recommended.

• Korean Journal of Adult Nursing
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• v.21 no.2
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• pp.141-154
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• 2009

Purpose: The purpose of this study was to compare the difference of change in oxygen saturation, vital signs and suction time taken for the suctioning during endotracheal suctioning performed with closed suction system and with opened suction system. Methods: Data were collected from 31 adult patients with ventilator treatment who were admitted to a university hospital in Seoul and the collection period was from July 1 to November 15, 2005. Oxygen saturation, heart rate, respiration rate and mean arterial pressure were collected immediately prior to the suctioning intervention, during and 1 and 5 minutes after the suctioning from opened suction system and closed suction system. Results: 1) The difference in oxygen saturation was statistically significant in recovery time for oxygen saturation to return to baseline values after suctioning was significantly rapid on closed suction system (p<.05). 2) The difference in heart rate, respiration rate and mean arterial pressure was statistically insignificant 3) The suction time was shorter in closed suction system. Conclusion: Closed suction system is more efficient, as compared with the open suction system in the ventilator treatment.

• Journal of Korean Biological Nursing Science
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• v.8 no.1
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• pp.15-21
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• 2006

Purpose: The purpose of this study was to test the effect of pleasant guided imagery on the vital signs of elderly. Method: The subjects of this study were 15 elderly women. Collecting data were blood pressure, pulse rate, body temperature, the degree of imagination and relaxation. Data were analyzed using SPSS PC+ program with percentage, paired t-test. Result: After practicing of pleasant guided imagery, systolic blood pressure and pulse rate were significantly lowered than before practicing of pleasant guided imagery. After practicing of pleasant guided imagery, Diastolic blood pressure and body temperature were not significantly changed. After practicing of pleasant guided imagery, the degree of imagination and relaxation were relatively higher in old women. Conclusion: Pleasant guided imagery can be used for elderly patients with hypertension. And it can be used to promote relaxation of elderly with stress.

• Proceedings of the IEEK Conference
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• 2008.06a
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• pp.131-132
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• 2008

It is necessary to develop a high-speed wireless transmission system, which is able to send medical informations to the emergency medical center during emergency patient transportation. In this research, a system which transmits patient’s vital signs and a real-time audio/video contents of the event has been designed, developed, and the suitability of the system has been verified. Test results indicate that the system is capable of transmitting vital signal data, including 17 numeric data, 12 waveforms and 113 events, reading the affected part by forwarding a $320{\times}240$ pixel image at 2fps. Also, the full-duplex voice transmission of the system at 8bit/64kbps is enough to make stable communication between emergency medical technicians and hospital professionals possible. After numerous hours of driving, the packet loss of patient vital signs is 0.013%.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• v.48 no.6
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• pp.348-355
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• 2022

Objectives: To compare the vital sign stability and cost of two commonly used sedatives, midazolam (MDZ) and dexmedetomidine (DEX). Patients and Methods: This retrospective study targeted patients who underwent mandibular third molar extractions under intravenous sedation using MDZ or DEX. The predictor variable was the type of sedative used. The primary outcome variables were vital signs (heart rate and blood pressure), vital sign outliers, and cost of the sedatives. A vital sign outlier was defined as a 30% or more change in vital signs during sedation; the fewer changes, the higher the vital sign stability. The secondary outcome variables included the observer's assessment of alertness/sedation scale, level of amnesia, patient satisfaction, and bispectral index score. Covariates were sex, age, body mass index, sleeping time, dental anxiety score, and Pederson scale. Descriptive statistics were computed including propensity score matching (PSM). The P-value was set at 0.05. Results: The study enrolled 185 patients, 103 in the MDZ group and 82 in the DEX group. Based on the data after PSM, the two samples had similar baseline covariates. The sedative effect of both agents was satisfactory. Heart rate outliers were more common with MDZ than with DEX (49.3% vs 22.7%, P=0.001). Heart rate was higher with MDZ (P=0.000). The cost was higher for DEX than for MDZ (29.27±0.00 USD vs 0.37±0.04 USD, P=0.000). Conclusion: DEX showed more vital sign stability, while MDZ was more economical. These results could be used as a reference to guide clinicians during sedative selection.

• Journal of the Institute of Electronics Engineers of Korea CI
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• v.45 no.4
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• pp.64-72
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• 2008

Researchers nowadays are trying to implement u-Healthcare (ubiquitous Healthcare) systems for real-time monitoring and analysis of patients' status through a low-cost and low-power wireless sensor network. u-Healthcare system has an aim to provide reliable and fast medical services for patients regardless of time and space by transmitting to doctors a large quantity of vital signs collected from sensor networks. Existing u-Healthcare systems can merely monitor patients' health status. However, it is not easy to derive physiologically meaningful results by analyzing rapidly vital signs through the existing u-Healthcare systems. We introduce a Grid computing technology for deriving the results by analyzing rapidly the vital signs collected from the sensor network. Since both sensor network and Grid computing use different protocols, a gateway is needed. In addition, we also need to construct a gateway which includes the functions such as an efficient management and control of the sensor network, real-time monitoring of the vital signs and communication services related to the Grid network for providing u-Healthcare services effectively. In this paper, to build an advanced u-Healthcare system by using these two technologies most efficiently, we design and present the results to implement a SensorGrid gateway which connects transparently the sensor network and the grid network.