• Title/Summary/Keyword: physiological indicators

검색결과 139건 처리시간 0.026초

정신질환자를 위한 대사증후군 통합건강관리 프로그램 개발 및 평가 (Development and Evaluation of an Integrated Health Management Program for Psychiatric Patients with Metabolic Syndrome)

  • 곽윤복;김지영
    • 대한간호학회지
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    • 제52권3호
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    • pp.261-277
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    • 2022
  • Purpose: This study developed an integrated health management program for metabolic syndrome in psychiatric patients and examined its effects on self-efficacy, healthy lifestyle, physiological indicators, knowledge of metabolic syndrome, attitudes toward healthy behavior, and social support. Methods: A non-equivalent control group pretest posttest design was used. The participants were 65 psychiatric patients with metabolic syndrome in psychiatric rehabilitation centers, with 33 in the experimental group and 32 in the control group. The experimental group participants engaged in daily mobile application and walking exercises three times a week for more than 40 minutes over 8 weeks, while those in the control group were provided education booklets. The outcomes were measured using self-report questionnaires, anthropometrics, and blood analyses. Intervention effects were analyzed using the independent t-test, Mann-Whitney U test, ANCOVA, and Ranked ANCOVA. Results: The experimental group showed a significant increase in self-efficacy (F = 8.85, p = .004, ηp2 = .13) and knowledge of metabolic syndrome (t = 2.60, p = .012, d = 0.60) compared to the control group. Additionally, the experimental group demonstrated a significant decrease in waist circumference (Z = - 2.34, p = .009, d = 0.58) and body mass index (Z = - 1.91, p = .028, d = 0.47) compared to the control group. Conclusion: The integrated health management program for psychiatric patients with metabolic syndrome is effective in improving self-efficacy and knowledge of metabolic syndrome and decreasing physiological indicators such as waist circumference and body mass index.

체외막산소화장치 적용 중환자를 위한 근거기반 간호 프로토콜 개발 및 효과 평가 (Development and Evaluation of Evidence-Based Nursing Protocol for Extracorporeal Membrane Oxygenation to Critically Ill Patients)

  • 김수미;김철규
    • 대한간호학회지
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    • 제53권3호
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    • pp.275-294
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    • 2023
  • Purpose: This study aimed to develop an evidence-based extracorporeal membrane oxygenation (ECMO) nursing protocol for critically ill patients receiving ECMO treatment by using an adaptation process, and to verify the effects of the protocol. Methods: The protocol was developed according to the adaptation guidelines. A non-randomized controlled trial was conducted to test the protocol's effects. Data were collected between April 2019 and March 2021. The differences in physiological indicators and complication rates between the two groups were investigated using a chart review to evaluate patient outcomes. The nurses' outcome variables were evaluated using a questionnaire. Results: First, after reviewing 11 guidelines by appraisal of the guidelines for research and evaluation collaboration II, 5 guidelines with a standardization grade of over 50 points were selected. An ECMO nursing protocol was developed based on these guidelines. Second, there were no statistically significant differences in physiological indicators between the two groups of patients. However, the experimental group showed a statistically significant decrease in the infection rate (p = .026) and pressure injury rates (p = .041). The levels of satisfaction with ECMO nursing care, and empowerment and performance of the nurses who used the ECMO nursing protocol were higher than those of nurses who did not (p < .001). Conclusion: This protocol may help prevent infections and pressure injuries in patients, and improve nurses' satisfaction and empowerment. The nursing protocol developed for critically ill patients receiving ECMO treatment can be utilized in evidence-based nursing practice.

한국형 중풍 변증 표준안-Ⅱ의 변증별 변증지표의 분포 및 타당도에 관한 연구 (Study of the Indicators of Each Pattern Identification Based on Korean Standard Differentiation of the Symptoms and Signs for Stroke)

  • 문승희;강병갑;안정조;조현경;유호룡;설인찬;김윤식
    • 동의생리병리학회지
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    • 제22권2호
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    • pp.487-496
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    • 2008
  • The purpose of this study is to investigate clinical frequency and priority of five pattern identification settled by Korean Standard Differentiation of the Symptoms and Sign for Stroke. The present study was done over 177 hospitalized patient with stroke in the Daejeon University Oriental Medical Hospital in the period of November 2006 to July 2007. Stroke patients had been interviewed by residents and specialists who studied standard operation procedures in Fundamental study for Standardization and Objectification of Differentiation and Pattern Identification of Syndrome of Oriental Medicine for Stroke. In Heat-transformation pattern group, men showed significantly high frequency and in Deficiency of Gi pattern group, women showed significantly high frequency. In Heat-transformation pattern group, the indicators such as 'aversion to heat during fever', 'flushed face', 'full and rapid pulse', 'dryness of the eyes, 'yellow coating of the tongue', 'feverishness of the limbs', 'dryness of the eyes' showed significantly high frequency. In Dampphlegm syndrome group, the indicators such as 'white coating of the tongue', 'yellowish face', 'thick coating of the tongue', 'wheezing in the throat with sputum', 'swollen tongue', 'slippery pulse' showed significantly high frequency. In Deficiency of Gi pattern group, the indicators such as 'pale tongue', 'lassitude', 'pale face', 'weakness pulse' showed significantly high frequency. In Deficiency of Eum group, the indicators such as 'short and rapid pulse', 'mirror-like tongue' showed significantly high frequency. For more sensitive Korean Standard Differentiation of the Symptoms and Signs for Stroke, Large scale study is to be done, giving weight on the important indicators.

Behavioral and physiological changes during heat stress in Corriedale ewes exposed to water deprivation

  • Nejad, Jalil Ghassemi;Sung, Kyung-Il
    • Journal of Animal Science and Technology
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    • 제59권7호
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    • pp.13.1-13.6
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    • 2017
  • This study was conducted to investigate the behavioral and physiological changes of heat stressed Corriedale ewes exposed to water deprivation. Nine Corriedale ewes (average $BW=45{\pm}3.7kg$) were individually fed diets based on maintenance requirements in metabolic crates. Ewes were assigned into three groups (9 sheep per treatment) according to a $3{\times}3$ Latin square design for 3 periods with 21-d duration for each period. The control (CON) group was given free access to water, 2 h water deprivation (2hWD), and 3 h water deprivation (3hWD) following feeding. No differences were found in fecal excretion frequency, standing frequency (number/d), and sitting frequency among the groups (p > 0.05). Measurements of standing duration (min/d) and urine excretion frequency (number/d) showed a significant decrease whereas sitting duration (min/d) showed a significant increase in the 2hWD and 3hWD groups when compared with the CON group (p < 0.05). Fecal score and heart rate (number/min) were not different among the groups (p > 0.05). However, respiratory rate (number/min) and panting score were found to be significantly higher in the 2hWD and 3hWD groups than in the CON group (p < 0.05). It is concluded that water deprivation following feeding intensifies physiological heat stress related indicators such as respiratory rate and panting score and changes behavioral parameters such as water intake and urine excretion frequency in heat stressed ewes. Daily adaptation to the extreme environmental conditions may occur actively in ewes.

혈액투석환자를 위한 동영상 식사교육 프로그램의 적용 효과 (The Effect of a Video Dietary Instruction Program for Hemodialysis Patients)

  • 김소연;김진동;박애경;구자선
    • 임상간호연구
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    • 제20권1호
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    • pp.134-145
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    • 2014
  • Purpose: The purpose of this study was to develop and apply a video dietary instruction program for hemodialysis patients to understand dietary compliance as well as the effect on the physiological indicator. Methods: This is a quasi-experimental study of a nonequivalent control group pre-post test design. Data were collected from August 6, 2012 to January 10, 2013. Twenty patients were assigned to an experimental group and twenty-one patients were assigned to a control group. A video dietary instruction program was developed and applied only to the experimental group once a week for a total of 8 weeks. Dietary compliance and physiological indicators were subsequently measured. Results: Dietary compliance was improved in both groups over time. There was no significant change in the physiological indicator value in both groups, indicating that there was no correlation between the treatment type and time. Conclusion: The video dietary instruction program could not make a statistically significant change on the physiological indicator value of the experimental group; however, this change was maintained within the allowable limits. Therefore, the video dietary instruction program can be utilized continuously as a standardized nursing intervention program in order to maintain the dietary compliance of hemodialysis patients.

Research on Physical Characteristics of Chinese College Students of Different Physical Activity Levels

  • Li, Chuang;Long, Qianwen;Song, Jeho
    • International Journal of Advanced Culture Technology
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    • 제8권3호
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    • pp.334-341
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    • 2020
  • Through a investigation of the physical activity status of 1794 undergraduates who were non-sports majors from freshman to senior in Jiangxi Normal University, to analyze physical fitness status of college students with different physical activity levels. The results showed that in physical activity, high-intensity physical activity of male was higher than female, while medium-intensity and low-intensity (insufficient) physical activity of female was higher than male. College students' high-intensity physical activity group's physical test scores were better than the medium-intensity physical activity group, and the medium-intensity physical activity group was superior to the low physical activity group. In terms of physical fitness, among the test indicators of body shape and physiological function, the vital capacity and body mass index of male and female were ranked at a pass level. In the physical fitness test indicators, the performance of college students' endurance qualities was better while the overall performance of strength qualities was lower. The overall fitness of college students was ranked at a pass level, and the physical test scores of female were better than male.

서해안 굴, Crassostrea gigas의 건강도 평가를 위한 Condition index와 혈구 apoptosis 분석 (Condition index and hemocyte apoptosis as a health indicator for the Pacific oysters, Crassostrea gigas cultured in the western coastal waters of Korea)

  • 임현정;임매순;이원영;최은희;윤주현;박승윤;이승민;김수경
    • 한국패류학회지
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    • 제30권3호
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    • pp.189-196
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    • 2014
  • A significant production decrease has been witnessed for the Pacific oysters, Crassostrea gigas farmed in the western coastal waters of Korea, presumably by the loss of physiological viability. We evaluated the viability in terms of health indicators, the condition indices and hemocyte apoptosis rates of the oysters inhabiting two representative farming sites, Incheon and Taean each with different environmental variables. In our monthly measurements for the whole year 2013, the indicators were location specific. The condition indices of Incheon were highly variable, 1.67-8.58%, while those of Taean were less, 2.28-5.57%. The condition indices decreased during the spawning seasons, July and September in common. The two oysters exhibited also differed in the apoptotic activities of hemocyte, highly active, 4.03-30.15% for Incheon oysters and less active, 2.87-17.48% for Taean oysters. One thing we could identify was the two measurements were adverse during the critical seasons of spawning, reminiscent of being a useful tool for a health indicator for the oysters. Similar trend was also observed in the time when change in temperature was extreme. The findings in this study are highly indicative of health indicators for the oyster aquaculture.

전문가 변증과정을 반영한 중풍 변증 판별모형 (Discriminant Model for Pattern Identifications in Stroke Patients Based on Pattern Diagnosis Processed by Oriental Physicians)

  • 이정섭;김소연;강병갑;고미미;김정철;오달석;김노수;최선미;방옥선
    • 동의생리병리학회지
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    • 제23권6호
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    • pp.1460-1464
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    • 2009
  • In spite of many studies on statistical model for pattern identifications (PIs), little attention has been paid to the complexity of pattern diagnosis processed by oriental physicians. The aim of this study is to develop a statistical diagnostic model which discriminates four PIs using multiple indicators in stroke. Clinical data were collected from 981 stroke patients and 516 data of which PIs were agreed by two independent physicians were included. Discriminant analysis was carried out using clinical indicators such as symptoms and signs which referred to pattern diagnosis, and applied to validation samples which contained all symptoms and signs manifested. Four Fischer's linear discriminant models were derived and their accuracy and prediction rates were 93.2% and 80.43%, respectively. It is important to consider the pattern diagnosis processed by oriental physicians in developing statistical model for PIs. The discriminant model developed in this study using multiple indicators is valid, and can be used in the clinical fields.

500명 여성을 대상으로 한 팔강변증에 따른 맥파 특성 연구 (A Study on the Characteristics of Pulse Waves according to Eight Principle Pattern Identification in 500 Women)

  • 이인선;전수형;강창완;김종원
    • 동의생리병리학회지
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    • 제35권6호
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    • pp.274-279
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    • 2021
  • This study was conducted to find objective diagnostic indicators for the Eight Principle Pattern Identification using a pulse wave analyzer. Typology Complexion Pulse and Symptom data from 500 women over the age of 18 were used. Five experts made a diagnosis of Eight Principle Pattern Identification and divided the subjects into 'Yin-Yang', 'Exterior-Interior', 'Cold-Heat', 'Deficiency-Excess' groups. Their pulse waves were measured in the left and right radial arteries, and it was investigated whether there was a significant difference between groups in the pulse wave parameter values. 'Yin' group showed a significantly lower value in the left radial artery for Ener, Emin, EIX, T4T, T4TT parameters and in the Right for T2, T2T, T5. The Vmag, As and Ad parameters were significantly different between the 'Exterior' and 'Interior' groups. 'Heat' group showed a significantly higher value in the right radial artery for RAI/t parameter. 'Deficiency' group showed a significantly higher value in the right radial artery for W, Angl parameters. Through this study, significant pulse wave parameters were found, and they can be used as objective diagnostic indicators for Eight Principle Pattern Identification.

심혈관계 생리반응을 이용한 아동정서 구분 (Differentiation of children' five emotions with cardiovascular reactivity parameters)

  • 장은혜;이경화;손선주;박지은;손진훈
    • 감성과학
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    • 제12권3호
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    • pp.317-324
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    • 2009
  • 본 연구에서는 정서 유발 프로토콜을 이용하여 유발된 다섯 가지 정서(기쁨, 슬픔, 분노, 스트레스와 무료함)에 따른 아동의 심혈관계 반응의 차이를 밝히고자 하였다. 아동에게 음악, 색채, 심상을 유발하는 이야기, 인형으로 구성된 복합자극을 제시하는 동안 이들의 심혈관계 반응을 측정하고, 자극에 대한 적합성(유발된 정서의 유형)과 효과성(유발된 정서의 강도)을 정서평가척도 상에 평정하도록 하였다. 분석에 사용된 심혈관계 생리반응 변수는 심박수, 호흡주기 관련 심박률 변화, 심박률 분산, 심박률 분산의 고주파수 성분, 저주파수 성분과 혈류량이었다. 연구 결과, 스트레스 유발하는 자극을 제외한 네 가지 정서 유발 자극은 아동에게 각 정서(기쁨, 슬픔, 분노와 무료함)를 적절하고 효과적으로 유발시킨 것으로 나타났다. 또한 호흡주기 관련 심박률 변화를 제외한 모든 심혈관계 지표에서 정서에 따른 유의한 차이가 나타났다. 정서에 따라 특징적인 심혈관계 반응이 나타났으며, 이는 심혈관계 반응을 이용하여 아동정서를 구분하는 것이 가능함을 의미한다.

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