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수술후 전율 경험에 대한 조사연구 : Incidences and thermal discomfart
손정태,노명희 김천과학대학 1993 김천과학대학 논문집 Vol.19 No.-
Frequency of postoperative shivering and thermal discomfort of 62 patients who were admitted in recovery room were determined by interview and review of patients' charts. In addition, the influence of age, operative procedure, type of anesthesia, duration of operation and amount of infused fluid were assessed. Results were as follows. Postoperative body temperaure of the subjects, 36.1±0.7℃, was significantly higher than the preoperative body temperature, 36.7±0.3℃. 50% of the subjects experienced postoperative shivering. 70.4% of the hypothermic subjects(postoperative temperature<36.0℃) experienced postoperative shivering. There was no significant differences in frequency of shivering according to age, sex, operative procedure and intraoperative fluids but spinal anesthesia and operation time were significantly related with incidence of shivering. Most of the subjects who experienced shivering complained severe thermal discomfort and no specific nursing intervention for the subjects was done.
태극권 운동이 류마티스관절염 환자의 주관적 증상, 체력, 우울 및 자기효능감에 미치는 효과: 3개년 자료를 바탕으로
손정태,황혜영 대한근관절건강학회 2018 근관절건강학회지 Vol.25 No.3
Purpose: The purpose of this study was to evaluate whether subjective symptoms, physical fitness, and emotional variables were improved after participating in a 6-week Tai Chi program in patients with rheumatoid arthritis. Methods: 23 rheumatoid arthritis patients participated in the Yang style Tai Chi for arthritis patients 90 minutes session conducted twice a week at the Arthritis Center of D University Hospital. The main outcome of current studies included self-reported scores of subjective symptoms(pain, sleep satisfaction, and fatigue), physical fitness tests, and depression (PHQ-9) and self-efficacy investigated with questionnaire before and after participating in Tai Chi. Results: After participating in Tai Chi, participants perceived lesser pain (t=2.61, p=.016) and fatigue (Z=-2.32, p=.020), and reported improved sleep satisfaction (t=-3.56, p=.002). In the physical fitness test, there were significant improvement in muscle strength (upper limb: t=-7.19, p<.001, lower limb: t=-4.86, p<.001), and balance (right t=-3.70, p=.001; left t=-2.30, p=.031). Depression (t=3.87, p=.001) and self-efficacy (Z=-3.44, p=.001) improved significantly after participating in Tai Chi. Conclusion: Tai Chi had beneficial effects on subjective symptoms and emotional variables as well as physical fitness. Therefore, the program could be recommended in the patients with rheumatoid arthritis.
孫貞台 김천과학대학 1981 김천과학대학 논문집 Vol.9 No.-
A study on the nursing activities of head nureses was carried out during the peried of July, 20-August,21. 1981. in in-patient units of hospitals located in Daegu. The purpose of this study was to determine the specific areas of nursing activities performed by head nurses, especially to find out, amount of time spent for paper work and find out its kind. For this study total 12 head nurses were engaged in the 12 wards of 2Hospitals, Each head nurse wars observed for 5days from Monday to Friday. For a continous time study employed in this study 12 nursing students worked as the observer after the special training prior to the study The results were as followes. 1. Self - movement activies occupied 57.1% of the total observation time. 2. Paper works occupied 28.2% of the total observation time. 3. Among the direct nursing care, "Ward rounding" occupied 25.8% with the proportion 4. Anong the indirect, nursing care performed by head nurses "Listening to or giving the morning, afternoon, evening report" occupied 42.8% with the highest proportion. 5. Head nurse of the N.S. & ENT.unit of K.Hospital. was carried out "Nursing education" for students for 159min.(51.9%). 6. K.Hospital accesed on the management of equipment and supplies, on the contrary F.hospital accessed on the management of hospital environment. 7. Among the patient centered paper work, "Order check" occupied 46.7% (K. Hospital), and 64.6 % (F.Hospital) with the highest proportion.
손정태 김천과학대학 1995 김천과학대학 논문집 Vol.21 No.-
This article reviews within nursing context what is known about postoperative shivering after cardiac surgery Physiologic concepts and principles related to cold induced shivering are included. Research findings are discussed as they related to specific nursing intervention goals. After cardiac surgery, the patient is particularly vulnerable to the candiorespiratory demands and the metabolic consequences of shivering. Myocardial oxygen consumption increases during shivering and reflects increases in heart rate and mean arterial pressure. And also, carbon dioxide production increases with intensity of shivering. But the efficiency of shivering in rewarming the hypothermic patient has been estimated at only 11%. Abbey provided a conceptual approach to nursing interention for shivering in clinical situation. Her approach can be used to plan interventions for shivering in the patient undergoing cardiac surgery. Abbey suggested five goals for nursing intervention and action related to shivering based on physiologic principles of heat loss and shivering stimulus: (1) reporting the phenomenon, (2) restoring lost heat, (3) modifying the rate of heat loss, (4) altering the physiologic determination of heat loss and, (5) preventing the response by drug administration. The perception of physiologic response to shivering are another dimension relatively untouched by research. There is need for researches that explored emotional distress of patient awareness of uncontrolled shivering during emergence from anesthesia. In the futrue researches, with new information about shivering mechanism may possibly find effective nonpharmacologic measures for halting this complication. Specific actions to accomplish intervention goals must continually be developed, tested, and shared with professional collegues.