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RISS 인기검색어
- 검색키워드
- 저자 : Li-Yin Chien (검색결과 3 건)
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Chien-Min Chen,Jae Hwan Lee,Meng-Yin Yang,Shang-Wun Jhang,Kai-Sheng Chang,Su-Wei Ou,Li-Wei Sun,Kuo-Tai Chen 대한척추신경외과학회 2023 Neurospine Vol.20 No.1
Objective: Sacroiliac joint (SIJ) pain is a common cause of chronic low back pain. Full-endoscopic rhizotomy of lateral branches of dorsal rami innervating SIJ is a potential option for patients’ refractory to medical treatment. The full-endoscopic rhizotomy is sometimes challenging under fluoroscopic guidance. This study is to evaluate the effectiveness of the navigation-assisted full-endoscopic rhizotomy for SIJ pain. Methods: The study was a retrospective match-paired study that enrolled consecutive patients undergoing navigation-assisted full-endoscopic rhizotomy for SIJ pain. The patient demographics, clinical outcomes, and operative parameters of endoscopic rhizotomy were compared with conventional cooled radiofrequency ablation (RFA) treatment. Results: The study enrolled 72 patients, including 36 patients in the endoscopic group. Thirty-six patients in the cooled RFA group were matched by age as the control. The follow-up time was at least 1 year. Patient characteristics were similar between the groups. The navigation-assisted endoscopic rhizotomy operation time was significantly longer than the cooled RFA. The visual analogue scale (VAS) for pain and Oswestry Disability Index (ODI) significantly decreased after each treatment. However, the between-group comparison revealed that the VAS and ODI of the patients after endoscopic rhizotomy were significantly lower than those after the cooled RFA group. There were no postoperative complications in the study. Conclusion: Navigation-assisted full-endoscopic rhizotomy is an alternative to SIJ pain treatment. Integrating intraoperative navigation can ensure accurate full-endoscopic rhizotomy to provide better durability of pain relief than the cooled RFA.
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Shu-Chen, Liao,Li-Yin Chien 한국간호과학회 2021 한국간호과학회 학술대회 Vol.2021 No.10
Aim(s): Year 2020 is the International Year of the Nurse and the Midwife, but due to the COVID-19 pandemic, nurses face severe challenges and threats. This article was a reflection of personal nursing experience in clinical practice in the Obstetrics and Gynecology Department of a medical center during the beginning period of facing the COVID-19 threat. Method(s): To prepare for COVID-19, the medical teams in the setting immediately held a meeting on January 26, 2020 to discussed coping strategies, including early high-risk identification, strictly implementing visitor management, adjusting care models, and implementing employee education; in order to protect women, newborns and health workers safety. From January to December 2020, there were no confirmed COVID-19 cases and ten suspected cases in our department. The nurses reflected on infection control measures, adjusted nursing care, dialogue with patients and families, with nurses and medical team members. Result(s): We summarized six themes, including: a). Enlarge patient criteria to early identify high-risk cases and block COVID-19 overseas, b). Strict enforcement of preventive measures and be brave and fearless, c). Master information and overcome difficulties, d). Routine adjustment and stabilize clients’ state of mind, e). Innovation and development of preventive product, f). Support the front line and joint epidemic prevention. Conclusion(s): During the period of January to December, 2020, no confirmed COVID-19 cases and nosocomial infections were noted in the unit. We implemented Virtual Private Network check, and high-risk assessment, included travel history, occupation, contact history, cluster to early risk identification, we also doing visitor management and revise care delivery models, due to those strategies, even nurse face severe challenges and threats, the quality of patient care and treatment was maintained.
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Kuei-Hui Chu,Shuh-Jen Sheu,Mei-Hwa Hsu,Jillian Liao,Li-Yin Chien 한국간호과학회 2019 Asian Nursing Research Vol.13 No.2
Purpose: The purpose was to explore the breastfeeding experiences of mothers of infants with breastfeeding or breast milk jaundice. Methods: In-depth qualitative interviews and content analysis were conducted with nine mothers of newborns with breastfeeding and/or breast milk jaundice who breastfed their babies during the first year postpartum. Results: Mothers' experiences can be described in four phases and six themes. (1) Prenatal stage: build breastfeeding belief, i.e., breastfeeding is best and a natural behavior, without awareness of neonatal jaundice; (2) stage after neonatal jaundice started to appear: include two themes, questioning beliefs in breastfeeding and happiness in being a mother. Mothers lacked knowledge and ignored the threat of neonatal jaundice, mainly focused on their physical discomforts and worried about insufficient breast milk; they also felt an intimate mothereinfant bond through breastfeeding; (3) stage when newborns had confirmed diagnosis of breastfeeding or breast milk jaundice that required medical attention: include two themes, diagnosis of breastfeeding or breast milk jaundice and phototherapy caused negative emotions and regaining original beliefs about breastfeeding. They struggled through emotional swings and inconsistent advices about whether phototherapy and formula supplementation are needed. Then, they decided breastfeeding or breast milk jaundice is only temporary and retrieved initial beliefs of breastfeeding. (4) Stage after neonatal jaundice faded and mothers continued breastfeeding: insisting and adapting. Conclusion: Breastfeeding mothers were unaware of neonatal jaundice until medical attention was required; they experienced physical and mental distress and gradually learned to manage jaundice while insisting on breastfeeding through their breastfeeding beliefs and happiness in being mothers.
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