Analysis of Muscle Tone and Stiffness by Type of Headache in Stroke Patients

최은녀 한국융합과학회 2022 한국융합과학회지 Vol.11 No.10

Purpose The purpose of this study is to investigate and compare muscle tone and stiffness of both anterior temporal muscles according to type of headache in stroke patients. Methods In this study, 60 stroke patients were divided into three groups: tension headache, migraine, and non-headache patients. Both anterior temporal muscle tone and stiffness were measured using muscles tone measurements device. Results The muscle tone and stiffness of paretic side anterior temporal muscles were higher in the migraine headache group than in the two groups. And the tension headache group was higher than the non-headache group. The muscle tone and stiffness of non-paretic side anterior temporal muscles were higher in the migraine and tension headache group than the non-headache group. Conclusion Through this study, it was found that paretic side muscle tone and stiffness were increased in the anterior temporal muscles of stroke patients with migraine headache, and paretic side muscle tone and stiffness were decreased in non-headache patients.

경장영양요법 간호실무지침 수용개작

최은녀,송호숙,최정은,서지영,김희수,남경화,박민정,이혜진,황명진,박지원,Choi, Eun Nyer,Song, Hosook,Choi, Jeong Eun,Seo, Ji Young,Kim, Heesoo,Nam, Kyung Hwa,Park, Min Jeong,Lee, Hyejin,Hwang, Myeong Jin,Park, Jee Won 한국중환자간호학회 2013 중환자간호학회지 Vol.6 No.2

Purpose: This study was conducted to develop a Korean version of evidence-based enteral tube feeding (ETF) guidelines through adaptation of existing ETF guidelines. Methods: The guideline adaptation process was conducted into 24 steps according to a manual for guideline adaptation version 2.0 developed by NECA. Results: The adapted ETF nursing practice guideline was consisted of 9 domains and 20 recommendations, including confirmation of tube placement, risk of aspiration, assessment gastric residual volume, body positioning, treating feeding tube occlusion, administration rate, medication, tube flushes, and interruption of feeding. The results of the grading of recommendations assessment by expert penal showed that 8 recommendations in Grade A, 4 in grade B, and 8 in Grade C were emerged from the process. The range of content validity index scores by expert penal was 0.8-1.0. Conclusion: It is expected that the adapted ETF nursing practice guideline could be helpful for nurses to practice evidence-based ETF for their patients.

유방절제술 여성의 림프부종 우세손 일치 여부에 따른 삶의 질

최은녀,김수연 한국자료분석학회 2015 Journal of the Korean Data Analysis Society Vol.17 No.1

This study was performed to identify the general characteristics of female postmastectomy patient groups with upper extremity lymphedema in the dominant and non-dominant hand, and comparing and analyzing the level of quality of life (QOL) between two groups. Data collection was carried out over 9 months from February to October 2014. The sample was selected from the accessible population from breast cancer patients registered at the department of rehabilitation medicine in a general hospital, Seoul and who attended regular meetings of the pink ribbon foundation. A survey was conducted on 213 female lymphedema patients, 104 with lymphedema in the dominant hand and 109 with lymphedema in non-dominant hand to analyze data gathered from questionnaires. According to the results, patients with lymphedema in the dominant hand had lower scores in overall QOL compared to those with lymphedema in non-dominant hand (t=-2.514, p=.013). They had statistically significantly higher scores in cancer-related symptoms (t=2.822, p=.005) and three subscales of fatigue (t=2.920, p=.004), pain (t=2.617, p=.010) and insomnia (t=2.996, p=.003), indicating lower QOL levels. These findings suggest that development of an integrated self-management program is crucial to provide content on maintaining and promoting social and psychological function for the use of hands in daily living activities when performing mastectomy on dominant-hand side. 본 연구는 유방절제술 후 상지 림프부종이 발생한 여성 중 우세손에 림프부종이 발생한 대상군과 비우세손에 림프부종이 발생한 대상군의 일반적 특성과 질병 관련 특성을 알아보고, 두 군 간의 삶의 질 수준을 비교·분석하여 우세손에 림프부종이 발생한 군의 자가관리를 위한 간호중재 프로그램의 개발의 기초자료로 사용하고자 시도되었다. 본 연구의 자료 수집 기간은 2014년 2월부터 10월까지 9개월간이 소요되었으며, 서울 소재 A 종합병원 재활의학과 외래에 등록된 환자 전체를 근접 모집단으로 하되, 유방암 환자의 자조집단인 ‘핑크 리본’ 정규모임에 참여한 대상자 중 우세손에 림프부종이 발생한 자 104명, 비우세손에 림프부종이 발생한 자 109명, 총 213명에게 설문지를 이용하여 자료를 수집하였고, 최종 분석하였다. 연구결과 우세손에 림프부종이 발생한 환자가 비우세손에 림프부종이 발생한 환자에 비해 전반적인 삶의 질 영역에서 낮은 점수를 보였고(t=-2.514, p=.013), 암 관련 증상 영역(t=2.822, p=.005) 및 하위 요소인 피로(t=2.920, p=.004), 통증(t=2.617, p=.010), 불면(t=2.996, p=.003)에서 통계적으로 유의하게 높은 점수를 보여 삶의 질이 더 낮은 것으로 나타났다. 따라서 유방절제술을 시행한 측이 우세손일 경우 일상생활 속에서 손의 사용 및 자가관리에 관한 사회·심리적 기능을 유지하고 증진시킬 수 있는 내용을 포함한 통합적 자가관리 프로그램이 필요할 것으로 사료된다.

림프부종 자가 관리 실천 정도와 유방절제술 환자의 삶의 질과의 관계

최은녀,최혜란,Choi, Eun Nyer,Choi, Hye Ran 한국중환자간호학회 2013 중환자간호학회지 Vol.6 No.1

Purpose: The purpose of this study was to examine the relationship between lymphedema self-care management and quality of life in breast cancer patients with mastectomy and lymphedema. Methods: One hundred and eighty-six breast cancer patients with mastectomy and lymphedema (n=186) were recruited at a medical center located in Seoul. The levels of lymphedema self-care management and quality of life were measured by the scale for measurement of practice in lymphedema self-care management, European Organization for Research and Treatment of Cancer-Quality of Life Core 30 (EORTC QLQ-C30) and European Organization for Research and Treatment of Cancer-Quality of Life Questionnaire Breast Cancer Module (EORTC QLQ BR23), respectively. Data were analyzed with SPSS 18.0 program. Results: There were statistically significant correlations between lymphedema self-care management and general health status/quality of life in mastectomy patients with lymphedema (r=.30, p<.001). The physical function score of cancer related function scale (r=-.15, p=.033), fatigue score of cancer related symptom scale (r=.15, p=.036), systemic side effect score of breast cancer related symptom scale (r=.45, p=.034), and upset by hair loss (r=.27, p=.004) were significantly correlated with quality of life. Conclusion: The findings suggest that these significant factors should be considered when caring for lymphedema patients.

The Effect of Wearing a Soft Knee Brace and Balance Training on Paretic Side Foot Pressure and Knee Joint Muscle Strength in Stroke Patients

최은녀,조균희 한국산업융합학회 2022 한국산업융합학회 논문집 Vol.25 No.6

The purpose of this study was to investigate the effect of wearing a soft knee brace during balance training on paretic side foot pressure and knee joint muscle strength in stroke patients. The recruited 20 stroke patients were randomized into 10 experimental group and 10 control group. All subjects were subjected to balance training, and only the experimental group was trained in balance while wearing a soft knee brace. Experimental group and the control group before and after the intervention showed significant increases in foot pressure and knee joint muscle strength on the paralyzed side (p<0.05), experimental group showed a significant increase in foot pressure and knee joint muscle strength compared to the control group (p<0.05). This study confirmed that wearing a soft knee brace had a positive effect on paretic side foot pressure and knee joint muscle strength in stroke patients.

Effect of Inspiratory Muscle Training Combined with Trunk Stabilization Exercise on Inspiratory Muscle Activity and Pulmonary Function

조균희,최은녀 국제물리치료연구학회 2022 Journal of International Academy of Physical Ther Vol.13 No.2

Background: Inspiratory muscle training can improve inspiratory strength and endurance through threshold loading. In addition, trunk stabilization exercises can improve trunk strength and respiratory function. Objectives: The purpose of this study is to investigate the effect of application of inspiratory muscle training and trunk stabilization exercise on pulmonary function and inspiratory muscle activation in college students. Design: Randomized controlled trials. Methods: In this study, 24 college students were randomly divided into two groups: inspiratory muscle training and trunk stabilization exercise (experimental group, n=12), and trunk stabilization exercise (control group, n=12). Inspiratory muscle activity was measured using a surface electromyography. Pulmonary function was measured using a spirometer and a peak expiratory flow meter. Results: In the experimental group, the muscle activity of both upper trapezius and latissimus dorsi muscles increased significantly after the intervention. In the experimental group, both upper trapezius muscle activity was significantly increased than in the control group. In the experimental group, all the pulmonary function significantly increased after the intervention. Conclusion: In this study, when the inspiratory muscle training was additionally applied to the trunk stabilization exercise in college students in their twenty, it was possible to improve the inspiratory muscle activity and pulmonary function.