ABSTRACT
PURPOSE: The purpose of this study was to evaluate the effects of preoperative PCA (Patient-Controlled Analgesia)education on pain, patient attitude, and patient satisfaction in surgical patients. METHODS: The study was a quasi-experimental research design. The participants were 54 patients who were admitted for surgery at I hospital in G city, Korea. Of the 54 patients, 26 were assigned to the experimental group and the rest to the control group. The PCA education was provided in the nurses' station, individually to patients in the experimental group the day before their operation. Multimedia and brochure, and a real PCA model were used. The control group receivedonly verbal education about PCA. RESULTS: The postoperative pain scores were significantly different for lapse of time in the experimental group compare to the control group. Patient attitude toward using pain medicine was significantly more positive in the experimental group than in the control group. The postoperative patient satisfaction with pain management was significantly higher in the experimental group than in the control group. CONCLUSION: The study findings indicate that preoperative PCA education could be an effective nursing intervention for pain management of surgical patients.
Subject(s)
Humans , Analgesia, Patient-Controlled , Korea , Multimedia , Nursing Stations , Pain Management , Pain, Postoperative , Pamphlets , Passive Cutaneous Anaphylaxis , Patient Education as Topic , Patient Satisfaction , Research DesignABSTRACT
PURPOSE: The purpose of this study was to explore the effects of a Taegyo program on parents-fetal attachment and parenthood in first pregnancy couples (mothers and spouses). METHODS: The research design was a nonequivalent control group pretest-posttest experiment. Study participants were 52 first pregnancy couples visiting two medium-scale obstetrics and gynecology clinics located in Gwangju. A total of 52 couples were assigned to the experimental group (25 couples) and the control group (27 couples). The experimental couples were provided with a Taegyo program for 4 weeks. Data were analyzed by chi square test, t-test, and ANCOVA using the SPSS program. RESULTS: Post-treatment maternal-fetal attachment, paternal-fetal attachment and motherhood significantly increased in the experimental group as compared to the control group, but post-treatment fatherhood, anxiety, blood pressure and pulse of participants in the experimental group showed no significant difference from those in the control group. CONCLUSION: From these results, it is suggested that the Taegyo program has beneficial effects in enhancing parent-fetal attachment and motherhood in first pregnancy couples. Therefore, a Taegyo program can be recommended as a nursing intervention program for first pregnancy couples.
Subject(s)
Adult , Female , Humans , Male , Pregnancy , Anxiety , Blood Pressure , Heart Rate , Maternal-Fetal Relations , Mothers/psychology , Parents/psychology , Patient Education as TopicABSTRACT
PURPOSE: This study aimed to analyze the relationship between psychosocial factors and subjective symptoms of musculoskeletal diseases. METHODS: This study analyzed the data of '2001 National Health and Nutrition Survey' conducted by the Ministry of Health and Welfare and Korea Institute for Health and Social Affairs. RESULTS: When examining the complaining rate of subjective symptoms of musculoskeletal diseases according to body region, the rate was highest (6.0%) in the knee region, which was followed by the finger region (3.4%), the wrist regions (2.3%) and the elbow region (2.1%). All the regions of elbow, wrist, finger and knee had a high complaining rate of subjective symptoms such as stress, sad or depressed mood, and attempted suicide. CONCLUSION: From the results of this study, it is identified that psychosocial factors such as stress, depression, and attempted suicide have significant influence on the complaining rate of subjective symptoms of musculoskeletal diseases. Consequently, in order to prevent and treat musculoskeletal diseases, we need to manage stress and to prevent feeling depression.
Subject(s)
Body Regions , Depression , Elbow , Fingers , Knee , Korea , Musculoskeletal Diseases , Psychology , Suicide, Attempted , WristABSTRACT
PURPOSE: This study attempted to understand health behaviors and analyze the association of the health behaviors with musculoskeletal diseases in adults. METHOD: The subjects of this study were 6,946 adults aged between 20 and 65 who had participated in the 2001 National Health Nutrition Survey. The instrument was composed of Health Interview Survey (HIS), Health Behavior Survey (HBS) and Health Examination Survey (HES), which were used in the 2001 National Health Nutrition Survey. Data were analyzed using SPSS 10.1 by applying chi2 and multivariate logistic regression. RESULTS: 1. The present smoking rate was 46.5% and the present drinking rate was 81.2%. 2. Of the subjects, 22.7% were overweight (BMI> or =25), and 28.1% were exercising regularly. 3. Major factors affecting musculoskeletal diseases were low education, poor economic state, smoking, and BMI. Middle school graduates were 2.54 times more likely to have musculoskeletal diseases than college graduates. The risk was 1.83 times higher in indigent respondents than in affluent ones, and 1.43 times higher in smokers than in non-smokers. CONCLUSION: Therefore, in order to reduce musculoskeletal diseases in adults, other various factors should be looked into, and public education about appropriate posture and exercise should be carried out in community. Additionally, concentrated intervention programs for patients with musculoskeletal diseases should be performed.
Subject(s)
Adult , Humans , Surveys and Questionnaires , Drinking , Education , Health Behavior , Logistic Models , Musculoskeletal Diseases , Nutrition Surveys , Overweight , Posture , Poverty , Smoke , SmokingABSTRACT
This study was carried to investigate the effects of alcohol intake on the dietary behaviors and nutrient intakes of students in university and was observed characteristics of alcohol drinking, smoking, dietary behaviors, and nutrient intakes of students. The mean of alcohol consumption was 25.7+/-21.7g/day and 47.5+/-25.8g/day, most high of high alcohol group in the male student than other groups. Smoking were high by increasing of alcohol intake. Most students had dietary problems as skipping meals, eating snack after dinner, high frequency of eating fast and instant food, and eating meals at watching TV or video. The dietary behavior problems in the high alcohol groups showed higher in the female students than the male students. Nutritional knowledge scores was no significantly different by sex and alcohol intake. The intakes of calorie, protein, phosphorous, iron, and niacin in the male students was significantly higher than those of female students. Except for calcium, vitamin B2 and vitamin C, nutrients were satisfied to the level of Recommended Dietary Allowances(RDA). Nutrient intakes was not affected by alcohol intake. But intakes of calorie, protein, phosphorous, and iron were affected by sex and vitamin C intake was affected by sex and alcohol intake.
Subject(s)
Female , Humans , Male , Alcohol Drinking , Ascorbic Acid , Calcium , Eating , Iron , Meals , Niacin , Riboflavin , Smoke , Smoking , SnacksABSTRACT
PURPOSE: The purpose of this study was to identify premorbid personality, depression and disturbing behaviors to provide information for developing nursing interventions for the pre-demented and mild demented elderly living as residents of their community. METHOD: The survey was conducted through direct interviews using a structured questionnaire in J city. Among the subjects contacted, 89 made appropriate replies to the survey. RESULT: The subjects' disturbing behaviors were significantly related to premorbid personality and depression. The predictors to disturbing behaviors of the pre-demented elderly were sex, extroversion, neuroticism and conscientiousness. The predictors to disturbing behaviors of the mild demented elderly were agreeableness, depression, sex, conscientiousness, and extroversion. CONCLUSION: In conclusion, disturbing behaviors of pre-demented elderly and mild demented elderly are affected not only by their premorbid personality but also by their depression. Therefore, it is necessary to encourage and respond to them with understanding their disturbing, behaviors in relation to their premorbid personality. In addition. it is important to maintain positive emotion in order to reduce their disturbing behaviors.
Subject(s)
Aged , Humans , Dementia , Depression , Extraversion, Psychological , Nursing , Surveys and QuestionnairesABSTRACT
Chronic alcoholism is considered a common cause of malnutrition. Especially, micronutrient deficiency may playa critical role in the incidence of alcoholic liver diseases. This study was conducted to investigate the effect of folate deficiency and ethanol consumption on cholesterol metabolism and the antioxidative system in rats. Plasma concentration of total cholesterol was increased by ethanol administration in folate-fed rats. HDL-cholesterol tended to be higher in the folate-fed group, but it was not significant. The plasma and hepatic levels of malondialdehyde were increased after chronic ethanol feeding, but dietary folate depressed the plasma malondialdehyde content of rats. Ethanol or folate feeding did not significantly change alcohol dehydrogenase activity. But folate feeding increased catalase activity in ethanol-fed rats. There was no significant change in superoxide dismutase activity among the experimental groups. Glutathione peroxidase activity tended to decrease by chronic ethanol feeding, but dietary folate did not affectthe glutathione peroxidase activity of chronic ethanol-fed rats. Glutathionine-S-transferase activity was not affected by ethanol feeding or folate deficiency. The plasma and hepatic levels of retinol decreased after chronic ethanol feeding. The hepatic level of retinol significantly decreased in ethanol-fed rats by folate deficiency. The plasma level of alpha-tocopherol tended to be low in the folate deficient group with ethanol feeding, but there was no difference among the experimental groups in the hepatic level of alpha-tocopherol. These results demonstrate that chronic ethanol consumption changes the plasma cholesterol metabolism and antioxidative system of rats, and optimal folate feeding in ethanol-fed rats exerts protective effects to some extent.
Subject(s)
Animals , Rats , Alcohol Dehydrogenase , Alcoholism , alpha-Tocopherol , Catalase , Cholesterol , Ethanol , Folic Acid , Glutathione Peroxidase , Incidence , Liver Diseases, Alcoholic , Malnutrition , Malondialdehyde , Metabolism , Micronutrients , Plasma , Superoxide Dismutase , Vitamin AABSTRACT
PURPOSE: The purpose of the study was to investigate fatigue, depression and sleep in young adult and middle-aged. METHOD: The convenient sample consisted of 415 subjects from 20 to 59 years old. Data were collected using a self-report questionnaire from July to October, 2001. The VAS-F and CES-D were utilized to measure the level of fatigue and depression. Sleep duration and sleep satisfaction were measured based on the subject's self-report. RESULT: The result of the study revealed that the level of fatigue and depression was higher among young adult than middle-aged. Considering age and gender, the level of fatigue and depression was higher among young adult women and middle-aged men. Depression and sleep satisfaction influenced on the fatigue. CONCLUSION: Health care providers need to concern about fatigue and depression in young adult women and middle-aged men. Especially, more concern and intervention programs are needed for young adult women and middle-aged men.