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REFERENCE LINKING PLATFORM OF KOREA S&T JOURNALS
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Journal of Korean Academy of Fundamentals of Nursing
Journal Basic Information
Journal DOI :
Korean Academy of Fundamentals of Nursing
Editor in Chief :
Volume & Issues
Volume 1, Issue 2 - Dec 1994
Volume 1, Issue 1 - Feb 1994
Selecting the target year
죽음에 대한 종합적 고찰
Kim Sun-Ja ;
Journal of Korean Academy of Fundamentals of Nursing, volume 1, issue 1, 1994, Pages 7~17
The effect of preparatory audiovisual information with videotape influencing on sleep and anxiety of abdominal sugical patients
Kim Keum-Soon ; Kang Jiy-Eon ;
Journal of Korean Academy of Fundamentals of Nursing, volume 1, issue 1, 1994, Pages 19~35
To test the effectiveness of the preparatory audiovisual information with videotape, 34 patients with gastric cancer and who have scheduled for subtotal gastrectomy were studied with quasiexperimental research design. The subjects were selected from the 4 general surgical wards of one university hospital in Seoul, and assigned to experimental and control group conveniently. The videotaped information on the preparation and recovery for surgery was showed to the experimental subjects once before having operation. Data on the sleep and the state anxiety level before and after treatment day was collected with VSH sleep scale and STAI. The data was analyzed with t-test to test the effect of preparatory information and the Pearson's correlation to identify the correlation between anxiety and sleep. The results were summerized as follows : 1. After receiving the preparatory information, the level of anxiety of the experimental group was the same level as the initial, whereas that of the control group showed markedly increase. However no significant difference in anxiety between the two groups was found. 2. There was significant difference in sleep score between the experimental and the control group. 3. There was significant negative correlation between the state anxiety score and the sleep score. Based upon the above findings, this study concludes that preparatory information is effective to enhance sleep just prior to the surgery.
A Study on the Skin Temperature and Discomfort According to the Local Application of Ice Bag.
Kim Keum-Soon ; Bang Kyung-Sook ;
Journal of Korean Academy of Fundamentals of Nursing, volume 1, issue 1, 1994, Pages 37~49
The purpose of this study was to measure the oral temperature, skin temperature, and subjective discomfort according to the application time of ice bag on thigh, head, and abdomen. This study was also intended to suggest nursing principles about ice bag application by exploring the recovery time of skin temperature after the removal of ice bag. The design of this study was
factorial design with one sample repeated measure. Here, the application time of ice bag(criteria, 5min, 10min, 20min, 30min, 40min, 50min, 60min) and the application site of ice bag(thigh, head, abdomen) were independent variables. The subjects were 10 university woman students, and data collection was made from July, 1 to August 30, 1992. Rubber ice bag halfly filled with ice was covered with towel and applied on thigh, head and abdomen in other three days. Before applying the ice bag, oral temperature and skin temperature were checked for criteria. After ice bag was applied, skin temperature, oral temperature and VAS score were checked at first 5 minutes elapsed, and every 10 minutes until 60 minutes. After that, ice bag was removed, and oral temperature and skin temperature were also measured every ten minutes until 60 minutes. In this study, skin temperature and core temperature were measured by thermistor probe, and subjective discomfort was measured by 200mm VAS (Visual Analogue Scale). Some of the findings were as follows : 1. There were significant differences in skin temperature among the three application sites of ice bag as time go by. It was most decreased to
in thigh, and
in abdomen at 50 minutes after the application of ice bag, whereas
at 40 minutes in head. Before the application of ice bag, skin temperature showed significant differences in three sites, so that they were compared after the criteria was covariated. In other words, there was significantly more decrease of skin temperature in thigh and abdomen than head, after ice bag was applied for 20 minutes and more. 2. There was no significant difference in core temperature among the three application sites of ice bag during the time of application 3. There was no significant difference in subjective discomfort (VAS) among the three application sites of ice bag. 4. After the removal of ice bag, the recovery of skin temperature was significantly different in three sites during first 30 minutes. In head, skin temperature came up to criteria at 30 minutes after the removal of ice bag, but it was not recovered In thigh and abdomen even 60 minutes elapsed. 5. After the removal of ice bag, there was no significant difference in oral temperature among the three application sites of ice bag. 6. There was significant correlation between the skin temperature and VAS score only in thigh. In conclusion, it is suggested that head in more suitable site for the application of ice bag if it is used for the relief of fever or pain. When we apply ice bag on thigh or abdomen for the relief of pain, careful attention is required.
Comparative Study About The Indirect Blood Pressure (measured by different Instruments and Methods)
Suh Gil-Hee ;
Journal of Korean Academy of Fundamentals of Nursing, volume 1, issue 1, 1994, Pages 51~68
One aim of this study was to find out the difference of indirect blood pressure between the types of instruments. The difference of indirect blood pressure was measured with mercury sphygomomanometer and electronic blood pressuremeter. Another was to determine the difference of indirect blood pressure according to width of cuff and site of cuff. Indirect blood pressures were measured with the diaphragmatic side of sphygomomanometer. The subjects were 40 female volunteers, whose arm circumferences were from 22 to 34cm. The data were analyzed by SPSS-PC program and pared t-test was used. The results are summarized as follows ; 1. Mercury sphygomomanometer systolic pressure was higher(average 2.20mmhg) than electronic blood pressuremeter. It was statistically significant(p=0.026). 2. The value of Mercury sphygomomanometer diastolic pressure was lower(2.00mmhg) than electronic's. It was statistically significant(p=0.03) 3. In the mercury sphygomomanometer systolic pressure, the value of standard cuff(
) was higher(2.40mmhg) than large one's(
). It was statistically significant(p=0.007). 4. In diastolic pressure(K4), the value of standard cuff was higher(0.65mmhg) than large cuff's. It was not statistically significant(p=0.481). In K5, the value of standard cuff(
) was higher(0.55mmhg) than large cuff's. It was not statistically significant(p=0.541). 5. Difference according to site of showed that the values of systolic pressure over elbow joint were higher(20.00mmhg, 26.45mmhg) than ones at site of elbow joint. It was significant statistically(p=0.000) and clinically. 6. The values of diastolic pressure(K4) over elbow joint were higher(17.10mmhg, 21.60mmhg) than ones at site of elbow joint. It was significant statistically (p=0.000) and clinically. The values of K5 over elbow joint were higher(17.25mmhg, 22.15mmhg) than ones at site of elbow joint. It was significant statistically(p=0.000) and clinically. I think similar studies about indirect blood pressure according to diseases and positions are necessary. In addition, similar studies, are required about accuracy of method electronic blood pressuremeter according to site of mesurement.
The Effectiveness of VAS for Evaluation of Pulmonary Condition in Postoperative Patients.
Lee Young-Ran ; Kim Myung-Ja ;
Journal of Korean Academy of Fundamentals of Nursing, volume 1, issue 1, 1994, Pages 69~76
This study was designed and undertaken to find out the effectiveness of VAS for evaluation of general anesthetic postoperative pulmonary-function. We compared the degree of perceived pulmonary function recovery with peak expiratory flow at postoperative 72 hours of subjects. The subjects of this study were collected 38 patients who had received upper abdominal operation in St. Paul Hospital, Catholic University Medical College, and Kangnam Scared Heart Hospital and Kangdong Scared Heart Hospital, Hallym University. Data collection period was from June 15th, to August 7th, 1992. The degree of pulmonary recovery function was measured with peak expiratory at 72 hours postoperatively. The degree of perceived pulmonary function of the patient was measured with ten points visual analog scale at 72 hours postoperatively. Peak expiratory flow and visual analog score was analyzed with Pearson correlation. Peak expiratory flow was expressed as a ratio of preoperative value. The result was as follows : The recovery of pulmonary function and the degree of perceived pulmonary function of the patient at 72hours postoperatively was revealed high correlation (r=.84). The above result suggested that patients with general anesthetic upper abdominal surgery should evaluate recovery of pulmonary function making use of VAS. We know that VAS is very useful in postoperative patients. We perceived that VAS is to take up a positive attitude of patients. Nurse should furnish the nursing care objectively and scientifically to patients. As VAS was economic and simple, VAS should be adviced for wider application.
The Effect of Shift Directions of Clinical Nurses on the Circadian Rhythm
Hwang Ae-Ran ; Chung Hyun-Sook ; Kang Kyu-Sook ; Lee Kyu-Jung ;
Journal of Korean Academy of Fundamentals of Nursing, volume 1, issue 1, 1994, Pages 77~97
The circadian system represents a temporal order which is mediated by the mutual coupling of oscillators and by the synchronizing effects of zeitgebers. It is known that well-being of man depends partly on the maintenance of this order, and that repeated or long lasting disturbances to it such as shift work will Cause harmful effects. This study was a quasi-experimental study to test the effect of shift directions for the clinical nurses on the circadian rhythm. Fourteen nurses working at the general units of Y hospital were selected according to the established criteria. Fourteen subjects were assigned to a weekly shift but the directions of shift work were phase delay first and then phase advance or vice versa. Oral temperature, total sleeping time, frequency of sleep-wake cycle, fatigue, mental performance, and physical symptom were measured during these days except holidays. The data collection period was from April 26, 1993 to July 3, 1993. MANOVA and Wilcoxon signed rank test were used for statistical analysis. The results are summarized as follows. 1. Having worked on evening and night shifts in either phase delay or phase advance schedules, temperature rhythms of shift workers were gradually adapted to the new sleep-wake cycles. A complete adaptation to work on the night shift was achieved the sixth day of the night shift in the phase delay schedule compared to the partial adaptation to the work on the night shift in the phase advance schedule. Accordingly, by putting evening shift between day and night shifts, it will be possible for circadian rhythm to adapt easily to the night shift. 2. There were differences in the total sleeping time, frequency of steep-wake cycle, fatigue, and physical symptom except for mental performance between night shift and day, evening shift. This indicates further that shift workers working on the night shift have a hard time adapting to the shift work compared to the other shifts. 3. Evaluating all the acrophases of temperature rhythm either in phase delay or phase ad-vance schedules, it was shown that night to evening shift in the phase ad-vance schedule revealed the smallest phase move. Also phase advance schedule showed poorer adaptation to shift work than phase delay schedule in connection with total sleeping time, frequency of sleep-wake cycle, fatigue, mental performance, and physical symptom. It is suggested, taken together, these findings reflect that phase delay schedule facilitated the degree of adjustment to the shift work compared to the phase advance schedule.
기본간호학 교육의 현황
Jeong Hyeon-Suk ; Gang Hyeon-Suk ; O Se-Yeong ; Yu Jae-Hui ; Hwang Ae-Ran ;
Journal of Korean Academy of Fundamentals of Nursing, volume 1, issue 1, 1994, Pages 99~104