• Title/Summary/Keyword: Physical recovery

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The Effects of Preoperative Nursing Instruction on tile Physical and Emotional Recovery of Pediatric Surgical Patients - An Experimental Study- (소아의 수술전 환자교육이 신체 및 정서에 미치는 영향)

  • 심치정
    • Journal of Korean Academy of Nursing
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    • v.4 no.2
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    • pp.44-56
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    • 1974
  • Very few studies regarding the effects of preoperative nursing intervention on children's welfare after surgery have been conducted. The purpose of this study was 1) to evaluate the effects of preoperative nursing instructions on children's physical recovery and emotional state after surgery and 2) to analyse the relationship between the effects of preoperative nursing instructions and the age and general anxiety of child. The study was conducted flow: August 15th to October 30th at Severance Hospital, Seoul, Korea. A total of 41 Pediatric surgical Patients, between the age of 4 to 14, participated in the study. Twenty patients, randomly selected, were visited by the experimenter in the evening before, surgery and received specific preoperative nursing instructions. These instructions were designed to alleviate emotional stress and were adopted to the age of child. The postoperative recovery of these patients were then compared with a randomly selected control group of 21 patients who received only the routine preoperative care by the staff in the hospital Dependent variable were vomiting, pain medication, ability to void, elevation of temperature, infection, the between surgery and hospital discharge and postoperative emotional stress which was measured by the vital signs. Because of the limitation of the sample size it was difficult to obtain valid statistical results. However, the analysis of the raw data indicates that: 1) the preoperative nursing instructions appears to promote physical recovery and it seems especially effective in preventing elevation of temperature and shortening the length of the hospital stay, 2) the preoperative nursing instruction also seems to be effective in relieving the child's emotional stress(situational anxiety) after surgery, 3) the patient's general anxiety level preparatively seems to be a predictor of postoperative problems, 4) the preoperative nursing instructions were an effective means of promoting physical recovery in every age group as long as the child understood the instructions. The above data would seem to indicate that all preoperative pediatric patients four years of age or older, if they can understand, should have preoperative nursing instruction in order to alleviate postoperative stress and enhance physical recovery. The level of general anxiety preparatively deserves special attention since the amount of nursing instruction needed seems to vary with tile level of anxiety.

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Post-Surgical Recovery Patterns of the Elderly (노인환자의 수술후 회복패턴에 관한 연구)

  • Byun Young-Soon;Chung Eun-Joo
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.6 no.1
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    • pp.51-63
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    • 1999
  • This study examined two differences in physical and psychological recovery patterns after surgery in the elderly. The sample consisted of 40 patients with abdominal surgery In five large hospitals in Seoul. The data for this study were collected from Apr. 20 to Nov. 26 by structured questionnaire, chart review and call. Physical recovery was assessed by ADL, a Cantril Ladder Scale and a Visual Analogue Scale. Psychological recovery was measured by the Geriatric depression Scale and a Cantril Ladder Scale. The data were analyzed using frequency, percentage, Pearson Correlation Coefficient, and MANOVA by SPSS/WIN. The result are as follows : 1. Physical recovery indicated significant improvement over time with the exception of ADL(F=.812 p=.449). Perceived physical health were significantly improved(F=6.189 p=.004). Pain & discomfort was significantly decreased(F=3.927 p=.025). 2. Perceived psychological health was significantly improved over time(F=20.648 p=.000), but depression showed no statistical significance improvement over time(F=1.393 p=.256). 3. There were no significant effects of sex, age, complication and combined chronic diseases on physical and psychological recovery patterns. 4. There were significant correlations between operation time and pain(r=-.331 p=.020), recovery time and perceived psychological health(r=-.320 p=.024), recovery time and pain(r=.404 p=.005). There were significant correlations between admision period and ADL(r=-.418 p=.004), perceived physical health(r=-.354 p=.014), depression(r=.280 p=.042), and perceived psychological health(r=-.447 p=.002). BRAS showed significant correlation with ADL(r=-.458 p=.002). 5. With an increase in the degree of perceived health(physical and psychological), ADL was significantly increased. With an increased in the degree of depression and pain, ADL and perceived health(physical and psychological) were significantly decreased. In conclusion, the elderly patient recovered significantly over time with the exception of ADL and depression. It these we suggested to considered when planning care for elderly patients.

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A Study on the Effect of Service Recovery through Mediating Customer Forgiveness on Customer Behavior Intention of Online Shopping Mall - Based On the SOR Model (온라인 쇼핑몰에서 서비스회복 방식이 고객용서를 매개로 고객 행동의도에 미치는 영향 - SOR 모델을 기반으로)

  • Wang, Jing;Kim, Youn Sung
    • Journal of Korean Society for Quality Management
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    • v.47 no.3
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    • pp.615-630
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    • 2019
  • Purpose: Based on the theory of "Stimulus-Organism-Response" (S-O-R), this thesis takes customer forgiveness as a medium variable to explore the impact of merchant service remedy on customer behavior intention in the context of online shopping service failure. This thesis divides the merchant service remedy into two dimensions: spiritual recovery and material recovery, and reveals the influence difference of different merchant service remedy methods on customer behavior intention and the mediating role of customer forgiveness. Methods : 325 questionnaires were distributed and 307 valid questionnaires were collected for data analysis. The relationship between potential variables is proposed by using Structural Equations Modeling. Results : The two dimensions of service recovery have significant positive impact on customer forgiveness, and physical recovery has greater impact on customer forgiveness. In the influence of physical recovery on customer behavior intention, customer forgiveness is a partial mediating effect. However, in the influence of spiritual recovery on customer behavior intention, customer forgiveness is a complete mediating effect. Conclusion : In case of service faults, merchants should take the initiative to provide appropriate physical recovery and provide spiritual recovery sincerely and patiently. Only in this way can they regain good impression in the hearts of consumers and promote them to improve the quality of service recovery, so as to increase their willingness to repurchase Intention and positive word of mouth.

Recovery According to Follow-up Period and Compliance in Osteoarthritic Patients after Knee Replacement Arthroplasty (인공 슬관절 치환술 후 치료순응도와 경과기간에 따른 회복 양상)

  • Park, Su-A;Kang, Hyun-Sook;Choi, Jin-Yi
    • Journal of East-West Nursing Research
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    • v.16 no.2
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    • pp.164-171
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    • 2010
  • Purpose: The aim of study was to investigate relationship between compliance and recovery of patients with osteoarthritis of the knee patients after knee arthroplasty. Methods: 193 patients living in Seoul were participated in this study. Data were collected using the Knee Society Clinical Rating System and Medical Outcomes Study Short Form 36(SF-36) and analyzed by ANCOVA, t-test, and repeated measure ANOVA. Results: There was a significant difference of physiological recovery based on the number of co-morbidity patients have. Physical recovery level was different according to age, religion, and the number of co-morbidity. Age and education level of patients were different in emotional recovery. The level of physiological and physical recovery were significantly different consistent with compliance. Compared to preoperative scores, physiological and physical scores showed significant improvement at six weeks, three months, and six months after surgery while emotional scores did not showed significant improvement. Conclusion: The results of this study suggest that nursing interventions to increase compliance are needed for better recovery of patients after knee arthroplasty.

Physical Recovery through Health Management Education for the Disabled or the Elderly

  • SON, Byung-Kook;CHOI, Eun-Mee;KWON, Lee-Seung
    • Journal of Wellbeing Management and Applied Psychology
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    • v.4 no.1
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    • pp.27-34
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    • 2021
  • Purpose: The number of people with disabilities and the elderly over 65 years of age is gradually increasing due to physical disabilities and social aging. Their typical physical disorders or chronic diseases include low back pain, sciatic pain, arthritis, and musculoskeletal systems such as discs. The average prevalence of disease is 78%. These are various physical obstacles and hindrances in daily life. Research design, data and methodology: From August 6, 2019 to September 24, 2019, the Senior Welfare Center in Gyeyang-gu, Incheon, operated a healthy body exercise and health education program for living health management. Results: The vascular health index using U-Bio pulse wave was relatively good at the first average of +7.4, but the second average of -6.3. This can be seen as a result of the combination of diet and lifestyle education along with the effect of corrective exercise. As a result of body shape measurement analysis, the number of persons requiring management with 3 or more body imbalances was found to be from 75% before to 62.5% afterwards. Conclusions: Exercise effect appears when exercise lasts for at least 10 weeks. Some performances were good, but there were limitations due to the operation of a short training period.

A study the concerns of patient with the knee ligament injury (무릎 인대 손상환자의 퇴원 전.후 관심사)

  • Hyun, Hye-Young;Choi, Kyung-Sook
    • Journal of muscle and joint health
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    • v.3 no.2
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    • pp.216-228
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    • 1996
  • This study has purpose to perform leaving the hospital nursing plan during hospital treatment of patient with the knee ligament Injury on the basis of the concerns between the time of leaving the hospital after 2 weeks in hospital and the concerns through practical life after leaving the hospital systematically. This study is also tried to make exercise plan to prevent atrophy of Quardriceps muscle of the thigh caused by the limitation of activities. The subjects of study are 12 people who were in the hospital in affiliation to a university in Seoul, were operated on the knee ligament, and were discharged from the hospital within 2 weeks. Data collection time was for about 4 months from December, 94 to March, 95. Research method was performed 2 times by unorganized open questions. The collection of first data is through direct interview about the concerns before leaving the hospital, and secondary data is through direct interview about the concerns by practical life and experiences after leaving the hospital. The data was categorized by classifying several common elements among similar contents according to data by the situational analysis of Giorgi. The result of this study is as follows : 1) The concerns before leaving the hospital are like that the concerns of recovery possibility, the limitation of activities, the grim realities of life, the lack of confidence about self-nursing, the eyes of the surroundings, the burden to the others, and so on. 2) The concerns after leaving the hospital are like that the demands of the inconvenience by the limitation of self-nursing, the support about self-nursing by the difficulties of performing treatment order, the support of physical activities limitation by physical tiredness and the limitation of social activities, the support of information by the necessities of education in using crutches before leaving the hospital and continuing informational needs, psychological and mental support of normal physical recovery by the worries of physical recovery and physical change, and social support by thankfulness for his family and relatives. I suggest to make more systematic leaving the hospital nursing plan and exercise education plan for nursing plan after leaving the hospital of the patients with the knee ligament injury on the basis of this content.

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Development of Metal Recovery Process for Municipal Incineration Bottom Ash (MIBA)

  • Kuroki, Ryota;Ohya, Hitoshi;Ishida, Kazumasa;Yamazaki, Kenichi
    • Resources Recycling
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    • v.28 no.3
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    • pp.21-25
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    • 2019
  • The utilization of incineration ash from municipal waste must be promoted to solve the social problem on the shortage of final disposal site. In this research, metals should be recovered to avoid the damage of the crushing machine during the utilization of incineration ash in cement industry. In fact, incineration bottom ash from municipal waste contains iron in 3-5%. Nonferrous metal and stainless steel in 1% is also included. The research and development on the physical recovery process was performed not only to remove the metals but also to recover high grade products. Metals were separated from incineration ash in Maruya Co. Ltd.. In fact, iron scrap recovered by magnetic separation can be selled. After that, mixed metal was separated from incineration ash using screen. In this research, mixed metal tried to divided copper, aluminum, brass and stainless steel using drum type magnetic separation, eddy current separation and high magnetic separation. As a result, recovered iron had an 80% for the grade. Aluminum was recovered by eddy current separation without copper and brass.

Digital Forensic Techniques using physical recovery method (물리적 복구 방법을 활용한 디지털 포렌식 기술)

  • Choi, Jae-Min;Shin, Dae-Min;Lee, Sang-Jin;Lim, Jong-In
    • Proceedings of the Korean Society of Broadcast Engineers Conference
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    • 2007.02a
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    • pp.146-149
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    • 2007
  • 2000년대에 접어들어 컴퓨터가 보급화 되면서, 컴퓨터를 도구로 하는 범죄가 폭발적으로 증가하기 시작하였다. 컴퓨터 시스템에 접근하여 중요 정보를 빼돌리거나, 범죄의 목적이 되는 해킹과 같은 정보보호 침해사고가 크게 증가하였으며, 컴퓨터를 이용한 정상적인 서비스를 방해하는 형태의 디지털 범죄들이 다수 발생하기 시작하였다. 따라서 범죄 수사 과정에서 전자 매체에 대한 분석이 필수 불가결한 요소로 등장하고 있으며, 이를 분석하려는 디지털 포렌식 연구가 활발히 진행되고 있다. 특히 전자 매체에 기록되는 디지털 정보는 보관이 편리하지만 삭제와 복제가 용이하므로 디지털 증거는 매우 세심하게 다루어야 하며, 수사관에 의한 의도적인 훼손이 없었음을 증명할 수 있는 절차와 제도가 필요하다. 국내에서는 적법한 수사 절차와 무결성을 보장하기 위하여 '절차 연속성(chain-of-custody)'을 제공하는 수사 가이드라인을 제작하였으며, 체계적인 수사를 수행 하고 있다.[4] 이와 더불어 포렌식 수사 과정에서 물리적인 접근을 통해 디지털 저장 매체에 대한 복구할 수 있는 방법이 존재하며, 이에 대한 구체적인 방안을 논한다.[1]

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A Study on Oxygen Consumption during Occupational Activities Performance of Adult Hemiplegia (성인 편마비 환자의 작업수행 중 산소소모량에 대한 연구)

  • Oh, Kyung-Ah;Yoon, Seoung-Ic;Min, Kyung-Ok;Kim, Yoon-Shin;Oh, Duck-Won;Chon, Seung-Chul
    • Journal of Korean Physical Therapy Science
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    • v.15 no.1
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    • pp.21-28
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    • 2008
  • The purposes of this study are to quantify energy expenditure by measuring oxygen consumption while performing occupational therapy activities most commonly used for adult hemiplegia patients, to recommend a optimal dosage of exercise by comparing energy expenditure according to the recovery stage, and to suggest a precaution in the treatment of patients with cardiac disorders. According to Brunnstrom recovery stages in hand function, subjects were allocated to group I(3rd and 4th Brunnstrom recovery stages) and group II(5th and 6th Brunnstrom recovery stages). Outcome measures included oxygen consumption, energy expenditure rate, and heart rate during each activity and in recovery period after the activity. Occupational activities including sanding activity, putty activity, and skateboard activity were carried out for all patients. In sanding and putty activities, there were significant differences of oxygen consumption and energy expenditure during the activity between groupⅠandⅡ(p<0.05), but there were not significant differences of oxygen consumption, energy expenditure and heart rate in the recovery period(p>0.05). In skateboard activity, there were no significant differences in oxygen consumption, energy expenditure and heart rates between the two groups during the activity and in the recovery period(p>0.05). The findings indicates that cardiovascular demands for basic activities usually peformed for a treatment may be depended on the physical recovery of patients with hemiplegia. Therefore, therapeutic activities for patients should be selected with the great care.

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Experiences of Sanhujori Facility Use among the First Time Mothers by the Focus Group Interview (포커스 그룹 연구방법을 적용한 초산모의 산후조리원 이용 경험 분석)

  • Song, Ju-Eun;Chae, Hyun Ju;Park, Bo-Lim
    • Korean Journal of Women Health Nursing
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    • v.21 no.3
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    • pp.184-196
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    • 2015
  • Purpose: The purpose of this study was to examine the experiences of Sanhujori facility use among the first time mothers in Korea. Methods: A qualitative study was conducted, using focus group interview. Data were collected from the 24 first time mothers of 4 focus groups, who had given birth within 6 month and had used one of the Sanhujori facilities located in C province, Korea. After obtaining written informed consent from all participants, each session of the focus group was audio-taped and transcribed into verbatim. Data were analyzed using content analysis in order to identify significant themes. Results: Four major themes that emerged from the data were as follows. 1) Promoting postpartum physical recovery through a enough time with only focusing on herself, 2) Promoting postpartum psychological recovery through emotional and informational support with peer mothers, 3) Experiencing breast feeding difficulties and disappointing with unsatisfied help from health professionals, and 4) Lack of the professional education programs regarding parenting. Conclusion: Based on these results, it will be suggested that the various support programs by not only the peer mothers co-resided in Sanhujori facilities but also the health care professionals in the Sanhujori facilities should be developed for helping a "becoming a mother" of the first time mother in the Sanhujori facilities. In addition, qualified education and counseling program, especially for the successful breast feeding, should be provided by the health care professionals for improving mothering ability of the first time mother in the Sanhujori facilities.