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Pelvic Floor Muscle Exercise by Biofeedback and Electrical Stimulation to Reinforce the Pelvic Floor Muscle after Normal Delivery
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In Sook Lee, Euy Soon Choi
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Journal of Korean Academy of Nursing 2006;36(8):1374-1380. Published online March 28, 2017
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DOI: https://doi.org/10.4040/jkan.2006.36.8.1374
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Abstract
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Purpose
This study was conducted to investigate the effectiveness of pelvic floor muscle exercise using biofeedback and electrical stimulation after normal delivery.
Methods
The subjects of this study were 49 (experimental group: 25, control group: 24) postpartum women who passed 6 weeks after normal delivery without complication of pregnancy, delivery and postpartum. The experimental group was applied to the pelvic muscle enforcement program by biofeedback and electrical stimulation for 30 minutes per session, twice a week for 6 weeks, after then self-exercise of pelvic floor muscle was done 50-60 repetition per session, 3 times a day for 6 weeks. Maximum pressure of pelvic floor muscle contraction (MPPFMC), average pressure of pelvic floor muscle contraction (APPFMC), duration time of pelvic floor muscle contraction (DTPFMC) and the subjective lower urinary symptoms were measured by digital perineometer and Bristol Female Urinary Symptom Questionnaire and compared between two groups prior to trial, at the end of treatment and 6 weeks after treatment.
Results
The results of this study indicated that MPPFMC, APPFMC, DTPFMC were significantly increased and subjective lower urinary symptoms were significantly decreased after treatment in the experimental group than in the control group.
Conclusions
This study suggested that the pelvic floor muscle exercise using biofeedback and electrical stimulation might be a safer and more effective program for reinforcing pelvic floor muscle after normal delivery.
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Citations
Citations to this article as recorded by 
- Impact of postpartum exercise on pelvic floor disorders and diastasis recti abdominis: a systematic review and meta-analysis
Nicole F Beamish, Margie H Davenport, Muhammad Usman Ali, Matthew J Gervais, Talia Noel Sjwed, Gyanjot Bains, Allison Sivak, Rita E Deering, Stephanie-May Ruchat British Journal of Sports Medicine.2025; 59(8): 562. CrossRef - Childbirth as Fault Lines: Justifications in Physician–Patient Interactions About Postnatal Rehabilitation
Xin Li, Yinong Tian, Yanping Meng, Lanzhong Wang, Yonggang Su Health Care Analysis.2024; 32(4): 312. CrossRef - Pelvic floor muscle exercises plus biofeedback versus pelvic floor muscle exercises for patients with stress urinary incontinence: A systematic review and meta-analysis of randomized controlled trials
Amina Pulatova, Nagima Mamedaliyeva, Gulzhakhan Omarova, Gulfairuz Urazbayeva, Ainura Veliyeva Electronic Journal of General Medicine.2023; 20(5): em520. CrossRef - Effectiveness of physiotherapy for lower urinary tract symptoms in postpartum women: systematic review and meta-analysis
Dai Zhu, Zhijun Xia, Zhiqi Yang International Urogynecology Journal.2022; 33(3): 507. CrossRef - A network meta-analysis protocol of conservative interventions for urinary incontinence in postpartum women
Yang Wang, Hui Li, Jun Wang, Qinghong Hao, Yang Tu, Yalin Chen, Mimi Qiu, Wei Peng, Yunlu Liu, Tianmin Zhu Medicine.2020; 99(33): e21772. CrossRef - The molecular effects of electrical stimulation on the muscle components of the urethra of female rats after trauma by vaginal distention
Gisela R. F. Salerno, Maria A. T. Bortolini, Regina C. T. Gomes, Suellen M. Feitosa, Manuel J. Simões, Edmar Zanoteli, Fernanda L. Castanho, Rodrigo A. Castro Neurourology and Urodynamics.2020; 39(2): 576. CrossRef - Effect of pelvic floor muscle training on postpartum sexual function and quality of life: A systematic review and meta-analysis of clinical trials
Zahra Hadizadeh-Talasaz, Ramin Sadeghi, Talaat Khadivzadeh Taiwanese Journal of Obstetrics and Gynecology.2019; 58(6): 737. CrossRef
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Knowledge and Learning Needs Related to Cancer Treatment in Gynecological Cancer Patients
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Mi Sook Seo, Euy Soon Choi
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Journal of Korean Academy of Nursing 2006;36(6):942-949. Published online March 28, 2017
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DOI: https://doi.org/10.4040/jkan.2006.36.6.942
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Abstract
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Purpose
This study was to investigate the knowledge and learning needs of chemotherapy in gynecological cancer patients.
Method
The subjects consisted of 103 gynecological cancer patients receiving chemotherapy from April 2005 to August 2005. Data was collected using a questionnaire about knowledge and learning needs of chemotherapy. The data was analyzed by t-test, ANOVA, Scheffe test, and Pearson's correlation coefficient using SAS.
Result
Average scores of knowledge and learning needs of general treatment and care were 2.74, and 3.30 respectively. Average score of knowledge and learning needs of chemotherapy were 2.54, and 3.23 respectively. Learning needs of general treatment and care and of chemotherapy were significantly different in relation to marital status, educational level, family support, the operation, and the amount of chemotherapy received. Items with the highest level of learning needs were the symptoms of recurring illness of general treatment, and minimizing side effects of chemotherapy. There were a negative correlation between knowledge and learning needs on general treatment and a positive correlation between knowledge and learning needs on chemothearpy but there were not significant statistically.
Conclusion
The level of learning needs related to cancer treatment was high, whereas, that of knowledge was low. Therefore, when designing an educational program for gynecological cancer patients, understanding of learning needs is necessary. Also, consideration of a patient's characteristics, and a systematic and detailed educational program should be provided.
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Citations
Citations to this article as recorded by 
- The Effects of Chemotherapy Education Reflecting Educational Needs on Self-Care Knowledge and Performance in Female Cancer Patients: A Non-Equivalent Control Group Pretest-Posttest Design
Jin Hee Jun, Se-Na Lee Asian Oncology Nursing.2024; 24(3): 103. CrossRef - Development and Validation of a Multidisciplinary Mobile Care System for Patients With Advanced Gastrointestinal Cancer: Interventional Observation Study
Ji Yeong Soh, Won Chul Cha, Dong Kyung Chang, Ji Hye Hwang, Kihyung Kim, Miyong Rha, Hee Kwon JMIR mHealth and uHealth.2018; 6(5): e115. CrossRef - Educational Needs for Sexual Health and Its Effect on Depression and the Quality of Life in Patients with Prostate Cancer
Soonyoung Oh, Eunjung Ryu Asian Oncology Nursing.2015; 15(3): 163. CrossRef
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Model Development of Korean Professional Hospice Care Education
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Euy Soon Choi, You Ja Ro, Sung Suk Han, Nam Cho Kim, Hee Seung Kim, Ho Ran Park, Sung Hee Ahn
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Journal of Korean Academy of Nursing 1999;29(5):1011-1020. Published online March 29, 2017
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DOI: https://doi.org/10.4040/jkan.1999.29.5.1011
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Abstract
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This study was conducted to develop an education program of hospice care for the professional in order to care for nurses for terminally ill patients facing death and their families. The Modified Tyler-Type Ends-Means model was used to guide the curriculum development of the study. The curriculum include a philosophical conception of hospice education, fundamental concepts, purpose, objective and the educational contents. The content was developed based upon a 70% or more demand in educational demand analysis. The education program has a total of 360 hours consisting of 172 hours of theoretical study and 188 hours of practice including fundamental nursing care for hospice.
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Citations
Citations to this article as recorded by 
- Hospice and Hospice Care in Korea: Evolution, Current Status, and Challenges
Bok Yae Chung, Yu Xu, Chanyeong Kwak Home Health Care Management & Practice.2005; 18(1): 73. CrossRef
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An Effect of Qi Gong Gymnastics Program on the Physiopsychological Parameter in Essential Hypertension
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Myoung Suk Lee, Euy Soon Choi
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Journal of Korean Academy of Nursing 1998;28(4):856-868. Published online March 29, 2017
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DOI: https://doi.org/10.4040/jkan.1998.28.4.856
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Abstract
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The purpose of this study is to evaluate the effects of QiGong gymnastics exercise program in the physiopsychological parameter inessential hypertension. The design of the research was a one group pretest-posttest design. A total of 20 patients with hypertension who were from forty to sixty-five years old participated in the study. The Qi Gong gymnastics program was carried out twice a week for thirty minutes or forty minutes for six weeks from 22, Sep. to 31, Oct. in 1997. In order to evaluate the effect of the QiGong gymnastics program physiological parameter(blood pressure, pulse rate, FVC, FEV1, Epinephrine, Norepinephrine, Cortisol) and psychological parameter(self-efficacy, Life satisfaction) were measured before and after the exercise program. Collected data was analyzed by the paired t-test with SAS package.
The result are as follows: 1) There were significant decrease in systolic blood pressure and diastolic pressure, but there was no significant change in pulse rate. 2) There were no significant difference in FVC and FEV1. 3) There were significant decrease in epinephrine, norepinephrine and cortisol. 4) There were significant improved in general self-efficacy and life satisfaction. 5) The effect of QiGong gymnastics program by measurement time on blood pressure and pulse rate were as follows: In a systolic blood pressure was gradually significant decreased from 1 week to 6 weeks and diastolic blood pressure was significantly decreased after 4 weeks. But there was no significant in pulse rate. This results suggest that QiGong gymnastics are an appropriate nursing intervention for clients with hypertension. For further research is necessary to reevaluate the effect with a letter experimental design and longer period than 8 weeks for the QiGong gymnastics program.
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Citations
Citations to this article as recorded by 
- The Effects of Hypertension Health School Program on Hypertension-related Knowledge, Self-efficacy, Self-care Behavior and Physiological Parameters in Hypertensive Patients
Koung Oh Chang Journal of muscle and joint health.2016; 23(1): 49. CrossRef - The Effects of Health Qigong Training of Elderly Single Women on Pain Consciousness and Depression
Liang Dong, 김용국, 김영숙, 이재범 IJASS(International Journal of Applied Sports Sciences).2013; 25(2): 118. CrossRef - The Effects of Hypertension Self-help Program on Hypertension-related Knowledge, Self-efficacy, Self-management Compliance and Physiological Parameters in Workers
Mi-Young Gi, Young-Hae Park Korean Journal of Occupational Health Nursing.2012; 21(1): 1. CrossRef
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A Study on the Postpartum Depression Experience: Q-Methodological Approach
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Hye Sook Jang, Su Jin Kim, Jeong Sun Kim, Hung Kyu Kim, Euy Soon Choi
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Journal of Nurses Academic Society 1996;26(4):917-929. Published online March 30, 2017
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DOI: https://doi.org/10.4040/jnas.1996.26.4.917
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Abstract
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The purpose of this study is to explore types of postpartum depression and to understand the nature and structure of the postpartum depression by using Q-methodological approach. As a way of research, 55 statements concerning postpartum depression were selected through individual interviews with postpartum mothers and literature review. 30 women were chosen as a subject group for the study, with opinions shown in 55 statements divided into 9 scales by forced distribution. PC QUANL Program was used for analysis and Q-factors were analyzed by using principal component analysis. As a result, postpartum depression experience was classified into 5 types. There are "Role -Strain Type", "Unattributional Depression Type", "Psychosomatic Symptoms Type", "Self-Compassion Type", and "Role-Crisis Type". Type I was named "Role-Strain Type", referring to the strain generally experienced by mothers with regard to the new role as a mother and as a social member. Type II was named "Unattributional Depression Type", referring to the symptom experienced by people who were in a state of vanity and a sense of loss. They often break into tears for no specific reasons. In case of Type III, people in a state of "Psychosomatic Symptoms Type" develop physical symptoms after suffering from inherent emotional conflict. Type IV was named "Self-Compassion Type" refers to the symptom shown by those who feel pity for their children and for themselves. And they show inability to cope with the reality properly. Type V was named "Role-Crisis Type", which is experienced by people who have a burden and a severe fear of their own job and their children in their mind, also showing serious conflict with maternal role. Futhermore, it was carried out to examine structure of postpartum depression in terms of degree of depression and adjustment ability. Type I showed mild degree of depression and relatively good adjustment ability. Type II showed broad range of degree in depression and moderate adjustment ability. Type III showed moderate depression and relatively low adjustment ability. Type IV revealed relatively serious degree of depression and the lowest adjustment ability. Type V revealed very serious degree of depression and the lowest adjustment ability. As a result, considering the structure of postpartum depression, Type I is considered to be a normal depression sympton which most mothers generally experience, followed by Type II, Type III, Type IV and Type V, each of which show increasingly worse degree of depression and lower adjustment ability. In conclusion, it seems to be it is necessary to understand distinct symptoms of postpartum depression and to examine the characteristics and structure of those types, so that it could lead to more individual nursing approach.
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An Analysis of the Concept "Touch"
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Kyung Sook Cho, Euy Soon Choi
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Journal of Nurses Academic Society 1995;25(4):633-640. Published online March 30, 2017
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DOI: https://doi.org/10.4040/jnas.1995.25.4.633
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Abstract
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The trends in nursing practice are not disease-oriented approaches but holistic, humanistic approaches such as human touch, which is an easily applied, economic, and efficient intervention. The purposes of this paper were to clarify the meaning of the concept "touch" to define the precise attributes of "touch" which could be a basis for nursing interventions. This study uses Walker and Avant's process of concept analysis. The concept of touch can be defined as follows: Touch is a process of communication and physical contact with intention, which is transfered by tactile senses. Attributes of touch are defined as 1) It is transferred by tactile senses. 2) A process of communication 3) A expressive pathway of emotion 4) It has intention. Antecedents of "touch" consist that 1) the touch provider understands the touch receiver's perception of past experiences of touch; 2) the touch provider is concerned about the touch receiver and comes up to the touch receiver; 3) the touch provider wants to deliver his/her emotions; 4) the touch receiver needs the ability to differentiate the tactile senses. In regard to the consequences of touch, it is expected to keep the touching action between the touch provider and receiver, to feel empathy, to able to perceive the consumer's needs, to feel comfort, intimacy, trust, and to calm down the physiological variables. That is performing the nursing as a caring science.
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