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2 "Jong Hwa Lee"
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A Comparative Study of the Effect of Two Analgegic Administration Methods on Post Operative Pain
Jong Hwa Lee
Journal of Nurses Academic Society 1997;27(2):401-410.   Published online March 30, 2017
DOI: https://doi.org/10.4040/jnas.1997.27.2.401
AbstractAbstract PDF

An acute pain is the common experience following surgery. Pain is a most miserable experience in person and most preoperative patients have fear of postoperative pain. In nursing, it is very important to understand and relieve the pain between group of Patient Controlled Analgesia and group of traditional Muscular Injection in surgical patients. This information can be utilized as data of understanding nursing care and treatment planning for pain in surgical patients. The subjects in this study were 45 post-hysterectomy patients in Gynecology ward in C.N.U.H., in Taejon. Data was collected from May 12 to June 27,1996. The instruments used for this study were subjective Visual Analog Scale, Objective nonverbal pain scale composed of Facial Appearance, Vocal Sound Change. and Sweating score, and the Melzack's Mcgill pain Questionnaire, nine Items of Developmental pain Intensity Scale by Lee Eun Ok. Analysis of data was done by using S.P.S.S. percentage, t-test, x2-test, ANOVA, and Repeated measure ANOVA. Results were obtained as follows. 1. Hypothesis 1 : There was very highly statistically significant difference in subjective self-report pain score(Visual Analog Scale) between PCA Group and IM Group(P=0.0001). 2. Hypothesis 2 : There was very highly statistically significant difference in muscle strength score(Visual Analog Scale) between PCA Group and IM group(P=0.0001). 3. Hypothesis 3 : There was very highly statistically significant difference in facial appearance score between PCA Group and IM group(P=0.0001). 4. Hypothesis 4 : There was very highly statistically significance difference in vocal sound change score between PCA Group and IM group(P=0.0001). 5. Hypothesis 5 : There was no statistically significant difference sweating scores between PCA group and IM group(F=2.50, P=.1220). But, post-operation time of 12, 24 was statistically difference between two groups(P=0.0001) So, it was partially supported. 6. Hypothesis 6 : There was very highly statistically significant difference in vocabulary pain score between PCA Group IM group. 7. Hypothesis 7 : There was very highly statistically significant difference in amounts of total analgesic between PCA Group and IM group. There was very highly statistically significant difference in Visual Analog Pain Score, Facial Appearance Score, amounts of total analgesic between PCA group and IM group. So, It is verified to asses of postoperative pain with, VAS, Checklist of facial appearance, vocal sound change, and sweating, and Vocabulary Scale.

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Usefulness of Estimated Height Loss for Detection of Osteoporosis in Women
Soon Gyo Yeoum, Jong Hwa Lee
J Korean Acad Nurs 2011;41(6):758-767.   Published online December 31, 2011
DOI: https://doi.org/10.4040/jkan.2011.41.6.758
AbstractAbstract PDF
Purpose

This study was done to examine the threshold value of estimated height loss at which the risk of osteoporosis increases and to verify its discriminative ability in the detection of osteoporosis.

Methods

It was conducted based on epidemiological descriptive methods on 732 Korean women at a public healthcare center in Seoul between July and November 2010. ANOVA, Pearson correlation, logistic regression analysis and receiver operating characteristics (ROC) curve were used for data analysis.

Results

There was an age-related correlation between bone mineral density (lumbar spine: F=37.88, p<.001; femur: F=54.27, p<.001) and estimated height loss (F=27.68, p<.001). Estimated height loss increased significantly with decreasing bone mineral density (lumbar spine: r=-.23, p<.001; femur: r=-.34, p<.001). The odds ratio for the point at which the estimated height loss affects the occurrence of osteoporosis was found to increase at a cut-off value of 2 cm and the area under ROC curve was .71 and .82 in lumbar spine and femur, respectively.

Conclusion

The optimal cut-off value of the estimated height loss for detection of osteoporosis was 2 cm. Height loss is therefore a useful indicator for the self-assessment and prognosis of osteoporosis.

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