Journal of Korean Academy of Nursing

Original Articles

Effects of Active Mandibular Exercise for Mouth Opening Limitation Patients after Maxillomandibular Fixation Release: A Non-Randomized Controlled Trial: Hyo Jin Jang, Myung Hee Kim; J Korean Acad Nurs 2018;48(1):26-37. Published online January 15, 2018; DOI: https://doi.org/10.4040/jkan.2018.48.1.26

Abstract Purpose

The aim of this study was to evaluate the effects of active mandibular exercise (AME) in patients with limited mouth opening after maxillomandibular fixation (MMF) release.

Methods

The study used a quasi-experimental, nonequivalent control group and a pre test-post test design. Sixty-two patients with Maxillomandibular Fixation Release were assigned to the experimental (n=31) or control group (n=31). The AME was performed in the experimental group for 4 weeks. The exercise AME consisted of maximal mouth opening, lateral excursion and protrusive movement. These movements were repeated ten times a day. After the final exercise of the day, the number of tongue blades used for mouth opening was noted. The effect of AME was evaluated after MMF release at different time intervals: a) immediately, b) after 1 week, c) after 2 weeks, d) after 4 weeks, and e) after 12 weeks. The exercise was assessed using the following criteria: a) mandibular movements, b) pain scores associated with maximal mouth opening, c) discomfort scores associated with range of movement, and d) daily life activities that involve opening the mouth.

Results

The experimental group showed significant improvement regarding the range of mandibular movements (maximal mouth opening (F=23.60, p<.001), lateral excursion to the right side (F=5.25, p=.002), lateral excursion to the left side (F=5.97, p=.001), protrusive movement (F=5.51, p=.001)), pain score (F=39.59, p<.001), discomfort score (F=9.38, p<.001). Daily life activities that involve opening the mouth were more favorable compared to those in the control group.

Conclusion

The AME in patients after MMF release is helpful for increasing mandibular movement range, decreasing pain and discomfort, and improving day life activities that involve opening the mouth. Therefore, AME is highly recommended as an effective nursing intervention.

Citations

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Effectiveness of Physical Therapy in Orthognathic Surgery Patients: A Systematic Review of Randomized Controlled Trials
Gonzalo Navarro-Fernández, Alfonso Gil-Martínez, Marta Diaz-Saez, Ignacio Elizagaray-Garcia, Paloma Pili-Mayayo, Julian Ocampo-Vargas, Hector Beltran-Alacreu
Journal of Functional Morphology and Kinesiology.2023; 8(1): 17. CrossRef
Is it worth applying self-irrigation after third molar extraction? A randomised controlled trial
Hyo-Jin Jang, Youn-Kyung Choi, Eun-Young Kwon, Won-Hyuk Choi, Jae-Min Song
British Journal of Oral and Maxillofacial Surgery.2022; 60(7): 877. CrossRef

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Post Discharge Nursing Needs of Patients with Open Heart Surgery: Myung Hee Kim; Journal of Nurses Academic Society 1993;23(4):664-677. Published online March 31, 2017; DOI: https://doi.org/10.4040/jnas.1993.23.4.664

Abstract PDF

The purpose of this study was to provide basic data for the development of educational material in Korean for patients being discharge after open heart surgery. The subjects were 45 adult patients who were seen in the out-patient department of the thoracic surgery unit of P University hospital between February 1993 and May 1993. The data were collected through a chart review and interview. Nursing needs, and the patients status related to diet, activity, medication, physical and psychoemotional limitations were analyzed. The results are summarized as follows: 1. Mitral valve replacement was the most frequent type of surgery(91.2%). In most cases, a mechanical valve was used(91.0%). The duration of admission after the operation was two to four weeks for most of the patients(48.9%). The follow-up period was between one and two years for 28.9% of the patients and below 6 years for all of the patients. 2. Many patients didn't know the importance of a low salt diet (57.8%), and did not get any education on low salt diet(66.7%). Gimchi was included as one of the most commonly ingested foods (77. 8%). All of the patients indicated nursing needs related to education about low salt diets and further they indicated a major interest in foods that are harmful (57.7%) or foods that are safe(51.1%). 3. Most patients did not recognize the need for limitations on physical activity(84.4%). Further, 31.1% of them could not return to work at the time of the study. All patients had nursing needs related to physical activity, with the most frequent questions being about the permissble degree of activity and special cautions dictated by their illness (60.0%). 4. Many patients were ignorant of the necessity of medication(55.6%). Forty percent of the patients were taking additional drugs, usually herb drugs. The time and duration of medication and the side effects of drugs were common concerns(57.7%) related to nursing needs about medication and were mentioned by all of the patients. 5. All of the patients complained of physical dis comfort including the following: memory disturbance(62.2%), weight gain(60.0%), chest tightness (55.6%), hair loss(51,l%), sleep disturbance(46. 7%) and other symptoms in that order of frequency. Nursing needs related to phyaical condition were a concern for all of them. The viability and function of the replaced valve (53.3%) and weight gain (60.0%) were major concerns, 6. Looking at their psychoemotional condition it was found that 36 patients (80.0%) were emotionally unstable. The causes were physical discomfort (17 patients), insufficient knowlege of open heart sur-gery(6 patients), fear of death(6 patients), familial over protection(2 patients) and lack of support(5 patients).

Citations

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The Effect of a Discharge Education Program for Readmitted Chemotherapy Patients on Compliance with Sick Role Behavior and Educational Satisfaction
Su-Ol Kim, Mi-Hee Park, So-Myeong Kim
Asian Oncology Nursing.2015; 15(3): 156. CrossRef
Understanding on Chemotherapy and Self-Care in Cancer Patients after an Individual Education
Eun Mi Kim, Hee Jin Kim, Soo Jin Kim, Bo Kyung Kim
Journal of Korean Oncology Nursing.2010; 10(2): 163. CrossRef

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The Phenomenological Study of Kidney Donors' Experiences: Jung Hwa Kim, In Sook Yoo, Myung Hee Kim; Journal of Nurses Academic Society 1995;25(2):222-243. Published online March 30, 2017; DOI: https://doi.org/10.4040/jnas.1995.25.2.222

Abstract PDF: The purpose of this study was to present basic data in the nursing practice for the management of living kidney donor by understanding the nature and meaning of kidney donors, experiences. The research subjects were 11 living kidney donors who had donated from Mar. 1991 to Feb. 1994 and discharged from the 3 hospitals in Pusan. Data has been collected by intensive interview with donors. The data analysis has made by phenomenological method of Van Kaam for understanding the phenomenon and meaning of their experiences. The experiences of kidney donors were analyzed into the 4 situations, that is, 'motivation of kidney donor', 'decision time to make kidney donation', 'pre-opperation', 'after donation'. The descriptive expression and common elements were drawn from original data of each situation on the basis of subjects' own words. From each situation, the common elements of kidney donors' experiences were integrated, summarized and described as follows; 1. Motivation of kidney donation They wanted to donate their kidney because of empathy of pain on the groung of love to the recipient and with exppectation of successful kidney transplant or as a solution of economic difficulty. 2. Experiences in deciding to make kidney donation In deciding to make kidney donation, donors had love toward the recipients. But they experienced conflict too. 3. Experiences before being operated on donated kidney In experiences from deciding to make kidney donation to preoperation, donors had love toward the recipients. But they also felt anxiety or dissatisfaction. Therefore, they controlled their mind by their faith, support of medical staff or support of society. And they experienced regret for the sociological cognition or financial apprehension. 4. Experiences after kidney donation After kidney donation, donors experienced satisfaction and accompplishment in spite of mental and physical discomfortness, while they felt sense of loss/disappointment, repentance, regret, and apprehension of progress toward their condition. Thus, kidney donors donated their kidney on the ground of empathy and love to the recipient and with expectation of successful kidney transplant. But during the process of kidney donation, they experienced conflict, love, anxiety, regret, apprehension of economy. And after donation, they felt sense of satisfaction and accomplishment, while they felt sense of discomfortness, loss/disappointment, regret, repentance, or apprehension of progress toward their condition. This result contribute to nurses' role not only for the management of living kidney donors but also for the management of cadaver donors' family.

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The Effects of Swallowing with Oropharyngeal Sensory Stimulation in Nasogastric Tube Insertion in Stroke Patients: Myung Hee Kim, Mi Young Kim; Journal of Korean Academy of Nursing 2007;37(4):558-567. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2007.37.4.558

Abstract PDF

Purpose

This study was to identify the effects of oropharyngeal sensory stimulation on a functional oral intake scale, oro-pharyngeal swallowing functions, and aspiration pneumonia symptoms with nasogastric tube insertion in stroke patients.

Method

This study was a nonequivalent control group non-synchronized design. The subjects of the study were 32 patients who were hospitalized in Kosin Gaspel hospital. The experimental subjects were stimulated for 10~20 minutes, 1 time per day. The intervention was implemented for 2 weeks.

Result

Participants in the experimental group significantly received a higher score in oro-pharyngeal swallowing function than those in the control group. However the participants in the experimental group only got a high score in the function oralintake scale which doesn't imply a statistical significance. In addition, they didn't geta remarkably higher score in aspiration pneumonia symptoms than those in the control group.

Conclusion

This study demonstrates that oropharyngeal sensory stimulation is effective in promoting recovery oro-pharyngeal swallowing function of nasogastric tube insertions in stroke patients.

Citations

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Changes in the dysphagia and nutritional status of patients with brain injury
Hyeyeoung Kim, Yeonok Suh
Journal of Clinical Nursing.2018; 27(7-8): 1581. CrossRef
The Effect of Singing Intervention for Women Elderly with Dysphagia Risk
Ok-Jong Yun, Young-Hee Lee
Korean Journal of Adult Nursing.2012; 24(4): 380. CrossRef

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Effects of Weight-Bearing Exercise on Bone Metabolism in College Women: Ju Sung Kim, Myung Hee Kim, Jae Shin Shin; Journal of Korean Academy of Nursing 2004;34(5):760-770. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2004.34.5.760

Abstract PDF

Purpose

This study was done to identify the effects of weight-bearing exercise(WBE) on bone metabolism.

Method

WBE was performed for 12 weeks by healthy college women. Bone-related parameters were measured four times during this period by evaluating the immunoradiometric assay and enzyme immunoassay. Bone mineral densities(BMDs) were measured by dual energy x-ray absorptiometry before and after the WBE program. Data was analyzed using t-test, paired t-test, x²-test, and repeated measures ANOVA.

Result

Osteocalcin, a bone formation marker, increased more in the experimental group than in the control group based on the interaction between time and group(F=3.29 p=.024). Little difference between the two groups was found for the other parameters: urinary deoxypyridinoline, insulin-like growth factorI, parathormone, serum calcium, and serum phosphorus without showing any time interaction between the groups. The femoral trochanter BMD rose in the experimental group while that of the control group fell, showing a significant difference for BMD(t=3.06 p=.005). However, there was no significant difference between the two groups for changes in BMD of the forearm, lumbar spine, femoral neck, and femoral ward's triangle.

Conclusion

These findings supported the WBE is beneficial for increasing bone formation in college women and long-term application is needed to substantiate the effects of WBE as a intervention in promotion of bone-health.

Citations

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The Effect of Upper Exterimity Weight-Bearing Exercise on Bone Mineral Density and Upper Exterimity Fuction in Female Stroke Patients
Sung-Eun Lee, Shin-Gyun Kim, Kyoung Kim, Jae-Hong Lee
Journal of the Korea Academia-Industrial cooperation Society.2013; 14(1): 257. CrossRef
Study of the Level of Osteoporosis Awareness among Women Dwelling in Urban Area
Miyoung Chung, Kyunghye Hwang, Euysoon Choi
Korean Journal of Women Health Nursing.2009; 15(4): 362. CrossRef
Bone Mineral Density and Factors Affecting in Female College Students
Dong Sook Cho, Jeung Yun Lee
Korean Journal of Women Health Nursing.2008; 14(4): 297. CrossRef

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Conquering Process of the Group-bullies among Teenagers: Soon Gu Kim, Young Hae Kim, Myung Hee Kim; Journal of Korean Academy of Nursing 2004;34(3):458-466. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2004.34.3.458

Abstract PDF: Purpose
This study was to develop a substantive theory on the conquering experience of group-bullies among teenagers, and thereafter suggest a model for solving the problems.
Method
Data collection and analysis was proceeded by a method of Grounded Theory. Data was collected by interviewing the participants. Five teenagers participated in this study who had already overcome the situation.
Result
In the analysis 31 concepts, 6 categories, and 14 subcategories are extracted from the raw data, and all are constituted on the paradigm model. The causal condition is a painstaking of participants. The context is affirmative reconsidering and the phenomenon is conquering difficulties. The intervening condition is a positive intervention of a supporting system and the strategy for action/interaction is building a relationship. The consequences of this analysis is harmonizing.
Conclusion
The results of this study suggest adequate ways of conquering group-bullies. These are positive attitudes towards solving problems and the full use of support systems surrounding them.

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The Relationship Between Body Composition and Bone Mineral Density in College Women: Myung Hee Kim, Ju Sung Kim; Journal of Korean Academy of Nursing 2003;33(3):312-320. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2003.33.3.312

Abstract PDF

Purpose

To investigate body compositons and bone mineral density(BMD) in college women and to find the relationship between them.

Method

From January to March of 2001, BMD at four parts(forearm, lumbar, femur and whole body), body mass index(BMI), body fat mass(BFM), lean body mass(LBM) and body fat percentage(%Fat) were measured with the Dual Energy X-ray Absorptiometry. Other physical characteristics were measured with a scale, a height measurer, and questionnaires.

Result

Grouping by the BMI, 43.2% showed low weight, and 5% over weight. When applying the percent Fat, 43.8 % was diagnosed as obesity group. The fact indicate that a majority of college women have unbalanced body composition with high percent Fat, compared to their body weight. Assessing the BMD with the WHO standards, 91.4~95.7% of the BMD of forearm and whole body was normal. But, 40.3% and 33.1~43.9% showed osteopenia at lumbar and femur, and 1.4 %, 0.7~7.2% showed osteoporosis. The BMD at all parts showed significant correlation each other(r=.29~.89, p=.001~.000). Body weight and BMI showed correlations to with BMDs at all parts of the body(r=.19~.46, p=.025~.000; r=.18~.45, p=.039~.000). But the percent Fat had a correlation with only femur neck BMD(r=.19, p=.024).

Conclusion

This study showed a majority of healthy college women were exposed to the risk for osteoporosis. Additional study is required to develop nursing interventions to remove the risk factors of osteoporosis. In particular, the acquisition of balanced body composition is necessary, increasing body weight and BMI through the increase of LBM, not through the quantitative increase of BFM.

Citations

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Various Factors Affecting the Bone Mineral Density in Korean Young Adult Women: Data from the Fifth Korea National Health and Nutrition Examination Survey (KNHANES V), 2010~2011
Kwang-Hyun Jho, Soon-Nam Choi, Nam-Yong Chung
Journal of the Korean Dietetic Association.2014; 20(2): 110. CrossRef
Association of Anthropometric and Biochemical Factors with Bone Mineral Density in Korean Adult Women Data from the Fourth (2008~2009) and Fifth (2010~2011) Korea National Health and Nutrition Examination Surveys (KNHANES IV & V)
Soon-Nam Choi, Kwang-Hyun Jho, Nam-Yong Chung
Journal of the Korean Dietetic Association.2014; 20(3): 157. CrossRef
The Relationship among Sun-Screening Agent Use, Bone Health Promotion Behavior and Bone Mineral Density of Female College Students
Hye Jin Hyun, Joo Hyun Kim, Ga Yeon Ko, Bock Soon Park, Eun Young Choi, Mi Hyang Ahn
Journal of Korean Biological Nursing Science.2013; 15(4): 202. CrossRef
A Study of Correlation among Bone Mineral Density, Body Composition and Body Circumference on 20's Women
Sang-Min Lee, Joong-San Wang, Sung-Kyu Park, Hong-Rae Kim, Jin-Hee Ko, Yu-Jung Oh, Hae-Ran Yoon, Ji-Sung Kim
Journal of International Academy of Physical Therapy Research.2012; 3(1): 383. CrossRef
Bone Mineral Density and Factors influencing Bone Mineral Density in College Women
Mi-Young Chon, Hye-Won Jeon, Myoung-Hee Kim
Korean Journal of Women Health Nursing.2012; 18(3): 190. CrossRef
Body Composition, Blood Pressure, Blood Lipids, and Glucose according to Obesity Degree by Body Fat Percentage in Female University Students
Eun Hee Jang, Young Rye Park
Journal of Korean Biological Nursing Science.2012; 14(4): 231. CrossRef
The Relationship between Bone Mineral Density and Body Composition, Life Styles of Female College Students
Jong-Hyun Lee, Bo-Kyung Lee, Young-Soon Kim
The Korean Journal of Food And Nutrition.2011; 24(4): 786. CrossRef
Bone Mineral Density, Body Mass Index, Stress, and Health Promotion Lifestyle of Female College Students
Chunmi Kim, Eun Man Kim
Journal of Korean Academy of Community Health Nursing.2010; 21(3): 333. CrossRef
The Relationship between Lifetime Sports Activity Measured with MET and Peak Strain Score and Bone Measurement in College-aged Women
Eun-Nam Lee, Eun Jung Choi
Journal of Korean Academy of Nursing.2008; 38(5): 667. CrossRef
Bone Mineral Density and Factors Affecting in Female College Students
Dong Sook Cho, Jeung Yun Lee
Korean Journal of Women Health Nursing.2008; 14(4): 297. CrossRef

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