Myoung Hee Kim | 4 Articles |
PURPOSE
The purpose of this study was to compare the effectiveness for infants of antifebrile therapy using a hypothermia blanket or rectal antipyretics following open heart surgery. METHODS This was a retrospective study and 174 infants who had open heart surgery at P University Hospital, and whose body temperature body temperature exceeded 37.2degrees C were included in the study. The assessment tool was composed of 32 items was used for assessment of fever therapy, physiological indexes and antifebrile duration. Physiological indexes included systolic blood pressure, diastolic blood pressure, heart rate, pH, PaCO2, PaO2, HCO3-, SaO2, and K+ and the antifebrile duration was minutes from having a fever until BT returned to normal levels. RESULTS The antifebrile duration with the hypothermia blanket was shorter than with rectal antipyretics. There were significant differences in the physiological indexes with either type of antifebrile therapy, but drop in BT was greater with the hypothermia blanket than rectal antipyretics. CONCLUSION The results of this study indicate that a hypothermia blanket is a non-invasive, non-drug and safe antifebrile therapy. Therefore, a hypothermia blanket can be applied to infants with a fever following open heart surgery.
PURPOSE
The purpose of this study was to examine and analyze the post operative fasting period of neonates in the intensive care unit (ICU) after receiving open heart surgery in order to provide optimal nutrition support for these neonates. The variables included biochemical nutrition indexes (albumin, total lymphocyte count, total cholesterol) and patient outcomes (duration of mechanical ventilation, ICU stay, hospital stay, infectious complication). METHODS The participants were 124 neonates in ICU after receiving open heart surgery, and the design of this study was to investigate their post operative fasting period retrospectively to analyze the biochemical nutrition indexes and patient outcomes according to post operative fasting period. RESULTS The results for 4 groups according to post operative fasting period showed that the group with less 48 hours of fasting had the best biochemical nutrition indexes and patient outcomes, followed by the 48-72 hour group, the 72-144 hour group, and the over 144 hour group. CONCLUSION The results indicate that for new born babies receiving open heart surgery, the period of fasting after the operation should be minimized and tube feeding should be started as soon as possible.
PURPOSE
This study examined the awareness and attitudes of parents of 5th and 6th graders toward own children smoking. METHOD The participants were 766 parents of 5th and 6th graders in 11 elementary schools located in J city. Data were collected through questionnaires, which were constructed to include parents' recognition of harms to their own children cause by smoking, factors which influence their children to smoke, and parental supportive strategies to prevent smoking. RESULT The percentage of parents who answered that they did not know if their children were smoking was 94.8%, while the percentage of parents who answered that they knew that their children were smoking was 3.5%. Only 30% of parents had actually spoken with their children about the dangers of smoking. The mean parental recognition of the dangers of smoking was 3.16 points. Parental strategy for preventing and prohibiting smoking with the higher mean scores included forbidding children from entering bars and nightclubs which had the highest scores at 3.55 points; forbidding the sale of cigarettes to children was next at 3.54 points. CONCLUSION To prevent children from smoking, the role and attitude of parents is crucial. But the study results show that the role of parental guidance in preventing underage smoking was insufficient and under appreciated. Therefore, more systematic educational programs on preventing underage smoking are essential for parents.
PURPOSE
This study was done to examine the effects of a smoking prevention program on primary school students. METHOD The design for this study was a nonequivalent quasi-experimental control group pretest-posttest. The smoking prevention program was provided to grade 5 and 6 students selected from two schools in Jecheon.The experimental group consisted of 72 students and the control group, 73 students. A smoking prevention program composed of smoking prevention education (once a week for 40 minutes over a period of 8 weeks) and supportive environment for smoking prevention was developed by modifying several smoking prevention programs. The research was conducted from May 15 to October 10, 2003. RESULT 1) After completion of the smoking prevention program, the mean scores for knowledge about smoking, attitude to smoking, and intention toward non-smoking were not significantly different between the experimental group and the control group. CONCLUSIONS To affectively achieve the aims of a smoking prevention program, the effectiveness of the program should not be measured over the short term only. Long-term tracking of students educated in the program, to identify the rate of those who later become smokers needs to be done.
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