Major purposes of this study were to investigate the administration patterns of analgesics and sedatives in SICU and to identify the factors influencing the use of prn analgesics and sedatives by ICU nurses. The sample of this descriptive study was 50 adult patients in SICU and 53 ICU nurses. Patient's medical records were reviewed to investigate names, doses, the routes of administration, the interval of administration, and the type of prescription of sedatives and analgesics administered. Study medications were narcotics, hypnotics, and antipsychotics. To identify the factors influencing the use of prn analgesics and sedatives, 53 ICU nurses checked 9 items, and rank them from first to fifth. The selection of items was based on the previous studies and the experience of the investigator. The results of the study are as follows: 1. The mean age of the subjects was 53 years, 24 patients out of 50 subjects had received mechanical ventilation therapy. Most of the patients received neurosurgeries and abdominal surgeries. 2. For 4 days, 13 total study medications and combination of these were administered to the patients. Commonly prescribed drugs were Ketoprofen and Midazolam. Twenty six to fourty two percent of the patients did not receive any drugs for at least one day during the four days. 3. On the average, the study drugs were administerd 1.4 to 2.6 times per day during 4 days. 4. More than 50 percent of the prescription was as-needed (prn) except those of the POD 3. Fourteen percent of the patients did not have any prescription for sedation and pain control after surgery. 5. Examination of the frequency of sedatives and analgesics bolus administration revealed that a greater number of doses were given during daytime (from 7 am. to 7 pm.) than nighttime (from 7 pm. to 7 am.). The difference was significant at Alpha, .05. 6. First factor that most influenced nurses to administer sedatives and analgesics for intubated patients was the evaluation of patient's vital signs (51%). For non- intubated patients, the factors that nurses considered important were the patients' complaints of pain (64%) and evaluations of patients' vital signs (23%). In conclusion, the results of this study indicate that patients in SICU might not receive enough analgesics and sedatives to feel completely free from pain during the post operational period. Future study should be focused on the evaluation of the adequacy of current practice for pain and anxiety control in terms of the SICU patient's response.
Adult ; Analgesics* ; Antipsychotic Agents ; Anxiety ; Humans ; Hypnotics and Sedatives* ; Ketoprofen ; Medical Records ; Midazolam ; Narcotics ; Neurosurgery ; Prescriptions ; Research Personnel ; Respiration, Artificial ; Vital Signs

The brief history of human tissue bank is reviewed, and the current status of tissue bank in the field of plastic surgery in Korea is presented. We sent a questionnaire to 58 plastic and reconstructive surgery training hospitals. The survey was completed in 27 hospitals. The results were as follows : the number of hospitals managing a tissue bank was 16, and the remaining 11 hospitals did not manage a tissue bank. Less than 30% of the plastic and reconstructive surgery training hospitals' tissue banks were managed by the plastic and reconstructive department by itself. In the field of plastic surgery in Korea, skin banks are most popular among the tissue banks. The development of the national skin bank is needed and there are a lot of parts to be improved in the management of tissue banks.
Humans ; Korea* ; Plastics* ; Skin ; Surgery, Plastic* ; Tissue Banks*

No abstract available.

No abstract available.

No abstract available.
Humans ; Hyperglycemia* ; Infant, Newborn*

This study was a quasi-experimental study to confirm the effects of a memory training program. The purpose was to develop an effective memory training program for elderly people and to identify the effects of the memory training program. This study was carried out between February 25 and July 20. 1999 and the subjects of the study were 102 elderly people who were participants at a welfare institute in Seoul. The experimental group (51) and the control group (51) were assigned by means of participation order. The control group was matched to the experimental group and was selected considering age. sex. and religion. The experimental group participated in the memory training program. The memory training program was based on the literature of Fogler & Stern (1994), Wang & Lee (1990 J, Lee (1991) and Lee (1993). The memory training program was given twice a week for two weeks with each program lasting two hours Depression was measured using the Geriatric Depession Scale developed by Sheikh & Yesavage(1986) and memory self-efficacy was measured using the Memory Self-Efficacy Scale developed by Berry & Dennehey(1989). Data were analyzed by SPSS PC and the results are described below. 1. The experimental group which participated in the Memory Training Program showed lower depression scores as compared to the control group (t=-4.310, P=.000) 2. The experimental group which participated in the Memory Training Program showed higher higher memory self-efficacy scores as compared to the control group(t=4.354, P= .000). 3. In the experimental group, there was significant negative correlation between the depression scores and memory self-efficacy scores. The results showed that the Memory Training Program is an effective nursing intervention for the elderly with depression and memory problems.
Aged ; Depression* ; Fruit ; Humans ; Learning* ; Memory* ; Nursing ; Seoul

No abstract available.
Antigens, Viral, Tumor* ; Simian virus 40*

No abstract available.
Communicable Diseases*

No abstract available.
Communicable Diseases*

No abstract available.
Lip ; Nevus, Blue