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NTIS 바로가기Journal of Korean academy of nursing = 대한간호학회지, v.48 no.3, 2018년, pp.279 - 288
조현미 (경희대학교 간호과학대학) , 신현숙 (경희대학교 간호과학대학)
Purpose: The purpose of this study was to examine the effects of breathing exercises performed using panflutes in elderly patients undergoing spinal surgery. Methods: The study design was a nonequivalent control group non-synchronized pre-post test. The study included 24 patients in both the experim...
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핵심어 | 질문 | 논문에서 추출한 답변 |
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팬플룻에 대한 선행연구에서 어떤 결과가 나왔는가? | 팬플룻은 일종의 목관악기로서 호흡운동에 활용할 수 있을 뿐만 아니라 음악치료의 효과도 기대할 수 있다[12]. 선행연구에서는 음악의 생리적 효과와 정서적 효과 측면을 다루었는데, 음악이 시상 및 시상하부를 거쳐 대뇌로 전달되면 자율신경계에 영향을 미치고 중추신경계, 면역계, 내분비계와 상호작용하여 생리적, 정서적 변화를 일으키게 된다[13]. Wang 등[14]은 음악요법을 조용한 환경에서 시행했을 때 저산소증 유발과 관련된 것으로 알려진 HIF-1 (Hypoxia Inducible Factor-1) 전사인자의 활성화를 막을 수 있고 수술이나 생검을 하는 환자들에게 불안을 감소시킬 수 있으며 심호흡을 도와주고 이완 효과를 나타내서 통증을 감소시킬 수 있다고 보고하였다. 이는 산소 소비를 막아 산소포화도를 증가시키고 심박수 및 혈압을 낮추는 것으로 설명되고 있다. 다른 선행연구[15,16]에서도 음악요법이 우울을 감소시키고 환자의 신경학적 결손 및 움직임 기능을 개선시킨다고 하였다. | |
척추 수술을 받은 노인들이 쉽고 효율적으로 훈련할 수 있는 호흡운동 전략이 필요한 이유는? | 척추 수술을 받은 노인들의 수술 후 호흡운동 수행율을 효과적으로 높이기 위해서는 노인들이 쉽고 효율적으로 훈련할 수 있는 호흡운동 전략이 필요하다. 임상에서는 유발폐활량측정계(incentive spirometer)를 이용한 호흡운동을 실시하고 있지만 Branson [9]은 유발폐활량측정계를 활용한 호흡운동만으로는 폐 감염 발생을 감소시킨다는 근거가 없다고 하였다. | |
팬플룻을 이용한 호흡운동법의 효과는? | 팬플룻을 이용한 호흡운동법은 복식호흡의 원리를 이용한 방법으로, 횡격막을 상, 하로 확장시켜 산소 섭취와 이산화탄소 배출을 돕고 폐활량을 증가시켜 심폐기능을 향상시키며[10], 부교감신경을 활성화하여 불면증이나 우울증 및 불안감소효과가 있고, 콜레스테롤을 감소시켜서 심혈관계 질환을 예방하고 치료하는데 효과적이다[11]. 팬플룻은 일종의 목관악기로서 호흡운동에 활용할 수 있을 뿐만 아니라 음악치료의 효과도 기대할 수 있다[12]. |
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Lee JH, Kim SY. Comparative effectiveness of Schroth therapeutic exercise versus sling therapeutic exercise in flexibility, balance, spine angle and chest expansion in patient with Scoliosis. Journal of the Korean Society of Physical Medicine. 2014;9(1):11-23. https://doi.org/10.13066/kspm.2014.9.1.11
Branson RD. The scientific basis for postoperative respiratory care. Respiratory Care. 2013;58(11):1974-1984. https://doi.org/10.4187/respcare.02832
Kim KS, Byun MK, Lee WH, Cynn HS, Kwon OY, Yi CH. Effects of breathing maneuver and sitting posture on muscle activity in inspiratory accessory muscles in patients with chronic obstructive pulmonary disease. Multidisciplinary Respiratory Medicine. 2012;7:9. https://doi.org/10.1186/2049-6958-7-9
Jin MH. A study about influence that have an effect of abdominal breathing on life satisfaction in elderly with dementia [dissertation]. Seoul: Dongkook University; 2013. p. 1-155.
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Kim E, Cho B. An experimental study of deep breathing exercise using phonation on effect of pulmonary ventilatory function, dyspnea, and duration of chest tube insertion in patients with pneumothorax. Chonnam Journal of Nursing Science. 2001;6(1):17-37.
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