• 제목/요약/키워드: 간경변증

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Diabetes Guide - 당뇨병과 간

  • 사단법인한국당뇨협회
    • 월간당뇨
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    • 통권239호
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    • pp.56-58
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    • 2009
  • 당뇨병환자는 일반인에 비해 간질환에 걸릴 위험이 2배에도 불구하고 간 합병증에 대한 위험성은 잘 알려져 있지 않다. 당교병의 합병증으로 발생하는 간질환은 대개 심각한 질환으로 이어지는 경우는 드문 편이다. 간혹 다른 이유의 검진을 통해서 우연찮게 간의 이상을 발견하기도 하는데, 이는 대부분의 간질환이 특별한 증상이 없기 때문이다. 간질환을 제대로 치료하지 않고 방치한다면 간염, 간경변증 및 간암에 까지 이어져 치명적인 결과를 낳는다. 당뇨병과 간은 어떤 관계가 있는지 살펴보자.

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간경변증 환자의 경험 (The Experience of Patients with Liver Cirrhosis)

  • 김분한;김윤숙;김혜란;전미선;권미형
    • 성인간호학회지
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    • 제16권4호
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    • pp.608-616
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    • 2004
  • Purpose: The aim of this study was to identify the experience of patients with liver cirrhosis. Method: This study was performed from march 2003 to June 2003. The participators were five men. Data collected through in-depth personal interviews, which were recorded and analysed according to the Colazzi's method. Result: Liver cirrhosis was classified into 20 themes, 70 formulated meaning, and 10 categories. The Result confirmed that the experience of liver cirrhosis patients were classified into 10 categories; unexpected change, limited daily living and role, difficult compliance with therapeutic regimen, unbelief so untreated with apathy, negative emotional change, lack of cause perception, self control, perceived family support, expectations for recovery and healing. Conclusion: We, cooperative researchers, realized that to reduce not only the days of hospital treatment and the economic loss, as well as the expenditure of insurance the importance of managing liver cirrhosis from early diagnosis and the physical, spiritual, social role in studying the patients who experience liver cirrhosis.

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간경변증 환자의 건강관련 삶의 질 모형구축 (Construction of Model for Health-related Quality of Life of Liver Cirrhosis Patients)

  • 김지숙;홍해숙
    • Journal of Korean Biological Nursing Science
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    • 제16권4호
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    • pp.292-299
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    • 2014
  • Purpose: This is a study on the structural model that aims to build a path model of multivariates affecting the quality of health-related living for liver cirrhosis patients and specify causal relations affecting the quality of health-related living for liver cirrhosis patients. Methods: The research was conducted on 244 patients diagnosed with liver cirrhosis and the data were collected from July 2013 to January 2014. The collected data were analyzed using IBM SPSS 19.0 and AMOS 21.0 statistical programs. Results: All the fit indexes of the path model properly met the assessment criteria. Anxiety, depression, functional status, and perceived health directly affected the quality of health-related living for liver cirrhosis patients and anxiety, depression, and functional status directly affected perceived health. Social support, anxiety, and depression directly affected the functional status. Conclusion: It is necessary to segment the severity of liver cirrhosis in testing its direct and indirect effects on the quality of health-related living for patients with the condition.

구조화된 정보제공이 간경변증 환자의 자가간호 지식과 자가간호 수행, 기능상태에 미치는 영향 (Effect of Structured Information Provided on Self Care Knowledge, Self Care Performance, and Functional Status of Liver Cirrhosis Patients)

  • 정경선;민혜숙;송영선
    • 재활간호학회지
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    • 제10권1호
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    • pp.29-36
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    • 2007
  • Purpose: The purpose of this study was to identify the effects of structured information provided on self care knowledge, self care performance, and functional status. Method: The data were collected using self care knowledge and performance assessment tool, and functional status assessment tool from both group hospitalized patients at D hospital in Busan. Results: There was a significant improvement(p=.032) in self care knowledge in experimental group compared to the control group. But there were not improvement in self care performance and functional status in experimental group compared to the control group. But comparing to pretest and posttest in experimental group, There were significant improvement in self care performance (p=.003) and functional status(p=.013). Conclusion: Structured information provided showed increased in the degree of knowledge, self care performance, and functional status. But the effect size of program which had been developed in this study was estimated small, so there is needed to modify this program and to research repeatedly.

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초음파 영상의 거칠기 변수를 이용한 간 질환 분류 (Classification of Liver Disease by using Coarseness parameters of Ultrasonic Images)

  • 이동혁;이용우;송인찬;김희찬;민병구
    • 대한의용생체공학회:학술대회논문집
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    • 대한의용생체공학회 1994년도 추계학술대회
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    • pp.52-57
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    • 1994
  • 간 기능 진단에 초음파 영상이 가장 많이 이용되고 있다. 간이 나빠지면 간 표면의 입자가 굵어지고 이것이 영상에서는 밝기(intensity)와 입자의 거칠기(Coarseness)가 높아지는 등의 특성이 나타난다. 진단에 사용되는 인자는 표면의 거칠기와 밝기 외에도 소엽의 크기와 모양 그리고 문맥 혈관의 크기 등도 고려가 된다. 초음파상으로 이러한 크기와 모양의 구분은 그렇게 어렵지 않다. 그러나, 영상의 밝기와 거칠기의 미세한 변화는 구분하기가 어렵다. 본 연구는 밝기와 거칠기를 나타내는 변수를 제시하고 이를 기준으로 간 질환을 분류하였다. 간 조직의 거칠기에 따라 크게 정상(Normal), 만성 간염(Chronic), 간경변증(Cirrhosis) 세단계로 질환의 상태를 진단하고 영상의 밝기에 따라 다른 간질환과 지방간(fat liver)을 구별해 낸다. 본 분석에 이용된 임상 영상은 주로 만성 간염과 간경변증을 갖고 있는 환자들의 것과 약간의 지방간 영상들이다.

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간경변증 환자의 식이이행과 영양상태 및 질병상태와의 관계 (Relationships among Dietary Compliance, Nutritional Status and Stages of Disease in Patients with Liver Cirrhosis)

  • 윤미정;민혜숙
    • 근관절건강학회지
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    • 제22권3호
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    • pp.219-227
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    • 2015
  • Purpose: The purpose of this study was to investigate the degree of dietary compliance, nutritional status, and stages of disease in patients with liver cirrhosis and to identify the relationships among those variables. Methods: This study used a cross-sectional design and conducted a survey of 100 patients who were treated at D-university hospital in Busan. For data analysis, descriptive statistics and Pearson's correlation coefficients were performed using SPSS/WINdow 20.0 program. Results: The mean score of dietary compliance was 3.50 in the a 5-point scale. Stage of disease was significantly correlated with dietary compliance (r=.20, p=.048), and protein as one of nutritional status (r=-.44, p<.001). Conclusion: These findings suggest that dietary compliance of patients with liver cirrhosis can have an influence on prognosis of disease. Therefore, patients should be encouraged to improve dietary compliance from the early stage of liver cirrhosis.

간경변증 환자의 식이이행 영향요인 (Factors influencing Dietary Compliance in Patients with Liver Cirrhosis)

  • 윤미정;민혜숙
    • 근관절건강학회지
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    • 제23권3호
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    • pp.179-186
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    • 2016
  • Purpose: The purpose of this study was to identify factors that influence dietary compliance in patients with liver cirrhosis. Methods: This study used a cross-sectional design and was conducted with a survey of 141 patients in liver cirrhosis who were treated at D-university hospital in Busan. For data analysis, descriptive statistics, Pearson's correlation coefficients, and a multiple regression were performed using SPSS/WIN 20.0 Program for windows. Results: The mean score was 3.47 in dietary compliance. Dietary compliance had a positive correlation with self-efficacy, perceived-benefit medical staff support, age, drink or not but had a negative correlation with perceived barrier. As a result of multiple regression analysis, self-efficacy and perceived-benefits explained 30.1% (F=7.69, p<.001) of the variance of dietary compliance. Conclusion: Dietary compliance was suggested to consider self-efficacy and perceived-benefits when developing a nutritional education programs for patients with liver cirrhosis.

간경변증 환자의 자가간호수행과 증상경험 및 질병상태와의 관계 (The Relations among Self-care, Symptom Experiences, and Disease Status of the Patient with Liver Cirrhosis)

  • 정경선;민혜숙
    • 성인간호학회지
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    • 제19권2호
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    • pp.318-328
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    • 2007
  • Purpose: The purpose of this study was to examine the degree of self-care, symptom experience and disease state among the patients with liver cirrhosis and to identify its correlation. Methods: The subjects were 220 patients with liver cirrhosis who were treated in D-university hospital in Busan. The instruments used for study were the self-care inventory, the symptom experience inventory and modified childpugh classification scale. Results: The average points of the patient's self-care performance, symptom experience, and disease status were 3.67, 29.10 and 6.12 respectively. Their self care was negatively correlated to symptom experience, and symptom experience was positively correlated to disease state. Conclusion: This research findings suggested that active self-care by patients with liver cirrhosis might contribute to reduce various symptoms they can undergo and to prevent aggravation of disease state. Therefore, patients with liver cirrhosis have to carry out self care actively in daily life and discreet nursing intervention should be offered to facilitate their self-care.

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