• Title/Summary/Keyword: 뇌졸중의 예방

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건강검진 후(後) 건강수치 읽기 - 호모시스테인 수치 알면 혈관합병증이 보인다

  • Kim, Jeong-Un
    • 건강소식
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    • v.36 no.12
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    • pp.30-31
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    • 2012
  • 동맥경화, 뇌졸중, 치매 등 혈관성 질환은 위험하기 때문에 사전 예방에 대한 관심이 높다. 혈관성 질환을 유발하는 원인은 다양한데, 그 중 호모시스테인은 심혈관계 질환을 일으키는 가장 강력한 원인이 되는 독성물질이다. 조금만 관심을 가지면 관리를 할 수 있다는 사실을 명심하자.

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약물요법 : 다 같은 약이 아니다 - 고지혈증 약 복용시간 지키세요!

  • Kim, Min-Gyeong
    • The Monthly Diabetes
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    • s.259
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    • pp.48-49
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    • 2011
  • 고지혈증은 뇌졸중, 협심증 및 심근경색 등 심혈관질환을 일으키는 주요 위험인자이다. 당뇨병이 있으면 일반인에 비해 관상동맥심질환이 발생할 확률이 2~4배까지 증가하고, 사망률 또한 높다. 대혈관 합병증을 예방하려면 혈당조절과 함께 중성지방이나 콜레스테롤을 적절하게 조절해야 한다.

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Comparative Analysis of Fall-Related Physicopsychological according to Virtual Exercise and Lumbar Stabilization Exercise in the Patient with Stroke (가상현실 체험형 운동과 요부안정화운동에 따른 뇌졸중환자의 낙상관련 신체·심리적 비교 분석)

  • Jung, Dae-In;Seo, Tae-Hwa;Ko, Dae-Sik
    • The Journal of the Korea Contents Association
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    • v.12 no.8
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    • pp.274-282
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    • 2012
  • This study conducted the following experiment to examine change of physicopsychological function on lumbar stabilization exercise(LSE) and virtual reality game training(Nintendo Wii Sport-NWS) to stroke patients subject for fall prevention. Psychological function was measured by falls efficacy with stroke patients and physical function was measured by static and dynamic balance on comparative analysis of pre, post exercise and each groups in 30 stroke patient subject. Static balance was measured by BBS, FRT, dynamic were measured by TUG, 10m walking test and falls efficacy with stroke patients was measured index of falls efficacy. These result lead us to the conclusion that each group were statistically improved at all physicopsychological test, but BBS, FRT, 10m walking test were more statistically improved at LSE group and falls efficacy with stroke patients were more improved at virtual reality game training group. Consequently, virtual reality game training would be lead to positive increment of physicopsychological function on stroke patient.

An Effect of the Secondary Stroke Prevention Education Program on Self-care of Acute Ischemic Stroke Patients (뇌졸중 이차예방 교육프로그램이 급성기 허혈성 뇌졸중환자의 자가간호수행에 미치는 효과)

  • Kang, Sun Mi;Yeun, Eun Ja
    • Korean Journal of Adult Nursing
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    • v.17 no.4
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    • pp.646-655
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    • 2005
  • Purpose: This study was conducted to examine the effects of the secondary stroke prevention education program to inhibit the recurrence of the acute ischemic stroke patients, and to maintain and promote knowledge about stroke, self-efficacy and self-care. Method: This study was designed to take a quasi-experimental pre- and post-test with the nonequivalent control group. The experimental group consists of 20 patients and control group consists of 20 patients. The experimental group was applied the secondary stroke prevention education program. In order to verify the effects of the secondary stroke prevention education program, knowledge about stroke, self-efficacy and self-care scale were measured before the intervention and 4 weeks, 12 weeks after discharge. The tools for measuring knowledge about stroke, self-efficacy and self-care are developed by the researcher. The data was analyzed by SPSS win 10.0 program using $x^2-test$, Fisher's Exact Test, t-test, Kolmogorov-Smirnov Z, and Repeated Measures ANOVA. Result: There was a statistically significant difference in knowledge about stroke (F=4.021, p=.026), self-efficacy(F=6.096, p=.018), and self-care(F=8.026, p=.007) between the experimental and the control group after intervention. Conclusion: It is considered that the program can be used as an effective nursing intervention in clinical practice.

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Factors Influencing Stroke Prevention Behaviour in Middle-aged Adults (중년기 성인의 뇌졸중 예방행위 영향요인)

  • Go, Eun
    • Journal of Korean Biological Nursing Science
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    • v.22 no.4
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    • pp.297-307
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    • 2020
  • Purpose: The purpose of this research was to identify the relationships between stroke knowledge, health perception, exercise self-efficacy and stroke prevention behaviour and the factors influencing stroke prevention behaviour in middle-aged adults. Methods: A cross-sectional survey was conducted in 2 cities of Korea from May to July 2020, using structured questionnaire. The participants were 168 middle-aged adults without a history of stroke. Collected data were analyzed using descriptive statistics, independent t-test, one-way ANOVA, Pearson correlation coefficients, and multiple regression with SPSS/WIN 25.0. Results: There was significant correlations among degree of stroke prevention behaviour, stroke knowledge about warning sign (r= .20, p= .010), health perception (r= .35, p< .001) and exercise self-efficacy (r= .43, p< .001). The most important factor influencing stroke prevention behaviour was exercise self-efficacy (β= 0.38, p< .001), followed by health perception (β= 0.18, p= .008), body mass index (β= -0.17, p= .011), stroke knowledge about warning sign (β= 0.13, p= .045) in that order. These factors explained 37.7% of total variance in stroke prevention behaviour (F= 11.09, p< .001). Conclusion: The results of this study suggest that the development of nursing intervention for stroke prevention behaviour improvement is needed considering exercise self-efficacy and stroke knowledge.

The Lifestyle Modification Coaching Program for Secondary Stroke Prevention (뇌졸중 재발예방을 위한 생활양식조절 코칭 프로그램의 효과)

  • Kim, Heejeong;Kim, Oksoo
    • Journal of Korean Academy of Nursing
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    • v.43 no.3
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    • pp.331-340
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    • 2013
  • Purpose: The purpose of this study was to investigate the effects of the lifestyle modification coaching program on self efficacy, lifestyle and physiologic indexes related to the recurrence of stroke in patients with stroke. Methods: Sixty-one patients with stroke registered with a stroke center participated in this study. Of the participants, 32 were assigned to the experimental group and 29 to the control group. Self efficacy, alcohol drinking, smoking, physical activity, BMI (body mass index), WHR (waist-hip ratio), blood lipid level, and blood pressure were measured both for the baseline, as well as after intervention. The lifestyle modification coaching program consisted of an 8-week telecoaching session following face-to-face education. The control group received only the face-to-face education. Results: There were significant differences in physical activities, WHR, blood pressure within and between groups after intervention. The lifestyle modification coaching program had significant influences on blood pressure even after gender, age, and physical activity had been adjusted. Conclusion: The results of the study indicate that lifestyle modification coaching program is effective for physical activity, abdominal obesity and blood pressure. Therefore it can be used by nurses in hospitals and communities as one of the secondary stroke prevention programs for patients with stroke.

The Effects of a Secondary Stroke Prevention Program on the Health Risk Indicators and Self-Care Compliance of Stroke Patients (뇌졸중 이차예방교육이 건강위험지표와 자가간호수행에 미치는 효과)

  • Kim, Ji Yeon;Na, Yeon Kyung;Hong, Hae Sook
    • Journal of Korean Biological Nursing Science
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    • v.18 no.2
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    • pp.69-77
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    • 2016
  • Purpose: This study aimed to investigate the effects of a secondary stroke prevention education program on the health risk indicators and self-care compliance of stroke patients. Methods: A non-equivalent control group pretest-posttest design was used to select the participants. Subjects were 54 stroke patients (27 in the experimental group and 27 in the control group) hospitalized in a K university hospital in D city, Korea. Health risk indicators and self-care compliance were measured both for a baseline, as well as after intervention. The data was analyzed using a chi-square test, paired t-test and ANCOVA. Results: There were significant differences in systolic blood pressure, diastolic blood pressure, fasting blood sugar, weight and self-care compliance. Conclusion: The results of the study indicate that an educational secondary stroke prevention program is effective for health risk indicators and self-care compliance of patients. Therefore it can be used as an effective nursing intervention in clinical practice.

Effects of Fall Prevention Program on Gait, Balance and Falls Efficacy in Stroke Patients (낙상예방 프로그램이 뇌졸중 환자의 보행, 균형 및 낙상효능감에 미치는 효과)

  • Hwang, Ji Hye;Jung, Hyang Mi;Lee, Mi Hwa;Lee, Sang Ju
    • Journal of Korean Clinical Nursing Research
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    • v.16 no.1
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    • pp.27-37
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    • 2010
  • Purpose: This study was conducted to determine the effects of a fall prevention program on gait, balance and falls efficacy in stroke patients Methods: The study utilized a non-equivalent control group pretest and post test design. Subjects were contacted at the oriental medicine ward of D hospital in B city for strokes. The subjects were 25 in the experimental group and 25 in the control group. The fall prevention program consists of fall related exercises and fall related education. Collected data were analyzed using a t-test, Chi-Square test, Fisher's exact test by SPSS 14.0 Win program. Results: The fall prevention program with exercises and education used in this study was found to be very effective in increasing gait, balance and falls efficacy in patients with stroke. Conclusion: The fall prevention program used in this study seems appropriate for stroke patients. Thus, further research to refine the efficacy and application of this program is warranted.

Factors Affecting the Stroke related Health-Promoting Lifestyle in Middle-Aged Adult (중년기 성인의 뇌졸중 관련 건강증진 생활양식의 영향요인)

  • Kim, Bo-Mi
    • Journal of Digital Convergence
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    • v.20 no.1
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    • pp.349-359
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    • 2022
  • This research is a descriptive study that aimed to identify the health knowledge related stroke, optimistic bias, and social support of middle-aged adults and the effect these had on their health-promoting lifestyle This study was conducted by collecting 220 adults aged between 40 to 60 years from C City D city and K city. Data were analyzed using descriptive analysis, ANOVA, t-test, Pearson's correlation coefficients and multiple regression with the SPSS 23.0 program. The average health-promoting lifestyle was 44.27 points. The health-promoting lifestyle of the study participants showed a positive correlation between the optimistic bias(r=.18, p=.001) and social support(r= .61, p<.000). According to the results of multiple regression analysis, perception of Necessity for Stroke Education(β=.12, p=.010), optimistic bias(β=.18, p=.040), and social support(β=.48, p<.000) were shown to be significant factors that affected the health-promoting lifestyle of the participants. These variables explained 38.5%. Therefore, an health education program to improve the health-promoting lifestyle related to stroke in adults should be considered as a way to enhance social support and reduce optimistic bias.