• Title/Summary/Keyword: 만성질환아

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Comparison of the Presence of Multiple Chronic Diseases Older Adults Transferred from Long-term Care Hospitals to Emergency Departments (요양병원에서 응급실로 전입된 노인의 복합만성질환 유무 비교)

  • Huh, Young-Jin;Kim, Ji-Yeon;Lee, Myoung-Hwa;Oh, Mi-Ra
    • Journal of Convergence for Information Technology
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    • v.11 no.6
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    • pp.154-161
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    • 2021
  • This study analyzed the characteristics of the presence of multiple chronic diseases (MCDs) in older adults who transferred from long-term care hospitals (LTCHs) to emergency departments (EDs). According to the data from the national emergency department information system from January 1, to December 31, 2019, the number of older adults transferred from LTCHs to the ED due to chronic diseases was 13,608. Among those who MCDs, 79.9% were over 75 years old, and 74.0% were hospitalized for MCDs. The length of stay in the ED differed according to the presence of MCDs (P<0.001). As for the prevalence of MCDs, the odds ratio (OR) of the ED and in the hospitalized patients was high in Gwangju (OR 8.899 vs. 8.142) and Jeonbuk (OR 13.865 vs. 10.676). As described above, the characteristics of patients regarding the presence of MCDs varied according to age and region.

Use of Dietary Supplements and Their Interactions with Prescription Drugs in the Elderly with Chronic Diseases in a Community Pharmacy (지역약국 방문 만성질환 노인환자의 건강보조식품 복용실태와 처방의약품과의 상호작용 연구)

  • Lee, Su Jung;Lee, Yu Jeung
    • Korean Journal of Clinical Pharmacy
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    • v.22 no.4
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    • pp.347-355
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    • 2012
  • 본 연구의 목적은 약국을 방문하는 만성질환을 가진 노인 환자의 건강보조식품 복용여부와 그 종류 및 복용 양상을 알아보고 개별 환자의 처방의약품 목록과 함께 분석하여 발생 가능한 건강보조식품과 처방의약품의 상호작용을 평가하는 데 있다. 본 연구는 지역 약국을 방문한 만 65세 이상의 만성질환을 가진 노인환자를 대상으로 하였다. 먼저, 만성질환 노인환자의 건강보조식품 복용실태 파악을 위해, 설문 조사를 실시하였다. 처방의약품과 건강보조식품 간의 상호작용 여부 및 정도를 파악하기 위한 문헌검색은 2011년 4월까지 출간된 논문을 대상으로 PubMed를 통하여 이루어졌으며, 설문에 응답한 환자의 처방의약품 목록을 검토하여, 현재 동시 복용중인 건강보조식품과 처방의약품이 상호작용을 유발할 가능성이 있는지 파악하였다. 설문에 응답한 만성질환 노인환자 65명(45.5%)이 건강보조식품을 최근 6개월간 꾸준히 복용하고 있었으며 그 중 홍삼이 가장 많은 비율로 34명(31.8%)이 복용 중 이었다. 설문에 응답한 환자의 처방의약품 목록과 복용 중인 건강보조식품 목록을 분석한 결과, 건강보조식품을 복용 중이라고 응답한 65명 중 13명(20.0%)의 환자가 현재 복용하는 처방의약품과 잠재적 (potential) 또는 가능한 (possible) 상호작용이 있는 건강 보조식품을 동시에 복용하고 있는 것으로 나타났다. 건강보조식품과 처방의약품간의 상호작용에 대한 적극적인 복약지도와 실태 조사를 통해 만성질환 노인 환자에서의 상호작용 발생을 예방함으로써 보다 안전하고 효과적인 의약품 사용이 가능해 질 것으로 사료된다.

Assessment of Relationship between Social Support, Self-Rated Health Status, Life Satisfaction among Chronic Disease in Elderly: A Comparison with Healthy Elderlies through Multi-group Analysis (만성질환 노인의 사회적 지지가 삶의 만족에 미치는 영향과 주관적 건강상태의 매개효과 검증: 다중집단분석을 통한 건강한 노인과의 비교)

  • Kim, Sun;Nam, Seok In
    • 한국노년학
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    • v.37 no.3
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    • pp.783-801
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    • 2017
  • The purpose of this study is to examined the relationship between social support, self-rated health status and life satisfaction among elderlies with chronic disease. For this study, 228 respondents suffered from chronic diseases and 75 healthy elderlies aged over 65 were analyzed. For the data analysis, a structural equation analysis and multi-group analysis were performed. As a result, higher levels of social support for elderlies with chronic diseases showed a higher level of life satisfaction, and the self-rated health status was found to be a significant mediator. The social support of the elderlies with chronic diseases significantly impacted their self-rated health status differently on healthy elderlies. To improve the self-rated health status and life satisfaction of elderlies with chronic disease, social services should be offered with social support providers. This study is meaningful in suggesting selective implications for elderlies with chronic disease.

The Effects of Medical Service Utilizations on Life Satisfaction among the Elderly: Focusing on the Moderating Effects of the Presence of Chronic Illnesses (노년기 의료서비스 이용이 삶의 만족도에 미치는 영향: 만성질환 유무의 조절효과를 중심으로)

  • Jeon, Hae-Sook;Kahng, Sang Kyoung
    • 한국노년학
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    • v.31 no.4
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    • pp.1247-1263
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    • 2011
  • The rapidly aging society entails the increases of medical service utilizations among the elderly. Medical services utilized by the elderly influence their life satisfaction. However, little is known about the effects of medical service utilizations on life satisfaction. Much less is known about whether the effects of medical service utilizations on life satisfaction tend to vary by the presence of chronic health conditions. Including 3,944 individuals aged 65 and over who participated in the 3rd wave of Korean Welfare Panel Study, the current study aims to examine (1) the relationships between medical service utilizations and life satisfaction and (2) whether the effects of medical service utilizations on life satisfaction vary by the presence of chronic health conditions. Data were processed through structural equation modeling(SEM) and multi-group SEM. Results indicate that (1) levels of both outpatient and inpatient service utilizations are related to life satisfaction, whereas levels of health monitoring service utilizations are not and (2) the effects of medical service utilizations varied by the chronic health condition status of the elderly. These results indicate that, in order to enhance levels of life satisfaction, medical services should be strategically utilized by the elderly depending on their chronic health condition status. Based on the findings, we discussed implications for practice and policy, suggesting future research directions based on the limitations of the current study.

Design of Benign Prostatic Hyperplasia Management System (모바일 통신을 이용한 전립선만성질환 관리 시스템 설계)

  • Yang Wonseob;Kim Hyojong;Lee Keon Myung;Lee Kyung Mi;Chung Hansung;Kim Woaiae;Lee Hyunglae
    • Proceedings of the Korean Institute of Intelligent Systems Conference
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    • 2005.04a
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    • pp.386-389
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    • 2005
  • 우리나라는 노령화사회로 진행되어 감에 따라 노인성 만성질환이 증가하는 추세이다. 특히 노인성 만성질환 중 전립선비대증 질환의 경우 지속적인 관리가 필요한 질환이다. 전립성비대중의 경우 생명에 큰 지장이 없으면서 주기적으로 자주 의사를 찾아야 하는 번거로움이 있고, 또한 진단 및 투약결정이 상대적으로 복잡하지 않은 질환이다. 이 논문에서는 모바일 단말기를 이용하여 환자가 자신의 관찰데이터를 병원에 전송하도록 하고, 병원의 환자관리시스템에서 분석을 통해 환자를 모니터링하면서 의사의 직접진찰 시기를 조정할 수 있도록 설계된 전립선만성질환 환자에 대한 관리시스템에 대해서 소개한다.

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Factors Affecting Periodontal Disease in Fertile Women (가임기 여성의 치주질환 유병에 영향을 미치는 요인)

  • Hong, Min-Hee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.2
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    • pp.580-586
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    • 2019
  • This study selected 2,134 fertile women aged 20 to 44 years as the final study subjects using the 6th source data of the National Health and Nutrition Survey. The purpose of this study was to investigate the relationship between female characteristics, chronic diseases and oral health behavior, and the effects of each factor on periodontal diseases. There were statistically significant differences in age(p<0.001), education level(p<0.001), income(p<0.05), marital status(p<0.001), smokes(p<0.05) and pregnancy(p<0.001). Chronic disease factors showed statistically significant differences in hypertension(p<0.001), obesity(p<0.001), diabetes(p<0.001), hypercholesterolemia(p<0.05), hypocholesterolemia(p<0.001) and hypertriglyceridemia(p<0.001). Oral health behaviors were statistically significant in terms of toothache(p<0.05), orthodontic treatment(p<0.05) and chew discomfort(p<0.05). As a result of examining the risk factors affecting periodontal disease, the risk of chronic disease was 1.576 times higher in the obese group, and 2.569 times higher in the diabetic group than in the normal group. The subjective oral health status was 1.372 times higher for normal women and 1.614 times higher for bad women than for good ones. As a result, diabetes has shown the greatest risk among chronic diseases in women, and diabetes and obesity are highly relevant and therefore are considered important variables for the risk factors of dementia. In this regard, it is necessary to examine the risks of chronic and periodical diseases, expand oral health education programs for women's dental disease, and prepare oral health policies.

당뇨병과 간질환은 어떤 관계인가?

  • 백순구
    • The Monthly Diabetes
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    • s.168
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    • pp.56-57
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    • 2003
  • 당뇨병과 간질환은 우리나라에서 흔히 볼 수 있는 높은 발생 빈도를 갖는 만성질환이다. 두가지 질환을 같이 갖고 있는 환자를 많이 접할 수 있는데, 두 질환이 인과관계로 병존하기도 하고, 서로 관련 없이 각각의 질환을 앓는 경우도 있다.

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행복+건강한 마음 - 모든 병의 타깃, 만성질환 - '당신의 간은 안녕하십니까?' 바르게 알아야 만성 간질환도 다스릴 수 있다

  • Lee, Hyeon-Ung
    • 건강소식
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    • v.35 no.1
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    • pp.16-17
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    • 2011
  • 최근에 국내에서 사회적인 문제가 되었던 급성 A형 간염은 염증이 생긴지 1~6개월 이내에 회복되는 질환이다. 그러나 A형 간염과는 달리 염증이 6개월 이상 낫지 않고 지속되는 경우를 만성간염이라 정의한다. 만성간염에 대해 자세히 알아보자.

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