• Title/Summary/Keyword: 증상완화정도

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Analysis of Characteristics and Symptoms in Home-Based Hospice-Palliative Care Patients Registered at Local Public Health Centers (일 지역 보건소 등록 호스피스 완화돌봄 대상자의 특성 및 증상 분석)

  • Choi, Soon-Ock;Kim, Sook-Nam
    • Journal of Hospice and Palliative Care
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    • v.18 no.4
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    • pp.329-334
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    • 2015
  • Purpose: This study was aimed at analyzing the characteristics and symptoms in home-based hospice-palliative care (HBHPC) patients registered at local public health centers. Methods: A retrospective study was performed; Data of 144 HBHPC patients registered at six public health centers in Pusan City were analyzed, including their initial visit records (registration cards, initial pain evaluation and symptom evaluation). Results: The average age of the patients was 67.7 years old. Among all, 46.2% of the patient lived alone, and 65% had middle school education or lower. The most popular (36.3%) religion was Buddhism, and 47.5% received medical assistance from the government. The most frequent diagnosis was lung cancer followed by stomach cancer and liver cancer in that order. Of all, 48.9% were functionally too weak to lead a daily life, 39.6% were under cancer treatment when registered at the public health center, and 84.5% were aware of the fact that they have reached the terminal phase. Moreover, 83.6% complained about pain, and the pain level was moderate or severe in 36.5% of them. Besides pain, fatigue was the most complained symptom (84.7%), and 49.3% of them rated their fatigue as moderate or severe. Conclusion: Most of the HBHPC patients were socio-economically underprivileged and complained about moderate or worse pain and symptoms. Therefore, it appears necessary to develop an integrated strategy that is tailored for each patient reflecting their characteristics.

The Effects of Symptoms of the Dementia Elderly on the Primary Caregivers' Care-Stress: The Expert Support and the Family Support as a Moderator (주부양자가 인지한 치매환자의 증상정도가 케어스트레스에 미치는 영향: 전문가지지 및 가족지지의 보호효과 검증)

  • Kim, Jaeyop;Kwak, Juyeon;Choi, Yoonhee
    • 한국노년학
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    • v.38 no.4
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    • pp.1127-1148
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    • 2018
  • Care-stress among the dementia caregivers has been an important issue. The purpose of this study is to examine the effects of the dementia elderly's symptoms on the primary caregivers'care -stress. In addition, the moderators, the expert support and the family support, were used to examine the moderating effects between the symptoms and the care-stress. The data was obtained at 10 day-care facilities and services in Seoul, Gyeonggi and Busan province in South Korea. A total of 191 participants were analyzed. They were the spouses or the adult children of the dementia elderly who were diagnosed with dementia within five years. This study was conducted in multiple regression analysis. The main findings are as follows. First of all, the symptoms that the dementia elderly show were significantly associated with the primary caregivers' care-stress. Also, the interactive variable with the expert support was statistically significant. However, it was not significant with the family support. This means that only the expert support from doctors, nurses or social workers decreased the caregivers' care-stress. The implications of this study are 1) the necessities of the education that covers the specific symptoms of the dementia patients', 2) the extension of the supportive policies for caregivers' care-stress, 3) the necessities of more allocation of the dementia specialists in the practical settings and cooperative systems among the dementia specialists in various fields, and 4) the enhancement of the family function among families who have a dementia elderly as a family member.

A Study on Menstrual Symptoms, Coping and Relief of Symptoms in Female College Students (일부 여대생의 월경증상.대처방법.증상완화정도에 관한 연구)

  • Jun, Eun-Mi
    • Women's Health Nursing
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    • v.9 no.2
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    • pp.161-169
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    • 2003
  • The purpose of this study was to identify menstrual symptoms, coping and Relief of Symptoms used by female college students. A convenience sample of 202 students were obtained from two colleges in Seoul. Data were collected through questionnaires from September 10 to December 18, 2001, Three instruments were used in this study, the Menstrual Symptoms Questionnaire by Park K. R(1988) and Menstrual Coping Questionnaire and Relief of Symptoms by Billings & Moos(1981) modified for this study. 1)Part time instructor, Department of Nursing, Pochon CHA University The data were analyzed by descriptive statistics, t-test, ANOVA with the SPSS 10.0 program. The result of this study are as follows. 1. Prevalence rate of dysmenorrhea was 91.6%. 2. The total mean score for menstrual symptoms was 1.89 of a possible total of 5 and mean score for each category was, 2.26 for water retention, 2.11 for negative affect, 2.02 for pain, 1.83 behavioral change, 1.69 for autonomic reactions, and 1.53 for concentration. 3. According to the result of this study, statistical differences were found for age (F=3.76, p=0.01), menstrual fear (t=2.02, p=0.04), dysmenorrhea (t=7.73, p=0.02), and taking medication (t=5.95, p=0.00). 4. The coping mode with the highest scores were 'rest and go to bed (83.7%)', 'regard mensturation as a physiological and temporary phenomenon (68.3%)', 'take a warm shower(66.8%)'. The most frequently used methods to relief of symptoms were 'take pain killers (99.9%)', 'to apply hot water bag on painful parts of the body (96.6%)' and 'rest and go to bed (88.8%)'.

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Quality of Life and Influencing Factors related to the Health in Hemodialysis Patients (혈액투석환자의 건강 관련 삶의 질과 영향 요인)

  • Chun, Young-Mi;Park, Sang-Youn
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.7
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    • pp.4816-4827
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    • 2015
  • The purpose of this study was to identify the experience symptoms and severity of hemodialysis patients and to determine the effects of each symptom on health related quality of life. This research involved 102 patients who were receiving hemodialysis at one university hospital and two Kidney Center in D city. Data collection were collected from April to May 2014. Data analysis was performed by SPSS/WIN 18.0 using ANOVA, t-test, Pearson correlation and stepwise multiple regression. Fatigue was the highest among symptoms on hemodialysis patients and dry skin, itching was in order. Factors affecting health related quality of life were income and symptoms level. These factors explain 42.2% of the variance in health related quality of life. Based on the results, it is necessary to develop various programs and apply for nursing interventions to alleviate the experience symptoms and severity and expand support in social service perspective in hemodialysis patients. Especially, we suggest that further research for developing nursing interventions for relieving fatigue, itching, and sleep disorders of hemodialysis patients.

카드뮴 투여량에 따른 흰쥐의 무기질 대사 장애와 키토산의 섭취 효과

  • 이연숙;김윤아;김미영
    • Proceedings of the KSCN Conference
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    • 2004.05a
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    • pp.433-433
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    • 2004
  • 카드뮴(Cadmium)은 생물학적 반감기가 길고, 체내 축적이 용이하므로 급성 및 만성 중독증상을 일으키기 쉽다. 키토산(Chitosan)은 금속이온의 선택적인 흡착제로 중금속으로 인한 중독현상을 완화시킬 수 있는 기능성 물질로 검토되고 있다. 본 연구는 카드뮴의 수준별 투여에 따른 흰쥐의 무기질 대사 장애 정도를 검토하고, 키토산 함유식이를 공급했을 때, 그 효과를 규명하고자 하였다.(중략)

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Hospice and Palliative Care in Chronic Obstructive Pulmonary Disease (만성 폐쇄성 폐질환의 호스피스 완화의료)

  • Shin, Jinyoung;Park, Hye Yun;Lee, Jungkwon
    • Journal of Hospice and Palliative Care
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    • v.20 no.2
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    • pp.81-92
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    • 2017
  • Chronic obstructive pulmonary disease (COPD) is characterized by persistent airflow limitation that is usually progressive. It is a major cause of morbidity and mortality worldwide, leading to substantial and increasing economic and social burden. Palliative care for COPD patients aims to reduce symptoms and exacerbations and improve exercise tolerance and quality of life. It is difficult to make a prognosis for COPD patients due to the variable illness trajectory and advanced care of patients. However, severity of breathlessness, assessment of lung function impairment, and frequency of exacerbations can help to identify palliative care needs and determine effective methods to mitigate symptoms, which is discussed in this paper. In these patients, it is recommended to provide individualized palliative care along with curative/restorative care at the onset of COPD symptoms. Before launching a palliative care system in Korea, it is necessary to prepare pulmonary rehabilitation resources, patient-centered communication, timely palliative responsiveness, and a program for effective advanced care planning. A multidisciplinary approach involving collaboration with not only the respiratory and palliative care teams but also primary care offers a new model of care for these patients and should be considered with a priority.

Effects of Herbal Mixture Extracts Containing Angelica gigas Nakai and Cuscuta chinensis Lam. on Menopausal Symptoms in Ovariectomized Rats (당귀(Angelica gigas N.)와 토사자(Cuscuta chinensis Lam.)를 포함하는 생약 복합 추출물의 폐경 동물모델에서의 갱년기 증상 완화 효과)

  • Kim, Suji;Jang, Byung-Hyun;Chang, Seo-Hyuk;Kang, Hee;Park, Ki-Moon;Ahn, Duk Kyun;Kim, Soohyun;Kim, Sunmi;Seo, Daebang;Shin, Song Seok;Park, Kye Won
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.45 no.8
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    • pp.1083-1089
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    • 2016
  • During menopause, elderly woman experience physical and emotional symptoms, including hot flashes, night sweats, weight gain, vaginal dryness, and mood swings. In this study, we investigated the effects of mixed herbal extracts containing Angelica gigas Nakai and Cuscuta chinensis Lam. on menopause symptoms in ovariectomized (OVX) rats. Daily oral treatments of 500 mg/kg and 1,000 mg/kg in OVX rats for 8 weeks significantly reduced weight gain, inhibited hepatic lipid accumulation, and lowered serum lipid levels comparable to the effects induced by estradiol treatments. Mixed herbal extracts (named Jaeummidan) also prevented vaginal dryness as measured by increased vaginal weight. Increased vaginal weight was associated with enlarged epithelium thickness. These data show the preventive actions of Jaeummidan against menopause symptoms and further suggest the possibility of developing functional ingredients in elderly human populations experiencing menopause symptoms.

Development of "ZIGTECHnology" Apparel for Body Shape Renovation of New Senior Life Generation

  • Cha, Su-Joung
    • Journal of the Korea Society of Computer and Information
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    • v.25 no.11
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    • pp.157-166
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    • 2020
  • In this study, I tried to develop ZIGTECHnology clothing for renovation that can correct the body shape of elderly women according to aging and delay the change of body shape. Develop and suggest corrective clothing for elderly women with easy movement that can alleviate symptoms and delay changes in body shape by analyzing body types for each symptom, such as bending of shoulders, back and waist caused by aging and diseases such as spinal curvature. As a result of the wear evaluation of the developed ZIGTECHnology clothing designs 1, 2, and 3, in terms of functionality, Design 1 was evaluated as excellent by reducing the back angle by 3.17°, but design 3 was evaluated as the most excellent considering the fit. In the clothing of elderly women, the need for clothing that complements physical shortcomings increases, so it is thought that continuous development of body shape relief devices should be made.

A Study on the Domestic Research Trends on PTSD in Korean Soldiers (한국군(軍) 장병의 외상 후 스트레스 장애(PTSD)에 대한 국내 동향 연구)

  • In-Chan Kim;Sang-Keun Cho;Jong-Hoon Kim;Mung-Sook Hong;Sung-Hu Kang;Sang-Hyuk Park
    • The Journal of the Convergence on Culture Technology
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    • v.9 no.1
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    • pp.407-412
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    • 2023
  • When a traumatic subject experiences extreme stress, various psychiatric problems, including PTSD, can occur if they do not respond appropriately. In addition, non-war soldiers who experience life-threatening events while serving in the military may experience severe and chronic PTSD symptoms. However, there are still insufficient domestic studies on what traumatic events soldiers are exposed to and how much PTSD symptoms they experience. Therefore, this study provides a method that can be used as basic data for PTSD and psychological support of military service personnel by identifying trends in domestic research. Furthermore, it studies PTSD not only of soldiers but also of 'civilians' who have experienced combat, and provides symptomatic treatment and relief programs to civilians according to the difference in PTSD between general trauma and war trauma. It is expected that these studies will increase military confidence and enable the military to play a leading role in war trauma PTSD research and prevention, treatment and mitigation.

Clinical Assessment of Efficacy, Safety and Usefulness of Traditional Herbal Medicine (THM) on Atopic Dermatitis (아토피 피부염에 대한 한약치료의 효과, 안정성 및 유용성에 대한 임상 평가)

  • Koh, Duck-Jae;You, Han-Jung;Lee, Jin-Yong;Kim, Deog-Gon
    • The Journal of Pediatrics of Korean Medicine
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    • v.20 no.2
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    • pp.129-137
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    • 2006
  • 목적 : 본 연구를 통하여 아토피 피부염 환아의 한약치료 후 임상 효능, 안전성을 평가하고, 나아가 효능과 안전성을 종합적으로 평가함으로써 아토피 피부염에 대한 한약치료의 유용성을 평가하고자 한다. 방법 : 경희대학교 한의과대학 부속한방병원 한방소아과에 내원한 아토피 피부염 환아 39명의 한약치료 전후의 의무기록을 검토하였다. 아토피피부염 치료에 대한 한약의 효능을 평가하기 위하여 치료 후 아토피 피부염의 개선정도에 대한 부모의 평가를 VAS를 사용하여 분석하였다. 아토피 피부염에 패한 한약치료 후 안정성의 평가를 위하여 치료 전후 혈중 AST, ALT, BUN, creatinine 변화를 검토하여 한약치료의 간신독성 여부에 대해 조사하였고, 보호자에 대한 설문조사를 통하여 한약치료 후 발생한 부작용 및 불편한 증상의 종류 및 정도를 평가하였다. 나아가 한약의 효능 및 안정성을 종합적으로 평가하여 아토피 피부염에 대한 한약 치료의 유용성을 분석하였다. 결과 및 결론 : 환아 39명 중 27명 (69%)의 부모가 한약치료가 아토피 피부염의 개선에 효과가 있다고 보고하였다. 안정성의 평가에 있어서, 39명의 환자에게서 한약 치료 후 간장과 신장에 미치는 독성이 발견되지 않았다. 2명의 환아가 일시적이고 경미한 복부 불쾌감을 호소하였으나, 한약투여와의 관련성은 관찰되지 않았다. 1명의 환아에서 경미한 복통이 발견되었으나, 의학적 치료 없이 증상은 소실되었으며, 치료 과정의 중단 없이 계획되었던 모든 치료 과정을 종료하였다. 치료 후 상기 환아는 아토피 피부염의 증상 개선 뿐 아니라 변비증상의 완화, 만성적 어지러움의 개선 등 제반 신체 조건의 호전을 보고 하였다. 임상적 효능과 안전성을 종합적으로 고려할 때, 환아 39명 중 27명 (69%)의 사례에서 한약치료가 아토피 피부염의 유용한 치료수단으로 평가되었다. 이를 근거로 한약치료가 아토피 피부염에 대하여 안전성을 가진 유용한 치료방법이라 사료되며, 향후 임상적 효능과 안전성을 객관적으로 평가할 수 있는 대규모의 임상연구가 필요하리라 사료된다.

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