• Title/Summary/Keyword: 질병의거변화

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Illness Intrusiveness on Sexuality and Its Influencing Factors in Rheumatoid Arthritis Women (류마티스 관절염 여성환자의 성생활에 관한 지각된 질병의거변화와 영향요인)

  • Lee, Eun-Nam;Chung, Won-Tae
    • Journal of muscle and joint health
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    • v.7 no.2
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    • pp.269-280
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    • 2000
  • This study was conducted to clarify the effect of physical ability, pain, fatigue, depression, sexual satisfaction, and spouse criticism on the sexual intrusiveness of rheumatoid arthritis(RA)women. The subjects of the study were 89 RA outpatients who visited the department of rheumatology of Dong-A University Hospital in Pusan from March 2000 to April, 2000. Pain & Fatigue via graphic rating scale, depression via CES-D(Center for Epidemiologic Studies -Depression) scale and physical ability via the Health Assessment questionnaire(HAQ) were assessed. Also we used both Sexual satisfaction scale(Kim, et al, 1997) to measure sexual satisfaction and Spouse criticism scale(Kraaimaat et al. 1996) to measure spouse criticism. The Intrusiveness rating scale which was derived from Arthritis Impact Measurement Scale(AIMS) was used to measure illness intrusiveness in sexuality. The relationships between the variables such as pain, depression, fatigue, physical ability, spouse criticism, sexual satisfaction and illness intrusiveness on sexuality were analyzed by Pearson correlation. As a result, pain & depression were significantly positively related to illness intrusiveness and physical ability & sexual satisfaction was significantly negatively related to illness intrusiveness. But these variables were interrelated. So hierarchical regression was performed to examine the relative contribution of pain, depression, physical ability, and sexual satisfaction with regard to intrusiveness of RA on sexuality. It revealed that pain, depression & sexual satisfaction predicted significantly illness intrusiveness on sexuality. Therefore it is very important to reduce pain and depression and to increase sexual satisfaction for reducing illness intrusiveness.

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Change of heart rate variability by electro-acupuncture stimulus in rats (전침 자극이 쥐의 심박 변이도 변화에 미치는 영향)

  • Kim, Jung-Dae;Soh, Kwang-Sup;Kim, Yun-Jin
    • Korean Journal of Acupuncture
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    • v.24 no.2
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    • pp.185-191
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    • 2007
  • 목 적 : 전침 자극은 최근에 임상연구와 더불어 기초연구에서 자주 사용하는 방법으로 경락이론에 의거하여 신체에 분포되어 있는 경락상의 각종경혈부위에 인위적인 전기 자극을 통하여 질병을 치료, 예방 혹은 완화하는 방법이다. 이에 본 연구에서는 정상적인 쥐의 상태에서 일정한 전침 자극을 주었을 때, 심박변이도의 변화를 측정 하였다. 방 법 : 쥐의 정상적인 마취상태에서 태충혈에 4 Hz와 80 Hz의 5 V 크기로 10 mA 강도의 사각파 파형으로 자극을 주었으며 대조조로 비경혈 부위에 4 Hz의 동일한 파형으로 자극을 주어 심박 변이도의 변화정도를 측정하였다. 결 과 : 본 실험에서 RR Interval의 경우 태충혈 4 Hz 보다 80 Hz일때 RR Interval의 파형이 더 크게 나타났으며, PSD의 분석에서도 자극 전후를 비교하였을 때 $1{\sim}3$ Hz 사이에 높은 피크가 보였으며 4 Hz의 비경혈 부위에서는 큰 변화를 보이지 않았다. 결 론 : 이번 실험연구를 통하여 정상적인 쥐의 상태에서 일정한 전침 자극을 주었을 때, 심박 변이도 변화를 도출할 수 있었으며, 이번 실험을 통해 비수술적인 방법으로 치료효과와 심박 변이도를 측정할 수 있었고, 이를 통해 전침자극의 기전 연구에 있어 과학적 근거를 제시할 수 있다고 사료된다.

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Factors Influencing Illness Intrusiveness of the Sexual Life in Women with Overactive Bladder (과민성방광 여성 환자의 성생활에 관한 지각된 질병의거변화의 영향요인)

  • Cho, Jeong Lim;Lee, Eun Nam
    • Journal of muscle and joint health
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    • v.20 no.1
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    • pp.62-71
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    • 2013
  • Purpose: This study was conducted to explore factors that influence illness intrusiveness of the sexual life in women with overactive bladder. Methods: Ninety-two women diagnosed with overactive bladder, from D University Hospital and three private urology hospitals in B region, participated in a survey between April 7 and August 7, 2012. The Overactive Bladder-questionnaire (OAB-q), the Marital Intimacy Tool, the Center for Epidemiologic Studies Depression (CES-D), and 1 question to ask illness intrusiveness of the sexual life were used in the study. Results: The illness intrusiveness score of the sexual life in women with overactive bladder was 2.22 out of 5. There were no significant differences of illness intrusiveness by demographic and disease related characteristics. The predictor were the clinical symptom score and depression, accounting for 13% of the variance of the illness intrusiveness of the sexual life in the women with overactive bladder. Conclusion: Effective nursing intervention to relieve clinical signs of overactive bladder and reduce depression can improve quality of sexual life in women with overactive bladder.

Illness Intrusiveness and Psychosocial Impact in Rheumatoid Arthritis Patients (류마티스 관절염 환자에서 지각된 질병의거 변화(illness intrusiveness)가 심리사회적 상태에 미치는 영향)

  • Kim, In-Ja
    • Journal of muscle and joint health
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    • v.6 no.1
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    • pp.85-99
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    • 1999
  • Chronic disease such as rheumatoid arthritis is believed to induce a significant psychosocial stressors. The concept of illness intrusiveness-illness induced life style disruptions-was hypothesized to affect psychosocial status. And demographic, socioeconomic, disease and social characteristics were hypotehsized to affect illness intrusiveness. Hierarchial multiple regression analyses were used. As a result, among the demographic factors gender was identified as contributor to directly increase the psychosocial stress and education level was identified to affect the psychosocial stress through illness intrusiveness. Among socioeconomic factors, the burden about the cost of medical treatment was found to indirectly affect the psychosocial stress through the illness intrusiveness. Also income and job were found to affect directly the psychosocial status. Among the disease characteristics, only the pain level was identified to increase the psychosocial stress through the illness intrusiveness. Among the social characteristics, perceived social support is identified to increase the psychosocial stress through the illness intrusiveness. Based upon these results, some suggestions were made for minimizing illness intrusiveness in rheumatoid arthritis and future research.

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조신(調神)을 통한 질병(疾病) 치료(治療) 연구(硏究) (I) -관어이조신치료질병적연구(關於以調神治療疾病的硏究)(I)-

  • Jeong, Ho-Jin;Baek, Yu-Sang;Jeong, Chang-Hyeon
    • Journal of Korean Medical classics
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    • v.18 no.4 s.31
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    • pp.27-43
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    • 2005
  • 통과대(通過對)${\ulcorner}$내경(內經)${\lrcorner}$ 중출현적조신적개념급용조신치병적방법적연구(中出現的調神的槪念及用調神治病的方法的硏究), 득출여하결론(得出如下結論): 조신이양생지의(調神以養生之意), 용우지금(用于至今). ${\ulcorner}$내경(內經)${\lrcorner}$중신지의(中神之意), 우기표현위여우주자연지신(尤其表現爲與宇宙自然之神)[천신(天神)]상응적인체지신(相應的人體之神)[인신(人神)]상(上), 즉천인상응적사상교위돌출(卽天人相應的思想較爲突出) 형신상호관계상(形神相互關係上), 재유지형신합일적사상적동시(在維持形神合一的思想的同時), 비기양형경가중시어조신(比起養形更加重視於調神). 재양생방면(在養生方面), 조신의조시간급공간(調神依照時間及空間), 분위사시조신화오장신조신(分爲四時調神和五臟神調神). ${\ulcorner}$소문(素問).사기조신대론(四氣調神大論)${\lrcorner}$적요지시이사시출현적자연계적변화규율(的要旨是以四時出現的自然界的變化規律), 응대청정적우주정신래수련신심(應對淸靜的宇宙精神來修練身心). ‘이념요법(移念療法)’시통과개변재인체오장내정기적운행위치(是通過改變在人體五臟內精氣的運行位置), 진행치료적방법(進行治療的方法). 기내용개괄료기타각종정신요법(其內容槪括了其他各種精神療法). 대지언고론요법적한의학해석(對至言高論療法的韓醫學解釋), 불시이이유오행혹음양이론작위의거(不是以已有五行或陰陽理論作爲依據), 이시가종사상의학중조도. 기원인시사상의학적출발점(其原因是四象醫學的出發點), 불시이단순적육체무병작위기목적(不是以單純的肉體無病作爲其目的). 저일점(這一點), 종명확지표현재수세보원적성명사단론중(從明確地表現在壽世保元的性命四端論中). 대생리병리독특적유심론관(對生理病理獨特的唯心論觀), 시이제마선생탁월관점(是李濟馬先生卓越觀点). 한방음악치료초월료이행동주의심리학위중심(韓方音樂治療超越了以行動主義心理學爲中心), 발전기래적기유적음악요법적국한성(發展起來的旣有的音樂療法的局限性), 약여약물(若與藥物), 침구치료병용(鍼灸治療倂用), 불근가이치료신경정신질환(不僅可以治療神經精神疾患), 환가이치료기타각종신체질환(還可以治療其他各種身體疾患). 기공시이응신(氣功是以凝神), 의수(意守), 의념등표현(意念等表現), 작위기주요조신방법적일종수신법(作爲其主要調神方法的一種修身法).

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An Analysis on Korean Mortality Structure (한국인의 사망력 구조분석)

  • 이상식
    • Korea journal of population studies
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    • v.13 no.1
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    • pp.51-80
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    • 1990
  • 한국의 사망력은 높은 수준의 성별 사망력 차이와 중년 남성의 급격한 사망력 상승을 그 구조적 특성으로 하고 있는데, 이러한 한국인 사망력 구조의 특이성은 직접적으로는 사망원인의 성별, 년령별 차별적 역활에 기인하며 간접적으로는 이들 원인의 차별성을 초래하는것으로 추정되는 경제개발기간동안의 사회, 경제 및 공공정책상의 변화 및 생활습관의 차이에서 기인된다고 보아진다. 본 연구에서는 이들 차이를 결과짓는 여러 요인들을 중심으로 한국인의 사망력 구조상에서 나타난 년령별 및 성별특성을 분석하는데 그 주요점을 두었다. 1985년 경제기획원 조사통계과에 의해 집계된 사망원인통계자료는를 활용하여 한국인의 사망력 구조의 특성을 사망원인과 관련시켜 연구분석한 결과는 다음과 같이 종합될수 있다. 첫째, 40대 이후 남성의 높은 사망력에 의거한 요인들은 뇌혈관질환, 고혈압성질환, 암질환 및 기지 심질환 및 간의 악성신생물 순으로 중요하게 나타났다. 둘째, 0세에서의 남녀간의 기득개념의 차이는 차이는 초년 또는 청년층에서의 남녀간의 사망력 차이에서 보다는 40대 이상의 중장년층에서의 남녀간의 사망력 차이에서 비롯되었으며, 뇌혈관 질환, 악성간질환 및 고혈압성 질환, 간의 악성 신생물,및 기타 심질환 및 간의 악성 신생물 질환들이 중장년층에서의 남녀간의 사망력 차이를 결정하는데 주역활을 하고 있는 것으로 나타났다. 세째, 위의 년령간의 및 남녀간의 사망력 수준의 차이를 결정짓는 주요한 사회적 간접요인들로는 첫째, 사회.경제개발과 함께 이어 병행되어온 보건정책들이 즈로 어린이 또는 여성에 편향된 결과 였으며, 둘째,환경적 요소로서 중년 남성들의 Social stress, 운동부족과 관련된 질병들과 공해, 먼지, 유해화학물 가스 등 산업재회와 관련된 질병들에 의한 사망률이 높으며, 세째, 행위적 요소로서 음주와 흡연과 관련된 질병들에 의한 중년 남성의 사망률이 높은것들로 요약될수 있다. 중년 남성의 높은 사망률은 기술적,사회적 경험이 축적된 노동력의 상실로서 국가적 손실이 크며, 고 년령층 인구의 구조적 측면에서도 성의 불균등을 초래하여 미혼 여성의 증가등 사회적인 기반문제의 주요한 요인이 되므로서 그 중요성은 지대하다고 할수 있겠다. 그러므로 이 문제는 국가적 사회적 차원에서 해결이 시급하며 그 해결책으로는 지금 까지 도외시 되어 왔던 중년 남성의 건강을 위한 프로젝트의 실지와 함께 이들에게 노출되어 왔던 운동 부족, 사회적 스트레스 및 산업재회의 해소 내지 제거에 대한 방안들이 연구 되어야 하겠다. 한편 음주 및 흡연등의 개인행위적 습관의 개선을 위한 사회 계몽활동의 추진 및 건전한 스트레스 해결책의 개발이 중요하다고 하겠다.

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Predicting Factors of Post-Stroke Depression (뇌졸중 후 우울에 영향을 미치는 요인)

  • Kim, In Ja;Suh, Moon Ja;Kim, Kum Soon;Cho, Nam Ok;Choi, Hee Jung
    • Korean Journal of Adult Nursing
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    • v.12 no.1
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    • pp.147-162
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    • 2000
  • Predicting factors of post-stroke depression were investigated. The subjects were 254 stroke patients who had been discharged and visited regularly the outpatient clinic for follow up care. The influencing factors were classified into five categories : demographic, disease-related, current state, social support, and illness intrusiveness. Sex, age, job, and educational level were defined as the demographic factor. The disease-related factors included stroke type, illness duration, attack frequency, and NIH score. ADL, cognitive function, and social activity were considered as the current state factors. The social support was measured as the perceived amount of social support. Illness intrusiveness means the perceived illness induced life style disruptions. Demographic, disease-related, current state, and social support were hypothesized to directly and indirectly affect post-stroke depression through illness intrusiveness. The illness intrusiveness was hypothesized to directly affect post-stroke depression. The hierarchial multiple regression was used to identify significant factors. The result showed that this model explained 43.3% of variance of post-stroke depression. And the prevalence of post-stroke depression was 38.8%. Among the demographic factors, job was identified as a main contributor to indirectly increase the post-stroke depression. Among the disease-related factors, stroke type, attack frequency, and NIH score were found to indirectly affect the post-stroke depression. Among the current state factors, ADL and social activity indirectly affected the post-stroke depression through illness intrusiveness. Social support and illness intrusiveness were identified to directly affect the post-stroke depression. This study has proved the factors likely to be implicated in the development of post-stroke depression. Based upon these results, it is recommended that the nurses who take care of post-stroke patients consider the risk factors such as social support, illness intrusiveness et al. Also programs which decrease the illness intrusiveness and increase the social support to reduce post-stoke depression recommended to be developed.

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Differences in Stress Resistance Level Felt by Obese and Normal Child, and Their Level of Obesity (비만아동과 비 비만아동 간 스트레스저항 차이와 비만도 집단 간 스트레스저항 차이 분석)

  • Jung, Un-Joo;Lee, Ji-An;Bak, Ki-Ja
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.12
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    • pp.346-351
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    • 2017
  • This research examines 240 patients who visited a center a specific city, between July-September 2017. Subjects underwent body composition analysis and brainwave measurements, and were subsequently divided into groups according to BMI and body fat percentage. These patients were measured by timeseries linear analysis for their brain function and observed via brainwave activities. Results of the research are as follows: there is a difference in stress-resistance between obese and those in the healthy weight range. This implies there is a causal relationship between stress and obesity. In addition, the methodology used in this study, which is a scientific and objective physiological indicator of a scientific and objective physiological index, suggests that the results of the study are reliable. Results support that managing stress moderates obesity-related problems.

Application of Lee Silverman Voice Treatment-BIG(LSVT-BIG) Intervention to Improve Motor Functions and Quality of Life in People With Parkinson Disease (파킨슨병 환자에게 Lee Silverman Voice Treatment-BIG(LSVT-BIG) 프로그램의 적용이 운동기능과 삶의 질에 미치는 효과)

  • Park, Kang-Hyun;Kim, Jae-Hwan;Jang, Jong-Sik
    • Therapeutic Science for Rehabilitation
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    • v.8 no.1
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    • pp.73-84
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    • 2019
  • Objective: The purpose of this study is to compare the effect of Lee Silverman Voice Treatment-BIG(LSVT-BIG) intervention which consisted of standardized exercise programs and occupation-based activities for people with Parkinson Disease(PD) on motor functions and quality of life Methods: This study applied a one group pretest-posttest design. The experiment was divided into two parts: pre intervention and post intervention period. Before and after LSVT-BIG intervention, Unified Parkinson's Disease Rating Scale(UPDRS), Time up and go(TUG), Parkinson's Disease Questionnaire-39(PDQ-39) were used to measure the participants' motor functions and quality of life. Based on the LSVT-BIG protocol, three participants received 16 one-hour sessions over 4 weeks by a certified occupational therapist. The results were analyzed by using SPSS. Results: There were improvements in UPDRS and TUG. Additionally, PDQ-39 scores decreased in all participants, which means that their quality of life was improved. Conclusions: The study demonstrated positive effects of LSVT-BIG intervention on motor functions and quality of life of patients with PD.

A Study of Trade-Off Relationship Between Income Maintenance Programs and Social Services (소득보장과 사회서비스의 교환관계(trade-off) 연구)

  • Moon, Jin Young;Kim, Yun Young
    • Korean Journal of Social Welfare
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    • v.67 no.4
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    • pp.203-226
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    • 2015
  • It is widely accepted that one of the main challenges of the 21st century welfare state is how to harmonize 'Old Welfare, Old Risks' which mostly consists of income maintenance programs with 'New Welfare, New Risks' which actively advances social services. It is in this regard that this paper attempts to define the relationship between the income maintenance programs and social services. For this purpose, it analyses social expenditure of 18 OECD countries during 1980-2006, and subsequently attests, if there is a trade-off relationship between the two, using correlation and Granger panel analysis. It duly concludes that the trade-off relationship between the two is not valid in that the two are better understood as a complementary relationship, not substitute relationship.

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