• Title/Summary/Keyword: Chronic Illness

Search Result 435, Processing Time 0.022 seconds

A Study on Visiting Nursing Service in Primary Health Care Units (일차보건의료조직에서의 방문간호사업 실태조사연구)

  • Lim, Young-Ok;So, Ae-Young
    • Research in Community and Public Health Nursing
    • /
    • v.10 no.2
    • /
    • pp.480-493
    • /
    • 1999
  • The visiting nursing service is an essential part of public health. The purpose of this study was to analyze the visiting nursing service in primary health service centers. The data were collected from visiting nurse records in Wonju City Health Center, Myun Health Center and Community Health Subcenters. The period of data collection was from April 6 to July 15, 1998. The major findings were as follows: 1. Characteristics of 36 service providers. 1) Age : Over 40 years old - 66.7% 2) Educational level: The proportion of registered nurses was 47.2% and nurse aids 52.8% 3) Career: The proportion of providers who worked over 11 years in Public Health Service was 7.8% 2. Characteristics of Subjects 1) The major health problems were cerebro vascular attack, hypertension, D. M., arthritis, gastrointestinal problems and psychiatric problems. The prevalence of chronic health problems increased with age, except for mental illness. 2) The prevalence of cancer was 4.3/1000. 3. Contents of Home Visiting Nursing Services. 1) The major service was education and counseling. 2) The other services were Direct Care(ROM exercise, wound care, physical therapy, basic nursing care etc,) as 56.5%, of the work involved Indirect Care(teaching, counseling, emotional support, etc,) 30.3%, medication - 11.7%, and referral to hospitals - 1.5%.

  • PDF

Comparison between Guibi-tang Questionnaire and Related Questionnaires using Multidimensional Scaling (다차원척도법을 이용한 귀비탕변증설문지(歸脾湯辨證設問紙)와 관련 설문지와의 비교 연구)

  • Lee, Byoung-Hee;Park, Young-Jae;Oh, Whan-Sup;Lee, Sang-Chul;Kim, Min-Yong;Park, Young-Bae
    • The Journal of the Society of Korean Medicine Diagnostics
    • /
    • v.15 no.2
    • /
    • pp.169-174
    • /
    • 2011
  • Objectives: Seven Emotions consist of Joy(喜), Anger(怒), Anxiety(憂), Thought(思), Sorrow(悲), Fear(恐), Fright(驚). If Seven Emotions are excessive, their extreme mental stimulations cause physical illness. The aim of the research is to make a proposal on the concept of Seven Emotions by a statistical comparison between guibi-tang questionnaire and health related questionnaires. Methods: We studied the similarities among three factors of guibi-tang questionnaire and three health related questionnaires(subjective symptoms of fatigue test, beck depression inventory, state-trait anxiety inventory, etc.) using multidimensional scaling. Results and Conclusions: 1. Physical-Emotion Dimension and Chronic-Acute Dimension were labelled in two-dimensional solution. 2. Seven Emotions and Fatigue have a high correlation. 3. Seven Emotions and Trait-Anxiety have a high correlation.

An Introduction of IMS(Intramuscular Stimulation Therapy) with Theoretcial Basis and Clinical Applications (IMS(Intramuscular Stimulation Therapy)의 이론적 배경과 임상적 운용에 대한 고찰)

  • Kwon, Ki-Rok;Gok, Kyung-Seung;Kim, Sung-Wook
    • Journal of Pharmacopuncture
    • /
    • v.6 no.2
    • /
    • pp.159-164
    • /
    • 2003
  • Results : 1. The most important concept of IMS is chronic pain illness that may develop into hypersensitivity of the nerves, i.e., neuropathy. 2. Muscle shortening may be triggered by stress, including emotional, physical, external, and internal factors. 3. Muscle shortening increases mechanical tension on the muscles as well as inducing abrasion of the tissues by stretching ligament, tendon, cartilage, bone, and etc. 4. Pain from neuropathy is normally manifested on musculoskeletal system and spasm or shortening play as the central axis of this pain. 5. Neuropathy often appears at the nerve root level and the most important decisive factor of radiculopathy is muscle shortening. 6. Spondylosis is the most common cause of radiculopathy. 7. The most significant treatment principle of IMS is to relieve muscle shortening and remove stimulating determinant from the vertebrae. 8. Dry needling is quite effective for treating various pain caused by muscle shortening.

Correlation of Quality of Life in the Health Condition of Korean Elderly: Perceived, Physical, Mental Health Status (한국 노인에서 건강상태와 삶의 질의 관련성: 주관적, 신체적, 정신적 건강상태 중심으로)

  • Yu, Soo-Jin;Kang, Chang-Yeol;Kim, Young-Ran
    • The Korean Journal of Health Service Management
    • /
    • v.9 no.2
    • /
    • pp.47-56
    • /
    • 2015
  • The purpose of this study was to observe the health status of the elderly, and to investigate the correlation between their health status and quality of life. Data from the years 2010 and 2011 were used which are from the fifth edition of the 'Survey of the Korean National Health and Nutrition'. According to multiple regression analysis, perceived health status, chronic illness, stress, depression, and suicidal thoughts were important factors in quality of life. Above all, the most important factor was perceived health status (its explanatory power was 36.5%). In conclusion, perceived health status has strong effects on the quality of life in the elderly, and it is necessary to provide more extensive welfare projects to improve the quality of life in Korean elderly.

Effects of Pain, Sleep Disturbance, and Fatigue on the Quality of Life in Patients with Pancreatic Cancer Undergoing Chemotherapy (항암화학요법을 받는 췌장암 환자의 통증, 수면장애, 피로가 삶의 질에 미치는 영향)

  • Kim, Gyung-Duck;Jang, Hyun-Jin
    • Asian Oncology Nursing
    • /
    • v.12 no.2
    • /
    • pp.117-124
    • /
    • 2012
  • Purpose: The purpose of this study was to assess pain, sleep disturbance, fatigue, and the quality of life and to identify the impact of pain, sleep disturbance and fatigue on the quality of life in patients with pancreatic cancer undergoing chemotherapy. Methods: Data were collected from June to July, 2010. Participants were recruited from Y university hospital in Seoul. Research instruments included numeric rating scale for pain, Functional Assessment Chronic Illness Therapy-Functional Well-Being (FACIT-FWB): General Factor 5 (GF5) for sleep disturbance, Functional Assessment of Cancer Therapy-General (FACT-G) for quality of life, and FACT-Fatigue for fatigue. Results: The quality of life for cancer patients had a significant relationship with pain, sleep disturbance, and fatigue. The significant factors influencing quality of life were pain, sleep disturbance, and fatigue that explained 52.6% of the variance. Conclusion: Patients with pancreatic cancer undergoing chemotherapy experienced pain, fatigue, and sleep disturbance which led to a negative effect on quality of life. The results suggest that intervention program to improve quality of life could reduce pain, fatigue, and sleep disturbance of pancreatic cancer patients undergoing chemotherapy.

Effect of a Telephone-administered Cognitive Behavioral Therapy for the Management of Depression, Anxiety, and Chronic Illness Anticipated Stigma in Parkinson's Disease (파킨슨병 환자의 우울, 불안 및 만성질환에 기대되는 낙인 중재를 위한 전화사용 인지행동치료 효과)

  • Bae, Eun Sook;Yeum, Dong Moon
    • Korean Journal of Adult Nursing
    • /
    • v.27 no.2
    • /
    • pp.223-232
    • /
    • 2015
  • Purpose: Parkinson's disease (PD) has a high incidence of psychiatric comorbidity, specifically depression and anxiety. This study examined the effectiveness of group cognitive behavioral therapy (CBT) in treating depression and anxiety. Methods: The study included 42 participants, aged between 52 and 77 years, who were diagnosed with idiopathic Parkinson's disease (IPD) and reported suffering from depression and anxiety. Patients were attending a department of outpatient neurology at D University Schools of Medicine in B Metropolitan city. A structured telephone-administered cognitive behavioral therapy was conducted for eight weeks. A repeated measure ANOVA was used to analyze results at pretest, post-test, and four weeks follow up. Results: According to service method, there were significant differences between the two groups in depression, anxiety and stigma was significant difference between time (p<.05). Analysis of the interaction between time and service method revealed significant differences in depression and anxiety (p<.05). Conclusion: The results suggest that telephone-administered cognitive behavioral therapy may be effective and may provide opportunity to adapt to individual needs for treating depression and anxiety in patients with Parkinson's disease.

Effects of Tyrosine Hydroxylase Levels by Lithium in Herbal Medicine (한약내의 리튬이 타이로신 가수분해효소에 미치는 영향에 대한 연구)

  • Kang, Bong-Joo;Hong, Seong-Gil;Cho, Dong-Wuk
    • Korean Journal of Oriental Medicine
    • /
    • v.6 no.1
    • /
    • pp.99-105
    • /
    • 2000
  • Lithium, a simple monovalent cation, is the mainstay in the treatment of manic-depressive illness, but despite extensive research, its mechanism of action remains to be elucidated. Because lithium requires chronic administration for therapeutic efficacy and because its beneficial effects last well beyond its discontinuation, it has been postulated that lithium may exert major effects at the genomic level. We have previously shown that Yungmijihwangwon (YM) increase TH protein expression through antioxidant activity and unknown effects in vivo. In the pressent study, we have sought to determine if lithium in herbal medicine also increases the expression of endogenous gene known to be regulated by AP-1 and have therefore investigated the effects of herbal medicine on tyrosine hydroxylase (TH) levels. Male mice were treated with LiCl and herbal medicine for 30 days, and TH levels and dopamine level were measured in striatum using immunoblotting and ECD-HPLC. Herbal medicine treatment resulted in statistically nonsignificant increase in TH levels in mouse striatum. The precise therapeutic relevance of these effects is presently unknown.

  • PDF

A Case Report of Proventriculotomy for Impaction of Proventriculus in Ostrich (타조에서 전위절개술을 통한 매복의 치유예)

  • 김남수;이종일
    • Journal of Veterinary Clinics
    • /
    • v.16 no.2
    • /
    • pp.469-473
    • /
    • 1999
  • A 120 kg, 3-year-old, male ostrich (Struthio camelus) was submitted to the veterinary teaching hospital, Chonbuk national university, for chronic weight loss, anorexia, small hard fecal pellets, and lethargy. Illness was first noticed approximately 2 weeks before submission. Although the bird was able to stand, he was extremely weak and cachectic. Blood examination indicated that the bird was dehydration (PCV: 55%). Fluoroscopic and lateral abdominal radio-graphic view indicated impaction of distended proventriculus with bigger rocks than normal. Anesthesia was induced with ketamine (10 mg/kg, IV)-xylazine (1 mg/kg, IV) combination and maintained with ketamine (10 mg/kg, IV) at intervals of 8 to 15 minutes during the entire procedure. After induction of general anesthesia, the bird was positioned in dorsal recumbency. The skin was incised approximately 15cm caudal to the caudal margin of the sternum and extended 20 to 25 cm caudally. After the proventriculotomy was peformed, the impacted material that weighed 3kg contained rocks in 4 to 6cm diameter was removed. The incision of proventriculus was closed in 2 layers. Cephalothin sodium (30 mg/kg, IV, q12hrs) and dexamethazone (2 mg/kg, IM, q24hrs) was administered before and after 5 days of the operation. The bird was eating well and defecating normal feces after 3 weeks of the surgery

  • PDF

Chronically Ill Patients' Perception of Hospital Nurses (만성질환자의 병원간호사에 대한 인식)

  • Lee, Byoung-Sook;Lee, Mi-Aie;Eo, Yong-Sook
    • Journal of Korean Academy of Nursing
    • /
    • v.48 no.3
    • /
    • pp.311-322
    • /
    • 2018
  • Purpose: The purpose of this qualitative research was to investigate chronically ill patients' perception of hospital nurses. Methods: Individual in-depth interviews and qualitative content analysis were used for data collection and analysis respectively. Participants were 13 chronically ill hospitalized patients or outpatients in three universities hospitals. All interviews were recorded and transcribed verbatim. Data were analyzed using the qualitative content analysis suggested by Graneheim and Lundman (2004). Results: Three themes emerged from the 10 sub-themes, which were categorized from the 21 condensed meaning units by interpreting the underlying meanings. The three themes were "person giving comfort and support by caring", "person facilitating the process of healing", and "person taking the initiative in power relations". Two themes involved positive experiences of patients and the other included negative ones. Conclusion: The results showed that the participants perceived the hospital nurses as devoted to caring for patients and facilitating treatments, but authoritative in performing their duty. Based on these results, it is recommended that hospital nurses improve their nursing knowledge, skills and humanistic attitude.

A Study of Family Functioning Level and Satisfaction Level of Home Health Care Patient (가정간호 환자의 가족기능도와 만족도 조사)

  • Sea, Hyang-Suk
    • Journal of Home Health Care Nursing
    • /
    • v.3
    • /
    • pp.67-74
    • /
    • 1996
  • The purpose of this study was to determine the level of family functioning and the degree of patient satisfaction for 102 patients who received home health care nursing service. The results are as follows ; 1. The score assessed for the family functioning was averaged at the score of $4.95{\pm}3.11$ (10 perfect score) and this was regarded as low, especially for the patients with chronic illness, and the reason was assumed due to poor psychological support from the family members and high expectations from the patients. 2. Patient satisfaction levels were toward the received services were high, according to the 13 items which consited of 3 point scales, with average score of $1.27{\pm}0.53$. Based on the above study results, the author suggests the followings : 1. A new nursing service program and model devolopment should be established and utilized because of low family functioning levels of those who receive family nursing service. 2. More standardized tool explorations for the study of family nursing service and patient satisfaction are required.

  • PDF