• 대한간호학회지
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• 제32권1호
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• pp.62-76
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• 2002

This study was designed to construct a structural model for health promoting behavior of patients with chronic disease. The hypothetical model was developed based on the literature review and Pender's health promotion model. Method: Data was collected by questionnaires from 1748 patients with chronic disease in General Hospital from December 1999 to July 2000 in Seoul. The disease of subject were cardiac disease included hypertension peptic ulcer, pulmonary disease included COPD and asthma, DM, and chronic kidney disease. Data analysis was done with SAS 6.12 for descriptive statistics and PC-LISREL 8.13 Program for Covariance structural analysis. Results: 1. The fit of the hypothetical model to the data was moderate, it was modified by excluding 4 path and including free parameters to it. The modified model with path showed a good fitness to the empirical data (χ2=591.83, p<.0001, GFI=0.97, AGFI= 0.94, NNFI=0.95, RMSR=0.01, RMSEA=0.05). 2. The perceived benefits, perceived barriers, self-efficacy, self- esteem, and the plan for action were found to have significant direct effect on health promoting behavior of chronic disease. 3. The health concept, health perception, emotional state, social support were found to have indirect effects on health promoting behavior of chronic disease. Conclusion: The derived model in this study is considered appropriate in explaining and predicting health promoting behavior of patients with chronic disease. Therefore, it can effectively be used as a reference model for further studies and suggested implication in nursing practice.

• 대한간호학회지
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• 제12권2호
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• pp.80-90
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• 1982

This study was undertaken to determine the influence of a chronic disease on body image, and to show that body image is directly related to one's self concept. Body image is the concept of one's own body based on present and past perception, and is elated to one's self concept. Body image is a dynamic concept constantly changing throughout the life cycle but it changes greatly in illness, surgery, and accident. The child with a chronic disease experiences pain and immobilization due to illness and he/she experiences a strange environment in the hospital. illness often brings feeling of frustration and loss of self-esteem. Therefore this study was done to compare the body image of a child with a chronic disease（Asthma), with that of a normal healthy child, and to determine the relationship between the body image and self concept. The subjects in this study were 36 children being treated for asthma at the allergy clinic of Y University Hospital in Seoul (patient group) and 44 children attending elementary school in Kwanak Ku Seoul (normal healthy group). For the measurement of the body image, the researcher used Secord & Jourard's Body Cathexis Scale, and another scale which was constructed after reading about Osgood's Semantic Differential Method. For the measurement of the self concept, the researcher used Jacox & Stewart's Health Self Concept. The period for data collection was from October 7th to October 27th, 1982. The analysis of data was done by use of Percentage, t-test, Chi-square test, Pearson Correlation Coefficient and ANOVA, The results of the study were as follows: 1. The first hypothesis,“That the chronically ill (Asthma) child will have a more negative body image than the normal healthy child.”was supported. 2. The second hypothesis,“The more negative the body image, the lower the self concept.”was also supported. 3. The researcher failed to obtain statistically significant results in the analysis of the general characteristics which affect the body image except in the case of the older child as compare to the younger Child having a mole positive body image (r=.2751, r=.2481, p<.05). However it was found that, 1) Boy's have a more positive body image than girls (Mean=〔37.81, 141.09〕,〔37.00, 126.54〕), 2) The child who has been hospitalized has a more negative body image than the child who has never been hospitalized (Mean=〔33.25, 122.45〕,〔35.68, 129.93〕). 3) The younger the child when the disease is discovered and diagnosed, the more negative the body image (Onset of illness: Mean=〔31.44, 117.33〕,〔34.00, 103.50〕, 〔35.75, 140.38〕,〔36.33, 130.00〕, Time of Diagnosis: Mean=〔29.00, 117.33〕,〔33.89, 115.00〕,〔33.36, 124.93〕,〔37.10, 139. 20〕). In conclusion the chronically ill(.Asthma) child has a more negative body image than the normal healthy child, and the more negative the body image the lower the self concept. Therefore the concept of body image is useful in understanding the influences of chronic disease on body' image and self concept.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제11권2호
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• pp.252-261
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• 2000

목 적：만성 신체 질환 아동의 우울, 자기 개념 및 스트레스에 대한 지각과 대처 양상에 대해 알아보고자 하였다. 방 법：연구 대상자는 서울대학교 병원 어린이 병원에 입원해 있거나 외래에 다니는 환아 13명과 정상아동 13명으로 구성되었다. 만성 질환 아동군은 Schiffer 등(1963)이 만성 환자군으로 정의한 조작적 정의에 근거하여 최소한 3개월 이상 질환을 앓고 있거나 앓았던 적이 있으며, 현재도 그 질환으로 인해 지속적인 치료를 받고 있는 정형외과, 소아과 아동을 대상으로 하였다. 정상 아동군은 그러한 병력이 없는 아동 13명을 대상으로 하였다. 검사 도구는 피어스-해리스 자기 개념 척도, 소아 우울 척도, 투사적 검사(나의 기분을 색으로 표현하기, 다른 사람으로 인한 나의 기분을 색으로 표현하기, 비속의 아이)를 실시하였다. 결 과：만성 질환 아동군과 정상 아동군을 비교한 결과, 만성 질환 아동군이 소아 우울 척도에서 유의미하게 높은 점수를 보였으며, 자기 개념 척도에서는 보다 유의미하게 낮은 점수를 보였다. 또한 자기 개념 척도의 하위 항목인'인기도' 및 '학습 상태'에서 유의미하게 점수가 낮았다. 투사 과제의 경우,'색으로 표현하기' 과제에서는 집단간의 유의한 차이를 보이지 않았으나, 스트레스에 대한 지각 및 대처를 평가하는 '비속의 아이' 과제에서는 하위 항목(비의 양, 기간, 도구, 효율성) 모두에서 집단간의 차이를 보였다. 비속의 아이 과제와 우울 점수, 자기 개념 점수와의 상관 계수를 구한 결과, '비가 오는 기간' 항목이 우울 점수와는 정적 상관을, 자기 개념 점수와는 높은 부적 상관을 보였다. 결 론：만성 질환 아동군이 정상 아동군 보다 더 우울하며, 자기 개념이 더 부정적이었다. 또한, 이들이 지각하는 스트레스는 상당히 지속적이고 장기적이며, 이에 대해 대처할 수 있는 스스로의 능력이나 전략을 사용하는 데 있어서는 매우 무기력한 것으로 나타났다. 이러한 결과는 만성적인 신체 질환이 아동의 정신 건강 및 심리적 적응에 있어서 위험 요인이 될 수 있음을 시사해 준다.

• 대한한의정보학회지
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• 제11권2호
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• pp.40-48
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• 2005

Objective It is difficult medicine pass by prostatic barrier. so prostatis is charaterized as relatively incurable illness. Neverthless in chronic prostatis, there is improvement of symptom and blood test numberical index by hominis placenta herbal-acupunture. The purpose of this report is evaluate of improvement of symptom and blood test numberical index by hominis placenta herbal-acupunture Method We observed 2 chronic proststis patient for 6 months. It is evaluate of treatment effect by NIH-chronic prostatis symptom index(CPSI) and expressed prostatic secretion(EPS) per 1month. Result The hominis placenta herbal-acupunture therapy is effective to treat chronic proststis. NIH-CPSI and EPS WBC were decreased considrably.

• 보건행정학회지
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• 제31권1호
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• pp.65-73
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• 2021

Background: With the recent aging of the population, the transition to a disease structure centered on chronic diseases is accelerating. Moreover, the socio-economic gap and the polarization of the health gap between regions further increase the burden of disease on the country. Accordingly, this study calculated the disease cost of hypertension, diabetes, and hyperlipidemia, which are the three major chronic diseases, to establish an effective health promotion policy strategy for each region, and analyzed the gap in disease cost within the region to determine health determinants at the individual as well as the regional level. Methods: This study utilized data from the 2015 sample cohort of the National Health Insurance Service and calculated the disease cost of patients (diabetes: I10-I15, hypertension: E10-E14, hyperlipidemia: E78) based on the main diagnosis. Results: Based on our analysis, the case of medical use in cities and provinces was higher than in metropolitan cities, with relatively small medical use in Seoul and Gangwon-do. In terms of the disease cost, the cost of chronic diseases in Seoul and Jeju was the highest, but the difference in disease cost between patients in each region was the largest in Seoul and Gangwon-do. Conclusion: The results of this study provide meaningful data for implementing efficient health promotion policies by analyzing the differences in disease cost and identifying health determinants in different regions. Furthermore, in Korea, where socioeconomic differences are clearly revealed, it can be used as a basis for preparing a strategic plan, from a long-term perspective, to improve the health of patients with chronic diseases in the future.

• 한국사회복지학
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• 제60권4호
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• pp.231-251
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• 2008

본 연구는 성인당뇨병 환자들을 대상으로 의료급여수급여부에 따라 건강수준 및 질병관리 장애요인에 차이가 나타나는지를 분석하고 질병관리 장애요인이 건강수준에 미치는 영향을 살펴보았다. 자료수집은 서울의 종합병원 당뇨병클리닉 및 지역사회 복지기관에서 편의표집한 55세이상 성인당뇨병 환자 144명을 대상으로 조사를 실시하였다. 분석결과, 의료급여환자가 건강보험환자에 비하여 건강수준이 더 나쁘다고 인식하고 있었으며, 질병관리 장애요인을 더 많이 경험하고 있는 것으로 나타났다. 건강보험환자와 의료급여환자간 건강수준의 차이는 인구학적 요인 및 질병관련 특성들을 통제한 이후에도 유의하였다.

• 대한간호학회지
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• 제37권1호
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• pp.5-13
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• 2007

Purpose: The purpose of this study was to identify the relationship between physical activity and sleep patterns of the elderly. Methods: The subjects of this study were 154 elderly who visited a community senior center in Korea. Data was collected by an interview and a self reported questionnaire, during the period from June to October, 2006. Physical activity was measured by IPAQ Korean version(2006), and sleep pattern by Korean Sleep Scale A developed by Oh et al.(1998). Results: The prevalence of chronic illness in the subjects was 73.4 %. The mean time of vigorous activity was $6.62{\pm}31.27$ minutes/day during the past week. Moderate activity time was $28.85{\pm}50.31$ minutes/day and walking time was $28.85{\pm}50.3$ minutes/day. The total sleep time was $397.63{\pm}111.53$ minutes/day. Physical activity of the elderly significantly correlated with sex, chronic illness, job, and sleep patterns of the elderly. Stepwise multiple regression analysis revealed that the most powerful predictor of sleep pattern was the satisfaction of sleep. A combination of the number of chronic illnesses, moderate physical activities(MET), and total time of sleep accounted for 44.4% of the sleep pattern. Conclusions: Moderate physical activity is more effective than vigorous physical activity for improving the sleep quality of the elderly.

• 동의생리병리학회지
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• 제18권1호
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• pp.274-278
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• 2004

The prostatitis is characterized as relatively incurable, chronic and recurrent illness. Because of this property, we have a difficulty in treating this illness. The purpose of this study is evaluating the efficiency of herb medicine, acupuncture, and herbal acupuncture therapy to the prostatitis. A clinical observation was made on two patients with chronic prostatitis who had perineal pain, pubic pain, testicular pain, painful urination, frequency and dysuria. They were treated with herb medicine, acupuncture, and herbal acupuncture therapy for four weeks and symptoms were considerably decreased. This result suggests that oriental medical therapy is useful enough to treat the prostatic diseases. Therefore the further study of the approach and application of this treatment on prostatitis would be necessary.

• 한국가족관계학회지
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• 제23권2호
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• pp.111-131
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• 2018

Objectives: This study examined the effects of residential proximity to adult children on the mental and physical health of middle-aged and older parents. The study also evaluated whether the parental age and gender of the adult child in closest proximity to the parent might moderate the association. Method: Data were drawn from five waves of the Korean Longitudinal Study of Aging(2006-2014). The analytic sample consisted of 7,359 parents aged 45 or older who had at least one non-coresidential adult child aged 19 or older. The analyses were conducted by estimating a series of fixed effects models while adjusting for the nested structure of the data. Results: The results showed that first, a closer distance between an adult child and the parent was generally associated with the parent experiencing a decrease in depressive symptoms. Yet, the mental health benefit was smaller for parents aged 65 years or older whose closest living adult child was a son. Second, a closer distance was observed to affect chronic illness only among middle-aged parents (aged 45 to 64). When the closest living adult child was a daughter, the middle-aged parent experienced deterioration in their chronic illness. On the other hand, the opposite pattern was observed when the closest living adult child was a son. Conclusions: The parental age and gender of the adult child in closest proximity to the parent might have varying effects on parents' health. A closer distance between an adult child and their parent has a positive impact on the mental health of the parent as a whole, whereas the effect of living closer was mixed in relation to the parental physical health.

• 대한한방내과학회지
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• 제29권4호
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• pp.962-969
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• 2008

Chronic fatigue syndrome is an agonizing illness that impedes the quality of life of people worldwide. Although this syndrome is reported to be increasing in industrialized countries, there are as yet no effective therapies. In the view of Oriental medicine, chronic fatigue syndrome is thought to result from a state of unbalanced inter-organ functions, or a condition of deficiency in the qi or blood characteristics. On the other hand, chronic fatigue-related symptoms are one of the most common complaints of patients using complementary and alternative medicine. This study aimed to theoretically analyze chronic fatigue syndrome from an Oriental medicine point of view, so to help Oriental doctors to design appropriate therapeutic models.