• Title/Summary/Keyword: Chronic diseases

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The Trend of Chronic Diseases in Korea (한국인의 만성질환)

  • Sung, Eun-Ju
    • Journal of Dairy Science and Biotechnology
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    • v.23 no.2
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    • pp.99-106
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    • 2005
  • Chronic diseases such as cancer, cardiovascular diseases, are the leading cause of death and disability in Korea since 1970 due to lifestyle change introduced by urbanization & industrialization. The type of cancer and cardiovascular diseases changes as lifestyle becomes westernized. These diseases account for 4 of every 10 deaths and affect the quality of lift of Koreans. Although chronic diseases are among the most common and costly healthy problems, they are also preventable. Adopting healthy behaviors such as quitting smoking, being physically active, eating right with moderate alcohol drinking, and maintaining healthy weight can prevent or control the effect of these diseases.

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A Study on the Educational Effectiveness of Chronic Diseases Among University Students (일부 대학생들의 성인건강 교육의 효과에 관한 연구)

  • Kang, Hee-Sook;Cho, Hyun
    • Journal of the Korean Society of School Health
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    • v.8 no.1
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    • pp.143-154
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    • 1995
  • Korea has been recently reducing the quality of life as well as rising medical cost because of the increase of chronic diseases. But we can prevent those chronic diseases through the improvement of environment or life style. We evaluated the educational effectiveness of chronic diseases(hypertention, diabetes, cancer, stroke and other chronic diseases) designed to increase the knowledge, attitude and practice of chronic diseases among university students. Between August 1994 and November 1994, we implemented chronic diseases prevention instruction in intervention students; unmatched control students were selected in same university. We conducted pre- and post-intervention surveys both intervention and control students with self-reported questionnaires(50 items). We assigned score(0-4 points) to items and conducted a analysis of covariance(ANCOVA) with sex, grade and economic status as the covariate, using the SAS PC computer statistical package. And we culculated odds ratio with safety scores between intervention and control students. The results of this study were followed. 1. In demographic characteristics of subjects both pre- and post intervention, we found no significant differences in intervention and control students at religion, father's education, mother's education, mother's occupation and type of residence(p>0.05), but we found significant differences at sex(p<0.001), grade(p<0.001) and economic status(p<0.05). 2. The sex, grade and economic status-adjusted mean prevention knowledge scores for diabetes and stroke increased from the pre- to post-survey in the intervention students(p<0.001), but control students did not increased(p>0.05). As odds ratios in knowledge were below 1, the knowledge of intervention students were higher than control students. 3. The attitudes for general adult health increased from the pre- to post-survey in the intervention students(p<0.05), but control students did not increased(p>0.05). As odds ratios in attitudes were approximately 1, we can not say effectiveness in intervention students 4. The pratices for cancer and stroke increased from the pre- to post-survey in both the intervention and control students(p<0.001). Also odds ratio of hypertention was 0.91, and that of stroke was 1.14. 5. Health related behaviors did not increased from the pre- to post- survey in both the intervention and control students(p>0.05). But odds ratio of drinking was 0.76 and that of body weight was 1.21. 6. Health status did not increased from the pre- to post- survey in both the intervention and control students(p>0.05). As odds ratio of health status was 1.09, prevention education was not effect in intervention students We would like to recommend as follows; 1. University students must learn about prevention of chronic diseases. Because the knowledge of invetervention students was higher than that of control students. 2. The prevention education of chronic diseases should be taught from primary school. 3. Adult health education for university students must be practiced continuously. Education period(l5 weeks) in this study was not complete. 4. The evaluation of chronic diseases was conducted real measurement(such as BP check) as well as self reported-survey. 5. Educational materials(video tape, pamphlet) related the prevention of chronic diseases should be developed at national level. And we must easely use those materials. 6. The prevention education of chronic diseases should be made through mass media as well as school education.

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The Optimal Level and Promoting Plan of Physical Activity for Prevention and Management of Chronic Diseases (만성질환 예방·관리를 위한 적정 신체활동 및 활성화 방안)

  • Kim, Wan-Soo
    • Korean Journal of Health Education and Promotion
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    • v.31 no.4
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    • pp.73-92
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    • 2014
  • Objectives: To provide basic data needed to develop national physical activity policy, this study was examined to identify the relationship among physical inactivity, physical activity, and chronic diseases. Methods: I have reviewed articles and research reports in relation to physical activity, health, and chronic disease published in national and international since 2005 through PubMed, RISS, and KISS. Results: physical activity should be the priority of public health for the prevention and management of chronic diseases as following reasons. 1) Prevalence of physical inactivity has been continuously increased. 2) There were strong evidences that sufficient physical activity could prevent and treat dozens of chronic diseases. Conclusions: Both central and local governments need to make the amount of physical activity to be increased by providing information and establishing a physical activity-friendly environment. Also, the local public health centers and the primary medical institutions are institutionally needed to counsel and prescribe every patient's exercise program at every visit.

Coping with Experiences in Multiple Chronic Diseases in the Rural Elderly (농촌 노인의 복합만성질환에 대한 대처 경험 - 문화기술학적 방법으로 -)

  • Joung, Eun-Ok;Kwon, Sung-Bok;Ahn, Ok-Hee
    • Research in Community and Public Health Nursing
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    • v.18 no.1
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    • pp.32-41
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    • 2007
  • Purpose: The purpose of this study was to describe how the rural elderly cope with experiences in multiple chronic diseases. Method: Data were collected through participant observation and in-depth interview using ethnography. The participants were 9 women and 2 men who aged over 65, were living in rural community, and had experienced two or more chronic diseases. Results: According to the results of this study, those who had experienced multiple chronic diseases went through the stages of 'recognizing of revealed symptoms', 'discovering of disease', 'overcoming', 'neglecting', 'discovering another disease', 'being frustrated' and 'living with suffering'. Conclusion: The results of this study are expected to be utilized as basic materials to develop a nursing intervention program for effective management of chronic diseases.

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Differences in Chronic Diseases and Physical Activity of Elderly Women According to Body Mass Index (재가여성노인의 비만도에 따른 만성질병과 신체활동정도의 차이)

  • Jin, Eun-Hee
    • Journal of Home Health Care Nursing
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    • v.17 no.2
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    • pp.120-126
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    • 2010
  • Purpose: The study sought to identify the differences in chronic diseases and physical activity in elderly women by BMI. Method: The subjects of this study were 644 elderly women 60-80-years-of-age living at home. The research instruments were physical activity levels and chronic diseases. Subjects were given a self-report questionnaire. Data were analyzed using the SPSS win program. Result: Hypertension, prevalence of diabetes mellitus and hyperlipemia were significantly different in the subjects according to body mass index, being higher in obese subjects than in non-obese subjects. Physical activity in each of the body mass index groups did not differ significantly. Conclusion: Obesity increases the risk of chronic diseases. This knowledge could help elderly women control their weight, reduce chronic diseases, and ultimately, gain better health.

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Are Patients with Asthma and Chronic Obstructive Pulmonary Disease Preferred Targets of COVID-19?

  • Bouazza, Belaid;Hadj-Said, Dihia;Pescatore, Karen A.;Chahed, Rachid
    • Tuberculosis and Respiratory Diseases
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    • v.84 no.1
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    • pp.22-34
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    • 2021
  • The coronavirus pandemic, known as coronavirus disease 2019 (COVID-19), is an infectious respiratory disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), a novel coronavirus first identified in patients from Wuhan, China. Since December 2019, SARS-CoV-2 has spread swiftly around the world, infected more than 25 million people, and caused more than 800,000 deaths in 188 countries. Chronic respiratory diseases such as asthma and chronic obstructive pulmonary disease (COPD) appear to be risk factors for COVID-19, however, their prevalence remains controversial. In fact, studies in China reported lower rates of chronic respiratory conditions in patients with COVID-19 than in the general population, while the trend is reversed in the United States and Europe. Although the underlying molecular mechanisms of a possible interaction between COVID-19 and chronic respiratory diseases remain unknown, some observations can help to elucidate them. Indeed, physiological changes, immune response, or medications used against SARS-CoV-2 may have a greater impact on patients with chronic respiratory conditions already debilitated by chronic inflammation, dyspnea, and the use of immunosuppressant drugs like corticosteroids. In this review, we discuss importance and the impact of COVID-19 on asthma and COPD patients, the possible available treatments, and patient management during the pandemic.

Analysis of dental utilization and expenditure of patients with chronic diseases

  • Kim, Yun-Jeong
    • Journal of Korean society of Dental Hygiene
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    • v.20 no.2
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    • pp.129-137
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    • 2020
  • Objectives: Using the annual data from the 2016 Korean Health Panel, this study aims to identify the factors that affect the dental utilization and expenditure of patients with chronic diseases, and to provide basic data to explain the inequality gap in dental utilization. Methods: The dental utilization and expenditure of 3,557 patients with chronic diseases were analyzedfor frequency using the SPSS Windows version 23.0 (SPSS Inc. IL, USA). Analysis of the factors that affect dental utilization and expenditure were performed using a multiple regression analysis. The level of statistical significance was 0.05. Results: The frequency of dental utilization in patients with chronic diseases was high for subjects who were younger than 65 years and those whose education level was below high school. The frequency of dental utilization was relatively lower for subjects who did not have disabilities and those with healthier subjective health status. The dental expenditure of patients with chronic diseases was higher in subjects who were younger than 65 years and those with greater household income. Conclusions: The above findings suggest that a plan is needed to control dental utilization by efficiently managing chronic diseases, and that a policy-based plan is needed to devise ways to supplement the uninsured medical expenses of dental care.

An analysis of risk factors for falls in the elderly by gender (노인의 성별 낙상관련 요인)

  • Kim, Jong-Min;Lee, Myung-Sun;Song, Hyun-Jong
    • Korean Journal of Health Education and Promotion
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    • v.25 no.2
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    • pp.1-18
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    • 2008
  • Objectives: The objective of this study is to identify the gender differences of risk factors for falls among the elderly in community dwellings. Methods: We analyzed the data on 3,278(male 1,255, female 2,023) persons, including 497 persons who have experienced falls, drawn from the 2004 National Elderly Survey. We conducted a cross-tabulation analysis, $X^2$-test and hierarchical regression analysis of the impact of the socio-economical characteristics, environmental characteristics, the number of chronic diseases, usage of supplementary devices, activities of daily living, dementia, and the severity of problem behavior. Results: For the entire sample of the elderly, gender, age, the size of the cities of residence, the number of chronic diseases, and the severity of problem behavior were identified as risk factors for falls. The number of chronic diseases and the severity of problem behavior were found to be significant for the male subsample, while age, the size of cities of residence, dwelling types, and the number of chronic diseases were found to be significant for the female subsample. Conclusion: The number of chronic diseases was identified as a common risk factor for falls in the male and female elderly. Chronic diseases were also found to aggravate the risk for falls when they concur with other diseases.

The Association between Hope and Quality of Life among Adolescents with Chronic Diseases: A Systematic Review

  • Mardhiyah, Ai;Philip, Koshy;Mediani, Henny Suzana;Yosep, Iyus
    • Child Health Nursing Research
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    • v.26 no.3
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    • pp.323-328
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    • 2020
  • Purpose: Hope has been identified as a protective factor that contributes to achieving a better quality to life, especially in patients with chronic disease. The purpose of this review was to synthesize current knowledge about the relationship between hope and quality of life among adolescents living with chronic illnesses. Methods: We searched major English-language databases (PsycINFO, PubMed, and CINAHL) for studies from January 1, 2002 to July 12, 2019. Studies were included if they provided data on hope and its relationship with quality of life among adolescents with chronic diseases. Results: In total, five articles were selected from the 336 studies that were retrieved. All five studies reported a positive correlation between hope and quality of life, such that people with a higher level of hope had a better quality of life. Hope was found to have direct and indirect effects on quality of life in adolescents with chronic diseases. Conclusion: Healthcare professionals should make more efforts to enhance hope in adolescents with chronic diseases in order to improve their quality of life. Future studies exploring how hope develops in adolescents with chronic diseases and the long-term impact of hope on quality of life are necessary.

Differential Effects of Educational Attainment on Chronic Diseases with Age (연령에 따른 교육수준과 만성질환의 관계)

  • Lee, Min-Ah
    • Korea journal of population studies
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    • v.34 no.1
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    • pp.179-198
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    • 2011
  • The purpose of this study was to examine relationships between chronic diseases, age, and education in Korea. Logistic regression techniques were used to analyze data from the Korean Longitudinal Study of Ageing (KLoSA), which is a nationally representative sample of Koreans aged 45 years and older. The findings show that probability of having chronic diseases increased with age up to about 74; however, it was reduced for respondents aged 74 years or older. Associations between age and chronic diseases were also differential by education. Less educated Koreans tended to have chronic diseases earlier in their lifetime; however, they were likely to have chronic diseases later in life less than more educated counterparts. The findings suggest that individuals with fewer years of education are at an increased risk of developing chronic diseases earlier in their lifetimes, thereby, leading to a higher rate of mortality at younger ages.