• 한국산학기술학회논문지
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• 제17권7호
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• pp.597-606
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• 2016

본 연구는 초등학생의 변비 발생률을 알아보고, 변비유무에 따른 식습관, 운동 활동 시간, 스트레스 및 학교화장실 환경에 대한 인식의 차이를 파악하고, 변비 발생률과 관련요인을 알아보기 위한 서술적 조사 연구이다. 연구 대상자는 전라남도의 6개 초등학교의 재학 중인 3, 4, 5, 6학년 741명을 대상으로 하였으며, 자료수집 기간은 2014년 4월 30일부터 2014년 5월 12일까지 설문조사 하였다. 수집된 자료는 실수와 백분율, 카이제곱 검정, 독립표본 T 검정, 이변량 로지스틱 회귀분석을 하였다. 연구결과, 초등학생의 변비 발생률은 23.9%이었으며, 변비 발생률과 관련요인으로는 화장실 선호도, 쉬는 시간 배변 여부, 하루 식사 횟수, 아침 결식 횟수, 식사량, 학원수업 시간, 인터넷 이용시간, 스트레스, 학교화장실 환경에 대한 인식이었다. 특히 스트레스가 '상'의 경우 스트레스가 '하'보다 5.44배의 높은 변비 발생률을 보였다. 주관적인 증상만으로 변비를 진단하는 것은 한계가 있으므로 자세한 문진과 신체검진을 포함한 변비 발생률에 대한 파악이 필요하며, 초등학생의 변비 예방을 위한 교육 및 관리의 노력이 필요하다.

• 디지털융복합연구
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• 제12권9호
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• pp.423-431
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• 2014

이 연구는 성인 여성을 대상으로 한국인의 특성을 고려하여 변비를 진단한 후, 정상군과 변비군을 구분하여 생활습관 및 한열(寒熱)증상, 스트레스, 삶의 질의 차이를 파악하고 변비와 스트레스 및 삶의 질의 관계를 살펴보고자 하였다. 성인 여성 464명을 대상으로 2010년 4월 23일부터 2010년 10월 25일까지 자료수집 하여 분석하였다. 연구 결과 변비군이 정상군에 비해 배가 차고(p=.008), 소화불량(p=.006), 피로(p=.001)를 많이 호소하는 것으로 나타났으며, 수면 시 변비군은 정상군에 비해 꿈을 많이 꾸고(p=.003), 수면 중 잠을 잘 못자거나(p=.007) 잠들기 힘든 경우(p=.001)가 많아 수면의 질도 떨어지는 것으로 나타났다. 또한 변비군이 정상군에 비하여 스트레스가 높고 삶의 질이 떨어지는 경향이 나타났다. 이들 결과는 변비의 예방 및 증상 개선을 위한 중재 개발 시 이러한 요인들을 고려해야 함을 시사한다.

• 대한예방한의학회지
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• 제13권3호
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• pp.101-112
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• 2009

Objectives : This comparative study aimed to identify the effect of the Buddeumi(cupping-and-moxibustion device) therapy and moxibustion-only therapy on treating constipation of stroke patients who were admitted in the hospital of oriental medicine. The research design was a nonequivalent control group pretest-posttest design. Methods : The subjects of the study consisted of 23 stroke patients, and they were divided into two groups : one was the experimental group of 11 patients and the other was the control group of 12 patients. The Buddeumi therapy and the moxibustion-only therapy were given respectively. Each Buddeumi and moxibustion-only therapies on the 天樞(ST25, right & left) in abdomen were administered to the each group for 40 minutes a total at 10 times. The posttest included the frequency of defecation with the Constipation Assessment Scale every day for one week after the experiment. The data were analyzed by the $x^2$ test, t-test, Fisher exact test, and repeated measures ANCOVA using SPSS/WIN 12.0 program. Results : The results were as follows : First, Hypothesis 1 : 'The patients who are given the Buddeumi therapy in the experimental group have a lower Constipation Assessment Scale than the control group.' was supported(F=4.367, P=0.049). Second, Hypothesis 2 : 'The patients who are given meridian acupressure in the experimental group have a higher frequency of defecation per week than the control group.' was supported(F=0.947, P=0.034). Accordingly, 'The patients who are given the Buddeumi therapy in experimental group have a higher effect on constipation than the control group.' was supported. Conclusion : The Buddeumi therapy reduced the constipation assessment scale of stroke patients and increased the frequency of their defacation per week. Therefore, the Buddeumi therapy could be an effective treatment for constipation of stroke patients.

• 임상간호연구
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• 제18권2호
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• pp.205-214
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• 2012

Purpose: The purposes of this study were to develop the constipation assessment tool for identifying their bowel movement patterns, and to provide basic information for the assessment and intervention protocol on constipation for patients with terminal cancers. Methods: The study followed the steps: the first step was to build a conceptual framework based on literature review; the second step was to develop a tentative instrument by analyzing the conceptual framework and existing instruments; the third step was to test content validity and reliability; and the final step was to apply the tool to patients with terminal cancers (N=112). Results: The constipation assessment tool was consisted of total nine items; under the categories of subjective and objective data for diagnosis had 4 items, and under the initial assessment category which includes stool type, physical examination, and abdomen X-ray had 5 items. Conclusion: The constipation assessment tool developed in this study is very easy to use and useful in nursing practice, especially in hospice and palliative care setting. Particularly this tool has items on patient assessment which would be considered as an evidence for choosing nursing interventions. Based on the constipation assessment tool, the development and application of intervention protocol on constipation for patients with terminal cancers is warranted in future research.

• 임상간호연구
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• 제19권2호
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• pp.208-217
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• 2013

Purpose: The purpose of this study was to identify effects of abdominal massage or oral lactic acid fermented milk to prevent constipation in patients immobilized after spinal surgery. Methods: Participants were 60 patients who underwent spinal surgery (20 in the abdominal massage group, 20 in the lactic acid group, and 20 in the control group). Preoperative constipation was assessed and after starting to eat following surgery, patients were given abdominal massage or lactic acid fermented milk for three days. Then bowel movements were checked using the constipation assessment scale and enemas. Results: Constipation score in the control group without treatment increased from $4.85{\pm}4.73$ to $10.25{\pm}4.28$ whereas, in the abdominal massage group or lactic acid group, the scores decreased from $6.40{\pm}3.71$ to $5.23{\pm}3.43$ and from $5.25{\pm}3.78$ to $4.50{\pm}3.18$ respectively. Also, enemas were given for 15 of 20 in the control group but only 7 of 20 in the abdominal massage group and 4 of 20 in lactic acid group. Conclusion: Results of this study indicate that abdominal massage or lactic acid fermented milk to alleviate constipation in patients with immobility following spinal surgery is highly effective according to the constipation score and need for enemas.

• Journal of Acupuncture Research
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• 제25권5호
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• pp.127-137
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• 2008

Objectives : These days, herbal acupuncture therapy is widely applied to many diseases and symptoms by Korean medical doctors in Korea. The aim of this study was to demonstrate the effect of Carthami-Semen herbal acupuncture(CSHA) on chronic constipation. Methods : This single-blind placebo-controlled randomized parellel study enrolled 24 adults with chronic constipation. After one week's run-in period, they were randomly assigned to receive CSHA therapy, or placebo therapy for 4 weeks by 2 times per week. After completing 4 week's therapy, 2 week's follow-up period was continued. During study, defecation frequency, consistency and ease of evacuation were checked before study, every week and follow-up periods. Also, the VAS of constipation, quality of life(QoL) and heart rate variability(HRV : low frequency, high frequency) were checked 3 times totally. Finally, 21 subjects completed the protocol and 20 subjects were analyzed.(1 subject is excluded for analysis because of not following the protocol.) Results : In CSHA group, defecation frequency(continued after 1 week), consistency and ease of evacuation(at 1 week after and follow-up) were increased significantly. The VAS of constipation in CSHA group was significantly decreased. There was no significant change at QoL and HRV. Conclusions : CSHA therapy was effective in treating adults with chronic constipation. Study that have larger case number and longer follow up will be needed in the future.

• 한국콘텐츠학회논문지
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• 제22권4호
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• pp.689-699
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• 2022

본 연구는 귀지압이 교대근무를 수행하는 간호사의 변비와 우울에 미치는 영향을 알아보기 위해 시행되었다. 자료수집기간은 2021년 5월부터 6월까지이며, I지역의 A대학병원에서 교대근무를 하는 간호사 40명을 연구대상으로 하였다. 이 연구는 무작위배정, 공개시험, 대조군 비교설계를 이용한 실험연구이다. 40명의 변비를 가진 간호사가 실험군(n=20) 혹은 대조군(n=20)으로 무작위 배정되었다. 실험군에게 변비와 우울의 귀지압 상응점에 귀지압 스티커를 붙이고 2주간 유지한 결과 실험군은 대조군에 비해 변비점수가 통계적으로 유의하게 감소하였다(F=7.74, p<.001). 실험군에서 지압 전·후 우울점수의 차이(2.90±2.86)가 대조군에서의 차이(1.35±3.12)보다 컸으나 통계적으로 유의하지는 않았다(t=-1.64, p=.055). 본 연구 결과 귀지압이 교대근무 중인 간호사의 변비 완화에 효과가 있음을 확인하였다. 귀지압은 변비가 있는 대상자에게 사용할 수 있는 치료 방법의 하나로 고려될 수 있다.

• Journal of Animal Science and Technology
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• 제66권1호
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• pp.178-203
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• 2024

Constipation, which refers to difficulties in defecation and infrequent bowel movement in emptying the gastrointestinal system that ultimately produces hardened fecal matters, is a health concern in livestock and aging animals. The present study aimed to evaluate the potential effects of dairy-isolated lactic acid bacteria (LAB) strains to alleviate constipation as an alternative therapeutic intervention for constipation treatment in the aging model. Rats were aged via daily subcutaneous injection of D-galactose (600 mg/body weight [kg]), prior to induction of constipation via oral administration of loperamide hydrochloride (5 mg/body weight [kg]). LAB strains (L. fermentum USM 4189 or L. plantarum USM 4187) were administered daily via oral gavage (1 × 10 Log CFU/day) while the control group received sterile saline. Aged rats as shown with shorter telomere lengths exhibited increased fecal bulk and soften fecal upon administration of LAB strains amid constipation as observed using the Bristol Stool Chart, accompanied by a higher fecal moisture content as compared to the control (p < 0.05). Fecal water-soluble metabolite profiles showed a reduced concentration of threonine upon administration of LAB strains compared to the control (p < 0.05). Histopathological analysis also showed that the administration of LAB strains contributed to a higher colonic goblet cell count as compared to the control (p < 0.05). The present study illustrates the potential of dairy-sourced LAB strains as probiotics to ameliorate the adverse effect of constipation amid aging, and as a potential dietary intervention strategy for dairy foods including yogurt and cheese.

• Childhood Kidney Diseases
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• 제19권1호
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• pp.1-7
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• 2015

Coexisting voiding and bowel dysfunction in children are common in the clinic. The idea that overactive bladder (OAB) and constipation arise from one single pathophysiology has been reinforced in many studies. In Korea, a nationwide multicenter study conducted in 2009 showed that overall prevalence of OAB in children, 5-13 years of age, was 16.59% and this number has increased more recently. The initial step to manage coexisting fecal retention and OAB in children is to characterize their bowel and bladder habits and to treat constipation if present. Although diagnosing constipation in children is difficult, careful history-taking using the Bristol Stool Form Scale, and a scoring system of plain abdominal radiography, can help to estimate fecal retention more easily and promptly. Non-pharmacological approaches to manage functional constipation include increasing fluids, fiber intake, and physical activity. Several osmotic laxatives are also effective in improving OAB symptoms and fecal retention. Additionally, correction and education in relation to toilet training is the most important measure in treating OAB with fecal retention.

• The Korean Journal of Physiology and Pharmacology
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• 제17권5호
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• pp.423-426
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• 2013

Females are more often affected by constipation than males, especially during pregnancy, which is related to the menstrual cycle. Although still controversial, alterations of progesterone and estrogen may be responsible. Therefore, this study was conducted in order to determine whether the female sex steroid hormone itself is responsible for development of constipation in both female and male mice. Administration of estrogen resulted in a decrease in weight of accumulated feces on days 2, 3, 4, and 5 in male mice and on day 5 in female mice, compared with the control group, but progesterone administration did not. Administration of estrogen resulted in a decrease in gastrointestinal movement, compared to normal; however, no significant change was observed by administration of progesterone. In conclusion, estrogen, rather than progesterone, may be a detrimental factor of constipation via decreased bowel movement in mice.