• Korean Journal of Occupational Health Nursing
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• v.17 no.2
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• pp.180-190
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• 2008

Purpose: The present study was intended to assess stress, depression and fatigue of nurses working for university hospitals and to reveal its association with the type A behavior pattern. Method: The self-administered questionnaires were given to 810 nurses employed in 4 participating hospitals located in Daejeon City. The questionnaire items included sociodemographic, job-related, and the type A behavior patterns as independent variables and the PWI, SDS and MFS as dependent variables. Result: The proportion of the type A behavior pattern was 24.3% of subjects, in the degree of stress, high risk stress group was 87.0%, in the degree of depression, normal group was 60.9%, in the degree of fatigue, high risk fatigue group was 48.6%. The degree of stress, depression, and fatigue were significantly higher in the type A behavior pattern group then the type B behavior pattern group. The type A behavior pattern was significant positive correlation with stress, depression, and fatigue. The degree of stress(OR=1.2, 95%CI=1.167-1.262), depression(OR=1.1, 95%CI=1.11-1.17) and fatigue (OR=1.1, 95%CI=1.04-1.06) were significantly higher for the type A then the type B behavior pattern group. Conclusion: The degree of stress, depression, and fatigue were significantly higher in the type A then the type B behavior pattern group.

• The Journal of Internal Korean Medicine
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• v.22 no.3
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• pp.299-307
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• 2001

Objectives: Fatigue is a common symptom experienced by many people who visit Oriental medical clinics or hospital. However, there has been little study about the fatigue in the Oriental medical academic world. For this reason, we attempted to investigate the present status of fatigue of outpatients, and its relation with Health Practice Index(HPI). Methods: The subjects were 63 outpatients who visited the Tonification Clinic in Kyunghee Oriental Medical Center between January 1, 2001 and July 31, 2001. Their chief complaint was fatigue and they did not have any physical or mental problem. They were given a questionnaire which included questions reflecting general characteristics, fatigue degree and health habits. We measured degree of fatigue by Chalder scale et al. Health habits were investigated about 5 articles out of 'Breslow 7 Health habits'. Results: Among the subjects, 48 people(76.2%) were considered as 'fatigue patients' by the Chalder scale. Of this 48 fatigue patients, 27 people(56.3%) had manifested fatigue for more than 6 months. The average of scale II for all the patients was 14.05, which indicates moderate degree of fatigue. They complained fatigue, drowsiness and general weakness, dryness and discomfort of the eyes, headache, shoulder pain and neck stiffness, dizziness, heat in the upper part of the body, and poor concentration. There were no differences in degree of fatigue according to Health habits including exercise or not, smoking or not, the frequency of drinking, hours of sleeping, and body mass index. Conclusions: Many people complain fatigue symptom. Therefore doctors should have more interest in fatigue and care. This study can provide standards of prognosis of fatigue patients. Also prospective studies are needed to find relationship between health habits and fatigue degree.

• Journal of muscle and joint health
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• v.6 no.1
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• pp.51-72
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• 1999

The purpose of this study is to compar self-reported fatigue and fatigue-regulating behaviors of rheumatoid arthritic patients and normal persons. This study collected the data from 75 rheumatoid arthritic patents visited the departments of internal medicine or orthopedics of four general hospitals T-city and K-city by means of direct interview and questionnaires. in this study also collected data from 75 normal persons who had not been exposed to any other disease in T-city and K-city by means of direct interviews anti questionnaires which were conducted by two trained nurses. This experiment was conducted from August 1, 1998 to October 15, 1998. This study used both MAP(Multi-Dimentional Assessment of Fatigue) developed by Belza(1995) to measure fatigue and the measurement developed by Kwon, Young-Eun to investigate fatigue regulating behaviors. The collected materials were analyzed by means of descriptive statistics, t-test, and the ANCOVA according to the SPSS PC+ program. The findings are as follows : 1. There was the statistically significant difference(t =5.07, p=.000), between rheumatoid arthritic patients(32.76 points) and normal persons(25.81 points) in t-test comparison by group about fatigue. A fatigue degree of rheumatoid arthritic patient group was high in five kinds of lower realms such as common fatigue degree, fatigue severity to be experienced, distress due to fatigue, daily fatigue degree, and fatigue timing at the last week by dimension. 2. There was the significant difference in the number of fatigue-regulating behaviors between rheumatoid of fatigue arthritic patients(9.37 times) and normal persons (8.15 times), but there wasn't any significant difference in the efficiency between rheumatoid arthritic patients(2.85 points) and normal persons (2.78 points) This research suggests two kinds of things as follows : 1. It is necessary to develop an educational program for improving efficiency of fatigue-regulating behaviors as well as some nursing arbitration measures for reducing fatigue of rheumatoid arthritic patients. 2. It is necessary for the future studies to continuously grasp characteristics of fatigue by gender variable by selecting more rheumatoid arthritic male patients.

• Korean Journal of Adult Nursing
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• v.17 no.2
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• pp.310-319
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• 2005

Purpose: The purpose of the study is to investigate the degree of fatigue and its related factors in patients with breast cancer. Method: The subjects of this study consisted of 62 breast cancer patients receiving chemotherapy. The Revised Piper Fatigue Scale, Disruption of Usual Activity Scale, Linear Analogue Self Assessment Scale and Self-Care Diary Scale were employed to measure fatigue, disruption of usual activity, mood state and physical symptom respectively. Collected data were analyzed using SPSS-PC to obtain summary statistics for the descriptive analysis, Pearson Correlation, and Stepwise Multiple Regression. Result: The results are as follows. 1. The mean score of the degree of fatigue was 4.82 points indicating moderate level. 2. The mean score of the degree of disruption of usual activity, mood state and physical symptom were 2.66, 5.00, and 4.69 points. 3. Fatigue of the subjects was significantly correlated with disruption of usual activity(r=.517, p<.01), mood state(r=.420, p<.01) and physical symptom(r=.463, p<.01). 4. With the result of stepwise multiple regression, disruption of usual activity, mood state and physical symptom being the three variables which could explain fatigue by 39.1%. The results of this study suggest that comprehensive intervention strategy for fatigue should be developed to maintain quality of life during and following chemotherapy considering these factors.

• Journal of the Korean Society of Safety
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• v.15 no.1
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• pp.153-160
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• 2000

Occupational cumulative traumas (CTDs) are becoming one of leading ailments in industrialized worl $d^{(1.2)}$. The degree of muscle fatigue is important parameter to understand cause of occupational cumulative trauma disorders. To quantify degree of muscle fatigue, muscle EMG activity was measured during isometric and dynamic contractions(repetitive concentric/eccentric muscle contraction) and its analyzed data, such as RMS, median frequency, and median power were compared when the muscle was fresh and exhausted. When muscle become fatigue, it was observed that median frequency decreased and median power and RMS increased However, based on overall prolonged observation, median frequency increased and median power and RMS decreased. Therefore it was concluded that shifting patterns of RMS, median frequency, and median power values can be used as parameter to evaluate degree of muscle fatigue even in dynamic muscle contraction.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.10 no.3
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• pp.307-315
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• 2003

Purpose: This study was done to investigate the relationship between fatigue and exercise in middle-aged women. Method: A descriptive survey study design was used. Result: The fatigue level for middle-aged women was 1.98. It was found that about 52.7% of the participant do exercise now. Fatigue according to exercise level was not significant, but the degree of fatigue was low for women who do exercise. Conclusion: The degree of fatigue for middle-aged woman should be assessed and exercise suited to each person should be taught. Fatigue needs to be controlled before it develops to the point of disease, and appropriate exercise is an suitable intervention.

• Journal of the Korean Society of Food Culture
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• v.9 no.1
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• pp.43-51
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• 1994

The purpose of this study is to investigate dietary pattern and health status related to food habit and degree of fatigue of evening college students. A sample of 476 evening college students in Chonbuk area were surveyed by questionaire examining their food habit, nutrient intakes, degree of fatigue and cornell Medical Index(CMI). In this study, the male and female students were classified into two groups, respectively, the first group is not having jobs and the second is having jobs. The results were summerized as follows: 1. Evaluation status of food habit score indicated that the subjects were included in Fair and Poor group generally. Food habit score of female was significantly higher than score of male. For female students, food habit score of job group was significantly higher than score of non-job group(p<0.05). 2. Average intakes of calorie and protein were 1869.1 kcal and 68.3 g in male and 1612.4 kcal and 58.3 g in female. Other nutrients, such as vitamin $B_1$(1.1 mg), vitamin $B_2$(1.2 mg) and ascorbic acid(41.0 mg) in male, iron(13.5 mg), vitamin $B_2$(1.1 mg) and ascorbic acid(46.5 mg) in female were lower than the korean RDA. 3. The means of degree of physical, mental, neurosensory and CMI scores were 3.1, 1.9, 1.5 and 4.7 in male and 4.0, 2.4, 2.4 and 7.1 in female, respectively. For female students, though significancy was found between job group and non-job group in physical, neurosensory fatigue and CMI score(p<0.05, 0.01), but there were not significant differences in these score for male students. 4. There were significant positive correlation between three types of fatigue and CMI, whereas score of food habit was negative correlation for degree of physical, mental fatigue and CMI. The intakes of protein and vitamin $B_1$ were significantly related to the mental, neurosensory fatigue and CMI.

• Korean Journal of Adult Nursing
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• v.13 no.2
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• pp.247-261
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• 2001

This study was conducted to compare activities of daily living, fatigue and depression between rheumatoid arthritis patients and healthy persons. The subjects consisted of 53 rheumatoid arthritis patients and 53 healthy persons at a university hospital in Daegu City. Data were collected by means of structured interviews with questionnaires from July 20, 1999 to August 25, 1999. The instrument used in this study were the activities of daily living scale developed by Katz et al. (1970) and Barthel(1973), Multidimensional Assessment of Fatigue by Belza et al.(1995) and CES-D(Center for Epidemiologic Studies-Depression) scale. Analysis of data was done by use of descriptive statistics, Pearson Correlation, Chi-square test, t-test, ANOVA, MANCOVA and Duncan with the SPSS program. The major findings are summarized as follows : 1. The first hypothesis that the rheumatoid arthritis patients will have a lower degree of activities of daily living than the healthy persons was supported (F=4.584, p=.035). 2. The second hypothesis that the rheumatoid arthritis patient will have a higher degree of fatigue than the healthy persons was supported (F=7.799, p=.006). 3. The third hypothesis that the rheumatoid arthritis patients will have a higher degree of depression than the healthy persons was supported (F=4.768, p=.031). With the above results, it can be concluded that rheumatoid arthritis patients had a lower degree of activities of daily living and a higher degree of fatigue and depression than the healthy persons. Therefore, by providing appropriate nursing intervention, activities of daily living would be much better and fatigue and depression would be alleviated.

• Child Health Nursing Research
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• v.18 no.4
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• pp.184-191
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• 2012

Purpose: The purpose of this study was to provide basic data for nursing interventions to assist primary caregivers of young children by determining the degree stress and fatigue that caregivers were under due to parenting young children. Methods: Participants were primary caregivers (181 mothers and 160 grandmothers) of young children. Results: 1) Mean score for degree of parenting stress was 2.61 (${\pm}.69$) and for fatigue, 1.97 (${\pm}.54$). 2) There was a significant difference in degree of parenting stress according to primary caregivers' age, employment status, income, whether the children were wanted babies, health status of the children and caregivers, personality of the children, and benefits from, and satisfaction with costs of childcare. Likewise, there was a significant difference in degree of fatigue according to relationship of primary caregivers to the children, primary caregivers' age, religion, income, whether the children were wanted babies, health status of the children and caregivers, personality of the children, and benefits from, and satisfaction with costs of childcare. 3) Stress and fatigue perceived by the primary caregivers were significantly correlated (r=.554 p<.001). Conclusion: To alleviate more effectively primary caregivers' parenting stress and fatigue, early nursing intervention and educational programs need to be developed.

• Korean Journal of Adult Nursing
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• v.17 no.3
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• pp.435-443
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• 2005

Purpose: This study investigated the degree of fatigue of hemodialysis patients, and finds the relationship between fatigue and self-efficacy, family support, and sleep factor. Also, this study was purposed to provide fundamental data to help set up a nursing plan and intervention for recovery and mitigation of hemodialysis patient's fatigue. Method: The subjects in this study were patients treated as hemodialysis patients in Kwangjoo City. Data, subjects are 143 patients. Fatigue was measured using Lee's scale(1991), Self-efficacy using Kim's scale(1995), and Family support using Kim's scale(1993). For the analysis of collected data, Cronbach alpha, descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient, Stepwise multiple regression were used for statistical analysis by SPSSwin(version 11.0) program. Result: Fatigue degree of hemodialysis patients averaged 4.22. Among 143 hemodialysis patients, 70.63% patients answered that they had felt fatigue as noted in this study. The weariest time was after hemodialysis for 21.0% patients. There was significant difference according to the diagnosis period. The patients who were diagnosed over one year had felt more fatigue than ones who were diagnosed within one year. Fatigue was significantly associated with self-efficacy, family support, and sleep factor. Self-efficacy could explain 14.6% of fatigue. Conclusion: The fatigue degree relates with all, self-efficacy, family support, and sleep factor. Especially, it is affected by self-efficacy among them. Thus, the program should be developed to mitigate fatigue as the self-efficacy of hemodialysis is enhanced.