• 제목/요약/키워드: Disorder effect

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도박문제 심각도와 도박인지오류 간 우울의 매개효과: 도박문제치료 지역센터 자료 이차분석 (Mediating Effect of Depression on the Relationship between Gambling Severity and Cognitive Distortion: Secondary Data Analysis of Korea Center on Gambling Problems)

  • 이기령;홍정아
    • 정신간호학회지
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    • 제27권4호
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    • pp.370-379
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    • 2018
  • Purpose: The purpose of this study was to test the mediating effect of depression on the relationship between gambling severity and cognitive distortion in Koreans with a gambling disorder. Methods: Secondary data from a comprehensive assessment of problematic gambling between 2015 and 2017 on Korea Center on Gambling Problems were used. The subjects in this study were 254 Koreans with that gambling disorder. Data were collected with self-report structured questionnaires which included individual characteristics, the Korean version of Problem Gambling Severity Index, the Center for the Epidemiologic Studies Depression, and the Gambling Related Cognitions Scale. Data were analyzed by using descriptive statistics, independent t-test, one-way ANOVA with the $Scheff{\acute{e}}$ test, Pearson's correlation coefficients, and a mediation analysis of the Baron and Kenny method with the SPSS 22.0 program. Results: Significant correlations emerged among the three variables, gambling severity, depression, and cognitive distortion. Depression exerted a partial mediating effect (${\beta}=.20$, p<.001) on the relationship between gambling severity and cognitive distortion (Sobel test: z=2.33, p=.012). Conclusion: Based on this study's findings, nursing intervention programs focused on managing gambling severity and decreasing depression are highly recommended to alleviate cognitive distortion in people with a gambling disorder.

경피적 관상동맥 중재술 후 운동요법이 요통, 배뇨장애와 출혈 및 혈종에 미치는 영향 (The Effect of Exercise Therapy on Low Back Pain, Self-Urination Disorder, Bleeding, and Hematoma in Percutaneous Coronary Intervention Patients)

  • 이혜경;강성례;이충옥
    • 임상간호연구
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    • 제17권1호
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    • pp.35-45
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    • 2011
  • Purpose: The purpose of this study was to identify the effect of exercise therapy on low back pain, self-urination disorder, bleeding, and hematoma in Percutaneous Coronary Intervention (PCI) patients. Methods: A total of 64 PCI patients were recruited from C hospital located in C city, from June until August of 2010. The patients were divided into two groups as the exercise and control group. Thirty-two participants in the exercise group took bedrest for two hours after PCI, and then received excise therapy. The other 32 participants in the control group took the usual 8-hour bedrest with intermittent back care by the unit nurses. Results: In the relieving effect of low back pain, exercise group reported pain reduced faster than the control group. On the other hand, there were no significant differences between the two groups in alleviant of self-urination disorder, bleeding, and hematoma. Conclusion: Exercise therapy for reducing patients' low back pain showed to be an effective nursing intervention. Since there was no bleeding or hematoma after PCI in the exercise group, this study provided the ground suggesting that it might be possible to reduce the bedrest time after PCI without increased risk of bleeding or hematoma.

좌귀음(左歸飮)의 효능(效能)에 대한 문헌적(文獻的) 고찰(考察) 방안(方案) (Bibliographical studies on the effect of "Joa-gui Em"(左歸飮))

  • 최진경;유동열
    • 혜화의학회지
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    • 제14권1호
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    • pp.101-112
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    • 2005
  • As a result of studing on the "Joa-gui Em", we could reach conclusions as follows. 1. "Joa-gui Em" shows in vivo effect of that it supplement Kidney-Um essence and nomalize a physiological function of Kidney-Qi. 2. "Joa-gui Em" supplement Kidney-Um essence, it does not use in The Rise of Insubstantial Fire(음허화왕) body condition. 3. "Joa-gui Em" use in many ways women disease, in case of menstruation and meonpause disorder. 4. "Joa-gui Em" and "Joa-gui Hwan" are modification prescription of "Uk-mi-ji-hwang-hwan. 5. "Joa-gui Em" is a pure prescription in supplement Kidney-Um essence, Roast Glycyrrhizae Radix of prescription has effect of supplement Sam-cho Qi. 6. "Joa-gui Hwan" is similarly "Joa-gui Em." Colla Cornus Cervi and a Colla Cornus Glemmys of prescription have effect of supplement DUMAI and RENMAI CHONGMAI.

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미각 장애 환자 5례를 대상으로 한 대한 한방 치료의 효과 (The Effect of Traditional Korean Medicine Treatment on Patients with Taste Disorders: A Case Series of Five Patients)

  • 백승환;김진성;장승원;손지영;최제인;한성준;이엄지;류봉하
    • 대한한방내과학회지
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    • 제35권3호
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    • pp.383-397
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    • 2014
  • Objectives: The purpose of this study was to report the effect of traditional Korean medical therapy such as acupuncture, electroacupuncture and herbal medicine in taste disorder patients. Methods: We surveyed 5 taste disorder patients visiting the Oral Diseases Clinic in the Kyung Hee University Oriental Medicine Hospital from January, 2014 to June, 2014. Before starting traditional Korean medical therapy such as acupuncture, electroacupuncture and herbal medicine, the subjects were evaluated on severity of discomfort using visual analogue scale (VAS), salivary flow rate (SFR), quality of life about oral health (based on the 14-item Oral Health Impact Profile-14) and qi-stagnation condition (based on the 23-item qi-stagnation Questionnaire). Visual analogue scale was re-evaluated during the treatment period. Results: There was no relationship between diminished SFR and severity of discomfort. Also change or loss of taste did not influence the quality of life about oral health. However, stress which refers to qi-stagnation could be one of the reasons taste disorder occurs. After receiving traditional Korean medical therapy, all 5 patients' visual analogue scale score decreased. Conclusions: Traditional Korean medical therapy may potentially be an option for taste disorder. Further evaluations including pre-post comparison with larger number of cases will be needed in the future.

양극성 장애 환자의 기분 전환 현상 연구를 위한 다단계 모형의 적용 (The Application of Multi-State Model to the Bipolar Disorder Study)

  • 김양진;강시현;김창윤
    • 응용통계연구
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    • 제20권3호
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    • pp.449-458
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    • 2007
  • 양극성 장애 (bipolar disorder)는 조증 삽화 (manic episode)와 우울증 삽화 (depression episode)를 반복적으로 경험하는 기분장애이다. 양극성 장애환자에게 우울증은 조증보다 심각한 결과를 가져오며, 치료의 효과를 측정하기도 어렵다고 알려져 있다. 본 연구의 목적은 우울증(depression) 상태에 있는 환자들을 대상으로 항우울제를 사용하여 정상 (normal) 상태로 전환했을 때, 약물의 장기 사용으로 일어날 수 있는 조증 (mania)과 같은 부작용을 통제하고자 한다. 이를 위해 정상 상태에서 조증으로 전환하는데 소요되는 시간의 분포를 추정한다. 본 연구에서는 세 가지 방법, 모수적, 비모수적 그리고 준모수적 방법을 차례대로 적용하였다. 특히 기분 전환의 흐름을 파악하기 위해 3단계 모형을 사용하였다. 예를 들어, Illness-Death 모형하에서 기분 전환의 발생시점에 대한 분포를 추정하기 위해 계수 과정에 의해 기분 전환에 대한 과정을 모형화하였다.

자폐스펙트럼장애 아동의 수면 장애에 대한 국외 작업치료 중재의 체계적 고찰 : 2011년부터 2021년까지 (A Systematic Review of Overseas Occupational Therapy Intervention Study for Sleep Disorders in Children with Autism Spectrum Disorder : 2011~2021)

  • 최지은;안선정
    • 대한통합의학회지
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    • 제10권3호
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    • pp.95-105
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    • 2022
  • Purpose : This study aims to systematically review the methods of occupational therapy intervention in children with autism spectrum disorders having sleep disorders and evaluate the improvements with intervention effects, based on experimental studies of children with sleep disorders. Methods : Studies published overseas from January 2011 to June 2021 were searched from a total of two databases. Science Direct and OTseeker. The five selected studies were analyzed by dividing them into age, number, intervention period, intervention type, intervention effect, evaluation tool, research design type, and evidence level. Results : The total number of subjects was 182, 95 subjects in ther experimental group, and 87 in the control group. The interventions included weighted blankets, swimming, and sleep education for parents. Ther interventions were found to increase total sleep time, improve mood when waking up, reduce sleep anxiety, reduce sleep time, reduce the number of waking up of during sleep, and reduce sleep resistance behavior. Conclusion : Many people have sleep disorders, with or without disabilities, and the number is gradually increasing. Consequently, research on occupational therapy intervention in children with autism spectrum disorder are actively conducted in foreign countries, and these interventions have a positive effect. Based on the results of this study, it can be concluded that such occupational therapy intervention studies are necessary for children with autism spectrum disorder with sleep disorders in Korea. In addition, further research on the quality of life of parents of children with autism spectrum disorders due to sleep disorders and their methods are required.

출소 후 정신질환 치료결정에 영향을 주는 요인에 관한 연구 (Examining the Factors Affecting Prisoner's Decision-Making for Medical Treatment of Mental Illness after Release from Prison)

  • 홍문기;박종선
    • 디지털융복합연구
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    • 제20권1호
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    • pp.15-23
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    • 2022
  • 정신질환 재소자의 출소 후 치료에 대한 연구가 부족한 편이다. 본 연구의 목적은 정신질환 재소자들의 출소 후 치료결정에 영향을 주는 요인에 대해 분석하는 것이다. 따라서 2019년 남성 재소자들을 대상으로 설문조사를 실시하여 출소 후 치료에 대한 재소자들의 선호도와 여러 변수들의 인과관계를 이항 로지스틱회귀분석을 적용해서 분석하였다. 출소 후 치료계획이 없다고 응답할 가능성을 낮추는 요인은 재소자의 양극성 조울증, 우울증, 불안장애, 공황장애 증세이며, 반대로 출소 후 치료계획이 없다고 응답할 가능성을 높이는 요인은 수감 중 정신치료 경험이 없는 경우였다. 재소자의 양극성 조울증, 불안장애, 교도관 상담, 의사 치료와 학력은 정신건강병원에서 치료받을 계획이 있다고 응답할 가능성을 높이는 요인이었으며, 정신건강복지센터에서 치료받을 계획이 있다고 응답할 가능성을 높이는 요인은 재소자의 우울증이었다. 이를 바탕으로 관련 규정의 명문화, 정신질환 재소자 병력 공유 등을 정책대안으로 제안하며, 후속연구에서는 여성재소자들이 포함된 보다 다양한 변수들의 영향을 분석할 예정이다.

회전근개 질환의 전침 치료에 대한 체계적 문헌고찰 및 메타분석 (Electroacupuncture for Rotator Cuff Disorder: A Systematic Review and Meta-Analysis)

  • 나복연;이상훈;우창훈;김영준
    • 한방재활의학과학회지
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    • 제34권3호
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    • pp.27-41
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    • 2024
  • Objectives This study aims to evaluate the efficacy and safety of electroacupuncture for rotator cuff disorder. Methods We searched nine online databases (PubMed, Embase, Cochrane Library, Chinese Academic Journals, Korean studies Information Service System, Rsearch Information Sharing Service, ScienceON, KMbase, Oriental Medicine Advanced Searching Integrated System) and two related journals up to April 2024 to identify randomized controlled trials that applied electroacupuncture to rotator cuff disorder. Selected studies were analyzed for risk of bias using the Cochrane risk of bias tool, and a meta-analysis was performed with RevMan version 5.4.1. Results Out of 175 studies, eleven randomized controlled trials were selected for final analysis. Most studies showed that electroacupuncture had effect on rotator cuff disorder. In the meta-analysis, electroacupuncture combined with rehabilitation treatment was significantly more effective than rehabilitation treatment alone in improving visual analog scale (p<0.00001). Almost studies did not report any side effects or adverse reactions to electroacupuncture treatment. Conclusions This systematic review suggests that electroacupuncture is an effective treatment for pain management in rotator cuff disorder. However, the lack of adverse effect reporting and a high risk of bias indicate the need for high-quality randomized controlled trials from various countries.

측두하악관절장애 환자 194례에 대한 임상적 고찰 (The Clinical Study on 194 Patients of Temporomandibular Disorder)

  • 조재희;이효은;이한;정호석;김은석;한경완;문자영
    • Journal of Acupuncture Research
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    • 제26권4호
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    • pp.39-47
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    • 2009
  • Objectives : These studies are designed to make a survey of the effectiveness of oriental medicine treatment on temporomandibular disorder. Methods : The clinical study was done on 194 cases of patients with temporomandibular disorder who was treated in Ja-Seng Oriental Medicine Hospital from January 2008 to June 2008. After treatment we checked VNRS(verbal numerical rating scale) score and five-point linkert scale. Also we observed the change of symptom of click sound and trismus. Results : After the last treatment, The mean VNRS(verbal numerical rating scale) score changed 4.63 to 2.25. The click sound was disappeared of 53% patients, and the trismus was disappeared of 57% patients. And The five-point linkert scale were checked 3.78. Conclusions : It is concluded that oriental medicine treatment has on useful effect on temporomandibular disorder.

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Treatment of Hominis placenta pharmacopuncture for a patient with mild neurocognitive disorder: Case report

  • Kim, Yunna;Eom, Yoon Ji;Cho, Seung-Hun
    • 대한약침학회지
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    • 제22권4호
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    • pp.279-283
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    • 2019
  • Hominis placenta pharmacopuncture, a treatment that injects Hominis placenta extract into acupoints, has been suggested in the literature and researches that it could be used for cognitive decline. We experienced a case of mild neurocognitive disorder treated with Hominis placenta pharmacopuncture. Hominis placenta pharmacopuncture could be a possible treatment modality producing substantial clinical result in cognitive function which is assessed with Mini-Mental State Examination-Dementia Screening (MMSE-DS), Korean Version of Montreal Cognitive Assessment (MoCA-K), and Korean-Dementia Rating Scale (K-DRS). A 84-year-old man with mild neurocognitive disorder received Hominis placenta pharmacopuncture on GV20, CV12, and bilateral ST36 for a month. The results of neuropsychological examination showed increase in scores after treatment of Hominis placenta pharmacopuncture. Before treatment, they were 15 points for MoCA-K, and 120 points for K-DRS (7.6%), but after treatment, they elevated by 21 points for MoCA-K and 137 points for K-DRS (100%). MMSE-DS score was 28 points, unchanged before and after treatment. It did not cause any side-effect. Hominis placenta pharmacopuncture could be a safe option for treating mild neurocognitive disorder.