• Title/Summary/Keyword: Fatigue Severity Scale

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Hematologic and Serological Investigation of Effect on Gyeongokgo in Healthy Individuals : a Randomized, Subject-assessor-blind, Placebo-controlled, Single-center Pilot Study

  • Sunwoo, Yun-Young;Kim, Hye Jung;Kim, Ja Young;Yang, Na Rae;Lee, Jin Hyun;Park, Tae Yong
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.33 no.4
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    • pp.239-248
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    • 2019
  • There are no published data on Gyeongokgo (GOK) safety or efficacy despite being commonly use. The Gyeongokgo (GOK) is commonly used in traditional Korean medicine to promote a health qi and blood, but their objective data was not sufficient in clinical field. To investigate the safety and efficacy of GOK with hematologic and serologic testing and the change of the quality of life in healthy individuals. Randomized, subject-assessor-blind, placebo-controlled, single-center pilot study Participants and Interventions 29 healthy volunteer subjects were randomly placed into the GOK group (n = 20) or placebo control group (n = 9) and instructed to take one treatment packet (GOK or placebo) twice daily for 4 weeks. Subjects were assessed using the Fatigue Severity Scale (FSS) and Short Form 36 Health Survey (SF-36) and underwent hematologic and serologic tests and body composition analysis. The FSS total score (p = 0.093) and SF-36 general health index (p = 0.002) were improved following treatment in the GOK group. Post-treatment thyroid-stimulating hormone levels were increased in the GOK group compared with pre-treatment levels (p = 0.0042). C-reactive protein levels decreased (p = 0.0256) in the GOK group compared with that the placebo group. In time-series tests, GOK did not affect post-prandial serum triglycerides, glucose, insulin, or C-peptide levels. Notably, elevations in serum fasting triglycerides at 2- (p = 0.0333) and 4-hours (p = 0.0414) post-prandial were lower than those in the placebo group. GOK reduced fatigue levels and did not significantly affect laboratory test results performed to measure safety, serum glucose, and lipid profiles. Post-meal triglyceride levels were effectively reduced with treatment.

A Case Report on the Use of Korean Medicine Treatment of a Patient with Post Covid-19 Syndrome of Fatigue and Headache (피로, 두통을 호소하는 COVID-19 감염 후유증 환자에 대한 한의복합치료 1례)

  • So-Jung, Park;Hee-kyung, Kang;So-yeon, Kim;Young-ju, Yun;In, Lee;Chang-woo, Han;Jin-woo, Hong;Jung-nam, Kwon;Jun Yong, Choi
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.36 no.6
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    • pp.242-246
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    • 2022
  • The purpose of this study is to report on the clinical improvement of a patient treated with Korean medicine for Post COVID-19 syndrome. A 52-year-old male patient with headache and chronic fatigue was diagnosed with post-acute COVID-19 syndrome. He had clinical symptoms such as headache, sweating, fatigue, and insomnia and was treated with acupuncture and herbal medicines such as Sasammaekmoondong-tang. To assess the treatment outcomes, the authors used the Fatigue Severity Scale (FSS) and the Numeral Rating Scale (NRS). Following treatment, fatigue improved, with the FSS score dropping from 48 at the first visit to 18 at the final visit, and clinical symptoms such as headache and insomnia disappeared. According to the findings of this study, Korean Medicine could be used in the clinic to treat post-COVID-19 complications.

Differences in Sleep, Fatigue, and Neurocognitive Function between Shift Nurses and Non-shift Nurses (교대 근무 간호사와 비교대 근무 간호사 간의 수면, 피로도 및 신경인지기능 차이)

  • Jung, Yoo Jin;Kang, Seung Wan
    • Korean Journal of Adult Nursing
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    • v.29 no.2
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    • pp.190-199
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    • 2017
  • Purpose: The purpose of this study was to investigate the differences in sleep, fatigue, and neurocognitive function between shift nurses and non-shift nurses. Methods: A cross-sectional descriptive study design was used. A total of 100 nurses participated in the study. 50 were shift nurses and the remaining 50 were non-shift nurses. The Pittsburgh Sleep Quality Index, Fatigue Severity Scale, and a computerized neurocognitive function test (CNS Vital Signs-VS4) were administered to the subjects to assess verbal and visual memory, processing speed, reaction time, and simple attention. After the last night shift, the shift nurse conducted the study at around 8:00 am and the non-shift nurse participated after work. Results: Compared to non-shift nurses, shift nurses had a significantly lower sleep quality (p=.002) and higher fatigue (p=.001) and achieved significantly lower scores on verbal memory (p=.001), processing speed (p=.003), and reaction time (p=.018). There were significant correlations between sleep quality and processing speed (p=.042), and reaction time (p=.015) of shift nurses who were bad sleepers. Conclusion: This study findings suggest shift work could interfere with cognitive function. Personal and organizational programs should be developed to support their sleep and neurocognitive function.

The Relationship between Fatigue and Self-efficacy in Patients with Lung Cancer (폐암환자의 피로와 자기효능의 관계)

  • Lee, Jj-Hyun;Sohn, Sue-Kyung
    • Research in Community and Public Health Nursing
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    • v.13 no.4
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    • pp.710-718
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    • 2002
  • Purpose: The purpose of this study was to identify the relationship between fatigue, and self-efficacy in patients with lung cancer. Method: The data was collected from January 21th to April 8th 2001. The study subjects were recruited from K hospital in Pusan, Korea. Their fatigue was measured using the 22-item Revised Piper Fatigue Scale developed by Piper et al. (1998) and translated by the investigators, and self-efficacy was measured using the 10-item General Self-efficacy Questionnaire developed by Lee, Schwarzer & Jerusalem. The data were analyzed by SPSS 10.0 program using frequency, percentage, mean and standard deviation, t-test, ANOVA, Post-hoc test (Scheffe's test), and Pearson Correlation Coefficients. Result: 1) The mean fatigue score was $118.48{\pm}33.02$ (range: 22-220). The scores for sub-dimension were $35.40{\pm}10.06$ in behavior/severity, $25.98{\pm}9.06$ in affective score, $27.88{\pm}10.06$ in sensory score, and $29.22{\pm}8.27$ in cognitive/mood. The mean self-efficacy score was $28.80{\pm}5.85$. 2). There were significant differences in the fatigue of patients with lung cancer on income per month (F=4.651, p= .014), 'present pain' (F=2.601, p= .012), 'change of weight' (F=5.911, p= .005), by general characteristics. 3) There were significant differences in the self-efficacy of patients with lung cancer on 'religion' (F=3.732, p= .031), 'employment status' (F=5.525, p= .003), 'past therapy' (F=2.869, p= .034), by general characteristics 4) There was a significant negative correlation between fatigue and self-efficacy (r=- .528, p= .000). Conclusion: Patients with lung cancer experience fatigue. Increased fatigue is associated with decreased self-efficacy. Nurses must provide patients with nursing care for the less occurrence of fatigue and interventions to manage self-efficacy for them.

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Relationship between Fatigue and Sleep Quality in Patients with Cancer (암환자의 피로와 수면의 질과의 관계)

  • Sohn, Sue-Kyung
    • Korean Journal of Adult Nursing
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    • v.14 no.3
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    • pp.378-389
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    • 2002
  • Purpose: The purpose of this study was to identify the relationship of fatigue and quality of sleep in patients with cancer. Method: The data was collected from January to February 2001. Study objects were recruited K university hospital in Busan, Korea. Their fatigue was measured using the Revised Piper Fatigue Scale developed by Piper et. al(1998), and quality of sleep was measured using Quality of Sleep Questionare by Oh et. al(1998). Result: 1) The fatigue score was mean $114.80{\pm}34.88$(range: 22-220). The sub dimension that showed behavior/severity score at $33.70{\pm}13.89$, affective score at $24.23{\pm}3.33$, sensory score at $27.74{\pm}12.51$, and cognitive/mood score at $29.11{\pm}3.71$. And sleep quality score was mean $37.32{\pm}8.18$. 2) There was a significant difference in religion(F=4.157, P= .008), present therapy(F=2.536, P= .043), past therapy(F=6.625, P= .000), major caregiver(F=3.133, P= .028), and change of weight(F=7.965, P=.006), according to general characteristics in the fatigue in patients with cancer. 3) There was a significant difference in present pain(t=-2.103, P= .037) and change of weight(F=5.484, P=.005), according to general characteristics in the sleep quality in patients with cancer. 4) There was a significant negative correlation between fatigue and quality of sleep(r=- .340, P= .000). Conclusion: Patients with cancer experience in fatigue. Increase in fatigue are associated with decreases in quality of sleep. Nurses must provide patients with nursing care about the occurrence of fatigue and interventions to deal with sleep disturbance.

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The relation of fatigue, stress with quality of sleep among nursing students (간호대학생들의 피로, 스트레스와 수면의 질 관계)

  • Chung, Eunja;Lee, Yumi
    • The Journal of the Convergence on Culture Technology
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    • v.6 no.4
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    • pp.311-316
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    • 2020
  • The purpose of this study is to compare fatigue, stress and quality of sleep between good sleep quality and poor sleep quality. Fatigue, stress and quality of sleep were assessed using three questionnaires; fatigue severity scale(FSS), Perceived stress scale(PSS), and Pittsburgh sleep quality index(PSQL). As a result of the study, the higher stress(22.2 vs. 19.0, p=.000) and poorer quality of sleep(11.2 vs. 5.7, p=.000) were observed between good sleep quality and poor sleep quality groups. Our finding show that time of going to bed and stress level influenced quality of sleep.

A Case of Anemia with Chronic Kidney Disease Using Shipjeondaebo-tang (십전대보탕이 유효했던 신성 빈혈 환자 1례)

  • Kim, Soo-hyun;Kim, Jae-hak;Lee, Hyun-ku;Cho, Ki-ho;Mun, Sang-kwan;Jung, Woo-sang;Kwon, Seung-won
    • The Journal of Internal Korean Medicine
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    • v.40 no.2
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    • pp.173-180
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    • 2019
  • Objective: In this case report, we address the case of a 47-year-old man with anemia due to chronic kidney disease. Methods: A patient was treated with Korean medicine including an herbal medication, Shipjeondaebo-tang. We evaluated the improvement of symptoms by biochemical examination of blood, complete blood cell count and total score of Fatigue Severity Scale (FSS). Results: After 15 days of Korean medicine treatment, there was an increase in hemoglobin states, even after intervention ended, for over 30 days with improvement of the patient's fatigue. Conclusions: This study suggested that Shipjeondaebo-tang might be effective in patient's renal anemia and fatigue recovery.

Effect of Sleep Quality on Fatigue and Quality of Life : a Sasang Constitutional Medicine Perspective (사상체질에 따른 수면의 질과 피로 및 삶의 질 관련성)

  • Park, Ji-Eun;Mun, Sujeong;Lee, Siwoo
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.34 no.1
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    • pp.37-44
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    • 2020
  • Previous studies have reported an association between poor sleep and various symptoms and diseases, such as fatigue, obesity, depression, and anxiety. The effects of poor sleep may differ by age and sex. In addition, sleep characteristics and their effects may vary according to Sasang constitutional type. The aim of this study was to investigate the associations between sleep quality, fatigue, and quality of life and to assess whether these differ by constitutional type. Participants were individuals aged 40-69 years living in two Korean communities in 2012-2014. Sleep quality, fatigue, and quality of life were measured using the Pittsburgh Sleep Quality Index (PSQI), the Fatigue Severity Scale, and the 12-item Short Form Health Survey, respectively. The effects of total PSQI score and PSQI component scores were analyzed using a generalized additive model. A Korean Sasang constitutional diagnostic questionnaire was used to assess Sasang constitution. Data for 5,793 participants were analyzed. Poor sleep quality was related to greater fatigue, and lower physical and mental quality of life. The PSQI components including subjective sleep quality, sleep latency, sleep disturbances, use of sleep medications, and daytime dysfunction were associated with fatigue and physical and mental quality of life. Sleep quality was significantly lower in So-Eum compared to So-Yang and Tae-Eum. PSQI component scores for fatigue and quality of life differed significantly by Sasang constitution: for Tae-Eum, sleep latency and use of sleep medications; for So-Eum, daytime dysfunction; and for So-Yang, use of sleep medications and daytime dysfunction. The effects of different aspects of sleep quality differ by Sasang constitution. To improve sleep quality, interventions need to be tailored to constitutional type.

Study on Vibration Fatigue Analysis of Automotive Battery Supporter (자동차 배터리 지지 구조의 진동 피로 해석에 대한 연구)

  • Ah, Sang Ho
    • Journal of Auto-vehicle Safety Association
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    • v.11 no.4
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    • pp.22-27
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    • 2019
  • In this paper, the vibration load and analysis results for automotive battery supporter were performed to provide efficient vibration tolerance performance prediction methods for single-product vibration tolerance testing, and the major influencing factors and considerations for setting up single-unit vibration tolerance tests were reviewed. A common applicable standard load was applied to efficiently predict the performance of single-unit vibrations through the frequency response analysis technique. The results similar to test results can be predicted by checking vulnerable parts of the vehicle components for vibration loads and applying scale factor to standard loads. In addition, it was confirmed that the test conditions with a frequency generating the same durability severity as the endurance test are needed for accurate prediction of the durability of the single-unit vibration tolerance test conditions, and the acceleration and frequency with the conditions that there is no significant nonlinear phenomena in the vibration system are established during the single-unit vibration tolerance test conditions.

Acupuncture for Chronic Fatigue Syndrome and Idiopathic Chronic Fatigue : a Protocol for a Pilot Randomized Controlled Trial (만성피로증후군과 특발성 만성피로에 대한 침 치료의 유효성 및 안전성 평가 : 무작위 대조 예비 임상연구 프로토콜)

  • Kim, Jung-Eun;Kang, Kyung-Won;Kim, Tae-Hun;Jung, So-Yong;Kim, Ae-Ran;Shin, Mi-Suk;Park, Hyo-Ju;Hong, Kwon-Eui;Choi, Sun-Mi
    • Korean Journal of Acupuncture
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    • v.28 no.3
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    • pp.151-163
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    • 2011
  • Objectives : Our aim is to evaluate feasibility for massive clinical research and to make basic analysis of efficacy and safety of acupuncture treatment for chronic fatigue syndrome and idiopathic chronic fatigue. Methods : This study is a protocol for a pilot randomized controlled trial. It was developed through literature searches and discussions among researchers. Results : Forty participants allocated to acupuncture group and wait-list group. Participants allocated to acupuncture group will be treated three times per week for a total of 12 sessions over four weeks. Eight points (GV20; bilatral GB20, BL11, BL13, BL15, BL18, BL20, BL23) have been selected for the acupuncture group. Participants in the wait-list group will not receive acupuncture treatment during study period and follow-up will be made in the 5th and 9th weeks after random allocation. Then the same acupuncture treatment as that performed to the acupuncture group will be made to the wait-list group. Fatigue Severity Scale, a short form of Stress Response Inventory, Beck Depression Inventory, and Insomnia Severity Index will be used as outcome variables to evaluate the efficacy of acupuncture. Safety will be assessed at every visit. Conclusions : The trial based on this study will be performed. The results of the trial will provide basis for the efficacy and safety of acupuncture treatment for chronic fatigue syndrome and idiopathic chronic fatigue.