• 제목/요약/키워드: Fatigue scores

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Oxaliplatin-Induced Peripheral Neuropathy and Quality of Life in Patients with Digestive System Cancer

  • Kim, Hye Young
    • 성인간호학회지
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    • 제28권3호
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    • pp.343-353
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    • 2016
  • Purpose: This study aimed to identify the levels of oxaliplatin-induced peripheral neuropathy (OXLIPN) and the quality of life (QOL) related to OXLIPN in patients with digestive system cancer. Methods: A total of 83 patients with chemotherapy-induced peripheral neuropathy (CIPN)-related symptoms participated in this study. Data were collected through self-reported questionnaire which were constructed to include general and clinical characteristics, EORTC QLQ-C30, Patient Neurotoxicity Questionnaire (PNQ), and EORTC QLQ-CIPN20. Results: The average scores of OXLIPN upper and lower extremity scale were 30.01 and 29.16, respectively. The average scores of PNQ sensory and motor scale were 2.11 and 1.70, respectively. The mean score of the QLQ-C30 global health status was 54.85, and the range of mean score of the functional and symptom subdomains was 34.85~73.29 and 17.67~53.54, respectively. The CIPN-related symptoms positively correlated with the global health status scale and all subdomains of functional scale, respectively and negatively correlated with fatigue, pain, dyspnea, insomnia, and financial problem subdomains of the symptom scale, respectively. Conclusion: Oncology nurses should pay attention and provide remedies for CIPN symptoms reported by their patients. Nursing interventions should be developed for patients with digestive system cancer to alleviate CIPN and enhance their QOL.

소아암 환아의 건강문제와 사회심리적 적응 (Health Problems and Psychosocial Adaptation of Children with Cancer)

  • 오가실;심미경;손선영
    • 대한간호학회지
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    • 제33권2호
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    • pp.293-300
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    • 2003
  • Purpose: The purpose of this study was to describe health problems and psychosocial adaptation in children with cancer and to determine the relationship between these two variables. Method: The data were collected from parents of 61 children with cancer, aged 4-11 years at one university hospital in Seoul. The instruments for this study were the Korea Child Behavior Check List (KCBCL) and a physical symptom checklist developed by the researchers. Result: The major health problems were coughing, sleeping disturbances, fatigue and weakness. The total behavior problem score for children in the cancer group was higher than the score for those in the norm group. The scores on the scales for withdrawal, somatic complaints, social immaturity, and internalizing problems were higher in the children with cancer compared to normative findings. Scores on social and school competence in the cancer group were lower than the norms for healthy children. The relationship between health problems and psychosocial adaptation was significant in the subscales of withdrawal, anxiety/depression, internalizing problems and social involvement in the off therapy group. Conclusions: This study shows the various areas that need further study in caring for children with cancer.

초등학교 여교사들의 음성장애지수와 음성오남용 특성 (The Characteristics of Voice Handicap Index and Vocal Misuse and Overuse in Female Elementary Teachers)

  • 최성희;최철희
    • 말소리와 음성과학
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    • 제5권4호
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    • pp.53-61
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    • 2013
  • Voice disorders are most common in female teachers due to work-related vocal demands; however, only a few studies tried to evaluate individual risk factors with work-related risk factors to diagnose voice disorders. This study evaluated sixty-seven female elementary teachers (36 with voice disorders and 31 without voice disorders) to compare their vocal misuse, overuse, and vocal hygiene behaviors. Total Voice Handicap Index scores and VHI subscale (P, E, F) scores were not significantly different between two groups (p>0.05) and there was no relationship between VHI and acoustic measures (p>0.05). Loud talking, talking in noisy situations, and excessive speaking were significantly more frequent in female teachers with voice disorders (p<0.05) and thereby these overuse and misuse behavioral patterns were identified as risk factors to develop voice disorders in female teachers. Also, hydration was the most common behavior for vocal hygiene when experiencing vocal fatigue; however, hydration with hot green tea or coffee and throat clearing were often misused for vocal hygiene. This study found that female teachers from both groups presented higher voice handicap regardless of voice disorders. This study suggests a multidimensional voice assessment protocol is required to reflect voice problems in teachers and a vocal education program may be important to improve vocal hygiene knowledge and behavioral changes in female teachers.

중년 여성과 남성의 삶의 질 비교 (Comparison of Quality of Life of Middle aged Women and Men)

  • 한숙정;권명순;윤오순
    • 가정간호학회지
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    • 제19권2호
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    • pp.183-194
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    • 2012
  • Purpose: The purpose of this study was to compare the quality of life(QOL) between middle-aged women and men. Method: In this study, we surveyed 482 middle-aged women and men living in Seoul aged between 40 and 64. Data were analyzed t-test, ${\chi}^2$-test, and 2-way ANOVA. Results: There was no significant difference between satisfaction and importance of the life of middle-aged women and men of the overall. However, while the case of middle-aged women showed a significant difference in the emotional support from people who are not family members, middle-aged men showed significant differences between the importance and satisfaction of the life with spouse, the ability to take care of family responsibilities, sex life, energy(fatigue), personal appearance, and pain. In addition, the overall quality of life scores showed no gender difference between the middle-aged women and men but in the quality of life both genders, the family area of the sub-area showed high scores. Conclusion: It is suggested that further repetitive studies for middle-aged women and men are needed by using the same tool of this study and various health promotion programs based on the result of this study should be developed for middle-aged.

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척수손상환자의 우울성향에 관한 연구

  • 강순희
    • 대한물리치료사협회지
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    • 제13권1호
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    • pp.5-17
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    • 1992
  • Depression in Spinal Cord Injury Patients Kang, Soon Hee, M.Ed., R.P.T. Dept. of Rehabilitation Medicine, Kyung-Hee University Medical Center Depressions have the potential to affect adversely the rehabilitation of patients with spi-nal cord iniury. The present study examined depression, functional independence, and demographic and medical characteristics for 49 spinal cord injury(SCI) patients. This investigation involved the administration of the Beck Depression Inventory, the Modified Barthel Index, and aquestionnaire consisted of 14 items, The results were as follows .1. Compared to normal subjects, SCI patients had significantly higher BDI scores.2. When the cut-off point of HDI scores was assumed 21, 26.1% of normal subjeets and 75.5% of SCI patients appeared to be depressed. Depression in SCT patients were not related with age, sex, marital status, injury evel, severity, duration, pain, functional independence and medical charge. Depression in SCI patients were related with education level, economic level, age at injury, motivation. Depression in normal subjects were related with age, education level, economic level, but not related with sex, marital status. There were significant differences at 30 items of BDI between normal subjects and SCI patients. The items were as fellows . 1 sadness, 2 pessimism, 3 failure, 4 dissat-isfaction, 5 guilt, 6 punishment. 7 self-dislike 9 suicidal, 10 crying, 11 irritability, 12withdrawl, 13 indecisive, 14 self-image, IS work inhibition, 16 insomnia, 17 fatigue,18 anorexia, 19 weight loss, 20 hypochondria, 21 libido loss.

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야간전담간호사와 3교대간호사의 표준 교대근무 지표(Standard Shiftwork Index) 차이 (A Comparison of Standard Shiftwork Index between Night Shift Fixed Nurses and Rotating Shift Nurses)

  • 김정희;김명숙;김연희
    • 임상간호연구
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    • 제23권1호
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    • pp.54-63
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    • 2017
  • Purpose: The purpose of this study was to compare the working status and Standard Shiftwork Index (SSI) between night shift-fixed nurses and rotating shift nurses. Methods: Participants were 367 nurses working as registered nurses at 7 different medical institutions. The data were collected from August 8, 2016 to September 30, 2016. Results: Night shift fixed nurses were more satisfied with work schedule than rotating shift nurses. Rotating shift nurses reported higher SSI scores, such as chronic fatigue, musculoskeletal problems, than night shift fixed nurses. In SSI's sub-items, rotating shift nurses reported higher scores, such as the amount of sleep, feeling well after sleep, heartburn or stomach-ache and heartbeat irregularities, than night shift fixed nurses. Conclusion: The results indicated that night shift fixed system might be an effective method to improve nurses' work satisfaction. It is necessary to figure out any suitable night shift fixed system based on the characteristics of each nursing organization. The SSI might be an useful tool to measure the nurses' satisfaction in reference to their work shift.

우울척도에 의한 대학생의 정신건강 평가 (A Study on Depression in College Students)

  • 이종범;박병탁;정성덕;정종학
    • Journal of Yeungnam Medical Science
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    • 제2권1호
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    • pp.123-133
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    • 1985
  • 영남대학교에 다니고 있는 남녀 대학생 5,869명(남 : 3,893, 여 : 1,976명)을 표본으로 Zung의 자가평가 우울척도를 사용하여 우울을 평가한 결과 다음과 같은 결론을 얻었다. 우울성적의 총점은 남 : $41.3{\pm}8.66$, 여 : $45.7{\pm}8.23$으로 여대생이 유의하게 높은 성적을 보였다(P<0.001). 우울의 항목별 성적은 남녀 대학생 모두에서 혼동, 우유부단 및 정신운동지연 등의 성적이 높았고, 자살의도, 정신운동흥분, 변비 및 빈맥 등의 성적이 낮았다. 우울성적의 분포는 50점 이상의 고득점자가 남: 711명(18.2%), 여 : 655명 (33.1%)으로 여자 대학생에서 높은 율을 보였으며, 전체적으로는 남녀 총 1,366명 (23.3%)이었다. 우울성적과 관련된 사회정신의학적 요인들 중 남녀 대학생에게 공통적으로 유의한 영향을 끼친 것은 소속대학 선택과 현 소속학과에 대한 불만족(각각 P<0.001, P<0.001) 및 과거의 성취도, 현재의 만족도와 미래의 기대에 대해 비관적(각각 P<0.001, P <0.001, P<0.001)인 경우이었다. 남대생 단독으로 유의하게 영향을 마친 요인은 1학년 (P<0.001), 출신고교 소재지가 읍단위 (P<0.05), 무종교 (P<0.001), 부모가 학비부담 (P<0.001) 및 월잡비 일만원 이하 (P<0.01)인 경우이었다. 여대생 단독으로 유의하게 영향을 미친 요인은 천주교 (P<0.05) 및 형제자매가 학비를 부담하는 경우 (P<0.01)이었다. 피로, 과민성, 빈맥, 절망감, 우울감 및 불만족 등의 우울척도의 항목과 피로, 불안, 심계항진, 우려, 두려움 및 전신통증의 불안척도의 항목들이 상관계수 0.40 이상으로 서로 상관이 있는 것으로 나타났다.

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투석환자의 삶의 질에 미치는 영향요인 분석 (A Study on factors Affecting Quality of Life in Patients on Dialysis)

  • 김남초;송효정;오정아;김태양;김명자
    • 기본간호학회지
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    • 제10권2호
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    • pp.163-170
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    • 2003
  • Purpose: This study was done to identify stress, fatigue, and self efficacy in patients on dialysis and identify their effect on quality of life. Method: The participants (n=149) who agreed to participate in the research were selected from among those who were on dialysis treatment at C University Medical Centers in Seoul and Inchon, and at C University Medical Center in Jeju. The data were collected from July, 2001 to March, 2002 using interviews. Data analysis was done with t-test, ANOVA, and multiple stepwise regression using the SAS program. Result: Quality of life was significantly different according to economic status, and type of dialysis. Quality of life for the group with higher economic status was better than for the group with lower economic status, and the group on peritoneal dialysis had higher quality of lift scores than the group on hemodialysis. As for self-efficacy, there were significant difference according to duration of disease, type of dialysis, and duration of dialysis. Stress was significantly different according to marital status. Quality of life was significantly predicted by stress (40.02%) and fatigue (3.85%). Conclusion: To improve quality of life for people on dialysis, their stress should be treated positively, also multi-dimensional nursing interventions to provide emotional support and nursing interventions to diminish fatigue are required.

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이압요법이 안구건조증에 미치는 효과: 대학생을 대상으로 (The Effects of Auriculotherapy on Relieving Symptoms of Dry Eye Syndrome)

  • 박금주;강동훈;김다솜;강선영;서앵두;윤지선;정연상;최효진
    • 한국학교보건학회지
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    • 제31권3호
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    • pp.178-185
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    • 2018
  • Purpose: This study aims to examine the effects of auriculotherapy on reducing signs of dry eye syndrome. Methods: This study is based on a pretest-posttest nonequivalent control group design. The participants who scored higher than 13 on the Ocular Surface Disease Index (OSDI) were divided randomly into two groups, the experimental group (n=45) and the control group (n=44). Auriculotherapy was performed by researchers for 2 weeks. For the experimental group, seed stickers were applied to the eye, liver, shenmen, and tubercle point of their ears. The pretest and the posttest included the same questionnaires of the OSDI as well as the Visual Function Questionnaire (NEI-VFQ25) and the eye fatigue. Data were analyzed by descriptive statistics, $x^2$ test, t-test and paired t-test, using SAS 20.0 program. Results: The difference in the OSDI's scores showed a significant decrease between the pretest and the posttest (t=-4.12, p<.001) in the experimental group. No significant difference was found in the NEI-VFQ25 (t=-0.10, p=.921, t=-0.91 p=.374). However, the experimental group showed a significant decrease in eye fatigue (t=5.78, p<.001), whereas the control group showed no difference (t=1.38, p=.18). Conclusion: Auriculotherapy can be used effectively on relieving the symptoms of dry eye syndrome and eye fatigue. However, the quality of life related to eyes was not improved by auriculotherapy.

신불안.우울척도에 의한 대학신입생의 정신건강평가서 (A Study on Anxiety-Depression in College Freshmen)

  • 이종범;김창수;박형배;박병탁;이중훈;정성덕
    • Journal of Yeungnam Medical Science
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    • 제4권2호
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    • pp.29-38
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    • 1987
  • 1987년 영남대학교 신입생 3,816명 (남학생 ; 2,564명, 여학생 ; 1,252명)을 대상으로 1987년 1월부터 동년 2월까지 신불안 우울척도를 사용하여 평가한 불안 우울성적의 결과는 다음과 같다. 1. 불안 우울성적의 평균총점은 남학생이 $33.41{\pm}8.76$이었고, 여학생이 $35.43{\pm}9.02$로 양균간에 유의한 차이가 있었다.(P<0.001). 2. 신불안 우울척도의 항목별 성적이 남녀학생 공 공히 높은 항목은 수면장애, 후회감, 안면홍조 및 피로 등이었고 남녀학생 공히 낮은 항목은 졸도감, 절망감, 자살의도, 두려움 및 악몽 등이었다. 3. 신불안 우울척도의 총점이 50점이상인 고득점자는 남학생이 139명(5.4%), 여학생이 88명(7.0%)이었다. 4. 사회정신의학적 요인들중 남녀학생의 불안 우울성적에 공히 영향을 끼친 것은 가정분위기나 부모의 친숙도에 대하여 불만일 경우, 소속대학이나 소속 학과에 대하여 불만일 경우 및 과거, 현재 및 미래의 자아상에 대한 태도가 비판적인 경우 (이상 각 P<0.001) 등이었다.

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