• Korean Journal of Health Education and Promotion
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• v.26 no.4
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• pp.63-70
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• 2009

Objectives: Work stress is associated with increased risk of fatigue. The purpose of this study was to identify the relationship of work stress and fatigue among Medical Insurance Review Nurses. Methods: The subjects of this study were 117 nurses in charge of medical insurance review. A structured questionnaires were employed to evaluate the nurses' sociodemographics, work stress and fatigue. The data were analysed through frequency, percentile, mean, standard deviation, Chronbach's $\alpha$, Pearson's correlation coefficient, and multiple regression. Results: Mean scores of work stress and fatigue of participants were 3.29 and 1.97 respectively. Work stress was correlated with fatigue significantly (r=.39). There were effects on fatigue by work performance satisfaction and the frequency of insurance request among sociodemographics. Job conflicts with doctors which was a domain of work stress was increased fatigue. Conclusion: The results of this study suggest that work performance satisfaction, the frequency of insurance request and job conflicts with doctors are significant predictors of fatigue. Thus, a strategy to enhance nurses' work environment and to reduce work stress through developing interpersonal relationship is recommended.

• Journal of Pharmacopuncture
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• v.17 no.4
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• pp.55-60
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• 2014

Objectives: This study was designed to evaluate the efficacy and the safety of constitutional herbal tea for treating chronic fatigue with no diagnosed cause, which is called Mibyeong in Korea. Methods: Males and females with ages between 40 and 59 years who had complained of fatigue for 1 month consistently or for 6 months intermittently without a definite cause were recruited. At the same time, a Chalder fatigue scale (CFS) score of 19 was essential for participation in this study. Sixty five subjects completed the entire process, including blood tests and tests with medical devices. Five assessments of health status were accomplished over 8 weeks by using the CFS and the visual analogue scale (VAS). To ensure that the constitutional herbal tea was being safely used, we conducted and analyzed renal function and liver function tests. For the diagnosis of the Sasang constitution, the Sasang Constitutional Analysis Tool (SCAT) was used, and a specialist in Sasang constitutional medicine made the final diagnosis based on the SCAT result. Constitutional herbal tea was served four weeks after the first visit. The subjects took the constitutional herbal tea twice a day for one month. Results: The results are as follows: The CFS and the VAS scores were significantly improved for the subjects in the constitutional herbal tea. No abnormalities were found on the blood tests to evaluate safety after taking the constitutional herbal tea. The improvements in the CFS and the VAS scores due to the constitutional herbal tea had no significant differences according to the Sasang constitution. Conclusion: Constitutional herbal tea may be used to reduce fatigue and improve health and has no adverse effect on either the kidney or the liver.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.22 no.4
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• pp.387-397
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• 2015

Purpose: This study aimed to evaluate nutritional status and fatigue, and to identify the relationship between nutritional status and fatigue in gynecological cancer patients receiving chemotherapy. Methods: Participants were 106 outpatients who had uterine, ovary, or breast cancer and a descriptive cross-sectional design was used. Nutritional indicators including biochemical and anthropometric measures, the Subjective Global Assessment (SGA) scale, and the Piper's Revised Fatigue Scale were completed. Results: About thirty-nine percent of the patients were malnourished based on the SGA. Serum hemoglobin and total lymphocyte levels were less than the normal ranges, although anthropometrics were normal. The women experienced moderate fatigue with a mean score of $5.84{\pm}2.00$. Nutritional status was significantly different by age, education, employment status, and monthly income. The women also had different nutritional status and fatigue depending on the type of cancer and chemotherapy. Fatigue was significantly related to SGA scores, serum hemoglobin, triceps skinfold thickness and mid-arm muscle circumference. Conclusion: The results of this study highlight an urgent need to provide adequate nutritional support and fatigue management with individualized strategies for gynecological cancer patients on chemotherapy.

• The Journal of Korean Society for School & Community Health Education
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• v.17 no.3
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• pp.103-116
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• 2016

Objectives: The purpose of this study was to compare the differences of sleep quality, fatigue and depression between school lessons and clinical practicum term in nursing students. Methods: This study was conducted through a survey on 84 $4^{th}$ grade nursing students. Data collection was conducted from April to June, 2015. Participants completed a questionnaire assessing sleep quality, fatigue and depression. Data were analyzed by the SPSS/WIN 21.0 using descriptive statistics, paired t-tests, ANOVAs, Pearson's correlations and multiple regression. Results: The mean scores of fatigue and depression during the school lesson were significantly high compared to those of the clinical practicum. On the contrary, the score of sleep quality did not showed difference. Sleep quality showed negative correlations with fatigue and depression respectively, and fatigue showed positive correlation with depression. Subjective health status was the influential factor predicting fatigue and depression after school lessons, and subjective health status and major satisfaction were the influential factors predicting fatigue and depression after clinical practicum term. Conclusions: Nursing students showed different characteristics between school lessons and clinical practicum term. Thus, it is essential to identify physical and psychological problems and related factors respectively, then to devise appropriate programs to improve nursing curriculums.

• The Korean Journal of Emergency Medical Services
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• v.8 no.1
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• pp.71-86
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• 2004

This study selected emergency medical technicians at 24 fire police boxes in Jeonnam in order to examine the relationship between job stress, fatigue and job satisfaction of 119 emergency medical technicians. Data were collected from Apr. 10 to May 9, 2004, questionnaires were mailed and returned by mail. Total 109 questionnaires were distributed and 89 questionnaires were collected and 80 except 9 omitting answers and showing inappropriate answers were used for final analysis. The results of this study are as follows. A. The total mean of areas composing job stress in the degree of job stress of 119 emergency medical technicians was over the average as 2.54 (SD .44) of 4 full marks. According to the degree of job stress by each area, the highest area of job stress was crisis situation (2.98), followed by role conflict as professional job (2.58), social factors (2.57), involvement in organization (2.55). To the contrary, the areas of the lowest job stress were professional knowledge and technique (2.35), psychological burden of medical limitation (2.38), conflicts in personal relationship and services (2.45) and improper treatment (2.53). B. The degree of fatigue of 119 emergency medical technicians by areas was over mean as 2.09(SD .49) of 4 full scores and physical fatigue was highest (2.18), followed by mental fatigue (2.11) and neurosensory fatigue (1.99). C. The degree of job satisfaction of 119 emergency medical technicians was 2.71 of 5 full scores and working condition area (3.70) showed the highest job satisfaction, followed by requirement of organization (2.85) and the lowest job satisfaction area was job itself (2.18), followed by desire for job (2.49). D. According to differences in demographical characteristics of 119 emergency medical technicians, there was no variable of statistical difference at job stress and job satisfaction in significance level .05, but fatigue showed statistical difference at final education (F=2.393, p=.046). E. According to differences related to job characteristics of 119 emergency medical technicians, job stress showed statistical differences at motif of current services (F=4.935, p=.003), fatigue showed those at health conditions (F=2.732, p=.008), job satisfaction at overtime (F=3.038, p.034) and the greatest reason of having job (F=3.217, p=.017), F. As a result of analyzing correlations between job stress. fatigue and job satisfaction of the subject, job stress showed positive correlations (r=.411, p=.000) with fatigue and negative correlation (r=-.267, p=.008) with job satisfaction. Fatigue showed negative correlation (r=-.287, p=.005) with job satisfaction. Therefore, the hypothesis of this study. "There will be relationship between degree of stress, fatigue and job satisfaction of subjects." was supported.

• The Korean Journal of Health Service Management
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• v.11 no.1
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• pp.67-78
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• 2017

Objectives : This study investigated the fatigue, emotional labor and job embeddedness factors influencing the turnover intention of clinical nurses. Methods : A survey was conducted with 479 hospital nurses. Data were analyzed using descriptive statistics, t-tests, ANOVA, Pearson correlation coefficients. and multiple regression with SPSS/WIN 23.0. Results : The mean scores fatigue, emotional labor, job embeddedness. and turnover intention were $3.06{\pm}0.71$, $3.43{\pm}0.60$, $2.94{\pm}0.47$, and $3.39{\pm}0.62$, respectively. Turnover intention was positively correlated with fatigue and emotional labor, but negatively correlated with job embeddedness. Multiple regression analysis showed that the factors affecting turnover intention were job embeddedness, emotional labor, gender, and with studying. Conclusions : The results indicate that emotional labor and job embeddedness are very important factors affecting nurses turnover intention. Therefore nurse managers should decrease nurses emotional labor and maximize their job embeddedness by developing various emotional sensitivity and support programs.

• Journal of the Ergonomics Society of Korea
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• v.15 no.2
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• pp.177-184
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• 1996

In light-weight hand tools, static posture may result in postural fatigue. Psotural tremor of the upper extremity in a static posture was measured to provide guidelines for hand tool weight. Postural tremor was measured on five levels of tool weitht : no weight, 400g, 800g, 1200g, and 1600g. Three types of camcorder recording postures were selected. For each condition, postural tremor was measured together with ENG of biceps, deltoid and pectoralis major, and Borg's CR-20 ratings of perceved exertion. Results of the experiment are as follows : frequency analysis of tremor revealed increased amplitude of frequency bands of 2-4Hz and 10-14Hz. Postural tremor of the upper extremeity maintained the initial level until fatigue developed. After the development of fatigue, the rate of change of postural tremor significantly increased. Different tool weights and hand postures showed different rates of tremor increase. Time tp fatigue and corresaponding endurance time were positively correlated with Borg's RPE scores.

• Research in Community and Public Health Nursing
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• v.14 no.2
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• pp.323-333
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• 2003

This is a comparative descriptive study conducted for 178 middle-aged women who were residing in Seoul and aged between 41 to 64 (95 in control group, and 83 in experimental group). The study was aimed to examine their climacteric symptoms, degree of fatigue, depression, anxiety and quality of sleep and to examine the differences on the symptoms between the two groups. Data were collected from April 1 to May 15, 2002 through self-statement using structured questionnaires. The collected data were verified with descriptive statistics, ? -test, t-test, ANOVA using SPSS/PC(+). The results are as follows. 1) The average scores of the climacteric symptoms were 1.56 .36 for the control group, and 1.55 .33 for the group taking relexzone massage, showing no significant difference between the groups (t=.15, p=.88). 2) The average scores of the degree of fatigue were 2.17 .65 for the control group, and 2.40 .66 for the group taking relexzone massage, showing a significant difference between the groups. (t=-2.31, p=.02) 3) The average scores of depression were 1.91 .50 for the control group, and 2.05 .42 for the group taking relexzone massage, showing a significant difference between the groups (t=-1.99, p=.05). 4) The average scores of anxiety were 1.54 .60 for the control group, and 1.57 .53 for the group taking relexzone massage, showing no significant difference between the groups (t=-.33, p=.74). 5) The average scores of quality of sleep were 2.97 .49 for the control group, and 2.98 .42 for the group taking relexzone massage, showing no significant difference between the groups(t=-.08, p=.93). Based on these results, the middle-aged women who take relexzone massage are considered to have less fatigue and depression than those who do not. As physiological regression progresses and the structure and role in the family are restructured, middle-aged women are like to experience various climacteric symptoms. As a nursing intervention, relexzone massage can be applied to middle-aged women to reduce their stress, climacteric symptoms and emotional anxiety, ultimately promoting their health. In order to implement relexzone massage as a nursing intervention, further testing on the psycho-neuroimmunologjcal effects of relexzone massage is necessary.

• The Journal of Korean Academic Society of Nursing Education
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• v.10 no.1
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• pp.84-93
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• 2004

Purpose: This study was conducted to investigate the subjective degree of fatigue, the degree of fatigue depending on constitution, and the factors related to fatigue in middle-aged women. Method: Data were collected from 51 patients, registered at Oriental Medicine Hospital in J-city and K-city respectively. The instrument used in this study were the Multidimensional Assessment of Fatigue and the Questionnaire of Sasang Constitution Classification Ⅱ. Data analysis was done SPSS Result: The characteristics of constitution in middle-aged women could be divided into three: twenty six people of Soeumin, thirteen people of Taeumin, and twelve people of Soyangin. The degree of fatigue in middle-aged women: the average score 30.61 out of the total score 40. Subdivision of fatigue scores: common fatigue degree 7.71, distress due to fatigue 7.67, degree of daily activity fatigue 7.43, and fatigue frequency in the previous week 7.84. There were significant differences in the degree of fatigue depending on constitution in middle-aged women(p=.033). This study revealed weight, exercise, and drinking are important factors that can exert influence on the degree of fatigue. Also, there was a big difference in the degree of fatigue depending on constitution. Conclusion: In conclusion, fatigue is one of the difficult problems with middle-aged women. And this study revealed that change in the weight(especially loss of weight), physical exercise, and drinking are important factors that can exert influence on the degree of fatigue. Also, there was a big difference in the degree of fatigue depending on constitution. Therefore it is necessary to develop Korean nursing intervention to providing an appropriate environment where there is the harmony of the dual principles of the negative and positive, and patients can be taken care of properly.

• Women's Health Nursing
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• v.12 no.4
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• pp.273-281
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• 2006

Purpose: The purpose of this study was to provide basic data for nursing programs to reduce fatigue among middle-aged adults by looking at age group differences. Method: The study used a secondary analysis design and participants were 315 middle-aged adults. The data was analyzed using $x^2$-test, ANOVA, Pearson's correlation coefficient analysis, and stepwise multiple regression. Results: The findings revealed significant age group differences in socio-demographic variables for educational level, job, religion, economic status, consumption of cigarettes, experience with disease, satisfaction with spouse and children, and number of children. Scores of fatigue showed a significant difference between age groups. The factors influencing fatigue for subjects in their thirties were depression, level of education and self-efficacy. For those in their forties, factors were stress, depression, and self-efficacy. For those in their fifties, the factor was stress. Conclusion: For people in their thirties, school education or lifelong learning programs are needed to reduce fatigue. A disease prevention program and a family support program for people in their forties and fifties. Nurses need to provide customized nursing programs related to depression, stress and self-efficacy to reduce fatigue among middle-aged adults based on age groups.