• 보건의료산업학회지
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• 제13권2호
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• pp.93-105
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• 2019

Objectives: The purpose of this study is to investigate the factors related to mental health and oral health awareness that affect the tendency to search for happiness. Methods: In this study, we conducted a self - report questionnaire survey with 197 participants belonging to the Myself Generation in Jeju Island. Results: There was a significantly greater tendency to seek overall happiness in individuals with lower age, good subjective physical health low levels of depression and stress high self-esteem good subjective mental health and good subjective health status. The most influential factors were self - esteem and mental health awareness followed by general characteristics and oral health awareness. Conclusions: This study provides useful data for mental health and oral health care, and for the development of health care service programs aimed at the satisfaction and happiness of people living alone.

• Journal of Korean Dental Science
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• 제8권1호
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• pp.1-9
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• 2015

Purpose: To evaluate the effectiveness of temporomandibular joint (TMJ) disorder follow-up and determine the factors that affect the TMJ bone scan hot spot numerical value (bone scan value), and to compare this value to the diagnosis of patients with temporomandibular joint disorders (TMD), their treatment options, and the resolution of their symptoms. Materials and Methods: A retrospective cohort study was performed on 24 patients (four males, 20 females) who received TMD treatment in the Section of Dentistry, Seoul National University Bundang Hospital (Seongnam, Korea) from 2007 to 2014. An analysis of the significance test and correlation between TMD diagnosis, treatment options, a baseline the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) questionnaire, treatment before and after the clinical examination and subjective progress, and TMJ bone scan value change were completed by using SPSS version 12.0. Result: Although only 14 patients had bony factors that caused TMD, the average pre-treatment bone scan value of the all patients was $4.29{\pm}0.31$, which is higher than the finding for osteoarthritis (3.88), and reduced post-treatment bone scan value was found to be without a statistically significant difference (P=0.056). After the treatments, clinical symptoms in 18 patients disappeared, and six patients did not require additional treatment, although they still displayed subjective symptoms. It was observed that the higher the pre-treatment bone scan value, nonspecific physical symptoms, chronic pain index, characteristic pain intensity, disability score, were, the lower the post-treatment bone scan value was. And this reduced post-treatment bone scan value tendency was not shown with the pre-treatment depression index, but there was not a statistical difference. Conclusion: The post-treatment TMJ bone scan value tended to be insignificantly reduced in the 24 patients whose clinical symptoms were improved (P=0.056). Moreover, the TMJ bone scan value showed no relation to the TMD type or its related symptoms.

• 대한간호학회지
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• 제28권4호
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• pp.908-919
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• 1998

The purpose of this study was to get some basic data for health care for working women, especially or hospital nurses. The number of subjects was 796 nurses from one general hospital and four private educational hospitals. The data were collected from February to April, 1988 using the questionnaire "Symptom Table on Fatigue Perception" designed by the Research Committee of Industrial Fatigue in Hygienic Association of Japan Industry. The collected data were analyzed using means and standard deviations for the subjective symptoms of fatigue and each item as an independent variable was analyzed by T-test and ANOVA test. The results are as follows 1) The mean score for degree of fatigue was 1.89 and the degree of fatigue for physical symptoms had highest score of 2.04, the next was psychological symptoms at 1.89, and neuro -sensory symptoms were the lowest at 1.74. Among the fatigue symptoms, the item scored most frequently was "Legs feel heavy" with a mean score of 2.40 and the least frequent item was "My hand and foot trembled" with a mean score of 1.40. 2) With the respect to the general characteristics of subjects, there were statistically significant difference according to age (F=17.039, p=.000), state of marriage(t=5.381, p=.000) presence of children(t=5.134, p=.000), clinical experience (F=16.663, p= .000), present position(F=18.204, p=.000), working place(F=12.598, p=.000), duty time(F=9.068, p=.000), monthly wages(F=7.361, p=.000). satisfaction about the pay and treatment at work(t=-5.511, p=.000), relation the doctors(t=-4.593, p=.000) the doctors(t=-4.593, p=.000)

• 한국산학기술학회논문지
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• 제12권5호
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• pp.2163-2171
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• 2011

본 연구는 간호사들의 근골격계 자각증상을 파악하고, 인구사회학적 특성, 건강행태 및 직업관련 특성과의 관련성을 규명하고자 시도하였다. 조사대상은 대전광역시의 한 대학병원의 병동근무 간호사 249명으로 하였으며, 조사는 2010년 8월 1일부터 8월 31일까지의 기간에 자기기입식 설문조사(self administration questionnaire)를 실시하였다. 연구결과 근골격계증상이 1개 이상 있는 경우는 66.3% 2개 이상 있는 경우는 45.8%를 차지하고 있었으며, 신체부위별 호소율은 어깨 44.2%, 허리 33.7%, 다리/발 33.3%, 목 29.7%, 손/손목/손가락 14.9%, 팔/팔꿈치 4.8%의 순위였다. 연령을 보정한 로지스틱회귀분석을 실시한 결과, 목, 어깨, 허리, 다리/발 부위 증상의 위험비는 주관적 건강 상태가 좋다는 군보다 좋지 않다는 군, 교대근무를 하지 않는 군보다 한다는 군, 책임/수간호사 군보다 평간호사 군. 업무에 대한 육체적 부담정도가 견딜만하다는 군보다 힘들다는 군에서 유의하게 증가한 것으로 나타났다. 결론적으로 근골격계 자각증상은 개인의 인구사회학적 특성이나 건강상태 및 직업관련 특성에 따라 호소율이 다르게 나타남을 시사하고 있다.

• 대한한방내과학회지
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• 제29권1호
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• pp.219-230
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• 2008

Objectives : Consumption is a chronic wasting disease, in oriental medicine concept. Fatigue is a common symptom experienced by many people who have consumption. However, there has been little study about the relationship between consumption and fatigue in the Oriental medicine. For this reason, we attempted to investigate the present status of fatigue of outpatients, and its relation with consumption index, public health practice index, Chalder fatigue scale and Subjective Symptoms of Fatigue Test. Methods : The subjects were 149 outpatients who complain fatigue between Nov. 1, 2006 and Oct. 31, 2007. We measured degree of consumption by consumption index. We measured degree of fatigue by Chalder fatigue scale and Subjective Symptoms of Fatigue Test. Public health practice were investigated by "Breslow's 7 health practice". Results : Studies have shown that a group who disregard public health practices have higher numerical value, in part of $q\grave{i}-x\bar{u}$, $xu\grave{e}-x\bar{u}$, and Physical symptoms than a group more concerned with public health practice. A group who has fatigue for a period over 6 months are more likely to be $q\grave{i}-x\bar{u}$, $y\bar{i}n-x\bar{u}$, Chalder fatigue scale, neuro-sensory symptoms than a group fatigued for less than 6 months. Among the subjects, 81 (55.5%) were considered as 'fatigue patients' by the Chalder scale. Chalder fatigue scale, according to the Subjective Symptoms of Fatigue Test, consumption also, The more increase of Subjective symptoms of fatigue test, the more of consumption scale. Conclusions : This study has shown that there is a link between consumption and fatigue. Moreover, oriental medicine's consumption is more concrete than fatigue scale, so consumption index will have wide application to the study of fatigue.

• Archives of Reconstructive Microsurgery
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• 제20권2호
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• pp.102-107
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• 2011

Purpose: As clinical manifestations of thoracic outlet syndrome are vague pain or symptoms in upper extremity, the diagnosis of the disease is delayed or misdiagnosed as cervical HNP, shoulder pathologies, or peripheral neuropathies. In that reason, many patients spend time for unnecessary or ineffective treatments. We report the results of our thoracic outlet syndrome cases, which were treated by conservative care or surgical treatment. Materials & Methods: Twenty five cases, diagnosed as thoracic outlet syndrome since 1999, were reviewed retrospectively. Physical examinations including Adson's and reverse Adson's test, hyperabduction test, costoclavicular maneuver, and Roo's test, plain radiography of shoulder and cervical spine, MRI of neck or brachial plexus, and EMG were checked. If subjective symptoms were not improved after conservative treatments over three months, surgical treatment were performed. Nine patients were performed operative treatment and the others had conservative treatment in outpatient clinic. Postoperative improvement of symptoms and the follow up period, and the results of conservative care were reviewed. Results: Among five physical examinations, mean 1.75 tests were positive, and EMG has little diagnostic value. MRI were performed in twenty cases and compression of brachial plexus were found in 6 cases (30%). Ten patients out of 16 conservative treatment group had excellent improvement of symptoms, and 5 had good results. Eight patients out of 9 operative treatment group had excellent improvement with mean 5.1 months of follow-up period. Conclusion: Diagnosis of thoracic outlet syndrome is difficult due to bizarre and vague symptoms. However if the diagnosis is suspected by careful physical examinations, radiologic studies, or nerve conduction studies, conservative care should be done as initial treatment and at least after three months, reassess the patient's condition. If the results of conservative treatment is not satisfactory and still the thoracic outlet syndrome is suspected, surgical treatment should be considered. Conservative treatment and operative technique are the valuable for the treatment of this disease.

• 대한인간공학회지
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• 제31권5호
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• pp.687-694
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• 2012

Objective: This study aims to survey the prevalence of musculoskeletal disorders(MSD) among Korean hospital workers and to analyze the relationship of MSD symptoms and workload perceived by workers. Background: Despite of high exposure to the MSD risk factors and high MSD symptom prevalence among health care workers, there were not enough studies of MSD prevalence among the hospital workers. Method: This study designed a survey based on Nordic questionnaire to obtain MSD symptoms and the degree of four perceived workloads: work repetition, urgency, physical exertion and satisfaction. In this survey, 1,846 workers in a hospital participated. The prevalence of MSD was analyzed for each body part, and MSD cases, which were predetermined in this study, were identified. The relationship between the MSD cases and each perceived workload was analyzed using chi-square test. Results: The pain in the shoulder was the most prevalent among the workers as 52%, and the low back(37%) and leg discomfort(36%) followed. The MSD cases, in which degree of pain was more than severe, were also the most prevalent in the shoulder(13%). Female workers had higher rate of MSD cases than the males. Among the four workload variables, the physical exertion was the statistically related to MSD cases for all the body parts. In addition, the others also had significant relation to MSD cases except one or two body parts. Conclusion: This study found that Korean hospital workers had MSD symptoms mainly in the shoulder, low back and legs in order, and the perceived workload surveyed in this study was highly correlated with MSD symptoms. Application: This study provides another evidence that subjective physical exertion perceived by workers is an important factor to explain MSD cases as same as the objective one.

• 동의신경정신과학회지
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• 제33권4호
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• pp.473-484
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• 2022

Objectives: To report a case of a patient with a mild depressive episode accompanied by physical symptoms such as hyposmia visiting a Korean medicine hospital who was treated with oriental psychotherapy in parallel with existentialism-based psychotherapy showing improvement. Methods: For this patient, Korean medicine Psychotherapy was mainly used for treatment. In parallel, existential Psychotherapy, acupuncture treatment, and self-relaxation training were implemented. For estimating this treatment, changes in results of Beck Depression Index (BDI), Beck Anxiety Index (BAI), Numeric Rating Scale (NRS), Korean Version of Sniffin' Sticks Test (KVSS), Butanol Threshold Test (BTT), Cross-Cultural Smell Identification Test (CC-SIT), and somatic symptoms that the patient subjectively expressed were determined. Results: After the comprehensive treatment, it was confirmed that changes in BDI, BAI, KVSS, BTT, CC-SIT, NRS, and subjective somatic symptoms expressed by the patient all showed improvements. Conclusions: We propose that a comprehensive treatment using Korean medicines Psychotherapy in parallel with existential psychotherapy can be used for patients who complain of physical symptoms accompanied by depression and hyposmia.

• Journal of Korean Biological Nursing Science
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• 제17권2호
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• pp.140-149
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• 2015

Purpose: Bell's palsy is a nerve paralysis disease that causes functional impairments and affects psychological and aesthetical parts. This study aimed to examine whether acupressure massage had positive effects on facial paralysis, subjective symptoms, and depression in Bell's palsy patients. Methods: This study was conducted by a nonequivalent control group pretest-posttest design. Participants were 60 patients with Bell's palsy. 30 patients were assigned to the experimental group and the remaining 30 patients were assigned to the control group. The period of the study was from October 1, 2008 to July 30, 2009. Acupressure massage was offered to the experimental group for 20 minutes per day for two weeks (a total of six times). A SPSS/Win 12.0 program was used for data analysis. Results: A difference in Digital Infrared Thermographic Imaging (DITI) between affected and unaffected sides was less in the experimental group having acupressure massage than in the control group and the score of the recovery of facial paralysis was also increased in the experimental group. The Facial Nerve Grade Systems by Brackmann score that is a more objective index showed a significant difference between two groups (F=26.81, p<.001). Subjective symptom and depression scores were more decreased in the acupressure massage group than in the control group. Conclusion: Based on the results, it is considered that acupressure massage can be applied to Bell's palsy patients as an alternative therapy. It can be used as an evidence-based East-West nursing intervention to improve patients' physical and mental functions.

• 여성건강간호학회지
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• 제26권2호
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• pp.131-140
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• 2020

Purpose: The purpose of this study was to compare the health-related quality of life of premature menopausal women with that of normal postmenopausal women and to identify factors related to quality of life in these two groups. Methods: A secondary analysis was conducted of a sample of 5,910 postmenopausal women drawn from women aged 19-79 years, using raw data from the Korea National Health and Nutrition Survey between 2014 and 2017. Quality of life was compared between premature menopausal women and normal postmenopausal women using the t-test and chi-square test, and factors related to quality of life were analyzed by multivariate logistic regression using SAS version 9.4. Results: There was no significant difference in quality of life between premature menopausal women and normal postmenopausal women. Subjective health status and symptoms of depression were identified as factors related to quality of life in women with premature menopause, while engaging in aerobic physical activity, subjective health status, stress, and symptoms of depression were found to be related to quality of life among normal postmenopausal women. Conclusion: It is necessary to support self-care measures for both premature and normal menopausal women to adapt to changes caused by menopause, and multidimensional strategies should be developed considering postmenopausal women's subjective health status and symptoms of depression to improve their quality of life.