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Factors Influencing Health-related Quality of Life in Patients with Atrial Fibrillation (심방세동 환자의 건강 관련 삶의 질 영향요인)

  • Lee, Seon Jeong;Seo, Ji Min
    • Korean Journal of Adult Nursing
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    • v.25 no.1
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    • pp.13-23
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    • 2013
  • Purpose: The purpose of this study was to investigate the factors that influence health-related quality of life in patients with atrial fibrillation. Methods: The subjects were 150 outpatients with atrial fibrillation who visited the cardiology clinic of a university hospital in U city. The instruments used for this study were Mhel Uncertainty in Illness Scale (MUIS), Center for Epidemiologic Studies-Depression Scale (CES-D), State Trait Anxiety Inventory (STAI), and the Short-Form-36 Health Survey (SF-36) Korean version II. The date were analyzed by ANOVA, Pearson-correlation coefficient, and hierachial multiple regression using SPSS/WIN 18.0. Results: The mean score of physical health-related quality of life (PCS) was $38.92{\pm}6.22$ and mental health-related quality of life (MCS) was $41.49{\pm}5.71$. Physical and Mental health-related quality of life had the significant correlations with uncertainty, anxiety and depression. In multiple regression analysis, physical health-related quality of life was significantly influenced by duration of disease, NYHA class, uncertainty. Mental health-related quality of life was significantly influenced by family income, NYHA class, anxiety and depression. Conclusion: These results suggest that these influencing factors should be consider in developing the nursing interventions to improve the healthrelated quality of life in patients with atrial fibrillation.

Complex Korean Medicine Therapy for Hypoestrogenic Side Effects of Gonadotropin Releasing Hormone Agonist Administration to Postoperative Endometriosis Patient: A Case Report (자궁내막증 수술 후 GnRH-agonist 투여 중인 환자의 저에스트로겐 부작용에 대한 복합 한의 치료: 증례보고)

  • Park, Hye-Rin;Jo, Hee-Geun;Jo, Hyun-Jeong;Choi, Ji-Hyun
    • The Journal of Korean Obstetrics and Gynecology
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    • v.31 no.4
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    • pp.188-196
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    • 2018
  • Objectives: This study is to report the clinical effectiveness of the complex Korean medicine therapy on a postoperative endometriosis patient's hypoestrogenic side effects who is treated with GnRH-agonist injection. Methods: The patient in this case was diagnosed with endometriosis and has been treated with GnRH-a injection after laparoscopic operation. The patient complained hot flash and sweating mainly after GnRH-a treatment. The patient received complex Korean medicine therapy during 10 days admission period. The clinical effects were evaluated through KI (Kupperman's Index) and SF-36 (36 item Short Form Health Survey). Results: After the complex Korean medicine therapy, the various clinical symptoms including hot flash and sweating were improved. Also, the quality of life was enhanced. Conclusions: This case report shows that the complex Korean medicine therapy was effective for treating hypoestrogenic side effects occurred after GnRH-a treatment in postoperative endometriosis patient.

Reliability and Validity of Patient Oriented Eczema Measure (POEM) Korean Version

  • Kim, Yoon-Ha;Han, Jong-Min;Jung, In-Chul;Kang, Weechang;Park, Yang-Chun
    • The Journal of Korean Medicine
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    • v.37 no.4
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    • pp.22-29
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    • 2016
  • Objectives: We developed a Korean translation of this questionnaire by sequential forward-and-backward translation. The purpose of this study is to validate the Korean version of the POEM, the "POEM-K" by Korean patients with atopic dermatitis (AD). Methods: A single-center prospective study was conducted with 50 participants diagnosed with AD. The POEM was translated to Korean version by an expert panel. Scoring Atopic Dermatitis (SCORAD) and Short Form 36 Health Survey (SF-36) were used as external comparators. Results: Twenty men and thirty women between the ages of 18 and 63 participated in the study. The test-retest reliability of the total POEM-K was estimated using the intra-class correlation coefficient (ICC) that showed a strong agreement (ICC = 0.72). By using Pearson correlation coefficients, we compared the POEM-K to SCORAD and yielded a concurrent validity that showed a significant result. The responsiveness of the POEM-K was represented by the effect size (ES) of 1.41 and statistically significant (p = 0.004). Conclusions: The Korean version of the POEM is a reliable, valid, and responsive disease-specific questionnaire for assessing the symptoms and quality of life of Korean patients with AD.

A Comparison of Quality of Life between Patients with 12 Months after Coronary Artery Bypass Graft Surgery and General Population (관상동맥 우회술 후 12개월 환자와 일반인의 삶의 질 비교)

  • Song, Yeoung Suk;Lee, Jung Sun
    • Journal of Korean Clinical Nursing Research
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    • v.14 no.1
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    • pp.25-32
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    • 2008
  • Purpose: The purpose of this study was to examine quality of life with patients in 12 months after coronary artery bypass graft surgery, compared with general population. Method: A cross-sectional comparative study was designed. Study participants were 90 adults who had undergone CABG surgery (n=45) in experimental group and general population (n=45) in control group. The subjects were asked the questionnaire (SF-36, Short Form-36) regarding the quality of life. The data were analyzed by the SPSS 13.0 program including frequency, percentage, $x^2$ test, t-test and One-Way ANOVA. Results: There were no significant differences in the quality of life between two groups including physical functioning (t=-.938, p=.351), role-physical limitation (t=-.322, p=.748), bodily pain (t=-.938, p=.351), general health (t=-.1418, p=.888), vitality (t=-.816, p=.417), social functioning (t=.720, p=.474), role-emotional limitation (t=-.710, p=.479), mental health (t=-.431, p=.667). Conclusion: Even though patients in experimental group had operation experience, the quality of life examined on the time of 1 year after bypass surgery is similar in that of general population. We suggest the study change the design as examination of quality of life before and after coronary artery bypass graft surgery.

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MASSIVE BLACK HOLE EVOLUTION IN RADIO-LOUD ACTIVE GALACTIC NUCLEI

  • FLETCHER ANDRE B.
    • Journal of The Korean Astronomical Society
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    • v.36 no.3
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    • pp.177-187
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    • 2003
  • Active galactic nuclei (AGNs) are distant, powerful sources of radiation over the entire electromagnetic spectrum, from radio waves to gamma-rays. There is much evidence that they are driven by gravitational accretion of stars, dust, and gas, onto central massive black holes (MBHs) imprisoning anywhere from $\~$1 to $\~$10,000 million solar masses; such objects may naturally form in the centers of galaxies during their normal dynamical evolution. A small fraction of AGNs, of the radio-loud type (RLAGNs), are somehow able to generate powerful synchrotron-emitting structures (cores, jets, lobes) with sizes ranging from pc to Mpc. A brief summary of AGN observations and theories is given, with an emphasis on RLAGNs. Preliminary results from the imaging of 10000 extragalactic radio sources observed in the MITVLA snapshot survey, and from a new analytic theory of the time-variable power output from Kerr black hole magnetospheres, are presented. To better understand the complex physical processes within the central engines of AGNs, it is important to confront the observations with theories, from the viewpoint of analyzing the time-variable behaviours of AGNs - which have been recorded over both 'short' human ($10^0-10^9\;s$) and 'long' cosmic ($10^{13} - 10^{17}\;s$) timescales. Some key ingredients of a basic mathematical formalism are outlined, which may help in building detailed Monte-Carlo models of evolving AGN populations; such numerical calculations should be potentially important tools for useful interpretation of the large amounts of statistical data now publicly available for both AGNs and RLAGNs.

Herbal Medicine and Local Acupuncture Point Stimulation Administration and Their Clinical Effect on Quality of Life for Cervicogenic Dizziness (CGD) Patient: A CARE Guideline Compliant Case Report (경추성 현훈 환자의 복합 한의진료 경과 및 삶의 질 변화 : CARE 가이드라인에 따른 증례보고)

  • Kim, Eunmi;Jo, Hee-Geun
    • The Journal of Internal Korean Medicine
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    • v.41 no.3
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    • pp.414-423
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    • 2020
  • Background: This study examines the clinical effect on quality of life of herbal medicine and local acupuncture point stimulation administration for a cervicogenic dizziness (CGD) patient. This case report was described in accordance with CARE guidelines. Case Report: A 25 year-old female patient suspected to be suffering from CGD was examined. The patient was treated with herbal medicine and local acupuncture point stimulation. We used the Headache Impact Test-6 (HIT-6), Dizziness Handicap Inventory (DHI), Pittsburgh Sleep Quality Index (PSQI), 36-Item Short Form Health Survey Version 2 (SF-36v2), and verbal numerical rating scale (VNRS) to assess the patient's symptoms. As new herbal medicine and local acupuncture point stimulation were applied, dizziness, headache, and neck pain symptoms improved. Quality of life affected by the symptoms significantly improved. Adverse effects were not observed. Conclusions: This study may suggest that herbal medicine and local acupuncture point stimulation may be effective therapy for the treatment of typical symptoms in patients with CGD.

Control Effect of Illness Perception on Depression and Quality of Life in Patients with Hemodialysis: Using Structural Equation Modeling (혈액투석 환자의 우울과 삶의 질에서 질병인식의 통제효과)

  • Kim, Sisook;Ryu, Eunjung
    • Journal of Korean Biological Nursing Science
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    • v.20 no.4
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    • pp.221-227
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    • 2018
  • Purpose: This study aimed to evaluate the effect of illness perception on depression and quality of life in patients with hemodialysis. Methods: This is a cross-sectional study using structural equation modeling. Depression, quality of life and cognitive and emotional illness perceptions were measured by the Center for Epidemiologic Studies Depression-10 (CESD-10), Short Form-36 version 2 (SF-36v2), and Brief Illness Perception Questionnaire (BIPQ) in 272 hemodialysis patients. Results: Prevalence of depression was 76.1%, and higher in female patients on hemodialysis. Cognitive illness perception had effect on depression and quality of life, while emotional illness perception had effect only on depression. Quality of life was explained 69.6% through depression (${\beta}=-.74$, t= -8.17) and cognitive illness perceptions (${\beta}=.21$, t= 3.06), while depression was explained 40.5% through cognitive (${\beta}=-.34$, t= -5.99) and emotional (${\beta}=.59$, t= 9.37) illness perceptions. Conclusion: In the inevitable choice of dialysis, illness perception could decrease depression and improve quality of life in hemodialysis patients.

Recovery According to Follow-up Period and Compliance in Osteoarthritic Patients after Knee Replacement Arthroplasty (인공 슬관절 치환술 후 치료순응도와 경과기간에 따른 회복 양상)

  • Park, Su-A;Kang, Hyun-Sook;Choi, Jin-Yi
    • Journal of East-West Nursing Research
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    • v.16 no.2
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    • pp.164-171
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    • 2010
  • Purpose: The aim of study was to investigate relationship between compliance and recovery of patients with osteoarthritis of the knee patients after knee arthroplasty. Methods: 193 patients living in Seoul were participated in this study. Data were collected using the Knee Society Clinical Rating System and Medical Outcomes Study Short Form 36(SF-36) and analyzed by ANCOVA, t-test, and repeated measure ANOVA. Results: There was a significant difference of physiological recovery based on the number of co-morbidity patients have. Physical recovery level was different according to age, religion, and the number of co-morbidity. Age and education level of patients were different in emotional recovery. The level of physiological and physical recovery were significantly different consistent with compliance. Compared to preoperative scores, physiological and physical scores showed significant improvement at six weeks, three months, and six months after surgery while emotional scores did not showed significant improvement. Conclusion: The results of this study suggest that nursing interventions to increase compliance are needed for better recovery of patients after knee arthroplasty.

Influencing Factors that Affect the Psychological Well-being in Family Caregivers of Stroke Patients (뇌졸중 환자를 돌보는 가족의 심리적 안녕감에 영향을 미치는 요인)

  • Kim Jung-Hee;Kim Ok-Soo
    • Journal of Korean Academy of Nursing
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    • v.35 no.2
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    • pp.399-406
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    • 2005
  • Purpose: The purpose of this study was to investigate the factors that affect the psychological well-being in family caregivers of stroke patients. Method: The General Health Perception, short form 36, Health Survey Questionaire was used to measure health perception. The Caregiving Mastery Scale was used to assess the mastery, while the Psychological General Well-Being Index was used to examine the level of well-being. Result: Subjective health, caregiving mastery, patient's ADL and caregiving duration influenced on caregiver's psychological well-being. Subjective health had effect on psychological well-being both directly and indirectly. Caregiving duration and patient's ADL had indirect effect on psychological well-being through caregiving mastery. Conclusion: It is need to develop a health program for the caregivers of stroke patient's and to provide nursing intervention to improve the caregiver's ability, thereby improving the well-being of the family caregivers.

The Relationship between Bathing and Health Status (목욕행위와 건강상태와의 관계 - 도시지역에 거주하는 여성을 대상으로 -)

  • 최희정;이은옥
    • Journal of Korean Academy of Nursing
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    • v.32 no.4
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    • pp.519-528
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    • 2002
  • The purpose of this study was to test the relationship between health status and bathing. Method: The population of this study consisted of females, above age 20 in urban areas in order to control the effects of extraneous variables, resident areas, gender, and age. Four hundred and twenty-eight (428) women were interviewed with a structured questionnaire. Medical Outcomes Study Short Form (SF)-36 Health Survey assessed individual health status. Bathingbehavior and attitudes toward bath have been measured with questionnaires designed by the authors. Result: The most popular bathing type was shower (46.8%). The preferred type of bath was related to health status. A common purpose of the tub-bath was relieving fatigue and hygiene, but the other purposes were different on the subjects health status. Persons with low health status took frequently tub-baths for health. Attitudes toward bath were related to health status. Women with low scores in physical health recognized more physical effects of bath than psychological effects or hygenic effects. Conclusion: Bathing included physical and psychological dimensions and was related to health status.