• Title/Summary/Keyword: Stepwise disturbance

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Predicting Factors on Fatigue in Patients with Parkinson's Disease (파킨슨병 환자의 피로와 영향요인)

  • Kim, Sung-Reul;Chung, Sun-Ju;Yu, Soo-Yeon;Kim, Mi-Sun;Park, En-Ok;Shin, Nah-Mee;Lee, Sook-Ja
    • Korean Journal of Adult Nursing
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    • v.23 no.4
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    • pp.363-373
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    • 2011
  • Purpose: Fatigue is a common problem in Parkinson's disease (PD), affecting 30~65% of patients with that diagnosis. Only recently has fatigue been recognized as an important clinical feature of PD. The aim of this study was to investigate the level of fatigue and related factors in patients with PD. Methods: Between March 1, and September, 30, 2010, a sample of 181 PD patients agreed to be interviewed. Results: The female patients' PFS (Parkinson Fatigue Scale) score was higher than those of the male patients. Household income and having a Job were significantly correlated with the PFS scores. Among the disease characteristics, motor fluctuations, dyskinesia and modified Hoehn and Yahr stage were significantly correlated with the PFS scores. On stepwise regression analysis, the most important factors related to the PFS scores were depression and sleep disturbance. Conclusion: Fatigue in patients with PD was associated with many factors and strongly associated with depression and sleep disturbance. Fatigue is a multidimensional construct; therefore, multidimensional strategies for relieving specific aspects of fatigue are needed.

Depressive Symptoms among a Group of Medical Students : Prevalence, Related Factors and Moderating Effect by the Positive Psychology (의과대학생들의 우울 증상 : 유병율, 관련요인 및 긍정심리의 조절효과)

  • Kim, Sang Hoon;Kim, Jung Ho;Jung, Hyung Shik;Park, Jong Chul;Kim, Young Shim
    • Mood & Emotion
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    • v.12 no.2
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    • pp.128-136
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    • 2014
  • Objectives : This study was undertaken to investigate the prevalence of depressive symptoms and their related factors among a group of medical students. Method : A total of 874 (529 male and 345 female) medical students were randomly selected to participate in a survey. Depressive symptoms, satisfaction with life, health behavior including alcohol use, stress, sleep disturbance and happiness were collected using self-reported questionnaires. Results : The prevalence of depressive symptoms was 10.8%. In stepwise multiple regression analysis, lower satisfaction of life, daytime dysfunction due to sleepiness, history of suicidal attempt, stress, sleep disturbance were found to be significant relating factors of depressive symptoms. In moderated regression analysis, the result showed that the impact of life stress were moderated by satisfaction of life on depressive symptoms, but the moderating effect of happiness was not significant. Conclusion : This study showed considerably high prevalence of depressive symptoms and BDI score in medical students. The findings suggest that early detection of depressive symptoms and intensive mental health promotion program is needed in order to improve medical student's mental health status.

Health Status and Factors related to Health Behaviors of Older Adults Using a Senior Center (복지관 이용 노인의 건강상태와 건강행위 관련요인)

  • Ha, Ji-Yeon;Park, Yeon-Hwan
    • Korean Journal of Adult Nursing
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    • v.27 no.4
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    • pp.428-437
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    • 2015
  • Purpose: The aim of this study was to describe health status and to identify the factors related to health behavior in older adults in South Korea. Methods: A cross-sectional survey was conducted with a convenience sample of 186 older people (mean age =68.2yrs, 65.1% Female) registered at one senior center. Data were collected by self-report questionnaires or through face to face interview. The instruments were the Modified Health Behavior Assessment Scale, Stanford Research Instruments for Chronic Disease, Self-Efficacy, SOF Frailty Index and Quality of life questionnaire. The data were analyzed using t-test, ANOVA, Pearson's correlation, and stepwise multiple regression. Results: 58.6% older adults perceived their health status positively. Education level and economic status were significantly related to health behaviors of older adults. Self-rated health, sleep, stress, quality of life, health distress, depression, and frailty were significantly correlated with the health behaviors of older adults. Frailty, education level, and sleep disturbance were the significant factors predicting the health behaviors. Conclusion: The findings from this study suggest that nurses should take into consideration education level of older adults to promote their health behaviors and health promotion program which focuses on maintaining the quality of sleep and preventing frailty.

An Experimental Study on Transient Heat Transfer Characteristics of Gas Turbine Cooled Vane by Using Liquid Crystal Thermography (가스터빈 냉각 베인에서 감온액정을 이용한 과도적 열전달 특성에 관한 실험적 연구)

  • Suh Nam-Kyu;Chang Tae-Hyun
    • Journal of Advanced Marine Engineering and Technology
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    • v.30 no.1
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    • pp.22-29
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    • 2006
  • Gas turbine engine among Principal internal combustion engines has been mainly applied as an aero and industrial Power plant. In order to increase its thermal efficiency. it has been raised their pressure ratio of compressor and the turbine inlet temperature. To operate above the limit temperature of turbine material, turbine nozzle vanes should be cooled. For this the cooling air is bled from the compressor section of 9as turbine. Meanwhile, to keep high thermal efficiency of 9as turbine, turbine vanes are to be cooled by using small cooling air Therefore, the complex cooling passages are requested to be designed and evaluated the effectiveness of vane cooling by measuring turbine vane temperature. But it is very difficult or impossible for us to measure local turbine temperatures at actual temperature When local heat transfer coefficients are known these can be calculated, therefore this study has been investigated on obtaining these coefficients of turbine vane at room temperature using TLC.

Failure of Urination and Defecation after Intrathecal Phenol-glycerin Block for Management of Chronic Perineal Pain -A case report- (만성회음부 통증 치료를 위한 지주막하 페놀글리세린 차단 후 발생한 배변 및 배뇨장애 -증례 보고-)

  • Ahn, Hyun-Jung;Kim, Jong-Il;Lee, Sang-Gon;Ban, Jong-Seouk;Min, Byung-Woo
    • The Korean Journal of Pain
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    • v.12 no.2
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    • pp.268-271
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    • 1999
  • Intrathecal phenol-glycerin block is a potent tool in stepwise approach to intractable perineal pain. At outpatient clinic, intrathecal phenol-glycerin block have been frequently used to control the cancer pain, as this procedure does not require special equipment. However, undesirable effects may occur with any given intrathecal injection. Although most side effects do not last long, they deserve well to prevent. Recently, we have been controlled the perineal and perianal cancer pain with intrathecal phenol-glycerin block without any specific complications. However, one patient we managed experienced that one patient, with this procedure for chronic non-malignant perineal pain control experience gait disturbance and one-week of voiding and defication difficulties. This research reports these practices, including the review of literature.

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Use of GIS to Develop a Multivariate Habitat Model for the Leopard Cat (Prionailurus bengalensis) in Mountainous Region of Korea

  • Rho, Paik-Ho
    • Journal of Ecology and Environment
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    • v.32 no.4
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    • pp.229-236
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    • 2009
  • A habitat model was developed to delineate potential habitat of the leopard cat (Prionailurus bengalensis) in a mountainous region of Kangwon Province, Korea. Between 1997 and 2005, 224 leopard cat presence sites were recorded in the province in the Nationwide Survey on Natural Environments. Fifty percent of the sites were used to develop a habitat model, and the remaining sites were used to test the model. Fourteen environmental variables related to topographic features, water resources, vegetation and human disturbance were quantified for 112 of the leopard cat presence sites and an equal number of randomly selected sites. Statistical analyses (e.g., t-tests, and Pearson correlation analysis) showed that elevation, ridges, plains, % water cover, distance to water source, vegetated area, deciduous forest, coniferous forest, and distance to paved road differed significantly (P < 0.01) between presence and random sites. Stepwise logistic regression was used to develop a habitat model. Landform type (e.g., ridges vs. plains) is the major topographic factor affecting leopard cat presence. The species also appears to prefer deciduous forests and areas far from paved roads. The habitat map derived from the model correctly classified 93.75% of data from an independent sample of leopard cat presence sites, and the map at a regional scale showed that the cat's habitats are highly fragmented. Protection and restoration of connectivity of critical habitats should be implemented to preserve the leopard cat in mountainous regions of Korea.

Work Stress and Mental Health of the Industrial Workers (일부 제조업 근로자의 스트레스와 정신건강에 관한 연구)

  • Cha, Bong-Suk;Park, Jong-Ku;Lee, Myung-Keyn;Chang, Sei-Jin
    • Journal of Preventive Medicine and Public Health
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    • v.21 no.2 s.24
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    • pp.365-373
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    • 1988
  • Information on work stress and mental health status of industrial workers was required for optimum staffing and health care management. This study dealt with the relationship between mental health status examined by PSI(psychiatric symptom index) and socio-demographic variables. Especially this study attempted to find relevant determinants of the stress and mental health through multiple stepwise regression analysis based on data obtained from 687 occupational workers. The findings of this study were as follows; Mean scores of symptom dimension were higher in youth, female, more educated, unmarried and divorced, and workers in the noisy condition and short duration in job. And it showed high scores in long duration in job for anxiety; college educated for anger; unmarried for cognitive disturbance. The factors affecting the mean scores of psychiatric symptom index were varied according to the types of symptom: age, sex and duration in job for anxiety; age, sex, living with parent, education and marital status for anger; sex and marital status for depression; noisy condition and sex for cognitive disorder.

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A Study on the Factors related to postpartum Depression in Postpartum Women (산욕기 산모의 산후 우울증에 영향을 미치는 요인)

  • Choi, Euy-Soon;Oh, Jeong-Ah
    • Women's Health Nursing
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    • v.6 no.3
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    • pp.358-371
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    • 2000
  • The purpose of this study was to provide the basic, data for developing a program for effective prevention for Postpartum Depression (PPD) by investigating the level of PPD in postpartum 2 weeks women. The subjects were 384 women who visited obstetrical clinics for postnatal care. The data were collected from June 29. 1999 to April. 2000, using a 46-item questionnaire related to PPD, and analyzed by SAS program for t-test, ANOVA, Scheffe test, stepwise multiple regressions. The results were as follows : 1. The level of PPD according to general characteristics Women had mild PPD (Min score; 46.0, Max score; 124.0). The PPD levels were significantly differences according to religion and marital satisfaction (p<0.05). 2. The level of PPD according to obstetrical characteristics 1) Characteristics related to pregnancy The PPD levels were significantly differences according to mood change, confidence of body weight recovery, depression related to appearance change, husband's help to housework, and husband's emotional support (p<0.05). 2) Stressful events during pregnancy The PPD levels were significantly differences according to financial problem, conflict between partners, conflict between family, and husband's job change (p<0.05). 3) Characteristics related to delivery and post natal period The PPD levels were significantly differences according to baby's health state, parenting confidence, and difficulties related to postpartum care (p<0.05). 3. The variables to predict postpartum depression in postpartum women are depression related to appearance change (10.4%), parenting confidence (8.8%), husband's help to housework (2.7%), confidence of body weight recovery (2.4%), husband's job change (1.9%), baby's health state (1.9%), difficulties related to postpartum care (1.6%), mood change (1.2%), conflict between partners (0.6%), marital satisfaction (0.5%), financial problem (0.4%). The sum total of all the above variables can account for 32.4% of postpartum depression. 4. The level of PPD according to PPD factors. Women had the highest degree of PPD in biophysiological phenomena-disturbance of physical functioning factor. The factors of relationship to baby-negative feeling and cognitive phenomena-self concept disturbance were showed the lowest degree of PPD. As a result of the above findings, a systemic and individualized program is strongly recommended for PPD prevention, diagnosis, and care for PPD in postpartum women. In near future, this study should be expanded to investigate the coping skills according to the PPD levels in postpartum women.

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Factors Influencing Quality of Life during Chemotherapy for Colorectal Cancer Patients in South Korea (항암화학요법을 받고 있는 한국 대장암 환자의 삶의 질 영향 요인)

  • Baek, Yongae;Yi, Myungsun
    • Journal of Korean Academy of Nursing
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    • v.45 no.4
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    • pp.604-612
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    • 2015
  • Purpose: The purpose of this study was to investigate the levels of physical symptoms, anxiety, depression, and quality of life (QOL) during chemotherapy for colorectal cancer patients in South Korea and to identify factors influencing their QOL. Methods: Data were collected from 144 colorectal cancer patients receiving chemotherapy during 2012 at one general hospital located in Seoul. Physical symptoms were measured by the M. D. Anderson Symptom Inventory-Gastrointestinal Cancer Module, and anxiety and depression were measured by the Hospital Anxiety Depression Scale. QOL was measured by the Functional Assessment of Cancer Therapy-Colorectal. Data were analyzed using descriptive statistics, t-test, one-way ANOVA, $Scheff{\acute{e}}$ post hoc test, Pearson correlation and stepwise multiple regression. Results: Mean age of the participants was 56.6 and most of them were not employed. In terms of cancer stage, 38.2% were in stage 3, followed by stage 4 (34.7%). The most frequent symptom was lack of appetite, followed by sleep disturbance and fatigue. The mean score for anxiety was 5.40 with a prevalence of 23% and that of depression 8.85 with a prevalence of 64.6%. The mean score for quality of life was 81.93 out of 136 and 75.3% of the variance in QOL was explained by depression, symptoms, anxiety, treatment place, and occupational status. Depression was the strongest predictive factor. Conclusion: Oncology professionals need to pay special attention to relieving depression as well as physical symptoms to improve QOL during chemotherapy for colorectal cancer patients.

Regression Analysis of the Relationship Among the Level of Pain and Dysfunction and Psychosocial Factors in Patients With Chronic Back Pain (회귀분석을 이용한 만성요통환자의 통증 및 기능장애수준과 심리사회학적 요인의 상관성 연구)

  • Choi, Im-soon;Jang, Hyun-jeong;Kim, Suhn-yeop
    • Physical Therapy Korea
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    • v.23 no.1
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    • pp.38-45
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    • 2016
  • Background: Chronic back pain shows a high correlation with lumbar disability, physical disability for daily activities, and psychosocial factors, such as depression. Object: The purpose of this study was to examine the correlation of the level of pain and disability with psychosocial factors, which are potential disturbance variables, in patients with chronic lumbar pain. Method: The sample included 258 patients, who had complained of chronic lumbar pain for more than three months. The Quadruple Visual Analogue Scale was used to measure the level of pain, and a Korean version of Oswestry Disability Index was used to measure the level of disability. Psychosocial factors were measured using the Tampa scale for Kinesiophobia-11, Fear Avoidance Beliefs Questionnaire, and Pain Self-Efficacy Questionnaire. The collected data was analyzed using PASW 18.0, and an independent samples t-test was used to examine frequency, percentage, mean, and standard deviation of sociodemographic characteristics and major variables. Pearson's correlation coefficient was used to investigate the correlation between the level of pain and disability and psychosocial factors. Stepwise multiple regression analysis was done to determine the level of pain and psychosocial factors of functional disorder. The significance level was set at ${\alpha}=.05$. Result: There is a strong correlation between the level of pain and functional disorder and psychosocial factors in patients with chronic lumbar pain. The study also revealed that as the levels of pain and fear avoidance increase, pain self-efficacy decreases. Conclusion: The results suggest that negative perceptions towards pain, limitations of physical movement, and severe fear avoidance directly affect the decrease in pain self-efficacy. Therefore, it is recommended to test pain self-efficacy when measuring the level of pain and disability in patients with chronic low back pain.