• Title/Summary/Keyword: Symptom

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Symptom Clusters in Women with Gynecologic Cancer (부인암 여성의 증상 클러스터(Symptom Cluster))

  • Chun, Na Mi;Kwon, Jee Yeon;Noh, Gie Ok;Kim, Sang Hee
    • Journal of Korean Clinical Nursing Research
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    • v.14 no.1
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    • pp.61-70
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    • 2008
  • Purpose: Women with gynecologic cancer often experience various physical and psychological symptoms relating to the cancer and its treatment. The purpose of this study was to identify symptom clusters. Method: A survey was conducted on 184 women with diagnoses of cervical, ovarian or endometrial cancer. Fifty symptoms were assessed for prevalence, severity and interference, and symptom clusters were identified. Cluster analysis was done using SPSS version 12.0. Results: Fatigue was identified as the most prevalent symptom (81.52%), lack of vaginal lubrication (2.26) as the most severe symptom, and lack of vaginal lubrication as the most interfering one (2.15). Identified six clusters were: Anorexia-pain cluster (loss of appetite, taste change, weight loss, appearance change, alopecia, weakness, pain), Fatigue cluster (lack of concentration, lack of memory, fatigue, dry mouth), Urinary-bowel distress cluster (urinary difficulty, constipation), Abdominal discomfort cluster (lower abdominal pain, abdominal pain, bloating), Emotional distress (sadness, anxiety-worry, nervousness, restlessness), and Menopausal cluster (sweating, hot flush, fever). Conclusion: The result of this study provides fundamental data to health care professionals in developing interventions for effective symptom management for women with gynecologic cancer by understanding identified 6 symptom clusters.

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The Related Factor of Job Characteristics and Occupational Stress on Musculoskeletal Symptom for Caregiver Working in Hospital (병원에 근무하는 간병인의 업무적 특성과 직무스트레스가 근골격계 자각증상에 미치는 요인)

  • Choi, Yul-Jung;Sim, Hyun-Po
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.18 no.1
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    • pp.19-29
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    • 2012
  • Background: This study was conducted to investigate subjective musculoskeletal symptom and the related factor of caregiver. Methods: For 300 caregiver, we used the self-administered questionnaires to examine occupational stress and subjective musculoskeletal symptom designed by KOSHA. The collected data were analyzed chi-square test, independent t-test and multiple logistic regression analysis using SPSS 12.0. Results: The multiple logistic regression analysis showed that the caregiver working in the general hospital significantly increased the subjective musculoskeletal symptom in their neck, shoulder, hand/wrist/finger, back, leg/foot. For the caregiver working in hospital showed significantly increased the subjective musculoskeletal symptom in their hand/wrist/finger and leg/foot. Conclusions: With the above results, continuous and systematic prevention program should be established, which include the ergonomics and psychosocial factor for the caregiver's musculoskeletal symptom.

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A Study on the Effect of Deficiency Symptom-Complex Upon Symptoms Checklist-90-Revision (허증(虛證)이 간이정신진단검사(簡易精神診斷檢査)(SCL-90-R)에 미치는 영향(影響))

  • Hyung Wan-Yong
    • Journal of Oriental Neuropsychiatry
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    • v.2 no.1
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    • pp.108-121
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    • 1991
  • Deficiency symptom-complex is related to psychotic disease and important concept of Pal Gang(八綱) in oriental Diagnosis. This investigation was carried out to see the effect of disease of deficiency Symptom-Complex upon Symptoms Checklist-90-Revision. The following results were obtained ; 1. Deficiency Symptom-Complex was related to psychoses in the bibliographic study. 2. Dimension #1, #2, #4, #5, #7, #9, were significantly recognized in the deficiency Symptom-Complex. 3. Dimension #1 was significantly recognized in the back pain. 4. Dimension #1 was related to the deficiency of spleen(脾虛). 5. It is suggested that dimension #2, #3, #7, related with phobia were connected with the deficiency of liver, and gall bladder(肝膽虛). Considering the above results, it is thought that deficiency Symptom-Complex was related to psychotic disease, investigation about deficiency Symptom-Complex of viscera &bowels(臟腑虛證) and Symptoms Checklist-90-Revision should be continued.

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Clinical Observation on 1 Case of Patient with Wei symptom (위증환자 치험 1례)

  • Lee, Kyoung-min;Kim, Tae-hi;Jung, Sung-yup;Kim, Chul-soo;Yoon, Jong-hwa
    • Journal of Acupuncture Research
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    • v.19 no.6
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    • pp.214-220
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    • 2002
  • Wei symptom is symptom that reveals muscle relaxation without contraction and muscle relaxation occurs in the lower or upper limb, in severe case, leads to death. Objective : This is the clinical report about the Wei symptom-patient diagnosed as Guillain-Barre syndrome. Methods & Results : The patient was treated by acupuncture(胃正格), herb medication(香砂養胃湯) and had significant improvement in Wei symptom. Conclusions : The concept of "To treat Yangming, most of all" (獨治陽明) is emphasized in treatment of Wei symptom and contains nourishment of middle warmer energy(補中益氣), clearance yangming(淸化陽明).

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Clinical Study on 1 Case of Both Lower Limbs Weakness Patient Diagnosed Wei Symptom (위증(痿證)으로 진단한 하지무력(下肢無力) 환자의 치험1례)

  • Jung, Tae San;Kang, Seong Sun;Choi, Chang Won
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.26 no.5
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    • pp.784-787
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    • 2012
  • Wei symptom(痿證) is symptom that reveals muscle relaxation without contraction an muscle relaxation occurs in the lower or upper limbs, in severe case, leads to death. The symptoms of Wei symptom are weakness, atropy of muscle, gait disturbance, etc. We studied to evaluate the oriental medical treatment on a patient with Wei symptom. We applied various methods of oriental medical treatment including herb medicine, acupunture, moxibustion, herb acupunture. The clinical symptoms that were both lower limbs weakness, gait disturbance, etc. were improved after the methods of oriental medical treatment. The results suggest that oriental medicare is an effective treatment for Wei symptom, but more extensive research is needed.

Clinical Observation on 1 Case of Both Leg Paralysis Patient Diagnosed Wei Symptom (위증(療證)으로 진단한 하지마비 환자의 치험 1례)

  • Wei, Tung-Sheun
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.20 no.3
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    • pp.748-752
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    • 2006
  • Wei symptom(?證) is symptom that reveals muscle relaxation without contraction and muscle relaxation occurs in the lower or upper limb, in severe case, leads to death. This is the clinical report about the Wei symptom(?證)-patient doubt as Transverse Myelitis and Conversion Disorder. The patient was treated by acupuncture, moxibustion, herb medication(十全大補湯), electriccal stimulation theraphy, Bee Venom acupuncture, and had significant improvement in Wei symptom(?證). these results suggest the surface temperature differ remarkably from before being treated. The temperature is measured by using Digital Infrared Thermal Imaging(DITI). The results suggest that oriental medicare is an effective treatment for Wei symptom. We expected that therapeutic value of treatment of both leg Paralysis in the oriental medicine will be higher if more clinical studies and researches are accomplished.

The Correlation between Esophagogram and Gastroesophageal Reflux in Patients with Globus Symptom and the Outcome of Treatment with Antacid and Prokinetic agent (인두 이물감을 호소하는 환자에서 식도조영술과 위식도역류와의 상관관계 및 치료성적)

  • 정필섭
    • Korean Journal of Bronchoesophagology
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    • v.4 no.2
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    • pp.193-196
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    • 1998
  • Gastroesophageal reflux (GER) has been considered one of major causes in patient with globus symptom. Diagnostic methods for GER are gastroesophagoscopy, acid perfusion test esophagogram, esophageal manometry, 24-hour double probe pH-metry, and so on. According to the literature, positive rate of GER on esophagogram was reported variably from 4.7% to 45.9% and the outcome of classical treatment with antacid and prokinetic agent was reported from 70% to 84%. We reviewed the medical records of 81 patients with globus symptom. Each patient had been performed esophagogram and treated with antacid and prokinetic agent. Positive rate of GER on esophagogram was 46.9%. Complete resolution and improvement of globus symptom was 79% overally, 92% in positive group of GER rut esophgogram, and 72% in negative group. Considering aspects of time-cost and compliance of patient esophagogram is one of the screening methods of GER in patients with globus symptom. Antacid and prokinetic agent is recommended in treatment of patients with globus symptom.

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Extended Type of Symptom Discrimination for Triple Energizers (三焦) in Song (宋), Jin (金) and Yuan (元) Dynasty (송(宋)·금(金)·원(元) 시대 광의의 삼초변증(三焦辨證))

  • Jo, Hak-Jun
    • The Journal of Korean Medical History
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    • v.28 no.1
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    • pp.61-79
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    • 2015
  • Objectives : In order to prove the extended type of symptom discrimination for triple energizers in Song, Jin and Yuan Dynasty. Methods : Extract the topic-related contents from the books, with key words, triple energizers. After arraying them from this sources according to time order, analyze the data. Results : Analyzing its history from symptom, prescription, and discrimination proved the fact that the extended type of symptom discrimination for triple energizers had been developed continually, and assured that it did not play an important role in forming the narrow type of its symptom discrimination for Wen Bing (溫病) in Qing (淸) Dynasty, but also had been advanced separately from its type for Wen Bing. Conclusions : Symptom discrimination for triple energizers in Song, Jin and Yuan Dynasty gradually went far to become its extended type which widely used for Za Bing (雜病), Wen Bing, and diseases for pediatrics and dermatology.

A Study of the Case Record on Dyspnea and Wheezing Asthma Recorded in Xu Ming Yi Lei An ((${\ll}$속명의류안(續名醫類案)${\gg}$에 기재(記載)된 천(喘) 및 효천(哮喘)에 관(關)한 의안(醫案) 연구(硏究))

  • Lee, Ju-Il
    • Herbal Formula Science
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    • v.15 no.1
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    • pp.49-105
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    • 2007
  • Objectives : Select and analyze the case record of dyspnea and wheezing asthma recorded in Xu Ming Yi Lei An that is the most abundant and wide in contents in existing case records that are systematic, comprehending relatively modern Traditional Chinese Medicine to secure more deep and objective basis of Traditional Chinese Medicine approach for dyspnea and wheezing asthma to analyze and review possibility for clinical application in this study. Methods: The study was conducted with the case records of dyspnea and wheezing asthma in whole Xu Ming Yi Lei An. Pattern identify and classify selected case records and again classified with deficiency syndrome and excess syndrome. Also analyzed prescriptions and herbs used in the case records. Nature of herbs and properties and flavors that were used in the case records were classified and frequency of each nature of herbs were analyzed. Applicable case records were interpreted and suggested prescriptions, pulse feelings, pattern classification were analyzed and described. Results : Among the 5254 case records stated on the complete collection, it is researched that there are 63 case records for the symptom complex of dyspnea as 1.2% of the whole case records, and the case records on the symptom complex of wheezing asthma are 14 as the 0.27% of the total examples. 63 case record examples related with symptom complex of dyspnea were pattern identified and classified. As a result, deficiency syndrome of the Kidney(33 %), deficiency syndrome of the Spleen(26.0%), Wind-Cold(12.3%), phlegm turbidity(12.3%), Heat in the Lung(8.2%), asthenia of the Lung(8.2%) were investigated as above order. 14 case record examples related with wheezing asthma were pattern identified and classified. As a result, phlegm-Heat(26.3%), upper excess and lower deficiency(26.3%), external affections Wind-Cold(15.8%), Dampness-phlegm(10.5%), Lung asthenia(10.5%), Cold phlegm(5.3%), mutual deficiency and detriment of Heart and Kidneys(5.3%) were investigated as above order. Symptom complex of dyspnea has 67.1% of deficiency syndrome, 32.9% of excess syndrome resulting more deficiency syndrome than excess syndrome. Symptom complex of wheezing asthma has 42.1 % of deficiency syndrome and 57.9% of excess syndrome resulting more excess syndrome than deficiency syndrome. In case of symptom complex of dyspnea prescription used in the case record, the order of frequency is as following. Palmijihwang-tang, Bojung-ikgitang, Yungmijihwang-tang, Ijintang, Sojaganggitang, Igongsan. In case of symptom complex of wheezing asthma prescription in the case record, Yungmijihwang-tang, Ohotang, Dodamtang were mostly used. Herbs used in case records of symptom complex of dyspnea are Ginseng Radix, Poria, Glycyrrhizae Radix, Aconiti Iateralis Preparata Radix, Atractylodis Macrocephalae Rhizoma, Dioscoreae Rhizoma, Angelicae Gigantis Radix, Rehmanniae Radix Preparat, Pinelliae Rhizoma, Zingiberis Rhizoma Recens are mostly used. Nature of herb properties used for symptom complex of dyspnea and symptom complex of wheezing asthma are herbs that are warm properties. When the symptom complex of dyspnea and the symptom complex of wheezing asthma were treated. if the patient felt tenderness at Pyesu, doctors conducted pricking blood around the opposite Pyesu or Sipseon acupoint. when the patient didn't have tenderness at Pyesu by soft press, pricking blood was performed both sidees, right and left Pyesu. In case of the treatment of symptom complex of dyspnea and symptom complex of wheezing asthma, when they got treatment, when the symptom complex of disease is severe, a doctor cauterized the opposite Pyesu while the other Pyesu felt tenderness, and decided how the above treatment is performed whether the degree of the symptom compolex of disease is severe or not. In case of the treatment of symptom complex of dyspnea and symptom complex of wheezing asthma, if the person felt tenderness at Pyesu and is caught by the Wind-Cold pathogen, slight acupuncture is treated at relevant Pyesu with Fire needling. When patient with symptom complex of dyspnea and symptom complex of wheezing asthma cannot hawk sputum up from the oral and laryngopharynx, suction method is treated. Conclusion : With this study, actual traditional and clinical pattern identification form and characteristics of symptom complex of dyspnea and symptom complex of wheezing asthma were recognized. Modern case report utilizing in clinical application need to be secured and an incurable disease asthma need to be diagnosed and improvement for treatments have to be searched through other case records.

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The Mediating Effects of Resilience between Symptom Experience and Depression in Patients with Chronic Obstructive Pulmonary Disease (만성 폐쇄성 폐질환 환자의 증상경험과 우울의 관계에 미치는 극복력의 매개효과)

  • Kong, Kyoung-Ran;Lee, Eun-Nam
    • Korean Journal of Adult Nursing
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    • v.27 no.4
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    • pp.375-383
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    • 2015
  • Purpose: The purpose of this study was to identify the relationship of resiliency and symptom experience and depression. Subjects (N=152) were patients with chronic obstructive pulmonary disease (COPD).admitted to D University Medical Center in B City. Methods: Data collection was conducted from July 20 to August 25, 2013. The levels of symptom, resilience, and depression were measured using a seven question symptom experience measuring instrument, a 25-question resilience instrument, and a 15-question Short Geriatric Depression Scale (SGDS). The collected data were analyzed by descriptive analysis, Pearson's correlation coefficients, and path analysis using SPSS/Win 19.0 and AMOS 5.0. Results: There was a significant negative correlation between symptom and resilience, a significant positive correlation between symptom and depression, and a significant negative correlation between resilience and depression. Symptom showed a direct effect on depression and an indirect effect on depression scores through resilience as a mediating variable. Conclusion: It is necessary to develop nursing intervention programs to relieve symptom in COPD patients, and to develop appropriate resilience enhancement programs to reduce their depression.