• 제목/요약/키워드: Symptom

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뇌혈관질환 환자를 돌보는 가족원의 신체증상과 스트레스 (Actual Physical Symptom and Stress in Caregivers of Patients with Cerebrovascular Disease)

  • 김희승;박현애;오미정
    • 대한간호학회지
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    • 제28권3호
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    • pp.695-704
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    • 1998
  • This study aims for examines the actual physical symptom and stress in caregivers of patients with cerebrovascular disease. The data were collected by a survey conducted from August to September, 1997 which included 65 caregivers of cerebrovascular disease patients in 4 hospitals located in Seoul. The caregiver's stress was measured by Choi (1992)'s instrument and the actual physical symptoms were investigated. The data were analyzed using ANOVA, Scheffe test, Pearson correlation coefficient and stepwise multiple regression. The results were as follows : 1. The mean number of caregiver's physical symptom was 3.5. There were significantly higher number of physical symptom in women, those of who have a religious affiliation, those of who perceive their own health status perceived as bad, and those of who perceived their patients disease condition as serious than in their counterparts. Also, the number of caregiver's physical symptom was significantly higher in caregivers whose patients have a paralysis sypmtom and the disease onset as accident than in caregivers whose patients have no paralysis symptom and the disease onset as spontaneous. 2. The average of caregiver's stress was 57.9. The caregiver's stress was the highest in between the ages of 50 and 59. There were also significantly higher level of stress in women, those of who perceived the disease condition of their patients as serious than in their counterparts. 3. The most common caregiver's physical symptom was fatigue(87.7%). This was followed by insomnia(58.5%) and muscle pain(47.7%). 4. Caregiver's physical sypmtom was positively correlated with caregiver's stress and negatively correlated with patient's activity of daily life. 5. The most important vairable affecting the caregiver's physical symtom was patient's activity of daily life which accounted for 12.7% of the total variance in stepwise multiple regression analysis. The most important vairable affecting the caregiver's stress was the patient disease condition perceived by the caregiver that accounted for 12.1% of the total variance.

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대장암·위암 환자의 항암화학요법 시기에 따른 암 증상, 우울 및 삶의 질의 변화: 전향적 종단 연구 (Change of Cancer Symptom, Depression and Quality of Life based on Phases of Chemotherapy in Patients with Colorectal or Stomach Cancer: A Prospective Study)

  • 오복자;임수연
    • 성인간호학회지
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    • 제29권3호
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    • pp.313-322
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    • 2017
  • Purpose: The purpose of this study was to identify over time the changes of cancer symptom, depression and quality of life (QOL) among people who had stomach or colorectal cancer. Methods: Of the 74 participants recruited, 67 participated in the study. Participants were asked to complete three instruments at three different time. The instruments were the M. D. Anderson Symptom Inventory-Gastrointestinal Cancer Module, Hospital Anxiety Depression Scale, and the Functional Assessment of Cancer Therapy-General. The questionnaires were administered before chemotherapy, toward the end of chemotherapy, and six months after the completion of adjuvant therapy. Data were analyzed using descriptive statistics and repeated measure ANOVA. Results: At the immediately after chemotherapy point, the most frequent symptom was lack of appetite, followed by fatigue and problem with remembering things. The mean score for depression was 8.27 with a prevalence of 31.3%. The mean score for quality of life was 61.88 out of 135. Repeated measures ANOVA showed a significant increase in cancer symptom (F=23.22, p<.001) and depression (F=35.29, p<.001) after chemotherapy. However, improvement was observed 6 months after the completion of chemotherapy. QOL (F=33.73, p<.001) also showed similar patterns as observed with cancer symptom and depression. Cancer symptom was the strongest predictor of QoL at pre-chemotherapy point. but depression was the strongest predictor at immediately after chemotherapy point. Conclusion: Chemotherapy is highly associated with cancer symptom, depression and QOL in patients with cancer. The nursing intervention is needed to relieve depression as well as cancer symptoms to improve QOL in patients undergoing chemotherapy from baseline to follow-up.

포도흰얼룩증상의 친환경방제 효과 (Effect of Environmental-Friendly Control for White Stain Symptom on Grape)

  • 오소영;남기웅;윤덕훈
    • 한국환경농학회지
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    • 제33권3호
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    • pp.184-188
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    • 2014
  • BACKGROUND: White stain symptom caused by Acremonium acutatum and Trichothecium roseum, is one of the most important diseases on the grape. This disease occurs national-wide in Korea and causes irreversible damage on grape, at harvest season. This study was conducted to develop environment-friendly control method against white stain symptom. METHODS AND RESULTS: Environment-friendly materials were tested for control activity against A. acutatum and T. roseum in vitro and in vivo. The effect of environment-friendly materials against white stain symptom on grape in farmer's greenhouse was examined. The materials, NaDCC and sulphur, were sprayed three times on the leaves and fruit of grape at the two sites of farmer's field, Anseong and Hwaseong of Gyeounggi. To evaluate control effect of NaDCC and sulphur against white stain symptom, the disease severity was investigated after the two materials were sprayed from the disease onset three times at the 7-day intervals. NaDCC showed efficacy of 59.71% for Kyoho and 72.26% for Campbell-Early, and sulphur showed 78.31% for Koyho and 66.19% for Campbell-Early. CONCLUSION: We were selected sulphur and Sodium-Dichloroisocyannurate(NaDCC) based on the results of experiments in vitro. In field test, sulphur and NaDCC showed suppressive effect in the white stain symptom of grape. These results suggested that NaDCC and sulphur selected can be used as control agents for controlling white stain symptom on grape.

과민성방광증후군 여성의 증상 심각도, 스트레스 및 건강 관련 삶의 질 (Symptom Bother, Physical and Mental Stress, and Health-related Quality of Life in Women with Overactive Bladder Syndrome)

  • 김미영;김영혜;이정주;손현미
    • 여성건강간호학회지
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    • 제19권4호
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    • pp.295-305
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    • 2013
  • Purpose: The objective of this study was to identify the relationships among symptom bother, physical and mental stress and health-related quality of life (HRQoL) in women with overactive bladder (OAB) syndrome. Methods: The participants were 106 women who were diagnosed with OAB (urgency, urge urinary incontinence, frequency, and/or nocturia) at P university hospital. Data were collected from Dec 23, 2011 to Aug 31, 2012. Results: The mean score for symptom bother was 43.1 points, for physical stress, 12.8 which was slightly higher than mental stress (11.8), and for HRQoL, 63.9. For symptom type, there were statistically significant differences in the symptom bother (F=8.67, p<.001) and HRQL (F=3.32, p=.023). The Symptom bother of OAB was positively correlated with physical stress (r=.23, p=.014) and mental stress (r=.33, p<.001) and negatively correlated with the subscales of HRQoL; coping (r=-.66, p<.001), concern (r=-.71, p<.001), sleep (r=-.59, p<.001), and social interaction (r=-.58, p<.001). Conclusion: From the results, bother symptom was associated with physical, mental stress and HRQoL. These results suggest that nursing intervention programs for OAB should be developed not only to relieve the symptoms but also to reduce stress and improve the quality of life.

대타자와 주체의 변증법적 인터페이스 탐색 -크리스티나 로제티의 「도깨비 시장」 읽기 (The Exploration of the Dialectical Interface of Other and Subject: A Reading of Christina Rossetti's "Goblin Market")

  • 김경순
    • 영어영문학
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    • 제53권2호
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    • pp.219-241
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    • 2007
  • This study takes its point of departure from Lacanian psychoanalysis and explores the point that an irremediable gap in the human subject can be illuminated in terms of the Lacanian categories, fantasy, symptom, gaze or voice as cause of desire of the Other. With respect to the category of the symptom, Lacan claims that the Other is always already there in the constitution of the subject, that is, the relation of the subject to the Other that is overwhelming as well as attracting the subject. Chapter II deals with the unthought, excessive ground of the conscious that borders on the subject, as is the case of self-excentric aspect of the man. Indeed, in Lacan's early work, the subject is essentially a relationship to the Other as desire(objet petit a), and there is no such thing as a symptom or fantasy without some subjective involvement. Lacanian unknown real, perpetual excess as the cause of desire animates the subject even as it threatens to blast it apart. The structures that establish the lines of desire in every individual are derived from an ineluctably intersubjective field. The Other is always already there in the constitution of the subject. In the final years of Lacan's teaching we find a kind of universalization of the symptom and almost everything that is becomes in a way symptom. Symptom, embodied in Laura in "Goblin Market," is her only substance, the only positive support of her being. By looking at the Laura's symptom in chapter III we gain an insight into the forbidden domain, into a real space that should be left unseen and unthought. The voice of goblin men therefore functions as a sublime object that is animating as well as dominating element even as it threatens to disintegrate the subject. Objet petit a as a sublime object that must be excluded in reality returns in the real, taking on a certain materiality which has an effect on Laura, that is, animates Laura's desire. Objet petit a is a real object, signifying nothing. In conclusion, the theoretical importance of Lacanian psychoanalysis is the relation between a subject and an Other as Objet petit a.

태음인(太陰人) 조열증(燥熱證)으로 진단된 2형 당뇨병 환자 치험(治驗) 2례 (A Case Study of Type-II Diabetes Mellitus: Two Patients with Taeumin's Dry-febrile Symptom)

  • 이승언;황주원;이원철
    • 대한한방내과학회지
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    • 제38권4호
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    • pp.509-519
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    • 2017
  • Objectives: This study describes how two patients diagnosed with type-II diabetes mellitus were successfully treated using herbal medicine. Methods: The patients were given Yuldahanso-tang to reduce the effects of Taeumin's dry-febrile symptom. Results: Type-II diabetes mellitus symptoms experienced by patients with Taeumin's dry-febrile symptom included thirst, fatigue, weight loss, and numbness in the hands and feet. After administering Yuldahanso-tang, all numerical levels for blood sugar, glycated hemoglobin (HbA1c), glycosuria, and proteinuria recovered to within normal levels. Conclusions: Treatment of patients with Taeumin's dry-febrile symptom and type-II diabetes mellitus with Yuldahanso-tang was effective, and this new evidence supports the use of herbal medicine for treating such patients.

"금궤요략(金匱要略).경계토뉵하혈흉만어혈병맥증병치(驚悸吐衄下血胸滿瘀血病脈證幷治)"의 어혈증(瘀血證)에 대한 소고(小考) (A study on Symptom of Blood Stasis in "Geumgweyoryak(金匱要略)" "Gyeonggyetonyukhahyeolhyungmaneohyeolbyeongmaekjeungbyeongchi(驚悸吐衄下血胸滿瘀血病脈證幷治)")

  • 백유상
    • 대한한의학원전학회지
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    • 제24권6호
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    • pp.29-38
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    • 2011
  • The concept of Blood Stasis had been cognized merely as a sign in disorder of blood circulation since "Huangjenaegyeong(黃帝內經)" until "Sanhanron(傷寒論)" and "Geumgweyoryak(金匱要略)" started to describe, explain and apply independent symptom of blood stasis to practice. In this article, establishing the estimate feature of symptom of blood stasis in "Geumgweyoryak(金匱要略)" is the main subject, in sequence the pathological mechanism and targets of prescriptions suggested in "Geumgweyoryak(金匱要略)" are analyzed and restructured. In conclusion, the symptom of blood stasis in "Geumgweyoryak(金匱要略)" is caused not only from disorder of blood circulation but also from metal depression, therefore there are always appearances of excessive and deficient status simultaneously, in the process of symptom. The research on concept of blood stasis from the literatures in early ages will be the basis of future studies about disease of circulation in Korean Traditional Medicine.

A Case of Korean Medicine Treatment for a Patient with Somatic Symptom Disorder Hospitalized after a Traffic Accident

  • Hong, Min-Ho;Cho, Han-Byul;Kim, Man-Gi;Koo, Byung-Su;Kim, Geun-Woo
    • 동의신경정신과학회지
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    • 제32권1호
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    • pp.67-79
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    • 2021
  • Objectives: The purpose of this study was to report the effect of Korean medicine treatment on a patient with somatic symptom disorder hospitalized after a traffic accident. Methods: The subject for this study was a patient diagnosed with somatic symptom disorder that worsened after a traffic accident. During hospitalization, herbal medicine, acupuncture, psychotherapy, and other treatments were performed. Clinical effect was evaluated using Heart Rate Variability (HRV), BDI (Beck Depression Inventory)-II, BAI (Beck Anxiety Inventory), Global assessment (G/A), and Numerical rating scale (NRS). Results: After 36 days of treatment, BDI-II score was reduced from 17 to 5. BAI score was reduced from 23 to 8. Overall somatic symptoms and pain showed decreases. Conclusions: Korean medicine treatment might be effective for somatic symptom disorder that is worsened after a traffic accident.

사상의학의 표리변증에 대한 소증 진단지표 개발연구: 소음인, 소양인, 태음인을 중심으로 (Development of Diagnostic Indicator for the Sasang Constitution Exterior-Interior Disease Based on Original Symptom)

  • 박민영;이민정;황민우
    • 사상체질의학회지
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    • 제32권4호
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    • pp.65-85
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    • 2020
  • Objectives The aim of study was to suggest diagnostic indicator according to Exterior-Interior disease for the Sasang Constitution based on original symptom. Methods We investigated the literature(『Dongeuisusebowon sinchukbon』) and another study(Clinical Practice Guideline for Disease of Sasang Constitutional Medicine: Diagnosis and Algorithm). As a result, we developed diagnostic indicator of original symptom for Exterior-Interior disease in Sasang Constitutional Medicine. Results and Conclusions Diagnosis of Exterior-Interior disease in Sasang Constitution was decided by heat and cold of original symptom. Detailed indicators of diagnosis in Exterior-Interior disease were heat/cold sensitivity, the degree of sweating, the amount of drinking water, thirst, face color and somatalgia.

Bronchopneumonia 치료예(治療例)와 소음인(少陰人) 해수(咳嗽)의 고찰(考察) (Review of Bronchopneumonia and Soeumin's Cough)

  • 이의주
    • 사상체질의학회지
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    • 제13권3호
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    • pp.126-133
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    • 2001
  • Peumonia is the infection of the lungs. Bronchopneumonia is the infection of the bronchus. But their symtoms are simillar. I took care of a patient in bronchopneumonia. And then I reviewed Haemophilus influenzae and Soeumin's cough through west-east medicine books. Cough is divided with the outter disease and the inner disease on the pathology of the Korean Medicine(Sansang Constitutional Medicine). And the outter disease is divided with the outter symptom and the inner symptom. The inner disease is divided too. I wanted to discuss Soeumin's cough is the outter symptom of the outter disease and the inner disease. Finally the outter symptom of the outter disease must be applied with the thrapeutic method of the removal wind-cold and the elevation of YangGi in Soeumin's cough. And the outter symptom of the inner disease must be applied with the thrapeutic method of the heating AbdominalGi and the going down of EumGi in Soeumin's cough.

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