• Title/Summary/Keyword: Symptom group

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Effects of a Symptom Focused Self-Management Program on Symptom and Functional status, Health Perception, and Quality of Life of Patients with Chronic Heart Failure (인지적 의사결정에 근거한 증상별 자기관리프로그램이 만성 심부전 환자의 신체·기능상태, 건강지식 및 삶의 질에 미치는 영향)

  • Kim, Gi Yon
    • Korean Journal of Adult Nursing
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    • v.19 no.1
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    • pp.132-143
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    • 2007
  • Purpose: The purpose of this study was to identify effects of a self-management program on symptom and functional status, health perception, and quality of life(QOL) of patients with CHF. Methods: Patients with CHF as defined through clinical judgment using the Framingham criteria and EF<50% were enrolled in the study (experimental: 21, control: 20). The symptom focused self-management program consisted of coping behaviors for symptoms including dyspnea, chest discomfort/pain, dizziness, ankle edema, and basic self-management including medications, diets, activity, lifestyle changes. Experimental group received an educational booklet after survey, and periodic telephone follow-up by a trained nurse. Data were collected the 3rd day after admission and at 1 month, 3 months, and 6 months after discharge using questionnaires. Results: Significant differences were found in the presence of symptoms, health perception, and QOL between groups during follow-up. Although no significant difference was found in functional status, the experimental group reported better functional status than the control group. Conclusion: By facilitating self-management of CHF using tailored interventions including education programs and telephone monitoring, it is expected that patients will be able to monitor their symptoms routinely, adhere to therapeutic regimen, and have a better QOL.

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Effects of the Nurse-led Discharge Education on Symptom Experience and Self-Care Compliance in Patients with Chronic Obstructive Pulmonary Disease (일대일 퇴원교육이 만성폐쇄성 폐질환자의 증상경험 및 자가간호수행에 미치는 효과)

  • Cho, Eun-Hye;Hwang, Seon-Young
    • Korean Journal of Adult Nursing
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    • v.23 no.6
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    • pp.595-604
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    • 2011
  • Purpose: This study was conducted to examine the effects of the nurse-led one-on-one discharge education on the levels of symptom experience and self-care compliance among patients with chronic obstructive pulmonary disease (COPD) who had not previously participated in an education or respiratory rehabilitation program. Methods: This study used a quasi-experimental pre-and post-test design with nonequivalent control group. Sixty seven hospitalized patients (34 for experimental and 33 for control groups) were recruited from in-patient units of a general hospital from August to November, 2010. The one-on-one education session of symptom management and daily self-care was administered to experimental group for 50 minutes along with a follow-up phone call. Self-administered questionnaire was administered at the pretest and at 1 month after discharge. Results: The subjects were 67.43(${\pm}10.24$)years old in average. The mean differences of symptom experience (t=3.39, p=.001) and self-care compliance (t=-38.13, p<.001) in the experimental group was significantly higher than those of the control group. Conclusion: Nurse-led one-on-one discharge education was effective in reducing the level of symptom experience and enhancing self-care compliance at home within one month after discharge. Therefore, this form of one-on-one education provided by nurses might be applicable effectively for COPD patients who do not have access to respiratory rehabilitation programs.

A clinical study for Chuna Treatment on Neck pain (추나요법의 경항통 치료에 대한 임상적 고찰)

  • Park, Won-Hyung;Oh, Se-Choon
    • The Journal of Korea CHUNA Manual Medicine
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    • v.6 no.1
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    • pp.1-9
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    • 2005
  • Objective : The study aims to find out the effects of Chuna treatment on neck pain. Methods: Out of 40 neck pain people, we divided 20 people in group A was treated Acupuncture and China, 20 people in group B was treated Acupuncture. We measured Visual Analog Scale(VAS) and symptom grade before and after treatment in each group's. Statistical analysis was performed by using SPSS program. Results : 1. Symptom grade III was the highest frequency before treatment in Group A and Group B. After treatment, grade 0 was The highest frequency in Group A But grade 0, II were the highest frequency in Group B. 2. Group A was Significantly decreased in VAS compared with Group B. Conclusion: These results suggest that Chuna treatment is useful on the patients of neck pain.

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Comparative Analysis of Stomach Cancer Stages and Related Factors according to the Diagnosis Path (위암 환자의 진단 경로에 따른 병기 및 관련요인의 차이)

  • Lee, Hyun-Ah;Lee, Tae-Yong;Kim, Young-Ran
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.4
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    • pp.2656-2664
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    • 2015
  • The purpose of this study is to compare the difference between stomach cancer stages and related factors according to the diagnosis path. The self-administered questionnaire was filled out by 375 inpatients with primary stomach cancers who had been scheduled at Chungnam National University Hospital were targeted for the survey during the period from August 1st 2010 to March 31st 2013. Rogistic regression model were estimated to identify related factors between Medical checkups group and symptom group. As a results, the study suggests that early checkups is important because ratio of early stomach cancer is higher in Medical checkups group than in symptom group(p=0.001). And if there was a symptom at diagnosis of stomach cancer, stomach cancer stage appeared to have a strong possibility(p=0.001). If cancer screening has been widely implemented and supported by a large scale prospective studies will be possible even in the most appropriate tests and interval estimation for the country.

A Study on Reliability and Validity of the Pyungweesan Patternization Questionnaire by the Pathogenesis Analysis (병인론적(病因論的) 분석(分析)에 의한 평위산변증설문지(平胃散辨證設問紙)의 신뢰도(信賴度) 타당도(妥當度) 연구(硏究))

  • Lim, Jun-Sung;Park, Young-Bae;Park, Young-Jae;Lee, Sang-Chul;Oh, Whan-Sup
    • The Journal of the Society of Korean Medicine Diagnostics
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    • v.11 no.2
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    • pp.59-67
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    • 2007
  • Objectives: Pathogenesis treats cause of disease. Pyungweesan is pathogenic prescription of indigestion. This study researched for developing questionnaire of prescribing pyungweesan. Methods: Korean medical doctor classified the patients into two group, pyungweesan symptom group and non pyungweesan symptom group. After that, each group responsed to the questionnaire. We tested for both the reliability and validity of the questionnaire. For validity test, we compared the sum, average and standard deviation of 20 items of pyungweesan symptom group with those of non-pyungweesan symptom group through independent sample t-test, For reliability test, we computerized crohnbach's a value of the items. Results: The developed questionnaire showed remarkable reliability. (Cronbach's ${\alpha}$ =0.854) There were a significant differences on the sum of the 20 items and each 19 item's average and standard deviation, except 1 item; Do you have an irregular discharge from the womb? Conclusions: Based on the results of the above analysis, the korean medical doctor will make an effort to apply the pyungweesan questionnaire clinically. In the future, the additional research is needed.

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Relationship between national exam stress and temporomandibular disorder(TMD) in allied health students (일부 보건계열 학생들의 국가시험 스트레스와 측두하악장애의 관계)

  • Kim, Myung-Eun;Jang, Won-Seok
    • Journal of Korean society of Dental Hygiene
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    • v.16 no.5
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    • pp.791-798
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    • 2016
  • Objective: The aim of the study was to investigate degree of national exam's stress, symptom of temporomanibular disorder(TMD) in allied health students and relationship between of them. Methods: A self-reported questionnaire was completed by 305 students of dental hygiene and physical therapy in Chungbuk and Gyeongnam in December 2015. Except incomplete questionnaire, 260 data were analyzed using SPSS 12.0 program. The study instruments consisted of subjective symptom of temporomandibular disorder, bad habit of mouth and degree of national exam's stress. Results: National exam stress was higher in female and subjective unhealthy students(p<0.05). High group and usual group on national exams's stress showed high subjective symptom(p<0.05). National exam's stress were related to subjective symptom of TMD and bad habit of mouth(p<0.05, p<0.01). Subjective symptom of TMD were related to bad habits of mouth(p<0.01). Conclusion: The degree of stress, TMD and bad habits of mouth on national exam test was high. therefore, it is important to manage the national exam's stress and to develop program in order to reduce the national exam's stress in allied health students.

Effects of Cheongyoung-tang on CHT-Induced Brain Edema and Neurological Disturbance Symptom in Rats (청영탕이 CHT로 유발된 백서의 뇌부종 및 신경장애 증상에 미치는 영향)

  • Cheong Sang Su;Lee Sang Kwan;Sung Kang Keyng
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.16 no.5
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    • pp.948-954
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    • 2002
  • This study was carried out to evaluate Effects of Cheongyoung-tang on CHT-Induced Brain Edema and Neurological Disturbance Symptom in Rats. we make a comparative study of the such parameters as neurological severity score(NSS) and changes in water content, lactate, glucose and hematological substance. 1. ΔNSS increased in CYT1 and CYT2 as compared with the control group, which showed no efficacy. 2. In water content of both hemispheres, CYT1 and CYT2 as compared with the control group have no difference. 3. Water content of the left hemisphere decreased in CYT1 and CYT2 as compared with the control group. 4. The lactate level in serum decreased in CYT1 and CYT2 as compared with the control group. 5. In hematological changes, RBC, PLT and MCHC increased in CYT1 and CYT2 as compared with the control group, but MCV decreased. According to these results, CYT has an effect on CHT-induced brain edema and neurological symptom.

The Effect of Pelvic Floor Muscle Exercise Program on Pelvic Floor Muscle Strength and Lower Urinary Tract Symptom of Women with Urinary Incontinence after Stroke (골반저근운동프로그램이 뇌졸중 후 요실금이 있는 여성의 골반저근력과 하부요로증상에 미치는 효과)

  • Choi, Se-Jong;Lee, Yong-Woo;Song, Chang-Ho
    • Journal of the Korean Society of Physical Medicine
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    • v.5 no.2
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    • pp.203-210
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    • 2010
  • Purpose : The purpose of this study was to evaluate the effect of Pelvic Floor Muscle Exercise(PFME) in women with urinary incontinence (UI) after ischemic stroke. Methods : Thirty women were divided into two groups by randomly Experimental Group(15 subject) and Control Group(15 subject) in a single blinded, randomised study. Experimental Group was conducted for the 6-weeks PFME program and had a structured training program for 60 minutes, 3 days per week and they were encouraged to PFME at home seven days for a period of 6weeks. They were measured by questionnaire of urinary symptoms and perineometry. Results : A significant improvement in pelvic floor muscle strength and lower urinary tract symptom was also demonstrated within the Treatment Group(p<.05), but not in the Control Group. Conclusion : PFME program had a significant effect in women with UI after stroke measured by pelvic floor muscle strength and lower urinary tract symptom.

A Study on distribution of Dry Eye and Diagnosis Methods (건성안의 분포와 진단 방법에 대한 연구)

  • Ryu, Geun Chang;Park, Hyun Ju;Kim, Jae Min;Lee, Seung A;Ra, Myung Suk
    • Journal of Korean Ophthalmic Optics Society
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    • v.5 no.2
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    • pp.91-98
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    • 2000
  • To investigate the distribution of dry eye and to accept diagnosis methods of dry eye in ophthalmic shop, this study was performed on 81 persons(male : 49, female : 32). 1. We divided two group for diagnosing dry eye by dry eye screening questionnaire : one was dry eye symptom group(49.3%) and the other was non-dry eye symptom group(50.7%). 2. Non-invasive break-up time(NIBUT) which was measured by using Tear $scope^{(R)}$ (Killer. co)was longer than invasive break-up time(IBUT). 3. A blink rate in dry eye symptom group(10%) was measured lesser than 10 cycle/min, in non-dry eye symptom group(14.9%). 4. In shirmer test there were lesser than 10mm/5min in dry eye symptom group(67.5%), in non-dry eye symptom group(39%). 5. Cornea and conjunctival staining by rose bengal represented Mild 25%, medium 36.25%, extreme 38.75% in dry eye symptom group. Non-dry eye symptom group was showed Mild 19.51%, medium 14.63%, extreme 12.19%. 6. These results showed that the patient showed dry eye symptom in 3 items of eye examination was 22.5%, 4 items 25%, 5 items 30%, 6 items 15%.

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Prevalence Rate of Lead Related Subjective Symptoms in Lead Workers (연취급 근로자의 연폭로 수준에 따른 주관적 자각증상 호소율)

  • Jeong, Du-Shin;Kim, Hwa-Sung;Ahn, Kyu-Dong;Lee, Byung-Kook
    • Journal of Preventive Medicine and Public Health
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    • v.26 no.2 s.42
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    • pp.251-267
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    • 1993
  • The relationship between lead related subject symptoms and lead exposure indices was studied in 435 male lead workers in thirteen lead using industries. 212 male office workers who were not exposed to lead occupationally were also studied as a control group. Fourteen lead related symptoms were selected. They were further subdivied into 4 sub-symptom groups such as 1) gastrointestinal, 2) neuromuscular and joint 3) constitutional, and 4) psychological symptoms. Symptom questionnaires were provided to the workers and filled up by themselves and reconfirmed by interviewer(doctor). The test used fer the evaluation of lead exposure were blood lead(PbB), zinc protoporphyrin in whole blood(ZPP), hemoglobin(Hb), hematocrit (Hct), delta-aminolevulinic acid in urine(DALA). The results obtained were as follows; 1. The higher prevalence rate in the sub-group of neuromuscular and joint symptoms was observed in occupationally lead exposed subjects than non-exposed subjects. Among the sub-groups, the most frequent symptom was 'numbness of finger, hands or feet', and the prevalence of the symptom of 'arthralgia', 'weakness of fingers, hands or feet' and 'myalgia' were higher in order. 2. While the symptom which showed the biggest difference of prevalence rate among the 14 symptoms between exposed and non-exposed subjects was 'numbness of fingers, hands or feet', the symptom which showed the highest prevalence rate was 'feeling tired generally' in exposed and non-exposed subjects, but no statistical difference of symptom prevalence were observed. 3. In total study population, PbB and ZPP had dose-response relationship with 4 symtoms of neuromuscular and joint symptoms ('numbness of finger, hands or feet', 'arthralgia', 'weakness of fingers, hands or feet' and 'myalgia') and one symptom of gastrointestinal group('intermittent pains in lower abdomen'). 4. In lead exposed workers, only neuromuscular and joint symptoms group showed dose-response relationship with PbB and ZPP, 5. In lead exposed workers, the prevalance rate of overall symptoms of lead workers with age below 39 years was higher than that of lead workers with age above 40. While neuromuscular and joint symptoms group had a dose-response relationship with PbB in former group, it had a dose-response relationship with ZPP in latter group. 6. Age adjusted odds ratios of symptoms of non-exposed with exposed and odds ratios of low exposed with high exposed workers showed the dose-response relationship of lead exposure with neuromuscular and joint symptoms group('numbness of fingers, hands or feet', 'arthralgia', 'weakness of fingers, hands or feet' and 'myalgia') and gastrointestinal symptoms group('intermittent pains in lower abdoman').

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