• 제목/요약/키워드: Symptom management

검색결과 760건 처리시간 0.031초

조현병 환자의 인지행동치료 기반 사례관리를 위한 스마트폰 애플리케이션 개발 (Development of Smartphone Application for Cognitive Behavioral Therapy-Based Case Management in Patients with Schizophrenia)

  • 김성완;이가영;유혜영;박지현;이용성;김주완;박철;이주연;이요한;김재민;윤진상
    • 대한조현병학회지
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    • 제19권1호
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    • pp.10-16
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    • 2016
  • Objectives : This article aims to describe the development of smartphone application for the case management of patients with schizophrenia. Methods : Gwangju Bukgu-Community Mental Health Center developed and launched a smartphone application (HYM) for cognitive-behavioral case management and symptom monitoring. The development of the application involved psychiatrists, nurses, social workers, psychologists, and software technicians from a software development company (Goosl Corp.). Results : The HYM application for clients includes six main modules including Thought record, Symptom record, Daily life record, Official notices, Communication, and Scales. The key module is the 'Thought Record' for self-directed cognitive-behavioral treatment (CBT). When the client writes and sends the self-CBT sheet to the case manager, the latter receives a notification and can provide feedback in real time. 'Communication' and 'Official notices' are useful for promoting communication between case managers and clients with schizophrenia. Ratings in 'Symptom record', 'Daily life record', and 'Scales' modules are stored in graphic or table form representing changes in them and shared with case managers. Conclusion : The interactive function of this application is the key characteristics that distinguishes it from other mobile self-treatment tools. This smartphone application may contribute to the development of a youth- and customer-friendly case management system for individuals with early psychosis.

Analysis of Allergy Symptoms and Quality of Life among University Students with Allergic Rhinitis

  • Song, Mi Ryeong;Park, Joon Soo
    • Journal of Korean Biological Nursing Science
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    • 제15권4호
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    • pp.264-271
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    • 2013
  • Purpose: The purpose of this study was to analyze the symptoms of allergic rhinitis among university students and assess their quality of life (QOL) in order to establish an effective program for university students with allergic rhinitis. Methods: The data were collected in May, 2012 in a university school health center. The collected data were analyzed in terms of frequency, percentage and mean for the symptom types and QOL among 131 university students with allergic rhinitis. An independent t-test was conducted to determine differences in QOL according to general and disease related characteristics. Results: Symptoms were reported in the following order: nasal obstruction, rhinorrhea, sneezing, and nasal itching respectively. The mean score of QOL of the participants was 2.24 (5 point). Nasal symptoms such as rhinorrhea (M=3.16) and nasal obstruction (M=3.12) had the highest score and affected QOL badly in the item analysis. QOL differed according to the diagnosis of allergic rhinitis history, skin test reaction, some symptoms and allergens. Conclusion: To establish an effective management program for increasing QOL among university students with allergic rhinitis, symptom management methods for nasal obstruction and rhinorrhea should be included in the program.

지역사회 거주 심장질환 환자들을 위한 모바일 건강중재: 통합적 문헌고찰 (Mobile Health Interventions for Community-Dwelling Patients with Heart Diseases: An Integrative Review)

  • 고지운;강현욱
    • 중환자간호학회지
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    • 제13권1호
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    • pp.63-75
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    • 2020
  • Purpose : The purpose of this study was to review mobile health (mHealth) interventions based on studies from online databases for community-dwelling patients with heart diseases. Methods : Six databases (RISS, KISS, PubMed, CINAHL, EMBASE, and SCOPUS) were searched to select studies conducted from January 1 to September 30, 2010. After this, quality appraisals were carried out using the Scottish Intercollegiate Guidelines Network checklist and a total of 11 studies were selected. Results : The selected 11 studies included 7 randomized controlled studies, 1 quasi-experimental study and 3 pilot studies. The main components of mHealth interventions included symptom monitoring at home, provisions for individualized messages for health management using text messaging, telephone or smart phone applications, and running websites for symptom monitoring or health education. Intervention periods varied from 6 weeks to 12 months. The findings of the studies suggested that the mHealth interventions were effective in improving self-management of heart diseases, quality of life, and decreasing symptoms. Conclusions : The results of the review suggested that mHealth interventions had positive effects on community-dwelling patients with heart diseases. More mHealth intervention studies need to be conducted in Korea to aid community-dwelling patients with heart diseases.

업무상 컴퓨터 사용 정도가 작업관련 불건강 증상 경험 여부 및 회수에 미치는 영향 분석 (The effect of computer using work hours on work-related symptom experiences)

  • 김영선;이경용
    • 대한안전경영과학회지
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    • 제16권3호
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    • pp.219-229
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    • 2014
  • Employees used computer significantly(IT employee) is increased by technological development in workplace. This study tried to find the magnitude of IT employees and the profile of their working conditions and ill health experiences in South Korea. Korean Working Conditions Survey was used with descriptive and mean difference test in order to find the difference working conditions and ill health status among the groups classified by the degree of using computer during work. Some of working conditions was positively correlated with the density of computer use such as work autonomy, the exposure of repetitive movement of hand and arms. The pain of upper extreme was also more frequently found in the highest user group of computer than lower user groups. Based on the result of hierarchical regression analysis, the effect of computer using on the experience of work-related symptoms after controlling other factors was shown as U shape. This study as heuristic one suggest that some of depth analysis with hypothesis will be done to identify the causes and pathway of impact of computer use.

결혼상태가 우울 및 자살생각에 미치는 영향 - 연령별 성별 차이를 중심으로 - (Impact of Marital Status on Depression and Suicidal Ideation Among Korean Adults - Focused on the Difference by Age and Sex -)

  • 전경숙;이효영
    • 보건의료산업학회지
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    • 제5권3호
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    • pp.179-190
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    • 2011
  • This study examined the association between marital status and mental health(depression, and suicidal ideation) of Korean adults by age and sex, using 2005 Korean National Health and Nutrition Examination Survey data. Differences of marital status in depression and suicidal ideation were assessed by age and sex-specific prevalence according to each stage of the life course. Our results indicated that adults who divorced, separated, and widowed had significantly higher risk of poor mental health than married adults. Men with no spouse at the stage of middle and older aged are reported higher in depressive symptom than married men. For the suicidal ideation, men with no spouse had higher risk of suicidal ideation through all stage of life course. Women were more likely to report depressive symptom and suicidal ideation than men through all stage of life course. But we could not found the mental health advantage of marriage among Korean women through all stage of life course. Based on findings, the study clearly indicate that the implication of marriage on mental health could be different for adults of different age group and sex.

아토피 피부염 환아 어머니의 양육 스트레스와 간호 요구 (Parenting Stress and Needs of Mothers of Children with Atopic Dermatitis)

  • 유일영;김동희
    • Child Health Nursing Research
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    • 제10권4호
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    • pp.423-430
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    • 2004
  • Purpose: The main purposes of this descriptive survey study were to describe parenting stress and needs of mothers of children with atopic dermatitis. Method: Data were collected from 111 mothers of children under 6 year-old with atopic dermatitis registered at one university affiliated medical center in Seoul. The instruments used for this study were a self-report questionnaire, Parenting Stress Index (PSI) Short Form by Abidin, and an open question to identify nursing needs. Descriptive analysis, Pearson correlation and contents analyses were done. Result: The mean score for parenting stress was 77.25 (range: 12-60), for parent domain 31.50 (range: 12-60), parent-child domain 21.02 (range: 11-55) and child domain was 24.72 (range: 11-51). There was a significant positive relationship between parenting stress and severity of symptom (r=0.192, p<.005). The maternal stressors included extra housework related to symptom management, treatment related to atopic dermatitis, personality and behavior of child, and financial problems. Conclusion: the mothers of children with atopic dermatitis have high parenting stress from various stressors and needs. It is recommended that nursing interventions should include stress management and take into consideration the educational needs of mothers.

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상담일지에 근거한 재가 유방암 환자의 간호요구도 내용분석 (Analysis of Nursing Needs of Home-dwelling Breast Cancer Patients Based on Counselling Contents)

  • 김은자;현진숙;한정화;김나현
    • 한국보건간호학회지
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    • 제30권3호
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    • pp.420-433
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    • 2016
  • Purpose: This study was performed to identify the nursing needs of home-dwelling breast cancer patients based on counseling contents. Methods: Descriptive research was conducted with content analysis. This study included 185 patients who underwent treatment for breast cancer in a tertiary hospital. The data were collected using personal counseling via telephone or face-to-face between March 2011 and July 2013. A total of 536 counseling contents were used in the analysis. Inductive content analysis was used to analyze the contents related to nursing counselling. Results: According to the results. the most frequently reported nursing needs was symptom management, followed by information needs and supportive intervention needs; symptom management needs included symptoms related to chemotherapy, daily living, surgery, and medication side effects; information needs included treatments, medication, clinical tests, and alternative therapies; and supportive intervention needs were related to emotional and social aspects. Conclusion: Our findings suggest that nursing interventions for home-dwelling breast cancer patients should be designed and provided with a consideration to these relevant nursing needs.

미용업 종사자의 감정노동, 직무 및 사회심리적 스트레스, 피로도가 근골격계질환 관련 자각증상에 미치는 영향 (Effect of Emotional Labor, Job and Psychosocial Stress, and Fatigue of Beauty Industry Workers on the perceived Symptoms of Musculoskeletal Diseases)

  • 이혜영;최서연
    • 대한안전경영과학회지
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    • 제14권4호
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    • pp.51-58
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    • 2012
  • This study attempted to evaluate the direct and indirect effect of emotional labor, job and psychosocial stress, and fatigue of beauty industry workers on their musculoskeletal diseases. The findings of this study showed that, among the workers with perceived symptoms of musculoskeletal diseases, the body part with the most commonly occurring symptom was the shoulder, followed by neck, low back, wrist, arm, foot and knee. As for the effect of work-related psychological factors on musculoskeletal diseases, it was found that the workers with musculoskeletal diseases were more affected by emotional labor and fatigue than non-symptom workers. It was also shown that when their job stress increased, the fatigue level also increased, though their psychosocial stress decreased. In addition, it was found that both direct and indirect effects of emotional labor on fatigue were high, and the indirect effect of job stress through fatigue on musculoskeletal diseases was significant.

병원근로자의 근골격계질환에 대한 인간공학적 위험도 및 사회심리적 요인의 영향에 대한 연구 -경로분석 모델을 중심으로- (A comprehensive model for musculoskeletal disorders of hospital workers based on ergonomic risk and psychosocial factors)

  • 최순영;손창원;허국강;박동현
    • 대한안전경영과학회:학술대회논문집
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    • 대한안전경영과학회 2008년도 추계학술대회
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    • pp.329-341
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    • 2008
  • The psychosocial stress and musculoskeletal disorders(MSDs) have been one of major health problems for hospital workers. This study tried to understand the relationship between symptoms associated with MSDs and risk factors such as working posture, job stress, psychosocial stress and fatigue. A total number of 655 hospital workers participated in this study. Specifically, REBA was applied for evaluating working posture and a checklist prepared by KOSHA(Korean Occupational Safety and Health Agency) was used for symptom survey. A questionnaire from KOSHA was also used for collecting data associated with job stress, psychosocial stress and fatigue. All these data were formulated and modeled by path analysis which was one of major statistical tools in this study. Specifically, path analysis for the data we collected came up with several major findings. The risk scores from working posture based on REBA had indirect effects via fatigue factor(MFS) as well as direct effects on symptoms. The factors associated with job stress(KOSS) and psychosocial stress(PWI-SF) had significant effects on symptoms. Specifically, indirect effect of job stress factors via fatigue factors(MFS) had bigger than that of direct effect of job stress on symptom.

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재가 호스피스완화 대상자의 증상 및 돌봄 요구도 분석 -부산광역시 보건소 중심 재가 호스피스사업을 중심으로- (Analysis of Symptom and Care Needs of Home-Based Hospice Palliative Patients - Home-Based Hospice Business Centered on Community Health Centers in Busan-)

  • 김정림;최순옥;김숙남
    • 보건의료산업학회지
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    • 제12권4호
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    • pp.173-190
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    • 2018
  • Objectives: This study was conducted to analyze the symptoms and care needs of home-based hospice palliative patients in Busan and to provide a basic reference for developing practical guidelines for their care. Methods: By examining the registration cards of 409 hospice palliative patients, who were registered in community health centers in Busan as of 2016, this study retrospectively analyzed their characteristics, symptoms and care needs. Results: The average age was 70.6 years, 59.4% were receiving medical benefits, and 48.4% lived alone. As per the data obtained from the Palliative Performance Scale, many were able to mobile. Fatigue was the most severe and depression and anxiety were reported together, and their care needs were also high. Most subjects reported mild or low pain, but care needs were high. Furthermore, the medical benefits group showed a high level of symptoms and care needs across areas. Conclusions: To help subjects to live in their homes for as long as possible, it is necessary to identify symptoms and care needs and provide services in accordance with their severity and situation. Thus, it is necessary to develop practical guidelines for standardized community hospice palliative care services.