• Title/Summary/Keyword: Symptom management

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A Longitudinal Study about Relationship between Somatic Symptom and Depression of Adolescents (청소년의 신체화 증상과 우울의 관계에 관한 종단연구)

  • Park, So-Youn
    • Journal of Digital Convergence
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    • v.19 no.7
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    • pp.409-417
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    • 2021
  • The purpose of this study is to find out how individual, family, and school factors influence adolescents' depression, and to explore the long-term influence between somatic symptom and depression. To do this, data from two points of the 4th wave (year of 2013) and the 6th wave (year of 2015) of the first-year middle school panel survey (KCYPS) were used and structural equation model analysis was conducted on 1,668 adolescents. As for results, frist, in terms of individual factors, gender, physical health status, and self-resilience significantly affected depression in adolescents. Second, among school factors, learning activities and peer relationship significantly affected depression in adolescents. Third, somatic symptom and depression had effects and auto-regressive effects over time. Based on these results, the prevention and intervention measures for somatic symptom and depression of adolescents were discussed. Future study is needed include varaiables of parental mental health that affect depression in adolescents.

A Subjective Symptom Level and Satisfaction Factor by Indoor Air Quality According to Ventilation System in Dental Clinic (치과병·의원 환기방법에 따른 실내공기질 자각증상 수준 및 근무환경 만족요인)

  • Choi, Mi-Suk;Ji, Dong-Ha;Choi, Jae-Ho
    • Journal of dental hygiene science
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    • v.11 no.4
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    • pp.353-359
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    • 2011
  • This study was designed to identify a subjective symptom level by Indoor air according to ventilation system in Dental Clinic. The number of respondents was 582 who work in dental clinic and period of investigation was October 2010 through January 2011. A structured questionnaire was employed to evaluate the level of participants' sociodemographics, job-related factors, work place condition, a subjective symptom. Most of respondents were answered that time for symptom to begin was at around 2 P.M. and time for symptom to feel serve pain was at around 3 P.M. and ventilation frequency per a day was often in case of individual cooling and heating system. More often natural ventilation and in case of individual cooling and heating system, the level of subject symptom was low and multiple regression analysis has found that indoor air quality related elements were main factors that influence to the feeling of satisfaction in work place. The results of this study suggest that more often natural ventilation was very important to reduce the level of subjective symptom. Thus, a management program for indoor air quality is strongly recommended by natural ventilation, maintenance man for promotion of quality of life in dental hygienist and to improve dental service and competitiveness.

Implementation of PDA Based Personal Asthma Management System for Effective Management of Asthmatic (천식환자의 효과적인 관리를 위한 PDA 기반 개인용 천식관리 시스템 구현)

  • Park, Jong-Cheon;Hwang, Dong-Guk;Lee, Woo-Ram;Kwon, Kyo-Hyun;Jun, Byung-Min
    • Proceedings of the Korea Contents Association Conference
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    • 2006.05a
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    • pp.156-159
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    • 2006
  • Self management of chronic asthma is of great importance, since the disease could lead the patient into an emergent situation. In the present study, we describe design and implementation of a personal digital assistant(PDA) based asthma management system for personal application including symptom and medication to prevent from the potential exacerbation of the disease. The software program was written by the Visual C++ tool in the mobile computing environment and Object Store was applied for data management. User friendly GUI environment was provided for the patient to input his/her daily condition and self treatment such as medication for successful management. The input screen design substituted for keyboard input to a mouse in order to easy to select an item and minimize the keyboard input. The implementation results of this system., Real-time data collection and process were possible and be able to have been carried effectively out a continuous symptom, a medication of asthma patients, risk management.

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Implementation of PDA-based Personal Asthma Management System (PDA 기반 개인용 천식관리 시스템 구현)

  • Park, Jong-Cheon;Hwang, Dong-Guk;Lee, Woo-Ram;Jun, Byung-Min
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2007.06a
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    • pp.634-637
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    • 2007
  • Self management of chronic asthma is of great importance, since the disease could lead the patient into an emergent situation. In the present study, we describe implementation of a personal digital assistant(PDA) based asthma management system for personal application including symptom and medication to prevent from the potential exacerbation of the disease. The software program was written by the Visual C++ tool in the mobile computing environment and Object Store was applied for data management. User friendly GUI environment was provided for the patient to input his/her daily condition and self treatment such as medication for successful management. The input screen design substituted for keyboard input to a mouse in order to easy to select an item and minimize the keyboard input. The implementation results of this system., Real-time data collection and process were possible and be able to have been carried effectively out a continuous symptom, a medication of asthma patients, risk management.

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A Convergence Study on the Effect of Self Management and Self efficacy on Hemodialysis related Symptom of Diabetic Nephropathy Hemodialysis Patients (당뇨병성 신증 혈액투석 환자의 자가관리와 자기효능감이 혈액투석 관련 증상에 미치는 영향에 관한 융합연구)

  • Jun, Young-Hee
    • Journal of the Korea Convergence Society
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    • v.10 no.8
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    • pp.299-308
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    • 2019
  • The purpose of this study was to confirm if self-management and self-efficacy of diabetic nephropathy hemodialysis patients were influencing factors on the hemodialysis-related symptoms. A cross-sectional study was performed on 254 patients based at 3 University hospital hemodialysis centers and 7 hemodialysis clinics from September 2017 to November 2017. The data was analyzed using t-test, ANOVA, Scheffe test, Pearson correlation, and multiple regression analysis. The results showed that patients with stable economic condition and no complications from diabetes, the higher patient self-management and self-efficacy led to lower hemodialysis related symptoms. Therefore, the government should provide financial support, a management process needs to be set up to prevent complications from diabetes, and disease-specific patient self-management program should be implemented to increase patient's self-efficacy.

A Study on the Analysis of Physical Function in Adults with Sarcopenia (근감소증 성인의 신체 기능 분석)

  • Kim, Myungchul;Kim, Haein;Park, Sangwoong;Cho, Ilhoon;Yu, Wonjong
    • Journal of The Korean Society of Integrative Medicine
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    • v.8 no.2
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    • pp.199-209
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    • 2020
  • Purpose : This study used a sarcopenia diagnostic algorithm proposed by the Asia working group in adults over 50 to diagnose sarcopenia and analyze body function. The purpose of this study is to prepare basic data for the management and prevention of sarcopenia. Methods : We performed a diagnostic evaluation of sarcopenia in 97 adults over the age of 50 years with the cooperation of the Seongnam senior experience complex in Seongnam-si, Gyeonggi-do. As a result of the diagnostic process, 24 subjects were placed into the sarcopenia group, while 73 subjects were placed into the normal group. We measured each subject's body, performed the timed up and go test to evaluate functional mobility, and conducted a questionnaire on the pre-symptom of locomotive syndrome and locomotive syndrome. Results : There were statistically significant differences in height, weight, and skeletal muscle mass between the two groups. There was also a statistically significant difference in the timed up and go test, which confirmed the difference in functional mobility between the two groups. In addition, there was a statistically significant difference between the two groups in the proportion and the mean score of subjects with pre-symptom of locomotive syndrome and locomotive syndrome. In the correlation analysis, grip strength was statistically significantly correlated with height, weight, skeletal muscle mass, waist circumference, timed up and go test, pre-symptom of locomotive syndrome and locomotive syndrome. Gait speed was significantly correlated with the timed up and go test and locomotive syndrome. Appendicular skeletal muscle index was significantly correlated with height, weight, waist circumference, hip circumference, and the pre-symptom of locomotive syndrome. Conclusion : In conclusion, sarcopenia is closely related to height, weight, skeletal muscle mass and functional mobility, as well as the pre-symptom of locomotive syndrome and, locomotive syndrome. In consideration of this, the prevention and management of sarcopenia should be made accordingly.

Factors Associated with Unawareness of Early Symptoms of Stroke and Myocardial Infarction in Adults with Hypertension and Diabetes: Focused on Management related to Disease (고혈압, 당뇨병 성인의 뇌졸중 및 심근경색증 조기 증상 비인지 관련 요인: 질병 관리 관련 특성을 중심으로)

  • Kwon, Young-Sook
    • Journal of the Korean Applied Science and Technology
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    • v.38 no.1
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    • pp.60-74
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    • 2021
  • The purpose of this research was to determine the degree of awareness of early symptoms of stroke and myocardial infarction in adults diagnosed with hypertension and diabetes, and to analyze factors related to unawareness. Raw data from the 2017 Community Health Survey were utilized. A total 12,277 adults older than 40 years were included in analysis finally. The early symptom awareness rates of stroke and myocardial infarction were 53.6% and 46.8%, respectively. Logistic analysis was performed to assess factors associated with unawareness of early symptom of stroke and myocardial infarction. After correcting for socio-demographic variables, education for the management of hypertension, recognition of blood pressure level and HbA1c level were significantly related to stroke early symptom unawareness on multivariate analysis. (Education for the management of hypertension, recognition of blood pressure level and HbA1c level were significantly related to the unawareness of early stroke symptoms even after socio-demographic variables were corrected in multivariate analysis.) Recognition of blood pressure level and HbA1c level were also significantly associated with unawareness of early symptoms of myocardial infarction. Therefore, it is required to interventions and strategies to improve the level of awareness of early symptoms of cardio-cerebrovascular disease, such as accelerating promotion and strengthening education for high-risk groups who must manage both hypertension and diabetes.

Influences of Symptom Experience and Depression on Quality of Life in Colorectal Cancer Patients with Stoma Reversal (장루 복원 후 증상경험과 우울이 대장암 환자의 삶의 질에 미치는 영향)

  • Kim, Jung Ha;Kim, Hyunjung
    • Journal of Korean Biological Nursing Science
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    • v.17 no.4
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    • pp.306-314
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    • 2015
  • Purpose: The purpose of this study was to evaluate symptoms, depression and quality of life in colorectal cancer patients who underwent stoma reversal, and to assess the factors related to their quality of life. Methods: A descriptive study was conducted on 125 colorectal cancer patients who underwent stoma reversal in a tertiary hospital in Korea. Data were collected using the Korean versions of the European Organization for Research and Treatment of Cancer-Quality of Life Core 30 and Colorectal Cancer Specific Questionnaire 38 (EORTC QLQ-C30 and CR38), and the Hospital Anxiety-Depression Scale. Data were analyzed using descriptive statistics, t-test, one-way ANOVA, Pearson's correlation, and multiple regression analyses. Results: Participants experienced sexual problems, difficulties in defecation, and nausea/vomiting. About twenty-two percent of the patients were depressed and the mean score for global quality of life was $64.40{\pm}19.43$. The multiple regression showed that social and cognitive functioning, depression, and the location of the anastomosis were the important factors that made contributions to the quality of life in colorectal patients with stoma reversal. Conclusion: Our results suggest that symptom management and emotional support should be incorporated into nursing interventions to improve the quality of life in colorectal patients with stoma reversal.

Factors Related to Stress, Coping, and Physical Symptom in High School Girls (일부 여고생의 스트레스와 스트레스 대처방식 및 신체증상 영향요인)

  • Yang, Kyung-Hee;Kim, Young-Hee;Park, Kum-Sook
    • Journal of Society of Preventive Korean Medicine
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    • v.17 no.1
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    • pp.13-25
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    • 2013
  • Objectives : This study was conducted to analyze the stress, coping and physical symptoms relevant to factors influencing physical symptoms on high school girls. Methods : The subjects were 521 high school girls in I city. The data was collected by using structured questionnaire. T-test, ANOVA, Pearson's correlation and Stepwise-multiple regression were performed by SPSS/PC 17.0. Results : Study-related stress were higher in the freshmen than sophomore (p=.001). The sophomore have highest level in family (F=5.32, p=.005), friends (F=3.13, p=.044), and appearance-related stress (F=5.49, p=.004). Poor grades in their studies were related to family-related stress (p=.010) and study-related stress (p=.009), They complained severe discomfort, displeasure, and G-I symptom in order. The more physical symptoms were, the more coping with their stress do (p=.001). Factors affecting physical symptoms are study-related stress (${\beta}$=.38), unhealthy (${\beta}$=.16), friends (${\beta}$=.14), active coping with stress (${\beta}$=.15) and sophomore (${\beta}$=.11), family (${\beta}$=.11), and they explained 33.3% of variables. Conclusions : Students have to learn how to cope with their stress. Therefore, it is needed program development to improve stress management for high school girls.

Factors Influencing Functional Status in People with Chronic Lung Disease (만성폐질환 환자의 기능상태에 영향을 미치는 요인)

  • 오의금;김조자;이원희;김소선;권보은;장연수;이지연;김영진
    • Journal of Korean Academy of Nursing
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    • v.32 no.5
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    • pp.643-653
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    • 2002
  • The purpose of this study was to identify factors that influence the functional status of chronic lung disease patients. Method: A descriptive, correlational study design was used. The study was conducted at the outpatient respiratory clinic of the large university hospital in Korea. A convenience sample of 128 chronic lung patients (age = 64.2 yrs; 106 COPD, 17 bronchiectasis, 5 DILD) with mean FEV1 64.4 % predicted. Functional status was measured with SIP. Physical variables (FEV1% predicted, dyspnea, fatigue, pulmonary symptom distress), psychological variables (mood, stress), and situational variable (sleep quality) were examined. Dyspnea was measured by the BDI, fatigue was measured with the MFI. Mood was measured with the modified Korean version of POMS. Sleep quality was measured with the Pittsburgh Sleep Quality Index. Potential independent variables for the regression were age, gender, years since diagnosis, FEV1% predicted, dyspnea, fatigue, pulmonary symptom distress, stress, and sleep quality. Result: In general, functional status was relatively good. In regression analysis, functional status were significantly influenced by dyspnea, mood, age and fatigue. These variables explained 70 % of the variances in functional status. Conclusion: The results suggest that psychophysiologic symptom management should be a focus to enhance the functional status in this group.