• 제목/요약/키워드: Symptom questionnaire

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정신질환자들에 동반된 기능성 위장질환에 영향을 미치는 정신사회적 요인에 관한 연구 (Psychosocial Factors Influence the Functional Gastrointestinal Disorder among Psychiatric Patients)

  • 강등현;장승호;류한승;최석채;노승호;백영석;이혜진;이상열
    • 정신신체의학
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    • 제26권1호
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    • pp.1-8
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    • 2018
  • 연구목적 본 연구에서는 기능성 위장질환(Functional gastrointestinal disorder, 이하 FGID)이 동반된 정신질환자들의 정신사회적 특성을 알아보고자 하였다. 방 법 일 대학병원 정신건강의학과 외래를 방문한 환자를 대상으로 Rome III questionnaire - Korean version에 따라 FGID를 선별하여 144명의 자료를 분석하였다. 인구학적 요인을 조사하였으며, 정신사회적 요인을 평가하기 위해 Hospital Anxiety Depression Scale, Patient Health Questionnaire-15, Childhood Trauma Questionnaire-Korean, State-Trait Anger Expression Inventory를 사용하였다. 통계분석은 독립표본 t-검정(independent t-test)과 교차분석(chi-square test)을 사용하였다. 결 과 FGID에 따른 집단간 비교에서 학력에 따른 차이가 나타났다(${\chi}^2=10.139$, p=0.017). FGID 집단에 따른 정신질환의 차이에서는 과민성 대장증후군(Irritable bowel syndrome, 이하 IBS) 집단에서 유의한 차이가 있었다. (${\chi}^2=11.408$, p=0.022) IBS 집단은 불안(t=-3.106, p=0.002), 우울증상(t=-2.105, p=0.037), 신체증상(t=-3.565, p<0.001), 특성분노(t=-3.683, p<0.001), 분노-억제(t=-2.463, p=0.015), 분노-표출(t=-2.355, p=0.020)에서 높은 점수를 나타냈다. 기능성 소화불량(Functional dyspepsia) 집단에서는 불안(t=-4.893, p<0.001), 우울증상(t=-3.459, p<0.001), 신체증상(t=-7.906, p<0.001), 특성분노(t=-4.148, p<0.001), 상태분노(t=-2.181, p=0.031), 분노-억제(t=-2.684, p=0.008), 분노-표출(t=-3.005, p=0.003)지표가 유의하게 높았다. 비미란성 위식도 역류증(Nonerosive reflux disease) 집단에서는 불안(t=-4.286, p<0.001), 우울증상(t=-3.402, p<0.001), 신체증상(t=-7.162, p<0.001), 특성분노(t=-2.994, p=0.003), 상태분노(t=-2.259, p=0.025), 분노-억제(t=-2.772, p=0.006), 분노-표출(t=-2.958, p=0.004)에서 유의미하게 높은 수준을 나타냈다. 결 론 본 연구에서는 정신질환자에서 FGID의 유병률이 매우 높고, 다양한 정신사회적 변인들이 이에 영향을 미치는 것으로 나타났다. 따라서 이러한 정신의학적 접근은 FGID 환자를 더 잘 이해하고 치료하는데 있어서 도움이 될 것으로 생각된다.

호텔종사자들의 근골격계 증상완화를 위한 운동프로그램의 효과 (The Effect of Exercise Program to Ease the Musculoskeketal Symptoms among the People Working in a Hotel)

  • 유지형
    • 한국직업건강간호학회지
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    • 제17권2호
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    • pp.138-145
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    • 2008
  • Purpose: The purpose of this study was to provide exercise program according to the relevant characteristics in order to provide practical information for intervention programs to prevent and manage musculoskeletal symptoms of workers who are employed in a hotel. Method: A self-administered questionnaire was used in order to identify any musculoskeletal symptoms among 280 employees who works at the hotel. Each experiment and control groups, consisting of 16 employees respectively, was assembled. The 10-minute exercise program was conducted twice a day for 6 weeks between 23 October and 3 December 2006. Results: The subjective symptom of subjects before and after implementing the exercise program for the period of 6 weeks was decreased in most body parts. In the control group the subjective symptom of subjects was decreased partly. Conclusion: The exercise program according to the symptom & task characteristics of hotel employees need to be introduced in preventive & proactive manners in order to ease and prevent the musculoskeletal symptom.

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초등학생의 체질량지수 분류에 따른 천식, 알레르기비염, 아토피피부염 유병률 (The Prevalence of Asthma, Allergic Rhinitis, and Atopic Dermatitis in Elementary School Students according to the Body Mass Index)

  • 장정미;전상희;최진이
    • 지역사회간호학회지
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    • 제26권3호
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    • pp.230-237
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    • 2015
  • Purpose: This study aimed to assess the prevalence of asthma, allergic rhinitis, and atopic dermatitis in elementary school students according to the body mass index. Methods: This study was conducted as cross-sectional descriptive research using a structured questionnaire. Data were collected from 6,398 students at 15 elementary schools located in Y City in Korea. The cross-sectional survey used the Korean version of International Study of Asthma and Allergies in Childhood questionnaire. Logistic regression analysis was performed to estimate the odds ratios of body mass index. Results: The symptom prevalence of asthma, allergic rhinitis, and atopic dermatitis in the last 12 months was 12.4%, 49.5%, and 24.5%, respectively. The symptom prevalence of asthma was significantly higher in the obesity group. The number of those without any asthma symptom in lifetime was significantly smaller in the overweight (OR=0.70, p=.004) and obesity (OR=0.57, p=.005) groups than in the healthy weight group. Conclusion: These results suggest that asthma, allergic rhinitis, and atopic dermatitis prevention programs for elementary school students should include weight control intervention.

수지진동증후군 증상 호소율 조사 (An Investigation of the Symptom Prevalence of Hand-Arm Vibration syndrome among the Workers Using Powered Hand Tools)

  • 박희석;임상혁
    • 대한인간공학회지
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    • 제19권3호
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    • pp.93-107
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    • 2000
  • The excessive exposure to powered hand tools can cause damage to nerves, impair blood circulation, and musculoskeletal damage. The symptoms associated with hand-arm vibration syndrome (HAVS) include numbness, tingling, pain and subsequent reduced dexterity of the hands. This study was performed to report the prevalence of the HAVS and evaluate its related factors among the workers using powered hand tools. Total 282 workers in 11 plants of Kyungki and Inchon areas were examined. A standard symptom questionnaire was developed and administered to collect information on personal characteristics, work history, operating conditions, tool characteristics, and subjective symptoms of HAVS. Mean values (standard deviations) of the age, the duration of powered hand tools used, and the daily hours using powered hand tools were 38.3(8.9) years, 79.3(62.2) months and 6.0(2.6) hours, respectively. 132 workers(46.8%) showed vibration-induced white finger symptoms according to the Taylor-Pelmear classification, and 30 workers(10.6%) were interfered with the work. The results of a multiple logistic regression analysis controlling for age and daily working hours showed that smoking, work duration, weight of tools, and continuous work over 2 hours were significantly associated with the symptom of HAVS.

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우리나라 일부 여성근로자에서 초과근무가 피로증상에 미치는 영향 (Impact of overtime work on fatigue symptom in selected Korean female workers)

  • 이경재;김주자
    • 한국산업보건학회지
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    • 제18권3호
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    • pp.216-223
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    • 2008
  • Objectives : To investigate the effect of overtime work on fatigue symptoms among Korean female workers. Methods : A total of 1,875 subjects were analyzed using the structured questionnaire, which was composed of overtime work, fatigue symptom, and background characteristics. Data analysis included multiple regression to test for a relationship of overtime work with fatigue symptom while statistically controlling for demographic and occupational variables. Results : Overtime work was more common in those with shorter work years of 3 or less than in those with longer work years. Overtime work was more popular in day workers than in shift workers. No significant difference of smoking and drinking state was observed between two groups. Subjective fatigue symptoms were significantly higher in overtime workers than in workers without overtime work. In a multiple regression analysis with significant control variables, overtime work was associated with 0.31 more fatigue symptom(p<0.001). Conclusion : Our findings suggest that overtime work may increase risks for fatigue symptom. Therefore, preventive strategies will be needed to control the negative effect of overtime work on health status of female workers.

홍의약침을 단독 시술한 중증 여성 배뇨장애환자 치험 3례 (Three Cases of Severe Female Urination Disorder Treated with HongYi Pharmacopuncture)

  • 황윤경;김원일
    • 대한한방내과학회지
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    • 제39권1호
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    • pp.69-75
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    • 2018
  • Objectives: This study was designed to report the effect of HongYi pharmacopuncture on three cases of severe female urinary disorder. Method: Patients were treated with HongYi pharmacopuncture alone for 4 weeks. The effect of treatment was assessed through scores obtained using International Prostate Symptom Score (IPSS) and International Consultation on Incontinence Modular Questionnaire-Female Lower Urinary Tract Symptoms (ICIQ-FLUTS). Result: After treatment, urinary symptoms, and the scores of IPSS and ICIQ-FLUTS were improved in all of the patients. Conclusion: HongYi pharmacopuncture shows a significant beneficial effect on female urination disorder. Further well-designed, controlled studies and more cases are needed to define the effect of HongYi pharmacopuncture.

소아 알레르기 비염에 대한 비내침 치료의 임상적 연구 (A Clincal Study on the Effect of Intranasal Acupuncture Treatment on Pediatric Allergic Rhinitis)

  • 홍상준;최가혜;송인선
    • 대한한방소아과학회지
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    • 제25권2호
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    • pp.15-26
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    • 2011
  • Objectives: The purpose of this study is to investigate the effect of Intranasal acupuncture treatment in allergic rhinitis patients. Methods: This study was carried with the 42 pediatric allergic rhinitis who had been treated in our hospital. Inner young-hyang was used for the intranasal acupuncture points. Their nasal cavity was observed via anterior rhinoscopy. We induced patient's inferior turbiante bleeding by acupuncture. Patients nasal symtoms and QOL(quality of life) were assessed by the Total Nasal Symptom Score(TNSS) and Quality of Life Questionnaire for Korean Rhinitisian(QLQKR). Results: Total Nasal Symptom Score(TNSS) and Quality of Life Questionnaire for Korean Rhinitisian(QLQKR) were significantly improved. Conclusions: Intranasal acupuncture treatment is relatively effective in treating pediatric allergic rhinitis.

체형 안면 소증 및 성정 특성 기반 사상체질 진단 프로그램 개발 (A Development of Sasang Constitution Diagnosis Program Based on Characteristics of Body Shape Face Physiological Symptom and Personality)

  • 장은수;박기현;백영화;이시우;김성훈;주종천
    • 사상체질의학회지
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    • 제24권1호
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    • pp.21-31
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    • 2012
  • 1. Objectives : In this study we derived constitutional characteristics both by using questionnaire on character and symptom and by collecting objective measurement data through face, body shape. Furthermore, by developing a program, we intend to help one's diagnosis of Sasang constitution. 2. Methods : Through November 2007 to July 2009, we obtained questionnaire, face, and body shape data of 958 constitution confirmed subjects within the age range of 10-80 from 19 oriental medical facilities in the country. According to sex, we divided the subjects into two groups as real constitution and non-constitution group respectively. We analyzed the questionnaire through chi-square test (p<.01) and facial and body shape data through unpaired T-test (p<.01). By using weight law for questionnaire and euclidean distance for body shape and face data, we expressed constitution possibility to develop a supplementary program. 3. Results : The concordance rates of constitutional diagnosis by using the program for Taeeumin, Soeumin, Soyangin are, 76.7%, 61.5%, 67.4% resulting in 69.6% in male and 64.1%, 64.7%, 65.1%, resulting in 64.7% In female respectively. New cases tested on the program showed concordance rate of 65% in male and 62% in female with real constitution. 4. Conclusion : The constitutional diagnostic program based on the face, body shape and questionnaire, may have significant meaning as a supplementary tool in the constitutional diagnosis for clinical expert.

체질진단분류(體質診斷分類)에 따른 질병(疾病) 및 증상유형(症狀類型)에 관한 임상적 연구 - 문진표를 중심으로 - (A CLINLCAL STUDY OF the TYPE OF DISEASE AND SYMTOM ACCORDING TO SASANG CONSTITUTION CLASSWICATION (in the field of questionnaire analysis))

  • 김종원
    • 사상체질의학회지
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    • 제8권1호
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    • pp.337-347
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    • 1996
  • 동의대학교 한의과대학 부속한방병원에 내원한 76명을 대상으로 체질진단분류와 질병 및 증상유형과의 관계를 문진표 (19개 항목 123문항)를 중심으로 비교 분석하여 다음과 같은 결론을 얻었다. 1. 체중감소증상은 체질에 따라 유의한 차이가 있었고 태음인이 소양인이나 소음인에 비하여 더욱 빈발하였다. 2. 구토증상은 체질에 따라 유의한 차이가 있었고 태음인이 소양인이나 소음인에 비하여 더욱 빈발하였다. 3. 목이 쉬는 증상은 체질에 따라 유의한 차이가 있었고 소음인이 소양인이나 태음인에 비하여 더욱 빈발하였다. 4. 호흡곤란 증상은 체질에 따라 유의한 차이가 있었고 태음인이 소양인이나 소음인에 비하여 더욱 빈발하였다. 5. 관절통 증상은 체질에 따라 유의한 차이가 있었고 소양인이 소음인이나 태음인에 비하여 더욱 빈발하였다. 6. 생리통증상은 체질에 따라 유의한 차이가 있었고 소음인이 소양인이나 태음인에 비하여 더욱 빈발하였다. 7. 과거력은 체질에 따라 유의한 차이가 없었으며 다만 과거력은 나이에 따라 일부 유의한 차이가 있었을 뿐이다. 이상의 결과로 볼 때 체질과 각종 질병이나 증상유형에 대한 임상적인 연구가 더욱 필요할 것으로 사려된다.

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설문지에 의한 대기오염의 호흡기계 증상 발현에 관한 조사연구 (Cross-sectional Study on Respiratory Symptoms due to Air Pollution Using a Questionnaire)

  • 권호장;조수헌;김선민;하미나;한상환
    • Journal of Preventive Medicine and Public Health
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    • 제27권2호
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    • pp.313-325
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    • 1994
  • A cross-sectional study was conducted in an effort to investigate the effect of air pollution on respiratory symptoms. Two groups of female aged more than 20 living in the unpolluted rural area of Taebul (n=159) and urban area of Taegu (n=140) were selected. The ATS-DLD-78 questionnaire was translated into Korean and administered with minor modification. The proportion of smoker was less than 1% in both area. Exposure to smoking and higher educational level were more frequent in Taegu. Age-adjusted prevalence rates of 'chronic cough', 'chronic sputum', 'wheezing', and 'dyspnea' were higher in Taegu than in Taebul. In particular, the prevalence rate of 'chronic sputum' in Taegu was found to be higher, which was statistically significant. Exposure to smoking and education level were not concerned with all respiratory symptom prevalence rates. In conclusion, this study Indicates that an urban factor is related to the rates of respiratory symptoms in Korea.

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