• Title/Summary/Keyword: chronic study

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Indicators for Chronic Disease Management of Older Persons (노년기 건강을 위한 만성질환 관리지표 개발)

  • Paek, Kyung Won;Chun, Ki Hong
    • The Journal of Korean Society for School & Community Health Education
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    • v.15 no.3
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    • pp.1-15
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    • 2014
  • Objectives: This study was performed to develop the indicators for national surveillance of chronic disease, which is a governmental concern to manage the chronic disease for older persons. It is necessary that chronic disease surveillance system needs to be made in Korea for effective management of chronic diseases. With the system, we know the prevalence and incidence of chronic diseases, observe the trend of utilization for caring the chronic diseases, and analyze the behavior change for prevention of chronic diseases. Methods: This study was carried out by analyzing the data by which the indicators was produced, by reviewing how the United States made the indicators. By benchmarking the United States, the sources of data of the national surveillance indicators for chronic diseases in Korea were compared. Results: In this study, the most significant indicators were identified and proposed to improve the surveillance indicators by changing the sources of data. These findings warrant further development of the health policy for the chronic disease prevention and establishment of the chronic disease surveillance system. Conclusions: The results of this study can be used to develop national surveillance indicators to manage the chronic diseases and can be used as basic data to develop community health programs.

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Study on Relations of Variables; Attributions of Somatic Symptoms, Fatigue, Chronic Pain and Depression in the Elderly (노인의 신체증상귀인, 피로, 만성통증, 우울의 관계연구)

  • 장성옥;박영주;윤지원
    • Journal of Korean Academy of Nursing
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    • v.33 no.1
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    • pp.26-33
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    • 2003
  • Purpose: The purpose of this study was to investigate the relationships among variables of somatic attribution, chronic pain, depression and chronic fatigue in the elderly. Methods: Empirical data for testing hypothetical models was collected from 311 people over 65 years old in a community settings in Seoul, Korea in June and July, 2000. Data were analyzed by descriptive statistics and correlational analysis using pc-SAS program. The Linear Structural Modeling(LISREL) 8.0 program was used to find the best fit model which explained causal relationship of variables. Result: According to Accepted model, the relation of variables is that the somatic attribution is the influencing variable to chronic pain and depression and chronic pain and depression is the influencing variable to chronic fatigue. Conclusion: The findings of this study give useful information to construct intervention program relating chronic pain, depression and chronic fatigue for the elderly.

A Retrospective Study on 15 Patients of Chronic Prostatitis/ Chronic Pelvic Pain Syndrome (만성 전립선염/만성 골반통증 증후군 환자 15례에 대한 후향적 연구)

  • Youn, Sung-Sik;Park, Sang-Woo;An, So-Hyun;Cho, Chung-Sik;Kim, Chul-Jung
    • The Journal of Internal Korean Medicine
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    • v.31 no.4
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    • pp.914-922
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    • 2010
  • Objective : The purpose of this study is to report the clinical effect of herb medicine (Indongsoyeom-bang) and acupuncture therapy on Chronic Prostatitis/Chronic Pelvic Pain Syndrome. Methods : 15 patients diagnosed with Chronic Prostatitis/Chronic Pelvic Pain Syndrome were enrolled in this study. They were treated with herb medicine (Indongsoyeom-bang) and acupuncture therapy. To evaluate the therapeutic effect, before and after we measured Extract Prostatic Secretion (EPS), National Institutes of Health Chronic Prostatitis Symptom Index (NIHCPSI) and International Prostatitis Symptom Score (IPSS). Result : After treatment WBC numeral index by EPS test and NIH-CPSI and IPSS decreased. Conclusion : Herb medicine (Indongsoyeom-bang) and acupuncture therapy are effective in treating Chronic Pelvic Pain Syndrome. Further study of mechanism and efficacy is needed.

The clinical study on chronic bacterial prostatitis (만성 전립선염에 대한 임상적 고찰 -만성 세균성 전립선염 2예를 중심으로-)

  • Cho, Chung-Sik
    • Journal of Haehwa Medicine
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    • v.15 no.2
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    • pp.9-16
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    • 2006
  • Objectives : This study was designed to evaluate the clinical effects of herb medicine and acupuncture therapy on chronic bacterial prostatitis. Method : A clinical observation was made on two patients with chronic bacterial prostatitis diagnosed with DNA analysis. They were treated with herb medicine and acupuncture therapy. Before and after treatment we measured National Institutes of Health Chronic Prostatitis Symptom Index(NIH-CPSI) and WBC counts on expressed prostatic secretion(EPS). Results : According to DNA analysis, Streptococcus mitis and Veillonella was proved to be the cause for chronic bacterial prostatitis for each patients. After treatment, NIH-CPSI score improved from severe to mild, and WBC counts on EPS decreased considerably from many to under 10. Conclusion : The present result suggest that oriental medical therapy has effect on chronic bacterial prostatitis. Further clinical study about chronic bacterial prostatitis, and research on herbal medicine sensitive to each bacterium causing chronic bacterial prostatitis is needed.

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Concept Analysis of the Self Management in Children with Chronic Disease (만성질환아의 자기관리에 대한 개념 분석)

  • Lee, Sug Young
    • Journal of Korean Public Health Nursing
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    • v.31 no.1
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    • pp.121-134
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    • 2017
  • Purpose: The goal of this study was to define and clarify the concept of "self management" of children with chronic diseases. Methods: For analyzing the concept of self management, this study used the hybrid model. This study involved in-depth interviewing nine children with chronic disease. Results: The concept of self management of children with chronic disease can be categorized with three dimensions: internal, environmental, and behavioral aspects. Besides, five attributes and thirteen indicators were analyzed. The concept of self management of children with chronic disease can be expressed as a kind of process; a) re-established yourself (internal dimension), b) assistance by the surrounded (environmental dimension), and c) positive health management behavior with self control of daily life (behavioral dimension). Conclusion: The self management is important for children with chronic disease to control their disease for long time. The attributes and indicators drawn by this study could be used for tool development and useful resources of self management competence in children with chronic disease.

A Study on multifidus muscle activation by Needle EMG during shoulder flexion in Chronic Low Back Pain Patients (침 근전도로 측정한 만성 요통 환자의 어깨 굴곡시 나타나는 다열근 활성도 비교)

  • Jang, Won-Seok
    • Journal of Korean Physical Therapy Science
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    • v.18 no.3
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    • pp.63-69
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    • 2011
  • Purpose : The purpose of study is activation of lumbar multifidus muscle by needle EMG during shoulder flexion in chronic low back pain patients. The subject were consisted of 10 women patients with chronic low back pain and healthy asymtomatic subject 10 women. Methods : 10 women patients with chronic low back pain and healthy asymptomatic subject 10 women is voluntary participated for the research. Subjects were positioned in standing. The needle EMG were measured activation of multifidus. Needle electrode was used to 28 gauge. The shoulder flexion movement used to activate the multifidus was then measured. Results : Results of the analysis showed that asymptomatic subjects had significantly larger multifidus muscle activation compared with CLBP subjects during shoulder flexion. Conclusion : This study will be used as multifidus measurement method of patient with chronic LBP. The multifidus muscle in chronic LBP patient clinical significance. Most of chronic LBP patients have multifidus contraction pattern. Therefore chronic LBP patients necessary multifidus activation measurement with needle EMG.

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Systemic Review of RCTs focusing on Chronic Fatigue

  • Son, Chang-Gue
    • The Journal of Korean Medicine
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    • v.30 no.6
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    • pp.80-85
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    • 2009
  • Objective: This study aimed to build an overview of randomized clinical controlled trials (RCTs) for chronic fatigue-related symptoms to extract the useful data for management of patients and development of therapeutics using Korean traditional medicine in the future. Methods: All RCT-derived papers for chronic fatigue-related symptoms were collected via PubMed Database. We surveyed elementary information of RCTs such as clinical question, study design, and its quality and results. Results: A total of fifty-three RCTs met these review criteria. Most of the RCTs were performed in Western countries, particularly the UK and USA. The major portion of RCTs focused on chronic fatigue syndrome using immune modulators, psychotherapeutic and anti-depressants. Five RCTs using complementary and alternative medicine, including herbal remedies, showed positive results. Conclusions: Fatigue-related symptoms are a main target of Oriental medicine. This study provides helpful information for planning clinical study of chronic fatigue-related symptoms using traditional Korean medicine.

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A Study on Multi-Sensor System for Detection of Chronic Mild Stress (만성스트레스 검출을 위한 멀티 센서시스템 연구)

  • Lee, Ji-Hyeoung;Kim, Kung-Ho
    • The Transactions of The Korean Institute of Electrical Engineers
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    • v.59 no.6
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    • pp.1131-1135
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    • 2010
  • The development of modern civilization result from the abundance of material. Yet modern people live with chronic mild stress. Excessive chronic mild stress leads to various diseases. From the risk of the disease in order to protect our bodies need to manage chronic mild stress. The purpose of this study is to inspection the effectiveness of detecting in chronic mild stress using the Multi-sensor system. The Multi-sensor system is designed that can be measure three kinds of vital signals of chronic mild stress for the detection. First Photoplethysmogram(PPG), second Electro Dermal Activity(EDA), third Skin Temperature(SKT). The ages and occupations exposed to chronic mild stress, people often use out of this system was applied to dairy products(Pen). In addition, vital signals that occur when the variety of noise was used to remove the accelerometer. Chronic mild stress by the analysis of measured vital signals from Multi-sensor system to the measurement information to a PC to a wireless transmission(Bluetooth). In this study, using Multi-sensor system writing conditions and a variety of situations in the movement to measure vital signals and measurement results verified the accuracy and reliability. Through this measure chronic mild stress in everyday life and managing to maintain will help more healthy lifestyle.

Factors Affecting Unmet Healthcare Needs among Adults with Chronic Diseases (만성질환을 가진 성인의 미충족 의료 영향요인)

  • Han, Ji-Young;Park, Hyeon-Sook
    • Research in Community and Public Health Nursing
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    • v.32 no.2
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    • pp.131-139
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    • 2021
  • Purpose: In adults with chronic diseases, unmet healthcare needs are likely to increase the risk of worsening the illness and complications. This study was conducted to explore factors affecting unmet healthcare needs among adults with chronic diseases. Methods: A cross sectional study was performed using the data from the seventh Korea National Health and Nutrition Examination Survey (KNHANES VII), 2016-2017. The sample of this study consisted of 6,104 adults with chronic diseases. The data were analyzed by Rao-Scott 𝑥2 test and logistic regression using complex samples analysis. Results: The proportion of subjects who experienced unmet healthcare needs was 10.9% of adults with chronic diseases. The factors affecting unmet healthcare needs of adults with chronic diseases were age, gender, employment status, household income, subjective health status, activity limitation, and perceived stress. Conclusion: The findings of this study suggest that various factors may be associated with their unmet healthcare needs. Finally, the development of strategies to reduce unmet healthcare needs for people with chronic diseases should consider the associated factors presented in the study.

The Study of Pain, Depression and Quality of Life According to the Coping Strategy in Chronic Arthritis Patients (만성 관절염 환자의 대응양상에 따른 통증, 우울 및 삶의 질)

  • Yang, Hae-Ju;Park, Jeong-Sook
    • Korean Journal of Adult Nursing
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    • v.14 no.2
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    • pp.213-221
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    • 2002
  • Purpose: The aim of this study was to investigate the difference of in the level of pain, depression, and quality of life by coping strategy in the chronic arthritis patients. Method: These data were collected by means of a self-reported questionnaire from 90 chronic arthritis patients undergoing treatment at a university hospital in Daegu city from June 10, 2000 to July 15, 2000. The instruments of study were coping strategy scale by Jeon(1985), pain scale by Lee and Song(1987), depression scale by Radloff(1977) and quality of life scale by Cho(1987). Data analysis was done by SPSS Win 10.0 program and Pearson correlation, t-test, Cronbach's-${\alpha}$ were used. Result: The results of this study were as follows: 1. The item mean score of pain for chronic arthritis patient was 6.54. The item mean score of depression for chronic arthritis patient was 2.18. The item mean score of quality of life for chronic arthritis patient was 5.69. 2. The chronic arthritis patients with problem-focused coping experienced pain higher than those with emotion-focused coping(t=o.400, p=o.o45). The chronic arthritis patients with emotion-focused coping experienced depression higher than those with problem-focused coping(t=-2.564, p=0.012). The chronic arthritis patients with problem-focused coping experienced quality of life higher than emotion-focused coping(t=-1.682, p=0.046). Conclusion: In conclusion this study showed that any coping strategy can control the arthritis patient's problem. Therfore, The development of a coping strategy to reduce pain and depression and improve the quality of life in the chronic arthritis patient will be needed.

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