• 제목/요약/키워드: chronic symptoms

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봉약침을 이용한 만성 좌둔 점액낭 치료에 대한 증례 보고 (The case report about chronic ischial bursitis treated with Bee Venom Acupuncture Therapy)

  • 정재훈;홍서영;김융기;임형호;조현철
    • 대한추나의학회지
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    • 제4권1호
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    • pp.29-38
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    • 2003
  • Objectives : This report was performed to evaluate the treatment of acupuncture Therapy. Bee venom acupuncture Therapy, Herbal medication and Moxibustion In Chronic lschial bursitis. Methods : We treated 1 case of chronic Ischial Bursitis with acupuncture therapy, Bee Venom Acupuncture therapy, herbal medication and Moxibustion Results : After 8 weeks of acupuncture Therapy. Bee venom acupuncture Therapy, Herbal medication and Moxibustion. a remarkable improvenment was made for Chronic lschial bursitis. The patient couldn't feel painful swelling over the center of the buttock and down the back of the leg. Conclusion : Acupuncture Therapy, Bee venom acupuncture Therapy, Herbal medication and Moxibustion were effective In reducing the symptoms. We think that it need the further study and clinical trial for Chronic lschial bursitis.

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성인의 만성질환 유형에 따른 우울변화에 영향을 미치는 요인에 관한 연구 (Factors Affecting Depression Changes in Adults According to Chronic Disease Type)

  • 손태용;김윤화
    • 보건의료산업학회지
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    • 제11권4호
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    • pp.115-132
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    • 2017
  • Objectives : The purpose of this study was to investigate the depressive change and predictors of chronic illnesses and to examine whether depressive change predictors are different according to chronic disease types. Methods : Data from the 1st to the 10th year of the Korean Welfare Panel of 5,023 adults over 20 years of age who were treated for chronic diseases for more than three months were examined. We assessed demographic, sociological, and socioeconomic factors including depression predictors of chronically ill patients, and analyzed the data using latent growth modeling and multiple group analysis. Results : Depression symptoms of chronically ill patients gradually decreased, showing a linear relationship across time. In addition, multiple group analysis was performed for each type of chronic disease. Conclusions : We described the phenomenon of depression in chronically ill patients, and discussed the practical and policy interventions required to improve depression in chronically ill patients.

만성질환자의 사회적 지지, 기분과 운동이행계획수립에 관한 연구 (Social Support, Mood, and Commitment to a Plan for Exercise of Korean Adults with Chronic Diseases)

  • 신윤희;장희정
    • 성인간호학회지
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    • 제14권2호
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    • pp.287-295
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    • 2002
  • Purpose: The purpose of this study was to assess social support, mood, and commitment to a plan for exercise of Korean adults with chronic diseases. Further, the relationships between social support, mood, and commitment to a plan for exercise were assessed. Method: The participants in this study were 230 Korean adults over 18 years of age with chronic diseases who were recruited in hospitals or health centers. The instruments used in this study were Exercise Social Support Scale, POMS (Profile of Mood States), and Commitment to a Plan for Exercise Scale. Result: The results of descriptive analysis showed that Korean adults with chronic diseases were perceived with relatively low commitment to a plan for exercise while they were perceived with moderate social support and mood states. Pearson's correlation coefficient showed significant relationship between these three variables. Stepwise regression indicated that 37% of the variance in commitment to a plan for exercise was explained by social support and vigor factor of the POMS. Conclusion: Health professionals can use this information for planning a targeted strategy to increase regular exercise among Korean adults with chronic diseases in order to improve their quality of life and control disease-related symptoms.

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미주 한인 만성 B형 간염 환자의 질병의 의미 (The Meaning of Illness among Korean Americans with Chronic Hepatitis B)

  • 양진향;이혜옥;조명옥
    • 대한간호학회지
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    • 제40권5호
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    • pp.662-675
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    • 2010
  • Purpose: This ethnography was done to explore the meaning of illness in Korean Americans with chronic hepatitis B. Methods: The participants were 6 patients with chronic hepatitis B and 6 general informants who could provide relevant data. Data were collected from iterative fieldwork with ethnographic interviews within Korean communities in two cities in the United States. Data were analyzed using causal chain analysis developed by Wolcott. Results: The analyses revealed three meanings for the illness: hidden disease, intentionally hidden disease, and inevitably hidden disease. The contexts of meaning of illness included characteristics of the illness, social stigma, structure of health care system and communication patterns and discourse between health care providers and clients. Conclusion: The meaning of illness was based on folk illness concepts and constructed in the sociocultural context. Folk etiology, pathology and interpretation of one's symptoms were factors influencing illness behavior. These findings could be a cornerstone for culture specific care for Korean Americans with chronic hepatitis B.

Serotonin syndrome in a patient with chronic pain taking analgesic drugs mistaken for psychogenic nonepileptic seizure: a case report

  • Boudier-Reveret, Mathieu;Chang, Min Cheol
    • Journal of Yeungnam Medical Science
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    • 제38권4호
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    • pp.371-373
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    • 2021
  • Serotonin syndrome (SS) is a potentially life-threatening condition that is caused by the administration of drugs that increase serotonergic activity in the central nervous system. We report a case of serotonin syndrome in a patient with chronic pain who was taking analgesic drugs. A 36-year-old female with chronic pain in the lower back and right buttock area had been taking tramadol hydrochloride 187.5 mg, acetaminophen 325 mg, pregabalin 150 mg, duloxetine 60 mg, and triazolam 0.25 mg daily for several months. After amitriptyline 10 mg was added to achieve better pain control, the patient developed SS, which was mistaken for psychogenic nonepileptic seizure. However, her symptoms completely disappeared after discontinuation of the drugs that were thought to trigger SS and subsequent hydration with normal saline. Various drugs that can increase serotonergic activity are being widely prescribed for patients with chronic pain. Clinicians should be aware of the potential for the occurrence of SS when prescribing pain medications to patients with chronic pain.

만성 췌장염의 한약 치료에 대한 최근 중의 임상 연구 동향 고찰 (A Review of Recent Chinese Clinical Studies on Herbal Medicine Treatments for Chronic Pancreatitis)

  • 박채현;김민정;박재우;고석재
    • 대한한방내과학회지
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    • 제44권4호
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    • pp.621-634
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    • 2023
  • Objectives: This study summarizes current trends and results in clinical studies on herbal medicine treatments for chronic pancreatitis. Methods: Studies published from 2014 to 2023 were searched for on the China National Knowledge Infrastructure (CNKI), PubMed, and KMbase using the keywords "chronic pancreatitis", "herbal medicine", "herb", "만성 췌장염", and "한약". The studies were analyzed according to year, study design, characteristics of the patients, and traditional Chinese medicine (TCM) intervention. Results: In total, 23 studies were selected. There were 21 randomized controlled trials and 2 case-control studies. The most common herbal prescriptions were Qingyi-tang (淸胰湯), Radix Bupleuri (柴胡), Radix Paeoniae Alba (白芍藥), Radix Glycyrrhizae (甘草), Radix Scutellariae (黃芩), and Rhei Rhizoma (大黃). In all the studies, herbal medicine treatments were effective in the treatment of chronic pancreatitis, and efficacy was assessed using clinical symptoms, physicochemical examination, radiological examination, and relapse. Conclusions: Herbal medicine treatment can be an effective treatment for chronic pancreatitis and has potential in clinical practice.

하부요로증상/전립선비대증 일차 치료의 최근 경향 (Current Trend of the Primary Treatment in Lower Urinary Tract Symptom / Benign Prostatic Hyperplasia)

  • 정희창
    • Journal of Yeungnam Medical Science
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    • 제26권2호
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    • pp.85-92
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    • 2009
  • Clinical benign prostatic hyperplasia (BPH) is a multifaceted phenomenon that is due to prostatic and bladder influences as well as nonurological causes. It is also important to differentiate between the more common voiding or obstructive symptoms as well as the more bothersome storage or irritative symptoms. Lower urinary tract symptoms (LUTS) and BPH may be two separate conditions with different underlying pathologies. However, they are often treated incorrectly as one entity. Both conditions are very common and they represent chronic conditions of the aging male. They are often associated with a significant reduction in the patients' quality of life. Although these are not new conditions, there have been enormous changes in the methods of assessing and managing the patients with these conditions. This review describes some of the influential studies in this area and the current trends of the primary treatment for LUTS/BPH.

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류마티스 관절염 환자의 증상에 따른 지각된 질병 영향 (Illness Intrusiveness by Symptoms in Patients with Rheumatoid Arthritis)

  • 김인자;이은옥
    • 성인간호학회지
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    • 제16권2호
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    • pp.288-296
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    • 2004
  • Purpose: Illness intrusiveness (illness induced lifestyle disruption) by symptoms was investigated in 439 patients with rheumatoid arthritis. Method: The cross-sectional and retrospective survey design was used. Fatigue, disability, pain, and depression were considered as symptoms of rheumatoid arthritis. Result: Patients were reported to perceive more illness intrusiveness than other chronic disease patients such as end stage renal disease, bipolar disorder, and peritoneal dialysis patients. They were especially intrusive into work, health, and active recreation domains. Stepwise regression analysis identified four variables counting for 26% of illness intrusiveness variances: fatigue, disability, marital status, and depression. All of the symptoms except pain were found to significantly predict illness intrusiveness. Fatigue explained 16% of illness intrusiveness variances. Conclusion: Fatigue and depression usually overlooked by health professionals must be carefully assessed and managed to reduce perceived illness for rheumatoid arthritis patients.

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가미소요산(加味逍遙散)으로 호전된 여성 울증 환자 치험 2례 (Two Case Report of UL-syndrome(鬱症) Treated with Gamisoyosan(加味逍遙散))

  • 제윤모;유동열
    • 혜화의학회지
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    • 제19권2호
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    • pp.187-193
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    • 2011
  • Purpose : This paper is aim to report the effects of Gamisoyosan(加味逍遙散) on the UL-syndrome(鬱症) Methods : This is two cases report of female patient suffering from headache, chest discomfort, heart burning, insomnia, dyspepsia, anorexia, fatigue and other symptoms due to chronic stress. 52 years old woman who diagnosed UL-syndrome(鬱症) was enrolled in this study. We gave her Gamisoyosan(加味逍遙散) 2 times, each for 3 weeks. During the treatments, we check changes of symptoms and HRSD. Results : After the oriental medical treatments, symptoms of UL-syndrome(鬱症) were decreased or disappeared. Conclusion : This clinical case indicate that Gamisoyosan(加味逍遙散) is effective in treatment of the depression disorder and symptoms of UL-syndrome(鬱症). More clinical data and studies are requested for the treatment of UL-syndrome(鬱症).

만성신부전증 환자의 자가 구취인식이 구강건강관련 삶의 질에 미치는 영향 (Effect of self awareness of halitosis on the quality of life related to oral health in patients with chronic renal failure)

  • 조은숙
    • 디지털융복합연구
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    • 제11권12호
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    • pp.607-614
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    • 2013
  • 본 연구는 혈액투석 중인 만성신부전증 환자들의 자가 구취인식이 구강건강관련 삶의 질에 미치는 영향을 파악하여 국내에서는 매우 드문 만성신부전 환자의 구강관련 기초자료로 사용하고자 실시하였다. 연구대상은 2013년 6월부터 7월까지 전주시에 위치한 혈액투석 전문병원에서 혈액투석 중인 만성신부전증 환자에게 설문조사를 실시하였다. 자가 구취 인식에 따른 구강 증상에서는 지난 한 달 동안 치아 아픔 증상, 잇몸에 피가 남, 혀 또는 뺨 아픔 증상, 입안 건조 증상에 유의한 차이가 나타났고, 구강기능 상태에서는 음식 씹는데 불편, 발음의 어려움, 상실된 치아 유무에 유의한 차이가 나타났다. 구강건강관련 삶의 질에서는 기능적 제한, 신체적 동통, 심리적 불편, 신체적 능력저하, 심리적 능력저하, 사회적 능력저하, 사회적 불리에 유의한 차이가 나타났다. 만성신부전 환자에서 인식한 구취가 구강건강관련 삶의 질에 미치는 영향요인 분석한 결과, 심리적 불편(B=-2.028, p<.01), 사회적 능력저하(B=2.596, p<.01), 사회적 불리(B=-2.173, p<.01)에 영향을 미치는 것으로 나타났다. 따라서 자가 인식한 구취는 심리적, 사회적으로 부정적인 영향을 미치므로 급격히 증가하고 있는 신부전 환자들에게 중요하게 고려할 요인이다.