• 제목/요약/키워드: self adjustment

검색결과 705건 처리시간 0.021초

건강한 중년 남성에서 커피 음용 습관이 혈중 총 콜레스테롤 값에 미치는 영향 (The Effect of Coffee Consumption on Serum Total Cholesterol Level in Healthy Middle-Aged Men)

  • 신명희;김동현;배종면;이형기;이무송;노준양;안윤옥
    • Journal of Preventive Medicine and Public Health
    • /
    • 제27권2호
    • /
    • pp.200-216
    • /
    • 1994
  • In present study, the authors investigated the possible effect of coffee consumption on serum cholesterol level in 1017 men between the ages of 40 and 59 years, who were randomly selected from the members of Seoul Cohort Study. Serum total cholesterol data was collected with other serologic indices (e.g. systolic blood pressure, diastolic blood pressure, hight, weight, etc.) through the program of biennial health check-up offered by Korean Medical Insurance Corporation (KMIC). The amount of coffee consumption was assessed by a self-administered questionnaire through mailing. Other confounding factors, such as age, body mass index, cigarette smoking, alcohol consumption, physical activity, and other dietary intake pattern were also determined by the questionnaire. The differences in means of serum total cholesterol in compared to non consumers were $-0.4{\pm}3.56mg/dl$ for those drinking less than 1 cup a day, $-0.6{\pm}3.60mg/dl$ for those drinking 1 cup a day, and $7.1{\pm}3.41mg/dl$ for those drinking more than 2 cups a day. Since smoking interacted the relationship between coffee consumption and serum total choleaterol, we re-analyzed those relationship in smokers and non-smokers separately Other atherogenic behaviors were well correlated with total cholesterol, so we adjusted the mean values of serum total cholesterol through multivariate model selection with age(r=0.12), total cigarette index (cigarette-years; r=0.10), Quetelet's index ($Kg/m^2$, r=0.16), daily calory expenditure (kcal/day, r=0.06), weekly meat and poultry consumption(g/week, r=0.05), weekly fish consumption (g/week, r=0.08), other caffeinated beverage intake (cups/week), and the amount of sugar and prim added to the coffee. Among those variables only age, Quetelet's index, fish consumption, and total cigarette index (in smokers) were remained in the models. After adjustment, the corresponing differences of total cholesterol in smokers were changed to $0.4{\pm}5.24mg/dl,\;-0.5{\pm}4.97mg/dl,\;and\;8.9{\pm}4.78mg/dl$, which were significantly different among themselves (P=0.011). In non-smokers, however, the differences were not statistically significant (P=0.76). Adjusted mean values of systolic blood pressure and diastolic blood pressure were also determined to evaluate the direct effect of coffee to cardiovascular system, but their means were not significantly different by coffee consumption(p=0.18 for SBP, p=0.48 for DBP). Asuming instant coffee in the most popular type of coffee in Korea, the association observed in our study between coffee and serum total cholesterol, especially in smokers, is very interesting finding for the connection between coffee and serum total cholesterol, because only 'boiled coffee' tend to show significant lipid raising effect rather than to other types of coffee, like filtered or espresso, in most of the western countries. We concluded that people who drink coffee more than 2 cups a day have significantly higher serum total cholesterol level than those who never drink coffee, especially in smokers.

  • PDF

응급실로 내원한 천식환자들의 임상적 특성 (Clinical Characteristics of Asthmatic Patients Who Visited Emergency Room)

  • 서정경;이소라;이상엽;이상화;조재연;심재정;인광호;강경호;유세화
    • Tuberculosis and Respiratory Diseases
    • /
    • 제44권2호
    • /
    • pp.290-297
    • /
    • 1997
  • 연구배경 : 기관지천식은 가역성 기도폐쇄, 기관지 과민증 및 기도점막의 염증성 변화가 특징인 호흡기 질환으로 적절한 치료가 질병의 예후에 중요한 영향을 미치며, 최근 천식의 발생기전 및 병태생리에 대한 연구가 활발히 진행되고 천식치료에도 많은 발전이 이루어지고 있음에도 불구하고, 오히려 전세계적으로 기관지천식의 유병률 및 사망률, 천식발작으로 인한 응급실 내원빈도는 증가하는 추세이다. 응급실 내원 환자의 과거력상 응급실 내원빈도가 많을수록 천식치료에 문제점이 있고 예후도 나쁘다는 보고가 있어, 응급실로 내원한 천식환자들의 임상적 특성의 분류가 치료 계획, 환자 교육과 관리 및 예후 예측에도 도움이 될것으로 사료되어 저자들은 천식발작으로 응급실로 내원한 환자들을 대상으로 연구를 시행하였다. 방 법 : 1년간 응급실에 기관지 천식발작으로 내원한 103명의 환자를 대상으로 과거력 및 천식 발작후 응급실 내원전까지의 상황등을 문진하였고 응급실 내원당시 최대 호기말 유속, 동맥혈 가스분석, 흉부 X선등을 시행하여 환자의 상태를 분석하였으며 입원 여부, 입원기간, 외래 추적관찰여부등으로 응급실로 내원한 천식환자들의 임상적 특성 및 예후를 조사하였다. 결 과 : 대상환자는 총 103명으로 남자 47명(45.6%), 여자 56명(54.4%) 이었고 평균 연령은 48.6세, 연령분포 50대가 27.2%로 가장 높았다. 천식진단후 1~5년사이의 환자가 42명 (40.8%)으로 가장 많았고, 과거력상 48명(46.6%)이 천식발작으로 응급실 내원 경험이 있었으며 2회이상 응급실 내원경력이 있는 환자는 27명(26.3%)이었고 내원환자중 79명(76.7%)이 교감신경항전 흡입제를, 48명(46.6%)이 부신피질 호르몬 흡입제를 사용한 적이 있었으나 그중 56%만이 적절한 흡입방법을 구사하였다. 응급실 내원경위는 환자 스스로 내원한 경우가 68명(66%)으로 가장 높았고, 월별 응급실 내원빈도률 살펴보면 12월과 5월에 가장 높았으며, 응급실 내원시간별로 보면 낮시간(오전 8시~오후 4시)이 53.4%로 가장 많았다. 천식악화요인으로는 상기도 감염(56.3%), 치료 중지(15.5%), 불완전한 치료(11.7%)가 주요 원인이었고 천식발작시작에서 응급실 도착까지 평균시간은 14.2시간이었고 천식발작후 79명(76.7%)이 교감신경 항진 흡입제를 사용하였으며 사용횟수는 평균 6.4회였다. 내원시 측정한 최대 호기유속은 펑균 166.7L/min, 내원시와 과거 최대호기유속 또는 예상 최대호기유속 의비는 평균 43.2%였다. 동맥혈 가스분석 검사상 고탄산가스혈증을 보인 환자는 총 50명으로 이중 7명(14%)만이 인공환기를 시행하여 비교적 좋은 예후를 보였고 내원환자중 17명(16.5%)은 응급실에서 치료후 내원 24시간내 귀가하였고 80명(77.7%)은 일반 병동에, 6명(5.8%)은 중환자실에 입원하여 치료를 받았으며 평균 입원일수는 11.2일이었다. 예후는 좋은편으로 총환자 모두 사망없이 회복되었고 외래 추적관찰은 59명(57%)에서 가능하였으며 증상소실후 천식정도를 분석한 결과 64.9%가 경미한 천식으로 나타났다. 결 론 : 응급실에 내원한 천식환자들은 주로 경미한 천식이 상기도 감염등에 의해 악화된 경우가 많았고 치료예후는 비교적 양호하였으나 퇴원후 적절한 천식치료를 받는 경우는 많지 않았다.

  • PDF

구순 및 구개열 환아 부모의 가족 스트레스와 대처에 관한 연구 (A Study on Family Stress and Coping of the Parents of Child who has a Cleft Lip or / and Cleft Palate)

  • 노난이;탁영란
    • Child Health Nursing Research
    • /
    • 제2권2호
    • /
    • pp.45-57
    • /
    • 1996
  • A serious disease in a family influences the entire family member given the fact that the members closely interact with each other. Especially in terms of pediatric nursing, study on family gains importance as the need to care of families whose children with developmental disabilities and chronic disease This study was done based on The Resiliency Model of Family Adjustment and Adaptation(McCubbin, 1991) is intended to examine the stress of parents whose children suffer from cleft lip or /and cleft palate. It also helps them to cope with the stress and analyze the relationship between the stress and coping This study used Family Inventory of Life Events and Changes (FILE) and Coping Health Inventory for Parents(CHIP) for measuring family stress and coping. The two instruments are revised to fit the social and cultural environment of Korean culture. Data collection was done from April 18, 1996 to May 18, 1996 at 8 University medical centers located in Seoul. Those who answered questionnaires were 84 parents whose children have cleft lip or /and cleft palate. SPSS PC+ was used to analyze the data collotted. Programs used for data analysis were t-test, ANOVA, Pearson correlation coefficient. The study is summarized as follows .1. The average score of family stress is 10.46(percentage of the full score 24.90) and 'finance and business strains'(3.25), and 'intrafamily strains'(2.65) ranked the highest. The average score of family's coping is 1.93, which is close to the answer of' moderately helpful' and they are measured to put their utmost efforts to' intergration and cooperation of family and optimistic definition on the situation'. 2. There is no significant statistical correlation between the family stress and coping. 3. Mothers show more stress than fathers in the parts of 'illness and family care strains' and 'losses'(t〓-2.34, t〓-2.32, p<.05). 4. Fathers show more willingness to cope with the stress than mothers do in the parts of' seeking social support','self-esteem','emotional comfort' 5. Mothers are more stress than fathers in the parts of family stress and its coping with it by usual traits(t〓-2.78, p<.05). Parents with religion are measured to cope more willingly than those who are not 6. Income of a family shows positive correlationship with family coping (r〓.28, p<.05). The study shows that gender difference is significant variable in studying on family stress and coping. Mothers get more stress than fathers, which has much to do with the fact that they are in charge of raising children and keeping houseworks. Accordingly, managing family crisis and its survival can be induced by giving support for the mothers, studying fathers including the rest of the family members and giving nursing care and arbitration ; religious background is also considered to be one of the important factors in family stress , judging from the relationship between family income and family's coping, caring given to suffering children is needed on societal levels. The above considerations bring up the need to have a longitudinal study of children with congenital anomaly including cleft lip or /and cleft palate and their families about family stress and coping. Resiliency programs on family system and their effectiveness and the relationship between the enlarged families with social and cultural values reflecting Korean tradition are also needed to be studied.

  • PDF

만성통증 환자의 통증 조절 (Chronic pain control in patients with rheumatoid arthritis)

  • 은영
    • 근관절건강학회지
    • /
    • 제2권1호
    • /
    • pp.17-40
    • /
    • 1995
  • Rheumatoid arthritis is the one of the chronic diseases, one of its major symptoms is a chronic pain. Despite developing medical treatment and surgical techniques, it is suggested that to control the pain is the goal of the treatment. But pain is an inner experience and even those closest to the patient cannot truly observe its progress or share in its suffering. The National Academy of Sciences Institute of Medicine's report on Pain and Disability concluded that there is no objective measure of pain-(exactly) no pain thermometer-nor can there ever be one, because the experience of pain is inseparable from personal perception and social influence such as culture. To explore chronic pain experience is to understand the process and property of the patient's perception of pain through the response to pain, the coping with pain, and the adaptation to pain. Therefore a qualitative study was conducted in order to gain an understanding of pain experience of patients with RA in korea. I used naturalistic inquiry as a research methodology, which had 5 axioms, the first is that realities are multiple, constructed, and holistic, the second is that knower and known are interactive, inseparable, the third is only time and context bound working hypotheses(idiographic statements) are possible, the forth is all entities are in a state of mutual simultaneous shaping, so that it is impossible to distinguish causes from effects and the last is that inquiry is value-bound. Purposive sampling was conducted as a sampling. 20 subjects who experienced pain over 10 years, lived in middle-sized city and big city in Korea, and 17 women and 3 men. The subject's age was from 32 to 62 (average 48.8), all were married, living with their spouse and children, except two-one divorced and the other widow before they became ill. I collected data using In depth structured interview. I had interviews two or three times with each subject, and the interviews were conducted at each subject's home. Each interview lasted about two hours an average. A recording was taken with the consent of the subject. I used inductive data analysis-such as unitizing and categorizing. unitizing is a process of coding, whereby raw data are systematically transformed and aggregated into units. Categorizing is a process wherby previously unitized data are organized into categories that provide descriptive or inferential information about the context or setting from which the units were derived. This process is used constant comparative method. The pain controlling process is composed of behavior of pain control. The behaviors of pain control are rearranging of ADL, hiddening role conflict, balancing treatment, and changing social relation. Rearranging of ADL includes diet management, sleep management, and the adjustment of daily life activities. The subjects try to rearrange their daily activities by modified style of motions, rearranging time span & range of activities, using auxillary facilities, and getting help in order to keep on the pace of daily life. Hiddening role conflict means to reduce conflicts between sick role and their role as a family member. In this process, the subjects use two modes, one is to control the pain complaints, and the other is to internalize the value which is to stay home is good for caring her children and being a good mother. To control pain complaints is done by 'enduring', 'understanding' the other family members, or making them undersood in order to reduce pain. Balancing treatment is composed of two aspects. One is to keep the pain within the endurable level, the other is to keep in touch with medical personnel in order to get the information of treatment and emotional support. Changing social relation is made by information seeking and sharing, formation of mutual support relation, and finally simplification of social relationships. The subjects simplify their social relationships by refraining from relations with someone who makes them physically and psychologically strained. In particular the subjects are apt to avoid contact with in-laws, and the change of relation to in-laws results in lessening the family boundary. In the course of this process, they confront the crisis of family confict result in family dissolution. This crisis is related to the threat of self-existence. Findings from this study contribute to understanding the chronic pain experience. To advance this study, we should compare this result with other cases in different cultural contexts. I think to interpret these results, korean cultural background should be considered. Especially the different family concept, more broader family members and kinship network, and the traditional medical knowledge influences patients' behavior.

  • PDF

해외농업투자에 따른 유통체계 개선방안에 관한 연구 (A study on the improvement of distribution system by overseas agricultural investment)

  • 선일석;이동옥
    • 유통과학연구
    • /
    • 제8권3호
    • /
    • pp.17-26
    • /
    • 2010
  • 세계경제 및 환경의 변화에 따라 농산물의 불안정적인 수급으로 인한 문제점이 노출되고 있으며, 우리나라의 경우 농산물의 안정적인 확보를 위하여 국가 전략적 차원에서의 해외농업투자의 필요성이 요구되고 있다. 하지만 정부차원의 지원 미진, 해외 농업에 대한 정보 및 기술 미비, 개발자금 확보의 어려움, 장기간의 투자금 회수기간, 사후관리 미흡 등의 이유로 성과를 이루지 못하고 있는 실정이며, 특히 해외 농산물의 국내 반입 시 관세의 장벽, 물류 유통비용 등으로 가격 경쟁력이 떨어지고 있어 국내에 반입되지 못하고 있는 실정이다. 이에 본 연구에서는 우리나라의 해외농업투자의 기본개념 및 실태를 살펴보고 해외농업투자의 필요성과 고려사항, 문제점 등을 도출하여 해외에서 재배된 농산물의 경쟁력을 위한 유통 측면에서의 개선방안을 정부의 간접적인 지원, 유통 현대화 및 유통정보기능 강화, 유통시설, 수송루트, 하역업무개선, 경쟁력 확보를 위한 정부의 정책적 지원, 교육 훈련을 통한 전문인력 양성 등 다섯 가지 측면에서 제시하였다.

  • PDF