• 제목/요약/키워드: subjective symptoms of fatigue

검색결과 105건 처리시간 0.027초

Case Report for Severe Hepatitis A Treated in a Korean Hospital

  • Kim, Sul-Ki;Jeon, Cheon-Hoo;Lee, Nam-Heon;Cho, Jung-Hyo;Son, Chang-Gue
    • 대한한의학회지
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    • 제41권4호
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    • pp.100-105
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    • 2020
  • A 25-year-old male presented with influenza-like symptoms and took Western anti-inflammatory analgesic drugs for 2 days. The symptoms aggravated, so the patient decided to rely on Korean medicine (KM). Based on the highly elevated hepatic enzymes (AST 4,621 IU/L and ALT 2,763 IU/L) with a positive result of anti-HAV IgM, he was diagnosed with hepatitis A. The patient was hospitalized and given herbal drugs (Chunggan-plus extract, Innae-Tang) and acupuncture, according to symptom differentiation, the accumulation of damp heat (濕熱蘊結)". The subjective symptoms (fatigue, nausea, gastric discomfort) including jaundice and dark urine as well as laboratory abnormalities gradually improved gradually in 10 hospital days, and the patient completely recovered in 25 days as an out-patient. This case presents a classic case of severe hepatitis A in 2019 Korean outbreak, and is informative to physicians for diagnosis and treatment in the traditional Korean medicine field.

황달을 동반한 비대상성 간경변 환자의 한방 치험 1례 (A Case Report of Korean Medicine Treatment of a Decompensated Liver Cirrhosis Patient with Jaundice)

  • 안선주;김보성;노준용;이영수
    • 대한한방내과학회지
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    • 제43권6호
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    • pp.1219-1228
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    • 2022
  • Objectives: The aim of this study was to report a clinical case of decompensated liver cirrhosis in a patient with jaundice who showed improvement with Korean medicine treatment. Methods: A patient with decompensated liver cirrhosis with jaundice was treated with herbal medicine (Injinoryung-tang, Galgeunjowi-tang), acupuncture, cupping, and moxibustion. Changes in jaundice, fatigue, and dysuria were measured with subjective parameters. Liver function was checked by performing a blood test 8 times. The levels of aspartate aminotransferase (AST), alanine aminotransferase (ALT), alkaline phosphatase (ALP), gamma glutamyl transpeptidase (GGT), total bilirubin (TB), albumin, and platelets (Plt), prothrombin time (PT), and international normalized ratio (INR) were recorded. Results: The Korean medicine treatment improved jaundice, fatigue, and dysuria and lowered the AST, ALT, ALP, GGT, and TB levels. Conclusions: Korean medicine treatment containing Galgeunjowi-tang positively improves clinical symptoms and liver function.

대학병원 병동 및 수술실 근무 간호사의 사회심리적 스트레스와 피로수준에 관련된 요인 (Factors Related to Psychosocial Stress and Fatigue Symptom Among Nurses Working at Ward and Operating Room in University Hospitals)

  • 박안숙;손미경;조영채
    • 한국산학기술학회논문지
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    • 제14권4호
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    • pp.1781-1791
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    • 2013
  • 본 연구는 근무특성이 다른 병동과 수술실에 근무하고 있는 간호사들의 인구사회학적 특성, 건강관련행위 특성, 직업적 특성, 직무스트레스 요인 및 사회심리적 요인에 따른 스트레스와 피로수준을 비교 분석하고자 시도하였다. 연구대상은 대전광역시에 소재하고 있는 4개 대학병원의 병동근무 간호사 220명, 수술실근무 간호사 147명, 합계 367명으로 하였으며, 2012년 7월 1일부터 8월 31일까지의 기간 동안에 구조화된 무기명 자기기입식 설문조사를 실시하였다. 연구결과, 사회심리적 스트레스에 관련된 요인으로 병동근무 간호사에서는 연령, 주관적인 건강상태, 근무경력, 업무에 대한 만족도, 업무에 대한 적성, 업무요구도, 업무자율성, 동료의 지지도, 자기존중감, 통제신념 및 A형 행동유형이 지적되었고, 수술실근무 간호사에서는 연령, 수면시간, 주관적인 건강상태, 근무경력, 업무의 신체적 부담정도, 업무에 대한 만족도, 업무에 대한 적성, 직업전환의사, 업무요구도, 업무자율성, A형 행동유형이 지적되었다. 피로수준에 관련된 요인으로 병동근무 간호사에서는 연령, 여가시간 여부, 주관적인 건강상태, 업무에 대한 만족도, 직업전환의사, 업무요구도, 통제신념, A형 행동유형이 지적되었고, 수술실근무 간호사에서는 연령, 주관적인 건강상태, 업무의 신체적 부담정도, 상사의 지지도, 동료의 지지도, 통제신념이 지적되었다. 이와 같은 결과를 볼 때 간호사의 근무부서에 따른 스트레스와 피로수준에 관련된 요인에 차이가 있음을 알 수 있으며 근무부서별 스트레스와 피로수준을 적절하게 통제할 수 있는 프로그램개발 및 실행이 필요하다고 생각된다.

다차원척도법을 이용한 식적(食積)의 개념에 관한 고찰 - 평위산(平胃散) 변증(辨證) 설문지와 건강 관련 설문지와의 비교 연구 - (A Study on a concept of Food Accumulation using Multidimensional Scaling - Comparison between Pyungweesan Questionnaire and Health Related Questionnaires -)

  • 이청희;박영재;김민용;이상철;박영배
    • 대한한의진단학회지
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    • 제15권2호
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    • pp.141-148
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    • 2011
  • Objectives: In comparison with functional dyspepsia, food accumulation is known to have wider concept. On this study, we will make a proposal on the concept of food accumulation by a statistical comparison between pyungweesan questionnaire and health related questionnaires. Methods: We studied the similarities between six factors of pyungweesan questionnaire and four health related questionnaires(Rome II criteria of functional dyspepsia, subjective symptoms of fatigue test, beck depression inventory, state-trait anxiety inventory, etc.) using multidimensional scaling. Results and Conclusions: 1. Physical-emotional axis and acute-chronic axis were labelled in a two-dimensional scaling solution. 2. Seup-dam(濕痰) factor and sik-che(食滯) factor of food accumulation were closely related to fatigue. 3. Bi-seup(脾濕) factor of food accumulation was closely related to depression and anxiety. 4. The findings suggest that a concept of food accumulation reflects some aspects of physical fatigue and emotional depression as well as dyspepsia.

소풍보심도담탕(疎風補心導痰湯) 합(合) 생맥산(生脈散) 투여 후 임상증상 및 심전도 상 심방조동이 호전된 환자 1례 (A Case Report of Improvement of Clinical Symptoms and Atrial Flutter on the Electrocardiogram (EKG) Treated with Xiaofengbusindaotantang (疎風補心導痰湯) and Shengmaisan (生脈散))

  • 김동현;임인환;유경환;나병조;이범준
    • 대한한방내과학회지
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    • 제27권3호
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    • pp.784-790
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    • 2006
  • Most of the atrial flutter occurs in patients who have an organic disease of the heart. The symptoms of atrial flutter include anxiety with palpitation. sleep disorder and fatigue. For a long time, oriental medicine has clinically treated these symptoms, and the diagnosis has been usually based on the doctor's judgment on the subjective clinical symptoms. However, if oriental medicine includes new diagnostic aids like electrocardiogram or other various methods or combinations of techniques, the accuracy and objectivity of diagnosis and clinical data can be improved. In this case, a 65 year-old male patient who had anxiety with palpitation and abnormal P wave (atrial flutter) on the EKG was treated with Xiaofengbusindaotantang (疎風補心導痰湯) and Shengmaisan (生脈散). Significant improvement in the clinical symptoms and EKG results was observed. This result suggests that oriental medical treatment can be used for treatment of organic heart disease like an atrial flutter. In addition, subsequent studies should be followed to ensure the appropriateness of new diagnostic aids, such as EKG, and other various modalities.

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족욕요법이 50대 여성의 갱년기 증상 및 수면에 미치는 영향 (Effects of Foot Bath Therapy on Menopausal Symptoms and Sleep in Women in Their 50s)

  • 전계삼;전요원;김원빈
    • 한국자연치유학회지
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    • 제9권2호
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    • pp.57-61
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    • 2020
  • 목적: 본 연구는 갱년기 증상이 있는 50대 여성 대상자들이 족욕을 하였을 때 갱년기 증상 및 수면장애에 미치는 효과를 연구하는 것이 목적이었다. 방법: 12주간 주 3회 족욕요법을 실시한 후에 갱년기 증상의 사전 및 사후 변화를 조사하였다. 결과: 안면홍조, 심장 불편감, 수면 문제, 우울감, 과민성, 불안감, 신체 및 정신적 피로, 성적인 문제, 배뇨문제, 질 건조감, 관절 및 근육 불편감이 있는 대상자는 사전보다 사후에 모두 유의성이 있게 개선되었다(p < .001). 족욕 후에 주관적 수면의 질, 수면 잠복기, 수면 기간, 수면 방해점수, 수면 약물 이용 및 수면 기능장애는 사전보다 사후가 유의하게 감소하였다(p < .001). 습관적 수면 효율성 유의하게 증가하였다. 결론: 대상자들이 족욕 후에 갱년기 증상과 수면의 질이 전반적으로 개선된 것으로 나타났다. 따라서 족욕요법은 갱년기 증상 및 수면 개선에 적합한 자연치유적 요법이라 평가한다.

구안와사(口眼喎斜) 환자(患者)의 Gadolinium-DPTA enhanced MRI 소견(所見)에 대한 임상적(臨床的) 고찰(考察) (Clinical Study on Gadolinium-DPTA enhanced MRI of Bell's palsy)

  • 김재수;최우석;김용석;고형균;강성길;김창환
    • Journal of Acupuncture Research
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    • 제17권3호
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    • pp.87-98
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    • 2000
  • This study is designed to evaluate the clinical implications of Gd-DPTA (Gadolinium-diethyl enetriamine pentacetic acid) enhanced MRI(Magnetic resonance imaging) in Bell's palsy and find it's usefulness in Oriental Medicine In this study, 25 outparients with Bell's palsy were studied that MRI was performed. To evaluate degree of facial palsy, H-B(House-Brackmann) Grade was used. In Oriental Medical therapy, Acupuncture and Herbal medicine were treated. Subjective cause was divided into exposure to chill, fatigue, stress, mixed cases. Enhanced site was compared with symptoms which were disorder of eye, hearing, taste, and facial muscle palsy. Also, Relation between time which was performed MRI and enhancement was analyzed. The enhanced lesion in MRI was divided into five segments; Internal audiitory canal, Labyrinthine segment, Geniculate ganglion, Tympanic segment, Mastoid segment. In Bell's palsy, 20 of 25 patients(80%) had abnormal contrast enhancement of the facial nerve. The H-B grade and interval performed MRI from onset were directly proportionate to enhancement. That is to say, Severe facial palsy short interval show high possibility of enhancement. There was no relation between subjective causes and enhanced site of facial nerve in MRI. Also Clinical symptoms didn't coincide with MRI findings.

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여자고등학교 학생의 여성 정체감과 월경전 증후군 (A Study on the Sex-identity and the Premenstrual Syndrome of Female High School Students)

  • 권인숙
    • 한국학교보건학회지
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    • 제9권2호
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    • pp.223-237
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    • 1996
  • This study was conducted in order to contribute to female student health by providing fundamental data for health instruction and health counsel. The purpose of this study is to determine the frequency of PMS by a menstrual distress questionnaire, and determine sex-identity factors related to PMS. The data were collected by a questionaire conducted from December 1,1995 to December 20, 1995. The subjects of research were 1,102 high school students in Seoul. The data analyzed was done using the SPSS PC+, and the results were as follows; 1. The perceived subjective symptoms were clusted behavioral change, negative affects, pain, impaired concentration, water retention and autonomic reactions. The most common symtoms during the period of 2 to 10 days before menses were vaginal discharge(79%), back pain(70.4%), nervous tension(60.8%), fatigue(56.2%), abdominal bloating(54.5%), mood change(52.8), pelvic pain(46.8%), resistance to study(45.9) and talking(43.3). 2. There was a significant correlation between the clusters symptoms; negative affects and behavioral changes(r=.9326, p=.000), behavioral changes and impaired concentration (r=.8572, p=.000), negative affects and impaired concentration(r=.8411, p=.000) and autonomic reaction and pain(r=.7267, p=.000). 3. Sex-identity factors were related to PMS ; perception of the female(F=5.1811, p=.006) and pregnancy concerns (T=3.54, p=.000).

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사상체질에 따른 신체적 증상에 관한 연구 (A Study on the Constitution Type-Specific Presentation of Physical Symptoms)

  • 김윤영;김호석;백영화;유종향;김상혁;장은수
    • 사상체질의학회지
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    • 제23권3호
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    • pp.340-350
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    • 2011
  • 1. Objectives: This clinical study was conducted to understand the differences between Sasang constitutional types and to identify the physical symptoms presentation specific to each Sasang constitutional type. 2. Methods: In this descriptive study, 2,629 subjects (1,061 Taeeum-type, 683 Soeum-type, 885 Soyang-type) were surveyed between Nov 1, 2007 and Jul 31, 2010. The subjective symptoms experienced by the subjects were collected using a Physical Symptoms questionnaire, and the subjects were interviewed by Sasang specialists who determined the subjects' constitutional type. The data (in crude number and percentage) was analyzed on the general characteristics, Sasang constitutional type, and physical symptoms using the SPSS 17.0 software. The symptomatic presentation in men and women were analyzed on Sasang constitutional distribution using the chi-square test. 3. Results: 1) The physical symptoms specific to each Sasang constitutional type were as follows: 'frequent aphthous lesions in the oral cavity', 'lingering fatigue after sleep', 'headache', 'common cold symptoms presenting as loss of appetite or indigestion', and 'physical deterioration presenting as problems with digestion' in the Soeum type; 'physical deterioration presenting as problems in perspiration' and 'swelling and puffiness' in the Taeeum type; and 'excessive forgetfulness' in the Soyang type. 2) The physical symptoms specific to each Sasang constitutional type in men were as follows: 'Unilateral or bilateral headaches, 'frequent aphthous lesions in the oral cavity', 'common cold symptoms presenting as rhinorrhea or nasal congestion', 'common cold symptoms presenting as loss of appetite or indigestion', and 'physical deterioration presenting as problems with digestion' in the Soeum type; and 'swelling and puffiness' in the Taeeum type. 3) The physical symptoms specific to each Sasang constitutional type in women were as follows: 'common cold symptoms presenting as headaches', 'common cold symptoms presenting as loss of appetite or indigestion', 'physical deterioration presenting as problems with digestion' in the Soeum type; and 'pain in knees', 'redness of eyes', 'dryness of mouth', 'common cold symptoms presenting as coughing', 'physical deterioration presenting as problems in perspiration', 'swelling and puffiness' in the Taeeum type. 4. Conclusions: This study demonstrates that physical symptoms present in constitutional type-specific patterns. Understanding of the personal Sasang constitutional type and systematic, personalized healthcare based on constitutional typology is anticipated to contribute to improved health management strategy.

선호음악 감상이 경찰공무원의 직무스트레스와 피로 감소에 미치는 영향 (The Effect of Preferred Music Listening on Police Officers' Occupational Stress and Fatigue)

  • 김혜진;김은주
    • 인간행동과 음악연구
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    • 제14권1호
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    • pp.41-62
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    • 2017
  • 본 연구는 경찰공무원의 직무스트레스와 피로 감소에 선호음악 감상이 미치는 영향을 검증하였다. 사전-사후 검사 통제집단 설계로 실험집단 19명은 선호음악 체크리스트에 근거한 약 20분의 개별 음원을 감상하였고, 통제집단 21명은 단순 휴식을 취하였다. 측정도구는 Lee(1999)가 개발한 직무스트레스 척도와 일본산업위생협회 산업피로연구회(Japan Association of Industrial Health Industrial Fatigue Research Committee, 1970)에서 개발한 피로 자각 증상 척도를 사용하였다. 선호음악 감상 중재는 2016년 10월 11일-19일까지 총 6회기에 걸쳐 진행되었다. 수집된 데이터는 SPSS for Windows 22.0로 통계 분석 처리하였는데 두 집단의 동질성 검증과 집단 간 사전-사후 검사는 독립표본 t 검증을 실시하였고, 실험집단 내 사전-사후 검사는 대응표본 t 검증을 실시하였다. 분석 결과, 실험집단과 통제집단 간 직무스트레스 전체점수와 실험집단 내 직무스트레스 사전-사후 점수 모두에 유의한 차이가 있었다(p < .05). 또한 실험집단과 통제집단 간 피로도와 실험집단 내 피로도 감소에도 모두 유의한 차이가 나타났다(p < .05). 본 연구에서는 편의적 표집방법을 사용하였으므로 결과를 일반화할 수 없다는 연구의 제한점을 가지고 있다. 반면, 경찰공무원의 직무스트레스와 피로 감소에 있어 집단 간, 집단 내에서 선호음악 감상이 유의한 효과가 있음을 입증한 것에 의의가 있다. 후속연구에서는 수용적 음악감상과 더불어 적극적 음악치료 활동을 제공하여 경찰공무원의 직무스트레스와 피로 감소에 효과성을 높일 수 있는 중재를 제언한다.