• 제목/요약/키워드: symptom

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Type D 성격 유형이 관상동맥중재술 환자의 증상 경험과 삶의 질에 미치는 영향 (Influencing Effects of Type D Personality on Symptom Experiences and Quality of Life in Patients with Percutaneous Coronary Intervention)

  • 조은희;한순희;이명하;김성렬
    • 성인간호학회지
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    • 제28권5호
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    • pp.536-545
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    • 2016
  • Purpose: The aim of this study was to investigate the influencing effects of type D personality on symptom experiences and quality of life in percutaneous coronary intervention patients. Methods: A descriptive, cross-sectional study design was used. A total of 158 patients with percutaneous coronary intervention participated in this study, between July 1 and November 1, 2015. Data were analyzed by means, standard deviations, t-test, $x^2$ test, ANCOVA, and stepwise multiple regression analysis using SPSS 22.0 program. Results: About 53.8% of participants were classified as type D personality. The type D personality group reported statistically significantly higher symptom experience, lower cardiac function, and lower cardiovascular-specific quality of life compared to non-type D personality group. On stepwise multiple regression, the most significant factor of quality of life was symptom experiences (adjusted $R^2=.25$, p<.001), followed by type D personality (adjusted $R^2=.31$, p<.001). Conclusion: Personality trait assessment is recommended for patients with percutaneous coronary intervention to assess symptom experiences and quality of life. In addition, development of nursing intervention might be beneficial to manage symptom experience and quality of life in percutaneous coronary intervention patients with type D personality.

노년기 우울증상과 빈곤 -빈곤과 비공식 사회관계의 상호작용 효과를 중심으로- (The Depressive Symptom and Poverty in Later Life: Interaction Effect between Poverty and Informal Social Relationships)

  • 김영범;이승희
    • 디지털융복합연구
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    • 제13권12호
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    • pp.401-411
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    • 2015
  • 본 연구의 목적은 빈곤과 우울증상의 관계와 함께 빈곤과 비공식 사회관계(informal social relationship)가 우울증상에 대해 상호작용 효과가 있는지 분석하는 것이다. 본 연구에서 사용한 자료는 2014년에 춘천 지역 65세 이상 노인을 대상으로 한 조사로 표본은 2,034명이며 분석에 포함된 사례는 무응답인 표본을 제외한 1,934명이다. 본 연구의 종속변수인 우울증상은 CES-D 단축형(Center for Epidemiologic Studies Short Depression Scale)을 활용해 측정하였다. 본 연구의 주요 결과는 다음과 같다. 첫째, 빈곤 상태인 노인은 비빈곤 상태인 노인에 비해 우울증상 점수가 높은 것으로 나타나 빈곤이 우울증상에 직접적인 영향을 주는 것으로 확인되었다. 둘째, 자녀와의 접촉수준, 친구와의 지원교환 수준만이 우울증상을 감소시키는데 기여하는 것으로 나타나 모든 비공식 사회관계가 우울증상 감소에 기여하는 것은 아니라는 점도 확인하였다. 셋째, 4개의 비공식 사회관계 변수 중 자녀와의 접촉수준만 유일하게 빈곤과 상호작용 효과가 있는 것으로 나타났다.

중년 여성의 갱년기 증상과 우울에 관한 연구 (An Analysis of the Realtionship between Menopausal Symptoms and Depression)

  • 권숙희;김영자;문길남;김인순;박금자;박춘화;배정이;송애리;여정희;정은순;정향미
    • 여성건강간호학회지
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    • 제2권2호
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    • pp.270-283
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    • 1996
  • This study was done for the purpose of analyzing the relationship between menopausal symptoms and depression. Data were collected by a questionnaire from November 28 to December 30, 1995. The subjects were 134 women between 40-61 years of age. The instruments used for this study were The Menopausal symptom scale by Neugartom and Depression scale by Zung. The results of the study were as follows. 1. Mean score of menopausal symptoms was 1.59. Mean score orders of experienced symptoms were "Rack pain and joint pain"(2.02), "General weakness"(1.98), "Nervousness"(1.96). The most serious menopausal symptom was psychosomatic symptom.(1.88) Total score orders of experienced symptoms was 27.9 and over 90.3% of women complained menopausal symptom. 2. Mean score orders of depression was 39.13. It was normal range of depression. 85.1% of the women were normal range of depression and 14.2% of women mild depression. 3. The relationship between menopausal symptoms and depression was statistically significant(r=0.5307, p=0.000). When the relationship among three dimensions of menopausal symptoms were explored the psychosomatic symptom(r=0.4090, P=0.000), Physical symptom(r=0.319, P=0.000), Physical symptom(r=0.319, P=0.000) were statistically significant. 4. General characteristic variables were significantly related to the level of menopausal symptoms as follows ; environment of living(F=2.89, p=0.038), religion(F=4.18, P=0.007), times of birth(F=2.66, p=0.043). The analysis of this study have implication for management of middle aged women's health, to solve the nursing problems, and to prevent and relieve climacteric symptoms.

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Symptom Experiences and Coping Strategies among Multi-ethnic Solid Tumor Patients Undergoing Chemotherapy in Malaysia

  • Yahaya, Nor Aziyan;Subramanian, Pathmawathi;Bustam, Anita Zarina;Taib, Nur Aishah
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권2호
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    • pp.723-730
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    • 2015
  • Background: This study was performed to assess patient symptoms prevalence, frequency and severity, as well as distress and coping strategies used, and to identify the relationships between coping strategies and psychological and physical symptoms distress and demographic data of cancer patients. This cross-sectional descriptive study involved a total of 268 cancer patients with various types of cancer and chemotherapy identified in the oncology unit of an urban tertiary hospital. Materials and Methods: Data were collected using questionnaires (demographic questionnaire, Medical characteristics, Memorial Symptom Assessment Scale (MSAS) and Brief COPE scales and analyzed for demographic, and disease-related variable effects on symptom prevalence, severity, distress and coping strategies. Results: Symptom prevalence was relatively high and ranged from 14.9% for swelling of arms and legs to 88.1% for lack of energy. This latter was the highest rated symptom in the study. The level of distress was found to be low in three domains. Problem-focused coping strategies were found to be more commonly employed compared to emotion-focused strategies, demonstrating significant associations with sex, age group, educational levels and race. However, there was a positive correlation between emotion-focused strategies and physical and psychological distress, indicating that patients would choose emotion-focused strategies when symptom distress increased. Conclusions: These findings demonstrate that high symptom prevalence rates and coping strategies used render an improvement in current nursing management. Therefore development of symptoms management groups, encouraging the use of self-care diaries and enhancing the quality of psychooncology services provided are to be recommended.

심장질환자의 심리사회적 요인 및 증상 경험간의 관계 : 6개월 추적조사 (Relationship between Psychosocial Factors and Symptom Experience in Patients with Cardiovascular Disease: Over a Six-month follow-up Period)

  • 김조자;김기연;노영숙;송은경;강석민;유명숙;손연정
    • 기본간호학회지
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    • 제13권1호
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    • pp.76-85
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    • 2006
  • Purpose: The purpose of this study was to identify the relationship between psychosocial factors and symptom experience of patients with cardiovascular disease over a 6-month follow-up period. Method: Baseline data for each of the 138 patients were collected. Eighteen patients were dropped for a final total of 120 patients in the present study. To monitor patients' symptom experience after discharge, each patient was interviewed by telephone, and interviewed directly with a questionnaire at each clinic visit. Results: Mean scores for hostility, anger, anxiety, and depression were 51.63, 22.87, 48.95, and 41.21, respectively. Mean scores for the level of symptom experience at discharge, 3 months and 6 months after discharge were 32.83, 24.79, and 26.70, respectively. There were significant differences in the level of hostility by gender, BMI, job, and monthly income. Also the differences in the level of anxiety and depression were statistically significant according to gender and existence of spouse. In the regression analysis, depression was identified as the significant factor associated with symptom experience at discharge, 3 months, and 6 months after discharge. Conclusion: This study presented baseline data to elucidate whether psychosocial factors were associated with the progression of cardiovascular diseases. Accordingly, it suggests that nurses need to take into consideration psychosocial factor as well as physiological factor in symptom management for patients with cardiovascular disease.

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가구회사 근무자들의 누적외상성장애 관련 작업조건과 누적외상성장애 증상 (Working Conditions Related to Cumulative Trauma Disorder and Symptoms of Cumulative Trauma Disorder in Furniture Company Employees)

  • 문정순;권은하
    • 한국보건간호학회지
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    • 제17권2호
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    • pp.266-277
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    • 2003
  • In order to investigate the working conditions related to cumulative trauma disorder(CTD) and symptoms of CTD, a survey was conducted covering 305 employees who were working in three furniture manufacturing companies in Kyungin area. Data were collected by using questionnaire of the Personal Ergonomics Profiles. The results were as follows : 1. The mean score of working conditions related to CTD was 0.95. The mean score of working conditions for labor workers were significantly higher than that of clerical workers. Among 4 factors of working conditions, the higher score were shown in the working and environment factors with 1.22 and 1.18, respectively. 2. Symptom prevalence rate of CTD for workers was $81.0\%\;{;}\;82.9\%$ for labor workers and $77.0\%$ for clerical workers. As for symptom of CTD in body part, higher rate were shown in lower back with $50.2\%$, shoulder and neck with $38.4\%\;and\;36.4\%$ respectively. 3. The score of symptom severity of CTD were 3.45. Significant difference was shown in symptom severity of forearm and wrist/hand part between labor and clerical workers. As for symptom severity of CTD in body part the higher score were shown in shoulder, ankle/foot, forearm. lower leg and elbow. and the highest score for labor workers were shoulder and ankle/foot and for clerical workers was lower back. 4. As a whole, symptom of CTD for workers positively correlated to working conditions. 5. Symptom of CTD for workers seemed to be significantly influenced by working factor, sex, working duration and working area factor.

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위증(痿證)의 침구 치료에 대한 문헌 고찰 (Acupuncture & Moxibustion Bibliographic Studies on the Wei symptom for Clinical Treatment)

  • 박만용;원진희;김성철
    • 동의생리병리학회지
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    • 제26권6호
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    • pp.842-848
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    • 2012
  • This study was performed to investigate the acupuncture & moxibustion therapy of the Wei symptom(痿證) in order to find out the clinical possibility. We investigated the acupuncture & moxibustion therapy of Wei symptom through six books published after 1993, searched sites as like 'Oasis', 'Pubmed', 'RISS', 'KISS', 'NDSL' and 'Google scholar'. Acupuncture & moxibustion prescriptions recorded in the orietal medicine literatures that were published before and after 1993 had a similar basis. Since 2000, in the clinical papers on the wei symptom searched from domestic journal, sa-am and dong's acupuncture therapy were mainly applied, but papers were confined in a case study. Since the mid-2000s, the clinical effectiveness of bee venom and electroacupuncture therapy on the wei symptom were uncovered, but the researches about the chracteristics in accordance with acupoints are more required. Since 2010, the mechanism of the bee venom and electroacupuncture on the wei symptom was revealed in animal experiments. On this basis, the systematic clinical studies beyond case paer or pilot study is(are) needed. The development of various treatment implements as like electroacupuncture, pharmacopuncture was required to access the incurable disease like wei syptom, and the efforts of providing evidence through systemic clinical trials are needed.

성인 알코올사용장애 환자에서 주의력결핍 과잉행동 증상 유무에 따른 임상적 및 신경심리학적 특성 (Clinical and Neuropsychological Characteristics of Adult Alcohol Use Disorder Patients with or without Attention-Deficit Hyperactivity Symptom)

  • 조정민;이동준;정경희;오송인;안동현
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제25권4호
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    • pp.209-216
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    • 2014
  • Objectives : Alcohol use disorder (AUD) is often comorbid with adult attention-deficit hyperactivity disorder (ADHD) and other psychiatric illnesses. When associated with other mental problems, the prognosis of the AUD can be more serious. This study shows research on the clinical and neuropsychological characteristics according to whether or not ADHD symptoms and AUD were comorbid. Methods : A total of 64 adult inpatients who completed AUD scales about adult ADHD, alcohol dependence, depression, anxiety, and impulsiveness. They also completed neuropsychological tests about attention and executive function. According to the Adult ADHD Self-Report Scale score, patients were categorized into two groups (ADHD symptom positive/negative group). Results : Fourteen among the 64 subjects were part of the ADHD symptom positive group (21.9%). They had statistically significant shorter abstinence periods and a higher rate of history of 'rule violation during school' and 'physical damage in childhood' compared to the ADHD symptom negative group. Conclusion : The comorbidity rate with ADHD symptom in adult AUD is higher than the general population. The ADHD symptom positive group suffered from more severe and refractory AUD. Considering the more frequent history of rule violation during school in the ADHD symptom positive group, the association between ADHD and AUD may be mediated by conduct disorder. Therefore we suggest the necessity of careful evaluation and intervention in children and adolescents with ADHD and conduct disorder.

포도흰얼룩증상의 발생생태적 특성 (Ecological Characteristics of White Stain Symptom on the Grape in Korea)

  • 오소영;남기웅;윤덕훈
    • 한국환경농학회지
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    • 제33권3호
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    • pp.178-183
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    • 2014
  • BACKGROUND: The white stain symptom of grape clusters and canes by dust-like particles occurred in many vineyards recently. This study was conducted to investigate the ecological characteristics of white stain symptom in grapevines and vineyards. METHODS AND RESULTS: Optimal climate condition for white stain symptom was $25^{\circ}C{\sim}30^{\circ}C$ with 60% of humidity. Moreover, closed condition with same humidity showed higher incidence rate of white stain symptom than ventilation condition. Grape varieties with black berry skin such as Campbell-Early and Kyoho were more sensitive to white stain symptom compare to varieties with green and red berry skin. Although the pathogens were not detected until March, they increased from April, and increased sharply from mid of July. The pathogens may overwinter in the infected stems and/or on the bark as a mycelium. According to the increase of sugar content of grape from August to September, the mycelium which was parasitic on the bark grew to move to the fruits through the stems, and finally reached the fruit stalk to detach berries from the clusters. CONCLUSION: Well ventilation is recommended inside the vineyard since mid-July with roll up an insect net. In addition, infected stems and fruits should be removed out from grapevines infected with pathogens in the vineyards.

일부 대학생들의 외로움이 음주, 흡연, 건강지각에 미치는 영향 (The Effects of Loneliness on Alcohol Drinking, Smoking, and Health Perception in College Students)

  • 김옥수
    • 대한간호학회지
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    • 제29권1호
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    • pp.107-116
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    • 1999
  • The purpose of this study was to determine the effects of loneliness on drinking, smoking, and health perception (symptom pattern & subjective health) in college students. The convenience sample consisted of 417 college students attending four universities. The Revised UCLA Loneliness Scale(RULS) and the Symptom Pattern Scale were used to collect the data. In this study, 84.7% of the subjects used alcohol, with a mean of 5.52 drinks per week, and 32. 9% of the subjects smoked for a mean of 5.08 cigarette packs per week during the previous month. The mean score loneliness measured by the RULS was 40.82, indicating that the subjects were moderately lonely. The majority of the subjects had a low level of symptom pattern and evaluated their health as either very good or good. The level of alcohol drinking and the smoking increased and symptom pattern decreased with age. Female students were lonelier than male students in this study. Also, the female students had a lower level of symptom pattern and evaluated their health worse than the male students. Male students consumed more alcohol and smoked more cigarette than female students. Living arrangement was significantly related to the level of loneliness. The subjects who lived with their parents and siblings were less lonely than those who lived with their friends, or relatives or who lived in a dormitory. Age and religion were not related to the level of loneliness. The level of loneliness influenced drinking, symptom pattern, and subjective health. The study found that subjects who were more lonely consumed alcohol less, had a higher level of symptom pattern, and perceived their health worse than those who were less lonely. Smoking was not influenced by loneliness in this study.

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