• 기본간호학회지
• /
• 제18권3호
• /
• pp.317-327
• /
• 2011

Purpose: The purpose of this study was to contribute data toward prevention from advancing dementia and also prevention of deterioration in cognitive impairment by constructing an optimal prediction model and verifying factors influencing cognitive impairment in elders with dementia who reside at home. Methods: The participants in this study were 351 elders who were registered at dementia day care centers in 11 regions of Metropolitan Incheon. Collected data were analyzed using SPSS Statistics 17.0 and SAS 9.1. Bootstrap method using the Clementine program 12.0 was applied to build an optimum prediction model. Results: Gender and education (general characteristics), alcohol, urinary/fecal incontinence, exercise, weight, and ADL (state of health), and depression (psychological state) were found to have an affect on cognitive impairment in these elders. Conclusion: Study results indicate nine key factors that affect cognitive impairment of elders with dementia who reside at home and that could be useful in prevention and management nursing plans. These factors could also be used to expand the role of nurses who are working in community day care centers, and can be applied in the development and provision of various programs to aid retention and improve cognitive function as well as preventing deterioration of cognition.

• 근관절건강학회지
• /
• 제28권1호
• /
• pp.1-9
• /
• 2021

Purpose: The study evaluated the effectiveness of health promotion program on the physical fitness and quality of life of elderly women receiving home visiting health care services. Methods: There were 122 elderly women participants. The data were collected between March and December 2019. The participants were provided with the 36-weeks health promotion program consisting of health education, such as nutrition, depression, urinary incontinence, fall, oral care, and exercises, such as stretching, weight-bearing exercise, and elastic resistance training. The balance, muscle strength, flexibility, and quality of life were measured before and after the program. The results were analyzed with paired t-test using the SPSS/WIN 26.0 program. Results: The dynamic balance, muscle strength, flexibility significantly increased. Conclusion: The health promotion program positively affected elderly women in terms of physical fitness, but there are limitations to increasing the quality of life of elderly women. Through this study, it is necessary to be supplemented in improving quality of life of elderly women.

• 한국농촌간호학회지
• /
• 제16권2호
• /
• pp.45-53
• /
• 2021

Purpose: The study was conducted to identify the effectiveness of community health programs for local residents. Methods: This study was a one-group pretest-posttest study design. The subjects of the study were 259 residents in 26 villages of 13 primary health care posts located in G city. Data were collected using the questionnaire and analyzed using the paired t-test in SPSS 28.0. Results: As a result of performing the community health programs, prostate symptom scores improved in men, and stress and urgency urinary incontinence scores decreased in women. In addition, it was found that the degree of health-related knowledge increased among female subjects after the community health programs were provided. Conclusion: The community health programs were effective, and the effectiveness of the programs may differ according to gender. Therefore, when developing a program, it is necessary to consider a gender-sensitive approach that considers the difference between men and women.

• Clinical and Experimental Pediatrics
• /
• 제48권4호
• /
• pp.411-415
• /
• 2005

목 적 : 방광의 발달과정은 척수배뇨반사에서 척수연수척수반사로의 전환을 특징으로 한다고 알려져 왔다. 향신경인자가 이러한 방광의 발달과정에 관여한다는 동물연구에도 불구하고 인간의 방광 발달과정에도 향신경인자가 역할을 하는지에 관한 연구는 없는 실정이다. 본 연구는 인간의 방광 발달과정에 향신경인자가 관여할 것이라는 가정 하에 방광 발달과정에서 소변의 nerve growth factor(NGF) 변화를 관찰하였다. 방 법 : 배뇨생식기의 선천적 이상을 동반하지 않고 배뇨이상, 요로감염의 증거가 없는 지원자 60명을 대상으로 하였다. 지원자는 출생 후 한달 미만의 신생아, 1년 미만의 유아, 1세, 2세, 3세, 4세의 소아로 분류하였고 각각 10명씩 소변을 채취하였다. 소변의 NGF의 정량은 ELISA 방법을 이용하였고 소아의 연령, 요자제 유무에 따른 NGF의 변화를 NGF/Cr, NGF/total protein 값으로 비교하였다. 결 과 : 연령별로 NGF/Cr은 신생아에서 증가하였다가 유아에 감소하고 1세, 2세에 증가하였다가 3세 때부터 감소하였다. 신생아에서 다른 군과 비교하였을 때 의미있는 증가가 관찰이 되었고(P<0.05) 다른 군에서는 의미있는 차이를 보이지는 않았다. NGF/total protein도 NGF/Cr과 비슷한 양상으로 관찰이 되었다. 자발적 배뇨조절이 가능한 소아는 1세에 2명, 2세에 8명, 3세와 4세에는 10명씩이었다. 1세 이상에서 요자제 유무에 따른 NGF/Cr을 비교하였을 때 요자제가 있는 소아에서 의미있게 감소하였다(P<0.05). 결 론 : 단절배뇨와 높은 방광압력을 특징으로 하는 요자제 이전에 NGF가 증가하였다가 요자제 이후에는 감소하는 것을 확인하였다. 이는 배뇨근-괄약근 협동장애로 인해 증가된 방광조직의 NGF가 역행성 축삭수송을 통해 중추신경계에서 척수반사를 척수연수척수반사로 성숙시키고 이것이 다시 배뇨근-괄약근 성숙을 통해 요자제를 형성하였다고 추정할 수 있다. 이는 인간의 방광 발달과정에도 향신경인자가 방광신경 성장과 배뇨반사의 재구성에 관여함을 시사한다고 생각한다.

• Childhood Kidney Diseases
• /
• 제1권2호
• /
• pp.155-160
• /
• 1997

목적 : Tethered cord 증후군은 척수내 지방종이나 종사의 섬유대 등에 의해 척수 원추가 천골에 부착, 견인됨으로 하지의 신경 결함이나 족부의 변형을 일으키는 질환군으로 척추 유합부전증의 경우에서 흔히 나타난다. 신경학적 소견 외에 빈뇨, 요실금, 유뇨증, 급뇨, 배뇨 감각 장애 등의 비뇨기계 증상도 높은 빈도로 나타난다고 하며 수술적 치료의 예후는 조기에 진단될수록 양호하다고 알려져 있다. 그러나 tethered cord 증후군에서 나타나는 비뇨기계 증상 및 소견에 관하여 체계적으로 보고된 것이 많지 않다. 저자들은 tethered cord 증후군에서의 비뇨기계 증상을 여러 특징을 파악하여 tethered cord 증후군 환자에서의 조기 진단 및 치료 방침 설정에 도움을 얻고자 본 연구를 시행하였다. 대상 및 방법 : 1991년 11월부터 1997년 7월까지 5년 9개월간 영남 대학 병원에서 tethered cord 증후군으로 진단받은 소아 환자 9례를 대상으로 연령 및 성별분포, 비뇨기계 이상에 관한 증상 및 비정상 검사소견의 여부와 수술 후 경과에 대하여 의무 기록을 조사하는 후향적 연구로 조사하였다. 결 과: 1) 대상 환아 9례의 연령 분포로는 0-2세가 5례, 2-6세가 1례. 6-10세가 3례였으며 남아가 2례, 여아는 1례였다. 2) 요실금, 빈뇨, 유뇨증, 급뇨, 배뇨 감각 장애 등의 비뇨기계 증상을 가진 경우가 6례였으며, 비뇨기계의 방사선학적 검사에서 신경성 방광을 보인 경우가 5례, 수신증과 수뇨관증이 동반된 경우가 3례, 방광-요관 역류를 보인 경우가 3례였다. 3) 요동력학적 검사는 3례에서 시행되었으며 3례 모두에서 이상 소견이 발견되었다. 4) 진단시 비뇨기계 증상 및 이상 검사 소견을 가진 7례 중 5례에서 detethering이 행해졌으나 증상의 호전은 1례에서만 관찰되었다. 결론 : Tethered cord 증후군에서 비뇨기계의 증상 및 비정상 검사 소견이 동반되는 경우가 흔하며 비뇨기계의 이상을 시사하는 증상이 없는 경우에도 검사상 이상이 발견되는 경우가 적지 않다. Tethered cord 증후군 환아의 평가는 신경학적 이상 유무는 물론이고 비뇨기계의 이상 여부에 대한 평가도 필히 포함되어야 할 것으로 생각된다.

• Childhood Kidney Diseases
• /
• 제18권2호
• /
• pp.71-76
• /
• 2014

목적: 주의력결핍 과잉운동장애(ADHD)는 소아에서 3-5%의 유병률을 보이며 전두엽의 억제기전 저하와 대뇌의 카테콜라민 대사이상이 관련된다고 알려져 있다. ADHD 환아에서 야뇨증을 비롯한 다양한 하부요로계 증상을 동반한다는 보고가 있지만 국내에서는 ADHD 환아들에 대한 보고가 없기에 저자들은 ADHD 환아에서 배뇨증상을 알아보기 위해 본 연구를 시행하였다. 방법: 2009년 10월부터 2011년 3월까지 DSM-IV 진단기준에 근거하여 ADHD로 진단받은 33명의 환아들과 같은 기간 동안 신경계 질환이나 요로계 질환 없이 상기도 감염으로 외래를 내원한 환아 30명을 대상으로 배뇨와 배변에 대한 설문지를 시행하였다. 결과: ADHD 환자군의 평균 연령은 $9.09{\pm}2.8$세(남 28: 여 5) 이었고, 대조군의 평균 연령은 $8.58{\pm}3.1$ (남 20: 여 10) 이었다. ADHD 환아군에서 대조군에 비해 요절박(P=0.017), 절박 요실금(P=0.033), 변비(P=0.045)의 유병률이 대조군에 비해 유의하게 높았고, 복압배뇨, 간헐뇨, 배뇨지연 행동에는 두 군간에 유의한 차이가 없었다. 야뇨증은 ADHD 환아군에서 12.1% (4/33)로 대조군의 0%에 비해 많았지만 통계학적인 유의성은 없었다. 결론: ADHD 환아는 대조군에 비해 요절박, 절박 요실금과 변비의 유병률이 유의하게 높았다.

• Asian Pacific Journal of Cancer Prevention
• /
• 제16권18호
• /
• pp.8101-8105
• /
• 2016

Background: This study examined the psychometric properties of the Bahasa Malaysia (BM) version of the European Organization for Research and Treatment of Cancer (EORTC) Colorectal Cancer-specific Quality Of Life Questionnaire (QLQ-CR29). Materials and Methods: We studied 93 patients recruited from University Malaya and Universiti Kebangsaan Medical Centers, Kuala Lumpur, Malaysia using a self-administered method. Tools included QLQ-C30, QLQ-CR29 and Karnofsky Performance Scales (KPS). Statistical analyses included Cronbach's alpha, test-retest correlations, multi-traits scaling and known-groups comparisons. A p vaue ${\leq}0.05$ was considered significant. Results: The internal consistency coefficients for body image, urinary frequency, blood and mucus and stool frequency scales were acceptable (Cronbach's alpha ${\alpha}{\geq}0.65$). However, the coefficients were low for the blood and mucus and stool frequency scales in patients with a stoma bag (${\alpha}=0.46$). Test-retest correlation coefficients were moderate to high (range: r = 0.51 to 1.00) for most of the scales except anxiety, urinary frequency, buttock pain, hair loss, stoma care related problems, and dyspareunia (r ${\leq}0.49$). Convergent and discriminant validities were achieved in all scales. Patients with a stoma reported significantly higher symptoms of blood and mucus in the stool, flatulence, faecal incontinence, sore skin, and embarrassment due to the frequent need to change the stoma bag (p < 0.05) compared to patients without stoma. None of the scales distinguished between patients based on the KPS scores. There were no overlaps between scales in the QLQ-C30 and QLQ-CR29 (r < 0.40). Conclusions: the BM version of the QLQ-CR29 indicated acceptable psychometric properties in most of the scales similar to original validation study. This questionnaire could be used to complement the QLQ-C30 in assessing HRQOL among BM speaking population with colorectal cancer.

• Journal of Acupuncture Research
• /
• 제23권4호
• /
• pp.101-113
• /
• 2006

Objectives : This study was designed to evaluate the effect of electroacupuncture at ciliao(BL32) on voiding pattern and uroflowmetry of patients with functional voiding disease. Methods Subjects were voluntarily recruited by newspaper·s and internet. All the subjects were confirmed as International Prostatism Symptom Score(IPSS), uroflowmetry, voiding diary, symptom. The acupuncture therapy was performed 3 times a week for 3 weeks by oriental medical doctor at hospital. Acupuncture points were BL32. The patient's symptoms were assessed before and after 3 weeks treatments by IPSS. Uroflowmetry for 5minutes and voiding diary for 48 hours was measured before and after 3 weeks treatments. Results : The results were as follows; 1. After 3 weeks compared to the pre-treatment, IPSS(QOL) scores were significantly unproved. 2. After 3 weeks compared to the pre-treatment, mean voiding volume, min voiding volume and mean voiding time on voiding daiary was significantly improved. 3. After 3 weeks compared to the pre-treatment, max flow velocity and mean flow velocity on uroflowmetry in spite of increase of voiding volume show a statistically significant difference. 4. Acupunctue had hardly some side effect compared to operation and medicines and was economical. Conclusion : This study suggests that acupuncture treatments can be applicable to improve symptoms in the patients with functional voiding disease. Further study on the acupuncture and other acupoints in the patients with functional voiding disease is recommended.

• 약학회지
• /
• 제50권3호
• /
• pp.177-183
• /
• 2006

Women's aging made a functional decline at ovary, This functional problem causes estrogen deficiency and many disorders, such as, sexual dysfunction, obesity, osteoporosis, urinary incontinence, skin and all body's aging, etc. We determined the ameliorative effects of some herbal extracts mixture on postmenopausal symptoms in ovariectomized Sprague Dawley rats. Nine-weeks-old female rats were ovariectomized and treated with singled pomegranate extracts (0.40, 1.20 g/kg/day) and mixed pomegranate extracts (1.08, 3.24g/kg/day) for 8 weeks. Oral administration of pomegranate extracts for 8 weeks were increased serum estradiol level and improved the serum osteocalcin, ALP activity and bone specific ALP level. And pomegranate extracts were reduced body weight, adipose tissue. Uterus weight in treated group tended to improve. In addition, the concentrationl of triglyceride and total cholesterol were lower after 8 weeks. HDL-cholesterol levels improved with does-dependency in treated groups. Collagen level on skin and cartilage showed a slight increase at treatment for 8 weeks. $^{\infty}These$ results showed that both of singular extract treatments and extracts mixture treatments were effective on general postmenopausal symptoms at overiectomized rats, and especially, the mixture treatments were more effective than singular treatment. $^{\infty}In$ conclusion, these herbal extracts' mixture showed improvement effect in general factors related with postmenopausal disorders.

• 대한한방내과학회지
• /
• 제26권4호
• /
• pp.918-925
• /
• 2005

The basic mechanism of normal pressure hydrocephalus(NPH) is found in an impediment to CSF absorption. In about half of the cases, the etiology remains obscure. NPH is more frequently found in elderly people. The main symptoms are gait disturbances, urinary incontinence and various degree of cognitive changes. The current treatment is ventriculo-peritoneal shunting, ideally using an adjustable valve. In about half of surgical operations, results are poor. Hyeongbangjihwang-tang(荊防地黃湯) is used to treat Soyangin(少陽人) weakness(虛弱) and edema(浮腫). It is and important Gang-Yin(降陰) medicine. A Soyangin patient diagnosed with NPH, who had undergone surgery for ventriculo-peritoneal shunting, was treated with Hyeongbangjihwang-tang. Significant improvement of clinical symptoms was seen, so it is here reported.