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성인 여성의 변비에 따른 한열(寒熱)증상, 생활습관, 스트레스, 삶의 질과의 관계

Correlation among Heat and Cold, Life Style, Stress and Quality of Life for Adult Female with Constipation

  • 투고 : 2014.07.08
  • 심사 : 2014.09.20
  • 발행 : 2014.09.28

초록

이 연구는 성인 여성을 대상으로 한국인의 특성을 고려하여 변비를 진단한 후, 정상군과 변비군을 구분하여 생활습관 및 한열(寒熱)증상, 스트레스, 삶의 질의 차이를 파악하고 변비와 스트레스 및 삶의 질의 관계를 살펴보고자 하였다. 성인 여성 464명을 대상으로 2010년 4월 23일부터 2010년 10월 25일까지 자료수집 하여 분석하였다. 연구 결과 변비군이 정상군에 비해 배가 차고(p=.008), 소화불량(p=.006), 피로(p=.001)를 많이 호소하는 것으로 나타났으며, 수면 시 변비군은 정상군에 비해 꿈을 많이 꾸고(p=.003), 수면 중 잠을 잘 못자거나(p=.007) 잠들기 힘든 경우(p=.001)가 많아 수면의 질도 떨어지는 것으로 나타났다. 또한 변비군이 정상군에 비하여 스트레스가 높고 삶의 질이 떨어지는 경향이 나타났다. 이들 결과는 변비의 예방 및 증상 개선을 위한 중재 개발 시 이러한 요인들을 고려해야 함을 시사한다.

Korean, and identified the correlation of a constipation with life style, heat and cold symptoms, stress and life quality of them. We also identified the relationships of the constipation with stress and life quality. A Survey was conducted from April 23, 2010 to October 25, 2010 for 464 women and the collected data was analyzed with computer software of SPSS 19.0. In the result, the constipation group appealed for cold stomach(p=.008), dyspepsia(p=.006), and tiredness(p=.001). more often than the normal group. The constipation group experienced Dreaming(p=.003), light sleeping(p=.007) and a trouble in sleeping(p=.001) more often, which impaired the quality of sleeping. Compared to the normal group, the constipation group also showed a tendency of high stress and low life quality. Based on the results, all the factors of heat and cold symptom, life style, stress and life quality should be considered when developing medications for the prevention and improvement of constipation.

키워드

참고문헌

  1. AGA(The America Gastroenterological Association). Constipation. 2002.
  2. Phillips, C., Polakoff, D., Maue, SK., Mauch, R,. Assessment of constipation management in long-term care patients. American Medical Director Association, Vol. 2, pp. 149-154, 2001. https://doi.org/10.1016/S1525-8610(04)70190-5
  3. Irvine, E. J., Ferrazzi, S., Pare, P., Thompson, W. G., Rance, L., Health-related quality of life in functional GI disorders: Focus on constipation and resource utilization. The American Journal of Gastroenterology, Vol. 97, No. 8, pp. 1986-1993, 2002. https://doi.org/10.1111/j.1572-0241.2002.05843.x
  4. H. T. Nam, D. S. Huh, K. S. Jang, Comprehension on colorectal diseases. Seoul, Koonja, Inc. 2002.
  5. S. J. Jung, S. W. Chae, H. S. Sohn, S. B. Kim, J. O. Rho, S. H. Baik, M. H. Kang, G. H. Kim, M. H. Kim, H. S. Kim, E. J. Park, Y. R. Heo, Y. S. Cha, Actual status of Constipation and life factors affecting constipation by diagnosis of rome in female university students in Korea. The Korean Journal of Nutrition, Vol. 44, No. 5, pp. 428-442. 2011. https://doi.org/10.4163/kjn.2011.44.5.428
  6. K. H. Kim, The relation between life stress and nutrient intake status in female university students. Journal of Korean Society of Food Culture, Vol. 15, No. 5, pp. 387-397, 2000.
  7. De Lillo, A., Rose, S. Functional bowl disorders in the geriatric patient; Constipation, fecal impaction, and fecal incontinence. The American Journal of Gastroenterology, Vol. 95, No. 4, pp. 901-905, 2000. https://doi.org/10.1016/S0002-9270(00)00718-8
  8. J. W. Park, S. W. Yoon, J. S. Kim, B. H. Ryu, A clinical pilot study of Carthami-Semen herbal acupuncture treatment for chronic constipation. The Journal of Korean Acupuncture & Moxibustion Society, Vol. 25, No. 5, pp. 1-11, 2008.
  9. H. H. Ryu, H. J. Lee, E. S. Jang, S. M. Choi, S. G. Lee, S. W. Lee, Study on Development of Clod-Heat Pattern Questionnaire. Korea Journal of Oriental Physiology and Pathology, Vol. 22, No. 6, pp. 1410-1415, 2008.
  10. J. J. Park, M. S. Lee, K. H. Kong, H. Y. Go, Relationship between heart rate variability and cold-heat patternization in patient with chronic constipation. Journal of Korean Oriental Internal Medicine, Vol. 33, No. 2, pp. 209-221, 2012.
  11. S. G. Jeon, C. I. Sohn, J. E. Kim, J. E. Park, S. R. Park, K. H. Park, I. S. Hwang, E. J. Kim, C. Y. Park, B. I. Kim, W. K. Cheon, E. S. Jung, P. L. Rhee, J. C. Rhee, K. W. Choi, H. Y. Lee, Bowel habits in routine check-up subjects. The Korean Journal of Medicine, Vol. 57, No. 1, pp. 36-42, 1999.
  12. Friedman, H. H. Problem oriented medical diagnosis 2nded. little Brownand Company, 1997.
  13. Fauci, A. S., Braunwald, E., Isslbacher, K. J., Wilson, J. D., Martin, J. B., Kasper, D. L.. Harrison's principles of internal medicine. McGraw-Hill Companies, Inc. NewYork USA. 1998.
  14. S. J. Jang, B. S. Cha, J. G. Park, E. K. Lee, Standardization of stress measurement scale. The Journal of Wonju College of Medicine, Vol. 7, No. 1, pp. 21-38, 1994.
  15. H. J. Choi, B. M. Cho, I. K. Hwang, T. H. Yoon, Factors related to psychosocial stress level of residents living near the Gori nuclear power plant. Korean Association of Health and Medical Sociology, Vol. 25, pp. 153-176, 2009.
  16. Ware, J. E., Sherbourne, C. D. The MOS 36-item short-form health survey(SF-36). I. Conceptual framework and item selection. Medical Care, Vol. 30, No. 6, pp. 473-483, 1992. https://doi.org/10.1097/00005650-199206000-00002
  17. J. E. Kim, K. M. Park, S. G. Lee, H. S. Ryu, Differences of cold-heat patterns between healthy and disease group. Korea Journal of Oriental Physiology and Pathology, Vol. 20, No. 1, pp. 224-228, 2006.
  18. S. Y. Haa, M. Y. Kim, Y. J. Park, Y. B. Park, A study on the characteristic of electrogastography according to the hear-cold patternization. The Journal of The Korea Institute of Oriental Medical Diagnostics. Vol. 12, No. 1, pp. 131-141, 2009.
  19. J. R. Shin, S. Y. Ly, Dietary habits and factors related to lifestyles in constipated female students. Korean Journal of community nutrition. Vol. 8, No. 5, pp. 675-688, 2003.
  20. K. Y. Chae, Physiology of sleep. Korean Journal of Pediatrics, Vol. 50, No. 8, pp. 711-717, 2007. https://doi.org/10.3345/kjp.2007.50.8.711
  21. S. H. Han, O. Y. Lee, Y. S. Lee, K. B. Kim, B. C. Yoon, H. S. Choi, Anxiety depression and sleep disturbance in female constipation predominant irritable bowel syndrome. Korean Journal of Neurogastoenterology and Motility, Vol. 11, No. 1, pp. 66-71, 2005.
  22. K. N. Lee, K. W, Sung. The Factors Affecitng the Constipation of the Elderly at Nursing Homes. Journal of Korean Academy of Community Health Nursing, Vol 19, No. 4, pp. 575-586, 2008.
  23. J. S. You, J. Y. Park, K. J. Chang, Correlation among dietary habits score, life stress score and health-related quality of life(HRQL) score for female college students with functional constipation. Korean Journal of Nutrition, Vol. 43, No. 6, pp. 620-627, 2010. https://doi.org/10.4163/kjn.2010.43.6.620
  24. Y. S. Byeon, J. I. Lee, Stress and constipation in female high school students. Journal of Korean Academy of Fundamentals of Nursing. Vol. 10, No. 1, pp. 23-39, 2003.
  25. J. H. Kim, Psychological factors associated with symptoms related with bowel movement in college women. Korean Journal of Health Psychology, Vol. 8, No. 2, pp. 375-397. 2003.
  26. Glia, A., Lindberg, G. Quality of life in patients with different types of functional constipation. Scandinavian Journal of Gastroenterology. Vol. 32, pp. 1083-1089, 1997. https://doi.org/10.3109/00365529709002985