• Title/Summary/Keyword: 고혈압환자

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Analysis of the medication compliance of hypertensives and its influential factors (고혈압 환자의 투약순응도와 영향 요인 분석)

  • Son, Kyung-Ae;Kim, Yoon-Shin;Hong, Min-Hee;Jeong, Mi-Ae
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.11 no.5
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    • pp.1897-1904
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    • 2010
  • The administration data of the national health insurance and health insurance bills were utilized in this study. The data of 432,915 patients who were at the age of 30 and up and used the out-patient departments of every medical institution located in some regions involving two southern and northern provinces once or more during a 184-day period from July to December. As a result of analyzing their prescription compliance and factors affecting it, the following findings were given: The average rate of the prescription compliance of the patients stood at 61.5 percent. It denoted that they were prescribed to take medicine for approximately 113 days during the six-month(184 days) period of time, and the rate of the patients who complied with the prescriptions just stood at 13.0 percent. They used out-patient department for 4.3 days on the average due to hypertension and they visited 1.1 medical institutions on the average. 94.9 percent just used a medical institution. The largest group (11.6%) suffered from diabetes as co-morbidity, and 23.3 percent of the hypertensives had co-morbidity. Concerning the relationship between their characteristics and prescription compliance, those who were male, who were beneficiaries of the national health insurance, who mainly used general hospitals and who suffered from co-morbidity complied better with the prescription they got. Their prescription compliance got better at the age of 65 to 74 and got worse afterwards. As for factors affecting their prescription compliance, the patients who were male, who were aged between 55 and 64 and who were beneficiaries of the national health insurance, who mainly used specialized general hospitals, general hospitals and public health centers and who had heart diseases and diabetes as co-morbidity complied better with the prescriptions. The above-mentioned findings of the study suggested that it's needed to make a factor analysis of the poor prescription compliance of patients from diverse angles, and that existing hypertension care plans should carefully be reviewed to improve the prescription compliance of patients and to find a feasible alternative. As hypertensives are easily likely to develop co-morbidity like diabetes, systematic health education should be provided for them to get into the right life habits such as taking low-salt meals or quitting smoking. In addition, the development of health care programs is required.

Association between cardiovascular disease and periodontal disease prevalence (치주질환에 의한 심장질환 발생의 관련성)

  • Jeong, Mi-Ae;Kim, Jee-Hee
    • Journal of the Korea Convergence Society
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    • v.2 no.4
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    • pp.47-52
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    • 2011
  • Periodontal disease is a common inflammatory disorder that is being considered as a risk factor for atherosclerotic complication. Recent epidemiological evidence also supports that its potential association with increased blood pressure levels and hypertensive prevalence. Data from cross-sectional studies suggest that in hypertensive patients periodontal disease may enhance the risk and degree of target organ damage. So dental infections have been associated with cardiovascular diseases. There are potential pathophysiologic links between hypertension and periodontits. The role of the inflammatory pathway include C-reactive protein(CRP). CRP is an inflammatory mediator that has been shown to predict the development of hypertension independently of baseline BP and traditional risk factors, has been consistently reported as at least mildly elevated in patients with periodontal disease. Reactive oxygen species produced by locally infiltrating neutrophils participate in periodontal tissue destruction. Periodontits can lead to inflammatory responses in the atrial myocardium, which disturbs the structural and electrophysiologic properties of the atrium and facilitates atrial fibrillation in the animal experiment.

Utilization and Awareness of Complementary and Alternative Medicine (CAM) in Rural Hypertension or Diabetes Patients (보건소를 이용하는 고혈압·당뇨병 환자의 보완대체요법에 대한 이용실태 및 인식)

  • Lee, Myung In;Kim, Yoon Lee;Seo, Young Mi;Lee, Myung Ha;Jeong, Seok Hee
    • Journal of Digital Convergence
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    • v.12 no.1
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    • pp.457-466
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    • 2014
  • This study aimed to investigate the awareness and utilization of Complementary and Alternative Medicine (CAM) in hypertension or diabetes patients to participate in health class in rural community health center. A total of 177 hypertension or diabetes patients were participated in this study. Data were collected using face-to face interviews and were analyzed using the SPSS WIN 18.0 program. About 56.5% of subjects experienced CAM and 16.0% of subjects told heath care providers about CAM. General awareness of CAM was $3.11{\pm}0.58$ in 5 point, and awareness significantly positively correlated with intention to reuse CAM, recommend CAM, and participate in CAM-related education (r=.604, r=.516, r=.419, p<.001). Health care providers such as doctors and nurses need to be concerned about CAM utilization and awareness in chronic disease patients. These findings can be used in developing effective strategies for health care providers and health policy makers to provide right awareness and utilization of CAM for chronic disease patients and the public.

Analysis of the Physiological Healing Effects by Forest Types - Focused on Hypertensive and Diabetic - (숲의 종류에 따른 생리적 치유효과 분석 - 고혈압과 당뇨병 환자를 중심으로 -)

  • Jeong, Na-Ra;Ahn, Deug-Soo
    • Journal of the Korean Institute of Landscape Architecture
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    • v.43 no.5
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    • pp.1-12
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    • 2015
  • This study analyzes the physiological healing effects on users according to forest types. Forest types are classified into Chamaecyparis obtusa, Quercus serrata and Pinus densiflora and the subjects of this study, 64 hypertensives, 59 diabetics and 59 ordinary people, were tested to observe their physiological effects. The index of physiological reaction comprises electroencephalogram(EEG), heart rate variability(HRV), blood pressure and cortisol level. An analysis of the stress-buffering effect from the physiological reactions of the overall subjects indicates that Quercus serrata forests have a higher stress-buffering effect than others in terms of central nervous, endocrine and autonomic nervous systems. Chamaecyparis obtusa forests are contributory to soothing stress in the central nervous and endocrine systems. Pinus densiflora forests contribute in some indexes of the endocrine and autonomic nervous systems. In contrast, Pinus densiflora forests are less influential on a stress-buffering effect than the other two. In the level of the effect for lowering blood pressure, Chamaecyparis obtusa and Quercus serrata forests are more effective than Pinus densiflora forests. Therefore, staying in the first two forests can heighten the healing effect of the lowering of blood pressure for hypertensive patients. Every forest is efficacious to lowering diabetic blood glucose levels. Spending time in Quercus serrata forests is more effective for hypoglycemic.

에덴요양병원

  • Jeon, Yang-Geun
    • Journal of the Korean hospital association
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    • v.34 no.2 s.294
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    • pp.67-75
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    • 2005
  • "Back to Eden"(에덴으로 돌아가라) 건강증진 프로그램으로 삶의 희망을! 암을 위시해 당뇨.고혈압 등 생활습관병을 다스리는 기본 원칙을 자연에 바탕을 둔 천연치료에 두고 실천에 옮기는 에덴요양병원. 요양환자들이 생활.천연치료 외 자연속의 여유로운 산책과 휴식을 만끽하기에 더없이 좋은 곳이다.

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고지혈증의 원인과 치료 - 당뇨병환자에게 처방되는 고지혈증약

  • Jo, Jeong-Gu
    • The Monthly Diabetes
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    • s.285
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    • pp.23-29
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    • 2013
  • 당뇨병은 심근 경색의 재발 위험이나 심혈관 질환에 의한 사망 위험이 높다는 것은 잘 알려진 사실로 당뇨병 자체로도 관상동맥질환이 있는 것과 같이 대등한 위험인자로 취급하도록 권고되고 있다. 이러한 당뇨병에 이상지질혈증, 고혈압, 복부비만이 동반되어 있는 경우를 대사증후군으로 명명하기도 하며 심혈관질환 위험이 훨씬 증가한다.

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