• 대한관절경학회지
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• 제3권2호
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• pp.155-158
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• 1999

보존적인 치료에 반응하지 않는 급성 염증이 동반된 만성 통풍성 관절염의 치료에 있어 최근 관절경을 통한 시술이 효과적인 것으로 보고되고 있으며 그 시술시 내외적인 여러 요인에 의한 급성 증세발현의 원인인자인 것으로 알려져 있는 통풍결절을 제거한 후 1년의 추시 관찰 결과 증상의 재현이 없어 증례와 함께 보고하는 바이다.

• 근관절건강학회지
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• 제9권2호
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• pp.166-176
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• 2002

The purpose of this study was done to identify analysis study quality of life in home stayed arthritis patients. The subject for this study were 56 arthritis patients in K city and boundary area resident, and period of data collection was from July, 2000 to November, 2000. The results are as follows. 1. Mean score of Quality of life was $171.13{\pm}44.08$(range from 66 to 244), Mean score of depression was $36.71{\pm}12.11$(range from 18 to 64), score of social support was $3.96{\pm}5.30$(range from 0 to 19), and score of stress was $322.80{\pm}34.18$(26 to 2316). 2. Main demographic factor influenced upon quality of life was age, sex, educational level and marital status, and main Physical factor influenced upon qualify of life was height, systolic and diastolic blood pressure. 3. Quality of life was correlated negatively with depression, and positively social support. 4. quality of life in home arthritic patient was explained 68% by depression, age and social support. In conclusion, nursing intervention of arthritic patient in home considers age, social support and depression in order to promote quality of life.

• 한국전문물리치료학회지
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• 제7권4호
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• pp.16-38
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• 2000

일상생활동작(activities of daily living)을 주요 목적이자 치료 수단으로 사용하고 있는 작업치료사들이 그 활동 중의 하나인 성적 욕구의 표현(sexual expression)에 대해 체계적인 접근이 미진하다는 지적을 극복 하고자 본 연구가 계획되었다. 특히 만성 장애가 있는 65세 이상 연령층의 성생활에 대해 기술적으로 접근하는 방법을 고안하는 것은 상당한 임상적 의미를 부여 할 수 있다. 본 연구의 주된 목적은 관절염이 65세 이상의 미국인의 성생활에 미치는 영향과 대책에 대한 논의를 작업치료사의 입장에서 자연스럽게 유도하기 위한 질문내용을 고안하는데 있다. 본 연구자들은 광범위한 문헌연구를 바탕으로 7개항의 질문을 작성하여 10명의 노인학 전공 작업치료사들에게 비평을 의뢰하였다. 7명의 작업치료사들이 전문가로서의 세밀한 답변을 해주었고 그들은 공통적으로 일상생활 중의 하나인 성생활이 삶의 질을 향상시키는데 매우 중요한 역할을 함을 강조하였다. 이들 전문가들의 조언을 바탕으로 새로운 질문서가 완성되었다.

• 지역사회간호학회지
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• 제20권1호
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• pp.87-95
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• 2009

Purpose: The purpose of this study was to examine the effects of aquatic exercise on pain, fatigue, physical fitness, disability in ADL, and psychological variables in women with arthritis. Methods: With a quasi-experimental design, 46 women who has arthritis were assigned into an experimental group (n=23), or a control group (n=23). Data were analyzed with SPSS/WIN using descriptive statistics, t-test and ANCOVA. Results: The mean age of the subjects was 60.9 years in the experimental group and 59.8 years in the control group. The pretest scores of the outcome variables were similar between the two groups except fatigue and waist flexibility. After controlling fatigue and waist flexibility, the experimental group showed more improvement than the control group in Rt shoulder flexibility score (F=4.36, p=.04), sit-up score (F=32.34, p=.00), and muscle strength score (F=30.78, p=.00). The score of disability in ADL decreased in the experimental group (F=5.49, p=.02). The depression score decreased in the experimental group (F=12.01, p=.00), and self-efficacy was improved more than the other variables(F=8.88, p=.00). Conclusion: Aquatic exercise is likely to be an effective nursing intervention to improve physical fitness, to reduce pain, fatigue, and disability in ADL, and to enhance psychological functions in women with arthritis.

• 근관절건강학회지
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• 제2권1호
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• pp.73-86
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• 1995

Heat and cold often produce a similar clinical effect but different physiologic mechanisms. The purpose of this study was to compare the effects of local heat and cold therapy on joint pain, discomfort and, ROM of the arthritic knee joint. Thirty female subjects took Ice bag and hot bag with random assignment of initial therapy Subjects rated the degree of Joint pain and discomfort before and after each therapy, and then ROM was measured. The results of the study were as follows : 1. The hot bag group showed significantly lower joint pain & discomfort score than the ice bag group. ROM was increased in the hot bag group compared with subjects in the ice bag group. But there is not significant differences. 2. The ice bag group showed significantly lower joint pain score after than before therapy. But there are no significant differences in discomfort score & ROM between after & before therapy. 3. The hot bag group showed significantly lower joint pain, discomfort score after than before therapy. ROM was significantly increased after than before therapy in hot bag group. Therefore hot bag was significantly more effective than the ice bag in relieving the arthritic joint symptoms. A further study is necessary to determine the effect of local heat and cold therapy including the related variables such as preference for heat or cold.

• 대한정형외과학회지
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• 제56권2호
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• pp.164-167
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• 2021

다운증후군은 가장 흔하게 발생하는 염색체 이상 질환으로 일생 동안 약 28%에서 고관절의 골관절염을 동반하게 된다. 다운증후군에서 수술적 치료를 시행하게 될 경우에 의학적 관점에 더불어 환자의 정신적, 경제적인 요건 및 사회적 환경까지 고려하는 포괄적 접근이 필요하다. 청소년기 다운증후군에서 발생한 중증 고관절 골관절염에 대해 고관절 유합술을 시행하여 좋은 결과를 보여 보고하는 바이다.

• Journal of Chest Surgery
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• 제41권6호
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• pp.799-802
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• 2008

흉쇄골관절은 전신의 골관절염 중 매우 드물게 이환되는 부위로 주로 마약 중독자, 당뇨병, 만성 신부전, 폐혈증 환자, 및 중심 정맥 혈관 삽입 후에 주로 나타난다. 초기에는 항생제 치료, 단순 절제 및 배농술 등의 방법으로 치유될 수 있으나, 치료 시기를 놓치면 골수염으로 진행되어 광범위 절제가 필요하다. 그러나 재발할 가능성이 있으므로, 본원 흉부외과에서는 혈류를 유지한 대흉근판을 빈공간에 메워 넣어 재발 가능성을 줄여보고자 하였다. 골수염을 동반한 흉쇄골 관절염 환자를 성공적으로 치료하였기에 이에 보고하는 바이다.

• 재활간호학회지
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• 제9권2호
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• pp.161-165
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• 2006

Purpose: The purpose of this study was to investigate the relationship between the level of mastery and depression in chronic arthritis patients. Method: The subjects for this study were 100 patients registered in S University Hospital, and the period of data collection was from June 20, 2006 to August 30, 2006. Results: The cronbach's ${\alpha}$ of the research instruments were .70-.86. In data analysis, SPSSWIN 12.0 program was used for descriptive statistics. The results were as follows. 1) The range of total mastery scores was from 11 to 28 and the mean score of the depression in chronic arthritis patients was 17.88. 2) The range of total depression scores was from 20 to 72 and the mean score of the depression in chronic arthritis patients was 39.99. 3) The level of mastery was significant correlation with the level of depression in chronic arthritis patients(r=-.466, p<.01). Conclusion: Mastery had significant correlation with depression in patients who have chronic arthritis. Therefore, the strategy of nursing intervention which improve mastery must be developed for patients who have chronic arthritis.

• 근관절건강학회지
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• 제12권1호
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• pp.16-27
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• 2005

Purpose: This study was to investigate the using pattern of alternative therapies in chronic arthritics. Method: We interviewed 192 Arthritis patients lived in the metropolitan area with structured questionnaire from August to september in 2004. Data were analyzed statistically by using SPSS program. Result: Results were summarized as follows; 1. 89.0% of subjects had utilized one or more types of alternative therapies 80.8% of these patients did not consult a nurse or doctor with using alternative therapies. 2. 87.7% of subjects obtained information of using the alternative therapy from similar patients, their families or relatives etc. The most frequently used types of alternative therapies are hand acupuncture(58.0%), bathing(29.6%), massage(25.4%) taping therapy(13.0%). 3. After using alternative therapies, over 80% of subjects answered that they were satisfied to effects of alternative therapies and only 9.4% of them responded that they experienced side effects from use of alternative therapies. Conclusion: results of the study showed that most of patients with arthritis have used alternative therapies, they were satisfied to effect of using alternative therapies. Therefore, many research for use of alternative therapy and the development of standardized protocol of nursing intervention appling alternative therapy need to be achieved.

• 한방비만학회지
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• 제1권1호
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• pp.13-20
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• 2001

비만이란 음식물로 섭취한 칼로리가 신체활동으로 소모된 칼로리보다 많은 경우 잉여 칼로리가 체지방으로 축적된 경우로서 심장병, 고혈압, 동백경화증, 고지혈증, 뇌졸중, 당뇨병, 지방간 등의 유병율을 높여 현대인의 건강을 위협하는 중요한 원인이 된다고 알려지고 있다. 최근 저자는 비만과 고지혈증, 슬관절의 퇴행성 관절염으로 체중증가, 슬관절통, 하지방산통을 주소로 하는 환자 1례를 초저열량식이요법, 한약요법, 운동요법과 한방물리요법을 시행한 결과 체중감소와 체성분의 변화, 혈액학적 변화, 자각증상의 개선의 효과를 보았기에 치료내용과 경과를 보고하는 바이다.