• 대한근관절건강학회:학술대회논문집
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• 대한근관절건강학회 1999년도 정기 학술대회
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• pp.354-359
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• 1999

• 대한영상의학회지
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• 제83권3호
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• pp.744-749
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• 2022

섬유성 종격동염은 종격동 내 고밀도 섬유 조직의 증식을 특징으로 하는 드문 양성 질환이다. 섬유성 종격동염은 일반적으로 중간 종격동 또는 폐문 부위의 국소적 또는 침윤성 연조직 종괴로 나타나며, 이는 혈관이나 기도와 같은 인접한 종격동 구조를 둘러싸거나 압박할 수 있다. 본 증례 보고에서 우리는 좌하엽 기관지의 폐색을 유발하는 종격동 종괴의 양상으로 나타난 13세 소녀의 섬유성 종격동염의 드문 증례를 보고하고자 한다. 환자는 전신 코르티코스테로이드 치료 후 증상과 추적관찰 흉부 CT 소견에서 호전되었다. 섬유성 종격동염은 전신 스테로이드 요법으로 호전될 수 있으므로 영상의학과 의사는 종격동의 침윤성 연조직 병변을 감별 진단할 때 섬유성 종격동염의 영상의학적 소견을 알고 있어야 한다.

• 대한간호
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• 제37권1호
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• pp.78-80
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• 1998

• 재활간호학회지
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• 제3권1호
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• pp.59-70
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• 2000

The propose of this study was to identify fatigue, pain and coping of pain and to compare the variables between fibromyalgia and chronic arthritis. The sample consisted of 133 patients who visited H university hospital. Data were collected by questionnaire from May 1 to September 30, 1999. Data was analyzed by descriptive statistics, $x^2$-test, pearson correlation coefficient, and ANOVA. As a results, most of all patients felt fatigue and the mean score of the fatigue was above average. The mean score of rheumatoid arthritis and fibromyalgia patients on pain was higher than Osteoarthritis patients, and there was the statistically significant difference among three groups on pain(F=10.63, p=0.00). There was also the statistical difference among three groups on coping of pain(F=4.74, p=0.01). The mean score of rheumatoid arthritis and fibromyalgia patients on coping of pain was higher than Osteoarthritis patients. Fatigue showed positive relationship with pain(r=.262, p=.002), and pain showed positive relationship with coping of pain(r=.319, p=.000). According to this finding, fibromyalgia patients and rheumatoid arthritis patients felt high fatigue and pain, therefore the development of nursing intervention for relieving fatigue and pain would be needed.

• 생명과학회지
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• 제22권8호
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• pp.1034-1040
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• 2012

활막조직은 관절부위에 존재하는 비연골성의 얇은 세포층으로 구성되어 있으며, 류마티스 관절염 등에서 활성화 되어진다. 우리는 골관절염(n=8)과 류마티스 관절염(n=5)에서 유래한 활막조직을 대상으로 활막조직내의 세포를 정량화하고 세포성분들을 비교 분석하고자 하였다. 활막조직을 H&E 염색한 후 광학현미경으로 관찰하였을 때 류마티스 관절염의 활막조직은 골관절염에 비해 형태적으로 두터워졌으며 비후된 양상이었다. 또한 CD68, CD90, PGP9.5 등과 마커들을 이용하여 IHC 분석을 수행한 결과 활막조직의 내막층과 내막하층에 존재하는 세포들을 특성을 분한 결과 내막층에는 대식세포가 집중적으로 분포하며, 내막하층에는 대식세포와 섬유아세포 유사 활막세포(FLS)가 존재한다는 사실을 알 수 있었다. H&E 이미지를 포토샵 프로그램을 이용하여 반전시켜 내막층과 내막하층 부위별로 세포계수 및 세포층계수를 수행하였다. 내막층 분석 결과 류마티스 관절염의 활막조직의 골괄절염보다 대식세포의 수와 층이 현저하게 증가된 것을 확인할수 있었다. 또한 류마티스 관절염의 활막조직의 내막하층분석결과 섬유아세포 유사 활막세포의 수적인 증가를 계수 할 수 있었다. 또한 류마티스 관절염의 경우 활막의 비후가 심하기 때문에 혈관의 위치가 내막층으로부터 상대적으로 멀리 위치하고 있음을 알 수 있었다. 그러므로 H&E 염색 이미지의 포토샵 분석을 이용한 골관절염과 류마티스 관절염 활막조직에 대한 정량 분석 방법은 류마티스 관절염의 발병과정에서 세포들이 활성화된다는 사실을 증명하는데 유용할 것으로 사료된다.

• 근관절건강학회지
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• 제7권1호
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• pp.25-39
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• 2000

This study was conducted to compare symptoms, living activities, self-efficacy and family support between rheumatoid arthritis patients and fibromyalgia patients. The subjects were consisted of 150 rheumatoid arthritis patients and 125 fibromyalgia patients at H Rheumatism Clinic. Data were collected by means of structured interview with questionnaires. The results were as follows: 1. Fibromyalgia patients have more symptoms than rheumatoid arthritis patients have. But the latter has more difficulties concerning living activities. 2. Self-efficacy score of fibromyalgia arthritis patients was higher than that of rheumatoid arthritis patients, but both the scores were at moderate level. 3. The level of family support of rheumatoid arthritis patients was moderate, similar as that of fibromyalgia patients. As self-efficacy and family support are important factors to relieve symptoms of both diseases, their promotion holds a key post.

• 동서간호학연구지
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• 제11권1호
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• pp.42-50
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• 2005

Purpose: The purpose this research was to provide with basic data in the control of the fatiguer found in the patients with fibromyalgia by analysing the factors that predict that. Method: At three university medical center, appointed 245 out-patients diagnosed of fibromyalgia according to the conditions by American College of Rheumatology (1990). The research instruments used in this study were graphic rating scale(Anxiety, sleep disturbance, pain, joint stiffness and depression), physical activity, the number of tender points, life satisfaction and Self-efficacy scale. In data analysis, SPSS 12.0 program was utilized and data were analyzed using descriptive statistics, Pearson's correlation coefficient and multiple regression. Result: The factors that predict the fatigue of patients with fibromyalgia were sleep disturbance, life satisfaction, pain, joint stiffness, illness duration, and anxiety which explained 50.1% of the fatigue. Conclusion: It has been confirmed that the regression equation model of this research may serve as a fatigue prediction factors in patients with fibromyalgia.

• 성인간호학회지
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• 제12권4호
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• pp.560-572
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• 2000

This study was designed to offer descriptive data for nursing intervention for relief of fatigue and pain, and to distinguish by the characteristic difference and the symptoms such as fatigue and pain on Ankylosing Spondylitis (AS), Fibromyalgia(FM), and Systemic Lupus Erythematosus(SLE) patients. The sample consisted of 92 patients(AS 29; FM 30; SLE 33) who visited H-University Rheumatism Hospital in Seoul. The data were collected by a structured questionnaire from May 1, 1999 to April 30, 2000. The results were as follows: Patients of 95% experienced fatigue in the last week and a fatigue score of three disease groups were above average. The fatigue score of FM patients was highest in the other disease, but which was not a statistically significant difference(F=1.417, p=.248). The mean score of AS and FM patients in pain was higher than the SLE patients, and there was the statistical significance among the three groups on pain (F=8.239, p=.001). There wasn't a statistical difference among three groups on coping wtih pain(F=1.451, p=.240). There wasn't any correlation between fatigue and pain in each disease (AS: r=.008, p=.966; FM: r=.328, p=.077; SLE: r=.237,p=.185). Therefore, morning stiffness and pain management during sleeping is needed through good body alignment in the AS patients. Adequate rest for fatigue and multiple coping strategies for pain maybe basic nursing intervention in FM and SLE. According to their fatigue rhythm, a regular exercise program is needed for rheumatic disease because they complained of fatigue above average and their fatigue was repeated better and worse only during the one week.

• 대한간호학회지
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• 제33권5호
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• pp.609-617
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• 2003

Purpose: The purpose of this study is to understand the depression of patients for Fibromyalgia Syndrome(FMS) and to identify the factors influencing depression. Method: The instruments used here are Beck Depression Inventory in depression, the Korean Rheumatology Health Association' instruments in Self-Efficacy. Also, Pain and Fatigue was measured by Visual Graphic Rating Scale. The subject of study is 76 outpatients diagnosing FMS from rheumatism specialists at C hospital in D city. The data has been collected from Sep. 1st to Sep. 30th in 2001. For the analysis of collected data, frequency analysis, independent t-test, analysis of variance, Pearson's correlation and multiple regression analysis were used for statistical analysis with SAS statistical program. Result: General characteristics showing statistically significant difference in depression were age, education, occupation, gender, exercise and sleep in the patients with FMS. Depression for the patients with FMS has negative correlation coefficients with Self-efficacy and ADL, and positive correlation coefficients with Pain and Fatigue. The suitable regression form resulting from the multiple regression analysis to investigate the influencing factors of depression for the partients with FMS was expressed by y =50.067 - 0.278x$_1$ + 1.320x$_2$ (x$_1$: Self-Efficacy x$_2$: Fatigue) and $R^2$ =0.427. Conclusion: The factors influencing on depression of patients for FMS was Self-Efficacy, ADL, Pain, and Fatigue. Further study needs to be done identify methods of overcoming and presentation of depression in FMS.

• 대한관절경학회지
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• 제6권2호
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• pp.161-170
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• 2002

목적 : 관절경을 이용한 거골 박리성 골연골염의 단순 절제술 후 그 결과를 알아보고 이차 관절경을 통하여 결손 부위의 육안 및 조직학적 변화를 알아보고자 하였다. 대상 및 방법 : 관절경으로 유리체 및 괴사 골 조직을 제거한후 출혈되는 기저부를 남겨두고 치료한 22예를 대상으로 하였으며, 임상적 및 기능적 평가를 하여 수술의 유용성을 알아보았다. 7예에서 이차 관절경을 술 후 3개월에서 8년 사이에 시행하여 병변 부위의 관찰 및 타 부위의 이차적인 병변을 관찰하였으며, 생검을 시행하여 결손부 재생 조직에 대한 조직학적 검사를 시행하였다. 추시 관찰은 평균 42개월(14개월$\~$8년) 이었다. 결과 : 최종 추시 관찰에서 Ankle-hindfoot(100점) 점수는 술 전 67점에서 술 후 82점으로 의미있는 호전을 보였고(p<0.003), 주관적 및 기능적 평가(100점)상 술 후 평균 82점으로 만족할 만한 결과를 얻었다. 이차 관절경상 결손부는 섬유성 조직으로 채워지는 양상을 보였으며, 시간의 경과에 따라 섬유성 조직보다는 섬유 연골 조직이 증가되는 소견을 보였다. 술 후 특이한 이차적인 병변의 발생은 관찰되지 않았다. 결론 : 관절경을 이용한 거골 박리성 골연골염에 대한 단순 절제술은 결손 부위를 남겨 놓고 치료하는 방법이나 이차적 병변의 발생없이 결손부가 채워지는 소견을 보여 유용한 방법으로 사료되었다.