• Title/Summary/Keyword: 자가증상보고

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Self-Care Compliance among Patients with Liver Cirrhosis: Focusing on Symptom Experiences, Perceived Health Status and Disease Status (간경변증 환자의 자가간호이행 관련 요인: 증상경험, 지각된 건강상태 및 질병상태를 중심으로)

  • Yun, Mi-Jeong
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.25 no.3
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    • pp.165-175
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    • 2018
  • Purpose: The purposes of this study were to examine symptom experiences, perceived health status, disease status, and self-care compliance of patients with liver cirrhosis and to identify the factors that affect their self-care compliance. Methods: The study design was a cross-sectional design and 148 patients who were being treated at D-university hospital in Busan participated in the survey. The data were analyzed using t-test, ANOVA, Bonferroni test, Pearson correlation coefficients, and multiple linear regression analysis. Results: The factors affecting self-care compliance were symptom experiences, disease status, age, and gender. These factors explained 21.6% of the variance in self-care compliance of patients with liver cirrhosis. Conclusion: The findings indicate that nursing interventions that prevent patients' symptoms are needed to promote self-care compliance in patients with liver cirrhosis. The patient should also be helped to recognize the need for self-care compliance from an early stage.

Developing Diet Supporting Service for Diabetes Patients through Deep Learning Image Analysis (딥러닝 이미지 분석을 통한 당뇨병 환자 식이요법 서포팅 서비스 개발)

  • Seo, Si-hyun;Yang, Hee-beom;Kim, Ki-yung;Park, Hyun-jun
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2022.10a
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    • pp.62-65
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    • 2022
  • Diabetes is a major social problem in which the incidence and prevalence of diabetes increase every year around the world. Diabetes, characterized by high blood sugar, which increases the concentration of glucose in the blood, causes various symptoms and signs. As a result, patients should strengthen self-management in their daily lives. However, the biggest factor that patients fail in managing blood sugar is diet failure. Therefore, in this paper, an application was designed and implemented to input a diet through photography or image upload and analyze users' diets through intake indicators and blood sugar statistics.

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The Influence of Occupational Stress in Dry Mouth and Self-Diagnosed Oral Symptoms on Workers (근로자의 직무스트레스가 구강건조감 및 구강증상에 미치는 영향)

  • Cho, Hye Jin;Cho, Min Hee;Jo, Yoon Ji;Jang, Young Eun;Jeon, Eun Hee;Jeong, Bok Lim;Jeong, Yoon Sun;Cha, Hye Kyung;Choi, Young Joo;Han, In Sung;Hwang, Ji Young;Hong, Min-Hee
    • Journal of dental hygiene science
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    • v.12 no.6
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    • pp.634-643
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    • 2012
  • Job stress is emerging as one of major issues related to oral health in modern society that has increasingly been complicated and diversified. The purpose of this study was to examine the job stress and dry mouth of workers and their self-diagnosed oral symptoms in an attempt to determine the relationship between job stress and dry mouth. The subjects in this study were 366 workers, and a survey was conducted to June 1 to 20, 2012. Whether there would be any differences in dry mouth and self-diagnosed oral symptoms according to job stress was analyzed, and it's found that there were significant differences in dry mouth according to organizational climate. And oral symptoms made significant differences to job demand, interpersonal conflicts, organizational system, lack of reward and job stress. There was a positive correlation between dry mouth and organizational climate, and oral symptoms had a significant correlation to job demand, interpersonal conflicts, job insecurity, organizational system, job stress and dry mouth. Organizational climate and lack of reward had a significant impact on dry mouth, and oral symptoms were under the significant influence of dry mouth, job insecurity and organizational system.

The Changes of Patellofemoral Alignment after Anterior Cruciate Ligament Reconstruction (전방 십자 인대 재건술후 슬개-대퇴 관절 선열의 변화)

  • Hahn Sung-Ho;Yang Bo-Kyu;Yi Seung-Rim;Chung Shun-Wook;Kwon Gi-Doo
    • Journal of the Korean Arthroscopy Society
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    • v.4 no.2
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    • pp.128-133
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    • 2000
  • Purpose : To compare the changes of the patellar height, patellofemoral alignment and subjective symptom and to compare the effects of patellar tendon harvest after anterior cruciate ligament(ACL) reconstruction using autograft and allograft. Materials and Method : ACL reconstruction was performed on 87 patients who were followed up for minimum 1 year. The group I was 52 patients who were operated with bone-patellar tendon-bone autograft and the group II was 35 patients who were operated with bone-patellar tendon-bone allograft and achilles tendon allograft. At the time of follow-up, the authors evaluated the patellar height by Blackburne-Peel method, Merchant congruence angle, Lateral patellofemoral angle and subjective symptoms were assessed. Results : The patellar heights were significantly decreased from 0.86 preoperatively to 0.80 postoperatively in the group I and from 0.87 preoperatively to 0.83 postoperatively in the group II. There were no significant differences in the lateral patellofemoral angles between the both groups but in the Merchant congruence angle, significant differences were observed in the both groups, from$-1.43^{\circ}$ preoperatively to-$5.43^{\circ}$ postoperalively in the group I and from$-1.53^{\circ}$ preoperatively to$-3.65^{\circ}$ postoperatively in the group II. Conclusion : After ACL reconstruction, the patellofemoral alignment was changed and this kind of changes may be caused by multiple factorials such as harvest of autografts, ACL reconstruction itself, and quadriceps muscle atrophy.

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Derridas Philosophie der Gastfreundschaft und seine politische Theologie (데리다의 환대의 철학과 정치신학)

  • Kim, Jin
    • Journal of Korean Philosophical Society
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    • no.95
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    • pp.59-93
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    • 2011
  • Die vorliegende Abhandlung beschäftigt sich mit der Frage, ob Jacque Derrida das Problem des Global-Terrorismus im politisch-theologischen Sinne mit seiner Philosophie der Gastfreundschaft lösen kann. Fur Derrida ist der '11. September' das 'Ereignis', und das Symptom einer autoimmunitären Erkrakung der westlichen Welt. Derrida findet im '11. September Ereignis' die Struktur der Aneignung des Eignen und der Enteignung im Heideggerschen Sinne. Das 'major event' wird nicht in einer vergangenen Aggression bestanden haben, die präsent und wirksam ist und noch schlimmer in der Futur sein wird. Derrida versucht einen philosophischen, politisch-theologischen Ansatz zur Bedingungen der Möglichkeit der absoluten, vollkommenen Auflösung des Globalen Terrorismus zu programmieren. Dafür fordert er das Postulat Verwirklichung des 'Messianischen ohne Messianismus'. Die Gegenüberstellung zwei politischer Theologien zwischen der Europäischen Demokratie und der Islamischen Vereinigten Staaten kann erlöst werden, wenn die 'neue religiöse Spiritualität', die gegenüber der dogmatischen Religionswahrheit frei ist, mit der 'Wiederkehr der Religion' im echten Sinne vorkommt. In der 'Neuen Religion' Derridas ist der Begriff der 'Gastfreundschaft' wichtiger als der der 'Toleranz', den er als 'abrahamitisch' definiert. Die von Derrida postulierte neue Religion ist eine offene Religion, in der das Unvergebbare unbedingt zu vergeben ist. Ihre politische Transformation ist der Begriff der 'Neuen Europäischen Gemeinschaft' und des 'Anderen Kaps'. Derrida postuliert diese neue Idee des Kosmopolitismus als die notwendige Bedingung der vollkommenen Auflösung des autoimmunitären Global-Terrorismus.

Self-care and Physical Symptom by Gender in Korean Type2 Diabetic Patients (제2형 당뇨병 환자의 성별 자가관리와 자각증상 차이)

  • Kim, Hee-Seung;Park, Chai-Soon
    • Women's Health Nursing
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    • v.9 no.3
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    • pp.270-276
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    • 2003
  • Purpose: The purpose of this study was to investigate the self-care and the physical symptom and to analyse the correlation between self-care and physical symptom in type2 diabetic patients. Method: 201 Participants were recruited from the endocrinology outpatient department of a tertiary care hospital in an urban city. The data were collected by self report self-care and physical symptom questionnaire. Results: The alcohol drinking frequency was lower in female than in male patients. The frequency of nausea or vomiting, morning headaches, lightheadedness, weakness, pain in the heart, pain in the back, stiffness in any join or muscle, and getting very tired in a short time were higher in female than in male diabetic patients. The exercise frequency was negatively correlated with physical symptom in female patients. Conclusion: The alcohol drinking frequency was lower in female than in male patients. The female patients had more physical symptoms than the male patients. The exercise frequency was negatively correlated with physical symptom in female patients.

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Influencing Factors on Symptom Self Management in Patients with Chronic Mental Disorders (만성정신질환자의 증상 자가관리에 영향을 미치는 요인)

  • Han, Kuem-Sun;Yang, Bo-Gyum
    • Journal of Korean Academy of Nursing
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    • v.36 no.1
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    • pp.127-135
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    • 2006
  • Purpose: The purpose of this study was to identify the factors influencing symptom self management (SSM) in the patient with a chronic mental disorder. Method: Data was collected by questionnaires from 204 chronic mental disorders in an outpatient clinic in a General Hospital and Public Mental Health Centers in Seoul and Kyunggi Province. The data was analyzed using descriptive statistics, pearson correlation coefficients, and stepwise multiple regression, Results: The score of SSM showed a significantly positive correlation with the score of the level of self efficacy (SE) (r=.33, p=.00), social support (SS) (r=.27, p=.00), self care agency (SCA) (r=.36, p=.00) and daily living ability (DLA) (r=.34, p=.00). The score of DLA showed a significantly positive correlation with the score of level of SE (r=.46, p=.00), SS (r=.51, p=.00), and SCA (r=.52, p=.00), The most powerful predictor of SSM was SCA ($14\%$). A combination of SCA, DLA, and SS account for $20 \%$ of the variance in SSM. Conclusion: This study suggests that SCA, DLA, and SS are significant influencing factors on SSM in patients with chronic mental disorders.

Effectiveness of a Web-based Learning Program for Medication and Symptom Management Education of the Schizophrenia Patient (정신분열병환자를 위한 웹기반 약물 및 증상 자가 관리 교육 프로그램 효과*)

  • Shon, Kyung-Hee
    • The Journal of Korean Academic Society of Nursing Education
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    • v.15 no.2
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    • pp.285-292
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    • 2009
  • Purpose: This study was to examine the effect of a web-based education program for schizophrenic patients in order to identify symptoms, facilitate medication and prevent recurrence. Method: The design of this study was a quasi experimental research with nonequivalent control group, pretest-posttest design. The subjects of this study were inpatients in the psychiatric day hospitals in Busan; 14 schizophrenic patients for the web-based education group (Exp.I); 14 schizophrenic patients for the web-based education with face -to- face education (Exp.II); and 16 schizophrenic patients for the face -to- face education as control group (Con. G). The data were collected from November 5th 2007 to January 28th 2008 and were analyzed with $\chi^2$-test, ANOVA, ANCOVA and Bonferroni test in SPSS Win 11.0. Results: After receiving education, each with different methods, the Exp.I group attained the highest learning achievement in the knowledge of medication and symptom management. In addition, the Exp.I group and Exp.II group attained the lower scores in the relapse warning symptoms than the control group. There were significant differences among the three groups. Conclusions: A web-based learning program for medication and symptom management education is an effective rehabilitation program that reduces the relapse rate of schizophrenic patients.

Two Cases of Thrombotic Thrombocytopenic Purpura in Systemic Lupus Erythematosus (전신성 홍반성 루프스와 동시 발병한 혈전성 혈소판 감소성 자반증 2예)

  • Kim, Hye-Young;Kim, Hyung-Hoi;Kim, Su-Yung
    • Childhood Kidney Diseases
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    • v.11 no.2
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    • pp.288-293
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    • 2007
  • Thrombotic thrombocytopenic purpura(TTP) is a rare but life-threatening multi-system disorder characterized by the classic pentad of clinical features that includes fever, microangiopathic hemolytic anemia, thrombocytopenia, neurologic abnormalities and renal dysfunction. TTP has been rarely reported to simultaneously present with systemic lupus erythematosus (SLE). While it is important to distinguish between the two diseases of therapeutic implication, cases of concurrent TTP and SLE help to elucidate the pathophysiology that underlies each condition. We describe two adolescents with synchronous TTP and SLE, and review the literature.

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Diabete Care: Pharm story - 당뇨병과 정신건강

  • Lee, Ji-Hyeon
    • The Monthly Diabetes
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    • s.288
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    • pp.51-57
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    • 2013
  • 당뇨병과 정신건강은 어떤 관련성이 있을까? 당뇨병이 스트레스나 우울증과 관련이 있다는 것은 비교적 잘 알려져 있는데 다른 정신건강 문제와도 관련이 있을까? 당뇨병을 꾸준히 관리하는 것만도 수월하지 않은 당뇨병 환자에게 정신건강 관리를 하라는 것은 또 다른 부담을 가중시킬 수 있을 것이다. 그러나 효과적인 당뇨병 관리를 위해서는 정신건강에 관심을 기울이고 함께 관리하지 않을 수 없다. 건강하고 안정적인 정신건강 상태는 당뇨병 관리의 뒷받침이 되므로 당뇨병의 효과적인 관리를 위해 선행되어야 할 요소이다. 종종 정신건강 문제는 당뇨병 관리의 방해요인이 되기 때문에 이를 방지하기 위해서도 정신건강 관리는 당뇨병 관리와 함께 이루어져야 한다. 스트레스, 우울, 불안 등 정신건강 문제들이 어느 정도 해결될 때, 비로소 당뇨병 자가관리를 지속할 수 있으며 그 효과를 거둘 수 있는 것이다. 대부분의 당뇨병 환자는 진단기준을 충족시키지는 않더라도 적어도 가끔은 정신장애 증상을 경험할 수 있다. 일부 환자는 진단기준에 부합하는 장기간의 심각한 정신과적 증상으로 고통을 받기도 한다. 당뇨병 진단 후 당뇨병을 심리적으로 수용하고 관리하는 과정에서 정신장애를 경험하게 될 가능성이 높아진다. 정신장애도 만성질환의 속성을 가지므로 정신장애를 동반한 당뇨병 환자는 만성질환 관리의 부담이 가중될 수 있다. 따라서 정신장애를 최대한 예방하고 적시에 적절한 치료를 통해 심화되지 않도록 하는 것이 중요하다. 이를 위해 당뇨병과 관련 있는 정신장애에 대한 이해와 지식을 갖추는 것이 필요하다.

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