• Title/Summary/Keyword: 천식관리

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The Association of Asthma and Osteoporosis in the Residents of the Local Community (지역사회 주민을 대상으로 한 천식과 골다공증과의 연관성)

  • Park, Kyung-Yong;Lee, Sok-Goo
    • Journal of agricultural medicine and community health
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    • v.34 no.3
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    • pp.316-323
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    • 2009
  • Objectives: Corticosteroids, usually as an inhaled form, are usually used to treat narrowed airway in the treatment of asthma. However, the use of corticosteroid commonly associated with the development of osteoporosis. In this study, we studied the association of asthma and osteoporosis in the residents of the local community. Methods: As a part of the Local Community Health Study Chungnam 2008, the residents are surveyed with the formal questionnaire. We analyzed the association between asthma and osteoporosis data with the questionnaire. Results: We analyzed total 6,348 data from the residents in Chungnam province. Of them, 203(3.2%) were asthma patients and 465(7.3%) were osteoporosis patients. Patients with asthma have more advanced age(p<0.001), higher incidence of hypertension(p<0.001) and diabetes(p=0.001), lower incidence of exercise(p=0.002) and economic activity(p<0.001). Patients with osteoporosis have more advanced age (p<0.001), female predominance(p<0.001), higher incidence of hypertension (p<0.001), diabetes(p=0.001), and fractures (p<0.001), lower incidence of exercise (p=0.002) and economic activity (p<0.001). In total population, asthma is associated with the increased incidence of osteoporosis, especially in patients treated with anti-asthmatic medications. Conclusions: Through this study, we demonstrated the presence of asthma is closely associated with the increased incidence of osteoporosis, especially in patients treated with anti-asthmatic medications. Therefore, further and broad study will be needed to evaluate the association of asthma and the types of anti-asthmatic medications in the development of osteoporosis.

Prevalence of allergic diseases and its related factors in Korean adolescents-Using data from the 2013 Korea youth risk behavior web-based survey (청소년 알레르기 질환 유병률과 관련 요인 -2013년 청소년 건강행태 온라인조사 활용)

  • Han, Ji-Young;Park, Hyeon-Sook
    • Journal of the Korean Data and Information Science Society
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    • v.27 no.1
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    • pp.155-168
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    • 2016
  • The purpose of this study was to investigate the prevalence of allergic diseases and its related factorsin Korean adolescents. The subjects were 72,435 middle and high school students. The data were analyzed by ${\chi}^2$ test and multiple logistic regression analysis. The prevalence of asthma, allergic rhinitis, and atopic dermatitis was 9.3%, 30.6%, and 23.4%, respectively. According to multiple logistic regression analysis, asthma was associated with gender, age, economic state, obesity, stress, sleep satisfaction, secondhand smoking, drug use, other allergic diseases and physical activity. Allergic rhinitis was associated with age, economic state, residential area, type of residence, obesity, stress, sleep satisfaction, smoking experience, secondhand smoking, alcohol drinking, other allergic diseases and physical activity. Finally, atopic dermatitis was associated with gender, age, economic state, residential area, obesity, stress, other allergic diseases and physical activity. Conclusion: These results will provide database for prevention and management of allergic diseases.

The Disease Management Experience of Patients with Asthma: Grounded Theory Approach (천식 환자의 질병관리 경험: 근거이론접근)

  • Kim, Bohye;Kim, Oksoo
    • Journal of Korean Academy of Nursing
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    • v.50 no.5
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    • pp.714-727
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    • 2020
  • Purpose: The aim of this study was to develop a situation-specific theory to explain the disease management experience of patients with asthma. Methods: Twenty participants with asthma were selected using the theoretical sampling method. The data were acquired through in-depth interviews conducted from June to October 2018 and analyzed using the grounded theory approach of Strauss and Corbin. Results: In total, 69 concepts, 30 subcategories, and 13 categories were generated to explain the disease management experience of patients with asthma. The core category of the disease management experience of patients with asthma was 'management of the disease to prevent aggravation of symptoms over the lifetime'. The disease management process of asthma patients included three steps: the 'cognition phase', the 'adjustment phase', and the 'maintenance phase'. However, some patients remained in the 'stagnation phase' of disease management, which represents the result of the continual pursuit of risky health behavior. There were three types of disease management experiences among patients with asthma: 'self-managing', 'partially self-managing', and 'avoidant'. Conclusion: This study shows that patients with asthma must lead their disease management process to prevent exacerbation of their symptoms. It is imperative to develop nursing strategies and establish policies for effective disease management of patients with asthma based on their individual disease management processes and types.

Knowledge and Practice in Self-Management on Asthma of School-Aged Children with Asthma (초등학생의 천식 자가관리 지식과 실천의 관계)

  • Kim, Seon Su;Kwon, In Soo
    • Child Health Nursing Research
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    • v.22 no.2
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    • pp.87-96
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    • 2016
  • Purpose: This study was done to identify the level of knowledge and practice of self-management on asthma of school-aged children and to provide data for the development of an intervention program to improve self-management on asthma Methods: The participants were 100 school-aged children who were treated currently for asthma in J city located in G province. Data were collected from 25th August to 30th October 2014. Results: The mean scores were 14.37 of 20 for self-management knowledge (percentage of correct answer 71.9%), 21.65 of 30 for self-management practice. There were significant differences in knowledge according to grade, diagnosed age, food allergy, education on asthma and hardship in school life, and in practice according to gender and economic status, hardship in school life and experience of first-aid on asthma. There were positive correlations between knowledge and practice. Conclusion: Results indicate that school-aged children' knowledge and practice in self-management of asthma were not sufficient enough to perform accurate management of asthma. Therefore, to improve self-management ability of school-aged children to manage effectively asthma, educational strategies that focus on increasing knowledge need to be developed.

성인병 뉴스 제317호

  • The Korea Association of Chronic Disease
    • The Korean Chronic Disease News
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    • no.317
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    • pp.1-18
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    • 2007
  • 경북 고령군 보건소 안순기 소장/“만성질환관리 건강투자 전략의 핵심”/‘보호자 없는 병원’시범사업/치매?뇌혈관질환?파킨슨병 등/“만성질환관리는 미래의료의 핵심”/한방보건 최우수기관‘익산보건소’/공공보건 EHR선진화 1577억 투입/전국비만학회연합회 비만 가이드라인 제시/맞춤의학 실현 KARE 프로젝트 착수/“신약개발.보건의료 연구투자 협력”/지난해 국내 의약품 생산 12조원 돌파/식욕억제제 관리 위반 의원?약국 적발/“well-dying”...사랑의 공동체 실현/가정호스피스.완화의료사업/신장내과 외래환자 58.4%가 40~60대/“천식 등 호흡기질환 예방관리 총력”/WHO 국제암연, 학술위원에 방영주 교수/30대 이상 70% 남성‘성관계’실패 경험/부실한 인적 자본, 미래 위한 건강투자 시급/2005년 시도별 생명표 및 사망원인통계 결과/유럽 고혈압학회 가이드라인 업데이트/

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An System for Efficient Management of Genomic Epidemiological Cohort Study Information from Koreans (한국인 유전체 역학 정보의 효율적 관리를 위한 정보 관리 시스템)

  • 양은주;안윤진;이지은;김규찬
    • Proceedings of the Korean Information Science Society Conference
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    • 2003.04a
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    • pp.635-637
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    • 2003
  • 본 논문에서는 경기도 안성과 안산 지역에 설치된 유전체역학센터에서 조사 지역에 거주하는 45세 이상 69세 이하의 성인을 대상으로 고혈압, 당뇨, 골다공증, 천식, 비만 등 총국민의료비용에서 큰 부분을 차지하는 4-5개의 중요 만성질환을 주요 분석 분야로 진행중에 있는 한국인 유전체 역학조사사업으로부터 산출되는 임상검사 및 역학정보를 입력.관리하는 시스템에 대해 소개하고 있다. 검진 대상자를 접수하는 접수자 및 정보 관리자는 본 시스템을 통해 검진 대상자의 개인식별 정보, 생활습관 정보 등과 같은 설문 정보와 임상 검사 정보를 입력 후 이에 대한 조회, 관리, 집계 현황 출력, 데이터 백업 등을 수행할 수 있다.

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POLICY & ISSUES 기획특집_4 - 환경오염의 국민건강 영향과 효과적인 관리방안

  • Sin, Dong-Cheon
    • Bulletin of Korea Environmental Preservation Association
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    • s.397
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    • pp.24-26
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    • 2012
  • 고도성장이라고 일컫는 산업화와 경제발전을 이룩하면서 우리가 불가피하게 마주하게 된 환경오염과 유해 화학물질 노출에 따른 국민 건강 위해에 대한 이야기는 안타깝게도 이제 우리의 일상에서 쉽게 접할 수 있는 소식이 되었다. 특히 천식과 아토피와 같은 환경성 질환의 증가에 대한 국민적 우려가 증가하고 있으며, 건강뿐만 아니라 지속가능성을 중시하는 새로운 삶의 목표와 생활양식의 변화는 비단 기업의 경영방침에서만 국한되지 않고 환경 정책을 비롯한 국가의 정책 수립에 중요한 패러다임을 제시하고 있다.

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Design and Development of the Database for the Korean Genome and Health Study (한국인 유전체역학 정보 DB 설계 및 구축)

  • 양은주;박용철;고인송;오범석;김규찬
    • Proceedings of the Korean Information Science Society Conference
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    • 2003.10b
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    • pp.844-846
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    • 2003
  • 국립보건원 유전체연구소는 안산-안성 지역에 거주하는 45세 이상 69세 이하의 성인을 대상으로 고혈압, 당뇨, 골다공증, 천식, 비만 등 한국인의 총 국민의료비용에서 큰 부분을 차지하는 중요 만성질환에 초점을 맞추어 코호트 연구를 수행하고 있다. 이에 검진대상자의 설문 및 임상검사를 통하여 수집되는 개인식별 데이터, 생활습관 데이터 등의 설문정보와 다양한 임상검사정보에 대한 체계적 저장ㆍ관리와 향후 수행될 대규모 정보 분석을 위해 유전체역학 정보 DB를 설계.구축하였다.

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Study of PDA based Personal Asthma Management System Development (PDA 기반 천식관리 시스템 개발에 관한 연구)

  • Park, Jong-Cheon;Hwang, Dong-Guk;Lee, Woo-Ram;Jun, Byoung-Min;Kim, Kyung-Ah;Cha, Eun-Jong
    • Proceedings of the KAIS Fall Conference
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    • 2006.11a
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    • pp.216-219
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    • 2006
  • Self management of chronic asthma is of great importance, since the disease could lead the patient into an emergent situation. In the present study, we describe design and implementation of a personal digital assistant(PDA) based asthma management system for personal application including symptom and medication to prevent from the potential exac-erbation of the disease. The software program was written by the Visual C++ tool in the mobile computing environment and Object Store was applied for data management. User friendly GUI environment was provided for the patient to input his/her daily condition and self treatment such as medication for suc-cessful management. The input screen design substituted for keyboard input to a mouse in order to easy to select an item and minimize the keyboard input. The implementation results of this system., Real-time data collection and process were possible and be able to have been carried effectively out a continuous symptom, a medication of asthma patients, risk management.

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연간 특별기획-제1편 당뇨병

  • KOREA ASSOCIATION OF HEALTH PROMOTION
    • 건강소식
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    • v.32 no.2 s.351
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    • pp.4-11
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    • 2008
  • 서울의대.울산의대.고려의대 예방의학교실 연구팀이 대한민국 인구의 약 2.5%인 120만명을 무작위로 추출해 2002년부터 5년간 추적조사를 토대로 발표한 <한국인의 질병부담보고서(2005)>에 의하면 질병부담 1순위가 당뇨병인 것으로 나타났다. 이어 뇌졸중, 천식, 위.십이지장 궤양, 심근경색증, 간경화.류머티스 관절염, 우울증, 간암, 위암, 폐암, 만성 폐쇄성 폐질환 순으로 질병부담이 높은 것으로 측정되었다. 질병부담이란 질병에 걸릴 뿐 아니라 해당 질병으로 인한 질병 후유증과 장애까지 포함하는 광범위한 개념이다. 이에 2008년에는 <건강 소식> 연간 특별기획으로‘한국인의 10대 질병부담, 그 예방과 극복’이라는 주제를 선정,한국인의 질병부담이 높은 10가지 질환에 대한 기초적인 지식과 실생활에 활용할 수 있는 예방과 관리, 극복방법등의 정보를 독자들에게 전하고자 한다

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