• Title/Summary/Keyword: 투병기간

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TB 클리닉 - 결핵도 이기는 긍정의 힘

  • Park, Jae-Seok
    • 보건세계
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    • v.58 no.1
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    • pp.18-21
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    • 2011
  • 결핵을 이기기 위해 가장 중요한 것은 무엇일까요? 규칙적인 복약은 가장 중요하게 여겨지는 부분입니다. 그 밖에도 일일이 설명할 수 없는 많은 요소들이 있지만, 결핵환자들의 이야기에서 공통적으로 나타나는 증상이 바로 '우울함을 느낀다'는 점입니다. 최소 6개월이라는 긴 투병기간, 그리고 1차에서 치료가 끝나지 않아 장기 치료로 들어갈 때 많은 환자들이 힘겨움을 토로합니다. 그렇다면 물리적인 치료 외에 한 가지 치료가 더해져야 할 것입니다. 바로 마음을 보듬는 치료일 텐데요. 환자와 의사는 각각 어떤 마음으로 결핵에 대처해야 할까요?

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Needs of Hospice Care and Quality of Life for Cancer Patients (암환자의 호스피스 간호 요구와 삶의 질)

  • Seo, In-Sun;Shin, Mi-Hwa;Hong, Se-Hwa
    • Journal of Hospice and Palliative Care
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    • v.13 no.2
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    • pp.89-97
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    • 2010
  • Purpose: This study investigated the relationship between the needs for hospice care and quality of life in cancer patients. Methods: Data were collected from 127 cancer patients hospitalized at a university hospital in Chonbuk between October, 2006 to March, 2007. Two instruments were used: cancer patients' need for hospice care, developed by Kang and Kim and quality of life developed by Tae et al. Results: The mean scores were 3.11 out of 4 for hospice care needs, and 5.25 out of 10 for quality of life. The correlation between needs for hospice care and quality of life was moderate and negative (r=-0.395, P<0.01). Among the four groups of needs, physical need was the most strongly correlated with quality of lifer (r=-0.388, P<0.01). The need for hospice care was significantly different according to participants' religion (t=6.02, P<0.05), and duration of disease (F=3.45, P< 0.05). Quality of life was significantly different according to participants' monthly income (F=3.38, P<0.05). cancer stage (F=8.10, P<0.01) and chemotherapy (t=6.09, P=0.015). Conclusion: The results suggested that the cancer patients' hospice care needs should be answered in order to improve their quality of life. While doing so, participants' characteristic need should also be considered.

Prediction Factors of Fatigue in Patients with Fibromyalgia (섬유조직염환자의 피로 예측 요인)

  • Han, Sang-Sook
    • Journal of East-West Nursing Research
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    • v.11 no.1
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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.

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Readiness for Death and Death Anxiety among Hospitalized Cancer Patients (입원 암환자의 죽음준비와 죽음불안)

  • Kwen, Hyang-Suk;Suh, In-Sun;Kim, Hyun-Kyung
    • The Journal of the Korea Contents Association
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    • v.13 no.9
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    • pp.334-343
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    • 2013
  • This study was conducted to examine the readiness for death and death anxiety among hospitalized cancer patients. A convenience sample of 183 cancer patients admitted to four hospitals in Korea was recruited for this study. Data were collected in 2010. Collected data were analyzed with descriptive statistics, independent t-test, one-way ANOVA, and Pearson's correlation coefficient. The mean scores of readiness for death and death anxiety were 1.99(${\pm}0.69$) and 2.21(${\pm}0.59$) out of 4, respectively. 'Psychological readiness' showed the highest mean score among the death anxiety domains, and 'dying process' had the highest mean score among the death anxiety domains. No statistically significant correlation was found between readiness for death and death anxiety. Readiness for death was statistically significantly different according to age, afterlife beliefs, stage of cancer, duration of disease, and number of symptoms. Death anxiety showed significant difference according to faith in God and afterlife beliefs. Distress in the process of dying needs to be managed for cancer patients and spiritual interventions should be considered to relieve death anxiety.

A Study on the Distribution of Staphylococcus aureus in Atopic Dermatitis (아토피 피부염에서 황색포도상구균 분포에 관한 연구)

  • Kim, Mi-Rye;Woo, Seung-Eun;Shin, Sun-Oh;Hong, Sung-Mi;Yang, Si-Yong
    • Journal of the Society of Cosmetic Scientists of Korea
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    • v.32 no.2 s.57
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    • pp.93-97
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    • 2006
  • Staphylococcus aureus is found on the skin of $78{\sim}100%$ of children and adults with atopic dermatitis (AD) but only on the skin of $2{\sim}25%$ of healthy subjects. It is known that S. aureus and their endotoxins as superantigen have important roles in the exacerbation and prolongation of AD. This study was carried out for the detection of S. aureus in the skin of AD, age, sex, outbreak age of AD, treatment duration, aggravation season, and the relation of ooze and S. aureus. Most patients (84%) with AD show colonization of the skin with S. aureus and there is a correlation between the degree of colonization and the serous exudate. It seems likely that the inhibition of S. aureus is associated with improvement in the skin of AD patients.

A Study on the Preference of Art Media of Cancer Patients: Multidisciplinary Approach of Art Therapy (통원 암 환자의 미술 매체 선호도 연구: 미술 치료요법의 다학제간 접근)

  • Lee, Yun-Hee;Kim, Jee-Eun
    • Journal of the Korea Convergence Society
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    • v.11 no.10
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    • pp.171-179
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    • 2020
  • This study was attempted to identify the media preferences and the reasons of cancer patients. The data collection was conducted on 76 people. and they are 6 men, 70 women with 38 breast cancer patients, and 38 patients with other cancers. For measuring tools, self-written questionnaires and Mandala paintings were used for single-time art therapy. The data analysis compared the results of technical statistics, independence verification and chi verification using the SPSS WIN ver.25.0 with the Mandala painting. There were no significant differences in media preference by age and duration of the disease, and there were significant differences in media preference by disease. In the Mandala painting, the characteristics of the medium and the factors of specific disease showed that there were reasons and effects of preference media choice. This study is meaningful in that it concentrated on the art therapy access and support in terms of the cancer outpatients, which have been concentrated on inpatients so that they shed light to the support and intervention needed by the outpatients, and can be used as basic data for the development of art therapy programs to help stabilize the mind of cancer patients in the future.

Variables influencing somatic symptoms of cancer patients: focusing on trait anger and anger expression styles (암환자의 신체화 증상에 영향을 미치는 요인 : 특성 분노와 분노표현양식을 중심으로)

  • Sung Ji Park;Kyoung-Suk Moon;Ji Sook Kang
    • The Journal of the Convergence on Culture Technology
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    • v.10 no.4
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    • pp.249-258
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    • 2024
  • The purpose of this study was to investigate the somatic symptoms, trait anger, and anger expression styles perceived by cancer patients, examine their relationships, and identify variables influencing somatic symptoms. The mean of patients' somatic symptoms was 8.59 ± 5.34, trait anger was 1.78±0.53, and anger suppression was 2.02±0.36, which is the highest. In terms of differences in somatic symptoms according to the general characteristics of the subjects, stage 3 cancer stage was the highest compared to other stages(F=2.745, p=.045), and the presence of cancer-related pain was significantly higher compared to its absence(t=5.046, p<.001). Differences in trait anger according to the general characteristics of the patients were found to be significant based on monthly income(F=3.952, p=.004). Differences in anger expression styles were found by age(F=4.186, p=.017), monthly income(F=3.302, p=.012), and experience of cancer-related pain(t=2.715, p=.007) in anger suppression, while differences were observed by age(F=3.637, p=.028), employment status(t=2.563, p=.011), monthly income(F=3.580, p=.008), and duration of treatment(F=3.726, p=.026) in anger regulation. The somatic symptoms perceived by the patients had positive correlations with trait anger(r=.209, p=.006), anger suppression(r=.206, p=.006), anger expression(r=.199, p=.008), and anger regulation(r=.194, p=.009). It was found that a greater presence of cancer-related pain was related with a higher level of somatic symptoms of patients among other variables.

Spiritual Needs of Hospice Patients (호스피스 환자의 영적 요구)

  • Han, Young-Mi
    • Journal of Hospice and Palliative Care
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    • v.3 no.1
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    • pp.39-48
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    • 2000
  • Purpose : The purpose of the study is to disclose the spiritual needs of hospice patients. Method : The questionaire survey was carried out on 49 hospice patients and 40 caregivers who were in the 9 hospice institutions from lune to August in 1999. Results : In the patients, mean scores of the spiritual needs were significantly higher in the group with stomach cancer, college education, christians, $8{\sim}14$ days of hospice care and the group thinking that religion was important, and in the caregivers in the group of religions besides christianity and lives under $3{\sim}5$ years of medical treatment. In the total average of the spiritual needs, the patients's average was significantly lower than the caregiver's. Among the different categories, the patient's needs were highest in the area of meaning of life and the hope, the caregiver's needs in the love and the concern. However, both groups were low in the religion area. In the items of the love and the concern, the patient was highly responding to the 'wanting someone to give warm concern in conversation' and the caregiver was highly responding to the 'giving a warm response to questions on the sad and hard time'. And also, the patient was lowly responding to the 'wanting more concerns to him than other patients', and the caregiver was low responding to the 'patients wanting warm response in conversation'. In the categories of religious area both group were highly responding to the 'wanting to be helped to relax out of all'. And they gave lowest response to the 'wanting to introduce a book to know God'. In the area of meaning of life and hope, the both groups gave highest response to the 'wanting to be guided to have the hope' and lowest to the 'wanting to have opportunity to reconcile the person with bad relationship'. Conclusion : Summing up the above results, personal in-depth conversation is necessary to understand more deeply the spiritual needs of hospice patient. Moreover the hospice team needs to have more systematic approach to find out the spiritual needs of hospice patients.

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External Beam Radiotherapy for Primary Spinal Cord Tumors (척수종양의 방사선 치료)

  • Chun, Ha-Chung
    • Radiation Oncology Journal
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    • v.7 no.2
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    • pp.197-203
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    • 1989
  • Of 34 evaluated patients with primary spinal cord tumors, 32 were irradiated at our institution between 1969 and 1983. The results are reported of 32 patients, 16 with ependymoma and 16 with astrocytoma, who were treated with post-operative external beam radiotherapy following biopsy or subtotal resection Twenty-nine patients received $45\~55Gy$ megavoltage beam irradiation in $5\~6$ weeks and the remaining three patients received less than 40Gy. Spinal cord was in the irradiated field for six patients who received more than 50Gy. The minimum follow-up was five years. Five and ten year acturaial survival rates for entire group of patients were $73\%(22/30)\;and\;50\%(8/16)$, including three patients who were salvaged by surgery after radiation failures. Corresponding five and ten year relapse free survival rates were $60\%(18/30)\;and\;32\%(6/19)$, respectively. Of the 29 patients who recived more than 45Gy, relapse free survival at five years was $63\%(17/27)$. Treatment failed in 13 patients and all of those failures were in the irradiated portal. Patients with ependymomas have significantly better relapse free survival than those with astrocytomas, $80\%\;vs.\;40\%$ (p<0.05). There was significant difference in survival between patients with tumors involving the cervical spine and those with tumors in the other loactions, $45\%$ vs. $89\%(p<0.05)$. There was no significant differnece in survival between patients with cauda equina tumors and those with tumors at spinal cord, $100\%\;vs.\;68\%(p>0.05)$. No radiotherapy related neurological deficit was noted with a maximum 20 year follow-up. This study confirms that external beam radiotherapy is a safe and effective treatment modality for primary spinal cord tumors.

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