• 제목/요약/키워드: 호르몬 요법

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특집 - 간수치가 높은 당뇨병환자의 식사요법

  • 최진선
    • 월간당뇨
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    • 통권220호
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    • pp.12-13
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    • 2008
  • 간은 체내에서 영양소의 합성, 분해, 저장, 운반, 대사산물의 처리 능력을 가지고 있어 '인체 내의 거대한 화학공장'이라고도 한다. 인슐린과 글루카곤은 에너지 대사 조절에 관여하는 호르몬으로 간 내에서 당의 대사에 도움을 준다. 하지만 이 호르몬들의 정상적인 대사는 인슐린저항성과 제 2형 당뇨병에 의해 방해를 받게 된다. 따라서 간수치가 높아 간질환이 동반되는 당뇨병의 경우에는 혈당조절에 더욱 어려움이 있다. 간기능 향상에 도움을 주며 혈당도 조절을 잘 하기 위해 어떻게 식사를 해야 하는지 알아보자.

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Venlafaxine의 안면홍조 증상개선효과에 대한 최근 연구 고찰 (Venlafaxine for Management of Hot Flashes: A Review of Randomized Controlled Trials in Human)

  • 이유정
    • 한국임상약학회지
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    • 제20권2호
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    • pp.138-144
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    • 2010
  • 안면홍조는 폐경기 초기 많은 여성들에게 나타나는 증상이다. 정확한 원인은 밝혀지지 않았지만 혈중 에스트로겐 수치가 낮아졌을 때 안면홍조 증상이 나타나기 때문에 에스트로겐을 기본으로 한 호르몬 요법이 수년간 안면홍조 증상치료의 중심이었다. 그러나 호르몬 요법이 유방암, 뇌졸중 등의 발생 위험도를 증가시킨다는 연구 결과가 발표된 이후 많은 보건의료인들은 호르몬 요법 대신 사용 가능한 다른 치료제에 관심을 보이고 있다. 본 연구는 venlafaxine의 안면홍조 증상 치료효과에 대한 최신 지견을 얻고자, 1990년부터 2010년 7월까지 MEDLINE에 등재된 논문을 Hot flashes와 Venlafaxine이라는 MeSH terms로 검색하여 추출한 자료 중에서 대조군이 사용된 무작위 배정 및 이중맹검 임상연구 사례만을 선별하여 임상적 유용성을 평가하였다. 현재 venlafaxine은 안면홍조 증상 치료제로 허가된 의약품은 아니지만 최근 여러 국가에서 시행된 연구들은 venlafaxine이 효과적인 안면홍조 증상 치료제일 수 있다는 결과를 보여주고 있다.

향기요법이 갱년기 증상에 미치는 효과 (A Study on the Effects of (Aromatherapy) the climacteric Disorder)

  • 이혜경;백기자
    • 한국산학기술학회:학술대회논문집
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    • 한국산학기술학회 2010년도 춘계학술발표논문집 2부
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    • pp.1057-1060
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    • 2010
  • 현재 사용되고 있는 갱년기 증상 치료에는 호르몬요법등과 같은 방법이 사용 되고 있으나, 일부의 부작용으로 인하여 선진국에서는 다른 방법을 모색하는 단계에 이르렀다. 이에 본 연구자는 대체 의학적인 방법으로 고대로 부터 자연요법 으로 사용 되어진 향기요법을 사용하여 갱년기 증상에 미치는 효과를 연구 하였다. 실험 군 23명과 대조 군 22명 에게 향기요법 적용여부에 따른 차이를 조사한 결과 관절, 골격 통증에 대하여는 유의한 효과를 발견하지 못하였으나 신경, 정신 증상에 있어서는 괄목 할만 한 차이를 발견할 수 있었다.

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운동요법과 이완요법이 직장근로자의 ACTH와 Cortisol 호르몬에 미치는 영향 (Effects of Relaxation Therapy and Exercise Therapy on the ACTH and Cortisol Hormone Level in Workers)

  • 김인홍
    • 기본간호학회지
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    • 제8권3호
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    • pp.293-301
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    • 2001
  • Purpose: The purpose of this study was to investigate the effect of exercise therapy and relaxation therapy on the level of ACTH and cortisol in workers and to determine, from this information, the effectiveness of applied exercise therapy and relaxation therapy as a nursing intervention method for workers experiencing stress. Method: The subjects were divided into an exercise therapy group. a relaxation therapy group, and a control group. The research design was a nonequivalent control group pretest-posttest design (exercise therapy : n=12. relaxation therapy: n=12, control group, the group without exercise or relaxation therapy: n= 12). The subjects in the exercise therapy group were given a particular intensity for each kp over 30 min, bicycle ergometer which uses the LX PE training system before and after four weeks of training. The subjects did 60-70% exercise intensity exercise therapy for eight weeks The relaxation therapy subjects were trained using a modified Jacobson's relaxation technique for eight weeks. The exercise and relaxation therapy groups were trained at the following intensity for eight weeks (3 times/week, 30 min/day). Changes in the levels of ACTH and cortisol were identified. Two-way ANOVA and multiple range test (SNK: Student Newman Keul) were used to examine the effects of exercise therapy and relaxation therapy at four and eight weeks. Result: 1. Changes in the level of ACTH in the relaxation therapy group were statistically significant at .05 level, and were better than that of the exercise therapy group after eight weeks. But there was no significant difference between the exercise therapy group and the control group. 2. Change in the level of cortisol in the relaxation therapy group were statistically significant at .05 level as compared to the exercise therapy group and the control group after four weeks, but not after eight weeks. Also, the relaxation therapy was statistically significant at .05 level after four weeks compared to before treatment, but there was a tendency toward increased cortisol after eight weeks. Conclusion: Relaxation therapy was found to be more effective in stress treatment than exercise therapy and as such is a desirable nursing intervention method for stress hormone reduction in workers.

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성장호르몬요법이 삶의 질, 우울, 자아존중감에 미치는 영향 (The Effects of Growth Hormone Therapy on the Quality of Life, Depression and Self-esteem)

  • 오정미;김경희
    • 한국간호교육학회지
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    • 제12권1호
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    • pp.52-59
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    • 2006
  • Purpose: The study was attempted to provide basic materials for development of nursing-intervention programs by examining effects of growth hormone therapy on the quality of life, depression and self-esteem. Method: A survey was conducted for 31 adult outpatients as experimental group who have received growth hormone therapy more than 6 months and for 29 adults as control group who have not. A scale developed by Hilditch was used to measure their quality of life and also, the Zung's Self-rating Depression Scale and the Rosenberg's Self-esteem Scale were adopted to measure their depression and self-esteem each. Data were analyzed using one-way and two-way ANOVA Result: 1) there were differences between the two groups in the overall measurement of the quality of life. the growth hormone therapy group was higher in sub-factors 2) There were clear-cut differences between the two groups in depression, so that the control group marked higher score in the measurement of depression. 3) Self-esteem was not identical across the two groups, so that it was more higher for the growth hormone treatment group. Conclusion: Those findings suggest that development of education programs related to growth hormone and nursing-intervention is promising.

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폐경기 여성의 호르몬 대체요법 선택의도에 영향을 미치는 요인 (Factors of Intention to take Hormone Replacement therapy in korean Menopausal Women )

  • 정재원
    • 여성건강간호학회지
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    • 제9권4호
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    • pp.369-378
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    • 2003
  • Purpose: To identify factors influencing women's intention to take hormone replacement therapy(HRT). Method: A cross-sectional survey design was utilized. A total of 116 married women aged 40 to 60 were recruited from women's groups in communities. They completed a structured questionnaire containing demographic characteristics, Orientation to Life Questionnaire, Menopausal Symptom Checklist, Health Belief of Korean Adult, Sexrole Idea of Kim, Dong-il, chronic illnesses, and a single item measuring marital satisfaction. Result: Thirteen percents of the women were currently taking HRT and 28.4% had intention to take HRT. Education, sense of coherence, and sex role attitude were related to women's susceptibility to menopause. Hysterectomy status and the level of sense of coherence explained women's perception of seriousness regarding menopause. In addition, chronic health conditions accounted for the variances of benefits and barriers to HRT. Factors influencing women's intention to take HRT were education, menopausal symptoms, and perceived benefits of HRT. Conclusion: Women's chronic health conditions, psychosocial characteristics as well as menopausal discomforts were associated with women's choice regarding HRT. Other factors related to decision making process of women's health seeking behaviors need to be explored.

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항호르몬요법을 받는 유방암 여성의 갱년기 증상과 연관 변인간의 분석 (Menopausal Symptoms and Associated Factors in Breast Cancer Patients Receiving Hormone Therapy)

  • 김영란;민열하
    • 임상간호연구
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    • 제23권1호
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    • pp.120-129
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    • 2017
  • Purpose: The purpose of this study was to identify the degree of menopause symptoms and associated factors in patients with breast cancer who were receiving hormone therapy. Methods: Data were collected with questionnaires from 150 patients with breast cancer who had been on hormone therapy at a hospital in Seoul. Data were analyzed with the t-test, ANOVA, and Pearson correlation coefficient to compare the degree of menopause symptoms by demographic, clinical and psychological factors. Results: The mean menopause symptoms score was $13.39{\pm}7.97$. Most participants reported having hot flushes and sweating (75.3%), physical and mental exhaustion (82.7%) and sexual problems (64.7%). Menopause symptoms and depression were correlated with each other (p<.01). Somato-vegetative symptoms were different significantly by age, menopausal status at time of operation, occupation and tumor. Psychological symptoms were different significantly by marital status, operation type and chemotherapy. Urogenital symptoms were different significantly by prior history of cancer, occupation, operation type and radiation therapy. Conclusion: These findings can be used to provide tailored nursing interventions by identifying high risk groups for menopausal symptom among breast cancer patients receiving hormone therapy.

농촌지역 폐경여성의 호르몬요법에 따른 폐경증상과 삶의 질 (Menopausal Symptoms and Quality of Life according to Hormone Replacement Therapy in Rural Postmenopausal Women)

  • 김영지;김금순;김정식
    • 재활간호학회지
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    • 제16권1호
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    • pp.18-26
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    • 2013
  • Purpose: This study was conducted to identify menopausal symptoms and quality of life (QOL) according to hormone replacement therapy (HRT) in rural menopausal women. Methods: Menopausal symptoms and QOL were measured by questionnaires. A total of 50 participants in HRT group had received hormone replacement therapy for 12 weeks and another 50 who had not received hormone therapy were assigned to non-HRT group. Results: Vasomotor symptom score of non-HRT group was significantly higher than that of HRT group (p=.013). There were no statistically significant differences between two groups in all menopausal symptoms except for vasomotor symptom. There were no significant differences between two groups in the total scores and sub-scores of QOL. Total scores and sub-scores of QOL were very low in both group. Menopausal symptoms were significantly negatively correlated with QOL. Conclusion: These results showed that there were no statistically significant differences between HRT group and non-HRT group in menopausal symptoms except for vasomotor symptom and QOL. Menopausal symptoms were moderate and QOL was very low in menopausal women. It is necessary to develop nursing interventions to improve menopausal symptoms and QOL in menopausal women.