• Tuberculosis and Respiratory Diseases
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• 제69권4호
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• pp.265-270
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• 2010

Background: Psychological factors are increasingly recognized for their influence on the course of asthma, on a worldwide basis. The aim of this study was to assess the presence of depression, anxiety, and asthma-related quality of life in patients with asthma and to evaluate their impact on severity and control of asthma. Methods: We assessed the severity of asthma by comparing patients' current medications to GINA guideline. The patients were classified into the controlled group (asthma patients with controlled disease) or into the uncontrolled group (asthma patients with uncontrolled disease), which included partly controlled and uncontrolled patients, again based on GINA guideline 2004. Patient-reported depressive symptoms, anxiety, and asthma-related quality of life were evaluated using the Beck Depression Inventory (BDI), the State-Trait Anxiety Inventory (STAI), and Korean asthma quality of life (KAQLQ). Results: One hundred and twenty patients were enrolled (mean age, $55{\pm}1$ years; 65% women). Among the 120 patients, 14 (12%) patients were classified as having mild asthma, 88 (73%) as having moderate asthma, and 18 (15%) as having severe asthma. Eighty-one (67%) of the 120 patients were controlled. The asthma-related quality of life showed the difference according to severity of asthma (p=0.002). The prevalence of depression was lower (10% vs 26%, p=0.024) and the asthma-related quality of life was higher (59.951 (29~75) vs 35.103 (18~72), $p{\leq}0.001$) in the controlled group. Higher trait anxiety score and lower asthma-related quality of life were associated with depression (p<0.001, p=0.002, respectively). Conclusion: Psychological factors, such as anxiety and depression, are strongly associated with asthma control. Therefore, screening and management of depression is needed in patients with asthma.

• 디지털융복합연구
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• 제15권6호
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• pp.297-304
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• 2017

본 연구의 목적은 한국 청소년 천식 환자의 천식 악화와 항산화 식품 섭취와의 연관성을 알아보는 것이다. 이 연구는 제11차 청소년건강행태 온라인조사 참여자 중 천식으로 진단받은 1,578명의 자료를 이용하여 시행하였다. 알려진 천식 악화의 위험인자들과 사회인구적 변수들과 모든 식품 섭취 행태관련 변수들을 통계적으로 분석하였다. 항산화 식품섭취와 천식 악화와의 연관성을 추정하기위해 로지스틱 회귀분석을 최종적으로 사용하였다. 분석결과 남성 및 흡연경험은 천식악화와 관련이 있었고, 적은 항산화 식품 섭취 또한 천식악화를 의미 있게 높이는 것으로 나타났다. 따라서 천식 청소년을 대상으로 금연과 항산화식이섭취 교육이 중요하다. 과일과 야채를 적절히 섭취하도록 권장하는 것이 필요하다.

• Tuberculosis and Respiratory Diseases
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• 제85권1호
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• pp.11-17
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• 2022

Background: In asthma, consistent control of chronic airway inflammation is crucial, and the use of asthma-controller medication has been emphasized. Our purpose in this study is to compare the incidence of acute exacerbation and healthcare costs related to the use of asthma-controller medication. Methods: By using data collected by the National Health Insurance Review and Assessment Service, we compared one-year clinical outcomes and medical costs from July 2014 to June 2015 (follow-up period) between two groups of patients with asthma who received different prescriptions for recommended asthma-controller medication (inhaled corticosteroids or leukotriene receptor antagonists) at least once from July 2013 to June 2014 (assessment period). Results: There were 51,757 patients who satisfied our inclusion criteria. Among them, 13,702 patients (26.5%) were prescribed a recommended asthma-controller medication during the assessment period. In patients using a recommended asthma-controller medication, the frequency of acute exacerbations decreased in the follow-up period, from 2.7% to 1.1%. The total medical costs of the controller group decreased during the follow-up period compared to the assessment period, from $3,772,692 to $1,985,475. Only 50.9% of patients in the controller group used healthcare services in the follow-up period, and the use of asthma-controller medication decreased in the follow-up period. Conclusion: Overall, patients using a recommended asthma-controller medication showed decreased acute exacerbation and reduced total healthcare cost by half.

• 한국콘텐츠학회:학술대회논문집
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• 한국콘텐츠학회 2006년도 춘계 종합학술대회 논문집
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• pp.156-159
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• 2006

만성적인 천식환자의 자가관리는 매우 중요하고, 따라서 그러한 질병은 환자를 응급한 상황으로 이끌 수 있다. 본 연구는 질병의 갑작스런 악화를 방지하기 위한 약물과 증상관리를 위한 PDA 기반 천식 관리시스템의 설계와 구현을 기술한다. 본 시스템의 소프트웨어 프로그램은 모바일 프로그램 개발을 위한 임베디드 비주얼 C++ 툴로 개발하였고, 오브젝트 스토아(Object Store)는 데이터 관리를 위해서 사용되었다. 사용자에게 친숙한 그래픽 유저 인터페이스 환경을 제공함으로서 환자 자신들의 매일의 상태와 약물의 사용량 등을 쉽게 입력할 수 있도록 구성하여 성공적인 자가관리를 할 수 있게 되었다. 입력화면 구성은 키보드 입력을 최소화하기위해 마우스로 항목을 선택하기 쉽도록 구성하였다. 본 시스템의 구현한 결과, 실시간 데이터 수집과 처리가 가능하였고, 천식환자들의 지속적인 증상, 약물, 위험관리를 효과적으로 수행할 수 있게 되었다.

• 한국조리학회지
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• 제16권5호
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• pp.233-246
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• 2010

베이커리 종사자의 건강을 지키고 관리하는 측면과 제품 제조의 직무효율을 증가시킬 수 있는 방법을 모색하고자 직업성 천식 및 비염이 직무성과와 이직 의도에 미치는 영향을 연구하였다. 표본 조사의 대상은 서울, 경기, 인천에 소재한 호텔, 자영업 베이커리, 체인 베이커리, 대형 할인 매장 내의 베이커리에 종사하는 베이커리 종사자를 대상으로 하였고, 조사 시기는 2008월 12월 1일부터 12월 15일까지 하였으며, 245부를 본 연구의 최종 분석 자료로 사용하였다. 본 연구에서 설정된 연구 가설의 관계를 검증하기 위하여 SPSS 12.0 통계패키지를 이용하여 빈도분석, 요인분석, 신뢰도분석, 분산분석, 상관관계분석, 회귀분석을 실시하여 결론을 도출하였다. 연구 결과로는 베이커리 종사자의 직업성 천식 및 비염은 직무 성과에 영향을 미치며, 이직 의도에도 영향을 미치는 것으로 나타났다. 베이커리 종사자의 직무 성과를 높이고 이직 의도를 줄이기 위해서는 베이커리 종사자의 작업 환경을 개선시키며, 직업성 천식과 비염에 대한 교육을 실시하여 질병 예방과 완화에 노력해야 하겠다.

• 대한간호학회지
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• 제48권4호
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• pp.389-406
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• 2018

Purpose: This review aimed to evaluate the effectiveness of telemonitoring (TM) in the management of children and adolescents with asthma. Methods: We searched Ovid-MEDLINE, Ovid-EMBASE, CENTRAL (Cochrane Central Register of Controlled Trials), CINAHL (Cumulative Index to Nursing and Allied Health Literature), and 5 domestic databases to identify randomized controlled trials (RCTs) published through December 2017. Two reviewers independently selected relevant studies, assessed methodological quality and extracted data. We performed a meta-analysis of TM versus usual care and summarized the intervention characteristics of included studies. Results: Of the 3,095 articles identified, 8 RCTs (9 articles) were included in this review. The type of TM intervention of included studies was varying across studies (transmitted data, transmission frequency, data review, etc.). The pooled asthma control score was not significantly different between TM and usual care (standardized mean difference 0.04, 95% confidence interval (CI) -0.20~0.28). Another pooled analysis demonstrated no statistically significant difference in asthma exacerbation between TM and usual care (odds ratio 0.95, 95% CI 0.43~2.09). Overall, the pooled results from these studies revealed that TM did not lead to clinically significant improvements in health outcomes, but some studies in our analysis suggested that TM increased patient medication adherence and intervention adherence. Conclusion: The current evidence base does not demonstrate any differences between TM intervention and usual care, but TM intervention might be considered a promising strategy for the delivery of self-management support for children and adolescents with asthma. Further well-designed studies are needed to assess the effects on clinical outcomes.

• Clinical and Experimental Pediatrics
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• 제55권9호
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• pp.330-336
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• 2012

Purpose: Fractional exhaled nitric oxide (FeNO) and forced expiratory flow between 25% and 75% of vital capacity ($FEF_{25-75}$) are not included in routine monitoring of asthma control. We observed changes in FeNO level and $FEF_{25-75}$ after FeNO-based treatment with inhaled corticosteroid (ICS) in children with controlled asthma (CA). Methods: We recruited 148 children with asthma (age, 8 to 16 years) who had maintained asthma control and normal forced expiratory volume in the first second ($FEV_1$) without control medication for ${\geq}3$ months. Patients with FeNO levels >25 ppb were allocated to the ICS-treated (FeNO-based management) or untreated group (guideline-based management). Changes in spirometric values and FeNO levels from baseline were evaluated after 6 weeks. Results: Ninety-three patients had FeNO levels >25 ppb. These patients had lower $FEF_{25-75}$ % predicted values than those with FeNO levels ${\leq}25$ ppb (P<0.01). After 6 weeks, the geometric mean (GM) FeNO level in the ICS-treated group was 45% lower than the baseline value, and the mean percent increase in $FEF_{25-75}$ was 18.7% which was greater than that in other spirometric values. There was a negative correlation between percent changes in $FEF_{25-75}$ and FeNO (r=-0.368, P=0.001). In contrast, the GM FeNO and spirometric values were not significantly different from the baseline values in the untreated group. Conclusion: The anti-inflammatory treatment simultaneously improved the FeNO levels and $FEF_{25-75}$ in CA patients when their FeNO levels were >25 ppb.

• 한국환경보건학회지
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• 제45권6호
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• pp.613-621
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• 2019

Objectives: This study was performed to examine the relationship between health behaviors, living environment, and asthma in adolescents in Korea. Methods: Information on adolescents' characteristics, including demographic factors, health behaviors, and doctor's diagnosis of asthma was obtained from the Korean Youth Risk Behavior Web-based Survey (2015). In total, 68,043 middle and high school students participated. Environmental characteristics, including city park area and outdoor PM₁₀ concentrations in 2015 were obtained from the Korean Statistical Information Service. The adolescents' and environmental characteristics were merged by local information. Multiple logistic regression models were used to investigate the risk factors affecting asthma in adolescents. Results: The prevalence of asthma in adolescents in 2015 was 8.8%. In the multiple logistic regression analysis, adolescents who were male, attended middle school, suffered obesity, experienced tobacco smoking, had physical activity levels of 2 to 4 days, had higher stress levels, and lived in areas with outdoor PM₁₀ concentrations more than 47 ㎍/㎥ were more likely to have asthma, while adolescents who had middle levels of family economic status were less likely to do so. Conclusions: The fact that PM₁₀ concentration can affect asthma is an important point in this study. Risk factors identified in this study could be used as basic data for the prevention and management of asthma in Korea.

• 기본간호학회지
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• 제18권1호
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• pp.19-27
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• 2011

Purpose: This study was conducted to develop a respiratory nursing program using recorder playing for patients with asthma and to determine the effects of the program. Method: Participants were 26 patients with asthma (experimental group: 13, control group: 13). The experimental group participated in the respiratory nursing program for six months from April, to October, 2007. Content included playing a recorder, group education about asthma, and educational messages including cellular phone messages. The control group received usual care during the six months. Results: In this research the respiratory nursing program using recorders was developed in 3 stages: initial stage, advanced stage, and wrap up stage. Compared to the control group, fatigue status in the experimental group improved significantly as well as level of forced expiratory volume in 1 second. However significant differences were found in sleep status, mood, or quality of life. Conclusions: These results suggest that this respiratory nursing program for symptom management of patients with asthma led to improvements in self care activity. Nursing interventions are needed to maintain and further enhance the quality of life of these patients and the interventions should be implemented over a transition period.

• Journal of Medicine and Life Science
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• 제16권2호
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• pp.43-45
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• 2019

Intraoperative delivery of salbutamol (${\beta}_2$ agonist) through a breathing circuit may be performed in asthma patient. A 28-year-old woman with a history of asthma was diagnosed with chronic sinusitis and bilateral nasal polyps, and an endoscopic sinus surgery was performed. The patient was recommended salbutamol nebulization every 4 hours during the perioperative period because of the risk of asthma attack. At the end of the operation, when salbutamol was sprayed through the tube before extubation and the connector tip went inside the tube during injection. The patient was immediately referred to the pulmonary medicine department for bronchoscopy, where the foreign body was removed safely without any complications. When general anesthesia is performed on a patient who usually uses an inhaler for asthma, caution is required because the tip that connects the inhaler and the breathing circuit can aspirate into the endotracheal tube and enter the lungs when applying the inhaler before waking up the patient.