• Title/Summary/Keyword: Loss Anxiety

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Undergoing Noninvasive Mechanical Ventilation (비침습적 인공호흡기 적용 환자의 불편감 연구)

  • Shin, Hyun-Ja
    • Journal of Korean Critical Care Nursing
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    • v.2 no.1
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    • pp.69-80
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    • 2009
  • Purpose: The purpose of this preliminary study was to describe the physical and psychosocial distress of critically ill patients undergoing noninvasive ventilation(NIV). Method: Open-ended question interviews were conducted with four patients using NIV. Considering the outcomes of the interviews, literature, and experts'opinions, a survey questionnaire was developed. Twenty patients in medical and surgical intensive care units answered the questions. Results: Through open-ended question interviews and survey, the patients using NIV reported feeling heavy, impotent feeling, pain, loss in feeling, loss in communication, and lack of sleep as physical distress and a loss in sense of time, pain, anxiety, mind of desiring to die, worry about family, and a sense of burden for medical-cure expenses as psychosocial distress. Conclusion: Critically ill patients undergoing NIV experience physical and psychosocial distress to artificial respiratory ventilation treatment. Further research should be performed with a large sample for generalization of the study result.

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Literatural Study on the Factors Influencing on Postpartum Weight Retention (산후비만에 영향을 미치는 인자에 대한 문헌적 고찰 -Medline에서 검색한 연구논문을 중심으로-)

  • Ryu, Eun-Kyung;Kim, Kyung-Sook
    • Journal of Korean Medicine for Obesity Research
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    • v.1 no.1
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    • pp.63-75
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    • 2001
  • Objectives : Many women associate one or more of their pregnancies with the development of adult obesity. This study was designed to determine influencing factors on postpartum weight retention and whether the breast-feeding was available to weight loss in puerperium. Methods : Articles from the literature on 'postpartum weight retention' were examined. Results : These articles show that different factors were related with postpartum weight retention. This study suggests that moderate weight gain during pregnancy is important to prevent postpartum maternal obesity. Especially weight gain from 20 weeks to 36 weeks of pregnancy is important. Falling in depression and anxiety during postpartum period should be avoided and social support is also needed. Delivery at the financially secure status is also recommended. Sufficient physical activity and exercise are needed to prevent from postpartum weight retention. Weight loss with dieting and exercise during lactation don't have a bad influence on the growth of infants.

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Rapid Weight Loss and Physical and Psychological Difficulties in National Combat Sports Athletes (국가대표 투기종목 선수들의 급속 체중 감량과 신체적, 심리적 고충)

  • Kim, Hyun-Chul;Park, Ki-Jun
    • Journal of the Korean Society of Physical Medicine
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    • v.15 no.3
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    • pp.61-68
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    • 2020
  • PURPOSE: The purpose of this study was to investigate the current state of rapid weight loss and physical and mental complaints among elite combat athletes who were selected and trained as national representatives. METHODS: A total of 127 combat athletes who had trained at the national training center in 2019 were enrolled. The questionnaire used as the survey tool was interpreted as words that Korean athletes could easily understand based on the Portuguese version of the 'Rapid Weight Loss Questionnaire' (RWLQ). χ2 tests was performed to determine the differences in physical and mental changes according to sports and weight loss method. RESULTS: Combat athletes in Korea regularly undergo rapidly weight loss within a short period of time prior to competition. There were statistically similar results in terms of weight loss method, physical and mental changes and information about weight loss according to the sport. Weight loss methods often limit food and water intake and dehydrate. The physical complaints associated with them are symptoms such as "no energy", "dizziness", and "muscle spasms". The mental complaints include "irritability", "concentration loss" and "anxiety". These symptoms can be caused by side effects such as food intake limitation, water restriction and dehydration. Information sources for weight loss were in the order of "senior or colleagues", "supervisor or coach", and "Internet". No information was obtained from a doctor or dietitian. CONCLUSION: These results provide a baseline for predicting proper weight loss in athletes and provide useful information for developing performance enhancement as well as weight loss.

A Study on the Effects of the Economic Stress and State-Trait Anxiety on the Periodontal Disease (경제적 스트레스와 상태.특성불안이 치주질환에 미치는 영향)

  • Ryu, Hae-Gyum
    • Journal of dental hygiene science
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    • v.12 no.6
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    • pp.583-590
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    • 2012
  • The purpose of this study was to investigate effect of the economic stress and state-trait anxiety on the periodontal disease in order to prevent the occurrence and progression of periodontal disease. Date were collected from total of 326 subjects in their forties and fifties by using questionnaire and examination of periodontal states during the period from February to November 2011. Results were analyzed by using frequency, t-test, ANOVA and Multiple regression of SPSS ver. 19.0. 1. The economic stress were significant statistically to the higher, medium and low of gingival index (p<0.01). 2. The state-trait anxiety were significant statistically to the higher, medium and low of gingival index (p<0.001), of the pocket depth (p<0.05), of the clinical attachment loss (p<0.05). 3. The gingival index were investigate effect of the higher the economic stress ($\beta$=0.052, p<0.01), the higher the state-trait anxiety ($\beta$=0.052, p<0.01). As a result, this study suggests that the dental clinic institute needs to let the patients with the periodontal disease know about the effects of economic stress and state-trait anxiety. They also necessarily need to implement education program including stress management, economic stress, and state-trait anxiety improvement in order to prevent periodontal disease and to take charge.

A Case Study of Chronic Anal Fissure Treated With Chijasi-tang and Counseling (8년 동안 진행된 만성치열(Chronic anal fissure) 환자에게 치자시탕과 상담요법을 사용하여 호전된 치험 1례)

  • Lee, Soong-in;Cho, Min-seok;Lee, Sung-jun;Jeong, Jong-kil
    • Herbal Formula Science
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    • v.23 no.1
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    • pp.161-169
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    • 2015
  • Objectives : This study is aimed to report the outcomes of the treatment of a patient with chronic anal fissure during a 8-year period. Methods : Basic patient’s data was analyzed as a CARE guideline. And related psychological state was measured with BAI, STAI-X-II test. Results : The treatment is based on Shanghanlun and the patient reported better outcomes. The main symptoms of the patient were chronic constipation, blood in the stool. The main clinical findings were that the patient’s symptoms got worse during the examination period because of the anxiety of the exam. And loss of appetite and digestive disorders are due to Jue-Yin-Bing(厥陰病) and the clue of bleeding can be found in article 375 in Shanghanlun. The main diagnoses was chronic anal fissure and main interventions were Chijasi-tang according to article 375 in Shanghanlun and counseling on anxiety. As a results bleeding has stopped after taking herbal medicine and constipation has been treated at the same time. After 6 months, the patient performed BAI, STAI-X-II test and scores got lowered indicating decreasing anxiety level. Conclusion : Chijasi-tang with counseling achieved valid positive results to the patient with chronic anal fissure.

Effects of Korean Medicine Music Therapy on Anxiety, Anger Expression, and Concentration of Smart phone Addicted Adolescents (한방음악치료가 스마트폰 중독 청소년의 불안과 분노표현 및 주의집중력 향상에 미치는 영향)

  • Lee, Mi-hee;Lee, Seung-hyun
    • Journal of Korean Medical classics
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    • v.30 no.3
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    • pp.133-141
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    • 2017
  • Objectives : As of 2013, South Korea ranked number one in the world in smartphone penetration rate with 67.6%. Unfortunately, with the rise of smart phone use, side effects such as fraud, loss of personal information, identity theft, formation and widening of a mobile information gap, and last, but not least, smart phone addiction, also increased. Methods : Seventh (7th)graders from a girls' junior high school in Seoul, the capital of South Korea, we reevaluated the Smart phone Addiction Proneness Scale (S-scale). Among the 9 students classified as high risk users, 5 were randomly selected for a study group, and the remaining 4 students, meanwhile, were designated as a control group. The study group received Korean medicine music therapy (KMMT) in a total of 8 sessions, each session lasting 50 minutes. Both pre- and post-interventions, the two groups completed the S-scale, Harris and Harris' concentration grid exercise, STAI, and STAXI-K. We analyzed the data by t-test and paired t-test using IBM SPSS Statistics. Results : KMMT had a significant influence on proneness to smart phone addiction (t=3.130, p=.035). KMMT had positive effects on concentration improvement (t=-2.935, p=.043), trait-anxiety symptoms improvement (t=2,992, p=.040), and anger-expression control (t=4.416, p=.012). Conclusions : KMMT had positive, improving effects on trait anxiety and anger expression, which in turn enhanced the improvement of concentration as well as the decrease of smart phone-addiction proneness.

An Experimental Study on the Anti-stress Effect by Soyangin Hyeongbangdojeok-san and Yanggyeoksanhwa-tang (소양인 형방도적산과 양격산화탕의 항 스트레스효과에 관한 실험적 연구)

  • Lee, Seung-Yeop;Choi, Ae-Ryun;Ha, Jin-Ho;Lee, Jung-Hwan;Kim, Pan-Joon;Goo, Deok-Mo
    • Journal of Sasang Constitutional Medicine
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    • v.20 no.3
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    • pp.151-163
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    • 2008
  • 1. Objective This study was done to identify the anti-stress effect of Hyeongbangdojeok-san (HDS), Yanggyeoksanhwa-tang(YST) in Soyangin. 2. Methods Experimental animals were composed of YST, HDS+stress groups which were administered each by 200mg/kg, 400mg/kg and the Saline+stress group. On the 1st day, making the rats forced swim and on the 2nd day, applying Forced swimming test to the rats. After FST, the levels of Corticosterone in the blood were measured. For the study of learning retardation, memory ability and anxiety reaction, experimental animals were composed of YST, HDS+restraint stress groups which were administered each by 400mg/kg, no stress group and the Saline+restraint stress group. Restraint stress were applied 2 hours a day for 3 weeks. On the last day of the 3rd week, Elevated Plus Maze(EPM) was applied to the groups and Morris Water Maze(MWM) was applied to the groups for 7 days. 3. Results 1. As the results of measuring FST which reflects depression, the YST+stress group and the HDS+stress group showed significant effect in comparison with the Saline+stress group. The levels of Corticosterone in the blood were decreased only in the 400mg/kg YST+stress group. 2. As the results of measuring how long EPM which reflects anxiety reaction stayed in the open arm, there was the trend which can suppress anxiety reaction in the HDS+restraint stress group bur no statistical significance. But there was any suppression of anxiety reaction in the YST+restraint stress group. 3. According to the result of MWM, the saline+restraint stress group showed the learning retardation which means increased time arriving at goal compared to the normal group at the second and third day of measurement. On the contrary, a learning retardation was significantly decreased in the YST+restraint stress group at the third day of measurement. 4. Among the Probe trial test a memory loss occurred in the saline+restraint stress group, but memory ability was significantly increased in the YST+restraint stress group. 4. Conclusion: As the results above, Soyangin Yanggyeoksanhwa-tang has significant influence to the antidepression effect, the learning retardation, the anxiety reaction and also in the Hormone level. Hyeongbangdojeok-san has significant influence to the antidepression effect, in the Hormone level, bur not to the learning retardation and anxiety reaction. prefer to drink cold water, and who are suffering from chronic gastritis.

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Chronological Changes in Quality of Life after Distal Gastrectomy for Gastric Cancer

  • Park, Ki Bum;Lee, Seung Soo;Kwon, Oh Kyoung;Chung, Ho Young;Yu, Wansik
    • Journal of Gastric Cancer
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    • v.17 no.2
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    • pp.110-119
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    • 2017
  • Purpose: Patient quality of life (QoL) may be severely disrupted following distal gastrectomy for gastric cancer. This issue should be addressed to improve postoperative care. Materials and Methods: QoL data from the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire, and its gastric cancer-specific module, were administered to 202 patients preoperatively, and 5 years postoperatively. Patients were classified into subgroups based on their answers to each questionnaire item: group I (good), answering "not at all"; group II (fair), answering "a little"; group III (poor), answering "quite a bit" or "very much." Results: At 5 years post-operation, the proportion of patients in group III on the functional scales ranged from 4.3% to 5.7%. The proportions of patients in group III with fatigue, insomnia, diarrhea, and financial difficulties were 8.9%, 9.0%, 11.5%, and 9.1%, respectively. The proportions of patients in group III with anxiety, dry mouth, body image concerns, and hair loss were 12.8%, 10.5%, 9.9%, and 12.6%, respectively. These proportions were less than 5% for other QoL symptom scales/items and for the gastric cancer-specific module. Conclusions: Most patients reported good or fair QoL following surgery. However, symptom management of fatigue, insomnia, diarrhea, anxiety, dry mouth, body image, and hair loss should be specifically targeted for long-term patient care in approximately 10% of patients.

A Study on the Classification of Nursing Diagnoses by Student Nurses (간호학생이 내린 간호진단 분석에 관한 연구)

  • Min, Soon
    • Journal of Korean Academy of Nursing
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    • v.25 no.3
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    • pp.457-471
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    • 1995
  • This research was done to promote improvement of practical application of nursing diagnoses and to improve the quality of nursing. The subjects of this research were 156 second year students of C junior nursing college who were giving adult patient care. The nursing diagnoses of 312 reports were analyzed using NANDA. In these case reports only nursing diagnoses were considered, of which there were a total of 982. In the data analysis the 9H of the nursing students' nursing diagnoses matched with 105 NANDA nursing diagnoses, Of these, the most frequent diagnoses were pain(165, 17.48%), anxiety(101, 10.70%), alteration in nutrition(83, 8.79%) , sleep disturbance (67, 7.10%), in activity intolerance (67, 7.10%), ineffective breathing pattern(51,5.40%). The etiology for the students' nursing diagnoses were compared with NANDA's nursing diagnoses by frequency. The most frequent etiology for the nursing diagnoses of pain was a biological etiology(50, 31%), for anxiety, situation crisis(58, 57.43%), for alteration in nutrition, indigesion(23, 27.71%), for sleep disturbance, external etiology(25, 37.32%), for activity intolerance, immobile position(22, 32.84%), for ineffective breathing pattern, pain(35, 68.63%), and for ,impaired physical mobility, pain(31, 65.96%). The most frequent etiology for constipation was inadquate digestion of water and cellulose (16, 34.78%), for fluid volume felicity, loss of body fluid (21, 52.50%), for impaired skin integrity, external etilogy(16, 43.24%), for impaired physical mobility, pain(22, 62.86%) , for knowledge deficits, cognition disturbance(9, 27.27%), for ineffective air way clearance, secretion obstruction(14, 48.27%) , for impaired gas exchange, loss of transport ability of blood oxygen(9, 37.50%) , and for powerlessness, therapy environment (5, 22.73%). The number of nursing diagnoses by pattern was exchange(16), moving(6), feeling(4), choosing(4), relating(3), communication(1), perceiving(1), knowing(1), valuing(1).

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The Mental Health of Hospital Workers During the Initial Phase and Third Wave of the COVID-19 Pandemic: Exploring Risk and Protective Factors in the Prolonged Pandemic

  • Choi, Huiyoung;Lee, Wangjun;You, Myoungsoon;Chang, Jhin Goo;Hong, Minha;Kim, Hyun-Soo;Lee, Su Young
    • Anxiety and mood
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    • v.18 no.2
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    • pp.80-91
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    • 2022
  • Objective : Hospital workers' mental health has deteriorated because of the ongoing COVID-19 pandemic. The purpose of this study was to investigate the impact of the prolonged COVID-19 pandemic on the mental health of hospital workers and its determinants. Methods : Two surveys were conducted among employees working in a hospital that received COVID-19 patients from the early phase of the pandemic in South Korea. Data on demographics, perceived threat, workplace evaluation, resilience, and mental health status were collected using the Korean General Health Questionnaire-20 in the initial phase (February 2020) and during the third wave of COVID-19 (December 2020) for 467 and 545 workers, respectively. The mental health of hospital workers in the two phases was compared, and the risk and protective factors during the third wave were investigated. Results : The proportion of patients in the psychiatric high-risk group increased from 2.8% in the initial phase to 11.4% during the third wave. The perceived threat, workplace evaluation, and resilience of respondents deteriorated. Risk factors for mental health during the third wave included the perceived threat items of job stress, loss of control, and considering resignation. Protective factors included presence of children, workplace satisfaction, and hardiness in resilience. Conclusion : Hospital workers' mental health deteriorated as the pandemic progressed. General stress and tension such as job stress, loss of control, considering resignation rather than COVID-19-specific stress had negative effects on mental health of hospital workers. Therefore, care for work stress itself can be helpful to maintain the mental health of hospital workers. Also, governance to improve workplace satisfaction or hardiness in resilience can be a potential protective factor for hospital workers' mental health during the prolonged pandemic.