• Title/Summary/Keyword: Psychological symptom

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정신건강과 주관적 구강건강의 관련성에 대한 융합적 연구 (The Relationship Between Psychological Health and Self-rated Oral Health on Convergence Study)

  • 원영순;김지현
    • 디지털융복합연구
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    • 제13권7호
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    • pp.239-248
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    • 2015
  • 본 연구는 우리나라 성인의 정신건강과 주관적 구강건강과의 관련성을 알아보고자 제5기(2012년) 국민건강영양조사를 이용하여 19세 이상 55세 이하의 성인 3,591명을 연구대상으로 하였다. 정신건강에 따른 주관적 구강건강의 위험도와 95% 신뢰구간은 다변량로지스틱회귀분석을 통해 산출하였으며, 주요결과는 다음과 같다. 본인인지 구강건강상태에서는 스트레스를 많이 받는 경우(OR=1.62; 95% CI=1.36-1.95), 치통경험에서는 2주 이상 연속 우울감이 있는 경우(OR=1.40; 95% CI=1.06-1.85), 저작불편호소경험에서는 정신문제상담 경험이 있는 경우(OR=2.31; 95% CI=1.28-4.18), 악관절 증상경험에서는 2주 이상 연속 우울감이 있는 경우(OR=1.83; 95% CI=1.39-2.42), 말하기 문제의 경우 정신문제 상담을 받은 경우(OR=4.80; 95% CI=2.10-10.94)에서 위험도가 가장 높게 나타났다. 따라서 스트레스인지, 우울증상 경험, 정신문제 상담경험이 주관적 구강건강과 관련성이 있는 것으로 나타났다. 성인의 정신건강을 고려한 구강건강 증진 프로그램을 개발한다면 두 가지 영역에 융합적으로 많은 도움이 될 것으로 생각된다.

방풍통성산가미방을 병행한 지루성 피부염 치험 1례 (A case of Seborrheic dermatitis treated by Bangpungtongsungsangamibang)

  • 구진숙;서부일
    • 대한본초학회지
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    • 제31권2호
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    • pp.1-5
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    • 2016
  • Objectives : Seborrheic dermatitis is an inflammatory skin disorder affecting the scalp, face, and torso. Typically, it presents with scaly, flaky, itchy, and red skin. It may be aggravated by illness, psychological stress, fatigue, sleep deprivation, change of season. The purpose of this study was to report the clinical effects of herbal medicine on Seborrheic dermatitisMethods : We employed oriental medical treatments; herbal-medication (Bangpungtongsungsangamibang), acupuncture, moxibustion and cupping therapy. At the same time, the patient sweated out the skin poison. We treated him two times a week with oriental therapy method. He took medicine three times a day after a meal. During taking medicine, we let him avoid fatty food, flour based food, and alcohol. We took a picture the patient's body parts and compared the symptom with previous symptom. With the picture, we evaluated the patient's condition.Results : After taking treatment - 77 times' acupuncture, moxibustion and cupping therapy during 9 months and taking herbal-medicine, the skin condition of the patient was much improved. At first, he was troubled with itching and hot feeling at reddish area, time after time the itching and hot feeling was weakened. The reddish area was changed to scaly and flaky skin and changed to normal state.Conclusions : Herbal medicine (Bangpungtongsungsangamibang) with oriental medical treatments was an effective in the treatment of Seborrheic Dermatitis and it helped to improve regenerating the skin in the body.

Effects of Aroma Foot Bath on Urination Status and Stress related to Urination in Patients with Benign Prostatic Hyperplasia (BPH)

  • Kim, Kye Ha;Ha, Eun
    • 지역사회간호학회지
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    • 제27권3호
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    • pp.213-220
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    • 2016
  • Purpose: The purpose of this study is to evaluate effects of aroma foot bath on urination status (Prostatic Symptom and bother score due to urinary symptoms) and stress related to urination in patients with benign prostatic hyperplasia (BPH). Methods: This study consists of pre- and post-tests in a non-equivalent group design. The 52 BPH patients selected by random sampling in G City were assigned to two groups (experimental group=26, control group=26). Data of their general characteristics, urination status and stress related to urination were collected using self-reported questionnaires. Aroma Foot Bath was performed to the experimental group for 15-20 minutes every day for a week. Descriptive statistics and independent t-test were used for the analyses in this study with the SPSS/WIN 21.0 version program. Results: Prostatic symptom and bother score due to urinary symptoms in the experimental group were improved than those in the control group (t=-7.94, p<.001). Compared to the control group, the stress related to urination in the experimental group (t=-8.78, p<.001) was significantly reduced (t=-5.21, p<.001). Conclusion: The results of this study indicate that aroma foot bath is effective in improving urination status and reducing stress related to urination in BPH patients.

항암화학요법을 받는 위암 환자의 피로 변화 양상과 관련요인 (Fatigue and Related Factors in Patients with Stomach Cancer during Chemotherapy)

  • 김선희
    • 종양간호연구
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    • 제10권1호
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    • pp.10-18
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    • 2010
  • Purpose: This study was intended to identify the patterns of fatigue and its related factors in patients with stomach cancer during chemotherapy. Methods: Thirty participants (24 males and 6 females) were recruited for this study which utilized a longitudinal and descriptive approach. The research instruments included the Revised Piper Fatigue Scale, Symptom Distress Scale, and Linear Analogue Self Assessment Scale. The participants received 5-FU and Adriamycin at the first week and 5-FU only at the second and third week. The instruments were measured six times in total. The data were analyzed using SPSS 17.0. Results: It was found that fatigue scores in patients with stomach cancer, receiving 5-FU and Adriamycin (FA) regimen, reached the highest level on the third day (F=9.37, p=.024) after the initial infusion, and decreased gradually afterward. The symptom and psychological distress scores illustrated very similar pattern. The concept of multidimensionality of fatigue in patients with stomach cancer was supported in this study, showing that all four dimensions of the scale were positively correlated. Conclusion: The results of this study provided useful information of patients with stomach cancer on fatigue and other related symptoms which they experienced during weekly scheduled chemotherapy with FA regimen.

Reliability and Validity of the Korean Version of the Cancer Stigma Scale

  • So, Hyang Sook;Chae, Myeong Jeong;Kim, Hye Young
    • 대한간호학회지
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    • 제47권1호
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    • pp.121-132
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    • 2017
  • Purpose: In this study the reliability and validity of the Korean version of the Cancer Stigma Scale (KCSS) was evaluated. Methods: The KCSS was formed through translation and modification of Cataldo Lung Cancer Stigma Scale. The KCSS, Psychological Symptom Inventory (PSI), and European Organization for Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 (EORTC QLQ-C30) were administered to 247 men and women diagnosed with one of the five major cancers. Construct validity, item convergent and discriminant validity, concurrent validity, known-group validity, and internal consistency reliability of the KCSS were evaluated. Results: Exploratory factor analysis supported the construct validity with a six-factor solution; that explained 65.7% of the total variance. The six-factor model was validated by confirmatory factor analysis (Q (${\chi}^2/df$)= 2.28, GFI=.84, AGFI=.81, NFI=.80, TLI=.86, RMR=.03, and RMSEA=.07). Concurrent validity was demonstrated with the QLQ-C30 (global: r=-.44; functional: r=-.19; symptom: r=.42). The KCSS had known-group validity. Cronbach's alpha coefficient for the 24 items was .89. Conclusion: The results of this study suggest that the 24-item KCSS has relatively acceptable reliability and validity and can be used in clinical research to assess cancer stigma and its impacts on health-related quality of life in Korean cancer patients.

지역사회 정신건강복지센터를 이용하는 만성정신질환자의 비만 관련요인 (Obesity and Related-factors in Patients with Chronic Mental Illness Registered to Community Mental Health Welfare Centers)

  • 박은숙;이은현
    • 지역사회간호학회지
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    • 제29권1호
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    • pp.76-86
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    • 2018
  • Purpose: The purpose of study was to examine the relationship between obesity and its associated factors (psychiatric symptom, duration of illness, type of medication, physical activity, dietary habits, depressive symptom, and stress) in patients with chronic mental illness registered to community mental health welfare centers. Methods: This was a cross-sectional correlation study using a convenience sampling. A total of 392 participants were recruited from community mental health welfare centers. The obtained data were analyzed using binary and multinomial logistic regression. Results: Atypical antipsychotic medication, duration of illness, dietary habits (overeating, and drinking instant coffee) were significantly contributed variables into body mass index (BMI) obesity. Atypical antipsychotic medication and instant coffee were significantly related to abdominal obesity. Conclusion: These results emphasized the needs of tailored obesity-preventive management for the community-dwelling patients with chronic mental illness, topically focusing on the administration of atypical antipsychotic medication, duration of illness, and dietary habits.

강박장애의 개념과 진단기준의 변천과 향후 방향 (Concept, Diagnostic Criteria and a Future Prospective of Obsessive-Compulsive Disorder)

  • 노대영;김지민;김찬형
    • 대한불안의학회지
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    • 제6권2호
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    • pp.93-101
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    • 2010
  • Research on obsessive-compulsive disorder (OCD) has advanced substantially since the DSM-IV was published in 1994. It is time to reexamine the nosology of this disorder, reviewing conflicting views regarding the classification as well as subtypes and specifiers of OCD. Although there is ongoing debate, OCD experts have suggested that OCD be retained in the section related to anxiety disorders and also that along with OCD, this section include obsessive-compulsive spectrum disorders (OCSD), a group of disorders closely related to OCD. A combined 'anxiety and obsessive-compulsive spectrum chapter' has also been proposed to include OCSDs. A growing body of scientific data has provided empirical support for the inclusion of a 'tic-related' subtype of OCD in the DSM-V. However, it remains controversial as to whether to introduce OCD symptom dimensions as specifiers as well as items in the diagnostic criteria. With regard to compulsive hoarding, there has been sufficient evidence to recommend that it be classified in the DSM-V as a separate disorder. Much work remains in order to ensure that the DSM-V is as evidence based as possible. It is necessary to strive toward integrating the biological and psychological data related to OCD and OCSD based on their endophenotypic features.

치매 환자의 초조행동 관련변인에 관한 메타분석 (A Meta-Analysis of the Variables related to Agitation in Patients with Dementia)

  • 박희옥;강민숙;박은실
    • 성인간호학회지
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    • 제28권2호
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    • pp.213-225
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    • 2016
  • Purpose: The purpose of this study was to provide basic data about agitation in patients with dementia by surveying the literature. Method: Key words used for search through hand-search and electronic database (CINHAL, Pubmed, Google scholar, Riss, Kiss, DBpia) included 'dementia', 'Alzheimer disease', 'agitation', 'aggression or aggressive behavior', 'problem or disruptive behavior', and 'abnormal behavior.' Seventeen studies met the inclusion criteria for the Meta-analysis and 'R' version 3.2.2 was used to analyze the correlated effect size. Results: Study results showed that variables related to agitation were identified as the demographic (age, gender), dementia-related (cognition, medication uses), physical (Activity of Daily Living [ADL], pain), psychological (depression, psychotic symptom, caregiver burden) and environmental (psychosocial environment) factors. The effect size between the correlated variables and agitation were low to moderate (caregiver burden .36; ADL -.24; psychotic symptom and depression .21; pain .19; cognition -.15; medication uses .12; and psychosocial environment -.12). Conclusion: Based on the findings of this study, strategies to improve patients' depressive and psychotic symptoms and ADL and to reduce caregivers' burden are needed for prevention and management of agitation in patients with dementia.

요추추간판 탈충증에 대한 상체견인(V-trac)의 치료효과 연구 (Treatment Effects of Upper Body Traction (V-trac) for the HIVD)

  • 김명준;박지환
    • 대한물리치료과학회지
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    • 제2권4호
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    • pp.749-761
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    • 1995
  • The purpose of this study was to analyze the effects of V-trac on the clinical characteristics of patients who suffered from HIVD. The data were collected from 500 cases who had lumbar disc problems, from August, 1993 to July, 1995. The results of study were as follows; 1. Total patients statistics; mean age is 38 years, average duration of symptom is 5.4 years. 2. Symptomatic effects; HNP is 89.5 %, spinal stenosis is 55.1 %, and mean effects of total symptom is 80.0 %. 3. Pain relief effects; 1st session is 85.0 %, 7 th sessions are 89.3 %. 4. Back muscle improved effects; 10 sessions are 25.6 % rather than 1st session patients. 5. Sciatic scoliosis correction effect; Corrected scoliosis is improved 86.6 % by the 14 sessions V-trac. 6. Psychological effects; mental vigour is 51.2 %, emotional stability is 57.4 %, well-being is 72.5 %, comfortable sleeping is 60.2 %. 7. Follow-up states after V-trac therapy; Good conditions are 72.0 %, less conditions are 28.0 % after 1 month.

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浸淫瘡에 關한 文獻的 考察 (A Literature Review of )

  • 조용주;채병윤
    • 한방안이비인후피부과학회지
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    • 제9권1호
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    • pp.114-128
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    • 1996
  • "Chimumchang" seems to be a kind eczema. The cause and symptom of eczema is similar to that of chimumchang. so, I investigated the literatures of oriental medicin and recent medicine. The results are summarized as follows. 1. Chimumchang seems to be a kind of eczema. Allergic contact dermatitis, atopic dermatitis, seborrheic dermatits, neurodermatitis, nummular dermatitis, xerotic eczema and so on are similar to chimumchang on cause & symptom. 2. The cause of chimumchang are summer vital energy excess(夏脈太過), sehwa excess(歲火太過), herat meridian wind-heat(心經風熱), heart fire(心火), wind taken spleen dampnees(脾濕受風), and so on. The cause of eczema are contact of external agent, immunological problem, heridity, infection, abnormalities of sebaceous glands, neurologic dysfuction, and so on. 3. The symptoms of chimumchang have been described to the three pattern on literature of oriental medicine until now. 1) scratching slightly, It has exudation, and combination. 2) Vital energy on skin is irritable by psychological problem. At the acute stage the patient is complain of itching & pain, and gradually the exudation expands in whole body. 3) early peorid it's size is very small, and at first the patient is complain of itching, later complain of pain. The exudation change to ulcer and expands in the whole body. 4. In the investigation of prescription(Total: 34, Oral medicine: 4, Ointment: 30), the most frequently used oral medicine is sungmatang(4 times), and the most frequently used ointment are kohosan, korvunsan and kegwanhyuldobang.

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