• 동서간호학연구지
• /
• 제22권1호
• /
• pp.17-23
• /
• 2016

Purpose: The purpose of this study was to conduct a keyword analysis for exploring the symptoms of Mibyeong and related factors of Korean nurses from domestic nursing research journals from 2000 to 2015. Methods: A total of 63 studies were chosen for analysis using the keywords of "nurses", "fatigue", "pain", "sleep", "digestion", "depression", "anger", "anxiety", "stress", and "quality of life." Results: Fifteen out of 63 studies were published in the Journal of Korean Academy of Nursing Administration and studies were increasing rapidly since 2007. Keyword analysis revealed that majority of the studies were about stress, fatigue, and sleep disturbance. Symptoms of complaints in nurses were similar to those of Mibyeong in Korean Medicine. This study found that there was a need to utilize a feasible interventions in order to manage health in individuals. It is important to mange symptoms of Mibyeong in nurses since they are more vulnerable to it. Conclusion: The concept of Chi-Mibyeong may be helpful for nurses to promote their health as a prevention in Korean medicine before the onset of illness.

• Journal of Korean Biological Nursing Science
• /
• 제11권2호
• /
• pp.167-175
• /
• 2009

Purpose: The purpose of this study was to examine the prevalence and factors on Irritable Bowel Syndrome (IBS) symptoms in university students. Methods: This study was descriptive survey research. The subjects were 187 university students from one university. The exclusion criteria were 1) had GI surgery 2) had severe physiologic or psychologic problems 3) had liver, bile duct, pancreatic, and intestinal disease that required treatment. The ROME III was used to diagnose IBS. Sociodemographic characteristics, general health state by SF-36, psychological health by SCL-90-R, stress by perceived stress scale, sleep disturbance by Korean sleep scale, and diet habits were measured. Data were analyzed by using SPSS 17.0. Results: Seventeen students (9.1%) had IBS by ROME III criteria, but 46% had some GI problems at that time. Abdominal pain or discomfort continued for last six months or more in 14.3%. Fiber intake, obsessive-compulsiveness, hostility, psychoticism, global severity index, positive symptom distress, role physical, bodily pain, social functioning, and mental health were significantly different between IBS group and Non IBS group. Conclusion: Over nine percent of the students were diagnosed by Rome III criteria, and almost half of them had some GI problems. Diet, personality, general health state, and psychological health were factors of IBS.

• 생물치료정신의학
• /
• 제24권3호
• /
• pp.142-155
• /
• 2018

Insomnia in patients with hematopoietic stem cell transplantation(HSCT) has been underdiagnosed and undertreated. This study reviewed the frequency, characteristics, physical and psychological effects, and treatments of insomnia in HSCT patients to highlight clinical importance in this specialized population. Furthermore, the authors intended to suggest a model that would conceptualize insomnia in the context of HSCT. In the pre-transplant period, about half of patients with HSCT suffered from sleep disturbance. A substantial number of patients experienced distressing insomnia during the HSCT procedure and recovered to the level of the pre-transplant period. However, sleep disruption could be a chronic symptom in HSCT survivors and could negatively impact quality of control, cancer-related fatigue(CRF), immune function, and psychological distress. The 3P's model(Predisposing, Precipitating, Perpetuating) explains insomnia in cancer population and could be also relevant to HSCT patients with specific consideration of CRF, graft-versus-host diseases, specific properties of hematological disease, and protective isolated milieu. Effective treatment of insomnia in HSCT includes non-pharmacological(e.g., cognitive behavioral therapy, environmental modification) and pharmacological interventions. The decision of pharmacological treatment should be based on the issue of safety due to high risk of potential drug-drug interactions. Screening, treatment, and further research of insomnia in HSCT patients using validated subjective and/or objective measures are warranted.

• 대한한의학회지
• /
• 제44권3호
• /
• pp.117-125
• /
• 2023

Objectives: This study is to report a case of prurigo nodularis with skin rash that occurred after COVID-19 vaccination improved by Korean medicine treatment. Methods: The patient visited our hospital complaining of prurigo nodularis and skin rashes which occurred in various parts of the body (Total score 17). The patient complained of sleep disturbance (NRS 9) due to nighttime pruritus (NRS 7). Based on the patient's symptoms, herbal medicine Soshiho-tang and acupuncture on the left Triple Energizer Hangyeok was prescribed. Results: Most of the skin symptoms improved significantly leaving only scars, minor scratches and pigmentation (Total score 17 → 6). The patient's sleep condition improved (NRS 7 → 1) as the pruritus decreased from NRS 9 to 2. Conclusions: This study is significant in that the patient with prurigo nodularis accompanied by skin rash effectively improved by the Korean Medicine treatment.

• Clinics in Shoulder and Elbow
• /
• 제3권2호
• /
• pp.102-108
• /
• 2000

The aim of this study is to determine if intra-bursal morphine and Bupivacaine mixed infusion provided useful analgesia after subacromial arthroscopic operation. At the end of the subacromial arthroscopy, continuous intra-bursal infusion catheter was inserted. In a double-blind randomized trial, Sixty patients were allocated to one of two groups: placebo group(n=30) received continuous saline infusion. Study group received mixed 5㎖ of 0.5% Bupivacaine, 2㎎ of morphine and 0.05㎖ of 1/1000 epinephrine as bolus and mixed solution of 40㎖ of 0.5% Bupivacaine and 8㎎ of morphine as maintenance dose with continuous infusion pump(0.5㎖ hourly). In the placebo group, two patients were discontinued due to leakage and catheter coming out each. Intensity of pain was evaluated preoperatively and postoperatively for 3 days by 10 graded visual analogue scale. Night pain, pain on motion, sleep disturbance, lying on painful shoulder and amounts of intramuscular pain killer were recorded. Analgesic effect for pain was cleared at 1st and 2nd postoperative day and there was less sleep disturbance for 3 days postoperatively in study group. There was no difference in pain on motion postoperatively. In study group, less pain killers were used in the first 48 hours postoperatively. The continuous intra-bursal infusion decreased perception of pain at resting stage and reduced supplemental analgesic requirement for 2 days postoperatively.

• 정보과학회 컴퓨팅의 실제 논문지
• /
• 제23권7호
• /
• pp.434-439
• /
• 2017

수면장애로 고통을 받고 있는 사람들은 꾸준히 증가하고 있으며, 다양한 수면장애 원인이 존재한다. 따라서 수면장애를 겪고 있는 사람들에게 수면장애 원인을 진단하거나 수면상태 모니터링을 도와주는 수면 관련 헬스케어 산업이 각광받고 있다. 하지만 현재 서비스들은 모든 데이터를 원격지 서버로 전송해 서버에서 모든 것을 처리하는 단순 원격진료 서비스이기 때문에 데이터 집중현상에 취약하고, 원격지 피보호자의 다양한 생체 데이터를 동기화시켜 실시간으로 스트리밍하지 못한다는 단점이 있다. 이 문제를 해결하기 위해, 중앙 서버가 없는 자율군집형 분산 미들웨어 플랫폼을 이용하여 피보호자의 생체 데이터를 실시간으로 병원 혹은 보호자에게 스트리밍하는 서비스 구조를 제안한다. 제안하는 서비스 플랫폼의 기능 검증을 위해 스트리밍 요청에 따른 서비스 시작 소요시간과 평균 지연시간을 평가하고, 효과적인 스트리밍 서비스의 제공이 가능함을 확인하였다.

• 환경정책연구
• /
• 제8권2호
• /
• pp.63-82
• /
• 2009

도로, 철도, 공항을 포함하는 교통시설에 의한 교통소음으로 인하여 많은 사람들이 신체적 및 정신적인 피해를 받고 있는 가운데 선진국의 경우 교통소음에 노출된 인체 건강의 위험성을 인지하고 그것을 해결하기 위한 많은 연구가 수행되고 있다. 이러한 연구흐름에 따라 본 연구에서는 교통소음의 건강영향에 대한 국내외 연구결과를 바탕으로 하여 국내 교통소음에 의한 건강위해성을 평가할 수 있는 기본적인 방안을 모색해 보고자 한다. 교통소음의 건강영향에 대한 평가방법 중에서 많은 연구가 진행되고 있는 교통소음에 의한 성가심 및 수면방해 연구는 교통소음의 측정자료 및 설문조사결과를 바탕으로 소음지표에 대한 불쾌감 및 수면방해 호소비율의 관계를 보여주고 있다. 이에 대한 국내외의 노출-반응 예측결과를 비교해 보면 우리나라 사람들이 다른 나라 사람들보다 교통소음에 대해 대체로 더 높은 소음성 불쾌감 및 수면방해를 호소하는 것을 알 수 있다. 교통소음의 건강영향에 대한 연구결과 및 외국의 사례를 바탕으로 교통소음의 건강위해성을 평가할 수 있는 기본적인 방안을 제시하였는데 그에 대한 내용은 국내 교통소음 건강영향 예측모델의 개선을 통한 객관적인 평가기준 마련과 아울러 교통소음에 대한 사람들의 인식정도나 소음환경의 질을 향상시킬 수 있는 저감방안 마련을 포함한다.

• 대한두개안면성형외과학회지
• /
• 제18권2호
• /
• pp.97-104
• /
• 2017

Background: Nasal bone fracture is one of the most common facial bone fracture types, and the surgical results exert a strong influence on the facial contour and patient satisfaction. Preventing secondary deformity and restoring the original bone state are the major goals of surgeons managing nasal bone fracture patients. In this study, a treatment algorithm was established by applying the modified open reduction technique and postoperative care for several years. Methods: This article is a retrospective chart review of 417 patients who had been received surgical treatment from 2014 to 2015. Using prepared questionnaires and visual analogue scale, several components (postoperative nasal contour; degree of pain; minor complications like dry mouth, sleep disturbance, swallowing difficulty, conversation difficulty, and headache; and degree of patient satisfaction) were evaluated. Results: The average scores for the postoperative nasal contour given by three experts, and the degree of patient satisfaction, were within the "satisfied" (4) to "very satisfied" (5) range (4.5, 4.6, 4.5, and 4.2, respectively). The postoperative degree of pain was sufficiently low that the patients needed only the minimum dose of painkiller. The scores for the minor complications (dry mouth, sleep disturbance, swallowing difficulty, conversation difficulty, headache) were relatively low (36.4, 40.8, 65.2, 32.3, and 34 out of the maximum score of 100, respectively). Conclusion: Satisfactory results were obtained through the algorithm-oriented management of nasal bone fracture. The degree of postoperative pain and minor complications were considerably low, and the degree of satisfaction with the nasal contour was high.

• 대한영양사협회학술지
• /
• 제23권4호
• /
• pp.408-430
• /
• 2017

The purpose of this study was performed to investigate dietary and lifestyle habits, dietary behaviors, and food frequency according to the level of smartphone addiction among 408 university students in Kyungnam province. Statistical analyses were performed using the SPSS software package. Based on using the Smartphone Addiction Poneness Scale, 28.4% were potential-risk smartphone users and while 13.2% were high-risk smartphone users. The levels of depression (P<0.05) and stress (P<0.05) and frequency of snacks (P<0.01) were higher in high-risk and potential-risk groups than in the normal group, and meal frequency was highest in the high-risk group (P<0.01). Percentages of using a smartphone at meal time (P<0.01) and snacking while using a smartphone (P<0.01) were higher in potential-risk and high-risk groups than in the normal group. Percentages of skipping meals (P<0.001) and slow eating speed (P<0.01) due to using a smartphone were higher in high-risk and potential-risk groups than in the normal group, and percentages of taste change (P<0.05) were higher in the high-risk group than in the potential-risk and normal groups. Percentages of exercise reduction (P<0.01), body weight increase (P<0.05), sleep disturbance (P<0.001), and increase in stress (P<0.01) due to using a smartphone were higher in the high-risk group than in the normal group. Scores of dietary behaviors avoiding salty food (P<0.01) and excessive drinking (P<0.001) were higher in the high-risk group than in the normal group. Scores for frequency of oil or nuts (P<0.05) and fatty meats (P<0.01) were highest in the high-risk group. Our results suggest that effective nutrition education programs are needed to solve unhealthy dietary and lifestyle habits from high-risk smartphone users in university students.

• 대한한방내과학회지
• /
• 제40권5호
• /
• pp.804-813
• /
• 2019

The purpose of this study was to evaluate the effect of Korean medicine in a patient with cognitive impairment, emotional disturbance, and sleep disturbance due to a diffuse axonal injury associated with a traumatic brain injury. The patient was treated with herbal medicine and acupuncture. The treatment effects were evaluated using the Korean version of the Mini-Mental State Examination (MMSE-K) and the Global Detraction Scale (GDS), and by observing clinical symptoms. Improvements in the total scores of MMSE-K and GDS were observed after the Korean medicine treatments; the MMSE-K score increased from 13 to 23 and the GDS score decreased from 5 to 4. The emotional and sleep disturbances were also reduced. These case report findings suggest that Korean medicine may be effective for treating symptoms of diffuse axonal injury in patients with traumatic brain injury.