• 제목/요약/키워드: Sleep: sleep disturbance

검색결과 371건 처리시간 0.026초

복강경 담낭절제술 후 발생한 난치성 딸꾹질 환자 증례 (A Case Report of Intractable Hiccups after Laparoscopic Cholecystectomy)

  • 신초영;정혜미;황민영;김솔리;윤철호
    • 대한한방내과학회지
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    • 제31권4호
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    • pp.901-907
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    • 2010
  • Hiccups are defined as abrupt involuntary contractions of diaphragm and intercostal muscles with sudden closure of the glottis. Hiccups are one of the common transient symptoms but when hiccups last more than 48 hours, or have no response to treatment, they are defined as intractable hiccups. Intractable hiccups can induce multiple problems such as weight loss, dehydration and sleep disturbance. We report a 76-year-old male patient who suffered from intractable hiccups for 6 days after laparoscopic cholecystectomy. Hiccupping was so severe as to continue all day long and limit sleeping and eating. We succeeded in cure intractable hiccups with acupuncture and herbal formula; Gyulyeohwadam-tang.

고용량 방사성요오드($I^{131}$)치료를 받는 갑상선암 환자의 우울, 불안이 증상에 미치는 영향 (Effect of Depression and Anxiety on Symptoms in Thyroid Cancer Patients Undergoing Radioactive Iodine($I^{131}$) Therapy)

  • 전나미
    • 종양간호연구
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    • 제12권4호
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    • pp.297-304
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    • 2012
  • Purpose: This study was to identify the symptom severity, interference and their psychological predictors in thyroid cancer patients hospitalized for radioactive iodine administration. Methods: One hundred seventy-seven thyroid cancer patients admitted to the isolation room for Iodine ($I^{131}$) therapy were recruited. Subjects were asked to complete the questionnaire on core symptoms, thyroid cancer symptoms, interference, depression and state anxiety in the evening after receiving radioactive iodine therapy. Data was analyzed using frequency, percentage, mean, Pearson's correlation, and multiple regression with SPSS vs. 19. Results: Lack of appetite, drowsiness, sleep disturbance, fatigue, and nausea were the 5 most core symptoms. More than 20% of patients experienced moderate to severe thyroid cancer symptoms including feeling cold, hoarseness, swallowing difficulty, and feeling hot. More than 30% of subjects experienced moderate to severe interferences in mood, general activity, and 22% in walking. Depression and state anxiety were identified as predictors of core symptoms, thyroid symptom severity and interference. Conclusion: Nursing interventions to reduce the symptom severity and interference need to be developed by considering thyroid cancer patients' depression and anxiety when hospitalized in the isolation room for radioactive iodine administration.

Comparison Study of the Use of Absorbable Materials as Internal Splints with Airway Silicone Splint and Absorbable Materials as Internal Splints Alone

  • Ji, So Young;Kim, Seung Soo;Park, Ki Sung;Baik, Bong Soo
    • 대한두개안면성형외과학회지
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    • 제17권4호
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    • pp.202-205
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    • 2016
  • Background: Packing after closed reduction of nasal fracture causes uncomfortable nasal obstruction in patients. We packed the superior meatus with synthetic polyurethane foam (SPF) to support the nasal bone, and packed the middle nasal meatus with a nasal airway splint (NAS) and SPF. The aim of this article is prospectively to compare the subjective patient discomfort of SPF (Nasopore Forte plus) packing alone and SPF with NAS. Methods: We compared the prospectively subjective patient discomfort of SPF packing alone (group A) and SPF with NAS (group B) via visual analog scale (VAS; 0, no symptom; 100, most severe symptom). Results: At first postoperative day group B showed significant lower scores in dry mouth, sleep disturbance, conversation difficulty. However at third postoperative day, VAS scores of each group had no statistically significant differences. Moreover at fifth postoperative day group A had statistically significant lower scores for nasal pain, dry mouth than the group B. Conclusion: Combination method of using NAS and SPF have some advantage on the patient comfort from first postoperative day to third postoperative day.

초·중등 여교사의 월경전증후군 증상과 대처가 삶의 질에 미치는 영향 (Effects of Premenstrual Syndrome Symptoms and Coping on Quality of Life in Elementary and Secondary Schools Female Teachers)

  • 정소윤;안숙희
    • 동서간호학연구지
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    • 제24권1호
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    • pp.52-62
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    • 2018
  • Purpose: This study aimed to examine the effects of premenstrual syndrome (PMS) symptoms and coping strategies on the health-related quality of life in elementary and secondary schools female teachers. Methods: 140 female teachers in C province were recruited using a correlational study design. The measurements used were the PMS symptoms scale, the PMS coping scale and the Korean version of health-related quality of life scale. Results: The higher quality of life were predicted by the lower PMS symptoms, the higher PMS coping, the better the quality of sleep, the lower the job and life stress, and the lower work disturbance due to the PMS symptoms. These variables explained 53% of the total variance. Conclusions: For better female teachers' health-related quality of life, health care programs for managing the PMS symptoms need to be developed by considering those identified variables. For health education practice, school health teachers need to distribute health educational materials for female teachers and to provide small-group health counselling services for PMS self care.

중환자실 소음도와 소음에 대한 환자의 인지 (Noise Levels in Intensive Care Units and Patient's Perception)

  • 김민영;박의준
    • 중환자간호학회지
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    • 제8권1호
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    • pp.41-49
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    • 2015
  • Purpose: The purpose of this study was to measure the noise levels in intensive care units (ICUs) and to analyze the causes of the noise and patient perceptions of the noise. Methods: Noise levels were recorded in adult ICUs for 24 h over a week from the patients' bedside with a sound level meter. Noise sources were categorized into three groups: medical equipment, health care providers, and the environment. Noises from the environment were recorded in an empty ICUs side room. Perceptions of the noise of 125 patients admitted to the ICUs were recorded using a questionnaire. Results: The mean level of noise in the ICUs was 58.5 dBA (range: 34.2-80.2 dBA). The causes of noise higher than 70 dBA were nebulizers and infusion/syringe pumps among medical equipment, and drawer slamming, phone ringing, and stripping packages of medical fluids among environmental noises. According to the questionnaire, 64.0% of the patients responded that the ICUs were noisy and that they suffered from sleep disturbance because of the noise. Conclusion: Noise is considerably high in ICUs and is an annoying factor for the patients. Most noise sources are adjustable, and we should try to reduce noise whenever possible to make the ICUs environment more pleasant.

철도용 강교량의 부식에 대한 중방식 도장의 특성연구 (A Study for Heavy Duty Coating by Corrosion of the Steel Bridge)

  • 공병승;김민호
    • 한국철도학회:학술대회논문집
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    • 한국철도학회 2007년도 추계학술대회 논문집
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    • pp.345-351
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    • 2007
  • The research which it sees will confront to the coating with paint material and a coating with paint public law application of the river bridge and it will present it will sleep and it will execute, it will reach and a comparison - an analysis from the research which it tries to respect middle of special environment the polyurethane system which is a method coating with paint system and fluorine resin system, against a ceramic system it executed more an objectivity and rational fundamental data. With research method against each coating with paint evening sunlight a research investigation material and structure, it separated with spatial-temporal characteristic and economic viewpoint it executed. When considering overview from material viewpoint, fluorine resin system ceramic system polyurethane system pure with it is judged with the fact that it is excellent. There is a possibility of saying that the coefficient of friction of the fluorine resin system which uses the weapon quality zinc end coating compound ever so hard and polyurethane system is excellent ceramic system than from structure viewpoint. That fluorine resin system = polyurethane system ceramic system pure with it is excellent, it is judged from spatial-temporal characteristic viewpoint. It measures but it considered an internal troubles year grudge in the standard which becomes disturbance the place where it executes the market the expectation life person of the general bridge against 100 years the result fluorine resin system polyurethane system ceramic system which compares a materials unit cost pure with it appeared.

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대구한의대부속대구한방병원에 내원한 알레르기비염 환자의 삶의 질 분석 (The Quality of Life in Patients with Allergic Rhinitis Who Visit Daegu Oriental Hospital of Daegu Haany University)

  • 이재근;조원준;황순이;지선영
    • 한방안이비인후피부과학회지
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    • 제20권3호
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    • pp.191-203
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    • 2007
  • Objectives : Allergic rhinitis disturbs the quality of life in patients. So, it is important to analyze the quality of life in patients with allergic rhinitis. The aim of this study was to evalute the impact of allergic rhinitis on the quality of life of patients. Methods : A total of 46 patients with allergic rhinitis who visited the Dept. of Oriental Medical Opthalmology & Otolaryngology & Dermatology of Daegu Hanny Oriental Medical Center from July 10th, 2006 to September 10th, 2007 were included in this study. The patients answered the quality of life questionnaire on the scale of one to five. We calculated the frequency and importance. Results : The patients with allergic rhinitis experienced impairment of the quality of life. On the questionnaire, nasal symptoms, practical problems, generalized symptoms were frequently checked. Patients think importance in nasal symptoms, practical problems, generalized symptoms on the questionnaire. Conclusions : Considering the above results, most of patients with allergic rhinitis have problems due to generalized symptoms, practical problems, sleep disturbance, activity limitations, emotional problems, and ocular symtoms including nasal symptoms. Further studies in treatment with Korean medicine are needed.

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Long-term clinical course of a patient with mucopolysaccharidosis type IIIB

  • Kim, Ja Hye;Chi, Yang Hyun;Kim, Gu-Hwan;Yoo, Han-Wook;Lee, Jun Hwa
    • Clinical and Experimental Pediatrics
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    • 제59권sup1호
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    • pp.37-40
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    • 2016
  • Mucopolysaccharidosis type III (MPS III) is a rare genetic disorder caused by lysosomal storage of heparan sulfate. MPS IIIB results from a deficiency in the enzyme alpha-N-acetyl-D-glucosaminidase (NAGLU). Affected patients begin showing behavioral changes, progressive profound mental retardation, and severe disability from the age of 2 to 6 years. We report a patient with MPS IIIB with a long-term follow-up duration. He showed normal development until 3 years. Subsequently, he presented behavioral changes, sleep disturbance, and progressive motor dysfunction. He had been hospitalized owing to recurrent pneumonia and epilepsy with severe cognitive dysfunction. The patient had compound heterozygous c.1444C>T (p.R482W) and c.1675G>T (p.D559Y) variants of NAGLU. Considering that individuals with MPS IIIB have less prominent facial features and skeletal changes, evaluation of long-term clinical course is important for diagnosis. Although no effective therapies for MPS IIIB have been developed yet, early and accurate diagnosis can provide important information for family planning in families at risk of the disorder.

인터넷 중독자의 신체적 이상 증상에 대한진단도구 개발에 관한 연구 (A study on the Diagnostic Test for the Somatic Signs of the Internet Addiction Syndrome)

  • 박지환
    • 대한정형도수물리치료학회지
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    • 제7권2호
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    • pp.51-56
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    • 2001
  • The purpose of this study is to make a new diagnostic test model for the physical disturbance signs for the overuser or addiction persons in internet. Variations of Somato-diagnostic testR for Internet Addiction Syndrome(Park V1.0) are follows ; 1. Are you hurt in your elbow or shoulder? 2. Do you feel stiffness in your neck? 3. Do you feel numbness of wrist on drive? 4. Are you hurt in your fingers on touch a keyboard or mouse? 5. Are you hurt in your back? 6. I feel taut on my legs sometimes. 7. I feel dim or bloodshot in my eyes. 8. I feel dry in my eyeball. 9. I feel heavy and ache on my head. 10. I can't sleep very well. 11. I have a digestive upset often. 12. My hand's full with sweat on computing. 13. I feel tremble or heavy in my heart. 14. I'm tired easily. 15. I'm not concerned about a sex impulse at all.

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한방치료를 통해 수술이 불가능한 췌장암 환자에서 통증개선 및 삶의 질을 회복한 증례 (A Case Report of Unresectable Pancreatic Carcinoma Patient for Relieving Cancer Related Pain and Improving Quality of Life by Korean Medical Treatment)

  • 윤호영;조종관;유화승;방선휘
    • 대한암한의학회지
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    • 제18권1호
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    • pp.9-15
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    • 2013
  • Objectives : The purpose of this study is to report the effect of Korean medicine on the pancreatic carcinoma patient. Method : A patient was diagnosed as unresectable pancreatic carcinoma. She complained insomnia, abdominal pain, dyspepsia and sleep disturbance. She was treated by Korean medicine composed of acupuncture, herbal medication and wild ginseng pharmacopuncture. Results : All symptoms took a favorable turn after Korean medicine treatment. As treatment was performed, as intensity of pain, insomnia, dyspepsia and fatigue were decreased. Conclusion : This study suggests that Korean medicine treatment has effectiveness for improvement of cancer related symptoms of a pancreatic carcinoma patient. Consequently, the treatment is helpful in improving quality of life.