• 종양간호연구
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• 제3권1호
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• pp.56-65
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• 2003

Purpose: The study was to develop psychoeducational intervention and identify its effect for symptom management of home cancer patient. Method: Study subjects were 24 patients in control group and 18 patients in experimental group. In experimental group, individualized psychoeducation was done after pretest and then continued to educate and consult through calling by telephone once a week for 4 weeks. The data were collected using several tools such as symptom distress by McCorkle(2000). Physical functioning, a part of Medical Outcome Study by Ware and Sherbouine(1992) and QOL- cancer patient version by Ferrell and Grant(1995) from 18th of Feb. to 30th of July. Data were analysed to ${\chi}^2$ test and t test using SAS VER8.12. Results: The mean score of symptom distress was 21.6 in experimental group and 24.2 in control group. Experimental group was shown lower score than control group. Physical functioning of experimental group was better as mean score 23.3 than 20.6 in control. Psychological wellbeing was 69.7 in experimental group and 66.1 in control group. Social wellbeing was 32.2 in experiment and 25.8 in control. Psychosocial wellbeing of experimental group was higher than control group. However there was no significant differernce between two groups among these variables. Conclusion: The psycho educational intervention was not made symptom mangement, physical functioning, and psycho social wellbeing improved but shown positive tendency. It is expected having a statistically significant finding if enlarged sample size and prolonged the intervention term in future. Therefore it is suggested psycho educational intervention study do repeatedly.

• 보건의료산업학회지
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• 제9권2호
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• pp.69-79
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• 2015

This study examined the relationship between family support and symptom of depressive among married working women, using the dataset of the Korean Longitudinal Survey of Women & Family (KLoWF 4th). There were 1,875 subjects. A multiple regression model was used to study the association between family support and symptom of depressive, controlling for economic-socio characteristics, health status and health behavior. Additionally, this study ran three subgroup regression models based on hierarchical model. From the results, there was a negative relationship between marriage happiness (b=-0.369, p<0.001), spouse satisfaction (b=-0.143, p=0.010), frequency of meeting with the wife's family (once a month: b=-0.952, p=0.012) and symptom of depressive (model 3). This negative relationship was also seen in the two subgroup regression models (models 1, and 2). The results of this study show the importance of family support for promoting mental health among married working women.

• 대한한의진단학회지
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• 제13권1호
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• pp.54-64
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• 2009

Background and purpose : We previously developed questionnaire of Yukmijiwhang-tang symptom on the Delphi method. But developed a questionnaire was not verified in the clinical. So, to ensure objectivity, quantification and validity, verification is needed for questionnaire items before applying a clinical. On this study, we looked at whether questionnaire items had been validity in the clinical. Methods : The previously developed questionnaire of Yukmijiwhang-tang symptom was applied to 200 patients who visited 12 local oriental medicine clinics. Item data were analyzed by factor analysis and reliability test. Results : The developed questionnaire showed remarkable reliability.(Cronbach's $\alpha$=0.869) In factor analysis, items were clustered to 6 factors. Conclusions : The results of this study indicate that the developed quetionnaire is reliable and valid for Yukmijiwhang-tang symptom. It can be used to evaluate Yukmijiwhang-tang symptom objectively.

• Childhood Kidney Diseases
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• 제27권2호
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• pp.89-96
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• 2023

Renal nutcracker syndrome (NCS) is the entrapment of the left renal vein between the abdominal aorta and superior mesenteric artery. Although uncommon in pediatric patients, early diagnosis is crucial to avoid potential severe complications, such as anemia or renal vein thrombosis. NCS presents a variety of symptoms, most commonly including "Triade's symptoms"-hematuria, proteinuria, and flank pain. Diagnosis and treatment include invasive and noninvasive management, although due to a lack of pediatric clinical studies, management is widely variable. Conservative diagnosis and treatment are recommended as a first-line option for pediatric patients; however, invasive surgical treatment may be recommended based on symptom severity. This review aims to provide a comprehensive overview of NCS in children to better understand the widely variable incidence, occurrence, and management from early on to allow for early-onset management.

• 성인간호학회지
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• 제21권6호
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• pp.705-717
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• 2009

Purpose: The purpose of this study was to identify symptom clusters in patients with breast cancer and to investigate the associations among them with functional status and quality of life (QOL). Methods: A convenient sample of 303 patients was recruited from an oncology-specialized hospital. Results: Two distinct clusters were identified: A gastrointestinal- fatigue cluster and a pain cluster. Each cluster significantly influenced functional status and QOL. Based on these two clusters, we identified subgroups of symptom clusters using K-means cluster analysis. Three relatively distinct patient subgroups were identified in each cluster: mild, moderate, and severe group. Disease-related factors (i.e., stage, metastasis, type of surgery, current chemotherapy, and anti-hormone therapy) were associated with these subgroups of symptom clusters. There were significant differences in functional status and QOL among the three subgroups. The subgroup of patients who reported high levels of symptom clusters reported poorer functional status and QOL. Conclusion: Clinicians can anticipate that breast cancer patients with advanced stage, metastasis, and who receive mastectomy, and chemotherapy will have more intense gastrointestinal-fatigue or pain symptoms. In order to enhance functional status and QOL for patients with breast cancer, collective management for symptoms in a cluster may be beneficial.

• 대한간호학회지
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• 제36권1호
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• pp.127-135
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• 2006

Purpose: The purpose of this study was to identify the factors influencing symptom self management (SSM) in the patient with a chronic mental disorder. Method: Data was collected by questionnaires from 204 chronic mental disorders in an outpatient clinic in a General Hospital and Public Mental Health Centers in Seoul and Kyunggi Province. The data was analyzed using descriptive statistics, pearson correlation coefficients, and stepwise multiple regression, Results: The score of SSM showed a significantly positive correlation with the score of the level of self efficacy (SE) (r=.33, p=.00), social support (SS) (r=.27, p=.00), self care agency (SCA) (r=.36, p=.00) and daily living ability (DLA) (r=.34, p=.00). The score of DLA showed a significantly positive correlation with the score of level of SE (r=.46, p=.00), SS (r=.51, p=.00), and SCA (r=.52, p=.00), The most powerful predictor of SSM was SCA ($14\%$). A combination of SCA, DLA, and SS account for $20 \%$ of the variance in SSM. Conclusion: This study suggests that SCA, DLA, and SS are significant influencing factors on SSM in patients with chronic mental disorders.

• 대한정형도수물리치료학회지
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• 제1권1호
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• pp.105-112
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• 1995

This study was designed to investigate the efficiency of subjective assessment that exams the subjective symptom of patients with back pain at the department of physical therapy. To assess the subjective symptom, we used the pain questionnaire using visual analogue scale (VAS) that was developed by Wang on 1995. Questionnaires were administered to 31 adult patients(male : 11, female : 20) with herniated lumbar disk(13), low back pain(8), myofascial pain syndrom(5), lumbar strain(4), ankylosing spondylitis(1). Mean age was 36.3 ranged from 20 to 65. The results of this study were as follows : 1) In each of 15 subjects, there was a significant decrease in VAS between pre- and post-treatment(p<0.05). 2) Mean VAS of total subjects was $6.26{\pm}2.55$ in pre-treatment, $4.50{\pm}2.47$ in post-treatment (p<0.001). Result of this study was shown efficiency of pain management by subjective assessment. The continuous study is needed for many interesting illue of pain management using VAS.

• 대한물리치료과학회지
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• 제2권3호
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• pp.679-689
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• 1995

This study was designed to investigate the efficiency of subjective assessment that exams the subjective symptom of patients with back pain at the department of physical therapy. To assess the subjective symptom, we used the pain questionnaire using visual analogue scale(VAS) that was developed by Wang on 1995. Questionnaires were administered to 31 adult patients(male : 11, female: 20) with herniated lumbar disk(13), low back pain(8), myofascial pain syndrom(5), lumbar strain(4), ankylosing spondylitis(1). Mean age was 36.3 ranged from 28 to 65. The results of this study were as follows: 1) In each of 15 subjects, there was a significant decrease in VAS between pre-and post-treatment(p < 0.05 -p<0.001). 2) Mean VAS of total subjects was $6.26{\pm}2.55$ in pre-treatment, $4.50{\pm}2.47$ in post-treatment(p < 0.001). The result of this study was shown efficiency of pain management by subjective assessment. The continuous study is needed for many interesting issue of pain management using VAS.

• 대한치과기공학회지
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• 제35권2호
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• pp.157-171
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• 2013

Purpose: This study aims to present a database for the development of a healthcare management program based on the survey and analysis of self reported psychosomatic symptoms among the current dental technology students. Methods: Subjects of our study are 480 dental technology major students enrolled in a third year college located Gyeonggi, Chungcheong, and Gangwon province. Using a random sampling, we conducted a self-report survey from August 30, 2011 to October 28, 2011 and 418 reports were collected as feedback and we put an analysis on them. Results: 1. The average physical self symptom was 20.49, which is higher than the average mental self symptom(18.54). Of the subcategories of psychosomatic self symptom, we observed multiple subjective symptoms as the highest one(37.77), and aggression as the lowest(13.77). 2. As to gender, both physical and mental self symptom were statistically significant with the scale score of(p<.001). The scale score of subcategories is as follows; multiple subjective symptoms(I, p<.001), eye and skin(B, p<.001), digestive(C, p<.001), impulsiveness(H, p<.001), lie scale(L, p<.001), mental instability(J, p<.001), depression(K, p<.001), aggression(F, p<.001), irregularity of life(G, p<.001), mouth and anal(D, p<.05), nervousness(E, p<.05). 3. As for obesity, statistical significance was shown with the scale scores of physical self symptom(p<.001), multiple subjective symptoms(I, p<.001), digestive(C, p<.001), aggression(F, p<.001), depression(K, p<.01), irregularity of life(G, p<.01), respiratory(A, p<.05), eye and skin(B, p<.05), impulsiveness(H, p<.05), mental instability(J, p<.05). The scale scores in the environmental quality and life satisfaction were shown as follows; depression(K, p<.001), lie scale(L, p<.01), and irregularity of life(G, p<.05). 4. We employed multiple regression analysis to take account of general factors affecting psychosomatic self symptoms, and drew that the explanatory power of the model was proved with the scales of physical self symptom(4.1%) and mental self-symptom(3.6%). Obesity was a factor that affects physical self symptom with the scale score of(p<.01), and environmental quality and life satisfaction(p<.01) and obesity(p<.05) affect mental self symptom. Conclusion: In this analysis we observed obesity of dental technology students can influence their psychosomatic self symptoms. In this sense, it would be reasonable to develop a healthcare management and education programs that help the students maintain a healthy weight and promote their health.

• 보건의료산업학회지
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• 제6권3호
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• pp.29-38
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• 2012

The aim of this study was to examine the spouse effects on depressive symptom and suicidal thinking among the elderly aged 65 and over in Korea. The subjects selected from the database of the Fourth Korea National Health and Nutrition Examination Survey(KNHANES IV) conducted by Korea Centers for Disease Control and Prevention from 2007 to 2009. Those who were female, older, lower educated, or poorer were more likely to live alone than their counterparts respectively. The elderly living alone experienced depressive symptom as 2.0 times(OR=2.004, 95% CI=1.433, 2.803) as, and suicidal thinking as 1.6 times(OR=1.567, 95% CI=1.111, 2.211) as the elderly couples did, adjusting for socio-economic factor, health status factors, and health behaviors factors. As for the male subgroup, the elderly living alone experienced depressive symptom as 4.0 times(OR=3.997, 95% CI=2.066, 7.732) as, and suicidal thinking as 3.2 times(OR=3.181, 95% CI=1.535, 6.592) as the elderly couples did. On the other hands, there was no significant difference in depressive symptoms and suicidal thinking between the female elderly living alone and couples. The authors suggested policy interventions to promote the mental health of the male elderly living alone.