• Title/Summary/Keyword: chronic diseases

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The Optimal Level and Promoting Plan of Physical Activity for Prevention and Management of Chronic Diseases (만성질환 예방·관리를 위한 적정 신체활동 및 활성화 방안)

  • Kim, Wan-Soo
    • Korean Journal of Health Education and Promotion
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    • v.31 no.4
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    • pp.73-92
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    • 2014
  • Objectives: To provide basic data needed to develop national physical activity policy, this study was examined to identify the relationship among physical inactivity, physical activity, and chronic diseases. Methods: I have reviewed articles and research reports in relation to physical activity, health, and chronic disease published in national and international since 2005 through PubMed, RISS, and KISS. Results: physical activity should be the priority of public health for the prevention and management of chronic diseases as following reasons. 1) Prevalence of physical inactivity has been continuously increased. 2) There were strong evidences that sufficient physical activity could prevent and treat dozens of chronic diseases. Conclusions: Both central and local governments need to make the amount of physical activity to be increased by providing information and establishing a physical activity-friendly environment. Also, the local public health centers and the primary medical institutions are institutionally needed to counsel and prescribe every patient's exercise program at every visit.

Coping with Experiences in Multiple Chronic Diseases in the Rural Elderly (농촌 노인의 복합만성질환에 대한 대처 경험 - 문화기술학적 방법으로 -)

  • Joung, Eun-Ok;Kwon, Sung-Bok;Ahn, Ok-Hee
    • Research in Community and Public Health Nursing
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    • v.18 no.1
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    • pp.32-41
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    • 2007
  • Purpose: The purpose of this study was to describe how the rural elderly cope with experiences in multiple chronic diseases. Method: Data were collected through participant observation and in-depth interview using ethnography. The participants were 9 women and 2 men who aged over 65, were living in rural community, and had experienced two or more chronic diseases. Results: According to the results of this study, those who had experienced multiple chronic diseases went through the stages of 'recognizing of revealed symptoms', 'discovering of disease', 'overcoming', 'neglecting', 'discovering another disease', 'being frustrated' and 'living with suffering'. Conclusion: The results of this study are expected to be utilized as basic materials to develop a nursing intervention program for effective management of chronic diseases.

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Differences in Chronic Diseases and Physical Activity of Elderly Women According to Body Mass Index (재가여성노인의 비만도에 따른 만성질병과 신체활동정도의 차이)

  • Jin, Eun-Hee
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.17 no.2
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    • pp.120-126
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    • 2010
  • Purpose: The study sought to identify the differences in chronic diseases and physical activity in elderly women by BMI. Method: The subjects of this study were 644 elderly women 60-80-years-of-age living at home. The research instruments were physical activity levels and chronic diseases. Subjects were given a self-report questionnaire. Data were analyzed using the SPSS win program. Result: Hypertension, prevalence of diabetes mellitus and hyperlipemia were significantly different in the subjects according to body mass index, being higher in obese subjects than in non-obese subjects. Physical activity in each of the body mass index groups did not differ significantly. Conclusion: Obesity increases the risk of chronic diseases. This knowledge could help elderly women control their weight, reduce chronic diseases, and ultimately, gain better health.

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Are Patients with Asthma and Chronic Obstructive Pulmonary Disease Preferred Targets of COVID-19?

  • Bouazza, Belaid;Hadj-Said, Dihia;Pescatore, Karen A.;Chahed, Rachid
    • Tuberculosis and Respiratory Diseases
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    • v.84 no.1
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    • pp.22-34
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    • 2021
  • The coronavirus pandemic, known as coronavirus disease 2019 (COVID-19), is an infectious respiratory disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), a novel coronavirus first identified in patients from Wuhan, China. Since December 2019, SARS-CoV-2 has spread swiftly around the world, infected more than 25 million people, and caused more than 800,000 deaths in 188 countries. Chronic respiratory diseases such as asthma and chronic obstructive pulmonary disease (COPD) appear to be risk factors for COVID-19, however, their prevalence remains controversial. In fact, studies in China reported lower rates of chronic respiratory conditions in patients with COVID-19 than in the general population, while the trend is reversed in the United States and Europe. Although the underlying molecular mechanisms of a possible interaction between COVID-19 and chronic respiratory diseases remain unknown, some observations can help to elucidate them. Indeed, physiological changes, immune response, or medications used against SARS-CoV-2 may have a greater impact on patients with chronic respiratory conditions already debilitated by chronic inflammation, dyspnea, and the use of immunosuppressant drugs like corticosteroids. In this review, we discuss importance and the impact of COVID-19 on asthma and COPD patients, the possible available treatments, and patient management during the pandemic.

Analysis of dental utilization and expenditure of patients with chronic diseases

  • Kim, Yun-Jeong
    • Journal of Korean society of Dental Hygiene
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    • v.20 no.2
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    • pp.129-137
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    • 2020
  • Objectives: Using the annual data from the 2016 Korean Health Panel, this study aims to identify the factors that affect the dental utilization and expenditure of patients with chronic diseases, and to provide basic data to explain the inequality gap in dental utilization. Methods: The dental utilization and expenditure of 3,557 patients with chronic diseases were analyzedfor frequency using the SPSS Windows version 23.0 (SPSS Inc. IL, USA). Analysis of the factors that affect dental utilization and expenditure were performed using a multiple regression analysis. The level of statistical significance was 0.05. Results: The frequency of dental utilization in patients with chronic diseases was high for subjects who were younger than 65 years and those whose education level was below high school. The frequency of dental utilization was relatively lower for subjects who did not have disabilities and those with healthier subjective health status. The dental expenditure of patients with chronic diseases was higher in subjects who were younger than 65 years and those with greater household income. Conclusions: The above findings suggest that a plan is needed to control dental utilization by efficiently managing chronic diseases, and that a policy-based plan is needed to devise ways to supplement the uninsured medical expenses of dental care.

An analysis of risk factors for falls in the elderly by gender (노인의 성별 낙상관련 요인)

  • Kim, Jong-Min;Lee, Myung-Sun;Song, Hyun-Jong
    • Korean Journal of Health Education and Promotion
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    • v.25 no.2
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    • pp.1-18
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    • 2008
  • Objectives: The objective of this study is to identify the gender differences of risk factors for falls among the elderly in community dwellings. Methods: We analyzed the data on 3,278(male 1,255, female 2,023) persons, including 497 persons who have experienced falls, drawn from the 2004 National Elderly Survey. We conducted a cross-tabulation analysis, $X^2$-test and hierarchical regression analysis of the impact of the socio-economical characteristics, environmental characteristics, the number of chronic diseases, usage of supplementary devices, activities of daily living, dementia, and the severity of problem behavior. Results: For the entire sample of the elderly, gender, age, the size of the cities of residence, the number of chronic diseases, and the severity of problem behavior were identified as risk factors for falls. The number of chronic diseases and the severity of problem behavior were found to be significant for the male subsample, while age, the size of cities of residence, dwelling types, and the number of chronic diseases were found to be significant for the female subsample. Conclusion: The number of chronic diseases was identified as a common risk factor for falls in the male and female elderly. Chronic diseases were also found to aggravate the risk for falls when they concur with other diseases.

The Association between Hope and Quality of Life among Adolescents with Chronic Diseases: A Systematic Review

  • Mardhiyah, Ai;Philip, Koshy;Mediani, Henny Suzana;Yosep, Iyus
    • Child Health Nursing Research
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    • v.26 no.3
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    • pp.323-328
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    • 2020
  • Purpose: Hope has been identified as a protective factor that contributes to achieving a better quality to life, especially in patients with chronic disease. The purpose of this review was to synthesize current knowledge about the relationship between hope and quality of life among adolescents living with chronic illnesses. Methods: We searched major English-language databases (PsycINFO, PubMed, and CINAHL) for studies from January 1, 2002 to July 12, 2019. Studies were included if they provided data on hope and its relationship with quality of life among adolescents with chronic diseases. Results: In total, five articles were selected from the 336 studies that were retrieved. All five studies reported a positive correlation between hope and quality of life, such that people with a higher level of hope had a better quality of life. Hope was found to have direct and indirect effects on quality of life in adolescents with chronic diseases. Conclusion: Healthcare professionals should make more efforts to enhance hope in adolescents with chronic diseases in order to improve their quality of life. Future studies exploring how hope develops in adolescents with chronic diseases and the long-term impact of hope on quality of life are necessary.

Differential Effects of Educational Attainment on Chronic Diseases with Age (연령에 따른 교육수준과 만성질환의 관계)

  • Lee, Min-Ah
    • Korea journal of population studies
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    • v.34 no.1
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    • pp.179-198
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    • 2011
  • The purpose of this study was to examine relationships between chronic diseases, age, and education in Korea. Logistic regression techniques were used to analyze data from the Korean Longitudinal Study of Ageing (KLoSA), which is a nationally representative sample of Koreans aged 45 years and older. The findings show that probability of having chronic diseases increased with age up to about 74; however, it was reduced for respondents aged 74 years or older. Associations between age and chronic diseases were also differential by education. Less educated Koreans tended to have chronic diseases earlier in their lifetime; however, they were likely to have chronic diseases later in life less than more educated counterparts. The findings suggest that individuals with fewer years of education are at an increased risk of developing chronic diseases earlier in their lifetimes, thereby, leading to a higher rate of mortality at younger ages.

Factors associated with Multiple Chronic Diseases among One Metropolitan Citizens (복합만성질환의 융합적 관련요인에 관한 연구)

  • Park, Hee-Wang;Lee, Moo-Sik
    • Journal of the Korea Convergence Society
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    • v.10 no.8
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    • pp.75-82
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    • 2019
  • Many people suffers from multiple chronic diseases, leading cause of death and disability in the world. The purpose of this study was to investigate factors affecting multiple chronic diseases, hypertension, and diabetes. We analyzed the data of one metropolitan city of community health survey, 2015. 4,590 citizens were enrolled in this study. Prevalence of multiple chronic diseases, hypertension, and diabetes were 5.14%, 16.8%, and 3.89%, respectively. Educational attainment, income, salt intake, and BMI were identified as independent risk factors associated with multiple chronic diseases. Educational attainment, income, salt intake were significantly associated with hypertension and age, educational attainment, frequency of alcohol drinking, salt intake were associated with diabetes. Multiple chronic diseases, hypertension, and diabetes were associated with sociodemographic, economic, and health behavioral factors. We should consider these variables in the prevention and management programs and policies for patients with multiple chronic diseases.

Korean Adolescents' Physical Health and Peer Relationships : The Mediating Effects of Self-perceived Health Status and Resilience (청소년의 만성질환이 또래관계에 미치는 영향 : 자신이 평가한 건강상태와 자아탄력성의 매개효과 검증)

  • Lee, Boram;Park, Hye Jun;Lee, Kangyi
    • Korean Journal of Child Studies
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    • v.34 no.5
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    • pp.127-144
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    • 2013
  • The purpose of this study was (1) to examine the impact of chronic diseases on adolescent's peer relationships, and (2) to investigate the mediating effect of self-perceived health status and resilience on the relationship between their physical health states and peer relationships. The authors used the first-wave panel data from 'the Korean Children-Youth Panel Survey'. The sample included 2,351 first-grade of middle school students(boys 50.1%, girls 49.9%). Among the subjects examined 48.11% had chronic diseases. Using maximum likelihood estimation with Amos18(Arbuckle, 2009), SEM software, structural equation modeling was tested. The major findings were as follows : 1. Adolescents' chronic diseases had a negative impact on peer relationships. 2. Self-perceived health status and resilience had a mediating effect. This suggests that self-perceived health status and resilience could be protective factors when it comes to perceive peer relationships more positively for adolescents with chronic diseases. 3. Resilience was directly affected by self-perceived health status. This indicates that positive self-perception about their health status encourages adolescents with chronic diseases to be more resilient and to more positively affect their perception of their relationships with peers.