• Title/Summary/Keyword: chronic diseases

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Dietary Safety Management Awareness and Competency for Healthcare among Adults in Daegu and Gyeongbuk Areas (대구·경북지역 성인의 건강관리를 위한 식생활 안전관리 인식과 역량)

  • Kim, Yunhwa
    • Korean Journal of Community Nutrition
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    • v.25 no.2
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    • pp.112-125
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    • 2020
  • Objectives: Diet and incidence of chronic diseases are highly related. This study examined the characteristics of dietary safety awareness and competency for chronic disease prevention among adults. Methods: Data were collected from 247 adults in Daegu and Gyeongbuk areas using a self-administered questionnaire in May and June of 2018. Data were analyzed by frequency analysis, χ2-test, factor analysis, reliability analysis, t-test, one-way analysis of variances, and correlation. Results: The results of the factor analysis indicate that dietary safety awareness of health management was classified into chronic disease anxiety and obsession. Awareness of dietary safety management was sub-grouped into difficulty in acquiring knowledge, lack of awareness of over and malnutrition, food safety anxiety, importance of weight management, education requirement for cancer prevention, and knowledge. Dietary safety behavior composed of a balanced diet, unhealthy diet, and health-functional pursuit. Dietary safety management competency was comprised of health management, food management, and cooking. The competency scores of dietary safety management factors were significantly different according to sex, age, and education level (P < 0.05). Balanced diet factor was significantly correlated with knowledge, health-functional pursuit, health management, food management, and cooking capacity factors (P < 0.01). Conclusions: Active education for dietary safety management competency according to age, gender, and education level should provide dietary safety education to reduce anxiety and obsession regarding chronic diseases and sustainable health management.

Pathophysiology of Chronic Obstructive Pulmonary Disease (만성폐쇄성폐질환의 병태생리)

  • Kim, Hyun Kuk;Lee, Sang-Do
    • Tuberculosis and Respiratory Diseases
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    • v.59 no.1
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    • pp.5-13
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    • 2005
  • Chronic obstructive pulmonary disease (COPD) is a chronic progressive disease, characterized by irreversible airflow limitation, with a partially reversible component. The pathological abnormalities of COPD are associated with lung inflammation, imbalances of proteinase and antiproteinase, and oxidative stress, which are induced by noxious particles and gases in susceptible individuals. The physiological changes of COPD are mucus hypersecretion, ciliary dysfunction, airflow limitation, pulmonary hyperinflation, gas exchange abnormalities, pulmonary hypertension, cor pulmonale and systemic effects. The airflow limitation principally results from an increase in the resistance of the small conducting airways and a decrease in pulmonary elastic recoil due to emphysematous lung destruction. This article provides a general overview of the pathophysiology of COPD.

Activities of Daily Living of The Elderly with a Chronic Disease and Burden on Family Care-givers (노인 만성 질환자의 일상생활 수행정도와 가족간호자의 부담감)

  • Bang, Su-Hyang;Jang, Hee-Jeong
    • Journal of Korean Academy of Nursing
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    • v.37 no.1
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    • pp.135-144
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    • 2007
  • Propose: The purpose of this study was to help families decrease and alleviate the burden on family care-givers taking care of elderly patients. Method: Data was collected by a questionnaire from 100 family members who were registered in the department of home health care nursing at 4 hospitals of H University Medical Center from September 20 to October 25, 2005. The collected data was analyzed using Mean and Standard Deviation, Pearson Correlation Coefficient, t-test and One-Way ANOVA with the Duncan's test, and Stepwise multiple regression. Result: The average burden on family care-givers of elderly patients with chronic diseases was 3.31. The social burden was the highest(M=3.68), the lowest was the emotional burden(M=2.95). In ADL of elderly patients with chronic diseases, all 10 questions showed an average point above 2.50. The dependency level of going up and down the stairs was the highest(M=2.88). Conclusion: This research is necessary for the application of a plan in the social support system in order to reduce the burden on family care-givers who are taking care of elderly patients with a chronic disease.

A Case Report of Chronic Eosinophilic Pneumonia (만성 호산구성 폐렴 1예)

  • Ahn, Jin Cheoul;Choi, Woo Jin;Yang, Dae Won;Kang, Yun Kyoung;Jeon, Woo Ki;Yum, Ho Kee
    • Tuberculosis and Respiratory Diseases
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    • v.43 no.5
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    • pp.798-804
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    • 1996
  • Chronic eosinophilic pneumonia is a very rare disorder of unknown etiology characterized by striking systemic and pulmonary manifestations such as fever, weight loss, dyspnea, blood eosinophilia, and fluffy peripheral opacities on chest radiograph. A number of these patients developed asthma before or with the onset of illness. The roentgenographic lesion rapidly resoluted with corticosteroid and recurrence was occasionally occured in the same location. Histopathologic features of chronic eosinophilic pneumonia include dense aggregates of eosinophils, histiocytes, and multinucleated giant cells within alveolar spaces, interstitium, and bronchioles associated with scattered lymphocytes and plasma cells. We report a case of chronic eosinophilic pneumonia diagnosed by clinical, radiographic, and histologic findings with review of the literature.

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The Relationship between Status of Chronic Disease and Fall Experience in Korean Elderly: Based on 2015 Community Health Survey (한국 노인의 만성질환과 낙상경험과의 관련성: 2015년 지역사회건강조사를 기반으로)

  • Byeon, Kyeonghyang;Nam, Younghee
    • The Journal of Korean Society for School & Community Health Education
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    • v.20 no.1
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    • pp.113-126
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    • 2019
  • Objectives: The purpose of this study is to understand the relevance of chronic disease conditions and fall experience among people aged 65 and older. and use them as basic data to reduce the risk of falling. Methods: The study selected 26,122 men and 37,777 women aged 65 and over as final subjects of the study, using raw data from the Community Health Survey in 2015. The statistical analysis used SAS 9.4 USA. Results: About 20% of those aged 65 and older experienced a fall, with one in five elderly people experiencing a fall, and the ratio of men to women was 3:7, women higher than men. As the age grew, the lower the level of education, the more senior citizens who lived alone occurred falls. In addition, the incidence of falls was higher when the number of chronic diseases was more than three. The incidence of falls was 1.1-1.5 times higher depending on chronic diseases. Conclusion: The development of education and exercise programs for preventing fall of senior citizens aged 65 and older is required and further study is needed.

The Effect of Participation in Social Activities on the Subjective Health Satisfaction of the Older Adults with and without Chronic Illnesses (만성질환 유무별 노인의 사회활동 참여가 주관적 건강만족도에 미치는 영향 비교)

  • Park, Soon-Mi;Mun, Su-Youl
    • The Korean Journal of Health Service Management
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    • v.12 no.2
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    • pp.113-123
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    • 2018
  • Objectives : The purpose of this study was to investigate the effect of participation in social activities on the subjective health satisfaction of the elderly in groups with and without chronic diseases. Methods : Data were used from the "2014 the Korean Elderly Survey" and the subjects were 10,451 persons aged 65 years or older. Data analysis was conducted using SPSS 18.0 statistical package. Results : The results of this study were as follows. In the case of the elderly without chronic diseases, only the employment status (${\beta}=.135$, p<.01) had a significant effect on the health of the elderly. In the case of elderly people with chronic illness, participation in lifelong education (${\beta}=.183$, p<.001), participation in social group (${\beta}=.277$, p<.001), volunteer work experience (${\beta}=.060$, p<.05), and employment status (${\beta}=.342$, p<.001) had a significant effect on health. Conclusions : Policies and systems are needed to actively encourage and support the social activities of the elderly. Additionly, care and attention are needed to provide social jobs for the elderly and build a sustainable network.

Analysis of modern and korean medicine treatments for chronic obstructive pulmonary disease

  • Han-Chul Jung;Kyung-Hwon Min;Ye-Rim Won
    • CELLMED
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    • v.14 no.2
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    • pp.6.1-6.6
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    • 2024
  • The prevalence of respiratory diseases is increasing due to social and environmental factors such as increased environmental pollution and air pollution, and among them, chronic obstructive pulmonary disease (COPD) in particular has a high mortality and morbidity rate worldwide. As a result, medical expenses are rapidly increasing, creating a social and economic burden. In response to this, there is a need to discuss ways to reduce the risk from diseases and manage them appropriately, and the most basic starting point in this process is how these chronic lung disease patients are treated in actual clinical settings and how to improve the quality of treatment. There is a need to look into whether there are effective drugs. Western treatment for chronic obstructive pulmonary disease is basically a disease in which the airway narrows, so bronchodilators are used to widen the bronchi, and corticosteroids and antibiotics are mainly used to relieve the inflammatory response in the lungs. However, since the mainly used Western medicine does not serve as a fundamental therapeutic drug and contains many side effects, there is a need for drugs that improve the quality of life of patients and are more effective in managing symptoms as symptomatic prescriptions. Therefore, Western and Oriental medicine treatments are needed. The purpose is to suggest better treatments through comparative analysis.

Effects of Sea Tangle (Laminaria japonica) and Fucoidan Components on Chronic Degenerative Diseases (만성퇴행성 질환에 미치는 다시마(Laminaria japonica)와 후코이단 성분의 영향)

  • 최진호;김대익;박수현;김동우;이종수;유종현;정유섭
    • Journal of Life Science
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    • v.9 no.4
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    • pp.430-438
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    • 1999
  • This study was designed to investigate the effects of sea tangle (Laminaria japonica) extract and fucoidan components on chronic degenerative diseases. Sprague-Dawley(SD) male rats (210$\pm$5g) were fed experimental diets: Dasi-Ex group: dasima extract powder of 4.0% added to control diet; Fuco-I, II and III groups: fucoidan powder of 1, 2 and 3% added to Dasi-Ex group for 45 days. Triglyceride (TG) levels in serum were significantly lower (10~15%) in Fuco-I, II and III groups compared with control group. Total cholesterol levels were significantly decreased (7~10% and 15~ 35%) in brain mitochondria and microsomes of Fuco-II and III group compared with control group. LDL-cholesterol levels were remarkably decreased (20~30%) in Dasi-Ex and Fuco-I, II, III groups, but HDL-cholesterol levels were significantly increased (10~12%) in Fuco-II and III groups only compared with control group. The ratios of HDL/total cholesterol resulted in a marked increase (3 5~55%) in Dasi-Ex and Fuco-I, II, III groups, but atherogenic indices were remakably decreased (40~50%) in Dasi-Ex and Fuco-I, II, III groups compared with control group. Membrane fluidities were remarkably increased (45~70% and 38~42%, respectively) in brain mitochondria and microsomes of Fuco-II and III groups compared with control group. Administrations of fucoidan added to dasima effectively decreased TG, total and LDL-cholesterol, and atherogenic index, while also effectively increased HDL-cholesterol, HDL/total cholesterol ratio, and membrane fluidity, suggesting chronic degenerative diseases were very effectively prevented by the administration of fucoidan component.

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Impact of Depression, Comorbid Chronic Diseases, and ADL on Health-Related Quality of Life Among Community-Dwelling Elderly People in Korea (한국의 지역사회 거주노인들에게 있어서 우울증, 만성질환, 일상생활활동이 삶의 질에 미치는 영향)

  • Kim, Myung-Wha
    • The Journal of the Korea Contents Association
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    • v.14 no.5
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    • pp.190-198
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    • 2014
  • The purpose of study was evaluated associations among risk factors to have influence on HRQOL of community dwelling Elderly People. Total 314 community dwelling elderly persons(age:$75.80{\pm}5.64$[$mean{\pm}SD$]) who had no disease(n=81) and more than two chronic diseases (n=233) were interviewed based on the QOL questionnaires. During two months. The activities of daily living were evaluated using BI and FAI. Neuropsychological status was evaluated using GDS. Health related QOL was evaluated using the SF-36. The results emphasize the importance of preventing and controlling depression, chronic diseases, and low basic activities of daily living in order to reduce their impact on HRQOL among community dwelling elderly people.

Relationship between dietary intakes and the double burden of malnutrition in adults of Malang, Indonesia: An exploratory study

  • Lee, Soo Jin;Ryu, Ho Kyung
    • Nutrition Research and Practice
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    • v.12 no.5
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    • pp.426-435
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    • 2018
  • BACKGROUND/OBJECTIVES: Urbanization and lifestyle changes have resulted in nutrition transition. Over-nutrition causes obesity increase, although malnutrition still exists. This phenomenon is called a double burden of malnutrition (DBM). This study was conducted to confirm the existence of DBM and to investigate the dietary factors related to DBM in Indonesian adults. SUBJECTS/METHODS: Data for the subjects (51 men and 89 women) who are the adults resided in Malang, Indonesia were collected between July 17 and August 14, 2017, by using questionnaire. Height, weight, waist and hip circumference, blood pressure, blood glucose, total cholesterol, and hemoglobin were also measured for the subjects. RESULTS: The average age of the subjects was 47.2 years. The average height, weight, and body mass index for men were 160.08 cm, 62.6 kg and $25.45kg/m^2$, respectively, and those for women were 148.74 cm, 58.09 kg, and $26.21kg/m^2$, respectively. Of the subjects, 3.6% were underweight, 24.3% were normal or healthy weight, while 72.2% were overweight and obese. Analysis of the dietary intakes revealed high for cereal (7.73 points), but very low for milk (0.25 points) and fruits (0.51 points). Dietary diversity was very few overall (< 5). The occurrence of both anemia (23.6%) and chronic diseases such as hypertension (57.1%), diabetes (12.1%), and hypercholesterolemia (3.6%) was considerably high. The existence of DBM was confirmed by 16.4% of the subjects. DBM was observed significantly higher in women than in men. Dietary diversity and DBM occurrence were inversely correlated. On average, the number of chronic diseases was 1.08 in men and 1.79 in women. Dietary diversity inversely affected systolic blood pressure. CONCLUSIONS: DBM existed in adults in Malang, Indonesia due to inadequate dietary intakes, and a high rate of chronic diseases.