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웃음치료가 위장암 생존자의 우울, 불안, 피로, 수면의 질에 미치는 영향
박세연(Park SeYeon),이임선(Lee YimSun),정현훈(Chung Hyun Hoon),최스미(Choi-Kwon Smi) 한국기초간호학회 2019 Journal of korean biological nursing science Vol.21 No.3
Purpose: The purpose of this study was to examine the effect of laughter therapy on depression, anxiety, fatigue, and quality of sleep in gastrointestinal cancer survivors. Methods: This study was a randomized controlled trial. We compared the effect of laughter therapy with usual care only in post chemotherapy gastrointestinal patients. Outcomes included changes in depression and anxiety (according to the Hospital Anxiety and Depression Scale), fatigue (according to the Fatigue Severity Scale), and quality of sleep (according to the Verran & Synder-Halpern Sleep Scale). Data was collected July 2015 through January 2016. Seventy nine participants who agreed to participate in this study were randomized to either the experimental group (n=40) or the control group (n=39). Therapy included eight sessions (60 minutes each, once weekly). Data were analyzed using the Windows SPSS 22.0 program. Results: Laughter therapy was effective in reducing fatigue (p=.019) and increasing satisfaction of sleep (p=.030). There were no differences between the groups after therapy for depression (p=.129) and anxiety (p=.200). Conclusion: Results of this study indicate that laughter therapy may be an effective nursing intervention for improving the health status of gastrointestinal cancer survivors after chemotherapy.
김기동 ( Ki Dong Kim ),강순범 ( Soon Beom Kang ),정현훈 ( Hyun Hoon Chung ),김재원 ( Jae Weon Kim ),박노현 ( Noh Hyun Park ),송용상 ( Yong Sang Song ),이효표 ( Hyo Pyo Lee ) 대한산부인과학회 2008 Obstetrics & Gynecology Science Vol.51 No.7
목적: 본 연구의 목적은 장창냄술을 시행받은 난소암 환자들의 임상적 특징을 살펴보고자 함이다. 방법: 1990년 1월부터 2006년 12월까지 장창냄술을 시행받은 51명의 난소암 환자를 수술의 시기와 적응증에 따라 일차종양감축술군, 이차종양감축술군, 임시수술군으로 분류하여 임상적 특징을 비교하였다. 또한, 예후 인자를 찾기 위하여 임상적 특징 간의 관련성을 조사하였다. 결과: 일차종양감축술군, 이차종양감축술군, 임시수술군의 순서로 나이가 많았고 (P=0.061), 상부소화기증상이 드물었으며 (P=0.000), 공장창냄술이나 회장창냄술보다는 결장창냄술을 시행받았으며 (P=0.037), 수술 후 항암화학요법을 받는 환자가 많았다 (P=0.000). 나이가 많을수록 장창냄술과 관련된 합병증이 증가하였다 (P=0.035). 일차종양감축술군에서 나이가 많을수록 수술 후 잔여 병변이 1 cm 미만일 확률이 낮았다 (P=0.020). 임시수술군에서 수술 전 상부소화기증상이 있는 경우 공장창냄술이나 회장창냄술을 시행받는 경우가 많았고 (P=0.021), 하부소화기증상이 있는 경우에는 모든 환자에서 결장창냄술을 시행받았다 (P=0.005). 결론: 장창냄술을 시행받은 난소암 환자에서 수술의 시기와 적응증에 따라 임상 양상은 차이를 보였다. 임상적 특징들과 수술 전 소화기증상을 주의 깊게 관찰함으로써 장창냄술을 시행받은 난소암 환자들의 수술 후 삶의 질 예측에 도움이 되리라고 생각된다. Objective: The aim of this study was to examine the clinical characteristics of patients with ovarian cancer who underwent enterostomy. Methods: Via medical record review, we obtained clinical information of 51 ovarian cancer patients who underwent enterostomy in our hospital, from 1990 to 2006. We compared the clinical characteristics according to the indication of enterostomy: primary cytoreduction (PC), secondary cytoreduction (SC), and palliative only (PO). In addition, we investigated the correlations among clinical characteristics to find prognosticators. Results: Patients were older (P=0.061), had less upper gastrointestinal symptoms (P=0.000), underwent colostomy rather than ileostomy (P=0.037), and received more postoperative chemotherapy (P=0.000) according to the following order: PC, SC, PO groups. Older patients had more postoperative complications (P=0.035). In the PC group, older patients had less chance of optimal debulking (P=0.020). In the PO group, preoperative gastrointestinal symptoms were associated with the type of enterostomy. Conclusions: Clinical characteristics of patients were different according to the indication of enterostomy. Careful examination of clinical characteristics and gastrointestinal symptoms might be helpful to predict the postoperative quality of life.
최영민(Young Min Choi),황규리(Kyu Ri Hwang),정현훈(Hyun Hoon Chung),서창석(Chang Suk Suh),김석현(Seok Hyun Kim),김정구(Jung Gu Kim),문신용(Shin Yong Moon),이진용(Jin Yong Lee) 대한산부인과학회 2002 Obstetrics & Gynecology Science Vol.45 No.10
Testicular regression syndrome is representative of a clinical range of 46,XY agonadal persons, in which the testes of the victim`s are irreparably damaged at a critical stage in fetal development. The critical stage of testicular regression syndrome is represented by a range of abnormalities of genital development. Recently, we experienced a case of early fetal testicular regression syndrome with no definite gonad and a cloacal anomaly associated with imperforate anus, so we present it with brief review of literature.
자궁경부상피내종양 1 이상 병변의 진단에서 실시간 광전기적 기구의 유효성
임형수 ( Hyeong Soo Lim ),김민정 ( Min Jung Kim ),박경의 ( Kyung Eui Park ),정현훈 ( Hyun Hoon Chung ),박노현 ( Noh Hyun Park ),송용상 ( Yong Sang Song ),강순범 ( Soon Beom Kang ) 대한산부인과학회 2010 Obstetrics & Gynecology Science Vol.53 No.10
목적: 실시간 광전기적 기구인 TruScreen과 액상세포검사의 민감도, 특이도 및 정확도를 비교하여, 자궁경부상피내종양 1 이상의 병변에서 진단적 검사로서 TruScreen의 유효성에 대해 살펴보고자 한다. 연구 방법: 이전에 자궁경부세포검사 혹은 질확대경검사상 이상소견을 보였던 292명의 환자를 대상으로 TruScreen과 액상세포 검사를 시행 후, 자궁경부생검 혹은 자궁경부원추절제술의 병리조적검사를 바탕으로 각각의 민감도, 특이도 및 정확도를 평가하였다. 결과: 자궁경부상피내종양 1이상의 병변에서 TruScreen의 민감도는 통계적으로 유의하지는 않았으나(P=0.687), 82.8%로 액상세포검사의 민감도 75.9%보다 높게 나타났다. 특이도와 정확도는 TruScreen이 액상세포검사보다 다소 낮았다(특이도 81.4% vs 83.3%, 정확도 81.5% vs 82.5%). 결론: 본 연구의 결과 TruScreen은 자궁경부상피내종양 1 이상의 병변에 대한 선별검사에서 자궁경부세포검사의 한계를 보완해 줄 방법으로 사용될 가능성이 있다. 향후 추가적인 연구가 필요하다. Objective: The purpose of this study was to evaluate the sensitivity, specificity and accuracy of a real-time optoelectronic device (TruScreen) as a diagnostic tool of cervical intraepithelial neoplasia (CIN) or cervical cancer. Methods: Two hundred ninety two patients who had been presented with previously abnormal Papanicolaou (Pap) smear or abnormal colposcopic findings between February 2009 and September 2009 were analyzed. The sensitivities, specificities and accuracies of TruScreen and liquid-based cytology were evaluated. Results: As a diagnostic tool of CIN, carcinoma in situ (CIS), and cervical cancer, TruScreen appeared sensitive enough compared with liquid-based cytology (82.8% vs 75.9%), but the difference is statistically not significant (P=0.687). Specificity and accuracy of TruScreen were similar to those of liquid-based cytology (specificity 81.4% vs 83.3%, accuracy 81.5% vs 82.5%). Conclusion: The present study suggests that the TruScreen could be an option as a tool of screening test in CIN, CIS, and cervical cancer and also be used combined with Pap smear.
최영민(Young Min Choi),구승엽(Seung Yup Ku),채호진(Ho Jin Chae),정현정(Hyeon Jeong Jeong),김기동(Ki Dong Kim),김훈(Hoon Kim),김정화(Jeong Hwa Kim),김태준(Tai June Kim),정현훈(Hyun Hoon Chung),서창식(Chang Suk Suh),김석현(Seok Hyun K 대한산부인과학회 2001 Obstetrics & Gynecology Science Vol.44 No.10
N/A Objective : To identify the causes of primary amenorrhea in the Korean population. Methods : We reviewed the available medical records of the 100 patients who had visited the Department of Obstetrics and Gynecology at Seoul National University Hospital with the complaint of primary amenorrhea and examined their karyotypes between January 1989 and December 2000. Review of history, physical examination, laboratory findings, imaging studies, and operative findings was done, when needed. Results : The mean age at diagnosis was 25.1±6.1 (mean±S.D.) years of age, ranged 14 to 40. Mllerian agenesis was the most common cause (40.0%), followed by primary ovarian failure (33.0%), and then followed by hypothalamic-pituitary failure (12.0%). Androgen insensitivity syndrome and Swyer syndrome were found in four patients (4.0%), respectively. Conclusion : This study shows that the common cases of primary amenorrhea in Korean women are Mllerian agenesis, primary ovarian failure and hypothalamic-pituitary failure.