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Volume 31(10); October 2010

Editorial

For the Sleep-Related Study.
Nam Seok Joo
Korean J Fam Med 2010;31(10):745-746.   Published online October 20, 2010
DOI: https://doi.org/10.4082/kjfm.2010.31.10.745

Citations

Citations to this article as recorded by  
  • Factors related to the Quality of Sleep in the Elderly Women
    Young-Hee Kim, Jin-Sook Han
    Journal of the Korea Academia-Industrial cooperation Society.2011; 12(10): 4467.     CrossRef
  • 4,565 View
  • 12 Download
  • 1 Crossref

Review

Integrative Approach to Elderly Frailty.
Byoung Jin Park, Yong Jae Lee
Korean J Fam Med 2010;31(10):747-754.   Published online October 20, 2010
DOI: https://doi.org/10.4082/kjfm.2010.31.10.747
Elderly frailty has been recognized as a distinct clinical syndrome with a physiologic basis. It reflects a decreased functional reserve and consequent reduction in resilience to any stressors. It is important to understand that frailty process could be a transitional state with dynamic properties: normal aging→pre-frail→frailty→complication status. Hence, frailty could be preventable and its progression may be delayed. Furthermore, there is the potential reversibility of many of its features. The earlier stages of frailty might not be clinically apparent, but later stages manifest as significant deficits accumulate. The major phenotype of frailty includes weight loss, sarcopenia, relative inactivity, decreased balance and mobility, decreased cognitive function, and impaired nutritional status. Therefore, frail patients could be implicated by decreased performance status and have a significantly increased risk of cardiovascular diseases, cancer, falls and mortality. Regular exercise, essential amino acid and vitamin D are recommendable to prevent and treat elderly frailty, but hormone replacement therapy does not have consistent evidence yet. In upcoming (super) aging society, the importance of elderly frailty would be more noticed and multidisplinary approach should be actively performed.

Citations

Citations to this article as recorded by  
  • Healthy aging of frail older adults in the community: A hybrid concept analysis
    Ji Su Seo, A-Hyun Ryu, Rhayun Song
    Journal of Korean Gerontological Nursing.2023; 25(3): 284.     CrossRef
  • Factors influencing the stages of frailty among Korean older adults focusing on objective and subjective social isolation
    Song Yi Han, Hye Young Jang, Young Ko
    BMC Geriatrics.2022;[Epub]     CrossRef
  • Combined Chair-Based Exercises Improve Functional Fitness, Mental Well-Being, Salivary Steroid Balance, and Anti-microbial Activity in Pre-frail Older Women
    Guilherme Eustáquio Furtado, Rubens Vinícius Letieri, Adriana Silva-Caldo, Joice C. S. Trombeta, Clara Monteiro, Rafael Nogueira Rodrigues, Ana Vieira-Pedrosa, Marcelo Paes Barros, Cláudia Regina Cavaglieri, Eef Hogervorst, Ana Maria Teixeira, José Pedro
    Frontiers in Psychology.2021;[Epub]     CrossRef
  • Factors Associated with Frailty According to Gender of Older Adults Living Alone
    Hye-Young Jang, Ji-Hye Kim
    Healthcare.2021; 9(4): 475.     CrossRef
  • Upcoming Aging Society and Men's Health: Focus on Clinical Implications of Exercise and Lifestyle Modification
    Byoungjin Park, Yong-Jae Lee
    The World Journal of Men's Health.2020; 38(1): 24.     CrossRef
  • Understanding and Prevention of Fall-related Injuries in Older Adults in South Korea: A Systematic Review
    Ki-taek Lim, Ji-eun Lee, Ha-eun Park, Su-young Park, Woochol Joseph Choi
    Physical Therapy Korea.2019; 26(2): 34.     CrossRef
  • Factors associated with frailty among community-dwelling older adults by age group: A multi-dimensional approach
    Lee Seyune, Kim Hongsoo, Jung Young-il, Hong Yun-chul
    Korean Journal of Health Education and Promotion.2018; 35(2): 89.     CrossRef
  • Effects of a Health Promotion Empowerment Program Using a Resident Volunteer as a Lay Health Leader on Frail Elders' Health and Empowerment
    Jeong Sook Park, Yun Jung Oh
    Journal of Korean Academy of Community Health Nursing.2018; 29(3): 335.     CrossRef
  • Effects of Calcium/Vitamin D Intake and Taekkyeon Exercise on the Elderly's Frailty
    Kwang Ok Lee
    Journal of Korean Biological Nursing Science.2016; 18(3): 185.     CrossRef
  • Frailty and its related Factors in Vulnerable Elderly Population by Age Groups
    Eunok Park, Mi Yu
    Journal of Korean Academy of Nursing.2016; 46(6): 848.     CrossRef
  • Sarcopenia and Osteoporosis
    Hyung-Min Ji, Jun Han, Ye-Yeon Won
    Hip & Pelvis.2015; 27(2): 72.     CrossRef
  • Effect of Vitamin D Supplementation on the Physiological Indices, Muscle Mass, and Physical Functions of Aged Women
    In Kyung Kim, Ok Soo Kim
    Korean Journal of Adult Nursing.2013; 25(5): 539.     CrossRef
  • Korean Terminology for Frailty
    Chang Won Won M.D.
    Journal of the Korean Geriatrics Society.2012; 16(2): 51.     CrossRef
  • El Instrumento de Fragilidad para Atención Primaria de la Encuesta de Salud, Envejecimiento y Jubilación en Europa (SHARE-FI): resultados de la muestra española
    Román Romero Ortuño
    Revista Española de Geriatría y Gerontología.2011; 46(5): 243.     CrossRef
  • 2,925 View
  • 90 Download
  • 14 Crossref

Original Articles

Background
Low high density lipoprotein-cholesterol (HDL-C) is one of the major risk factors for coronary heart disease. Using data from the Korean National Health and Nutrition Examination Survey (KNHANES), we assessed trend of the prevalence of low HDL-C and the factors which are associated with low HDL-C in Korean men. Methods: We analyzed three serial KNHANES data which were conducted in year 1998, 2001, and 2005. Among all survey participants, we included men aged 30-79 years with laboratory data. Low HDL-C was defined by serum HDL-C < 40 mg⁄dL. We used multiple logistic regression analysis to assess the association between low HDL-C and related factors. We investigated trend of the prevalence of low HDL-C and associated factors among Korean men. Results: The prevalence of low HDL-C in Korean men was increasing from 26.3% (1998) to 38.8% (2001) and 45.9% (2005). Low HDL-C was associated with non-alcohol drinker, current smoking, sedentary physical activity, obesity and hypertriglyceridemia. The prevalence of current smoking decreased linearly. The prevalence of sedentary physical activity and hypertriglyceridemia increased from year 1998 to year 2001, but decreased from year 2001 to year 2005. However, the prevalence of non-alcohol drinker and obesity increased continuously. The patterns of the increasing prevalence of low HDL-C were compatible to the increasing prevalence of obesity according to age in Korean men. Conclusion: From year 1998 to year 2005, the prevalence of low HDL-C in Korean men has increased. Obesity and non-alcohol drinking might be contributing factors of increasing prevalence of low HDL-C in Korean men. Management of obesity is needed to prevent increasing the prevalence of low HDL-C among Korean men.

Citations

Citations to this article as recorded by  
  • Factors influencing blood pressure classification for adults: Gender differences
    Jin Yi Choi, Eun Kyoung Yun, Eun Ja Yeun, Eun Sook Jeong
    International Journal of Nursing Practice.2019;[Epub]     CrossRef
  • The study on risk factors for diagnosis of metabolic syndrome and odds ratio using multifactor dimensionality reduction method
    Mi-Hyun Jin, Jea-Young Lee
    Journal of the Korean Data and Information Science Society.2013; 24(4): 867.     CrossRef
  • 19,324 View
  • 34 Download
  • 2 Crossref
Patient Assessment of Primary Care of Health Cooperative Clinics in South Korea.
Yoon Goo Choi, Kyoungwoo Kim, Yong Jun Choi, Nak Jin Sung, Jaiyong Kim, Jin Ha Park, Seung Kwon Hong, Jae Ho Lee
Korean J Fam Med 2010;31(10):765-777.   Published online October 20, 2010
DOI: https://doi.org/10.4082/kjfm.2010.31.10.765
Background
In South Korea, major health care problems have been occurred under the structural background that medical services are mainly provided by private medical institutions. Primary health care, which is very crucial in public health, has been overlooked, and is disorganized and fragmented. In the mean time, health cooperative movement was initiated by local residents and medical doctors to overcome health care problems in 1987. We conducted this study to evaluate the role of health cooperative clinics and obtain lessons for the future primary care policy. Methods: During April to June in 2007, survey was performed by a trained interviewer at the waiting rooms of 3 health cooperative clinics, in the process of development of the Korean Primary Care Assessment Tool (KPCAT). The KPCAT consists of 5 domains (21 items): first contact (5), coordination function (3), comprehensiveness (4), family/community orientation (4), and personalized care (5). Subjects were patients (or guardians) who had visited their health cooperative clinics on six or more occasions over a period of more than 6 months. We compared primary care scores of each domain between members and non-members of health cooperative clinics by student t-test. Effect of having a membership on each primary care domains was examined by multiple regression analysis. Results: Among the participants (N = 100), members of health cooperatives were 48, and non-members 52. Total average scores of 5 primary care domains of the KPCAT were 78.0 ± 13.5 on 100 point scale. (82.0 ± 13.1 in members, and 74.3 ± 13.0 in nonmembers; P = 0.004) Among primary care domains, personalized care was the highest (91.4 ± 11.0), and coordination function the lowest (61.0 ± 33.1) in score. Significant differences between members and nonmembers were noted in coordination function (68.9 vs. 53.7, P = 0.021) and comprehensiveness (78.4 vs. 67.2, P = 0.008). These differences were continued after adjusting by multiple regression analysis for socio-demographic variables including age, sex, income, education, number of disease, and duration since the first visit. Conclusion: In the health cooperative clinics whose primary care performance has been considered exemplary in the context of health care in South Korea, primary care scores assessed by members were higher than those by non-members. The significant differences of scores in coordination function and comprehensiveness between members and non-members suggest that the future primary care policy should be focused to strengthen these two domains of primary care.

Citations

Citations to this article as recorded by  
  • Evaluation of Value-Based, Community-Centered Primary Care: A Case Study of Anseong Health Welfare Social Cooperative
    Jong-Han Leem, Soon ho Lee, Min Kyung Lim, Eunbyoul Ahn, Younhee Kim
    Korean Journal of Family Practice.2024; 14(2): 66.     CrossRef
  • The Importance of the South Korean Primary Care Group and the Korean Primary Care Assessment Tool: Is It Possible to Sample the Whole Country?
    Erno Harzheim, Luiz Felipe Pinto, Otávio Pereira D’Avila, Lisiane Hauser
    Korean Journal of Family Medicine.2021; 42(2): 183.     CrossRef
  • Patients' Perceived Quality of Family Physicians' Primary Care with or without 'Family Medicine' in the Clinic Name
    Ka Young Kim, Kangjin Lim, Eal Whan Park, Eun Young Choi, Yoo Seock Cheong
    Korean Journal of Family Medicine.2016; 37(5): 303.     CrossRef
  • General Internists' Perspectives Regarding Primary Care and Currently Related Issues in Korea
    Jin Yong Lee, Sang Jun Eun, Minsu Ock, Hyun Joo Kim, Hyeon-Jeong Lee, Woo-Seung Son, Min-Woo Jo
    Journal of Korean Medical Science.2015; 30(5): 523.     CrossRef
  • Factors Influencing Union Members' Participation in the Korean Health Cooperatives
    Kwang-Myo Kim, Eunyoung Park, Kun-Sei Lee, Myoungsoon You, Chang-Yup Kim
    Health Policy and Management.2014; 24(4): 330.     CrossRef
  • Patient assessment of primary care under the Designated Practice Scheme for Medical Aid beneficiaries, using the Korean Primary Care Assessment Tool (K-PCAT): a district of Seoul, South Korea
    Jae-Ho Lee, Yong-Jun Choi, Ji-Sook Choi, Sera Kim
    Journal of the Korean Medical Association.2012; 55(2): 187.     CrossRef
  • 2,539 View
  • 54 Download
  • 6 Crossref
Sleep Quality of Breast Cancer Patients Receiving Chemotherapy in the Outpatients Setting.
Joo Hyun Park, Sun Jin Lee, Jung Im Gwak, Jae Yong Shim, Jung Kwon Lee
Korean J Fam Med 2010;31(10):778-785.   Published online October 20, 2010
DOI: https://doi.org/10.4082/kjfm.2010.31.10.778
Background
Breast cancer is the second most common cancer in Korean women. As survival years increase, health-related quality of life has become an important issue in breast cancer patients. Sleep problems are common and cause significant disruption in quality of life in breast cancer patients. However, cancer-related sleep disturbance has received little attention. The purpose of this study was to determine the prevalence of poor sleep quality and factors which are associated with poor sleep quality in the breast cancer patients receiving chemotherapy in the outpatients setting. Methods: One hundred and twenty-seven breast cancer patients receiving chemotherapy in a tertiary hospital outpatient were surveyed between February 2009 and July 2009. Among them, 94 (72.8%) patients were finally included in the study. The sleep quality was assessed by the Pittsburg Sleep Quality Index (PSQI). PSQI > 5 indicates clinically significant poor sleep quality. Also the independent factors of sleep quality were assessed using univariable analysis and multiple logistic regression analysis. Results: Seventy-two (76.6%) patients of 94 breast cancer patients undergoing chemotherapy have poor sleep quality. Among of them, 11 (15.3%) patients were actually consulted with doctors. Average PSQI score was 8.8 (± 4.1). Anxiety and employment status were associated with poor sleep quality. Conclusion: A high proportion of breast cancer patients receiving chemotherapy even in the outpatient settings had poor sleep quality. But only small proportion of them consulted doctor. Poor sleep quality during chemotherapy in breast cancer patient was associated with anxiety and employment status. Considering the high prevalence of sleep problem and inadequate management, more adequate attention is needed to manage the sleep problem of breast cancer patients receiving chemotherapy.

Citations

Citations to this article as recorded by  
  • The Influence of Depression, Sleep Quality, and Mental Health Literacy on the Quality of Life in Breast Cancer Patients
    Minjin Kim, Suin Park
    Asian Oncology Nursing.2024; 24(2): 73.     CrossRef
  • Validity Analysis of Neck Circumference as a Screening Test for Hypoxia Occurrence in Patients Undergoing Sedative Endoscopy
    Hyun-Ji Song, Jiyun Kim
    Healthcare.2022; 10(4): 679.     CrossRef
  • Sleep Quality and Associated Factors Among Adult Cancer Patients Under Treatment at Oncology Units in Amhara Region, Ethiopia
    Destaw Endeshaw, Henok Biresaw, Tseganesh Asefa, Nurhusien Nuru Yesuf, Senay Yohannes
    Nature and Science of Sleep.2022; Volume 14: 1049.     CrossRef
  • Sleep Quality and Cancer-Related Fatigue in Patients with Cancer
    Mahdieh Momayyezi, Hossein Fallahzadeh, Fatemeh Farzaneh, Mohammad Momayyezi
    Journal of Caring Sciences.2021; 10(3): 145.     CrossRef
  • Factors Influencing Quality of Sleep among Patients with Colorectal Cancer Receiving Chemotherapy
    Hee Soon Jang, Eun Ok Choi
    Asian Oncology Nursing.2016; 16(2): 103.     CrossRef
  • A Symptom Cluster Analysis of Breast Cancer Patients Using a Mediation Model
    Gyung Duck Kim, Hyun Jin Jang
    Asian Oncology Nursing.2012; 12(4): 274.     CrossRef
  • Related Factors to Quality of Life among Hospitalized Cancer Patients Undergoing Chemotherapy
    Ji Yeon Jeong, Hyang Sook So, Ji Eun Hong, Myeong Jeong Chae, Geunhye Han
    Asian Oncology Nursing.2012; 12(1): 84.     CrossRef
  • 3,171 View
  • 38 Download
  • 7 Crossref

Randomized Controlled Trial

The Effect of Relaxation Music on Anxiety in Subjects Performed Unsedated Esophagogastroduodenoscopy.
Gyeong Min Kim, Dong Wook Lee, Ki Heum Park, Hwee Soo Jeong, Jeong Hwa Choi
Korean J Fam Med 2010;31(10):786-792.   Published online October 20, 2010
DOI: https://doi.org/10.4082/kjfm.2010.31.10.786
Background
Esophagogastroduodenoscopy is a very important method to detect gastroduodenal lesions. But the investigation might be delayed due to its own discomfort and anxiety. This study was performed to evaluate the effect of relaxation music on relief of anxiety and physical discomfort during unsedated esophagogastroduodenoscopy. Methods: From March 3 to May 14 2009, 104 clients who have undergone unsedated esophagogastroduodenoscopy more than once in the past were enrolled in this study. The subjects were randomly assigned to receive either relaxation music (music, N = 52) or no music (control, N = 52) before esophagogastroduodenoscopy. The subjects recorded their anxiety and physical discomfort about latest and today endoscopy by visual analogue scale (VAS). At pre and post music listening, systolic, diastolic blood pressure and heart rate were measured. Results: There was a significant difference of anxiety VAS between music and control group (music, decrease 1.1 ± 2.1; control, increase 0.0 ± 1.9; P = 0.008). Throat discomfort VAS was not significant (music, decrease 0.9 ± 1.8; control, decrease 0.5 ± 2.7; P = 0.33). Dyspnea VAS decreased in both groups (music, 0.6 ± 2.2; control, 0.4 ± 2.5; P = 0.68). Nausea & vomitting VAS also decreased in both group (music, 0.9 ± 2.2; control, 1.1 ± 2.1, P = 0.71). There were no significant vital sign changes premusic and postmusic, In both group vital signs increased. Mean differences of systolic pressure(1.0 ± 11.4 vs. 1.6 ± 11.1) and diastolic pressure (0.7 ± 7.3 vs. 1.3 ± 5.7) were lower in music group, and mean difference of heart rate (1.8 ± 9.5 vs. 1.5 ± 8.0) was lower in control group. But There were no significant vital sign changes premusic and postmusic (each P = 0.8, P = 0.62, P = 0.89). Conclusion: Listening relaxation music before unsedated esophagogastroduodenoscopy may reduced anxiety.

Citations

Citations to this article as recorded by  
  • The Effect of Behavioral Relaxation Training on Distress and Cancer Screening Intention of Patients with Upper Gastrointestinal Endoscopy
    Hyo Yeon Nam, Hyung Wha Shim
    Journal of Korean Academic Society of Nursing Education.2019; 25(4): 414.     CrossRef
  • 2,177 View
  • 18 Download
  • 1 Crossref
Original Article
Comprehension of Lung Sounds for Family Medicine Residents in Daegu, Gyeongbuk.
Jung Jae Park, Dong Wook Lee, Ki Heum Park, Hwee Soo Jeong, Sin Hyeung Lee, Zoo Young Yun
Korean J Fam Med 2010;31(10):793-797.   Published online October 20, 2010
DOI: https://doi.org/10.4082/kjfm.2010.31.10.793
Background
Understanding lung sound is important physical examination of chest. We studied to identify the state of the understanding, the education and the self-learning experience for lung sound's interpretation during the residentship training period. Methods: Data were collected from 45 family medicine residents who had trained in Daegu and Gyeongbuk from April 1st to May 31th 2008. Residents completed self-administered questionnaire about the education and the self-learning experience for lung sound's interpretation and had been estimated the understanding of lung sound by using the audio file of five lung sounds. Results: The median score (inter-quartile range, IQR) of lung sound's interpretation was 2 (1, 3) between 0 and 5 range. The number of residents who were educated for the interpretation of lung sounds during the training period were 10 (22.2%). Twenty-four (53.3%) had the self-learning experience for lung sounds. Conclusion: The understanding for lung sounds of family medicine residents in Daegu, Gyeungbuk was not high and the majority of residents were not educated the interpretation of lung sounds during the training period. Directors of family medicine should consider to make the regular education program for interpretation of lung sound during the training period.
  • 1,841 View
  • 11 Download
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