• 한국전문물리치료학회지
• /
• 제27권2호
• /
• pp.111-117
• /
• 2020

Background: The Functional Assessment of Chronic Illness Therapy (FACIT) for Dyspnea was developed to assess multidimensional dyspnea using two subscales (experience of dyspnea and functional limitation) and a total score. Objects: This study aimed to assess the reliability and validity of the Korean version of the FACIT-dyspnea 10-item short form questionnaire (FACIT-dyspnea-K). Methods: Subjects were 163 patients with cancer. Dyspnea-related scales (modified Medical Research Council scale [mMRC], European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Core 30 [EORTC QLQ-C30], Hospital Anxiety and Depression [HAD], and WHO Performance Scale) were used to validate the FACIT-dyspnea-K. Results: Internal consistency was confirmed by Cronbach's alpha values of 0.90 and 0.95 in factors 1 and 2, respectively. Convergence validity was determined by comparing the two factors and total score of the FACIT-dyspnea-K with conceptually related assessment tools measuring the physical and emotional effects of dyspnea, with which correlations ranged from 0.364 to 0.567. Criterion validity was established by significant differences in the FACIT-dyspnea-K score between groups when the patients were classified by performance status as assessed by the WHO performance scale. Furthermore, the FACIT-dyspnea-K showed notable correlations with other dyspnea scales (mMRC, EORTC QLQ-C30, and HAD) for cancer patients (r = 0.28 to 0.54). The test-retest reliability of the two factors and total score of the FACIT-dyspnea-K appeared to be excellent (Cronbach's alpha = 0.96 to 0.97). Conclusion: This study supports FACIT-dyspnea-K as a valid and reliable instrument to assess the dyspnea experience of cancer patients in clinical settings.

• 중환자간호학회지
• /
• 제3권2호
• /
• pp.61-76
• /
• 2010

Purpose: This study was aimed to construct an algorithm of dyspnea emergency care and develop a simulation scenario for emergency care of dyspnea based on the algorithm. Methods: The first stage of this methodological study was to construct a preliminary algorithm based on a literature review, and content and clinical validity were established. Reflecting the result of content and clinical validity for this preliminary algorithm, simulation scenario was developed based on the modified Bay Area Simulation Collaborative scenario template. The content validity of this scenario was established, and clinical applicability was tested by applying this scenario to nurses. Results: The final simulation scenario of emergency care of dyspnea consisted of scenario overview, curricular integrity, and scenario script. The scenario was proceeded on 7 phases of the algorithm as follows; initial assessment, immediate emergency care, reassessment of dyspnea, monitoring respiratory failure, checking pulse if respiratory failure occurs, decision making on cardiopulmonary resuscitation or intubation, determining a differential diagnosis according to origin of dyspnea. Conclusion: The simulation scenario of emergency care of dyspnea developed in this study may provide a strategy of simulation education for emergency care of dyspnea for nurses.

• Tuberculosis and Respiratory Diseases
• /
• 제39권5호
• /
• pp.392-399
• /
• 1992

연구배경 : 호흡곤란은 호흡기질환 환자의 가장 흔한 주소이나 이를 감지하는 정확한 기전은 아직 잘 알려져 있지 않다. 폐질환에서 호흡곤란의 심한 정도와 치료에 대한 반응을 측정하는 데 있어 객관적인 폐기능을 이용하여 왔으나 호흡곤란은 폐 환기능 뿐 아니라 심장, 폐질환, 심인적 요인 등을 반영한 복합적인 증상이므로 주관적으로 측정하는 호흡곤란지수(dyspnea index)를 사용하여 이러한 증상의 정도를 양적으로 측정하는 것도 유용할 것으로 생각된다. 방법 : 증상이 기관지천식 환자를 대상으로 Visual Analogue Scale(VAS) 및 Borg Scale Dyspnea Index (BSDI)와 Spirometry를 검사전 휴식상태, methacholine 유발검사에서 양성을 나타내었을 때, 기관지확장제 투여후 각각 측정하였다. 결과 : 1) 기저상태와 Methacholine 및 기관지확장제 투여후 시행한 폐기능검사 결과와 VAS 및 BSDI 간 상관관계는 없었다. 2) FEV1, FVC 및 MMFR 변화량과 VAS 및 BSDI 변화량 간에도 상관관계는 없었다. 3) 천식의 증상호소가 경미한 환자군이 증상호소가 심한 환자군 보다 methacholine 및 기관지확장제 투여 후의 VAS 및 BSDI의 변화가 더 컸다. 4) 호흡곤란지수중 VAS이 BSDI 보다 조금 큰 수치 및 변화량을 보였으며 두 지수 간의 상관관계를 볼 수 있었다(R=0.82). 결론 : 기관지천식 환자에서 기저상태 및 Methacholine 유발검사시에 객관적인 폐기능 검사 수치의 유의한 차이가 없음에도 불구하고 주관적인 호흡곤란지수는 변화하는 경향을 보였으며, 이는 경중 천식군에서 더욱 뚜렷하였다. 호흡곤란지수는 환자 간의 비교척도로는 사용될 수 없으나 한 환자에서 경과관찰이나 치료효과를 판정하는데에 spirometry와 함께 중요한 지표가 될 것으로 생각된다.

• 대한한의학방제학회지
• /
• 제21권2호
• /
• pp.165-172
• /
• 2013

Objectives : This experiment was performed in order to study the effect of Maekmundong-tang on dyspnea patients. Methods : This study involved 14 dyspnea patients from March 1, 2012 to May 31, 2012. Lung capacity of the patients is evaluated with Peak flow meter. Results : Maekmundong-tang administration was revealed effect on dyspnea patients' lung capacity. Conclusions : It was found that Maekmundong-tang administration was effective on dyspnea patients' lung capacity. The mean degree of improvement was 21.79(L/min). It was shown that the more mild dyspnea level was, the more effective and short-term administration more effective.

• 기본간호학회지
• /
• 제17권1호
• /
• pp.45-54
• /
• 2010

Purpose: The purpose of this study was to develop and test an explanatory model of dyspnea in patients with chronic lung disease (CLD). Methods: Participants were 181 patients with CLD, recruited from the outpatient pulmonary clinic of one university hospital in Korea. Data were collected using questionnaires, as well as measurement of 6-minute walking distance (6MWD), oxygen saturation ($SpO_2$), FEV1% predicted, and Body Mass Index (BMI). Results: The results indicated a good fit between the proposed dyspnea model and the collected data [$x^2$=91.27, p= .13, $x^2$/d.f.=1.17, Normal Fit Index= .934]. Oxygenation ($SpO_2$, = -.530), self-efficacy (= -.429), anxiety (= .253), depression (= .224), exercise endurance (6MWD, = -.211), and pulmonary function (FEV1% predicted, = -.178) had a direct effect on dyspnea (all p< .05) and these variables explained 74% of variance in dyspnea. BMI, smoking history, and social support had an indirect effect on dyspnea. Conclusion: The findings of this study suggest that comprehensive nursing interventions should focus on recovery of respiratory health and improvement of emotions, exercise ability, and nutritional status. From this perspective, pulmonary rehabilitation would be an effective strategy for managing dyspnea in patients with CLD.

• 성인간호학회지
• /
• 제17권5호
• /
• pp.813-821
• /
• 2005

Purpose: The purpose of this study was to examine descriptors of dyspnea and clinical characteristics in patients with COPD at ED visit. Method: The study design was a descriptive survey, and 46 patients with COPD complaining of dyspnea were participated during their visits to the ED of C university hospital in G city, from October 1, 2004 to April 8, 2005. Result: The qualitative characteristics of dyspnea at the time of decision to the ED visit were short of breath (71.7%), tight (32.6%), hard to breathe (15.2%), smothering or suffocating (10.9%), gasping (8.7%), couldn't breathe (6.5%), constricted (2.2%), and hunger for air (2.2%). In the item of dyspnea checklists, My chest felt tight was the most common description among subjects. As the result of factor analysis of dyspnea checklists, the first factor was characterized rapid and shallow, the second was suffocating/smothering, the third was hunger for air, and the fourth was constricted. Conclusion: This study suggests that a checklist of dyspnea descriptors based on this findings would be utilized as a tool of initial and ongoing assessment for dyspneic patients with COPD in the ED after identifying the validity and reliability of the checklist.

• 사상체질의학회지
• /
• 제28권4호
• /
• pp.403-411
• /
• 2016

Objectives Dyspnea due to neuromuscular disease is very rare in the complementary medicine field. The purpose of this study is to report a case which showed sypmtoms improvement after treatment with Sohaphyang-won. Methods To evaluate the results of this treatment, number of days which the patient had dyspnea, results of an Arterial blood gas analysis, and the patient's lab reports were measured. Results The patient who suffered from severe sudden dyspnea and applying mechanical ventilator, was treated by Sohaphyang-won and acupuncture therapy for about 2 months. He had been diagnosed as dyspnea caused by neuromuscular disease, which in Western medicine there was no specific treatment. But after treated with Sohaphyang-won and acupuncture, his frequency of dyspnea decreased. Conclusions This study suggests that using Sasang constitutuional medical treatment is effective for Soeumin patient with dyspnea induced by neuromuscular disease.

• 대한한방내과학회지
• /
• 제26권4호
• /
• pp.875-880
• /
• 2005

Object : Dyspnea is a one of the common symptom in pulmonary disease. Jungchunghwadam-tang was used to treat chronic pulmonary disease patients with dyspnea. Thus in this study we evaluate the effect of Jungchunghwadam-tang on dyspnea. Methods : In this study, ten chronic pulmonary disease patients were treated with Jungchunghwadam-tang. Peak expiratory flow were obtained by peak flow meter. Result : After the treatment, peak expiratory flow was increased significantly compared with before treatment. Percentage of predict peak expiratory flow was also increased significantly compared with before treatment. Conclusion : The result of this study demonstrate that Jungchunghwadam-tang taken for dyspnea on chronic pulmonary disease are effective. Further investigation in well designed follow up study is needed.

• 대한기관식도과학회지
• /
• 제3권1호
• /
• pp.181-184
• /
• 1997

A dermoid cyst is a rare congenital midline neck mass with usually develops in the submental region. It is most often seen in young adults and can become rather large than almost no symptoms. As it increases in size, dysphasia, or dyspnea can develop. The differential diagnosis of the midline lesion includes ranula, thymglossal duct cyst, cystic hygroma, and cystic lymphangioma. The treatment of choice is complete surgical removal. With a review of the literature, we report two cases of a huge dermoid cyst inducing dyspnea.

• Tuberculosis and Respiratory Diseases
• /
• 제60권6호
• /
• pp.631-637
• /
• 2006

배 경: 만성폐쇄성폐질환 환자의 호흡곤란은 일반적으로 폐활량에 반비례하나 유사한 폐기능에서도 서로 다른 호흡곤란을 호소한다. 본 연구는 만성폐쇄성폐질환 환자에서 우심실박출계수와 호흡곤란의 정도와 연관관계가 있는지를 알아보고자 한다. 방 법: 호흡곤란의 정도는 Medical Research Council (MRC) 호흡곤란척도로 분석하였고, MRC 4/5도인 중증군 24명과, MRC 2/3도인 중등증군 16명을 비교 분석하였다. 심전도게이트 일회통과법을 이용한 방사성동위원소 심조영술을 이용하여 우심실 박출계수를 구했으며, 안정시 동맥가스분석 및 폐기능검사를 시행하였다. 결 과: 기저 폐기능에서 잔기량의 예측치 평균이 (%) 중증군에서($210{\pm}87$) 중등증군($160{\pm}27$)에 비해 유의하게 증가되었으나(P < 0.03), 폐활량 및 확산계수 등에서는 유의한 차이가 관찰되지 않았다. 우심실 박출계수(%)는 중증군에서($25{\pm}8$) 중등증군($35{\pm}6$)에 비해 유의하게 감소되었으나(P < 0.001), 동맥혈가스는 두 군 사이에 유의한 차이가 관찰되지 않았다. 다중회귀분석을 통해 우심실 박출계수가 독립적으로 호흡곤란에 영향을 미치는 인자로 밝혀졌다. 결 론: 만성폐쇄성폐질환에서 우심실 박출계수가 호흡곤란의 정도에 영향을 미치는 것으로 보인다.