여성 성전환수술을 받은 환자의 호르몬 정량분석

박정민,권용석,이근철,김석권,곽현,김상범 대한성형외과학회 2005 Archives of Plastic Surgery Vol.32 No.6

Transgender is the severe type of gender identity disorder. The prevalence rate of transgender is reported to occur to about 1 out of 50,000 men, and about 1 out of 10,000 women. As for Korea, it is estimated to have about 1400 transgender patients. Lately, not only the numbers of them are increasing but also they are influencing our society increasingly. As for female transgender patients, they take female hormone for a long term before and even after the operation to maintain their physical identity of female. We have analyzed insulin like growth factor-1(IGF-1), insulin like growth factor protein binding-3(IGFBP-3), female hormone, male hormone and thyroid hormone in female transgender patients who have undergone the gender reassignment operation. We examined the changes of hormone level due to having female hormone steadily, and also examined how the steady use of the hormone could affect body organs. As for IGF-1, it showed significantly low in the female transgender group compared to control (319.30±37.4 vs 539±55.0, p<0.05). As for IGFBP-3, there was no significant difference (2859±200.3 vs 2607±262.5, p>0.05). As for female hormone, there was no significant differences in FSH(13.42 ±13.8 vs 8.95±3.5, p>0.05), estradiol(104.41±97.1 vs 121.68±60.2, p>0.05), and LH(7.62±5.6 vs 7.4±3.3, p>0.05). Even in comparison of testosterone, there was no significant differences(0.23±0.09 vs 0.33± 1.33, p>0.05). As for thyroid hormone, there was no significant differences in TSH and free T4(1.34±0.94 vs 1.71±0.12, 1.4±0.37 vs 1.46±0.17, p>0.05).Therefore, this study concludes that apart from the decreased level of IGF-1, the possible endocrine side- effect problem due to female hormone seems to be low because there was no differences of female, male, and thyroid hormone level compared with normal female. Further study will be required in metabolic change including bone metabolism occurred by decrease level of IGF-I.

Limited Impact of Music Therapy on Patient Anxiety with the Large Loop Excision of Transformation Zone Procedure - a Randomized Controlled Trial

Kongsawatvorakul, Chompunoot,Charakorn, Chuenkamon,Paiwattananupant, Krissada,Lekskul, Navamol,Rattanasiri, Sasivimol,Lertkhachonsuk, Arb-Aroon Asian Pacific Journal of Cancer Prevention 2016 Asian Pacific journal of cancer prevention Vol.17 No.6

Background: Many studies have pointed to strategies to cope with patient anxiety in colposcopy. Evidence shows that patients experienced considerable distress with the large loop excision of transformation zone (LLETZ) procedure and suitable interventions should be introduced to reduce anxiety. This study aimed to investigate the effects of music therapy in patients undergoing LLETZ. Materials and Methods: A randomized controlled trial was conducted with patients undergoing LLETZ performed under local anesthesia in an out patient setting at Ramathibodi Hospital, Bangkok, Thailand, from February 2015 to January 2016. After informed consent and demographic data were obtained, we assessed the anxiety level using State Anxiety Inventory pre and post procedures. Music group patients listened to classical songs through headphones, while the control group received the standard care. Pain score was evaluated with a visual analog scale (VAS). Statistical analysis was conducted using Pearson Chi-square, Fisher's Exact test and T-Test and p-values less than 0.05 were considered statistically significant. Results: A total of 73 patients were enrolled and randomized, resulting in 36 women in the music group and 37 women in the non-music control group. The preoperative mean anxiety score was higher in the music group (46.8 VS 45.8 points). The postoperative mean anxiety scores in the music and the non-music groups were 38.7 and 41.3 points, respectively. VAS was lower in music group (2.55 VS 3.33). The percent change of anxiety was greater in the music group, although there was no significant difference between two groups. Conclusions: Music therapy did not significantly reduce anxiety in patients undergoing the LLETZ procedure. However, different interventions should be developed to ease the patients' apprehension during this procedure.

여성암 환자의 영적 건강과 우울의 관계

태영숙(Tae Young Sook),김미예(Kim Mi Yea) 대한종양간호학회 2007 Asian Oncology Nursing Vol.7 No.2

Purpose: This study was to identify the relationship between depression and spiritual health in patients suffering from female cancer. Methods: The study utilized a cross-sectional descriptive study design. Data was collected by questionnaires from 106 female patients who were diagnosed with cancer of female organs at three university hospitals and one general hospital. The instruments used in this study included, “the Depression Scale” developed by Zung(1965) and “Spirituality Health Inventory” developed by Highfield(1992) and amended by Kim. The collected data were analyzed using frequency, percentage, t-test, ANOVA, and Pearson's correlation coefficients. Results: There was significantly negative correlation between spiritual health and depression in female cancer patients (r= -.65, p< .0001). There were significant differences in spiritual health according to the monthly income (F=4.30, p=.016), the degree of pain (F=2.85, p= .041), the degree of fatigue (F=3.42, p= .020), the frequency of attendance at worship services (F=3.26, p= .014), the effect of religion on personal life (F=9.41, p= .000). There were significant differences in depression, according to the residence type (F= .75, p= .012), the cancer insurance (t=7.86, p= .006), the degree of pain (F=2.78, p= .045). Conclusions: There is a necessity to develop strategies to improve the spiritual health and to reduce depression in female cancer patients. The significant several characteristics related to depression and spiritual health should be considered in psychsocial nursing intervention of female cancer patients.

요양병원 여성 암 환자의 사회적 지지와 암 환자 특이형 외상 후 성장이 삶의 질에 미치는 영향

임선영(Lim, Sun-Young),박혜선(Park, Hye-Sun) 한국웰니스학회 2018 한국웰니스학회지 Vol.13 No.4

본 연구는 요양병원 여성 암 환자의 사회적 지지와 암 환자 특이형 외상 후 성장을 파악하고 삶의 질에 미치는 영향을 규명하여 요양병원에 입원한 여성암환자의 삶의 질 증진을 위한 간호중재 기초 자료를 제공하고자 시도되었다. 본 연구 대상자는 S시 소재의 요양병원 2곳에서 여성 암 환자 101명을 대상으로 하였다. 본 연구 결과, 요양병원 여성 암 환자의 사회적 지지는 암 진단 받은 기간(p=.042)에서 통계적으로 유의한 차이를 보였고, 삶의 질은 암 병기(p=.048)에서 통계적으로 유의한 차이를 보였다. 요양병원 여성 암 환자의 사회적 지지, 암 특이형 외상 후 성장과 삶의 질의 상관관계는 암 환자 특이형 외상 후 성장(r=.201, p<.05)이 삶의 질과 통계적으로 유의한 양의 상관 관계가 있어 암 특이형 외상 후 성장이 높을수록, 삶의 질이 높은 결과를 보였다. 요양병원의 여성암 환자의 삶의 질에 암 특이형 외상 후 성장이 영향을 미치는 요인으로 나타났다. 그러므로 요양병원 여성 암 환자에게 암 진단 받은 기간과 암 병기를 고려한 간호중재의 중요성을 인식하고 암 특이형 외상 후 성장의 영향요인을 파악하여 여성 암 환자의 삶의 질을 증진시키는 프로그램 개발이 요구된다. The purpose of this research is to identify social support and cancer-specific post-traumatic growth and its effect on quality of life in long-term care hospital female cancer patients, to provide base line data for the development of nursing intervention improving quality of life in female cancer patients. The subjects were 101 women at 2 long-term care hospital in S city. As the result, the social support of female cancer patients was significantly different by period of diagnosis of cancer(p=.042). Quality of life was different by stage of cancer(p=.048). Cancer-specific post-traumatic growth and the quality of life had significant pogitive relation(r=0201, p<.05). Cancer-specific post-traumatic growth significant effects on the quality of life in female cancer patients in long-term hospital. Therefore, we recognize the importance of nursing intervention considering the period of cancer diagnosis and cancer stage in women with cancer. It is necessary to develop a program to improve the quality of life in female cancer patients by identifying the influence factors of cancer-specific post-traumatic growth.

Prevalence of Osteoporosis in Female Patients with Advanced Knee Osteoarthritis Undergoing Total Knee Arthroplasty

장종범,김태균,Yeon Gwi Kang,성상철,강승백 대한의학회 2014 Journal of Korean medical science Vol.29 No.10

This study sought to demonstrate bone mineral density (BMD) conditions in elderly femalepatients with knee osteoarthritis (OA) undergoing total knee arthroplasty (TKA). Inaddition, we sought to determine whether their BMD conditions differ from those ofcommunity-based females without knee OA. Finally we sought to determine whetherclinical statuses are related to BMD in the knee OA patients. BMD conditions in 347 femalepatients undergoing TKA and 273 community-based females were evaluated. Additionally,comparative analyses of BMD between age and body mass index-matched knee OA groups(n = 212) and the control groups (n = 212) were performed. In the pre-matched knee OAgroup, regression analyses were performed to determine whether preoperative clinicalstatuses were related to BMD. Considerable prevalence of coexistent osteoporosis (31%)was found in the pre-matched knee OA patients undergoing TKA. We found no significantdifferences of the BMD T-scores and the prevalence of osteoporosis between the age andbody mass index-matched knee OA and control groups. In the pre-matched knee OApatients, poorer preoperative clinical scores were related to poorer BMD T-scores in theproximal femur and/or lumbar spine. Our study suggests that more attention should bepaid to identify and treat osteoporosis in elderly female patients with advanced knee OAundergoing TKA.

여성암 환자의 억압된 분노와 삶의 질과의 관계

태영숙,윤수정,우윤정,이혜진,최유진,최윤조 고신대학교 전인간호과학연구소 2003 전인간호과학연구 학술모음집 Vol.2 No.-

The purpose of this study is to provide the basic data to improve the QOL in patients suffering from female cancers. Subjects of this study were consisted 255 persons who admitted or visited three university hospitals. The instruments used for this study included "the Quality Of Life Scale(QOL)" developed by National Conference on Cancer Nursing and successively amended by Kwon(1990), "Anger in" developed by Spielberger(1988) and successively amended by Chon(1997). The collected data were analyzed using a SPSS 11.0 for PC. To find out significant factors of Anger in & QOL in patients with Female Cancer patients, Frequency, Percentage, t-test, ANOVA, Scheffe-test, Pearson's correlation coefficients were conducted. The main findings : Anger in score was a little low & QOL score was middle. Several characteristics of the subjects were identified to differentiate the "Anger in" and "QOL". Age status(F=2.64, p=0.05), education status(F=2.73, p=0.04), Health insurance(t=2.27, p=0.00) and cancer insurance status(t=2.97, p=0.00) was significant factors of the "Anger in". Education status(F=2.64 p=0.05), Occupation status(t=2.90, p=0.00), Monthly income (F=3.23 p=0.01), Stage of disease(F=9.23 p=0.00), Perceived health status(F=73.61 p=0.00), Perceived fatigue status(F=11.26 p=0.00) was significant factors of the "QOL". In conclusion, Anger in score was a little low & QOL sore was moderate. The degree of Anger in and quality of life were significantly negative correlated. Therefore, It is needed strategies for intervention of 'Anger in' to improve the QOL in female cancer patients. The significant characteristics of related to "anger in" & QOL should consider in sociopsychogical nursing intervention.

여성암 환자의 억압된 분노와 삶의 질과의 관계

태영숙(Tae Young Sook),윤수정(Youn Su Jung),우윤정(Woo Youn Jung),이혜진(Lee Hye Jin),최유진(Cna You Jin),최윤조(Cha Youn Jou) 고신대학교 전인간호과학연구소 2003 전인간호과학학술지 Vol.2 No.-

The purpose of this study is to provide the basic data to improve the QOL in patients suffering from female cancers. Subjects of this study were consisted 255 persons who admitted or visited three university hospitals. The instruments used for this study included the Quality Of Life Scale(QOL) developed by National Conference on Cancer Nursing and successively amended by K won (1990)’ Anger in developed by Spielberger(1988) and successively amended by Chon (1997). The collected data were analyzed using a SPSS 11.0 for PC. To find out significant factors of Anger in & QOL in patients with Female Cancer patients, Frequency, Percentage, t-test, ANOVA , Scheffe-test, Pearson s correlation coefficients were conducted. The main findings • Anger in score was a little low & QOL score was middle. Several characteristics of the subjects were identified to differentiate the Anger in and QOL . Age status(F=2.64,p=0.05), education status(F=2.73, p=0.04), Health insurance(t=2.27, p=0.00) and cancer insurance status(t=2.97, p=0.00) was significant factors of the Anger in . Education status(F=2.64 p=0.05), Occupation status(t=2.90, p=0.00), Monthly income (F=3.23 p=0.01), Stage of disease(F=9.23 p=0.00),Perceived health status(F=73.61 p=0.00), Perceived fatigue status(F= 11.26 p=0.00) was significant factors of the QOL In conclusion, Anger in score was a little low & QOL sore was moderate. The degree of Anger in and quality of life were significantly negative correlated. Therefore, It is needed strategies for intervention of Anger in to improve the QOL in female cancer patients. The significant characteristics of related to anger in & QOL should consider in sociopsychogical nursing intervention.

Exploratory Study of Factors Affecting Continuity of Cancer Care: Iranian Women's Perceptions

Fouladi, Nasrin,Ali-Mohammadi, Hossein,Pourfarzi, Farhad,Homaunfar, Nasrin Asian Pacific Journal of Cancer Prevention 2014 Asian Pacific journal of cancer prevention Vol.15 No.1

Background: Today, breast cancer is increasing in nearly all societies. Currently, cancers are the third leading cause of death in Iran after cardiovascular diseases and accidents. Of the cancers, breast cancer is spreading particularly rapidly among Iranian women. Negative effects of discontinuation of care on patient survival have been well documented. Inhibiting or facilitating factors affecting continuity of care at different stages of the patient care continuum should be identified. Materials and Methods: The current study implemented a qualitative method that provided tools to examine factors in detail. This study was conducted on 22 women, undergoing surgery and chemotherapy after being diagnosed with breast cancer. Content analysis was the technique adopted. Results: The effective factors in continuity of care from the patients' perception, based on the participant statements, were classified into three categories of evaluation of symptoms, psychological reactions, and care triggers with several subcategories. Conclusions: According to the outcomes of the current study, it can be noted that, the patient experiences can be brought into use by health-care professionals and assist them in providing patient sand their families with adequate consulting services. It can also provide an opportunity for making interventions tailored to the community culture, and closer adherence of patients to the prescribed treatments.

척수 마미부에 생긴 2예의 해면상 혈관종 : 증례 보고 Case Report

안창호,지철,조경근,이경진,이길송,윤석훈,최창락 대한신경외과학회 1992 Journal of Korean neurosurgical society Vol.21 No.6

Two cases of cavernous hemangioma of the cauda equina are presented. Cavernous hemangioma of the cauda equina is rare vascular malformation. This is the fifth and sixth case of cavernous hemangioma of the cauda equina in the literature. These cases are female patients. MRI is more sensitive method than spinal myelography and CT in diagnosis of cavernous hemangioma of the cauda equina. Total removal was possible without immediate post-operative complication.

Functional Status in Turkish Women with Gynecological Cancer

Akkuzu, Gulcihan,Talas, Melek Serpil,Ortac, Firat Asian Pacific Journal of Cancer Prevention 2014 Asian Pacific journal of cancer prevention Vol.15 No.5

Background: Functional status is the ability to perform daily activities. Little is known about quality of life and health status of gynaecological cancer patients. The present study therefore aimed to evaluate the functional status of women receiving treatment for gynecological oncological disease while not hospitalised. Materials and Methods: This descriptive study covered 42 patients monitored by the Gynecological Oncology Unit in 2011. Data were collected using the Functional Living Index-Cancer and analysed with the chi square test, independent samples t-test, Mann-Whitney U test, one-way ANOVA test and the Kruskal-Wallis H test. Results: Of the 42 cases, 66.7% had been diagnosed within the previous year and 90.5% were undergoing chemotherapy. The most severe symptoms experienced were pain (35.7%), fatigue-weakness (40.5%) and nausea and vomiting (56.5%). Daily activities where the most difficulty was experienced were housework (28.6%), average pace walking (31.0%), carrying more than 5 kg (28.6%). The mean Functional Living Index score was quite high ($103.5{\pm}24.1$). FLIC-C scale scores did not vary with the educational status, diagnosis duration, and family history of cancer (p>0.05). Conclusions: Evaluation of the functional status of gynecological cancer patients and how they cope with problems should indicate to healthcare professionals what help can be given to maintain quality of life.