Current Status of Studies Measuring Health State Utility for 121 Rare Diseases / 罕见病研究

Pharmacoeconomic evaluation is the essential supporting information for the inclusion of rare disease drugs into medical insurance in China. The accurate measurement of the health state utility of rare diseas is of practical significance to the development of rare disease pharmacoeconomic evaluation. Based on the review of pharmacoeconomic evaluation requirements for rare diseases in some countries/regions, we systematically retrieved the published studies on the measurement of health state utility for 121 rare diseases in China and other countries and regions. We identified 17 591 papers in the initial review, and later selected 230 after screening. We also made a comprehensive analysis of the quality of literature, evaluation content and use of tools for measuring health state utility in rare diseases in China. Finally, we analyzed the challenges in measurement in terms of population, instruments use, and application of results and made recommendations based on analysis, hoping to provide reference for the development of rare disease health state utility measurement studies in China.

Systematic review and meta-analysis of health state utility for global patients with hemophilia / 中国药房

OBJECTIVE To systematically sort out and evaluate the health state utility of hemophiliac patients， and to provide reliable parameters for conducting pharmacoeconomic evaluation and health technology assessment. METHODS Retrieved from CNKI， Wanfang data， VIP， CBM， PubMed， Embase， the Cochrane Library， Scopus and Web of Science databases， relevant literature about the measurement of health state utility in hemophiliac patients was collected from the inception to February 2023. After screening literature， extracting data and evaluating the quality of literature， meta-analysis was performed for health state utility with Stata 15.1 software. RESULTS Thirty-eight papers were finally included， with the highest and lowest health utility values of 0.90 and 0.46， respectively. Those studies mostly adopted the EuroQol Five Dimensions Questionnaire （EQ-5D） （73.7%）. Results of meta-analysis showed that health state utility of global hemophiliac patients was 0.69，95% confidence interval was 0.65- 0.74； those of patients with mild， moderate and severe hemophilia were 0.79， 0.70， and 0.64， respectively； health state utility for patients with inhibitors （0.64） was lower than that of patients without inhibitors （0.69）； health state utility for the Chinese patient population was 0.55， which was higher than that of Iranian patients （0.46）， but lower than those of other developed countries. CONCLUSIONS There is some heterogeneity in the results of the studies across countries/regions， with higher health state utility in developed countries than in developing countries. As the severity of hemophilia increases， the trend of decreasing health state utility is obvious.

Study of health state disutility value estimation of malignant tumor drugs-related adverse events ：a systematic review / 中国药房

OBJECTIVE To provide methodology re ference for conducting health state disutility estimation and calculating health output in pharmacoeconomic evaluation. METHODS Literatures about health state disutility estimation of malignant tumor drugs-related adverse events were retrieved from 3 Chinese databases such as CNKI ，Wanfang database and VIP and 3 English database such as PubMed ，Web of Science and the Cochrane Library from inception to July 2021. After 2 researchers independently screened the literature and extracted the data ，qualitative analysis was conducted. The modified decision-making technical support documents of the National Institute for Health and Care Excellence were used for quality evaluation. The practice and existing problems of health state disutility measurement were summarized to put forward some suggestions. RESULTS A total of 77 literatures were included. The first literature was published in 1991，and the number of publications increased in a fluctuating manner. 77 literatures involved 120 kinds of adverse events ，mainly utility studies （49，63.64％），only 3 （3.90％） were investigated in China. A total of 35 literatures（45.45％）had no statement of study design type ，48（62.34％）had no statement of health status development method ，52（67.53％）had no statement of health status verification method ，46（59.74％）set and explained the basic health status ，and 20（25.97％）were ranked for the health status . The utility measurement tools used were mainly the standard game method and the European five-dimensional health scale （23 literatures each ，accounting for 29.87％）. The research objects of 45 literatures（58.44％）were patients ，and 63（81.82％）did not specify the representative test of the population. Utility report types included negative value ，non-negative value and non-negative value of consolidated basic status. A total of 45 literatures（58.44％）had no statement of statistical method of utility. Overall quality score of included studies was 0.683. CONCLUSIONS The current disutility estimation include 4 key links of basic study design ， health status confirmation， utility estimation survey and survey data E-mail：luyuqiong96@foxmail.com statistics. The deficiencies of related studies are the lack of data based on the Chinese population ，the inconsistent type ofresult reporting ，and the incomplete report of measurement- related critical items. It is recommended to standardize the basic implementation path of disutility estimation ，formulate guidelines for health status utility value estimation ，and strengthen multidisciplinary cooperation so as to improve the quality of health status utility value estimation .

Research on merging methods and influencing factors of health state disutility values estimation ：taking diarrhea caused by antitumor drugs as an example / 中国药房

OBJECTIVE To explore the merging methods and influencing factors of health state disutility values estimation. METHODS Retrieved from 6 Chinese and English databases such as CNKI and PubMed ，the literatures about disutility values of diarrhea caused by antitumor drugs were collected from the inception to July 2021. After 2 researchers independently screened the literature，extracted the data ，assessed the quality ，the Meta-analysis and regression analysis were conducted using Stata 16.0 software. RESULTS Fifteen literatures were included. The results of Meta-analysis showed that diarrhea caused by antitumor drugs had a significant impact on health utility [ MD＝－0.26，95％CI（－0.30，－0.22），P＜0.05]. The results of subgroup analysis showed that the disutility values of the 3 types of negative value ，non-negative value changed into negative value ，and non-negative value combined with basic state changed into to negative value were MD ＝－0.14，95％CI（－0.19，－0.09）；MD＝－0.46，95％CI （－0.56，－0.36）；MD＝－0.12，95％CI（－0.20，－0.05），respectively. Meta regression results showed that the year of publication ， survey country/region ，severity of adverse events ，basic state settings ，utility estimation tools ，utility report types ，and utility statistical methods significantly affected the value of diarrhea disutility （P＜0.05）. CONCLUSIONS Disutility values for treatment-related symptoms or complications should be fully considered when inputting the parameters to the economic evaluation model. In the study or application of disutility values ，the types of utility reports should be distiguished ，and the core influencing factors such as the investigation country or region ，the severity of symptoms or complications ，and whether the basic state is set should be focus on.

Representación social de la salud en ancianos de un área de salud en Santiago de Cuba / Social representation of health in aged patients from a health area in Santiago de Cuba

Se efectuó un estudio descriptivo de 80 ancianos en edades superiores a 65 años, pertenecientes al Policlínico Docente Ramón López Peña de Santiago de Cuba, desde enero a mayo del 2017, para lo cual se empleó una metodología mixta, con una estrategia de triangulación de datos en un sentido cuanti-cualitativo, a fin de determinar las representaciones sociales que estos construían sobre su salud. Los principales resultados indicaron que la representación social del estado de salud en estos ancianos comprendía el núcleo figurativo compuesto por la importancia que le atribuyen a esta categoría, que es percibida como la ausencia de enfermedades somáticas o no, y por los estados emocionales, como el miedo y la inseguridad, que genera el no poseer un adecuado estado de salud.

A descriptive study of 80 aged patients with ages over 65 years, belonging to Ramón López Peña Teaching Polyclinic in Santiago de Cuba was made from January to May, 2017, for which a mixed methodology was used, with a strategy of triangulation of data in a quanti-qualitative sense, in order to determine the social representations that they built on their health. The main results indicated that the social representation of the health state in these elderly included the figurative nucleus composed by the importance that they attribute to this category, perceived as the absence or not of somatic disease, and by the emotional states, such as fear and insecurity that generates not possessing an appropriate health state.

Introduction and Research Status of 6-Dimensional Health State Classification System / 中国卫生经济

Cost-utility analysis(CUA) was widely used for health care decision-maker.It systematically introduced ShortForm 6D(SF-6D) and described the latest international research and application progress.Compared with EuroQol 5 Dimensions Questionnaire(EQ-5D),SF-6D had higher time validity and more reliable result on estimating patients in some fields.On the other hand,the unity value of SF-6D was estimated based the investigation result of Short Form-36(SF-36) through transferring literature and reports.Based on the method,estimating the health unity of patients' health could make the maximized use of the current data of SF-36,so as to save the costs of pharmacoeconomic.However,further research needs to verify that this transformation model is suitable for Chinese.

La estrategia integral de salud: un enfoque necesario / Health comprehensive strategy: a necessary approach

En la cobertura universal de salud se destaca la importancia del financiamiento en los sistemas de salud y de los recursos de la población para acceder a los servicios sanitarios, donde también influyen otros aspectos, como la falta de voluntad política, de conocimiento, organización y preparación de las autoridades y los directivos de los diferentes sectores y niveles, para lograr una atención que se corresponda con los determinantes sociales de la salud. A pesar de que se definen los problemas exógenos que afectan a la salud de la población y que influyen en los sistemas de salud, como el medio ambiente, los desastres naturales, entre otros; no se precisa cómo estos sistemas deben interactuar de forma más activa con los fenómenos que los originan y los factores que intervienen, por lo que en este artículo se realizan algunas propuestas a tales efectos.

In the health universal covering, the importance of financing the health systems and the population's resources stands out to make the health services disposable, where there is also the influence of other aspects such as the lack of political will, knowledge, organization and training of authorities and heads of the different sectors and levels, to achieve a care in correspondence with the health social determinants. Although exogenous problems which affect the population's health and that influence in the health systems, as environment, natural disasters, among others are defined, is not stated how these systems should interact in a more active way with the phenomena that originate them and the factors that intervene, so that some proposals to such effects are described in this work

Análise sobre a judicialização da saúde no Estado de Mato Grosso no período de 2011-2012 / Analysis of the legalization of health in the state of Mato Grosso in the period 2011-2012 / El análisis de la legalización de la salud en el estado de Mato Grosso, en el periodo 2011- 2012

O Direito à Saúde consagrado na Carta Cidadã de 88 é um direito de todos, e segundo os doutrinadores, passível de ser exigido judicialmente quando não garantido pelo Estado. O objetivo desse trabalho é compreender o fenômeno da Judicialização do acesso à Saúde Pública no Estado de Mato Grosso. Foi utilizado o método qualitativo baseado na pesquisa documental, retirado de doutrinas jurídicas e da saúde, bem como o quantitativo através da análise dos dados fornecidos no relatório do Núcleo de Apoio Técnico-NAT instalado no Fórum, cujo escopo é subsidiar os magistrados com pareceres técnicos na área da saúde. Foi com a crescente demanda de ações judiciais envolvendo a área da saúde pública no estado de Mato Grosso e com a criação do NAT que emite pareceres técnicos a fim de subsidiar os magistrados ao decidir os casos apresentados na justiça estadual, que justificou a realização desse trabalho. É possível verificar que a população cada vez mais está consciente de seus direitos e exigindo que o mesmo seja efetivado através de decisões judiciais, visto que a ação do Poder Executivo na saúde resta ineficaz, não alcançando a população que procura por esses serviços. Enquanto não haja um debate coletivo com os atores sociais e os três poderes, quanto à situação da saúde no Estado de Mato Grosso, estaremos diante desse cenário de aumento de ações envolvendo a saúde, pois, o cidadão não pode ficar à mercê da ineficácia de gestão dos Poderes Públicos.

The right to health enshrined in the Citizen Charter 88 is a right for all, and according to the scholars, which can be enforced in court when not guaranteed by the State. The aim of this study is to understand the phenomenon Legalization of access to public health in the State of Mato Grosso. The qualitative method based on desk research, taken from legal doctrines and health was used and the amount by analyzing the data provided in the Technical NAT Support Center report installed in the Forum, whose purpose is to assist the judges with technical advice in the health area. It was with the increasing demand of lawsuits involving the area of public health in the state of Mato Grosso and the creation of NAT issuing technical advice in order to support the judges to decide cases brought in state courts, which justified the realization of this work. You can check that is increasingly aware population of their rights and demanding that it be effected through judicial decisions, as the action of the executive power on health remains ineffective, not reaching the population that demand for these services. While there is no public debate with stakeholders and the three powers, as the health situation in the State of Mato Grosso, we will stand before this increase scenario of actions involving health, because the citizen cannot be at the mercy of the ineffectiveness of management of public authorities.

El derecho a la salud consagrado en la Carta 88 ciudadana es un derecho para todos, y de acuerdo con los estudiosos, los cuales pueden ser aplicadas en la corte cuando no garantizada por el Estado. El objetivo de este estudio es comprender el fenómeno de la legalización de acceso a la salud pública en el Estado de Mato Grosso. Se utilizó el método cualitativo basado en la investigación documental, tomada de las doctrinas legales y de salud y la cantidad mediante el análisis de los datos proporcionados en el informe Centro de Soporte Técnico NAT instalado en el Foro, cuyo propósito es ayudar a los jueces con el asesoramiento técnico en la salud. Fue con la creciente demanda de demandas relacionadas con el área de la salud pública en el estado de Mato Grosso y la creación de NAT emisión de asesoramiento técnico con el fin de apoyar a los jueces para decidir los casos presentados en los tribunales estatales, lo que justifica la realización de este trabajo. Se puede comprobar que es población cada vez más conscientes de sus derechos y exigiendo que se efectuará a través de decisiones judiciales, como la acción del poder ejecutivo en la salud sigue siendo ineficaz, no llegar a la población que la demanda de estos servicios. Si bien no hay debate público con las partes interesadas y los tres poderes, como la situación de salud en el Estado de Mato Grosso, estaremos delante de este aumento escenario de las acciones relacionadas con la salud, debido a que el ciudadano no puede estar a merced de la ineficacia de gestión de las autoridades públicas.

Feasibility of assessing health state by detecting redox state of human body based on Chinese medicine constitution / 中国结合医学杂志

This article discussed the feasibility of assessing health state by detecting redox state of human body. Firstly, the balance of redox state is the basis of homeostasis, and the balance ability of redox can reflflect health state of human body. Secondly, the redox state of human body is a sensitive index of multiple risk factors of health such as age, external environment and psychological factors. It participates in the occurrence and development of multiple diseases involving metabolic diseases and nervous system diseases, and can serve as a cut-in point for treatment of these diseases. Detecting the redox state of high risk people is signifificantly important for early detection and treatment of disease. The blood plasma and urine could be selected to detect, which is convenient. It is pointed that the indexes not only involve oxidation product and antioxidant enzyme but also redox couple. Chinese medicine constitution reflflects the state of body itself and the ability of adapting to external environment, which is consistent with the connotation of health. It is found that there are nine basic types of constitution in Chinese population, which provides a theoretical basis of health preservation, preventive treatment of disease and personalized treatment. With the combination of redox state detection and the Chinese medicine constitution theory, the heath state can be systemically assessed by conducting large-scale epidemiological survey with classifified detection on redox state of human body.

Investigation of Traditional Chinese Medical Constitution Types of Sub-health State Women During Menstrual Cycle / 广州中医药大学学报

Objective To investigate the changes of traditional Chinese medical constitution types with menstrual cycle of sub-health state women, thus to explore the affectability of diseases during menstrual cycle. Methods Sub-health State Questionnaire and Menstruation State Questionnaire established in our previous study were used for the epidemiological survey of 330 women outpatients aged 20-45 years admitted by the disease-preventive department of Tianhe District Hospital of Traditional Chinese Medicine. Results In 330 cases, the cases of sub-health state accounted for 64.5%, in which 21.5%had pure sub-health state without any chronic diseases, and 43.0% had sub-health state together with some diseases. The diseases of hyperplasia of mammary glands, vaginitis, cervical spondylosis, hyperlipemia, chronic appendagitis, and uterus myoma had higher morbidity rate in order. At premenstrual phase, constitution types of Qi stagnation, damp heat, and blood stasis had the higher incidences; at menstruation phase, Qi stagnation, blood stasis, and damp heat had the higher incidences; at postmenstrual phase, yang deficiency, Qi deficiency, and damp heat had the higher incidences. Most of the sub-health state women had the complex constitution types, accounting for 93%. Conclusion Traditional Chinese medical constitution types are correlated with menstral cycle of sub-health state women, and show some effects on the affectability and progress of diseases. The investigation results of dynamic changes and the distribution of traditional Chinese medical constitution types during menstrual cycle will supply some evidence for the prevention and treatment of irregular menstruation and sub-health state of the women with Chinese medine.

Evaluación de los estados funcional y afectivo en la población geriátrica del área de salud "28 de Septiembre" / Evaluation of the functional and affective states in the geriatric population of "28 de septiembre" health area

Se realizó un estudio descriptivo y transversal de 108 ancianos con 60 años y más, pertenecientes al Policlínico Universitario "28 de Septiembre" de Santiago de Cuba, desde abril hasta octubre del 2011, a fin de evaluar los estados funcional y afectivo en esta población geriátrica. En la casuística prevalecieron las edades de 70-79 años (35,2 %), el sexo femenino (60,2 %) y las que tenían dependencia funcional en la realización de 1 o 2 tareas básicas de la vida diaria, así como en 3 o 4 actividades instrumentadas. También primaron los trastornos afectivos con predominio de la depresión y la ansiedad.

A descriptive and cross-sectional study of 108 aged patients with 60 years and over, belonging to "28 de Septiember" University Polyclinic in Santiago de Cuba , was carried out from April to October, 2011, in order to evaluate the functional and affective states in this geriatric population. Ages from 70-79 years (35.2 %), the female sex (60.2 %) and those who had functional dependence in carrying out 1 or 2 basic tasks of the daily life activity, as well as in 3 or 4 instrumental activities, prevailed in the case material. The affective disorders also prevailed with a prevalence of depression and anxiety.

The Effects of a Psychosocial Rehabilitation Approach on the Social Adjustment of People with Psychiatric Disabilities / 신경정신의학

OBJECTIVES: The aims of this study were to explore ways in which social adjustment (SA) is enhanced and to investigate the structure of relationships among mental health state (MHS), the de-velopment of personal skills (DPS), and the development of environmental resources (DER) through structural equation modelling. METHODS: The research data were gathered by collecting self-administered questionnaires from 689 service users recruited from 62 mental health organizations in South Korea. RESULTS: Firstly, in the result of path estimates of measurement and theoretical model, especially MHS, the DER had a significant effect on the SA, the DER had a significant effect on the DPS, and the DPS had a significant effect on the SA. In contrast, MHS showed no significant effect on the DPS, and the DER showed no significant effect on the SA. Secondly, MHS and the DPS had direct effects on the SA, while the DER had indirect effects on the SA. Finally, the DER full mediating effects of between MHS and DPS ; another full mediating effects of DPS between DER and SA. CONCLUSION: Several intervention strategies for improving social adjustment were identified and presented. I found that much of your results section was difficult to understand without access to your full paper. For example, I have no details of your theoretical model and was unsure what form of structural equation modeling you used. My editing, especially of the way in which you reported your results, may therefore be inaccurate and certainly less helpful than I would have liked. Please accept my apologies for this.

Analysis on the health status of elderly people with dementia / 中华临床营养杂志

Objective To understand the health status of elderly people with dementia and explore the risk factors and impact of dementia. Methods The health statuses of 104 elderly patients with dementia and 99 normal controls were analyzed with Mini-Mental State Examination. Medical history,laboratory tests,and physical examinations of all patients were collected and compared.Results The incident of dementia was significantly higher in patients with dementia,and the risk factors included female,older age,low education,history of stroke,history of surgical operation,tumors,pneumonia,severe osteoarthropathy,low calcemia,and hypercholesterolemia (P<0.05).Other indicators were not significantly different between the patients and controls(P>0.05).Conclusions Multiple risk factors contribute to dementia in elderly people.In return,dementia deteriorates the health of these patients.

Factors Affecting Physical Symptoms of Elders / 성인간호학회지

PURPOSE: This study was done to identify the relationship of trait anger, health state, physical symptoms. and general characteristics to physical symptoms and to identify factors affecting physical symptoms of elderly in urban areas. METHODS: The research design for this study was a descriptive survey design using a convenience sampling. Elders (n=276), who agreed to participate in this study completed a self-reporting questionnaire. The collected data were analyzed by descriptive statistics, t-test, ANOVA, Pearson's correlation coefficients, and multiple regression. RESULTS: Study participants reported low trait anger (M=18.61), physical symptoms (M=7.15), and moderate health state (M=3.30). The 45.4% of variance in physical symptoms was significantly explained by emotional function health state (beta=-.284, p=.013), which is one of the sub-domain of the elderly health state, and trait anger (beta=3.841, p<.001). CONCLUSION: Findings of this study provide that the most important factors in explaining physical symptoms for the elders in Korea were emotional function health state and trait anger. Based on the findings of this study, further nursing practice and nursing research for the elders with physical symptoms should be focused on emotional support.

Relación del estado de salud bucal con algunos factores socioeconómicos en niños de 2-5 años / Relation of the oral health state to some socioeconomic factors in children aged 2-5

OBJETIVOS: determinar la asociación de algunos factores de riesgo con el estado de salud bucal en la primera infancia; identificar la relación de la salud bucal de dichos niños con: la higiene bucal, el tipo de dieta, escolaridad de los padres, ocupación de los padres. MÉTODOS: el estudio se llevó a cabo en el municipio Bauta, provincia La Habana, en 2 etapas: la primera, descriptiva, de corte transversal, la segunda, analítica, de acuerdo con la metodología de casos y controles (200 niños de cada tipo), en el período comprendido desde junio del 2005 hasta junio del 2006. Se utilizaron las variables: estado de salud bucal, escolaridad, ocupación de los padres, higiene bucal, tipo de dieta. RESULTADOS: el comportamiento de la higiene bucal fue inadecuado en el 39,5 por ciento de los casos y en el 5,5 por ciento de los controles; en el grupo de casos prevaleció la dieta cariogénica 65,0 por ciento, mientras que en el grupo control se incrementó la aceptable, con el 44,0 por ciento. En cuanto a la influencia de la escolaridad y la ocupación de los padres, en el estado de salud bucal los resultados no mostraron significación estadística. CONCLUSIONES: la adecuada higiene bucal y la dieta no cariogénica incrementaron la posibilidad de tener un estado adecuado de salud bucal. Tanto la escolaridad como la ocupación de los padres no guardaron correlación con la salud bucal de sus hijos(AU)

OBJECTIVES: to determine the association of some risk factors with the oral health state in the early childhood, to identify the connection of the oral health of these children with oral hygiene, the type of diet, parents' educational level and parents' job. METHODS: a 2-stage study was carried out in Bauta municipality, Havana province from June 2005 to June 2006. The first stage was descriptive and cross-sectional, and the second was analytical according to the case-control methodology (200 children of each type). The following variables were used: oral health state, educational level, parents' occupation, oral hygiene and type of diet. RESULTS: the behavior of oral hygiene was inadequate in 39.5 percent of the cases and in 5.5 percent of the controls. The cariogenic diet prevailed in the case group (65.0 percent), whereas the acceptable diet increased in the control group (44.0 percent). As regards the influence of educational level on the oral health state, the result did not show statistical significance. CONCLUSIONS: the adequate oral hygiene and the non-cariogenic diet rose the possibility of having an appropriate oral health state. The educational level and the occupation of the parents had no correlation with the oral health of their children(AU)

The Effects of Dumbbell, Walking, and Yoga Exercise Interventions for the Community-Dwelling Women / 성인간호학회지

PURPOSE: The purpose of this study was to examine the effects of exercise intervention, including dumbbell(weight lifting), walking, and yoga, on the body composition, physiologic factors, body image, and perceived health in the community-dwelling women. METHOD: This study utilized pretest-posttest design with three types of exercise interventions. The types of exercise intervention included dumbbell, walking, and yoga. RESULTS: A total of 136 subjects were included: 49 for dumbbell, 67 for walking, and 20 for yoga. As measures of body composition, BMI, body weight, and body fat rate were significantly improved only after dumbbell intervention(p.05) and none of the measures for perceived health state were not significantly changed in all groups(p>.05). CONCLUSION: From the findings of this study, it was demonstrated that the effects of exercise interventions were differentiated by their types and variables to be affected. Therefore, future studies that apply the tailored exercise intervention to each age-categorical group are needed.

The Effects of Dumbbell, Walking, and Yoga Exercise Interventions for the Community-Dwelling Women / 성인간호학회지

PURPOSE: The purpose of this study was to examine the effects of exercise intervention, including dumbbell(weight lifting), walking, and yoga, on the body composition, physiologic factors, body image, and perceived health in the community-dwelling women. METHOD: This study utilized pretest-posttest design with three types of exercise interventions. The types of exercise intervention included dumbbell, walking, and yoga. RESULTS: A total of 136 subjects were included: 49 for dumbbell, 67 for walking, and 20 for yoga. As measures of body composition, BMI, body weight, and body fat rate were significantly improved only after dumbbell intervention(p.05) and none of the measures for perceived health state were not significantly changed in all groups(p>.05). CONCLUSION: From the findings of this study, it was demonstrated that the effects of exercise interventions were differentiated by their types and variables to be affected. Therefore, future studies that apply the tailored exercise intervention to each age-categorical group are needed.

A Study on Health Status of Joints in Elderly People / 기본간호학회지

PURPOSE: The purpose of this study was to describe the subjective health status of joints, flexibility of joints, muscle strength and state of joint exercise in elderly people living in the community. METHOD: The participants were 74 elderly people in a health program of the Gerontological Health Research Center at G University. The data were collected from March to July, 2003. The instrument for the study included items on general characteristics (5 items), subjective health status of joints (10 items), flexibility of joints and strength of muscle (8 items), and state of joint exercise (7 items). RESULTS: The score for subjective health status of joints was 3.70 (range 1-5). Knee and waist joints were in the worst state. Neck extension and flexion were 17.38+/-1.80 and .60+/-1.08(cm) respectively. Trunk extension and flexion were 68.24+/-4.47 and 58.00+/-4.91(cm) respectively. Flexibility of the Rt./Lt. shoulder joints was 14.63+/-12.51/18.82+/-13.80(cm). Muscle strength of the Rt./Lt. leg was 30.47+/-19.68/29.67+/-21.22 (sec.). Shoulder joints were more flexible for men and people in their sixties compared to women and people in their seventies. Hand grip was stronger for men compared to women. The score for state of joint exercise was 2.83(range 1-4). The state of handgrip correlated with the state of joint exercise [r=.423 (Rt.)/r=.273(Lt.)]. CONCLUSION: To prevent falls and disorders in neuromuscular function, it is important to develop systemic joint exercise programs for elderly people.

A Study on the Relationship between Perceived Health State, Personality, Situational Barrier, Health Promoting Behavior in Students / 성인간호학회지

PURPOSE: The purpose of this study was to examine the relationship between perceived health state, personality, situational barrier, health promoting behavior, to provide the basic data for health promoting intervention. METHOD: This study was designed as a descriptive correlation study. Data were 396 undergraduate students of one university in Chung-Buk. The instruments for this study were the modified health promoting behavior scale developed by Bak, Insuk(1995), and the modified perceived health state scale developed by Im, Meeyoung (1998), the modified personality scale developed by Park, Youngbae(1998), the modified situational barrier scale developed by Im, Meeyoung(1998). RESULT: The results of this study showed that the mean score for perceived health state 2.72, personality 3.35, situational barrier 2.72 and health promoting behavior 2.67. The health promoting behavior categories, scores for 'sanitary life'(3.08), 'self-actualization and interrelationship'(2.93) were higher than the mean score, whereas scores for 'healthy diet'(2.64), 'rest and sleep'(2.62), 'exercise and stress management'(2.49), and 'diet management' (2.25) were lower than the mean score. This study revealed the negative correlation between perceived health state, personality, situational barrier and health promoting behavior in undergraduate students. CONCLUSION: Perceived health state accounted for 16% and personality accounted for 21.3% of the variance in health promoting behavior in students. Therefore, health promoting programs that increase health state and personality should be developed to promote health behavior and to diminish situational barrier for students in Korea.

Cross-sectional study on the community medical care service of chronic diseases of the elderly in an urban area / 第三军医大学学报

Objective To study the health state and service of the elderly in the Tongbai community. Methods The educational degree, disease histories, daily living capability, health care demand and the controlled state of hypertension and diabetes were recorded by questionnaires and physical examination. Results Overweight or obesity (66.1%) was the common disease, hypertension (42.2%) next, then coronary disease (10.0%) and diabetes (9.1%). Nearly 43.3% hypertension patients never or seldom measured their blood pressure. The rate of ideal blood pressure was lower than 25%. 30.4% diabetes patients never or seldom measured their fasting glucose and 69.3% patients never or seldom measured their post-meal glucose. 46.1% of the elderly required one or more kinds of community health services, in which annual health examination was 32.6%, and the next was health guide (23.0%), 53.9% of the elderly had no requirement of community services except medical care. Conclusion The elderly in community had high prevalence and poor control of chronic diseases. They did not fully understand the community health services, which brought the challenges to the medical care, health prevention, health education and reasonable utility of hygiene resources in community health services.