Patient-centered interviewing is to understand and respond to patient's needs and prefers at the level of patient. For practicing the patient-centered interview, the way of communication should be changed in history taking, explanation, and patient education. Story telling (illness narrative) which composes of 5 dimensions such as abstract, orientation, development (complication), evaluation, and coda is the unique and key way to approach the area of patient's illness experience, values, history of life, social environment (occupation, family relationship), and emotion. Narrative gives information about how a story teller views and expresses the event that he/she experienced before, and information about how a story teller positions the self, the subjects of story, and listener's identities. Narrative competence to listen to a patient's story requires several kind of interview skills at the moment of patient's expression of disease history, including skill for composing story, skill for listening, skill for empathizing, and skill for effective questioning. Collecting patient's illness story is not refi ned to the individual patient. If we listen to the various patients' illness stories, who have the similar disease, and arrange the stories systematically, the patients' illness database can help many patients by the facts in the database and the therapeutic power of the other patients' illness stories.

Citations

• Effects of an empathy enhancement program using patient stories on attitudes and stigma toward mental illness among nursing students
  Mi-Kyoung Cho, Mi Young Kim
  Frontiers in Psychiatry.2024;[Epub]     CrossRef
• Effect of a Patient Illness Narrative on Knowledge about Schizophrenia, Attitudes toward Mental Illness, and Learning Satisfaction
  Youngmi Ahn, Young Mi Ryu
  Journal of Korean Academy of Psychiatric and Mental Health Nursing.2018; 27(2): 189.     CrossRef

Background
The metabolic syndrome (MS) is a cluster of risk factors of cardiovascular disease. The association between components of the MS and bone mineral density has been researched, but no prior studies have directly evaluated the association with the metabolic syndrome and bone mineral density in Korea. Methods: We evaluated postmenopausal women who had visited a university hospital from November 2006 to October 2007. Data on their lifestyle, current medical diseases and medications were collected from medical records. Height, body weight, waist circumference and serum lipid profi les were measured. Results: The prevalence of metabolic syndrome was 21.8% in this study. In adjusted analysis including age and other factors, only waist circumference had a close correlation with bone mineral density of femur and lumbar vertebral body (P < 0.05). The bone mineral density of femur and lumbar vertebral body had no correlation with the presence of metabolic syndrome. When stratifi ed by body mass index, corrected bone mineral density revealed no signifi cant correlation with the presence of metabolic syndrome. Conclusion: The bone mineral density of postmenopausal women with metabolic syndrome has highly influenced by obesity, especially by abdominal obesity.

Citations

• Association between Metabolic Syndrome and Osteoporosis in Korean Adults Aged Over 50 Years Old Using the Korea National Health and Nutrition Examination Survey, 2016-2017
  Hyeon Hwa Lee, Mi Ah Han, Jong Park
  Journal of Health Informatics and Statistics.2019; 44(3): 245.     CrossRef
• Prevalence of osteoporosis according to nutrient and food group intake levels in Korean postmenopausal women: using the 2010 Korea National Health and Nutrition Examination Survey Data
  Young-Suk Lim, Sang-Wha Lee, Zuunnast Tserendejid, So-Yeon Jeong, Gyeongah Go, Hae-Ryun Park
  Nutrition Research and Practice.2015; 9(5): 539.     CrossRef
• Analysis of Bone Mineral Density, Biochemical Index and Nutrient Intakes of 30-70 Years Old Women: Based on 2011 KNHANES
  Jae Ok Koo, Myung Sook Kim
  Korean Journal of Community Nutrition.2014; 19(4): 328.     CrossRef
• Evaluation of Diet Quality according to Self-Rated Health Status of Korean Middle-Aged Women -Based on 2008~2009 Korean National Health and Nutrition Examination Survey-
  Hye-Jin Lee, Kyung-Hea Lee
  Journal of the Korean Society of Food Science and Nutrition.2013; 42(9): 1395.     CrossRef
• Analysis of Body Composition, Dietary Behaviors and Life style of 30~50 year old Women Living in Seoul
  Jae Ok Koo, Seoyun Park
  Korean Journal of Community Nutrition.2012; 17(4): 440.     CrossRef

Background
Previous study suggested that beef tallow extract including cis-9-cetylmyristoleate was a safe and effective treatment for patients with osteoarthritis. We used extract of vegetable oils containing cetyl myristoleate. This study assessed the effect of this supplementation on knee pain and function in patients with osteoarthritis. Methods: The 70 patients who manifested the symptoms and signs of osteoarthritis of knee were randomly assigned to placebo (36) and plant-fatty acids complex (FAC) group (34). Two capsules of placebo (corn starch 350 mg) and plant-FAC (12% cetyl myristoleate in 350 mg) were orally administered to placebo and plant-FAC group three times a day for 60 day, respectively. Visual analogue scale (VAS) and Korean version of Western Ontario and McMaster' Universities Osteoarthritis Index (KWOMAC) were assessed before and after the intervention and we monitored any adverse effects. Results: The 6 of 36 patients (16.7%) in the placebo and the 5 of 34 patients (14.7%) in the plant-FAC group were missed due to low compliance. In the plant-FAC group, the VAS score was improved by mean 0.76 (P = 0.03) but the improvement was lower than that of placebo group. The KWOMAC was improved by mean 8.90 and 8.13 in the plant-FAC and placebo group, respectively. But the independent t-test showed no statistical signifi cance (P = 0.47). Conclusion: We failed to show the superiority of plant-FAC to placebo on the pain and function of patients with osteoarthritis of the knee.

Citations

• The minimal effective dose of cis-9-cetylmyristoleate (CMO) in persons presenting with knee joint pain
  Sang Chul Lee, Hyun Seung Jin, Young Joo, Yong Chul Kim, Jee Youn Moon
  Medicine.2017; 96(9): e6149.     CrossRef

Background
Although, its efficacy is unclear, the application of complementary and alternative medicine (CAM) is increasing among patients worldwide. The physician's role is very important to help patients understand and use CAM properly. The aim of this study is to examine the perceptions, attitudes and physician-patient communication of about CAM in two distinguished specialty physicians. Methods: A web-based survey was performed to list oncologists and family physicians in Korea between May 2007 and July 2007. E-mails were sent to total of 5,429 physicians and 547 physicians replied on survey (response rate: 10.1%). Of them, 500 participants comprising 174 clinical oncologists and 326 family physicians were involved in this study. The study questionnaire consisted of 26 questions including questions about general characteristics of CAM and intentions of introduction and education to their patients. Results: Of 500 physicians, males were 73.4%, and 82.0% were middle-aged 30-49. Family physicians had more interest than oncologists about CAM (79.5% and 57.5%, respectively). In addition to, family physicians preferred introducing CAM to their patients than oncologists (34.1% and 18.4%, respectively). Almost 85% of the oncologists and family physicians thought that it was necessary to introduce CAM to their patients. However, 60.2% of them had hesitated their practice because 70.3% of them did not have suffi cient knowledge in CAM. Both specialty physicians responded that usefulness of CAM information when regarding practice, should contain evidence-based evaluation (59.2%) and consensus guideline(37.0%). Conclusion: The results of this study showed that most physicians did not have sufficient information regarding CAM(87.2%). The result implies that evidence based information on complementaryand alternative medicine should be offered in the national level to improve communication between physicians and patients.

Citations

• Experiences and Perceptions of Gender Discrimination and Equality among Korean Surgeons: Results of a Survey of the Korean Surgical Society
  Jihyeon Choi, Jeong-Eun Lee, Bora Choi, Jungook Kim, Seung Eun Lee
  Journal of Korean Medical Science.2021;[Epub]     CrossRef
• Perspectives of Cancer Patients on Korean Medicine Treatments: A Cross-sectional Survey
  Han-sung Ryu, Sung-soo Yoon, Jee-young Lee, Seong-woo Yoon
  The Journal of Internal Korean Medicine.2017; 38(3): 319.     CrossRef
• Nurses' Knowledge, Perceived Barriers, and Practices Regarding Complementary and Alternative Medicine in South Korea
  Sanghee Kim, Myung-Nam Lee, Senah Lee
  Holistic Nursing Practice.2016; 30(6): 338.     CrossRef

Background
Constipation is one of the most common digestive complaints. Although, there are increased interest on the socioeconomic effect of constipation and studies associated with quality of life on constipation, there is no study about the infl uence of constipation onto quality of life (QOL) in Korea. We studied the impact of functional constipation on QOL. Methods: Between March to June 2008, person to person survey with 844 elderly aged over 60 years was performed at two senior care centers, a public health center, and secondary hospital in Seoul metrocity and Chung-ju city. The diagnosis of functional constipation was based on the Rome III criteria and QOL was measured by the Medical Outcomes Study (MOS) 36-Item Short-Form Health Survey (SF-36). Results: The average age was 73.6 years and the prevalence rate of constipation was 20.3%. The average SF-36 score was 63.5 in total population, 57.9 in constipation group, and 64.9 in normal group. Conclusion: These results suggest that the constipation lowers QOL in adults aged over 60 years old. Further study will be necessary to explore if QOL changes according to the severity of constipation and its treatment and to assess QOL using a disease-specifi c measurement tool that can be used for Korean environment.

Citations

• Constipation among Korean older adults in long-term care facilities: A scoping review
  Yuseon Jeong, Dukyoo Jung, Eunju Choi
  Journal of Korean Gerontological Nursing.2024; 26(1): 4.     CrossRef
• Efficacy and safety of galacto-oligosaccharide in the treatment of functional constipation: randomized clinical trial
  Jae-Hwan Lee, Geun-Bae Kim, Kisoo Han, Eun-Jin Jung, Hyung Joo Suh, Kyungae Jo
  Food & Function.2024; 15(12): 6374.     CrossRef
• A Randomized, Double-blind, Active-controlled Exploratory Clinical Trial for the Evaluation of the Efficacy and Safety of Goodmorning S Granule® on Constipation
  Munjin Ju, Nayoung Kim, Cheol Min Shin, Young Soo Park, Hyuk Yoon, Yonghun Choi, Dong Ho Lee
  The Korean Journal of Gastroenterology.2022; 80(1): 17.     CrossRef
• Bowel Dysfunction and Colon Transit Time in Brain-Injured Patients
  Yu Hyun Lim, Dong Hyun Kim, Moon Young Lee, Min Cheol Joo
  Annals of Rehabilitation Medicine.2012; 36(3): 371.     CrossRef
• Correlation among Dietary Habits Score, Life Stress Score and Health-Related Quality of Life (HRQL) Score for Female College Students with Functional Constipation
  Jeong Soon You, Ji Yeon Park, Kyung Ja Chang
  The Korean Journal of Nutrition.2010; 43(6): 620.     CrossRef

Background
The reports that obesity could be associated with upper gastrointestinal disorders such as gastritis, gastric ulcer, duodenal ulcer, reflux esophagitis have not been consistent. Therefore, we studied the association between esophagogastroduodenoscopic (EGD) fi ndings and the related risk factors of obesity. Methods: The study subjects include 2,210 adults who visited the Health Promotion Center of one university hospital from January 2006 to December 2006. All subjects had standard physical measurements as well as resting blood pressure, fasting blood glucose, HbA1c, serum lipids, and gastroendoscopic examination. BMI was classifi ed into two groups (BMI ≥ 23 kg/m2, normal; BMI < 23 kg/m2, overweight or obese). The study subjects were classifi ed into four groups according to the EGD fi ndings; normal, gastritis, gastric or duodenal ulcer, refl ux esophagitis. Results: Mean BMI of gastritis, gastric or duodenal ulcer, and refl ux esophagitis groups were higher than normal group after adjusting age, sex, alcohol and smoking (P < 0.001). Gastritis risk (OR, 2.098; 95% CI, 1.195 to 3.682; P = 0.01), gastric or duodenal ulcer risk (OR, 2.562; 95% CI, 1.282 to 5.117; P = 0.008), and refl ux esophagitis risk (OR, 2.856; 95% CI, 1.522 to 5.360; P = 0.001) were signifi cantly higher in overweight and obesity group compare with normal weight group after adjusting age, sex, alcohol and smoking. Conclusion: We suggest that overweight or obesity is the risk factor of gastritis, gastric or duodenal ulcer, and reflux esophagitis.

Kikuchi-Fujimoto disease (histiocytic necrotizing lymphadenitis) is a rare disease characterized by lymphadenitis with fever. It is self-limited within one to four months, and is generally diagnosed by an excisional biopsy of the affected lymph node. Kikuchi-Fujimoto disease has a wide variety of nonspecifi c symptoms and it is sometimes misdiagnosed as malignant lymphoma, lymph node tuberculosis, or systemic lupus erythematosus. Because clinical course and treatment of this disease differ from those of others, Kikuchi-Fujimoto disease must be included in differential diagnosis of enlarged lymph node. In this report, we discribed a case of 24-year-old male patient who visited the clinic complaining of fever, petechiae, and enlarged lymph node. He was diagnosed as Kikuchi-Fujimoto disease and immune thrombocytopenic purpura.

Citations

• Kikuchi–Fujimoto disease: literature review and report of four cases
  V. G. Potapenko, V. V. Baykov, А. Yu. Markova, N. B. Mikhailova, A. S. Ter‑Grigoryan, Yu. А. Krivolapov
  Oncohematology.2022; 17(4): 48.     CrossRef