갑상선기능저하증 CASE STUDY(사례보고서) A+ 자료, 관련 연구 주제 제언 포함, 대사율 감소와 관련된 안위손상

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Patient Profile
You are working in a community outpatient clinic where you perform the intake assessment on R.M., a
38-year-old woman who is attending graduate school and is very sedentary. Her chief complaint is over-
whelming fatigue that is not relieved by rest. She is so exhausted that she has difficulty walking to classes
and trouble concentrating when studying. She reports a recent weight gain of 15 pounds over 2 months
without clear changes in her dietary habits. Her face looks puffy, she has experienced excessive hair loss,
and her skin is dry and pale. She complains of generalized body aches and pains with frequent muscle
cramps and constipation. You notice she is dressed inappropriately warm for the weather.

V/S
Blood pressure 142/84 mm Hg
Heart rate 52 beats/min
Respiratory rate 12 breaths/min
Temperature 96.8 ° F (36 ° C)

Laboratory Test Results
TSH 20.9 mU/L (2-10 mU/L)
TRH 18.8 ng/dL (2-10 ng/dL)

참고자료

· 박경혜, 이은직 /Eun Jig Lee. (2012). 갑상선 약물치료의 최신지견. 대한의사협회지, 55(12), 1207-1214.
· 성미혜 외, 비판적 사고를 적용한 간호과정, 수문사, 2020
· 이상봉. 약처방의 정석: 일차진료 실전처방 제1판. 바른의학 연구소. 2024.
· 윤은자 외. (2021). 성인간호학2. 수문사. 1273-1282.
· 정현경 외. (2023). 2023 대한갑상선학회 무증상갑상선기능저하증 진료 권고안. International Journal of Thyroidology, 16(1), 32-50.
· 황혜아, 전영지. (2020). 교대근무와 불현성 갑상선기능저하증의 관련성. Korean Journal of Family Practice, 10(1), 3-8.
· Seol, M. J., Lee, B. S. and Lee, S. K. (2018). Effects of labor intensity and fatigue on sleep quality of clinical nurses. Journal of Korean Academic Nurses Administration, 24, 276-287.
· Hospital Nurses Association (2017). Research of hospital nurses working condition, Seoul: Hospital Nurses Association, Available from: https://khna.or.kr/home/pds/utilities.php?bo_table=board1&wr_id=8037&page=2
· Jeong H, Chae CH, Lee JH, Chong HW. The relationship between shift work pattern and thyroid stimulating hormone in female workers. Ann Occup Environ Med. 2023 Jun 22;35:e14. doi: 10.35371/aoem.2023.35.e14. PMID: 37614333; PMCID: PMC10442579.