대한간호학회지 (Journal of Korean Academy of Nursing)

한국간호과학회 (Korean Society of Nursing Science)
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어지럼 환자의 삶의 질 관련요인

Quality of Life and the Related Factors in Patients with Dizziness

  • Lee, Hyun-Jung (Dankook University Medical Center) ;
  • ChoiKwon, S-Mi (The Research Institute of Nursing Science.College of Nursing, Seoul National University)
  • 발행 : 2009.10.30
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초록

Purpose: The purpose of this study was to investigate the Quality of Life (QOL) and related factors in the patients with dizziness. Methods: The data were collected between March and June 2008 for 200 individuals who agreed to participate in the study. Uncertainty (Uncertainty in illness scale), anxiety, depression (Hospital anxiety & depression scale) and Vestibular disability activities of daily living (Vestibular disability-activities of daily living [ADL] scale) as well as QOL (Dizziness Handicap Inventory) were measured. Results: The mean QOL score was 37.5 (${\pm}23.0$). Monthly income, etiology of, frequency of, and total duration of dizziness were the significant factors related to QOL in these patients. Having had a fall, anxiety, depression, uncertainty and vestibular disability in daily living were also significant factors influencing QOL. In multiple regression analysis, anxiety, vestibular disability-ADL, falls, total duration of symptoms, uncertainty, and etiology of dizziness explained 41% of variance of QOL. Conclusion: The level of QOL in our patients was moderate as compared to those in previous studies. Anxiety and vestibular disability were the most important factors predicting low QOL. Use of nursing intervention programs designed to relieve these factors should also result in improving the QOL in the patients with dizziness.

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참고문헌

  1. Brandt, T. (1999). Vertigo. Its multisensory syndromes (2nd ed.). Berlin:Springer
  2. Chae, S. W. (2008). Dizziness in geriatrics. Journal of Korean Balance Society, 7, 120-126
  3. Choi-Kwon, S., Chung, C., Kim, H., Lee, S., Yoon, S., Kho, H., et al. (2003). Factors affecting the quality of life in patients with epilepsy in Seoul, South Korea. Acta Neurologica Scandinavica, 108, 428-434 https://doi.org/10.1046/j.1600-0404.2003.00151.x
  4. Choi-Kwon, S., Kwon, S. U., Ahn, J. S., & Kim, J. S. (2002). Different perspectives of stroke education between patients and medical personnel. Korean Journal of Stroke, 4(2), 78-87
  5. Cohen, H. S., Kimball, K. T., & Adams, A. S. (2000). Application of the vestibular disorders activities of daily living scale. Laryngoscope, 110, 1204-1209 https://doi.org/10.1097/00005537-200007000-00026
  6. Duracinsky, M., Mosnier, I., Bouccara, D., Sterker, O., & Chassany, O. (2007). Literature review of questionnaires assessing vertigo and dizziness, and their impact on patients' quality of life. Value Health, 10, 273-284 https://doi.org/10.1111/j.1524-4733.2007.00182.x
  7. Enloe, L. J., & Shields, R. K. (1997). Evaluation of health-related quality of life individuals with vestibular disease using diseasespecific and general outcome measures. Physical Theraphy, 77, 890-903
  8. Han, G. C., Lee, E. J., Lee, J. H., Park, S. N., Jeon, E. J., Lee, H., et al. (2004). The study of standardization for a Korean adaptation of self-report measures of dizziness. Journal of Korean Balance Society, 3, 307-325
  9. Hsu, L. C., Hu, H. H., Wong, W. J., Wang, S. J., Luk, Y. O., & Chem, C. M. (2005). Quality of life in elderly patients with dizziness:Analysis of the Short-Form Health Survey in 197 patients. Acta Oto-Laryngologica, 125, 55-59 https://doi.org/10.1080/00016480410017512
  10. Jacob, R. G., & Furman, J. M. (2001). Psychiatric consequences of vestibular dysfunction. Current Opinion of Neurology, 14, 41-46 https://doi.org/10.1097/00019052-200102000-00007
  11. Jacobson, G. P., & Newman, C. W. (1990). The development of the Dizziness Handicap Inventory. Archives of Otolaryngology Head and Neck Surgery, 116, 424-427
  12. Lee, J. Y., & Choi, Smi. (2007). Quality of life in gynecological cancer patients during chemotherapy. Korean Journal of Women Health Nursing, 13, 290-298
  13. Lee, K. K. (2006). Psychogenic vertigo. Journal of Korean Balance Society, 5, 185-193
  14. Mira, E. (2008). Improving the quality of life in patients with vestibular disorders: The role of medical treatments and physical rehabilitation. International Journal of Clinical Practice, 62, 109-114 https://doi.org/10.1111/j.1742-1241.2006.01091.x
  15. Mishel, M. H. (1988). Uncertainty in illness. Journal of Nursing Scholarship, 20, 225-232 https://doi.org/10.1111/j.1547-5069.1988.tb00082.x
  16. Oh, H. S., & Kim, D. S. (1999). An exploratory study on the concept of uncertainty. Journal of Korean Academy of Adult Nursing, 11, 831-844
  17. Oh, S. M., Min, K. J., & Park, D. B.(1999). A study on the standardization of the hospital anxiety and depressed scale for Koreans. Journal of Korean Neuropsychiatric Association, 38, 289-296
  18. Park, Y. M. (2005). A structural model for quality of life in breast cancer patients. Unpublished doctoral dissertation, Kyunghee University, Seoul
  19. Perez, N., Martin, E., & Gracia-Tapia, R. (2003). Dizziness: Relating the severity of vertigo to the degree of handicap by measuring vestibular impairment. Otolayngology Head and Neck Surgery, 128, 372-381 https://doi.org/10.1067/mhn.2003.102
  20. Poon, D. M., Chow, L. C., Au, D. K., Hui, Y., & Leung, M, C. (2004). Translation of the dizziness handicap inventory into Chinese, validation of it, and evaluation of the quality of life of patients with chronic dizziness. The Annals of Otology, Rhinology & Laryngology, 113, 1006-1011
  21. Rhee, C. K. (2007). Dizziness. Seoul: Dankook University Press
  22. Schnitzler, C. E. (2000). The relationships between dizziness and anxiety, depression, perceived well being, and functional independence in a geriatric inpatient rehabilitation setting. Unpublished master’s thesis, University of Calgary, Calgary, Canada
  23. Vereek, L., Truijen, S., Wuyts, F. L., & Van de Heyning, P. H. (2006). The dizziness handicap inventory and it's relationship with functional balance performance. Otology and Neurotology, 28, 87-93 https://doi.org/10.1097/01.mao.0000247821.98398.0d
  24. Wrisley, D. M., Sparto, P. J., Whitney, S. L., & Furman, J. M. (2000). Cervicogenic dizziness: A review of diagnosis and treatment. The Journal of Orthopaedic and Sports Physical Therapy, 30, 755-766
  25. Yardley, L., Masson, E., Verschuur, C., Haacke, N., & Luxon, L. (1992). Symptoms, anxiety and handicap in dizzy patients: Development of the vertigo symptom scale. Journal of Psychosomatic Research, 36, 731-741 https://doi.org/10.1016/0022-3999(92)90131-K
  26. Zigmond, A. S., & Snaith, R. P. (1983). The hospital anxiety and depression scale. Acta Psychiatric Scandinavia, 67, 361-370 https://doi.org/10.1111/j.1600-0447.1983.tb09716.x

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