성인간호학회지 (Korean Journal of Adult Nursing)

  • 제22권3호
  • /
  • Pages.291-302
  • /
  • 2010
  • /
  • 1225-4886(pISSN)
  • /
  • 2288-338X(eISSN)
한국성인간호학회 (Korean Society of Adult Nursing)
권호 표지

재가 장애인의 EQ-5D를 활용한 건강관련 삶의 질의 영향 요인: 국민건강영양조사 제 3기(2005) 자료를 토대로

Predictors of Health-related Quality of Life (HRQoL) in the Home-dwelling Disabled Persons by using EQ-5D: Results from the 3rd Korea National Health and Nutritional Examination Survey 2005

  • 정성석 (전북대학교 통계정보과학과(응용통계연구소)) ;
  • 정경화 (호남대학교 간호학과)
  • 투고 : 2010.02.21
  • 심사 : 2010.05.12
  • 발행 : 2010.06.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Purpose: This study was a secondary data analysis aimed at identifying the predictors of health-related quality of life (HRQoL) of the home-dwelling disabled person by using EQ-5D which is a standardized instrument used as a measure of health outcome. Methods: Data were drawn from the 3rd Korea National Health and Nutritional Examination Survey conducted by the Ministry of Health and Welfare (MOHW). Subjects were 1,021 home-dwelling disabled persons over 19 years of age. Data were analyzed by using descriptive statistics, t-test, Pearson's correlation, one-way ANOVA, Scheff$\acute{e}$ test, and Stepwise multiple regression. Results: HRQoL (Health Related Quality of Life) is differentiated within age, genders, educational level, employment status, economic status, types and grades of disability, health problems associated with limited mobility, and the limited duration of time. HRQoL is correlated with age, number of cohabiters, educational level, grades of disability, activities of daily living (ADL), and instrumental ADL (IADL). HRQoL is significantly associated with ADL, health problems in connection with limited mobility, employment status, types of disability, marital status, grades of disability, and the limited duration of time. These factors explained 63.7% of variance in HRQoL. Conclusion: HRQoL among the disabled is related to their characteristics, ADL, and IADL. For this reason, it is necessary to develop health programs to promote those variables required to improve HRQoL.

키워드

참고문헌

  1. Benedict, R. H. B., Wahlig, E., Bakshi, R., Fishman, I., Munschauer, F., Zivadinov, R., et al. (2005). Predicting quality of life in multiple sclerosis: Accounting for physical disability, fatigue, cognition, mood disorder, personality, and behavior change. Journal of the Neurological Sciences, 231 (12), 29-34.
  2. Burstrom, K., J ohannesson, M., & Diderichsen, F. (2001). Swedish population health-related quality of life results using the EQ-5D. Quality of Life Research, 10(7), 621-635. https://doi.org/10.1023/A:1013171831202
  3. Centers for Disease Control and Prevention (2009). HRQoL of Disabled Person. Retrieved September 11. 2009, from http://www.cdc.gov/hrqol/resources.htm.
  4. Cho, H. J ., Lee, E. O., Kim, B. W., & Kim, I. J . (2004). Stage of change for exercise and health-related quality of life in Korea adults. Journal of Korean Academy of Adult Nursing, 16(2), 191-201.
  5. Coons, S. J ., Rao, S., Keininger, D. L., & Hays, R. D. (2000). A comparative review of generic quality of life instruments. Pharmacoeconomics, 17(1), 13-35. https://doi.org/10.2165/00019053-200017010-00002
  6. EuroQol (2009). EQ-5D & EuroQoL Group. Retrieved August 10. 2009, from http://www.euroqol.org/
  7. Han, H. S., & Lim, N. Y. (2002). Development of an instrument to measure the motivation for rehabilitation in the disabled. Journal of Korean Academy of Adult Nursing, 14(4), 554-563.
  8. Hong, S. W. (2009). Factors influencing health-related quality of life in Korean medicaid beneficiaries. Journal of Korean Academy of Nursing, 39(4), 480-489. https://doi.org/10.4040/jkan.2009.39.4.480
  9. Hwang, H. M., & Yi, M. S. (2009). Health-related experience of women with physical disabilities using feminist qualitative approach. Journal of Korean Academy of Adult Nursing, 21(4), 367-378.
  10. Kang, E. J ., Shin, H. S., Park, H. J ., J o, M. W., & Kim, N. Y. (2006). A valuation of health status using EQ-5D. The Korean Journal of Health Economics and Policy, 12(2), 19-43.
  11. Kim, K. H. (2006). Construction of health-related quality of life model in acquired people with physical disabilities. Journal of Korean Academy of Adult Nursing, 18(2), 213-222.
  12. Kim, M. H., Cho, Y. S., Uhm, W. S., Kim, S. H., & Bae, S. C. (2005). Cross-cultural adaptation and validation of the Korean version of the EQ-5D in patients with rheumatic diseases. Quality of Life Research, 14(5), 1401-1406. https://doi.org/10.1007/s11136-004-5681-z
  13. Kim, K. H., & Kim, O. S. (2005). Influencing factors on HRQoL of physically disabled persons. Journal of Korean Academy of Nursing, 35(3), 478-486.
  14. Kim, K. H., & Park, G. S. (2009). Family function and selfesteem among young and middle-aged adults with physical disabilities. Journal of Korean Academy of Adult Nursing, 21(2), 225-234.
  15. Korean Centers for Disease Control and Prevention (2007). EQ- 5D Korean valuation study using time trade off method. Retrieved August 8. 2009, from http://www.cdc. go.kr
  16. Langelaan, M., de Boer, M. R., van Nispen, R. M., Wouters, B., Moll, A. C., & van Rens, G. H. (2007). Impact of visual impairment on quality of life: A comparison with quality of life in ther general population and with other chronic conditions. Ophthalmic Epidemiology, 14 (3), 119-126. https://doi.org/10.1080/09286580601139212
  17. Lee, H. Y., Suh, M. J ., & Kim, S. A. (2005). Health related quality of life with disabilities and its affecting factors. Journal of Korean Academy of Nursing, 35(3), 575-584.
  18. McDonough, C. M., Grove, M. R., Tosteson, T. D., Lurie, J . D., Hilibrand, A. S., & Tosteson, A. N. (2005). Comparison of EQ-5D, HUI, and SF-36-derived societal health state values among spine patient outcomes research trial (SPORT) participants. Quality of Life Research, 14(5), 1321-1332. https://doi.org/10.1007/s11136-004-5743-2
  19. Measurement of health-related quality of life & asthma control (2009). What is health-related quality of life? Retrieved November 11. 2009, from http://www.qoltech.co.uk
  20. Ministry of Health and Welfare (2006). The Third Korea National Health and Nutritional Examination Survey 2005. Retrieved J uly 10. 2009, from http://www.mw.go.kr
  21. Ministry of Health and Welfare (2009). Frequency of disabled persons. Retrieved September 11. 2009, from http://www.mw.go.kr
  22. Pipitone, N., & Scott, D. L. (2001). Magnetic pulse treatment for knee osteoarthritis: a randomized, double-blind, placebocontrolled study. Current Medical Research and Opinion, 2001, 17(3), 190-196.
  23. Polinder, S., Meerding, W. J ., Toet, H., Mulder, S., Essink-Bot, M. L., & van Beeck, E. F. (2005). Prevalence and prognostic factors of disability after childhood injury. Pediatrics, 116 (6), e810-e817. https://doi.org/10.1542/peds.2005-1035
  24. Seong, S. S., Choi, C. B., Sung, Y. K., Park, Y. W., Lee, H. S., Uhm. W. S., et al. (2004). Health-related quality of life using EQ- 5D in Koreans. The Journal of The Korean Rheumatism Association, 11(3), 254-262.
  25. Statistics Korea (2009). The status of the home-dwelling disabled persons. Retrieved October 1. 2009, from http:// www.kosis.kr/domestic/theme/do01_index.jsp
  26. Taylor, W. J ., Lord, S., McPherson, K. M., & McNaughton, H. K. (2001). EuroQol EQ-5D may not adequately describe the health of people with disabilities. Disability and Rehabilitation, 23(7), 281-285. https://doi.org/10.1080/096382801750143607
  27. Tennvall, G. R., & Apelqvist, J . (2000). Health-related quality of life in patients with diabetes mellitus and foot ulcers. Journal of Diabetes and Its Complications, 14(5), 235-241. https://doi.org/10.1016/S1056-8727(00)00133-1
  28. Vuorialho, A., Karinen, P., & Sorri, M. (2006). Effect of hearing aids on hearing disability and quality of life in the elderly. International Journal of Audiology, 45(7), 400-405. https://doi.org/10.1080/14992020600625007
  29. World Health Organization (2009). Measuring health . Retrieved August 10, 2009, from http://www.who.int/