Journal of Digital Convergence (디지털융복합연구)

The Society of Digital Policy and Management (한국디지털정책학회)
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Health-related Quality of Life and Its Affecting Factors among the in Patients with Herpes zoster

대상포진 환자의 건강 관련 삶의 질 영향 요인

  • Kim, Yoon Lee (Department of Nursing, Hanil University and Presbyterian Theological Seminary) ;
  • Choi, Mi-Suk (College of Nursing, Jesus University)
  • Received : 2020.06.01
  • Accepted : 2020.08.20
  • Published : 2020.08.28
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Abstract

The purpose of this study was to provide data to develop the nursing intervention program to improve the quality of life by identifying the factors affecting the quality of life in patients with herpes zoster. The data were collected in 141 patients with herpes zoster from September 1 to December 31, 2016 and analyzed by multiple regression analysis using SPSS/WIN 23.0. As a result, the pain level of the herpes zoster was 5.23±2.11, the perceived health status was 3.35±1.04, the self efficacy was 66.36±10.79, the family support was 42.093±8.68, the social support was 59.80±20.42. And the health related quality of life was 74.12±5.73 points. Affecting factors influencing the quality of life of the subjects were perceived health status, Living with family status, and the explanatory power of these variables was 39.0%. Therefore, the health-related quality of life of patients was increased according to positive perceived health status Based on this study, in order to improve the quality of life of patients with herpes zoster, it is necessary for the nurse to arrange a proper mediation plan that can help the positive health condition perception of the patients. It is necessary to develop an effective nursing intervention program based on the influencing factors confirmed in this study.

본 연구는 대상포진 환자의 건강과 관련 삶의 질에 영향을 미치는 요인을 확인하여 건강한 삶의 증진을 돕기 위한 간호중재 프로그램을 개발하는 기초자료를 제공하고자 수행되었다. 대상포진 환자 141명을 대상으로 2016년 9월 1일부터 12월 31일까지 수집하였고 SPSS/WIN 23.0을 이용하여 수집된 자료를 다중회귀분석으로 분석하였다. 그 결과 대상포진 환자의 현재 통증정도는 5.23±2.11점, 지각된 건강상태는 3.35±1.04점, 자기효능감은 66.36±10.79점, 가족지지는 42.093±8.68점, 사회적 지지는 59.80±20.42점, 그리고 건강관련 삶의 질은 74.12±5.73점이었다. 연구 대상자의 건강 관련 삶의 질 영향요인은 지각된 건강상태, 동거가족여부로 확인되었으며 이들 변수의 설명력은 39.0%로 나타났다. 따라서 지각된 건강상태가 긍정적일수록, 동거가족이 있을 때 대상포진 환자의 건강 관련 삶의 질이 높은 것으로 나타났다. 이러한 연구를 토대로 대상포진 환자의 건강 관련 삶의 질을 향상시키기 위해서는 간호사가 대상자에 맞는 긍정적인 건강상태 지각 형성을 도울 수 있는 중재방안 마련과 본 연구에서 확인된 영향요인들을 고려하여 효율적인 간호중재 프로그램 개발이 되어야 한다고 사료된다.

Keywords

References

  1. J. J. Cohen. (2013). Clinical practice: herpes zoster. N Engl Journal of Med;369: 255-263. DOI : 10.1056/NEJMcp1302674
  2. J. W. Gnann & R. J.. Whitley. (2002). Clinical practice. herpes zoster. N Engl Journal of med ;347: 340-346. DOI : 10.1056/NEJMcp013211
  3. National health insurance service 2019. 8.1
  4. H. H. Park & I. J. Song. (2018). A Convergence Study on Factors Influencing Health-related Quality of Life in Patients with Chronic Neck Pain. Journal of the Korea Convergence Society, 9 (6), 299-310. DOI : 10.15207/JKCS.2018.9.6.299
  5. WH0QOL Group (1993). Study protocol for the world health organizationproject to develop a quality of life assessmet instrument(WH0QOL). Switzerland:WH0QOL group.
  6. B. J. DeLateur. (1997). Quality of life : a patient-centered outcome. Arch Phys Med Rehail;78:237-239. DOI : 10.1016/S0003-9993(97)90026-5
  7. C. E. Ferrans & M.. J. .Powers. (1992). Psychometric assessment of the quality of life index. Research in nursing & health, 15(1), 29-38. DOI : 10.1002/nur.4770150106
  8. S. H. Lee & H. I. Kim. (2018). Comparision of health behaviors, diabetes mellitus(DM) management and health-related quality of life(HRQoL) between DM groups with and without diabetic education experience. Korean Society for Rural Medicine and Community Health, 43(2), 85-96. DOI : 10.5393/JAMCH.2018.43.2.085
  9. Y. J. Son & E. J. Seo. (2019). An integrative review of health-related quality of life in patients with advanced heart failure. Journal of Korean Biological Nursing Science. 21(2), 22-36. DOI : 10.7586/jkbns.2019.21.1.22
  10. J. H. Kim, Y. S. Jang, Y. D. Choi & E. G. Oh.(2019). The effect of post-prostatectomy urinary incontinence on health-related quality of life in patients with prostate. The Journal of Korean Academic Society of Adult Nursing. 31(3), 293-302. DOI : 10.7475/kjan.2019.31.3.293
  11. S. Y. Lee & H. K. Kim. (2018). Structural equation modeling on health-related quality of life among patients with thyroid cancer. The Journal of Korean Academic Society of Adult Nursing. 30(2). 171-182. DOI : 10.7475/kjan.2018.30.2.171
  12. D. K. Jeong. (2018). Correlation between pulmonary function and quadriceps muscle activity depression scale, and health realated quality of life in patients with chronic obstructive pulmonary disease. Journal of Multimedia Services Concergent with Art, Humanities and Sociology, 8(11), 261-268. DOI : 10.21742/AJMAHS.2018.11.12
  13. K. G. Lee. (2018). Factors influencing health related quality of life in patients with major depression. Journal of Learner-Centered Curriculum and Instruction, 18(19). 975-991. https://doi.org/10.22251/jlcci.2018.18.19.975
  14. Y. J. Park & Y. S. Kim. (2018). A convergence study of depression health-related quality of life and sleep disturbance according to the level of physical activity of hemodialysis patients. Journal of Digital Concergence. 16(7). 345-355. DOI : 10.14400/JDC.2018.16.7.345
  15. H. Y. Song & M. H. Park. (2017). Comparable influencing factors for quality of health-life in osteoarthritis patients in urban and rural areas. Journal of the Korea Convergence Society. 8(6). 311-323. DOI : 10.15207/JKCS.2017.8.6.311
  16. A. S. Mizukami, K. Adachi, S. Matthews, K. Holl,T. Matsuki, T. Kaise, & D. Curran. (2018), Impact of herpes zoster and post-herpetic neuralgia on health-related quality of life in japanese adults aged 60years or older: results from a prospective, observational cohort. Clinical drug investigation. (38(1), 1173-2563. DOI : 10.15207/JKCS.2017.8.6.311
  17. T. F. Tsai, C. A. Yao, H. S. Yu, C. C. Lan, S. C. Chao, J. H. Yang, K. C. Yang, C. Y. Chen, R. R. White, E. Psaradellis. (2015). Herpes zoster-associated severity and duration of pain, health-related quality of life, and healthcare utilization in taiwan: a prospective observational study. International Journal of Dermatology, 54(5), 529-536. DOI : 10.1111/ijd.12484
  18. M. Drolet, M. Brisson, K. E. Schmader, M. J. Levin, R. Johnson, M. N. Oxman, & J. A. Mansi. (2010). The impact of herpes zoster and postherpetic neuralgia on health-related quality of life: a prospective study. Canadian Medical Association Journal, 182/16, 1731-1736. DOI : 10.1503/cmaj.091711
  19. K. E. Schmader, G. R. Johnson, P. Saddier, M. Ciarleglio, W. W. Wang, J. H. Zhang, I. S. Chan, S. S. Yeh, M. J. Levin & R. M. Hanbecke. (2010). Effect of a Zoster vaccine on herpes zoster-related interference with fuction status and health-related quality of life measure in older adults. Journal of the American Geriatics Socirty, 58(9), 1634-1641. DOI : 10.1111/j.1532-5415.2010.03021.x
  20. T. Weinke, A. Edte, S. Schmitt & K. Lukas. (2010). Impact of herpes zoster and post-herpetic neuralgia on patients quality of life: a patient-reported outcomes survey. Journal of Public Health, 18(4), 367-374. DOI : 10.1007/s10389-010-0323-0
  21. J. E. Ware, M. Kosinski & B. Gandek. (2000). SF-36 health survey: manual and interpretation guide Lincoln. (RI: Quality Metric Incorporated)
  22. M. K. Kang, G. J. Kim & H. Y. Kim. (2017). Factors Influencing Health-related Quality of Life among Knee or Hip Arthroplasty Patients. Journal of Korean Academy of Fundamentals of Nursing, 24 (3), 209-218. DOI : 10.7739/jkafn.2017.24.3.209
  23. M. P. Lawton, M. Moss, M. Fulcomer & M. H. Kleban. (1982). A research and service oriented multilevel assessment instrument . Journal of gerontology, 37(1), 91-99. DOI : 10.1093/geronj/37.1.91
  24. M. Sherer, J. E. Maddux, B. Mercandante, S. Prentice-Dunn, B. Jacobs & R. W.Rogers. (1982). The self-efficacy scale: Construction and validation. Psychological reports, 51(2),663-671. DOI : 10.2466/pr0.1982.51.2.663
  25. S. Cobb. (1976). Social support as a moderator of life stress. Phychosomatic Medicine, 38(5), 300-304. https://doi.org/10.1097/00006842-197609000-00003
  26. H. S. Kang. (1984). An experimental study of the effects of reinforcement education for rehabilitation on hemiplegia patients' self-care activities. Unpublished doctoral dissertation, Yonsei University, Seoul.
  27. B. Y. Keum. (2015). Mood states and health related quality of life in chronic back pain patients. Unpublished doctoral dissertation, Hanyang University, Seoul.
  28. G. D. Zimet., N. M. Dahlem., S. G. Zimet., G. K. Farley. (1988). The multidimensional scale of perceived social support. Journal of Personality Assessment.
  29. J. S. Shin, Y. B. Lee. (1999). The effects of social supports on psychosocial well-being of the unemployed. Korean Journal of Social Wellfare. 37. 241-269.
  30. Y. H. Choi. (2014). Effects of pain control on quality of sleep and life in patients with herpes zoster. Unpublished master's thesis, Korea University, Seoul.
  31. S. W. Lim. (2003). A study on health-related quality of life among patients with chronic pain. Unpublished master's thesis, Inje University, Busan.
  32. M. S. Yoon. (2007). The study on the relationship of psychosocial factors. Problem drinking on quality of life for the elderly in urban and rural areas. Journal of Welfare for the Aged, 38 , 281-310.
  33. K. H. Kim., H. K. Chung., M. H. Choi., & H. J. Kwon. (2000). A study on self-efficacy and quality of life in the elderly patients with chronic pain. Journal of Korean academy Fundamentals Nursing, 7(2), 332-344.
  34. K. O. Chang & J. H. Lim. (2014). Construction of a structural model about the perceived health status, pain, sleep pattern and quality of life in the elderly. Journal of the Korea Academia-Industrial cooperation Society, 15(7), 4336-4345. DOI : 10.5762/KAIS.2014.15.7.4336
  35. H. J. Oh, (1998). The relationship between pain level and perceived family support and quality of life in musculoskeletal patients with chronic pain. The Korean Journal of Rehabilitation Nursing, 1(1), 93-109.