• Title/Summary/Keyword: 삶의 질의 제고

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The Relationship between HbA1c Control and Diabetes Self-care Knowledge, Competence, Behavior and Quality of Life on Diabetes elderly (노인 당뇨환자에서 당뇨 자가관리 지식, 자신감, 행위 및 삶의 질과 당화혈색소 조절의 관련성)

  • Lee, Song-heun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.11
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    • pp.357-366
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    • 2017
  • This study was conducted to identify the diabetes self-care (DSM) knowledge, DSM competence, DSM behavior, and quality of life according to HbA1c control in diabetic elderly. The participants were 205 diabetes elderly who visited the citizen health promotion center located in D city, Korea. Data were collected from April, 4 to August 31 2015, and were analyzed by the t-test and chi-squared test using IBM SPSS 23.0. The mean scores of DSM knowledge, DSM competence, DSM behavior and quality of life were $50.61{\pm}16.39$, $71.27{\pm}10.21$, $62.78{\pm}1.29$ and $0.86{\pm}0.11$, respectively. Additionally, DSM behavior (t=2.17, p=0.031), education level (t=11.80, p=0.0019) l, BMI (t=0.001, p=0.012), and number of visits to citizen health center (t=16.497, p=0.001) differed significantly between the controlled HbA1c group and uncontrolled HbA1C group. However, ANCOVA revealed that the level of HbA1c did not affect the DSM behaviors. Therefore, it is necessary to develop and apply a DSM education program that reflects the characteristics knowledge level of the elderly. In addition, healthcare institutions with high accessibility in terms of distance and cost to guide and manage desirable diabetic self-care behaviors should be provided everywhere.

Influence of Health-Related Quality of Life (EQ-5D) on Oral Health Problems in the Elderly in the National Health and Nutrition Survey (국민건강영양조사에서 나타난 노인의 건강관련 삶의 질(EQ-5D)이 구강건강 문제에 미치는 영향)

  • Ju, On-Ju;Kim, In-Ja;Son, Ju-Lee
    • Journal of the Korea Convergence Society
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    • v.11 no.1
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    • pp.309-315
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    • 2020
  • The purpose of this study was to examine the influence of the health-related quality of life(EQ-5D) on oral health problems in an effort to provide some information on health promotion programs geared toward the elderly and on the right direction of related policy setting. Raw data from the 7th National Nutrition Survey were used, and systematic sampling was conducted on elderly subjects over 65 years. EQ-5D and chewing problems increased in the group without exercise ability, in the group with pain discomfort, and in the group with anxiety depression (p<0.05). EQ-5D and speaking problems increased in terms of odds ratio(OR) in the group without exercise ability, in the group with pain discomfort, and more in terms of articulating difficulties in the anxiety depression group (p<0.05). The results of this study show a direct correlation between health-related quality of life (EQ-5D) and the oral health of the elderly. As it's mandatory to promote the oral health of elderly people to improve their EQ-5D To promote rural societies should provide oral health education and institutions for continuous oral health care.

Typological Analysis of Sustainable Renovation for Long-term Public Rental Housing (장기공공임대주택의 지속가능한 리모델링 유형 분석)

  • Lee, Ji-Young;Yoon, Young-Ho;Lee, Ji-Eun
    • Land and Housing Review
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    • v.4 no.1
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    • pp.55-63
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    • 2013
  • The remodeling of long-tern public rental housing (LPRH) have been acknowledged followed by the introduction of th Act of the Life Quality Improvement of the Residents in Long-tern Public Housing. Likewise, the feasible direction of LPRH remodeling should be discussed in order to improve the quality of life of the dwellers and housing facilities. Therefore a purpose of this study is to suggest the remodeling types for increasing their quality of life with regard to sustainability of remodeling. To do so this study employs various cases of public housing remodeling from the UK, France and USA and performed quantitative research that was subject to the residents in 9 LPRH in Seoul and Gyeong-gi. The findings of the analysis demonstrate that comprehensive and sustainable remodeling considering both physical and social environment factors are needed, and that the residents have needs of improvement of deteriorated facilities and negative perception of the public on LPRH. With regard to this, seven types of the LPRH remodeling types are drawn on the combination between physical and social environment factors. Thus it is expected that the types will ultimately be able to increase of the quality of the life of the residents and guarantee sustainable remodeling.

Comparison of sociodemographic characteristics, depression, quality of life, and unmet medical need between elders with and without limitation of activity by aging or dementia : Using seventh Korea national health and nutrition examination survey (노령 또는 치매로 활동제한이 있는 노인과 활동제한이 없는 노인의 사회인 구학적 특성, 우울, 삶의 질, 미충족 의료의 비교 : 제 7차 국민건강영양조사(2016) 원시자료를 이용하여)

  • Kang, So-La;Moon, Jong-Hoon
    • Journal of Society of Occupational Therapy for the Aged and Dementia
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    • v.12 no.2
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    • pp.1-11
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    • 2018
  • Objective : The aim of this study was to compare the sociodemographic characteristics, depression, quality of life, and unmet medical need in elders with and without limitation of activity by aging or dementia. Method : The data were used for raw data of seventh national health and nutrition examination survey (2016). We compared sociodemographic characteristics, depression, quality of life, and unmet medical needs between elders with limitation of activity by aging or dementia (n = 32) and elders without limitation of activity (n = 1201). Result : Elders with limitation of activity were significantly older than elders without limitation of activity (p<.001), income was lower (p<.05) and married status had more bereavement (p<.001). The elders with limitation of activity had higher depression (p<.001) and lower quality of life (p<.001) than elders without limitation of activity. Unmet medical need was greater than elders without limitation of activity (p<.001). Conclusion : Elders with limitation of activity showed that they did not receive enough medical services than elders without limitation of activity. These results suggest that the welfare system for the health care of population with aging or dementia needs to be improved.

Affection Factors of Health-Related Quality of Life in Married Women by Job (직업에 따른 기혼여성의 건강관련 삶의 질 영향요인)

  • Kwon, Myoungjin;Jeong, Sunkyung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.22 no.1
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    • pp.650-659
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    • 2021
  • This study was conducted to identify the factors affecting the health-related quality of life(HRQOL) in married women according to their occupations. The study subjects were 2,555 married women in the 7th National Health and Nutrition Examination Survey, and the SPSS 25.0 program was used for data analysis. The results are as follows. In the case of office workers, the age, household income, obesity etc., were significant factors, and the explanatory power was 8.9% (p<.001). In the case of service workers, the age, education level, weight control, subjective health, and stress were significant factors, and the explanatory power was 16.1% (p<.001). In the case of simple labor, the age, education level, number of household members, hypertension, obesity, weight change, weight control, sitting time, subjective health, subjective body image, and stress were significant factors, and the explanatory power was 24.7(p<.001). In the case of unemployed, the age, household income, number of household members, number of days taking a walk per week, sleeping time, sitting time, subjective health, subjective body image, and stress were significant factors, and the explanatory power was 29.9% (p<.001). In the future, when developing a program to improve the HRQOL, the individual management programs considering the factors affecting the HRQOL according to occupation should be applied.

Factors Influencing Depression in Stressed Adults by Age (스트레스 인지 성인의 나이에 따른 우울 영향 요인)

  • Kwon, Myoungjin;Kim, Sun Ae
    • Journal of Digital Convergence
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    • v.20 no.4
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    • pp.747-758
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    • 2022
  • This study aimed to identify the factors that influence depression in stressed adults by age. Data were extracted from the 7th Korea National Health and Nutrition Examination Survey, covering 3,333 adults aged 20 to 59 years who were highly aware of stress. Linear regression analysis was performed using the IBM SPSS 25.0 program. The study found that in the case of people in their 20s, education level, health-related quality of life, obesity, weight change, smoking, and subjective body type were significant influencing factors, with an explanatory power of 60.3%. In the case of people in their 30s, gender, household income level, living with spouse, economic activity, health-related quality of life, food intake, obesity, alcohol consumption, smoking, and subjective health were significant influencing factors, with an explanatory power of 30.3%. For people in their 40s, household income level, living with spouse, economic activity, health-related quality of life, smoking, aerobic exercise, and subjective health were significant influencing factors, with an explanatory power of 34.4%. For people in their 50s, gender, education level, income, economic activity, health-related quality of life, protein intake, fat intake, high blood pressure, diabetes, weight control, aerobic exercise, subjective health, and subjective body type were significant influencing factors, with an explanatory power of 42.3%. Therefore, as it was found through this study that the factors affecting depression in stressed adults differ by age, it is necessary to establish an intervention strategy for each age when trying to lower depression in stressed adults.

Cost-Effectiveness Analysis of Glimepiride or Pioglitazone in Combination with Metformin in Type-2 Diabetic Patients (제2형 당뇨병 환자에 대한 메트포르민-글리메피리드 병합요법과 메트포르민-피오글리타존 병합요법의 비용-효과분석)

  • Lim, Kyung-Hwa;Shin, Hyun-Taek;Sohn, Hyun-Soon;Oh, Jung-Mi;Lee, Young-Sook
    • Korean Journal of Clinical Pharmacy
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    • v.19 no.2
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    • pp.96-104
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    • 2009
  • 배경: 당뇨병 환자에게 관상동맥심질환은 생존률, 건강 상태 유지 및 삶의 질에 주요한 영향을 미치는 합병증이며 적극적인 당뇨병 치료는 이러한 심혈관 합병증을 예방할 수 있으나 당뇨병의 적극적 치료와 관리에는 많은 비용이 소요된다. 목적: 제2형 당뇨병 환자를 대상으로 메트포르민과 글리메피리드 병합요법과 메트포르민과 피오글리타존 병합요법의 비용-효과성을 비교하고자 하였다. 연구방법: 마르코프 코호트 프로세스(Markov Cohort Process Model) 모형을 이용하여 비용-효과분석을 실시하였다. 연장된 수명 (life years gained, LYG)과 삶의 질(quality)을 보정하여 증가된 QALYs를 주요 효과 지표로 측정하였고, 총비용으로는 직접의료비용과, 환자와 가족의 교통비를 직접비의료비용으로 고려하였고 환자와 가족의 시간비용을 간접비용으로 포함하였다. 연구결과: 비용-효과분석 결과, 메트포르민과 글리메피리드 병합요법의 경우 총 비용은 5,962,288원, 효과는 7.94LYG, 6.43QALY이었다. 반면 메트포르민과 피오글리타존 병합요법은 총 비용 10,982,243원, 효과 8.62LYG, 6.99QALY으로, 점증적 비용-효과비(ICER)는 7,402,663원/LYG과 8,934,546원/QALY 이었다. 결론: 우리 사회의 연장된 수명(LYG)에 따른 지불의사가 700만원 이하인 경우는 메트포르민과 글리메피리드 병합요법이 비용-효과적인 대안이며 700만원 이상인 경우에는 메트포르민과 피오글리타존 병합요법이 비용-효과적인 대안이 될 수 있다.

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신복지구상(新福祉構想)과 복지정책(福祉政策)의 개혁방향(改革方向)

  • Gwon, Sun-Won
    • KDI Journal of Economic Policy
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    • v.17 no.3
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    • pp.129-172
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    • 1995
  • 밖으로는 코펜하겐 사회개발(社會開發) 정상회의를 계기로, 안으로는 국민기대수준(國民期待水準)의 제고와 고도성장의 부작용(副作用)에 대한 성찰을 배경으로 신복지구상(新福祉構想)이 제기된 바 있다. 이는 인간성(人間性) 회복을 근간으로 한국 실정에 어울리는 생산적(生産的) 공동체적(共同體的) 복지정책(福祉政策)을 추진함으로써 국민생활의 안정에 우선을 두겠다는 정책의지의 결집이라고 요약된다. 신복지구상(新福祉構想)은 우리에게 발상의 전환과 새로운 패러다임의 제시를 요구하고 있다. 우리 국민은 고도성장(高度成長)의 부작용(副作用)으로 생활을 둘러싸고 있는 경제 사회적 환경이 열악하게 되어 안정적인 삶을 위협받고 있다. 특히 물질적(物質的)인 삶의 풍부함과 더불어 황금만능사상(黃金萬能思想)이 만연하여 인간경시경향(人間輕視傾向)이 두드러지고 있어 국민들은 안전하고 안정된 생활여건(生活與件)의 조성을 갈구하고 있는 것으로 풀이된다. 지금이야말로 대내외적(對內外的) 환경변화에 발맞추어 성장잠재력(成長潛在力) 확충을 지지하면서 계속적인 산업화(産業化)가 발생시킬 사회적(社會的) 비용(費用)을 줄일 수 있도록 적절한 복지정책(福祉政策) 대안(代案)의 개발이 요청되고 있다고 하겠다. 복지정책의 중점은 국민요구를 반영하여 삶의 질(質)향상을 위한 생활복지(生活福祉)로 모아져야 할 것이다. 대부분의 국민이 문화(文化)가 있고 건강(健康)하며 안정(安定)된 생활을 희구하고 있음에 비추어, 일상생활 속에서 복지증진을 체감(體感)할 수 있도록 지역사회를 단위로 특색 있는 정책이 전개되어야 할 것이다. 앞으로의 사회복지정책(社會福祉政策)은 전통적(傳統的) 사회보장제도(社會保障制度)와 서구적(西歐的) 사회보장제도(社會保障制度)의 조화, 경제성장과 사회복지의 균형, 정부, 민간 그리고 지역사회의 공조(共助)를 요구하고 있으며, 이와 관련하여 일본(日本)과 대만(臺灣)의 경험이 시사하는 것처럼 장기적인 시각(視角)에서 꾸준히 일관성 있게 공적지출(公的支出)을 늘려나가는 것이 중요하다고 판단된다. 그리하여 민간의 자발적(自發的) 참여를 유도함으로써 국민 모두의 삶의 질(質) 향상에 기여할 수 있을 것이며 결국 인간성(人間性) 고양을 통하여 국민화합이 달성될 수 있을 것이다.

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A Study on the introduction & expansion Strategy of New Maritime Culture in Korea (우리나라 새로운 해양문화의 도입과 확장 전략에 관한 연구)

  • Kim, Hong-Seop
    • Journal of Korea Port Economic Association
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    • v.26 no.4
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    • pp.269-288
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    • 2010
  • 21 C is called the age of Culture and it is underlined in all the Areas of Human lifes. Among all activities, Culture oriented Thinking and activities and strategies through and for Culture establishing are emphasized. As Sea may appear as a image of longing and challenge for the unknown world, Port is understood as a link which connect Sea and Land. Sea, Island and Port are the basis of human lifes, economic working areas and communication spaces with nature. Sea and Port have been changed in accordance with human History as the space of Life, Work, Play and Imagination. The Maritime activities has been developed as the type of a Culture, including various diversities according to the time and space. This Paper suggested a definition of Maritime Culture and Theoretical review and groped introduction and strategies and countermeasures for expansion of systematic Maritime Culture. Maritime Culture not only enhance the quality of Citizen life but also contribute the progress of National economy increasing the quality of Culture, Turism and Environment and the expectation of it has been enlarged. It is needed to introduce and expand Maritime Culture systematically through theoretical framework suggested by this paper, and additional research may be necessary for the detailed solutions and countermeasures.

Study on the Elderly Cultural Welfare Program (노인 문화복지 프로그램 연구: 노인문화기관을 중심으로)

  • Ko, Min-Jung;Choi, Hee-Soo
    • Proceedings of the Korea Contents Association Conference
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    • 2017.05a
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    • pp.261-262
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    • 2017
  • 고령화 사회로 인구 구조가 재편되면서 많은 사회적 문제가 발생하고 있으며, 노인의 삶의 질을 제고하기 위한 방안으로 노인문화복지 프로그램이 중요하며, 특히 노인문화기관의 역할이 크다. 따라서 노인문화기관에서 운영하는 전근대적인 문화복지 프로그램이나 노인문화기관의 운영 실태는 단계적으로 개선하고, 참여형 문화복지 프로그램으로 개편해야한다. 또한, 협의체 구성을 통해 노인 문화복지 활성화를 위한 제도와 법률 개정 등 문화복지 프로그램의 안정적인 운영이 필요하다. 이를 통해 노인의 삶의 독립, 참여, 보호, 자아실현, 자존감을 찾는다면 성공적인 노인복지기관의 노인 문화복지 프로그램이라고 본다.

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