• 제목/요약/키워드: EuroQol

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구강건강상태와 EuroQol-5 Dimension을 활용한 건강 관련 삶의 질의 관계 (Correlation between Oral Health Condition and Life Quality Related to General Health Using EuroQol-5 Dimension)

  • 안은숙;김기은
    • 치위생과학회지
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    • 제16권5호
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    • pp.378-383
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    • 2016
  • 질병발생 양상이 변화되고 건강에 대한 관심이 증가하며, 건강에 대한 임상적이며 객관적인 평가와 동시에 환자의 주관적 인식을 포괄하는 건강 상태를 평가하기 위한 노력이 계속되고 있다. HRQoL을 측정하는 것을 이러한 노력 중 하나로 꼽을 수 있는데, 본 연구는 일반적인 HRQoL과 구강건강 상태와의 관련성을 알아보기 위해 수행되었다. 대표성 있는 국민건강영양조사 자료 중 제6기 2차년도(2014년) 자료를 활용하여 분석을 수행하였다. EQ-5D로 측정된 일반적인 HRQoL에 영향을 미치는 요인은 성별, 연령, 교육수준, 소득수준, 민간건강보험 가입 여부, 주관적으로 인식하는 전신건강상태, 최근 1년간 치통 경험, 현존 치아 수로 확인되었다(p<0.05). 구강건강은 전반적인 건강상태를 결정짓는데 중요한 역할을 하기 때문에 객관적인 구강건강 상태가 전신건강에 영향을 미치고, 이는 결국 일반적인 HRQoL에 관련성이 있는 것으로 볼 수 있다.

구강건강상태와 감지 건강상태(EuroQol-5D)와의 연관성 (Association between Oral Health Status and Perceived General Health (EuroQol-5D))

  • 심선주
    • 치위생과학회지
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    • 제14권3호
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    • pp.364-370
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    • 2014
  • 본 연구는 구강건강상태와 감지 건강상태의 연관성을 조사하기 위하여 구강건강상태지표인 우식경험영구치지수와 지역사회치주지수를 조사하였고 감지 건강상태를 조사하기 위하여 건강과 관련한 삶의 질을 평가하는 지표인 EQ-5D를 조사하여 위 변수들의 연관성을 조사분석하여 다음과 같은 결론을 얻었다. 전신 움직임에 문제가 있다고 응답한 대상자들의 우식경험영구치지수가 1.18배 높았으며 동통 및 불편감에 문제가 있다고 응답한 대상자들의 우식경험영구지지수가 1.16배 높았고 감지 건강상태와 치주병은 연관성이 없었다. 결론적으로, 감지 건강상태는 우식경험영구치지수와 유의한 연관성이 관찰되었다. 따라서 감지 건강상태(EQ-5D)는 구강건강상태를 예측하는 지표로 추천할 수 있으며 나아가 삶의 질을 증진시키는 객관적인 도구로도 활용 가능하다고 생각된다.

EuroQol 도구로 측정한 성인 공황장애 환자의 건강관련 삶의 질 수준 (Assessment of Health-Related Quality of Life among Patients with Panic Disorder Using EuroQol in Korea)

  • 손명하;변금령;최병휘;우종민
    • 대한불안의학회지
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    • 제8권1호
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    • pp.9-15
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    • 2012
  • Objectives : The purpose of this study was to assess the health-related quality of life (HRQoL) for patients with panic disorder using EQ-5D and EQ-VAS, and to examine the relationship between health-related quality of life and clinical outcomes following treatment. Methods : 29 patients with panic disorder were recruited from the Seoul Metropolitan area and 20 patients were followed up after two months of outpatient treatment. The Panic Disorder Severity Scale (PDSS) was used to assess the severity of the panic disorder and the changes in symptoms. HRQoL was assessed with EQ-5D and EQ-VAS at baseline and at two months of treatment. Results : All enrolled panic disorder patients showed significantly impairment of HRQoL in view of the subscales of EQ-5D, EQ-VAS index scores. The severity of PDSS was correlated the HRQoL in the panic patients. After treatment, the EQ-5D, EQ-VAS index scores showed significant improvement. Conclusion : Panic disorder patients suffer from lower HRQoL as well as from symptoms of the disorder. They showed clinical improvement and a restored HRQoL with treatment. These outcomes suggest using the EQ-5D, EQ-VAS such as the HRQoL in the assessment of patients with panic disorder is essential.

Associations between Quality of Life and Marital Status in Cancer Patients and Survivors

  • Han, Kyu-Tae;Kim, Sun Jung;Song, Haiyan;Chun, Sung-Youn;Kim, Chan Ok;Kim, Jung-Soo;Park, Eun-Cheol
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권13호
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    • pp.5287-5291
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    • 2014
  • Background: The cancer survival rate in Korea has substantially increased, necessitating the management of not only patients with cancer but also longer term survivors. Although the divorce rate has drastically increased in Korea, there is not sufficient research regarding the relationship between changes in marital status and quality of life (QOL) in cancer patients and survivors. Thus, we aimed to examine the relationship between marital status and QOL in such cases. Materials and Methods: This study was performed using the Community Health Survey of 2008 administered by the Korea Centers for Disease Control and Prevention (N=169,328). We used t-tests and Chi-square tests to compare demographic variables between men and women, and analysis of variance (ANOVA) to compare QOL scores among comparison groups. We also performed a multilevel analysis on the relationship between QOL and marital status while accounting for provincial differences. Results: Decline of EuroQOL five dimensions (EQ-5D) in single patients with cancer was greater than in any other marital status group, but there was no statistically significant decline in survivors of cancer with regard to marital status. In the general population, the decline of EQ-5D was higher among single people than married people. Using the EuroQOL visual analog scale (EQ-VAS), single people had higher values than those of other marital status among both patients with cancer and survivors of cancer. In the general population, EQ-VAS values were higher for single people compared to married people. Conclusions: There may be a significant relationship between marital status and QOL in cancer patients and survivors. Policy interventions to manage patients with cancer who experience a decline in QOL as well as marital problems should be conducted.

EuroQol-5 Dimension 건강가중치를 이용한 한국인의 건강수준의 형평성 측정 (Health Inequality Measurement in Korea Using EuroQo1-5 Dimension Valuation Weights)

  • 신호성;김동진
    • Journal of Preventive Medicine and Public Health
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    • 제41권3호
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    • pp.165-172
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    • 2008
  • Objectives : Despite various government initiatives, including the expansion of national health insurance coverage, health inequality has been a key health policy issue in South Korea during the past decade. This study describes and compares the extent of the total health inequality and the income-related health inequality over time among Korean adults. Methods : This study employs the 1998, 2001 and 2005 Korean National Health and Nutrition Examination Surveys (KNHANESs). The self-assessed health (SAH) ordinal responses, measured on a five-point scale, resealed to cardinal values to measure the health inequalities with using interval regression. The boundaries of each threshold for the interval regression analysis were obtained from the empirical distribution of the EuroQol-5 Dimension (EQ-5D) valuation weights estimated from the 2005 KNHANES. The final model predicting the individuals' health status included age, gender, educational attainment, occupation, income, and the regional prosperity index. The concentration index was used to measure and analyze the health inequality. Results : The KNHANES data showed an unequal distribution of the total health inequality in favor of the higher income groups, and this is getting worse over time (0.0327 in 1998, 0.0393 in 2001 and 0.0924 in 2005). The income-related health inequality in 2005 was 0.0278, indicating that 30.1% of the total health inequality can be attributed to income. Conclusions : The findings indicate there are health inequalities across the sociodemographic and income groups despite the recent government's efforts. Further research is warranted to investigate what potential policy actions are necessary to decrease the health inequality in Korea.

The Relationship between Falling and Quality of Life for The Elderly over 65 : Using Korean community health survey

  • Kim, Ki-Jong;Heo, Myoung
    • 대한통합의학회지
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    • 제9권3호
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    • pp.175-183
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    • 2021
  • Purpose : Few studies have examined the relationship between elderly falls and quality of life (QOL) in a large general population. Furthermore, although many studies have investigated the relationships between socio-demographic factors and falls, relatively few studies have evaluated the associations of places and environments with QOL of fall. The purpose of the scheme was to identify the relationship between falls and QOL in a large sample of the elderly. Methods : This study used raw data from the 2013 Korean community health survey. A total of 228,781 people participated in the 2013 study among them 61.552 people were aged 65 or older. Authors also excluded 40 people whose QOL confirmation was unclear. Therefore, final analysis was conducted 61,512 senior citizens. The survey contained questions about the occurrence of falls, number of falls occurring per year, location of occurrence, and cause of falls. QOL was measured using the EQ-5D, an evaluation tool developed by the EuroQol group. Results : The results showed a statistically significantly lower QOL to little fear and full of fear as compared with no fear of falls (p<.05). The number of falls was statistically significantly lower in one, two, and three or more times, than in zero (i.e. no falls)(p<.05). In the falling environments, fall experience, but not related to lighting (p>.05), had a significant lower in QOL compared without the experience (p<.05). Conclusion : This study concluded that there is a strong connection between fall and QOL to the elderly, particularly regarding the number of occurrences, place, and environment. However, we found that an environment (e.g. the lack of lighting) might not affect QOL. It means that when the experts who make an effective tool or intervention may not need to consider indoor and outdoor darkness.

VAS(Visual Analogue Scale), TTO(Time Trade-Off), EQ-5D(EuroQol-5 Dimension) 방법을 이용한 중증위암의 효용가중치 측정 (Measuring Utility Weights with VAS, TTO and EQ-5D for Severe Stomach Cancer)

  • 김현정;이진이;이의경
    • 약학회지
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    • 제52권3호
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    • pp.176-181
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    • 2008
  • Stomach cancer shows the highest incidence among cancer patients in Korea and it deteriorates the patients' health-related quality of life considerably. This study measured utility weights of severe stomach cancer symptoms using VAS (Visual Analogue Scale), TTO (Time-trade Off) and EQ-5D (EuroQol-5 Dimension) methods. A survey questionnaire was developed to describe the symptoms of severe stomach cancer comprehensively and concisely using VAS, TTO and EQ-5D. A face-to-face interview was conducted for 21 cancer inpatients in a hospital and 25 non-patients. The mean utility weight is 0.498 for VAS, 0.375 for EQ-5D and 0.300 for TTO. Using VAS or TTO methods, there were no statistically significant differences between patients and non-patients while there was significant difference in EQ-5D. The utility weight with VAS and EQ-5D has shown similar trend - higher score in patient group, male and aged while it has opposite trend with TTO.

자음강화탕(보험제제)으로 호전된 갱년기 장애 3례에 대한 증례 보고 : Kupperman's Index, Menopause Rating Scale을 중심으로 (A Case Report of Three Patients with Menopausal Disorder Managed with Jaeumganghwa-tang (Herbal Extract in National Health Insurance): Focusing on Kupperman's Index, Menopause Rating Scale)

  • 남궁진;황보경;홍누리;오다윤;정재중
    • 대한한방부인과학회지
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    • 제33권1호
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    • pp.150-159
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    • 2020
  • Objectives: This case report describes the management of three patients with menopausal disorder treated with Jaeumganghwa-tang, an herbal extract in national health insurance. Methods: Three patients suffering from Menopause disorder were hospitalized and treated with herbal extract Jaeumganghwa-tang for 4 weeks. This study was measured by Kupperman's Index, Menopause Rating Scale and EuroQol-Five Dimensions. Results: The symptoms of menopausal disorder have improved after treating with Jaeumganghwa-tang. Also the Kupperman's Index and Menopause Rating Scale have decreased, while the EuroQol-Five Dimensions has increased. Conclusions: As seen in these three cases, Jaeumganghwa-tang in herbal extract form has effects on the management of menopause disorder.

항암치료 및 교통사고로 유발된 불안에 대한 한의학적 치료 1례: 증례 보고 (Korean Medicine Treatment for Anxiety Induced by Anticancer Therapy and Traffic Accident: A Case Report)

  • 홍두현;손채원;강진영;김백준;조유진
    • 동의신경정신과학회지
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    • 제33권3호
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    • pp.351-360
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    • 2022
  • Objectives: The purpose of this study was to report the efficacy of using Korean medicine treatment, for anxiety induced by chemotherapy and traffic accident. Methods: We treated a patient's anxiety with Korean medicine treatments (Yangshimtang-Gamibang, ear acupuncture, acupuncture, cupping, interferential current therapy, and herbal acupuncture therapy). To evaluate the results of this treatment, we measured the Beck Anxiety Inventory, EuroQol-Five Dimensions, Numeric rating scale, Neck Disability Index, Oswestry Disability Index, total sleep duration, time duration to fall asleep, and the number of wake-up times during sleep. Results: Improvements of the Beck Anxiety Inventory, EuroQol-Five Dimensions, Numeric rating scale, Neck Disability Index, Oswestry Disability Index, and total sleep duration were observed after the treatments. Conclusions: This study showed one case of a patient who received Korean medicine treatment for the anxiety induced by anticancer therapy and traffic accident, and improvement was observed.