• 한국산학기술학회논문지
• /
• 제22권1호
• /
• pp.650-659
• /
• 2021

본 연구는 기혼여성을 대상으로 직업에 따른 건강관련 삶의 질 영향요인을 파악하기 위해 시도되었다. 본 연구 대상자는 제 7기 국민건강영양조사의 기혼여성 2,555명이며, 자료 분석은 SPSS 25.0 프로그램을 이용하였다. 연구 결과는 다음과 같다: 사무직의 경우 나이, 가구소득, 비만, 체중조절 등이 유의한 영향요인이었고 설명력은 8.9%이었다(p<.001). 서비스직의 경우 나이, 교육수준, 체중조절, 주관적 건강, 스트레스가 유의한 영향요인이었으며 설명력은 16.1%이었다(p<.001). 단순 노무직의 경우 나이, 교육수준, 가구원 수, 고혈압유무, 비만, 체중변화, 체중조절, 앉아있는 시간, 주관적 건강, 주관적 체형인지, 스트레스가 유의한 영향요인이었으며 설명력은 24.7이었다(p<.001). 무직의 경우 나이, 가구소득, 가구원 수, 주당 걷는 일 수, 수면시간, 앉아있는 시간, 주관적 건강, 주관적 체형인지, 스트레스가 유의한 영향요인이었으며 설명력은 29.9%이었다(p<.001). 이후 건강관련 삶의 질 향상을 위한 프로그램 개발 시 직업에 따른 건강관련 삶의 질 영향요인을 고려하여 개별적 관리 프로그램을 적용하여야 할 것이다.

• Asian Pacific Journal of Cancer Prevention
• /
• 제16권16호
• /
• pp.6913-6917
• /
• 2015

Background: Due to the rapid progress of industrialization, the expansion of the nuclear family, and an increase in women's social activities, the burden of care of cancer patients has increased, so that all family members are now involved in care. We compared the health-related quality of life (HRQOL) between members of families of cancer patients (hereafter, cancer families) and members of cancer-free families (non-cancer families). Materials and Methods: The data were from the Community Health Survey (2012). The study population included respondents at least 30 years of age. Data were adjusted for the following covariates: sex, age, education, marital status, household income, economic activity, household type, chronic disease, and perceived health status. Frequency analysis, analyses of variance, and multiple linear regression analysis were performed. Results: Among 163,495 respondents, 3,406 (2.1%) were part of a cancer family and 160,089 (97.9%) were part of a non-cancer family. Cancer families had lower EQ-5D scores than non-cancer families. However, by subgroup, the scores had significant association between cancer and non-cancer families only for females and for those who worked. Conclusions: There was a significant relationship between HRQOL scores and being a family member of a cancer patient. This indicates that the responsibility for care has been extended to the entire family, not only the primary caregiver.

• 대한한의학회지
• /
• 제37권1호
• /
• pp.41-52
• /
• 2016

Objectives: There are no studies which have investigated the health related quality of life(HRQOL) about stroke patients according to the medical care utilization behavior by longitudinal analysis. The purpose of this study is to analyze the quality of life(QOL) and quality adjusted life years(QALYs) of stroke patients of western and combined treatment group by longitudinal analysis. Methods: A retrospective cohort study was conducted among 37 new patients who initiated diagnosis with stroke in 2009 from Korea Health Panel Data. We analyzed the HRQOL of stroke patients and calculated the QALYs after medical use initiation for up to 3 years according to the medical care utilization behavior. Results: Overall, the quality of life of stroke patients was lowered somewhat from 0.8431 to 0.7864 in 2009~2012. Western treatment group was appeared slightly declined in from 0.8527 to 0.8231 and combined treatment group was shown to be falling from 0.8173 to 0.6875. The QALYs of total patients were calculated 2.3654 and western treatment group were 2.4436, combined treatment group were 2.1542 during the 4 year period. The difference of QALYs between two groups was 0.2894 QALYs. Conclusions: Although there was a small difference in QALYs of the two groups, it is not certain that the difference is come from medical care utilization behavior. Further studies should be needed to confirm the relation of the medical care utilization behavior and quality of life by considering severity of the stroke.

• 한국콘텐츠학회논문지
• /
• 제15권1호
• /
• pp.276-285
• /
• 2015

이 연구의 목적은 우리나라의 지역사회 건강관련 삶의 질에 영향을 미치는 지역사회 요인을 확인하기 위함이다. 2012년 단면연구이며, 국가통계포털의 209개의 시군구별 2차 자료를 사용하였다. 기본 틀은 International Council of Science(ICSU)에서 제시한 지역사회 건강결정요인을 바탕으로 구성하였고, 6가지 측면으로 분류하였다. 분석방법은 지역사회 EQ-5D지수와 지역사회 요인들에 다변량 회귀분석을 실시하였다. 분석결과로, 흡연율, "양호한" 주관적 건강수준 인식률, 상수 및 하수도 보급률 그리고 재정자립도가 EQ-5D에 통계적으로 유의하게 긍정적인 연관성이 있었다. 순인구이동률, 비만율, 필요서비스 미치료율 그리고 지역사회 유형이 EQ-5D에 통계적으로 유의하게 부정적인 연관성이 있었다. 이 연구는 지역사회 수준의 건강관련 삶의 질에 영향을 미치는 지역사회 요인들의 연관성을 확인했으며, 이것은 지역사회 건강 정책 개발에 유용한 증거를 제공할 수 있다.

• 한국전문물리치료학회지
• /
• 제27권4호
• /
• pp.233-240
• /
• 2020

Background: Cross-culturally adapted questionnaires may not be comparable to their original version. Objects: To examine concurrent validity of two health-related quality of life (HRQOL) instruments for the Korean versions of EuroQOL-5 Dimension (EQ-5D) and the abbreviated version of the World Health Organization Quality of Life (WHOQOL-BREF) instrument. Methods: A total of 139 cancer survivors from two rehabilitation institutes was recruited. All participants were registered for palliative rehabilitation care. Both instruments were concurrently administered by health care providers following the second bout of the rehabilitation cares. Rasch partial credit model and Spearman's correlation analysis were used to investigate: 1) dimensionality, 2) hierarchical item difficulty, and 3) concurrent validity using correlations between two instruments. Results: For the WHOQOL-BREF, all items except negative feeling, pain, dependence of medical aid, were found to be acceptable, while all items of EQ-5D were acceptable. There was an evidence of negative correlations between EQ-5D and 4 domains of WHOQOL-BREF. Two correlations were strong (EQ-5D vs. physical health domain, ρ = -0.610, 95% CI = -0.716 to -0.475) and moderate (EQ-5D vs. psychosocial domain, ρ = -0.402, 95% CI = -0.546 to -0.236). Other two correlations were weak (EQ-5D vs. social relationship and environmental domains, ρ = -0.242, 95% CI = -0.401 to -0.075 and ρ = -0.364, 95% CI = -0.514 to -0.207, respectively). Item difficulty calibrations of the two measurements were ranged from -0.84 to 0.86 for the EQ-5D and -1.07 to 1.06 for the WHOQOL-BREF. Conclusion: The study provides some supports for the concurrent validity of the two Korean versions of HRQOL instrument, with evidences of weak to strong correlations between the EQ-5D and four domains of the WHOQOL-BREF applied to various cancer survivors. Additionally, the cancer survivors appeared to have more of a tendency to view the EQ-5D items as being slightly more challenging than the WHOQOL-BREF items.

• 보건교육건강증진학회지
• /
• 제32권3호
• /
• pp.73-83
• /
• 2015

Objectives: The purpose of this study was to identify the effects of sleep quality and occupational stress on health-related quality of life among a university's security workers. Methods: 128 security workers voluntarily participated in the study. The survey asked demographic, health related, job related factors, the Korean Occupational Stress Scale Short Form(KOSS-SF), sleep quality questionnaire, and 12-Short Form Health Survey version 2.0(SF-12v2). The data were analyzed by using descriptive analysis, t-test, ANOVA, multiple linear regression, and multiple logistic regression. Results: The interrupted rest time was significantly negatively related to occupational stress. The occupational stress significantly affected sleep quality. The significant variable affecting Physical Component Score(PCS) and Mental Component Score(MCS) was sleep quality and occupational stress, respectively. Conclusions: HRQOL was founded to be affected by occupational stress and sleep disorder among the security workers. Based on this study, we suggest that the management of both occupational stress and sleep quality is crucial to improve the HRQOL.

• 대한예방한의학회지
• /
• 제16권3호
• /
• pp.15-26
• /
• 2012

Objective : Only a few studies have investigated the life expectance and health related quality of life (HRQOL) about stroke patients. The purpose of this study is to analyze the life expectancy, preference based quality of life(QOL) and quality adjusted life years(QALYs) of stroke patients. Methods : We used data of 10,533 adults from 4th Korean national health and nutritional examination survey 2009 for evaluating HRQOL of stroke patients. We also analyzed the life expectancy for stroke patients using life table from national public health data. Finally we calculated the QALYs with and without stroke conditions and assumed the difference of QALYs. Results : The mean age of stroke patients was assumed to be 65. Lower income and less educated groups were prone to be exposed to the stroke conditions. Common comorbidities of stroke patients were ischemic heart attack, hypertension, diabetes and hyperlipidemia. The proportions of participants who reported problems in each of the five EQ-5D dimensions increased significantly at chronic stroke group. Participants with chronic stroke conditions had an almost 6-fold higher risk of impaired health utility(the lowest quartile of EQ-5D utility score) compared with non stroke participants, after adjustment of age, gender, income, education, comorbidity variables. The differences of life expectancy and QALYs between non-stroke and stroke group from the age of 65 till death were assumed to be 0.767 year and 3.103 QALYs. Conclusions : Although the authors analyzed the affecting factors of QOL and assumed the differences of life expectance and QALYs about stroke patients using domestic national data and statistic references, well designed cohort studies should be needed to prove the causal effects of affecting factors and to assume more correct QALY differences.

• 디지털융복합연구
• /
• 제19권2호
• /
• pp.265-274
• /
• 2021

본 연구는 청각저하 여부에 따른 노인의 삶의 질 관련 요인을 파악하고자 시도되었다. 제 7기 국민건강영양조사 자료를(KNHANES 2016-2018) 활용하여 65세 이상 노인을 청각저하 여부에 따라 분류하여 최종적으로 4,754명을 연구대상으로 하였다. 인구사회학적 특성, 건강 행태, 신체적 건강과 심리사회적 건강 특성(주관적 건강상태, 스트레스, 우울, 걷기운동, 근력운동, 활동제한, 의료 미충족 요구)을 조사하였다. 수집된 자료는 SPSS ver. 22.0를 이용하여 복합 표본 분석하였다. 청각저하 여부에 따라 노인의 삶의 질은 인구사회학적 특성, 건강 행태, 신체적 건강과 심리사회적 건강에 따라 차이가 있었다. 다중로지스틱회귀분석 결과, 청력저하가 없는 노인의 경우 결혼상태, 활동제한과 걷기운동이 삶의 질에 영향을 미치는 요인이었다. 청력저하가 있는 노인의 경우에는 걷기운동이 삶의 질에 영향을 미치는 요인이었다. 청력저하 노인의 삶의 질 향상을 위한 환경, 신체, 심리적 건강관리 및 운동이 포함된 다학제적 협력과 프로그램 개발 및 적용이 필요하다.

• 한국전문물리치료학회지
• /
• 제30권1호
• /
• pp.32-40
• /
• 2023

Background: Equating is a statistical procedure used to create a common measurement scale across two instruments. Item-level information should be taken into consideration so that scores can communicate interchangeably across the instruments. Objects: To investigate a common measurement scale across two health-related quality of life questionnaires (HRQOL) applied to various cancer survivors who underwent palliative care in healthcare institutions. Methods: A total of 139 cancer survivors who underwent palliative care were recruited from two rehabilitation hospitals and an oriental medicine hospital. Participants consisted of various cancer survivors who presented to the sites for palliative care. They were asked to fill out Korean versions of the World Health Organization Quality of Life (WHOQOL-BREF) and EuroQOL-5 dimension (EQ-5D) questionnaires following the palliative care. For the item level comparison, the Rasch rating scale model was used to investigate how participants regarded individual test items of two instruments in relation to item difficulty calibrations. Results: All items except the three items fit the Rasch model. One item (anxiety/depression) of the EQ-5D and two items (dependence on medical aids and negative feelings) of the WHOQOL-BREF are misfit. The WHOQOL-BREF targets the survivors well, while the EQ-5D is able to target the survivors with lower HRQOL levels with some ceiling effects. By inspecting the item difficulty calibrations of the two instruments, five items of the WHOQOL-BREF are selected as common items in relation to the EQ-5D. These five items are considered compatible with each other. Differential item functioning (DIF) analysis reveals that the healthcare item of the WHOQOL-BREF vs the self-care item of the EQ-5D exhibits significant DIF. Conclusion: Findings suggest that one paired item should be taken into consideration when equating the WHOQOL-BREF and the EQ-5D applied to cancer survivors who underwent palliative care.

• 한국산학기술학회논문지
• /
• 제13권5호
• /
• pp.2189-2198
• /
• 2012

본 연구는 우리나라 성인의 사회계층별 건강관련 삶의 질 수준의 차이를 측정하고, 이러한 계층별 건강관련 삶의 질의 수준의 차이를 설명하는 요인을 파악하고자 하였다. 국민건강영양조사 제4기(2007년-2009년) 자료를 이용하여 20-69세 성인 7,992명을 대상으로 성별로 층화 분석한 결과는 다음과 같다. 건강관련 삶의 질 점수인 EQ-5D index의 사회계층별 분포를 보면, 남자에서는 신중간층(II계층)이 0.966점으로 가장 높았으며 상위 및 중상위계층(I계층)이 0.965점, 노동계층(IV계층) 0.958점, 구중간층(III계층) 0.955점, 하위계층(VI계층) 0.941점, 농촌자영자층(V계층) 0.918점 순이었다. 여자에서는 신중간층이 0.955점으로 가장 높았으며 상위 및 중상위계층이 0.955점, 노동계층 0.936점, 구중간층 0.932점, 하위계층 0.908점, 농촌자영자층 0.866점 순으로 계층 간 차이를 보였다. 위계적 회귀분석 결과 건강관련 삶의 질의 사회계층별 차이에 기여하는 요인은 남성의 경우 만성질환, 업무스트레스, 교육, 소득수준 등이었고, 여성의 경우 이들 변수와 함께 건강행태가 기여요인으로 파악되었다. 결론적으로, 낮은 사회계층일수록 낮은 건강관련 삶의 질을 보이며, 교육과 소득수준을 제외하면 만성질환 유병이 사회계층별 건강관련 삶의 질의 차이에 가장 큰 기여를 한 것으로 사료된다.