• 여성건강간호학회지
• /
• 제13권4호
• /
• pp.290-298
• /
• 2007

Purpose: This study was to measure the quality of life(QOL) and to identify the related factors in gynecological cancer patients during chemotherapy. Method: The subjects of this study were the patients who had undergone a hysterectomy and were admitted for chemotherapy at S university hospital between November 2006 and April 2007. Data was collected from 106 gynecological cancer patients with the use of a structured questionnaire which measured the QOL(FACT-G), body image, the presence of anxiety & depression, uncertainty, and family support. The data was analyzed by the SPSS win 12.0 program. Results: The mean FACT-total score was 62.1$({\pm}16.7)$ (range; 26-107). Positive correlations were found between QOL and body image(r= .67, p= .00), and QOL and family support(r= .32, p= .00), whereas there were negative correlations between QOL and anxiety(r= -.54, p= .00), QOL and depression(r= -.70, p= .00), and QOL and uncertainty(r= -.59, p= .00). Fifty seven pre cent of the variance in subjective overall QOL can be explained by depression, body image, and uncertainty(Adj $R^2$= .57, F=47.00, p= .00). Conclusion: Our patients had a relatively low QOL score. Factors significantly affecting quality of life were depression, body image and uncertainty. Nursing interventions, therefore, should be focused on improving QOL in gynecological cancer patients during chemotherapy, particularly so in patients with depression, uncertainty or poor body image.

• Mass Spectrometry Letters
• /
• 제11권4호
• /
• pp.90-94
• /
• 2020

Interest in aspects of industrialization relating to human health has increased. Accordingly, the use of labels such as 'natural foods' and 'organic ingredients' has become more widespread, and greater emphasis is being placed on improving quality of life. Water is an essential element for human life, and water quality has a significant impact on human health. However, technology that can precisely determine the substances present in water is still lacking. This study was conducted to establish a complete mass spectrometry process, from pretreatment to analysis, to measure and characterize natural organic matter (NOM) in Korean spring water samples. Salts and other matrices were removed from the samples using solid-phase extraction (SPE) with two different columns (PPL and C18). After establishing an accurate analysis method, the experimental results were evaluated based on Van Krevelen diagrams and analysis of molar O/C and H/C ratios. The method for characterizing NOM introduced herein should facilitate evaluation of water quality.

• 정신신체의학
• /
• 제10권2호
• /
• pp.92-100
• /
• 2002

목적: 의학의 발달에 따라 암환자의 생존율이 높아졌으며, 이에 따라 암환자의 심리적 이해와 삶의 질의 향상이 중요시되고 있다. 본 연구의 목적은 암환자의 사회인구학적 변인과 임상적 특성에 따라 정신병리, 자아존중감 및 삶의 질 등이 어떤 양상을 보이는 지 조사하고 동시에 이틀 간의 상호 연관성에 대해 알아보고자 함에 있다. 방법: 전남대학교병원 치료방사선과에 정규적으로 방사선치료를 받고있는 암환자 41 명과 정상 대조 군 20명을 대상으로 하였다. 환자들의 사회인구학적 자료 및 임상적 특성을 평가하였고, 정신병리는 symptom checklist-90-revised, 자아존중감은 Rosenberg의 self-esteem scale, 삶의 질은 World Health Organization Quality of Life Assessment Instrument를 통해 두 군을 비교 분석한 후, 변인들간의 상관을 조사하였다. 결과: 1) 암환자 군은 정상대조 군에 비해 신체화, 강박, 우울, 불안, 적대감, 공포, 정신중적 경향 등이 더 높았는데, 특히 신체화와 불안, 정신중이 유의하게 높았다. 2) 자아 존중감과 삶의 질은 암환자 군이 정상대조 군보다 유의하게 낮았다. 3) 사회인구학적 변인에 따른 정신병리, 자아존중감, 삶의 질의 비교에서는 유의한 차이가 없었다. 임상적 특정 중에서는 체중감량이 심할수록 신체화가 높았으며, 통증이 있는 경우에 신체화가 높고 삶의 질이 낮게 나타났다. 4) 불안이 높을수록 자아존중감이 낮았고, 신체화와 불안이 높고 자아존중감이 낮을수록 삶의 질이 낮게 나타났다. 결론: 암환자는 여러 정신증상이 있었고, 자아존중감과 삶의 질이 낮았다. 특히 암환자의 삶의 질에는 신체화 및 불안 등의 정신중상, 자아존중감, 통증 등이 중요한 것으로 드러났다. 따라서 암환자의 치료와 삶의 질의 개선을 위해서는 정신증상의 치료와 자아존중감의 증진, 통증 관리 등이 필요할 것으로 생각된다.

• 한국직업건강간호학회지
• /
• 제23권4호
• /
• pp.235-244
• /
• 2014

Purpose: The purpose of this study was to identify quality of sleep and its influencing factor among middle-aged male workers. Methods: The subjects of this study were 411 middle-aged male workers living in Seoul and Gyeonggi-do. The data were based from self-reported using structured questionnaires asking about low urinary tract symptoms, circadian rhythm, quality of life and sleep quality including general characteristics. The data were collected from September 11 to October 31, 2013 and analyzed by t-test, one-way ANOVA, Pearson correlation coefficient and hierarchical regression. Results: Mean score of the sleep quality was $5.03{\pm}2.57$ (range: 0~21) and reported as bad sleep quality in 55.7%. Low urinary tract symptoms (${\beta}$=.30, p<.001), circadian rhythm (${\beta}$=-.17, p<.001), quality of life (${\beta}$=-.14, p<.001) were shown as significant association of sleep quality. Conclusion: Strategies to improve sleep quality in middle-aged male workers are necessary and nursing intervention should be developed to improve education program for prevention and management of low urinary tract symptoms. It is also necessary to legalize the institutional devices to upgrade work environment and to place regulations on overtime at work places in order for these workers to obtain sufficient sleep time for recovery of biological rhythms and improving sleep quality.

• 대한간호학회지
• /
• 제27권3호
• /
• pp.614-626
• /
• 1997

The main purposes of the study were to develop and test a model which explains the dynamic relationship among factors reported as affecting to the quality of life of individuals with rheumatoid arthritis and to examine the relationship between self-help response and quaility of life. Data for the study were collected from March 1996 to December 1996 from 153 female patients who regularly visited a clinic for people with rheumatism. The patients were introduced to the investigators by nurses who worked at that clinic, and then the investigator interviewed the patients for 30 to 40 minutes to collect the data. Instruments used in the study were modified self-report questionaires from the ones which were already developed in previous studies or from related literature. Data analysis were performed using LISREL(Lineal Structural Relations) 8 program to test whether the proposed hypothesized model fit the collected data. To test the fitablity of the hypothesized model both a general fit measure and a detailed fit measure were used. Based on the test results from the various fit measures, the hypothesized model was found to be well suited to the real data. As characteristics related to illness becomes severe, the feasibility for these characteristics leading to the perception of uncertainty about the illness tend to increase, but, the direct effects from the illness characteristics(such as level of physical symptoms, sense of social-psychologic change, limitations of action) as they are related to the other intrinsic variables (self-efficacy or self-help behavior and quality of life), were found to be not significant. It was found that uncertainty had a direct effect on self-efficacy but did not have a direct effect on self-help behavior or quality of life. Also, it is noted that self-efficacy had a positive effect on self-help behavior and quality of life and there was a bilateral relationship between self-efficacy and self-help behavior. Lastly, the hypothesis proposed from the theoretical model in this study was supported basis of the results that self-help behavior provides both direct and positive effects to quality of life. Particularity, since a bilateral relationship was also found between self-help behavior and quality of life in the modified model, as self-help behavior increased, so did quality of life. And, reversely, as quality of life increased, so did self-help behavior. In conclusion, the results of this study suggest that focusing on both acquirement and reinforcement of adjustment factors or self-help behavior is more efficient than focusing on the characteristics of illness in establishing the stategies for improving quality of life of individuals with rheumatoid arthritis.

• 한국콘텐츠학회논문지
• /
• 제12권4호
• /
• pp.235-244
• /
• 2012

본 연구는 노인의 인터넷활용이 생활변화, 고독감, 자존감 요인과 삶의 질에 어떠한 영향을 미치는가를 규명하고자 하였다. 본 연구결과 노인들의 고독감이 인터넷 활용과 일련의 관계성을 가지고 있음을 확인할 수 있었다. 즉 연구 초기 기초모형에서는 기존 연구와 마찬가지로 인터넷의 활용이 노인들의 고독감을 완화시킬 것이라는 가설을 제시하였지만, 최종분석의 결과 오히려 노인들의 고독감이 노인들로 하여금 인터넷을 활용하게 하는 동기로 작용할 수 있음을 확인할 수 있었다. 또한, 노인들은 자존감이 높을수록 삶의 질에 높은 만족도를 보여주는 것으로 분석되었으며, 인터넷의 활용이 자존감 향상에 큰 영향을 미치고 있음을 확인할 수 있었다. 최종모형의 추정결과 인터넷 활용에 기인한 생활변화 요인이 자존감 향상에 미치는 영향강도가 여타 변인들보다 매우 강하다는 것을 알 수 있었다. 따라서 노인들의 삶의 질 향상을 위해서는 노인의 자존감을 높여야 하며, 이러한 자존감 향상을 위해 인터넷 매체를 활용케 하는 것이 큰 효과를 가져 올 수 있을 것이다.

• 대한통합의학회지
• /
• 제9권4호
• /
• pp.19-28
• /
• 2021

Purpose : The purpose of this study was to apply manual lymphatic drainage (MLD) and high-frequency diathermy (HFD) to patients with axillary web syndrome (AWS), one of the side effects of breast cancer surgery, and to treat upper extremity pain, volume, function of the upper extremity, (joint range of motion; ROM, disabilities of the arm, shoulder and hand; DASH) and quality of life before and after treatment. It is to determine the effect of treatment by checking the level change. Methods : This study is a case series. A total of 5 patients diagnosed with AWS after breast cancer surgery voluntarily participated in this study. The intervention program consisted of stretching, MLD and HFD. It was conducted 3 times a week for 30 minutes for 4 weeks. In order to compare the effects of pain (numeric pain rating scale; NPRS), volume, upper limb function (ROM, DASH) and quality of life (the European organization for research and treatment of cancer quality of life questionnaire-breast, EORTC QLQ-BR23) evaluations were compared before and after 4 weeks of intervention. All measured variables were analyzed and expressed as mean, standard deviation and percentage. Results : The shoulder NPRS level of the subjects in all case groups decreased, the volume decreased and the shoulder flexion, abduction ROM increased. It showed improvement in DASH and quality of life, QLQ-BR23. Conclusion : After breast cancer surgery, we confirmed the possibility that MLD and HFD treatments could be effective in improving pain, decreasing volume, increasing upper extremity function, and quality of life for patients who have difficulties with AWS. The possibility has been confirmed, and additional research is needed by increasing the number of participants in the experiment in the future.

• 한국콘텐츠학회논문지
• /
• 제17권11호
• /
• pp.229-241
• /
• 2017

본 연구는 정신장애인 가족의 부담감이 삶의 질에 미치는 영향과 가족탄력성과 사회적 지지가 조절효과가 있는지 검증하는데 목적이 있다. 이를 위해 본 연구는 서울과 경기, 인천 지역의 사회복귀시설과 정신건강증진센터에 등록된 정신장애인 가족 102명을 분석에 사용하였다. 연구결과, 첫째, 정신장애인의 가족이 그들 자녀를 돌보면서 경험하는 보호부담은 삶의 질에 부정적 영향을 미치는 것으로 나타났다, 둘째, 가족 탄력성은 정신장애인 가족의 보호부담과 삶의 질 간 관계에 있어 조절효과가 있는 것으로 조사되었으며, 하위요인 모두에서 완충효과가 있는 것으로 제시되었다. 끝으로 사회적 지지는 보호부담과 삶의 질 관계에 있어 조절효과가 있음이 입증되었다. 이를 근거로 가족탄력성 증진을 위한 정보제공의 필요성을 인식하면서, 정신장애인 가족의 사회적 지지망 강화 노력과 이들의 경제적 부담을 완화할 수 있는 제도적 차원의 지원이 필요하다는 것을 제안하였다.

• 한국콘텐츠학회논문지
• /
• 제22권4호
• /
• pp.365-378
• /
• 2022

본 연구는 여성 고령자의 주관적 계층의식이 삶의 질에 미치는 영향을 파악하고, 생활 수준 기대감과 우울의 다중매개 효과를 검증하고자 하였다. 이를 위해 한국고용정보원의 '2018 고령화 연구패널 조사 7차' 자료의 55세 이상 여성 고령자 8,070명을 대상으로 SPSS Process Macro를 사용하여 분석을 시행하였다. 분석 결과 첫째, 여성 고령자의 주관적 계층의식이 높을수록 삶의 질이 높은 것으로 나타났다. 둘째, 여성 고령자의 주관적 계층의식이 높을수록 생활 수준 기대감은 높고, 우울감은 낮은 것으로 나타났다. 셋째, 여성 고령자의 주관적 계층의식과 삶의 질과의 관계에서 생활 수준 기대감과 우울을 동시적으로 회귀식에 투입하였을 때, 두 변수 모두 유의미한 매개효과를 가지는 것으로 나타났다. 이러한 연구 결과를 바탕으로 여성 고령자의 삶의 질 향상을 위한 실천적 및 정책적 함의를 함께 논의하였다.

• 대한물리의학회지
• /
• 제17권4호
• /
• pp.75-83
• /
• 2022

PURPOSE: This study was conducted to find out the effects of neurocognitive rehabilitation therapy on the swallowing function and quality of life of stroke patients. METHODS: Thirty patients were selected and randomly allocated into an experimental and a control group. Patients in the experimental group received 15 minutes of neurocognitive rehabilitation treatment combined with 15 minutes of traditional treatment. For the control group, patients received 30 minutes of traditional dysphasia treatment. The experiments were conducted for 30 minutes a day, five times a week, for four weeks. New VFSS and SWAL-QOL were administrated to evaluate the outcomes. RESULTS: Swallowing functions were significantly improved in the experimental group and the control group (p < .05), but there was no statistically significant difference in pre- and post-interventional swallowing between the groups (p > .05). The quality of life was also significantly improved (p < .05) for both groups, but there was a statistically significant difference between the two groups (p > .05). Third, a correlational analysis between swallowing function and quality of life revealed a moderate correlation between New VFSS and SWAL-QOL (p < .05). CONCLUSION: The results of this study suggest that swallowing therapy through neurocognitive rehabilitation treatment program could be helpful for improving swallowing function and quality of life in stroke patients. Although there was no statistically significant changes from traditional rehabilitation therapy, training in recognizing the senses in the oral cavity and external environment through neurocognitive rehabilitation therapy can be applied as one of the treatment options.