• Title/Summary/Keyword: Improving Quality of Life

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재활치료 중인 뇌졸중 환자의 자아존중감, 재활동기가 삶의 질에 미치는 영향 (Influences of Self-esteem, Rehabilitation Motivation on Quality of Life in Stroke Pateints with Rehabilitation Therapy)

  • 안은서;서순림;김은희
    • 한국산학기술학회논문지
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    • 제20권3호
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    • pp.176-187
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    • 2019
  • 본 논문은 재활전문기관에서 치료 중인 뇌졸중 환자의 자아존중감, 재활동기와 삶의 질의 정도를 조사하고, 제 변수들의 상관관계 및 삶의 질에 영향을 미치는 요인을 파악하기 위해 시도되었다. 2016년 2월 22일부터 3월 20일까지 뇌졸중으로 입원 또는 통원 치료중인 환자 216명을 대상으로 자가보고형 설문지를 사용하여 자료수집을 하였으며, 수집된 자료는 SPSS WIN 21.0(SPSS Inc., Chicago, IL, USA) 프로그램을 이용하여 분석하였다. 연구결과, 대상자의 자아존중감은 평균 3.09/5점, 재활동기는 3.60/5점, 그리고 삶의 질은 2.95/5점이었으며, 삶의 질은 자아존중감(r=.45, p<.001), 재활동기(r=.27, p<.001)와 유의한 양의 상관관계를 나타내었다. 삶의 질에 대한 예측변수로 삶의 질과 통계적으로 유의한 차이를 나타낸 일반적 특성인 성별, 연령, 교육, 간병인 유무, 직업유무와 질병 특성인 발병기간, 장애정도, 인지기능 그리고 자아존중감, 재활동기를 예측변수로 분석한 결과, 삶의 질에 대한 설명력은 일반적 특성, 질병 특성과 자아존중감, 재활동기를 모두 포함한 모형 3에서 43.6%(F=14.87 p=<.001)였으며, 회귀분석 결과 삶의 질에 유의한 영향요인은 자아존중감, 발병기간, 장애정도(의존적), 인지기능이었다. 장기간 재활치료를 필요로 하는 뇌졸중 환자의 삶의 질에 자아존중감이 중요한 요인을 알 수 있었으며, 자아존중감의 증진으로 성공적인 재활을 도모함으로써 뇌졸중 환자의 삶의 질을 향상시킬 수 있는 프로그램의 개발과 적용이 요구된다.

골반저 근육운동이 복압성 요실금 여성의 배뇨증상과 삶의 질에 미치는 영향 (The Effects of Pelvic Floor Muscle Exercise on Urinary Symptoms and Quality of Life in Women with Stress Urinary Incontinence)

  • 최인희
    • 지역사회간호학회지
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    • 제19권1호
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    • pp.46-56
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    • 2008
  • Purpose: The purpose of this study was to identify the effects of pelvic floor muscle exercise on reducing the symptoms of stress urinary incontinence and improving attitude toward exercise and quality of life. Method: The research adopted was a nonequivalent control group pretest posttest design. The subjects were 55 persons who were surveyed using a structured questionnaire, and 23 persons in the experimental group among the total sample were measured for the peak pressure and the duration of PMC and trained correct pelvic floor muscle contraction using peritron in the first week. Then, pelvic floor muscle exercise was implemented for 6 weeks. The data was analyzed by $\chi^2$-test and t-test with the SPSS 10.0 program. Results: 1) The degree of stress urinary incontinence, frequency of urination, nocturia, urgency, noctural incontinence, the frequency and quantity of incontinence, outer clothing change and incomplete emptying decreased significantly more in the experimental group than in the control group. 2) Attitude toward pelvic floor muscle exercise and the qualify of life were improved significantly more in the experimental group than in the control group. 3) The peak pressure and duration of PMC increased significantly more in the posttest. Conclusion: Based on the results above, it is judged that pelvic floor muscle exercise is an effective nursing intervention in order to care for stress urinary incontinence.

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만성폐쇄성폐질환환자의 피로도가 우울정도와 건강관련 삶의 질에 미치는 영향 (The Effect of Fatigue of Patients with Chronic Obstructive Pulmonary Disease on Depression and The Health-Related Quality of Life)

  • 강정일;정대근;최현
    • The Journal of Korean Physical Therapy
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    • 제26권4호
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    • pp.262-268
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    • 2014
  • Purpose: This study was conducted in order to measure fatigue as an objective index, depression and health-related quality of life of patients with COPD in daily life, to understand the correlation between them, and to present reasons for using the results clinically. Methods: This study is intended to evaluate and compare depression, the health-related quality of life of each group after measuring lactic acid levels of 39 male patients with COPD, and dividing those with measurement values than the normal value into the experimental group, and those with normal values into the control group. Results: When comparing depression between the experimental group and the control group, it was measured at 10.38 in the experimental group, and at 7.00 in the control group (p<0.05). Health-related quality of life between the experimental group and the control group was measured at 51.8 in the experimental group, and at 48.67 in the control group (p>0.05). Conclusion: According to the results described above, it appears that patients with COPD have adapted to their disease in some degree for a long period of time, and they are physically and psychologically adjusting to the fatigue they experience, in their own ways of adapting. These results imply that improving physical activity is associated with relief of fatigue and improvement of the quality of life. Thus, there is a need for developing and researching an exercise program and a physical therapy intervention for enhancement of physical activity.

Possible Muscle Fiber Characteristics in the Selection for Improvement in Porcine Lean Meat Production and Quality

  • Kim, J.M.;Lee, Y.J.;Choi, Y.M.;Kim, B.C.;Yoo, B.H.;Hong, K.C.
    • Asian-Australasian Journal of Animal Sciences
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    • 제21권10호
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    • pp.1529-1534
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    • 2008
  • The aim of this study was directed at exploring the possible use of muscle fiber characteristics as new selection traits for improving both porcine lean meat production and quality. A total of 174 (114 Yorkshire, 30 Landrace, and 30 Meishan) pigs were used for this study, and lean meat production ability was estimated by backfat thickness and loin eye area. The Longissimus dorsi muscle was taken in order to measure meat quality and muscle fiber characteristics. Due to the high correlations between total muscle fiber number and most of the performance traits, all pigs were classified into three groups (low, intermediate, or high) by total muscle fiber number using cluster analysis. The high group had the highest loin eye area (p<0.001). The meat quality traits were within normal ranges as reddish pink, firm, and nonexudative (RFN) pork, but the groups classified as intermediate and high had relatively large drip loss percentages (p<0.05), produced more than twice the amount of pale, soft, and exudative (PSE) pork as compared to the low group. The group with a high total muscle fiber number was further classified, based on type 2b fiber percentage, into low or high groups by cluster analysis. The results showed that the low type 2b fiber group had good loin eye area (p<0.05), small drip loss (p<0.05), and did not produce PSE pork. For these reasons, a high total muscle fiber number, with a low percentage of type 2b fibers, may be suitable in selecting for improvements in both lean meat production and meat quality.

간호사 주도의 중재가 신장이식 수혜자의 삶의 질, 약물 순응도, 불안 및 우울에 미치는 효과: 체계적 문헌고찰 및 메타분석 (The effectiveness of nurse-led interventions on quality of life, medication adherence, anxiety, and depression in kidney transplant recipients: A systematic review and meta-analysis)

  • 박승연;곽이화
    • 한국간호교육학회지
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    • 제30권3호
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    • pp.263-279
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    • 2024
  • Purpose: This study was conducted to evaluate the effects of nurse-led interventions on quality of life, medication adherence, anxiety, and depression in kidney transplant recipients. Methods: A systematic literature review was conducted following Preferred Reporting Items for Systematic reviews and Meta-Analyses guidelines. Two researchers independently selected the final literature, and the quality assessment was performed using Cochrane's Risk of Bias tool. Additionally, a meta-analysis was conducted using the statistical software RevMan 5.4 to estimate effect sizes. Results: Among the reviewed 2,264 papers, 8 final papers, including 6 from the literature search and 2 from manual searches, were included in the analysis. The total number of participants included in the analysis was 477. Nurse-led interventions were found to be effective in improving quality of life (d=1.05) and reducing anxiety (d=-0.98) and depression (d=-1.25). Due to the heterogeneity of the measurement tools, the effect size for medication adherence could not be calculated. Despite this, nurse-led interventions were shown to improve medication adherence. In the cases of anxiety and depression, longer intervention periods showed a more significant reduction trend. Conclusion: The results of this study suggest that nurse-led interventions positively impact quality of life, medication adherence, anxiety, and depression in kidney transplant recipients. Therefore, it is important to recognize the crucial role of nurses and explore ways to provide continuous nursing interventions for kidney transplant recipients.

원예요법프로그램이 여성 암생존자의 상태불안과 피로 및 삶의 질에 미치는 효과 (Effects of Horticultural Therapy Program on State-Anxiety, Fatigue and Quality of Life among Women Cancer Survivors)

  • 오경옥;강문희;정관숙
    • 종양간호연구
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    • 제12권2호
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    • pp.125-131
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    • 2012
  • Purpose: This study was designed to examine the effects of horticultural therapy program on state-anxiety, fatigue and quality of life (QoL) of among women cancer survivors. Methods: Quasi-experimental study was used with a nonequivalent control group pretest-posttest design. Data were collected from February to June, 2009. Participants consisted of 40 women cancer survivors in community. The experimental group participated in horticultural therapy program once a week for 18 weeks. Data were analyzed with SPSS/WIN 18.0 program using ${\chi}^2$-test and t-test. Results: There were significant differences between the two groups in state-anxiety and QoL. Conclusion: The results of this study support that horticultural therapy program was effective in decreasing state-anxiety and improving QoL among women cancer survivors.

The Effect of Neuromuscular Electrical Stimulation on Pulmonary Function, Gait Ability, and Quality of Life in Patients with Chronic Obstructive Pulmonary Disease

  • Kang, Jeong-il;Park, Jun-Su;Jeong, Dae-Keun
    • The Journal of Korean Physical Therapy
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    • 제30권4호
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    • pp.129-134
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    • 2018
  • Purpose: This study aims to investigate the changes in pulmonary function, gait ability, and quality of life when NMES is applied along with CBE and to provide basic clinical data to be used in pulmonary rehabilitation guidelines for patients with COPD to treat patients with severe COPD. Methods: For this study, CBE and NMES of quadriceps femoris on both sides were applied to the experimental group (n=10), and only CBE was applied to the control group (n=10). For a pre-test, a 6-minute walk test was performed, and pulmonary function and health-related quality of life were measured. Moreover, an exercise program was applied to each group for 30 minutes per session, 5 times a week, for 6 weeks. After that, a post-test was conducted the same way as the pre-test. Results: In the within-group comparison, there were significant differences in forced expiratory volume in one second, 6-minute walk test and health-related quality of life between the experimental group and the control group (p<0.01)(p<0.05). In the between-group comparison, the experimental group showed an increase in forced expiratory volume in one second and 6-minute walk test (p<0.05) and showed a decline in health-related quality of life (p<0.05). Conclusion: The 6-weeks NMES program improved health-related quality in patients with severe COPD by increasing expiratory volume by reinforcing the function of quadriceps femoris. This finding implies that NMES could be an alternative mode for improving physical functions of patients with severe COPD, who cannot participate in a breathing exercise program or are reluctant to participate.

성인의 구강보건교육경험에 따른 구강건강신념과 OHIP-14의 융합적 관련성 (Convergence correlation between oral health belief and OHIP-14 based on oral health education experience in adults)

  • 장경애;허성은
    • 한국융합학회논문지
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    • 제10권10호
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    • pp.59-66
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    • 2019
  • 본 연구는 구강보건교육경험에 따른 구강건강신념과 구강건강관련 삶의 질(OHIP-14) 관련성을 파악하고자 부산, 울산, 경남 지역에 거주하고 있는 성인을 대상으로 설문 조사를 시행하였다. 수집된 자료는 SPSS 25.0 프로그램을 통해 분석한 결과 구강보건교육 유경험자가 구강보건교육 무경험자보다 구강건강신념의 하위요인과 구강건강관련 삶의 질(OHIP-14)의 하위요인 점수가 각각 높게 나타나 유의한 결과가 나타났다. 구강보건교육경험, 구강건강신념과 구강건강관련 삶의 질(OHIP_14)은 요인별로 관련성이 있는 것으로 나타났다. 따라서 생애주기별 구강보건 교육프로그램의 운영은 구강건강증진은 물론 삶의 질 향상을 통한 구강보건교육의 중요성 및 필요성 제고에 도움이 될 것이다.

간암환자(肝癌患者) 1례(例)에 대한 증례보고(證例報告) (Case study on one case of hepatoma)

  • 김태식;고성규
    • 대한한방내과학회지
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    • 제19권1호
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    • pp.73-81
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    • 1998
  • This study was performed on the basis of clinical consideration about patient who has hepatoma, cholangiocarcinoma and pancreatic cancer. Cancer has gradually increased morbidity and mortality all over the world including Korea. Western medicine has treated with surgical therapy, chemotherapy, radiotherapy and immunotherapy, but has not obtained outstanding results and has a difficulty due to side effects by those therapies. In this study, we recognized that symptom including pain by cancer are rapidly decreased with oriental medicine treatment. Oriental medicine treatment is applied throughly on the basis of the oriental medicine principle and the prescrptions were used Bulwhankumjunggisan(不換金正氣散), Sojukbaekchulsan(消積白朮散) Banhabackchulchunmatang(半夏白朮天麻湯). The communitial effect of those prescriptions are invigorating the spreen and benefiting vital energy(健脾益氣), supporting healthy energy to eliminate evils(扶正祛邪) and those treatments are corresponed with traditional oriental treatment principle. Also we can know this patient has a little improvement in the general test including biochemistry, blood test, urine analysis and etc. in spite of outstanding improvement of patient's symptom on administration of oriental medicine. According to the above results, though we has not got satisfaction in getting rid of cancer completely on administration of oriental medicine, it is helpful in decreasing symptoms including pain by cancer and in improving quality of life of patient and in improving quality of patient life.

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무릎의 신체 기능 개선을 위한 생활방식 중재 재활 전략 (Rehabilitation Strategies in Lifestyle Intervention for Improving the Physical Function of the Knee)

  • 임종민;윤범철
    • 정형스포츠물리치료학회지
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    • 제14권2호
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    • pp.65-72
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    • 2018
  • Purpose: Lifestyle intervention (LSI) provides basic recommendations that improve the quality of life and health of patients with minor disabilities. The LSI intervention strategies are associated with active living, healthy weight, healthy eating, and emotional stability. These intervention strategies can change an unhealthy lifestyle to a healthy lifestyle and provide important health care information. Main issue: This study focused on a new LSI-based knee rehabilitation protocol and proved the effect of exercise prescription on the knee. The clinical significance of this study demonstrated that continuous rehabilitation, effective rehabilitation, and recurrence prevention can be achieved by prescribing the appropriate exercise for patients after discharge. Therefore, practical lifestyle medicine knowledge and information are provided by the home-based rehabilitation self-exercise program with the new LSI-based knee rehabilitation protocol. Conclusions: The LSI-based protocol can improve and maintain health conditions and knee function. With the aim of improving self-care abilities, this program is expected to make significant contributions recurrence prevention, reduced mortality, and improved quality of life, physical function, and fitness.