• 대한암한의학회지
• /
• 제18권1호
• /
• pp.9-15
• /
• 2013

Objectives : The purpose of this study is to report the effect of Korean medicine on the pancreatic carcinoma patient. Method : A patient was diagnosed as unresectable pancreatic carcinoma. She complained insomnia, abdominal pain, dyspepsia and sleep disturbance. She was treated by Korean medicine composed of acupuncture, herbal medication and wild ginseng pharmacopuncture. Results : All symptoms took a favorable turn after Korean medicine treatment. As treatment was performed, as intensity of pain, insomnia, dyspepsia and fatigue were decreased. Conclusion : This study suggests that Korean medicine treatment has effectiveness for improvement of cancer related symptoms of a pancreatic carcinoma patient. Consequently, the treatment is helpful in improving quality of life.

• 한국보건간호학회지
• /
• 제32권2호
• /
• pp.275-287
• /
• 2018

Purpose: This study examined the trends of socio-demographic and health factors affecting the health-related quality of life (HRQoL) in Korean elderly. Methods: Data were obtained from the Fourth, Fifth and Sixth Korean National Health and Nutrition Examination Survey (KNHANES V-1, 2007, KNHANES V-1, 2010, KNHANES V-2, 2014). The sample consisted of 3,668 Korean individuals aged 65 years and older. The data were analyzed using a t-test, Chi-square test and multiple linear regression using the SPSS/WIN 20.0 program. Results: The HRQoL is improving consistently and the affecting factors on the HRQoL were the education level, activity limitation, subjective health and walking days per week in the three data of 2007, 2010, and 2014. Conclusion: A health care program focusing on improving activity limitation and physical activity should be considered for the improvement of HRQoL for the elderly in the community.

• 품질경영학회지
• /
• 제51권4호
• /
• pp.531-550
• /
• 2023

Purpose: The unique nature of life-and-death healthcare services sets them apart from other service industries. While many studies exist on the relationship between healthcare services and customer satisfaction, most of them focus on mildly ill patients, ignoring the differences between critically ill and non-seriously ill patients. This study discusses the actual quality of healthcare services for patients who are facing life-threatening illnesses and are on life support, as well as their right to protection and dignity. Methods: The survey conducted to 149 patients with the four major illnesses: cancer, heart disease, brain disease and rare and incurable disease, those who have experiences with senior general hospitals. Results: The basic statistics of this study are adequate to represent the four major critical illnesses, and the reliability and validity of this study's hypotheses, which were measured by multiple items, were analyzed, and the internal consistency was judged to be high. In addition, it was found that the convergent validity was good and the discriminant validity was also secured. When examining the goodness of fit of the hypotheses, the SRMR, which is the standardized root mean square of residuals that measures the difference between the covariance matrix of the data variables and the theoretical covariance matrix structure of the model, met the optimal criteria. Conclusion: The academic implications of this study are differentiated from other studies by moving away from evaluating the quality of healthcare services for mildly ill patients and focusing on the rights and dignity of patients with life-threatening illnesses in four senior general hospitals. In terms of academic implications, this study enriches the depth of related studies by demonstrating the right to protection and dignity as a factor of patient-centeredness based on physical environment quality, interaction quality, and outcome quality, which are presented as sub-factors of healthcare quality. We found that the three quality factors classified by Brady and Cronin (2001) are optimized for healthcare quality assessment and management, and that the results of patients' interaction quality assessment can be used to provide a comprehensive quality rating for hospitals. Health and human rights are inextricably linked, so assessing the degree to which rights and dignity are protected can be a superior and more comprehensive measurement tool than traditional health level measures for healthcare organizations. Practical implications: Improving the quality of the physical environment and the quality of outcomes is an important challenge for hospital managers who attract patients with life and death conditions, but given the scale and economics of time, money, and human inputs, improving the quality of interactions and defining them as performance indicators in hospital quality management is an efficient way to create maximum value in the short term.

• 한국조리학회지
• /
• 제23권7호
• /
• pp.50-62
• /
• 2017

The purpose of this study was to analyze the relationships among variables focusing on what kinds of characteristics of eco-friendly consumption value affect dietary attitude, nutrient intake behavior, health behavior and quality of life, and establish a relationship model. The subjects of this study were 238 eco-friendly consumers. SPSS 23.0 and LISREL 8.50 were adopted to examine measurement model by using analysis method. The results were as followings; First, eco-friendly consumption value has a positive impact on dietary attitude and health behavior. Second, dietary attitude affects nutrient intake behavior positively. Third, the impact of nutrient intake behavior on health behavior is significant. From the results of this investigation, it was found that eco-friendly consumption value affects dietary attitude, health behavior and that the health behavior was positively influential on quality of life. It was also verified that eco-friendly consumption value affects dietary attitude, nutrient intake behavior, and health behavior. Moreover, it was also confirmed that the higher eco-friendly consumption value is, the higher dietary attitude, trust, health behavior and quality of life will be, thereby improving the good healthy life provided.

• 유통과학연구
• /
• 제16권6호
• /
• pp.85-96
• /
• 2018

Purpose - There are many antecedences and consequences of the positive emotions of customers. The purpose of this research is to examine how Chinese service companies improve not only the positive emotions of customers but also the quality of life through effective verbal and nonverbal communication. Furthermore, we tried to analyze the moderating role of negative expectancy disconfirmation perceived by customers in those causal relationships among the variables. Research design, data, and methodology - The eight hypotheses were proposed and we tested them empirically in this research. Four hypotheses were about the relationship among communication, positive emotion, trust and quality of life. The other four hypotheses were about the moderating effect of negative expectancy disconfirmation in the causal relationships among four variables such as communication, positive emotion, trust and quality of life. A total of 356 samples who had visited the service companies in China were surveyed and 8 hypotheses were tested by empirical analysis using SPSS and AMOS. Results - The results of this research are as follows. First, positive verbal communication and nonverbal communication of employees in the service company have a positive effects on the positive emotions of customers. Second, positive emotion has a positive effect on the overall quality of life on the customer side as well as the trust on the corporate side. Third, negative expectancy disconfirmation perceived by customers has negative moderating effect in the causal relationship between employees' positive verbal communication and customers' positive emotion, and it also has a negative moderating role in the causal relationship between customers' positive emotion and overall quality of life. Conclusions - Based on these results, there can be such implications as follows. First, managers and employees of service companies can induce positive emotion of customers through effective communication. Second, service companies should try to improve not only the corporate-side performance like trust but also the customer-side performance like quality of life. Third, it will be significant for them to lower the level of negative expectancy disconfirmation for the purpose of improving not only the positive emotions of customers but also the quality of customers' life.

• 여성건강간호학회지
• /
• 제20권1호
• /
• pp.83-91
• /
• 2014

Purpose: The purpose of this study was to identify relationships of resilience, Post-Traumatic Stress Disorder(PTSD), and quality of life of breast cancer patients. The findings from this study would provide baseline data needed for nursing intervention. Methods: A sample of 129 breast cancer patients was recruited from three hospitals in J and C cities in Korea. The survey was conducted with participants by utilizing self-reported questionnaires. Results: Quality of life showed statistically significant differences on religion (t=2.11, p=.033) and hobby (t=2.79, p=.006). Resilience and PTSD had a negative correlation (r=-.22, p=.010). Resilience and quality of life of the participants had a positive correlation (r=.58, p<.001), whereas PTSD and quality of life had a negative correlation (r=-.45, p<.001). Significant predictors of quality of life were resilience and PTSD. These variables explained 44.9% of the variance in quality of life. Conclusion: Findings indicate that as resilience of breast cancer patients rose higher and PTSD got lower, their quality of life increased. Based on these results, nursing interventions directed towards improving resilience and relieving PTSD is proposed.

• 대한통합의학회지
• /
• 제9권4호
• /
• pp.59-69
• /
• 2021

Purpose: The purpose of this study was to evaluate the effects of client-centered art and craft activities on depression and quality of life in stroke clients. Through this, we aim to find a way to reduce depression and improve the quality of life in stroke clients. Methods: Clients diagnosed with stroke were selected as participants for the study. Participants in the experimental group (n=13) and control group (n=14) received general occupational therapy. Clients in the experimental group participated in client-centered art and craft activities, whereas clients in the control group participated in general art and craft activities for 8 weeks. Beck Depression Inventory(BDI) and Stroke Specific Quality of Life(SS-QOL) were used to evaluate the depression and quality of life of the clients before and after the intervention. Results: The experimental group and control group presented significant statistical difference in depression before and after intervention (p<.01; p<.05). The experimental group showed a greater decrease in depression (p<.05) than the control group. Additionally, the experimental and control group displayed significant statistical difference in quality of life (p<.01) before and after intervention. The experimental group showed a more statistically significant improvement in quality of life (p<.01) than the control group. Conclusion: These results demonstrate the significance of client-centered art and craft activities in reducing depression and improving quality of life in clients with stroke. Therefore, it is expected to be useful in clinical settings. Occupational therapy should be provided based on the decision of the clients.

• 한국치위생학회지
• /
• 제21권6호
• /
• pp.741-750
• /
• 2021

Objectives: To provide basic data for oral health policy by identifying the differences in oral health behaviors and conditions among middle-aged people in their 40s and 50s and relating these to their health-related quality of life, and to identify factors affecting health-related quality of life. Methods: In this study, secondary data from the National Health and Nutrition Examination Survey were used. Data were gathered from 8,127 participants, of which 2,353 were middle-aged (40-59 years old). Covariance analysis was performed using a complex sample general linear model to investigate the changes in the subjects' health-related quality of life (EQ-5D) according to their general characteristics, oral health behaviors, and oral health status. Results: Oral health behavior was not significantly related to health-related quality of life. In contrast, a higher oral health status (chewing function) was associated with better health-related quality of life. Conclusions: In conclusion, this study suggested a close relationship between oral health status (chewing function) and health-related quality of life. Therefore, it is necessary to recognize the importance of oral health in improving the health-related quality of life of middle-aged people in their 40s and 50s, as well as in informing oral health policies and preventive measures for individuals and communities.

• 임상간호연구
• /
• 제25권3호
• /
• pp.251-264
• /
• 2019

Purpose: This study was a systematic review and meta-analysis to explore the factors related to quality of life in heart transplant recipients. Methods: To identify studies that suggested the factors related to the quality of life in heart transplant recipients, we searched the articles published from 1974 to November 2018 using Six databases, PubMed, CINAHL, EMBASE, Cochrane, KMBASE and RISS. A total of 22 studies were selected out of 5,234 for the systematic review and meta-analysis on the basis of the PRISMA flow. The quality of study was assessed by assessment tool form the NIH and meta-analysis was performed using the 'R 3.5.2' version to analyze the correlated effect sizes. Results: Factors related to quality of life in heart transplant recipients were categorized into six domains based on the health-related quality of life model introduced by Ferrans: individual, environmental, biological function, symptoms, functional status, and general health perception. In the meta-analysis, 34 factors were used and 17 factors having significant effect sizes were as follows: self-efficacy, demoralization, perceived control, current occupational status, age, marital status, health promotion life style in the individual characteristics; stress in environmental characteristics; physical function status, creatinine level, left ventricular ejection fraction (LVEF) in biological function; anxiety, depression, symptom frequency and distress in symptoms domain; coping, self-care compliance in functional status. Conclusion: The findings indicate that the multi-dimensional factors influencing the quality of life in heart transplant recipients and provide the evidence for developing effective interventions for improving the quality of life of recipients.

• 대한물리의학회지
• /
• 제14권1호
• /
• pp.63-73
• /
• 2019

PURPOSE: This study examined the effects of cardiopulmonary physiotherapy on the cardiopulmonary function, metabolism, inflammatory markers, and quality of life in patients with coronary artery disease who underwent percutaneous coronary intervention (PCI). METHODS: Electronic bibliographic databases of a regional information sharing system (RISS) and PubMed were searched to identify studies with randomized and non-randomized controlled trials. As the final outcome, 320 publications were identified and 18 studies met the inclusion and exclusion criteria. All studies were assessed for the quality of study using Cochrane's risk of bias. RESULTS: Sixteen studies met the inclusion criteria, in which meta-analysis had been conducted to examine the effectiveness of cardiopulmonary physiotherapy on the cardiopulmonary function, metabolism, inflammatory markers, and quality of life in patients undergoing PCI. Meta-analysis based on a random effect model showed that the cardiopulmonary physiotherapy was beneficial in improving the cardiopulmonary function, metabolism, inflammatory markers, and quality of life. In particular, there was a significant effect on the peak oxygen uptake (effect size 5.30%; 95% confidence interval 3.62~6.97). Cardiopulmonary physiotherapy for a during period of 6 weeks or more was effective in significantly improving the cardiopulmonary function and metabolism function in a subgroup analysis, but cardiopulmonary physiotherapy for less than 6 weeks was not effective. CONCLUSION: Cardiopulmonary physiotherapy has positive effects on the cardiopulmonary function, metabolism, inflammatory markers, and quality of life in patients undergoing PCI.