• Title/Summary/Keyword: Improving Quality of Life

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Effect of Cardiopulmonary Physiotherapy on Patients With Percutaneous Coronary Intervention - Systematic Review and Meta-Analysis (경피적 관상동맥 중재술을 받은 환자를 대상으로 심장호흡물리치료에 대한 효과 - 체계적 고찰과 메타분석)

  • Kang, Na-yoon;Park, Beom-seok;Kim, Min-hee
    • Journal of the Korean Society of Physical Medicine
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    • v.14 no.1
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    • pp.63-73
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    • 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.

Factors related to the Health related Quality of Life among Institutionalized Elders (요양시설 노인의 건강관련 삶의 질에 영향을 미치는 요인)

  • Kim, Eun-Ha;Kim, Yeong-Kyeong
    • Korean Journal of Adult Nursing
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    • v.22 no.3
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    • pp.281-290
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    • 2010
  • Purpose: This purpose of this study was to identify the factors related to the health related quality of life among institutionalized elders. Methods: The subjects were 247 elders institutionalized among one of the four nursing homes in Busan. Data were collected through interview with four standardized questionnaires from August to October, 2008. Questionnaires were related to health related quality of life (SmithKline Beecham's Quality of Life scale, SBQoL), quality of sleep(Pittsburgh Sleep Quality index, PSQI), activity of daily living (Katz ADL Index), and depression (Geriatric Depression Scale Short Form Korea, GDSSF-K). Data were analyzed for descriptive analysis, t-test, one-way ANOVA, Pearson's correlation coefficient, and stepwise multiple regression by using SPSS/WIN 17.0 program. Results: The mean HRQoL in the subjects was $6.62{\pm}0.91$. Percentage of the respondents reporting sleep disorders were 72.5% and 27.1% reported being vulnerable to depression. The significant predictors of the HRQoL were sleep quality, activity of daily living (ADL), level of education, and depression. The factors accounted for 28.8% of variance in the health related quality of life of institutionalized elders. Conclusion: Sleep quality, activity of daily living, and depression need to be considered as the important control factors for improving the health related quality of life in the institutionalized elders.

Education, Role, and Prospects of Advanced Practice Nurses in Hospice and Palliative Care in South Korea

  • Kwon, So-Hi;Park, Myung-Hee;Kim, Hyun Sook
    • Journal of Hospice and Palliative Care
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    • v.24 no.1
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    • pp.1-12
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    • 2021
  • Hospice palliative care refers to holistic care provided by an interdisciplinary team aimed at improving the quality of life of patients suffering from life-threatening diseases and their families. Among interdisciplinary team members, hospice advanced practice nurses (APNs) trained as master's-level advanced nursing professionals are leaders who play an important role in providing patient-centered care and improving the quality of services. The Medical Service Act revised in 2018 requires the scope of practice of APNs in each field to be specified in the Ordinance of the Ministry of Health and Welfare. Accordingly, discussions on the role and scope of practice of hospice APNs are actively underway. In this review, the curriculum of hospice APNs, their work responsibilities and roles, and their current status are reviewed, and the future direction of the hospice APN system is also discussed.

Local activation using traditional knowledge and ecological resources of Korean islands

  • Hong, Sun-Kee
    • Journal of Ecology and Environment
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    • v.38 no.2
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    • pp.263-269
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    • 2015
  • When we consider changes in agro-fishery systems instigated by environmental changes in islands, rise in sea levels, and natural disasters such as tsunamis, there is an urgent need to carry out initiatives to enhance life standard and conserve ecosystem in island and coastal regions. To protect the region's landscape from the effects of climate change, it is necessary to develop an integrated management system for ecosystem conservation, human settlements, and the local economy. This paper discusses the outline of a preliminary national plan for a sustainable island management system for remote (inhabited and uninhabited) islands in Korea. Two main ideas to enhance life standard are adapting to the natural environment by applying traditional knowledge and utilizing ecological resources of islands, i.e., improving the quality of life and creating added value. As a technique for improving the quality of life, the establishment of eco-villages based on energy-efficient passive houses and ecological welfare is suggested. Another technique for creating added value, the development of sea-farming islands that utilize islands' new recyclable energy is also proposed. Finally, the suggested ideas are discussed in relation to island ecotourism and carbon zero islands.

The Effects of a Community Psychiatric Nursing Program on the Rehabilitation of Home-based Long-term Psychiatric Patients

  • Lee, Sook
    • Journal of Korean Academy of Nursing
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    • v.29 no.5
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    • pp.1103-1112
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    • 1999
  • In the last few years, psychiatric nurse practitioners have shown a growing an interest in community psychosocial rehabilitation, caring for chronic psychiatric patients as case manager in South Korea. The purpose of this study was to evaluate the effectiveness of a community psychiatric rehabilitation nursing program on self-care activity and quality of life and to suggest this program as an effective nursing intervention in a group of chronic home-based psychiatric patients in a poor town. A nonequivalent control group, pretest-posttest design was used. Of the twenty women that started the program, sixteen finished it. The data were analyzed by the Wilcoxon Rank Sum Test. The program included the process of case management which consisted of four phases: the first was an active case finding and pre-test, the second was home visiting and contacted by phone. the third was group activity therapy of 12 sessions, and the fourth phase was terminal and post-test. The effects of the program were assessed by quality of life and self-care activity. The quality of life and the self-care activity, especially, area of nutrition. elimination, dressing. leisure activity, and follow-up clinic visiting showed greater improvement than those of the control group. The results of this study suggest that this program was effective in improving the quality of life of chronic home-based psychiatric patients.

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Activity of Daily Living, Interpersonal Relationship, Depression and Health-related Quality of Life in Patients with Hand Microsurgery (수부손상 환자의 일상생활 수행능력, 대인관계, 우울 및 건강 관련 삶의 질)

  • Gang, Moon-Hee;Yoon, Soon-Young;Kwon, Myoung-Jin
    • Korean Journal of Occupational Health Nursing
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    • v.20 no.3
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    • pp.289-298
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    • 2011
  • Purpose: The purpose of this study was to explore status of activity of daily living, interpersonal relationship, depression and health-related quality of life in patients with traumatic hand injury and identify factors that influence health-related quality of life. Methods: The participants were 104 outpatients with impending hand microsurgery from D city. The data were analyed using Pearson's correlation, t-test, ANOVA, and hierarchical regression with SPSS/WIN 12.0. Results: There were statistically significant differences in HRQoL to gender, age, marital state, and level of pain. HRQoL had significant correlations with ADL, IADL, relationship change, and depression. In regression analysis, depression, marital state, ADL, and level of pain explained 48% of the HRQoL. Conclusion: Findings of this study allow a comprehensive understanding of patients with traumatic hand injury. It is necessary to develop nursing intervention program for improving the health-related quality of life in patients with traumatic hand injury by considering psychological care for depression as well as physical care.

The Effects of a Tailored Health Promotion Program on Self Efficacy, Health Problems and Quality of Life of Rural Residents (맞춤형 건강증진프로그램이 농촌 주민의 자기효능감, 건강문제 및 삶의 질에 미치는 효과분석)

  • Park, Jeong-Sook;Oh, Yun-Jung;Kwon, Sang-Min
    • Research in Community and Public Health Nursing
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    • v.18 no.4
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    • pp.523-534
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    • 2007
  • Purpose: The purpose of this study is to identity the effects of a tailored health promotion program on rural residents' self efficacy, health problems and quality of life. Method: Data were collected from May 13th, 2006 to July 29th, 2006. The subjects were selected at Gajo-myeon, Geochang-gun, Gyeonsangbuk-do, Korea. Forty three residents were included in the experimental group and 39 in the control group. The 12-week health promotion program was given to the experimental group. Data were analyzed by descriptive statistics, $\chi^2$-test, t-test and ANCOVA test with the SPSS/win 12.0 program. Result: The experimental group showed higher scores of self efficacy and quality of life than the control group, and a tower score of health problem than the control group. Conclusion: From the above results, it can be concluded that the tailored health promotion program for rural residents is an effective intervention for improving their self efficacy and quality of life and reducing their health problems. Therefore, it is necessary to spread the tailored health promotion program for residents in other rural areas in Korea.

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In vitro and In vivo Protein Qualities of Boiled Fish Extracts with Spicy Vegetables

  • Ryu, Hong-Soo;Moon, Jeong-Hae;Hwang, Eun-Young;Cho, Hyun-Kyoung;Lee, Jong-Yeoul
    • Preventive Nutrition and Food Science
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    • v.4 no.1
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    • pp.23-27
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    • 1999
  • To evaluate the quality of fish extracts with spicy vegetables (garlic, onion and ginger) in suppressing fishy oder, fish extracts of crucian carp, loach, bastard halibut and jacopever were processed at 100 $^{\circ}C$ for 6 hours, and their in vitro and in vivo protein qualities were determined . Protein and total lipid contents were closely related to the degree of discarding floated lipid on fish extracts and the kinds of added apicy vegetables . Boiling (10$0^{\circ}C$) , appeared to improve in vitro protein qualities slightly more than hydrocooking (11$0^{\circ}C$), but those with mild processing tended to result in better protein qualities than high temperature cooking (136-14$0^{\circ}C$). Spicy vegetables did not have remarkable effects on improving in vitro protein quality parameters. Fish extracts with 10% ginger were generally higher in in vitro protein quality than with the other vegetables . In spite of higher in vivo protein digestibility of fish extracts containing spicy vegetables processed under mild conditions(10$0^{\circ}C$), PERs of those extracts were not higher htan those of extranct processed at high temperature.

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The Effects of Seogeum Therapy on Nasal Eosinophil, Nasal Symptoms, and Rhinitis Related Quality of Life in College Students with Allergic Rhinitis (서금요법이 알레르기 비염 대학생의 비호산구, 비염증상, 비염관련 삶의 질에 미치는 효과)

  • Park, Yeonja;Kim, Nahyun
    • Journal of Korean Biological Nursing Science
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    • v.22 no.2
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    • pp.127-138
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    • 2020
  • Purpose: The purpose of this study was to examine the effect of Seogeum therapy on nasal eosinophil, nasal symptoms, and rhinitisrelated quality of life in college students with allergic rhinitis. Methods: A nonequivalent control group pre-post test design was used. There were 26 subjects in the experimental group and 26 subjects in the control group. The experimental group received Seogeum therapy on both hands 12 times for three weeks. The collected data were analyzed with SPSS 21.0 version using χ2-tests, Fisher's exact test, independent t-test, and repeated measure of the ANOVA Results: After three weeks the positive rate of nasal eosinophils (p= .048) significantly decreased in the experimental group than in the control group. The experimental group demonstrated significantly lower total nasal symptom score (p= .032) and higher rhinitis-related quality of life (p< .001) compared to the control group. Conclusion: These findings showed that Seogeum therapy is effective as well as beneficial in relieving nasal symptoms and improving the rhinitis-related quality of life in college students with allergic rhinitis. Thus, Seogeum therapy may be an alternative nursing intervention for those suffering from allergic rhinitis.

Effects of Virtual Reality Exercise Program on Balance, Emotion and Quality of Life in Patients with Cognitive Decline

  • Lee, Geun-Ho
    • The Journal of Korean Physical Therapy
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    • v.28 no.6
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    • pp.355-363
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    • 2016
  • Purpose: In this study, we investigated the effectiveness of a 12-week virtual reality exercise program using the Nintendo Wii console (Wii) in improving balance, emotion, and quality of life among patients with cognitive decline. Methods: The study included 30 patients with cognitive decline (12 female, 18 male) who were randomly assigned to an experimental (n=15) and control groups (n=15). All subjects performed a traditional cognitive rehabilitation program and the experimental group performed additional three 40-minute virtual reality based video game (Wii) sessions per week for 12 weeks. The berg balance scale (BBS) was used to assess balance abilities. The short form geriatric depression scale-Korean (GDS-K) and the Korean version of quality of life-Alzheimer's disease (KQOL-AD) scale were both used to assess life quality in patients. Statistical significance was tested within and between groups before and after treatment, using Wilcoxon signed rank and Mann-Whitney u-tests. Results: After 36 training sessions, there were significant beneficial effects of the virtual reality game exercise on balance (BBS), GDS-K, and KQOL-AD in the experimental group when compared to the control group. No significant difference was observed within the control group. Conclusion: These findings demonstrate that a virtual reality-training program could improve the outcomes in terms of balance, depression, and quality of life in patients with cognitive decline. Long-term follow-ups and further studies of more efficient virtual reality training programs are needed.