• Title/Summary/Keyword: QOL(quality of life)

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Effect of Four Main Gastrectomy Procedures for Proximal Gastric Cancer on Patient Quality of Life: A Nationwide Multi-Institutional Study

  • Koji Nakada;Akitoshi Kimura;Kazuhiro Yoshida;Nobue Futawatari;Kazunari Misawa;Kuniaki Aridome;Yoshiyuki Fujiwara;Kazuaki Tanabe;Hirofumi Kawakubo;Atsushi Oshio;Yasuhiro Kodera
    • Journal of Gastric Cancer
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    • v.23 no.2
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    • pp.275-288
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    • 2023
  • Purpose: This study aimed to examine the effects of 4 main types of gastrectomy for proximal gastric cancer on postoperative symptoms, living status, and quality of life (QOL) using the Postgastrectomy Syndrome Assessment Scale-45 (PGSAS-45). Materials and Methods: We surveyed 1,685 patients with upper one-third gastric cancer who underwent total gastrectomy (TG; n=1,020), proximal gastrectomy (PG; n=518), TG with jejunal pouch reconstruction (TGJP; n=93), or small remnant distal gastrectomy (SRDG; n=54). The 19 main outcome measures (MOMs) of the PGSAS-45 were compared using the analysis of means (ANOM), and the general QOL score was calculated for each gastrectomy type. Results: Patients who underwent TG experienced the lowest postoperative QOL. ANOM showed that 10 MOMs were worse in patients with TG. Four MOMs improved in patients with PG, while 1 worsened. One MOM was improved in patients with TGJP versus 8 MOMs in patients with SRDG. The general QOL scores were as follows: SRDG (+39 points), TGJP (+6 points), PG (+3 points), and TG (-1 point). Conclusions: The TG group experienced the greatest decline in postoperative QOL. SRDG and PG, which preserve part of the stomach without compromising curability, and TGJP, which is used when TG is required, enhance the postoperative QOL of patients with proximal gastric cancer. When selecting the optimal gastrectomy method, it is essential to understand the characteristics of each and actively incorporate guidance to improve postoperative QOL.

Stigma and quality of life in patients with lung cancer: The mediating effect of resilience (폐암 환자의 스티그마와 삶의 질 : 극복력의 매개 효과)

  • Kim, Inha;Kim, Sook Young
    • Journal of the Korean Data and Information Science Society
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    • v.28 no.6
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    • pp.1371-1382
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    • 2017
  • The purpose of this study was to identify the mediating effect of resilience in the relationship between stigma and quality of life (QOL) in lung cancer patients. Participants were 119 lung cancer patients who visited the outpatient department of a hospital. The subjects completed a questionnaire of stigma, resilience and QOL. Data were analyzed using t-test, ANOVA, Scheffe test, Pearson correlation, three-step regressions to test mediating effect and Sobel test. Stigma was negatively correlated with resilience and QOL. Resilience was positively correlated with QOL. Stigma explained 15.0% of the variance of resilience. Stigma and resilience explained 41.0% of the variance of QOL. Resilience had a partial mediating effect in the relationship between stigma and QOL. The results suggest that a nursing intervention to decrease stigma and enhance resilience is recommended to improve QOL in lung cancer patients.

An Analysis on the Variables' Significance to 'Quality of Life' Based on the "2011 Seoul Survey" ("2011서울서베이"를 이용한 '삶의 질' 관련 변수의 유의성 분석)

  • Kim, Dong-Yoon
    • Journal of The Korean Digital Architecture Interior Association
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    • v.12 no.3
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    • pp.39-47
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    • 2012
  • General concern over 'Quality of Life(QOL)' has caused many researches, which compare nations' or cities' QOL by the normative criteria proposed by themselves. The fact that these are characterized by subjectiveness makes this study have a purpose of trying to enhance the intersubjectiveness by means of quantitive analysis to find the factors on the QOL. This study uses statistical methods such as multiple regression and factor analysis based on the secondary data from the "2011 Seoul Survey". The survey includes many items, for example happiness index and satisfaction for work, amenity, etc.. And the analysis tells three findings as follows; Firstly, five subcategories of happiness have relative importance in the order of (1)financial condition, (2)health, (3)social activities, (4)community relationship and (5)family life. These generally constitute the first factor extracted by factor analysis and named 'abundance-family-intimacy factor.' Secondly, the 'abundance-family-intimacy factor' and the 'information-danger factor' among five factors(the others are 'learning-giving factor', 'local patriotism-hope for rise factor' and 'amenity-comfort factor') have statistically significant effect to QOL. Thirdly, the first factor has positive effect, but the second has negative to QOL. Note is needed to the fact that the items on SNS and internet belong to second factor and to the result that these make QOL deteriorate. These results should be considered as having limited meaning of statistical aspect. But accumulation of following studies by quantitive approach is anticipate to make more practical and general meaning.

An Integrative Approach to the Study of 'Quality of Life' and Social Dimensions of Consumption Environmental Quality from the Social Systems Perspective (`삶의 질` 연구에 대한 통합적 접근과 사회적 시스템의 관점에서 본 소비환경의 '사회적 품질')

  • Ahn, Seung-Ho
    • Journal of Korean Society for Quality Management
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    • v.33 no.2
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    • pp.51-63
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    • 2005
  • The clear and mechanical definition of quality is the key success factor for its wide adoption across various industries and non-profit organizations and its popularity as a managerial goal. However, 'Quality of Life'(QOL) which is a common research subject for the various social science fields seems to require a quite different conceptualization of quality. The paper is a conceptual paper which identifies the compatibility and differences between a traditional quality concept and quality in QOL studies. Also, demonstrating from the social systems perspective how quality is conceptualized in measuring the social dimensions of consumption environmental quality, the paper argues the necessity of a broadened concept regarding quality.

Factors Influencing Quality of Life during Chemotherapy for Colorectal Cancer Patients in South Korea (항암화학요법을 받고 있는 한국 대장암 환자의 삶의 질 영향 요인)

  • Baek, Yongae;Yi, Myungsun
    • Journal of Korean Academy of Nursing
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    • v.45 no.4
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    • pp.604-612
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    • 2015
  • Purpose: The purpose of this study was to investigate the levels of physical symptoms, anxiety, depression, and quality of life (QOL) during chemotherapy for colorectal cancer patients in South Korea and to identify factors influencing their QOL. Methods: Data were collected from 144 colorectal cancer patients receiving chemotherapy during 2012 at one general hospital located in Seoul. Physical symptoms were measured by the M. D. Anderson Symptom Inventory-Gastrointestinal Cancer Module, and anxiety and depression were measured by the Hospital Anxiety Depression Scale. QOL was measured by the Functional Assessment of Cancer Therapy-Colorectal. Data were analyzed using descriptive statistics, t-test, one-way ANOVA, $Scheff{\acute{e}}$ post hoc test, Pearson correlation and stepwise multiple regression. Results: Mean age of the participants was 56.6 and most of them were not employed. In terms of cancer stage, 38.2% were in stage 3, followed by stage 4 (34.7%). The most frequent symptom was lack of appetite, followed by sleep disturbance and fatigue. The mean score for anxiety was 5.40 with a prevalence of 23% and that of depression 8.85 with a prevalence of 64.6%. The mean score for quality of life was 81.93 out of 136 and 75.3% of the variance in QOL was explained by depression, symptoms, anxiety, treatment place, and occupational status. Depression was the strongest predictive factor. Conclusion: Oncology professionals need to pay special attention to relieving depression as well as physical symptoms to improve QOL during chemotherapy for colorectal cancer patients.

Effects of dry eye syndrome symptoms and asthenopia on vision-related quality of life in middle-aged patients with dry eye syndrome (중년기 안구건조증 환자의 안구건조 증상정도와 안구피로가 시력관련 삶의 질에 미치는 영향)

  • Yoon, Hye Sook;Kim, Hyun Kyoung
    • Journal of Home Health Care Nursing
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    • v.29 no.3
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    • pp.310-318
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    • 2022
  • Purpose: This is a cross-sectional study aimed to investigate the effects of dry eye syndrome symptoms and eye fatigue on the vision-related quality of life (QOL) of middle-aged patients with dry eye syndrome. Methods: The participants of this study were 94 ophthalmology clinic outpatients aged 40-59 years who were diagnosed with dry eye syndrome at A and S Ophthalmology Clinics in D City, South Korea, and were exhibiting dry eye syndrome symptoms. Data were collected from July 5, 2021 to July 22, 2021, and analyzed using independent t-test, analysis of variance, Scheffe test, Pearson's correlation coefficient, and multiple regression analysis using the SPSS/WIN 25.0 program. Results: The severity of dry eye syndrome symptoms and asthenopia (r=.73, p<.001) in the participants were positively correlated, whereas the severity of dry eye syndrome symptoms and vision-related quality of life (r=-.76, p<.001) were negatively correlated. Additionally, there was a negative relationship between eye fatigue and vision-related QOL (r=-.55, p<.001). It was found that the final factors affecting the vision-related QOL of middle-aged patients with dry eye syndrome were the severity of dry eye syndrome symptoms (β=-0.76, p<.001) and dry eye stress (β=-0.14, p=.048). The explanatory power of vision-related QOL in the participants was 56.0%. Conclusion: To develop indices that can objectively measure patients' subjective symptoms for improving their vision-related QOL is necessary.

Influence of Nurses' Sense of Coherence on Their Stress and Quality of Life (간호사의 통합성이 스트레스와 삶의 질에 미치는 영향)

  • Kim, Kyeong-Sug;Choi, Smi
    • Journal of Korean Academy of Nursing Administration
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    • v.17 no.4
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    • pp.493-507
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    • 2011
  • Purpose: The aim of this study was to investigate the effect of sense of coherence (SOC) on occupational stress, psychosocial stress and quality of life (QOL) of nurses working in a hospital. Methods: The participants were 401 nurses working in S hospital in Seoul. A stratified random sampling was performed for the all nurses in S hospital which were grouped by age and work unit. Data were collected by a self-report survey. Data analyses included descriptive statistics, t-test, Pearson correlations, multiple linear regressions, and ANOVA. Results: This study showed nurses' occupational stress was at high risk and their psychosocial stress, at low risk. It also showed that those two types of stress are mutual predictors for each other and that SOC was a predictor for both types of stress. For QOL, SOC was also a predictor in SF-36 and MCS (Mental Component Summary). Therefore, SOC may be considered as a major controlling factor for stress and QOL. Conclusion: The results indicate the need to develop programs that enhances nurses' SOC, programs that could be utilized as an intervention to reduce nurses' stress and to promote nurses' QOL.

Marital Intimacy and Quality of Life in Women With Breast Cancer (유방암 여성이 인식한 배우자와의 친밀감과 삶의 질)

  • Chung, Chae-Weon;Hwang, Eun-Kyung;Hwang, Shin-Woo
    • Asian Oncology Nursing
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    • v.9 no.2
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    • pp.122-128
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    • 2009
  • Purpose: The study was aimed to investigate the levels of marital intimacy and quality of life (QOL) among women with breast cancer. Methods: As a descriptive study, a total of 67 married women with breast cancer was recruited via convenient sampling from a breast clinic in an university hospital. A structured, self-reported questionnaire was administered to the participants. Results: The most participants were housewives in their 40s and 50s, and were in high socioeconomic status. Two thirds of women perceived the marital intimacy with their spouse were increased after the diagnosis of breast cancer. Women's marital intimacy significantly differed by their levels of education. The level of cognitive intimacy was the highest among the subscales, whereas, sexual intimacy was the lowest. The family factor of QOL showed the highest score, and there were differences in QOL by employment status and cancer stage. The QOL and marital intimacy were not correlated significantly. Conclusion: Further research on the couples with breast cancer and intervention for increasing their marital intimacy are needed in the future.

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A Study on the Mediating Effect of Positive Psychological Capital on the Effectiveness Relationship of Librarians' Emotional Labor and Professional Quality of Life (ProQOL): Including Widely Representative Library Librarians (사서들의 감정노동과 전문직 삶의 질(ProQOL)에 미치는 영향관계에서 긍정심리자본의 매개효과에 관한 연구 - 광역대표도서관 사서들을 대상으로 -)

  • Sunae Lee
    • Journal of the Korean BIBLIA Society for library and Information Science
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    • v.34 no.2
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    • pp.251-274
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    • 2023
  • This study aimed to examine the mediating effect of positive psychological capital in the relationship between emotional labor and Professional Quality of Life (ProQOL) of librarians belonging to the Widely Representative Library. From February 13, 2023 to February 24, 2023, 159 librarians working in 17 Widely Representative Libraries nationwide were surveyed for general characteristics, emotional labor, ProQOL, and positive psychological capital through questionnaires. For statistical analysis, frequency analysis, descriptive statistics analysis, confirmatory factor analysis, reliability analysis, correlation analysis, and measurement model analysis were conducted using SPSS Statistics 24.0 and Amos 25.0. In addition, the mediating effect of positive psychological capital in the relationship between emotional labor and ProQOL of librarians in the Widely Representative Library was analyzed using a bootstrapping analysis method. The results of this study are summarized as follows. First, it was found that there was a significant effect among librarians' emotional labor, ProQOL, and positive psychological capital in the Widely Representative Library. Second, the indirect effect of positive psychological capital in the relationship between Emotional Labor and ProQOL of Widely Representative Library librarians was found to be statistically significant. In other words, considering the direct effect of emotional labor on ProQOL, it can be inferred that there is a partial mediating effect. Therefore, it is suggested to develop a program that can improve the quality of professional life by reducing emotional labor and strengthening the positive psychological capital of librarians in further studies.

Influence of Offspring on Quality of Life among Cancer Patients and Survivors: Results from the Korean Longitudinal Study of Aging (KLoSA), 2008-2011

  • Kim, Jae-Hyun;Park, Eun-Cheol
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.23
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    • pp.10531-10537
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    • 2015
  • Background: To examine whether offspring improve or reduce quality of life (QOL) among cancer patients and survivors. Materials and Methods: We used data from the Korean Longitudinal Study of Aging (KLoSA) from 2008 to 2011. There were 490 research subjects in our study: 245 cancer patients and survivors and 245 controls matched using propensity scores. Results: For cancer patients and survivors with no offspring, the QOL estimate was -2.831 lower (SE: 5.508, p-value: 0.623) than that of those with two offspring, while for those with five or more offspring, the QOL estimate was 7.336 higher (SE: 2.840, p-value: 0.036). For non-cancer patients and survivors with one child, the QOL estimate was -11.258 lower (SE: 2.430, p-value: 0.002) than that of those with two offspring, while for those with five or more offspring, the QOL estimate was -4.881 lower (SE: 2.484, p-value: 0.090). Conclusions: This article provides evidence for a beneficial effect of offspring upon QOL in cancer patients and survivors, indicating that offspring are important for them.