• 제목/요약/키워드: QOL(quality of life)

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A Study on Quality of Life and Related Factors of Ostomates (장루보유자의 삶의 질 및 관련 요인에 대한 연구)

  • 송경숙;박영숙
    • Journal of Korean Academy of Nursing
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    • v.29 no.4
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    • pp.817-828
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    • 1999
  • This is a descriptive study on quality of life(QOL) and related factors of ostomates to provide a basic data for development of nursing interventions. The subjects were 110 ostomates who were members of the Daegu or Daejon branches of the Korean Ostomy Association. Data collection was performed between March 1st and April 6th, 1998. Measurements of QOL, self-care, family support, self-esteem, and hope were used as the study tools. Data were analyzed with the SAS program by using t-test, ANOVA Pearson correlation and stepwise multiple regression. The results are as follows : 1) The score on the QOL scale ranged from 97 to 226 with a mean of 164.53($\pm$28.29). 2) The score of QOL on the general and ostomate-related characteristics showed significant differences according to monthly income, monthly participation in ostomate meetings, combined treatments after operation, types of evacuation management, problems of ostomy, help in caring for the ostomy, length of time since ostomate surgery, and presence or absence of readmission after discharge. 3) There were significant positive correlations between quality of life and other factors : self-esteem(r=0.7107, P<0.001), hope(r=0.6584, P<0.001) family support(r=0.6191, P<0.001), perception of health condition(r=0.6017, P<0.001), and self-care (r=0.2286, P<0.05). 4) The variables that affected the quality of life of the subjects were self-esteem, level of family support, perception of health condition, monthly participation in ostomate meetings, combined treatments after operation, monthly income, level of hope, and age in that order. The variance of quality of life was $R^2$=77.20 percent by calculating the sum of those variables. In conclusion, it is necessary for nursing intervention to promote self-esteem, family support, and hope in the care of ostomates in order to improve QOL.

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Factors Influencing Quality of Life of Alcoholics Anonymous Members in Korea (익명의 알코올중독자(AA) 모임 참여자의 삶의 질에 영향을 미치는 요인)

  • Yoo, Jae-Soon;Lee, Jongeun;Park, Woo-Young
    • Journal of Korean Academy of Nursing
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    • v.46 no.2
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    • pp.305-314
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    • 2016
  • Purpose: The purpose of this study was to determine quality of life (QOL) related factors in Alcoholics Anonymous (AA) members based on PRECEDE Model. Methods: A cross sectional survey was conducted with participants (N=203) from AA meeting in 11 alcohol counsel centers all over South Korea. Data were collected using a specially designed questionnaire based on the PRECEDE model and including QOL, epidemiological factors (including depression and perceived health status), behavioral factors (continuous abstinence and physical health status and practice), predisposing factors (abstinence self-efficacy and self-esteem), reinforcing factors (social capital and family functioning), and enabling factors. Data were analyzed using t-test, one way ANOVA, Tukey HSD test and hierarchical multiple regression analysis with SPSS (ver. 21.0). Results: Of the educational diagnostic variables, self-esteem (${\beta}=.23$), family functioning (${\beta}=.12$), abstinence self-efficacy (${\beta}=.12$) and social capital (${\beta}=.11$) were strong influential factors in AA members' QOL. In addition, epidemiological diagnostic variables such as depression (${\beta}=-.44$) and perceived health status (${\beta}=.35$) were the main factors in QOL. Also, physical health status and practice (${\beta}=.106$), one of behavioral diagnostic variables was a beneficial factor in QOL. Hierarchical multiple regression analysis showed the determinant variables accounted for 44.0% of the variation in QOL (F=25.76, p<.001). Conclusion: The finding of the study can be used as a framework for planning interventions in order to promote the quality of life of AA members. It is necessary to develop nursing intervention strategies for strengthening educational and epidemiological diagnostic variables in order to improve AA members' QOL.

Quality of Life in Survivors of Patients after Hematopoietic Stem Cell Transplantation and Received Chemotherapy (조혈모세포 이식 생존자와 화학요법 생존자의 삶의 질에 관한 연구)

  • Lee, Eun-Youn;Park, Hyoung-Sook;Seo, Ji-Min
    • The Korean Journal of Rehabilitation Nursing
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    • v.6 no.2
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    • pp.127-136
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    • 2003
  • Purpose: This study is to assess the quality of life(QOL) of hematic cancer survivors after hematopoietic stem cell transplantation(HSCT) and received chemotherapy(RC) to prepare basic information for nursing interventions in order to improve the patients' QOL. Method: The data were collected by self-reporting questionnaire from January to March, 2003 intended for outpatients at the Cancer center of D university hospital in Busan. All 44 of them were diagnosed as hematic cancer and had spent 100 days after getting HSCT and complete remission(CR) throughout RC. The collected data were analyzed with descriptive statistics, t-test, ANOVA using SPSS/WIN 10.0 program. Results: The total mean score of the QOL was moderate. In case of survivors in HSCT, the total mean score of the QOL was $5.81{\pm}1.08$, and that of survivors in RC was $5.94{\pm}1.13$. The facts above has not been considered statistically as the result of analysis of differences in each domain of the QOL depending on the general characteristics of the objects of this study. Conclusion: The total mean score of the QOL was at moderate levels, indicating that the survivors after HSCT and RC were perceiving their QOL as moderate. In the nursing business aspect, the most important thing is to understand the QOL which the 2 groups of the survivors perceive, and the plans of nursing intervention that can be helpful to more qualitative life should be studied constantly.

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Symptom Cluster and Quality of Life in Patients with Breast Cancer undergoing Chemotherapy (항암화학요법을 받고 있는 유방암 환자의 증상 클러스터와 삶의 질)

  • Kim, Gyung-Duck;Kim, Kyung-Hae
    • Korean Journal of Adult Nursing
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    • v.23 no.5
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    • pp.434-445
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    • 2011
  • Purpose: This study was conducted to identify the impact of the symptom cluster of pain, fatigue, sleep disturbance, depression on the quality of life (QOL) among breast cancer patients receiving chemotherapy. Methods: One hundred and thirteen patients were recruited from five hospitals in Korea. The instruments used in this study were the fatigue, depression, sleep disturbance, pain and the quality of life scale for patients with breast cancer. The influence of the symptom cluster on patients' QOL was analyzed by using multiple regression. Results: Most patients reported a moderate level of pain, fatigue, sleep disturbance and depression. Eighty percent of patients reported three of the four symptoms. Among the four symptoms, there was no correlation between pain and sleep disturbance. Quality of life was negative correlated with the four symptoms in the cluster. Symptom cluster of pain, fatigue, and depression accounted for 51.2% of variance in QOL. Conclusion: The findings supported that there is a symptom cluster that negatively influences quality of life and needs to be addressed as we are caring for patients and are promoting quality of life.

Validation of Korean version of Professional quality of life(K-ProQOL) for nurses through confirmatory factor analysis (확인적 요인분석을 통한 한국어판 전문직 삶의 질(K-ProQOL) 도구의 타당화 : 간호사를 중심으로)

  • Kim, Ju-I;Choi, Hyoung-Shim
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.3
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    • pp.243-251
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    • 2019
  • This study was undertaken to validate and assess the reliability of the Korean version of professional quality of life scale (K-ProQOL) that measures the compassion satisfaction, compassion fatigue and burnout among clinical nurses in Korea. We conducted an internal consistency reliability and construct validity by applying confirmatory factor analysis using SPSS WIN (24.0) and AMOS (18.0). Survey data were collected from 210 nurses working at three tertiary hospitals located in Seoul. Reliable internal consistency was achieved for the K-ProQOL, with a Cronbach's alpha for the total scale and three sub scale values of 0.72-0.90. Factor loadings on three subscales of the 30 items considered ranged from 0.25 to 0.82. The model was validated by confirmatory factor analysis (RMSEA 0.05-0.1, GFI >0.7, CFI >0.7). The findings of this study demonstrate that the K-ProQOL has satisfactory construct validity and reliability to measure compassion satisfaction, compassion fatigue and burnout among clinical nurses in Korea. This is the first study assessing the validity and reliability of the Korean version of professional quality of life scale for clinical nurses in Korea.

Quality of Life in the Urban Adults by Age (연령에 따른 도시 지역 성인의 삶의 질)

  • Choi, Jung Sook;Lee, EunHee;So, AeYoung;Lee, Kyung-Sook
    • Journal of muscle and joint health
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    • v.19 no.3
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    • pp.362-372
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    • 2012
  • Purpose: The purpose of this study was to identify the predictive factors on quality of life (QOL) in the urban residents by age. Methods: A cross-sectional descriptive design was used. A total of 592 urban residents, ages of 20 to 59, completed a self-reported questionnaire including WHO QOL Scale-Brief (WHOQOL-BREF), Health Promoting Life Style Profile II (HPLP), Personal Competence of Health Care Scale (PCHC), and self-efficacy scale. Data were analyzed with descriptive statistics, t-tests, ANOVA, Pearson's correlation coefficients, and multiple regressions by SPSS 18.0. Results: The mean scores were 53.71 in QOL, and subscales were 14.41 in physical health, 13.31 in psychological, 13.87 in social relationship, and 12.12 in environment. There were significant differences by age groups, gender, education, family income, job, and present illness in QOL. QOL were significantly associated with HPLP, PCHC, and self-efficacy. The results of multiple regression indicated that HPLP, PCHC, marital state, and self-efficacy in the 20s, HPLP, self-efficacy, age, marital state, religion, and PCHC in the 30s, HPLP, PCHC, self-efficacy, and family income in the 40s, and HPLP, PCHC, self-efficacy, and gender in the 50s were statistically significant in predicting QOL. Conclusion: It is important to develop distinct programs by age for improving of quality of life for adults.

A Study on Social Support and the Quality of Life in the Elderly(The comparative analysis between home residents and institution residents) (노인의 사회적 지지와 삶의 질에 관한 연구 -일반가정노인과 양로원노인을 대상으로-)

  • 채수원;오경옥
    • Journal of Korean Academy of Nursing
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    • v.22 no.4
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    • pp.552-568
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    • 1992
  • Recent improvements in the standard of living, national income and medical care, and a decline in the infant death rate which have occurred related to economic growth and modernization, have led to a longer average life-span and a higher ratio of elderly people in the total population, Therefore, not only in the field of nursing science, but also in the field of many other discipline, issues concerning the elderly have been given increasing interest. A great deal of effort has been spent on increasing the quality of life for elderly people. This study was conducted to analyze the correlation between social support and quality of life. The sample consisted of III subjects residing at home and 107 subjects residing in institutions all of whom were over 65 years of age. The data collection period was from October 23, 1990 to January 26, 1991. Social support was measured using the Norbeck social Support Questionnaire developed by Norbeck, translated by Oh, Ka Sil and quality of life was measured using the QOL scale developed by No, You Ja. Data were analyzed using pereentages, t-test, Pearson Correlation Coefficient and ANOVA. The results of this study are as follows : 1. There was a statistically signifivant difference in the level of social support between the two groups (t=-8.83, p<.001), The elderly at home reported a much higher level of social support. 2. There was a statistically significant difference in the level of QOL between the two groups (t=-5.77, p<.001) . The elderly at home reported a much more positive quality of life. 3. There was a positive correlation between social support and QOL for the elderly at home ard it was statistically significant (r=.32, p<.001). 4. There was a postitive collealtion between social support and QOL for the elderly in institutions and it was also statistically significant (r=.19, p<.05). 5. The relationship between the general characteristics of the elderly at home and the variables of social support and of QOL were as follows ; 1) according to sex(t=10.57, p<.01) and the number of offspring(F=6.19, p<.01), there was a statistically significant difference in social support. 2) according to amount of Pocket money, there was a statistically significant difference in QOL(F=2.98, p<.05). 6. The relationship between the general characteristics of the elderly in institutions and the two variables were as follows ; 1) according to sex(t=6.24, p<.05), the number of offspring(F=6.16, p<.001) and religion (F=2.58, p<.05), there was a statistically significant difference in social support. 2) according to religion, there was a statistically significant difference in QOL(F=2.90, p<.05). In conclusion, it can be said that social support is an important variable related to QOL in the elderly and that social support levels are higher for the elderly residing at home. Therefore, more specific and objective approaches and efforts are needed to effectively use resources to maintain the elderly at home and to enhance social support available to the elderly in institutions and thereby increase QOL regardless of residence.

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Factors Related to Quality of Life among Rural Elderly (일 농촌지역 노인의 삶의 질 예측요인)

  • Seo, Nam Sook;Chung, Young hae;Kim, Jeong Sook
    • Korean Journal of Adult Nursing
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    • v.17 no.3
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    • pp.379-388
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    • 2005
  • Purpose: This study was conducted to explore the degree of depression, perceived health status, chronic disease and quality of life(QOL) among rural elderly and to determine the factors related to their QOL. Method: The design of this study was a correlational study. The subjects were 423 elderly consisted of 157(37.1%) men and 266(62.9%) women dwelling in a rural area of N City. Data were collected from May to December, 2003 using a structured questionnaire. A stepwise multiple regression analysis was performed to identify the factors related to the QOL. Result: It was found that the mean score of QOL was in total with 2.15 out of 5.00 and women elderly's score was significantly lower than men(t=2.20, p=.028). Perceived health status showed statistically significant positive relationship with QOL(r=.608, p<.05), while depression(r=-.751, p<.01) and chronic illness(r=-.336, p<.01) showed statistically significant negative relationship. Depression was found to have the highest correlation with QOL among the subjects. Depression score explained QOL at the most, accounting for 36.8% of the variability, followed by perceived health(8.2%) and the number of chronic illness(.7%). Other factors related to the QOL were economic status and absence of spouse. Conclusion: In order to increase the QOL of rural elderly, it is necessary to decrease the depression, to increase their perceived health status and to decrease the number of chronic illness. We suggest the implementation of a program not only to promote physical health status and self-care ability but to take care of mental health for the rural elderly.

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Symptom Experience and Quality of Life in Breast Cancer Survivors (유방암 생존자의 신체적 증상, 정서적 증상과 삶의 질)

  • Park, Jin-Hee;Jun, Eun-Young;Kang, Mi-Young;Joung, Yong-Sik;Kim, Gu-Sang
    • Journal of Korean Academy of Nursing
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    • v.39 no.5
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    • pp.613-621
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    • 2009
  • The purposes of this study were to evaluate symptom experience and quality of life (QOL) and to identify the predictors of QOL among breast cancer survivors. Methods: A cross-sectional study was conducted on 200 disease-free breast cancer survivors at two hospitals between December 2007 and July 2008. Functional Assessment of Cancer Therapy Scale-B, Memorial Symptom Assessment Scale-short Form and The Linear Analogue Self Assessment Scale were used to assess symptom experience and QOL in these patients. Data were analyzed using the Pearson correlation, t-test, ANOVA, and stepwise multiple regression with SPSS/WIN 12.0. Results: The mean score of QOL for breast cancer survivors was 95.81 (${\pm}18.02$). The highest scores among physical and psychological symptoms were sexual interest and anxiety. Year since treatment completion was significantly associated with QOL in sociodemographic variables. Physical and psychological symptoms have a significant negative association with QOL. The results of the regression analyses showed that physical and psychological symptoms were statistically significant in predicting patients' QOL. Conclusion: Symptom experience and QOL are essential variables that should be acknowledged when delivering health care to breast cancer survivors. More attention to the reduction and management of psychological distress could improve QOL among breast cancer survivors.

The Relationship Among Personality, Hope and Quality of Life of Breast Cancer Patients (유방암 환자의 성격특성, 희망 및 삶의 질의 관련성)

  • Jo, Kae-Hwa
    • The Journal of Korean Academic Society of Nursing Education
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    • v.10 no.1
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    • pp.115-124
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    • 2004
  • The purpose of the study was to explore the relationship among personality characteristics, hope and quality of life(QOL) of breast cancer patients. The subjects of the study were the 113 breast cancer patients treated at 3 university hospitals in Daegu and Busan from June 1 to Sep. 30, 2003. Personality characteristics was measured by using Personality Inventory(NEO-PI), hope measured by using Nowotny's Hope Scale, and QOL by using a questionnaire developed by Ro(1988). Data were analyzed with SPSS program by frequency, range, t-test, ANOVA, and Pearson correlation coefficients. The findings of this survey indicate 1) The mean personality characteristics item score was 2.64, hope was 2.78, and QOL was 3.19. It appeared that there was a slightly negative tendency about personality characteristics, hope and QOL of breast cancer patients. 2) There was a significant difference between personality characteristics, hope and QOL according to demographic factor. 3) There was a positive correlation between personality characteristics and hope(r=.49), hope and QOL(r=.377). Among subitem of hope and QOL especially confident, possibility of future, active participation, inner motivation and self esteem were positively correlated with personality characteristics especially extroversion, openness and conscientiousness. 4) There was a negative correlation between neuroticism and relation with neighbor(r=-.452), neuroticism and relation with family(r=-.344). It was found that personality characteristics, hope and QOL were essential concept for qualitive care of breast cancer patients and there were negative correlation with neuroticism toward relation with neighbor and relation with family. This study suggests that there would be further study to find out the importance and relationship among personality characteristics, hope and QOL of breast cancer patients.

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