• 제목/요약/키워드: health-related QOL

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학령기 아동의 신체적, 심리사회적 건강상태에 따른 주관적인 삶의 질과 삶의 질에 영향을 미치는 요인 -만성질환과 정서행동문제를 가진 아동을 중심으로- (Self-Reported Quality of Life and Physical, Psychosocial Health State in Korean School-Age Children : Focus on Children with Chronic Diseases and Emotional-Behavioral Problems)

  • 이보람;박혜준
    • 아동학회지
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    • 제33권1호
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    • pp.1-21
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    • 2012
  • The purpose of this study was (1) to examine the impact of chronic diseases and emotional-behavioral problems on school-age children's self-perceived QOL, and (2) to investigate what factors were related to the QOL of children. Participants were 972 Korean 4th, 5th, & 6th grade students and 47 teachers. Children completed a questionnaire to evaluate their self-perceived well-being and subjective health. Also they reported their height/weight and physical health state indicating whether they have chronic diseases or not. Teachers reported each child's psychosocial health problems and also reported whether the child has chronic diseases or not. Major findings were as follows : 1. Physical and psychosocial health status had significant impact on school-age children's QOL. Moreover, physical and psychosocial health status were interrelated. 2. Presence of physical and psychosocial problems contributed to substantial declines in self-perceived QOL of school-age children. Children who have chronic diseases and emotional-behavioral problems reported significantly lower QOL compared with children in a normal state. 3. Peer relationship was found to be the significant factor that contribute to the QOL of all children.

우울증상에 관련된 요인과 우울증상이 지각된 건강수준, 외래의료이용, 삶의 질에 미치는 영향 (Factors Related to Depression Symptom and the Influence of Depression Symptom on Self-rated Health Status, Outpatient Health Service Utilization and Quality of Life)

  • 김록범;박기수;이진향;김봉조;전진호
    • 보건교육건강증진학회지
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    • 제28권1호
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    • pp.81-92
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    • 2011
  • Objectives: The purpose of this study is to evaluate the influence of depression symptom on the self-rated health status(SRHS), the outpatient health service utilization and quality of life(QOL) also the relationship depression symptom with socio-demographic and health related factors. Methods: We selected 9,550 participants without chronic diseases from a total of 18,104 in the '2009 community health survey in Gyeongnam. They were assessed by using a Korean version of the Center for Epidemiological Studies-Depression Scale(CES-D). Those with CES-D scores of 21 or greater were defined as having probable depression. Results: A probable depression were associated in bivariate analysis with gender, age, educational status, monthly household income, marital status, current smoking status, drinking habit, physical activities and body mass index. After adjustment for covariates, probable depression groups predicted a lower status in SRHS. Likewise probable depression groups predicted a higher utilization in outpatient health service. Also probable depression groups predicted a lower score in QOL. Conclusions: Probable depression influence SRHS, outpatient health service utilization and QOL even after adjusting for the socio-demographic, health related factors and chronic medical illness. Programs for prevention and management of depression will be helpful to promote health and QOL.

항암화학요법을 받는 부인암 환자의 삶의 질에 관한 연구 (Quality of Life in Gynecological Cancer Patients During Chemotherapy)

  • 이주영;최스미
    • 여성건강간호학회지
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    • 제13권4호
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    • pp.290-298
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    • 2007
  • Purpose: This study was to measure the quality of life(QOL) and to identify the related factors in gynecological cancer patients during chemotherapy. Method: The subjects of this study were the patients who had undergone a hysterectomy and were admitted for chemotherapy at S university hospital between November 2006 and April 2007. Data was collected from 106 gynecological cancer patients with the use of a structured questionnaire which measured the QOL(FACT-G), body image, the presence of anxiety & depression, uncertainty, and family support. The data was analyzed by the SPSS win 12.0 program. Results: The mean FACT-total score was 62.1$({\pm}16.7)$ (range; 26-107). Positive correlations were found between QOL and body image(r= .67, p= .00), and QOL and family support(r= .32, p= .00), whereas there were negative correlations between QOL and anxiety(r= -.54, p= .00), QOL and depression(r= -.70, p= .00), and QOL and uncertainty(r= -.59, p= .00). Fifty seven pre cent of the variance in subjective overall QOL can be explained by depression, body image, and uncertainty(Adj $R^2$= .57, F=47.00, p= .00). Conclusion: Our patients had a relatively low QOL score. Factors significantly affecting quality of life were depression, body image and uncertainty. Nursing interventions, therefore, should be focused on improving QOL in gynecological cancer patients during chemotherapy, particularly so in patients with depression, uncertainty or poor body image.

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상지운동훈련이 편마비 환자의 상지활동, 일상생활활동 및 건강관련 삶의 질에 미치는 효과 (Upper extremity exercise training effects on motor activity, ADL and health related QOL of hemiplegic patients)

  • 김금순;강지연
    • 재활간호학회지
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    • 제5권2호
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    • pp.134-144
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    • 2002
  • Purpose: The purpose of this study was to investigate the effects of upper extremity exercise training on the motor activity, the ADL and the health related quality of life. Method: A non-equivalent pretest-posttest design was used. Study subjects were conveniently selected 40 hemiplegic patients(20 experimental subjects, 20 control subjects) who had been enrolled in two community health centers. After biofeedback training the subjects of experimental group were given constraint-induced movement, involving restraint of unaffected U/E in a sling for about 6 hours over a period of two weeks, while at the same time intensively training the affected U/E. Outcomes were evaluated on the basis of motor activity(amount, quality) of plegic side, ADL(ADL, IADL) and health related QOL(SF-36). Results: 1. After 2 weeks of treatment, the amount of use and the quality of motor activity of affected U/E were significantly higher in subjects who participated in exercise training than in subjects in the control group. 2. There were no significant differences in ADL and IADL between experimental and control groups. 3. After 2 weeks of treatment, the health related QOL was significantly higher in subjects who participated in exercise training than in subjects in the control group. Conclusion: The above results state that the U/E exercise training could be an effective intervention for improving the motor activity and the health related QOL of chronic hemiplegic patients. Long-term studies are needed to determine the lasting effects of constraint-induced movement.

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Socio-Demography and Medical History as Predictors of Health-Related Quality of Life of Breast Cancer Survivors

  • Ramadas, Amutha;Qureshi, Ahmad Munir;Dominic, Nisha Angela;Botross, Nevein Philip;Riad, Amgad;Arasoo, Valliammai Jayanthi Thirunavuk;Elangovan, Soman
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권4호
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    • pp.1479-1485
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    • 2015
  • Background: Even after completion of conventional treatment, breast cancer survivors continue to exhibit a variety of psychological and physical symptoms, affecting their quality of life. The study aimed to investigate the relationship between socio-demography, medical characteristics and health-related quality of life (HR-QOL) of a sample of breast cancer survivors in Malaysia. Materials and Methods: This pilot cross-sectional survey was conducted among breast cancer survivors (n=40) who were members of Breast Cancer Support Group Centre Johor Bahru. A validated self-administered questionnaire was used to identify the relationships between socio-demography, medical characteristics and HR-QOL of the participants. Results: Living with family and completion of treatment were significant predictive factors of self-rated QOL, while living with family and ever giving birth significantly predicted satisfaction with health and physical health. Psychological health had moderate correlations with number of children and early cancer stage. Survivors' higher personal income (>MYR4,500) was the only significant predictor of social relationship, while age, income more than MYR4,500 and giving birth significantly predicted environment domain score. Conclusions: The findings suggested the survivors coped better in all four HR-QOL domains if they were married, lived with family, had children and were employed.

한국 암 특이형 삶의 질 측정도구(C-QOL) 개발 및 평가 (Development and Psychometric Evaluation of a Quality of Life Scale for Korean Patients with Cancer(C-QOL))

  • 이은현
    • 대한간호학회지
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    • 제37권3호
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    • pp.324-333
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    • 2007
  • Purpose: The purpose of this study was to develop and evaluate a quality of life scale for Korean patients with cancer (C-QOL). Methods: The C-QOL was developed and validated as follows, item generation, pilot study, and psychometric tests. A total of 337 patients diagnosed with stomach, liver, lung, colon, breast, or cervix cancer were recruited. The patients were asked to complete the preliminary questionnaire comprising the content-validated items, the SF-36, and the ECOG performance status. The obtained data was analyzed using descriptive statistics, factor analysis, multidimensional scaling (MDS), multitrait/multi-item matrix, ANOVA, t-test, and Cronbach's alpha. Results: Preliminarily twenty-six items were generated through content validity and a pilot study. Factor analysis and MDS extracted a total of 21 items with a 5-point Likert-type scale (C-QOL). The C-QOL included five subscales: physical status (6 items), emotional status (6 items), social function (3 items), concern status (2 items), and coping function (4 items). The C-QOL established content validity, construct validity, item convergent and discriminant validity, known-groups validity, reliability, and sensitivity. Conclusion: The Newly developed C-QOL is an easily applicable instrument which established psychometric properties and reflected Korean culture. It is recommended for further study to examine the responsiveness of the C-QOL using a longitudinal research design.

중년기 남성의 가족지지, 사회적지지 및 일터 영성이 삶의 질에 미치는 영향 (The Effect of Family Support, Social Support and Workplace Spirituality of Quality of Life on Middle Aged-male)

  • 서영숙;정추영
    • 한국임상보건과학회지
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    • 제4권4호
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    • pp.782-789
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    • 2016
  • Purpose. The purpose of this study was to examine the related factors of quality of life (QOL) among middle-aged male. Method. The participants in this study were 144 middle aged male. Between October and November 2016, data were collected through questionnaires. Data analysis was performed using PASW (SPSS) 21.0 program, and one-way ANOVA, Pearson correlation coefficients, and stepwise multiple regression analysis. Results. The mean QOL of this study was 2.99/5. The significant correlates of QOL were family support (${\beta}=.21$, p=.024), health status (${\beta}=.24$, p=.003), workplace spirituality ${\beta}=.55$, p<.001), and these variables explained 55.9% of variance in QOL. Conclusion. The study suggests that family support workplace spirituality are an important factors in explaining QOL of the middle-aged male. Therefore, it is necessary to be considered family support and workplace spirituality for promoting life satisfaction of middle-aged male.

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

  • 윤혜숙;김현경
    • 가정간호학회지
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    • 제29권3호
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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.

Interaction and main effects of physical and depressive symptoms on quality of life in Korean women seeking care for rectal prolapse: a cross-sectional observational study

  • Moon, Hee;Park, Youngrye;Kim, Mili;Lee, Seonah
    • 여성건강간호학회지
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    • 제27권4호
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    • pp.297-306
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    • 2021
  • Purpose: Rectal prolapse is still a relatively understudied medical condition, especially in women, whereas physical symptoms, depressive symptoms, and quality of life (QOL) in women with pelvic organ prolapse have been steadily studied. This study aimed to examine the interaction and main effects of physical and depressive symptoms on physical and mental QOL of women seeking care for rectal prolapse in Korea. Methods: Ninety-two women with rectal prolapse were recruited from a colorectal surgery clinic of a tertiary teaching hospital in Gwangju, Korea. Physical symptoms related to rectal prolapse (pelvic organ prolapse distress, POPD; colorectal-anal distress, CRAD; and urinary distress, UD), depression, and QOL were measured. The data were analyzed using descriptive statistics, Pearson correlation coefficient, and two-way analysis of variance. Results: The interaction between POPD symptoms and depressive symptoms (F=4.51, p=.037) affected physical QOL. The interaction between POPD (F=9.66, p=.003) and CRAD symptoms (F=7.48, p=.008), respectively, and depressive symptoms affected mental QOL. Depressive symptoms had a significant main effect on the physical QOL in the CRAD (F=6.22, p=.014) and UD (F=6.01, p=.016) groups and on mental QOL in the UD group (F=24.54, p<.001). Conclusion: Physical and depressive symptoms should be considered together to improve the QOL in women with rectal prolapse. Nursing interventions and medical treatments to decrease rectal prolapse-related physical and depressive symptoms are required to improve QOL in women with symptomatic rectal prolapse.

구강보건 지식과 실천이 우식경험치아와 삶의 질에 미치는 영향 -구조방정식을 이용한 경로분석을 중심으로- (Effects of Oral Health Knowledge and Practices on Decayed, Missing and Filled Teeth Index and Quality of Life -Path Analysis Using Structural Equation Modeling-)

  • 이영수;배성윤;지재훈
    • 치위생과학회지
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    • 제13권1호
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    • pp.1-12
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    • 2013
  • 삶의 질에 대한 관심이 증가함에 따라 건강과 관련된 삶의 질 향상에 대한 관심도 증가하고 있다. 구강건강의 관점에서도 구강질환이 삶의 질을 저하시키며, 구강질환의 예방이 삶의 질을 향상시킨다. 본 연구에서는 구강보건지식과 구강보건실천 정도, 구강건강상태, 그리고 구강건강 관련 삶의 질의 관계를 알아보고자 하였다. 부산지역에 소재한 종합병원 치과, 치과병원 및 치과의원에 내원한 환자 311명을 대상으로 2010년 3월 16일부터 한달간 구조화된 자기기입식 설문지를 사용하여 대상자의 일반적 특징 및 구강보건지식, 구강보건실천, 구강건강관련 삶의 질(OHIP-14) 등에 대한 자료를 수집하였으며, 치과의사 11명이 치경과 탐침으로 사랑니를 제외한 28개의 치아를 대상으로 우식경험치아수(DMF index)를 확인하였다. 분석결과, 구강보건지식은 구강보건실천에, 구강보건실천은 우식경험치아수와 구강건강관련 삶의 질에 직접적인 영향을 미치는 것으로 나타났고, 우식경험치아수도 구강건강관련 삶의 질에 유의한 변수임을 알 수 있었다. 그러나 구강보건지식은 우식경험치아수와 구강건강관련 삶의 질에 직접적인 영향요인이 아니라, 구강보건실천의 매개를 통해 간접적으로 영향을 미치는 것으로 나타났다. 이러한 연구결과는 구강건강관련 삶의 질을 높이기 위해서는 직접적인 효과를 가지고 있는 구강보건실천 수준과 우식경험영구치아수를 적절히 관리할 수 있도록 하는 방안마련이 절실히 요구됨을 말해주고 있다. 즉 우식경험치아수는 구강보건실천에 직접적으로 영향을 받는 변수이므로 단순히 구강건강관련 지식만을 전달하기보다는 태도의 변화와 실천 행동을 유도할 수 있는 구강보건교육 프로그램을 개발함으로써 구강질환의 예방과 조기치료로 이어지도록 해야 할 것이다.