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

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Association of diet-related quality of life with dietary regimen practice, health-related quality of life, and gastrointestinal symptoms in end-stage renal disease patients with hemodialysis (혈액투석을 실행중인 말기 신부전 환자의 식사관련 삶의 질(Diet-Related Quality of Life)과 식사요법 실천도, 건강관련 삶의 질 및 위장관 증상과의 관련성 연구)

  • Lee, JinJu;Kim, Ji-Myung;Kim, Yuri
    • Journal of Nutrition and Health
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    • v.46 no.2
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    • pp.137-146
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    • 2013
  • The purpose of this study was to evaluate diet-related Quality of Life (QOL) and to analyze the relationship among diet-related QOL, dietary regimen practice, health-related QOL, and gastrointestinal symptoms in hemodialysis patients. Subjects were recruited from an artificial kidney center in Seoul. The self-report questionnaire consisted of socio-demographic characteristics, diet-related QOL, compliance with dietary regimen practice, health-related QOL, and gastrointestinal symptoms was distributed. Diet-related QOL includes a 'Quality of Life and Related to Dietary Change Questionnaire', 'Satisfaction Survey', and 'Dietary Impact Survey'. According to their responses, participants had experienced the greatest difficulty with 'Dietary Impact'. In particular, the mean score for general health was low. Association of dietary regimen practice showed a positive association with 'Cost' and 'Self-care' score. In addition, diet-related QOL showed positive correlation with health-related QOL, particularly in 'taste'. Scores for 'Taste', 'Convenience', and 'Dietary Impact' were lower for subjects with constipation compared to those of subjects without constipation. Scores for 'Taste' and 'Dietary Impact' were lower in subjects with irritable bowel syndrome compared to those of subjects without the syndrome (p < 0.05). Diet-related QOL showed a positive association with health-related QOL (p < 0.05), whereas it showed a negative association with constipation (p < 0.01). In conclusion, hemodialysis patients in Korea suffer from burden of dietary regimen practice and most scores for diet-related QOL and health-related QOL from patients with gastrointestinal symptoms were low. Therefore, appropriate nutrition education considering gastrointestinal symptoms is necessary for improvement of patients' QOL during dietary regimen practice.

Factors Affecting the Quality of Life of Korean Cancer Survivors Who Return to the Workplace

  • Han, Kyu-Tae;Park, Eun-Cheol;Kim, Sun Jung;Jang, Sung-In;Shin, Jaeyong;Kim, Chan Ok;Choi, Jaw Woo;Lee, Sang Gyu
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.20
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    • pp.8783-8788
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    • 2014
  • Background: Although the prevalence of cancer is increasing, it is no longer synonymous with death. The number of cancer survivors is estimated to be increasing due to development in medical treatments and social programs; cancer survivors are increasingly returning to work after long-term unemployment. Thus, we examined the quality of life (QOL) and the factors associated with return of cancer survivors to the workplace. Materials and Methods: This study was performed using the 2008 Community Health Survey administered by the Korea Centers for Disease Control and Prevention (N=548). We used Chi-square tests to compare demographic variables based on self-perceived health status, and analysis of variance (ANOVA) to compare QOL scores among groups. We also performed a mixed-model analysis of the relationship between QOL and factors at the workplaces of cancer survivors. Results: Based on the results of our study, the overall QOL of cancer survivors was associated with 'mutual respect', 'free emotional expression', occupation, and age. Moreover, different trends of QOL according to self-perceived health were identified on additional analysis. In the 'bad' self-perceived health group, QOL was significantly different according to income. The QOL of cancer survivors in the low-income group was lower than in the other groups. Conversely, the 'normal' group had a lower QOL caused by 'no mutual respect' and "no free emotional expression" in the workplace. The QOL in the 'good' group based on self-perceived health was higher in the younger age group. Conclusions: There may be a significant relationship between QOL and workplace factors for cancer survivors, although further study is needed to investigate this relationship in detail. This may facilitate formulation of policy and efforts to prevent and manage the decline in the QOL of cancer survivors returning to work.

Analysis of Studies on Quality of Life according to Cancer Types and Symptoms (암의 종류 및 증상에 따른 삶의 질 평가 척도에 관한 연구 현황 분석)

  • Lee, Nam-Heon;Cho, Jung-Hyo;Son, Chang-Gue;Yoo, Hwa-Seung;Lee, Yeon-Weol;Yoon, Dam-Hee;Lee, Jong-Hoon;Bang, Sun-Hwi;Cho, Chong-Kwan
    • The Journal of Internal Korean Medicine
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    • v.27 no.3
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    • pp.555-560
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    • 2006
  • Objectives : The objective of this study is to analyze what quality of life(QOL) scales are frequently used in cancer patients and lay a cornerstone to develop new QOL scales adequate for oriental medical anti-cancer treatment in the future. Methods : We searched 151 articles concerned with 'QOL and scale and cancer' from PubMed and classified them according to periods. nations. cancer types and symptoms. Results: 138 articles(91%) were published after 1996. 65 articles(43%) were published in USA. For breast. lung, prostate. esophageal cancer and melanoma. European Organization for Research and Treatment of Cancer-quiality of life questionaire(EORTC-QLQ) was used most frequently to evaluate quality of life. Functional Assessment of Cancer Treatment(FACT) for bladder cancer. Hospital Anxiety and Depression Scale(HADS) for colorectal cancer and of Washington Quality of Life questionnaire(UW-QOL) for Head & Neck cancer were used repeatedly. And for the patients with the symptoms such as bone marrow depression. depression. pain. dyspnea. nausea & vomiting and voice change. the investigators used EORTC-QLQ mainly to evaluate QOL. FACT-An(anemia) for anemia. FACT-BMT(bone marrow transplant) for bone marrow depression were applicated generally. Conclusions It is anticipated that further investigations will be performed to develop adequate QOL scales for oriental medical anti-cancer therapy.

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Relationships among Activity of Daily Living, Depression, and Quality of Life(QOL) in Patients with Stroke (뇌졸중 환자의 일상생활동작, 우울과 삶의 질의 관계)

  • Kim, Won-Ock;Kang, Hyun-Sook;Wang, Myoung-Ja;Kim, Jeong-Hwa;Choi, Jin-Yi
    • Journal of East-West Nursing Research
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    • v.13 no.2
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    • pp.138-146
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    • 2007
  • Introduction: The purpose of this study was to examine relationships among stroke patients' activities of daily living(ADL), depression, and quality of life(QOL). Methods: Data were collected by questionnaires from 251 stroke patients at 5 hospitals and 2 public health centers in Seoul and Kyonggi-Do. The following Questionnaires were utilized for this study: Functional independence measure(FIM) from Grange, Hamilton, and Sherwin(1986), the Korean CES-D scale from Randloff(1977), and quality of life scale from Bang, Hwal-Lan(1991). Results: Data were analyzed using the pearson correlation, t-test, and ANOVA with SPSS/WIN 12.0. The results of this study were as follow; The subjects consisted of 110 fern ales and 141 m ales. The mean score of activity of daily living was 87.2(range 18-126). Age, family history, comorbidity, paralysis site, and duration after diagnosis were significantly associated with activity of daily living. The mean score of depression was 23.8(range 11-44). Age, gender, education, and job were significantly associated with depression. The mean score of quality of life scale was 3.0(range 1-5). Gender, religion, education, job, economic status, and duration after diagnosis were significantly associated with quality of life. Relationships among activity daily living, depression, and quality of life scale: The activity of daily living had a negative relationship with depression score. The activity of daily living had a positive relationship with QOL score. The depression had a negative relationship with QOL score. Conclusion: Based on these results, it is necessary to run rehabilitation programs to improve stroke patients' ADL, depression. Also, it research for of identifying stroke patients' quality of life according to rehabilitation program.

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The Relationship of Symptoms of Stress, Cancer Prevention Behavior and the Quality of Life in Women (여성의 스트레스 증상, 암 예방 행위와 삶의 질과의 관계)

  • Jun, Eun-Mi;Cho, Dong-Sook
    • Women's Health Nursing
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    • v.11 no.2
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    • pp.156-162
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    • 2005
  • Purpose: The study was done to identify the relationship of symptoms of stress, cancer prevention behavior, the quality of life in women, and the factors influencing the quality of life. Method: The subjects of this study were 210 married women. They were living in Gyeonggi Province and Busan Metropolitan City. Symptoms of stress were measured by the Park's Stress Scale. Cancer preventive behavior was measured by Suh's Korean scale, and Smith Kline Beecham Quality of life' Scale by Dunbar. Data was analyzed with the SPSS program by ANOVA, Pearson's correlation, and Multiple Regression Analysis. Result: The higher scores of physical stress correlated with lower practice scores of cancer prevention behavior. Psychological and physical stress revealed negative correlations among sub-items of the QOL such as competence, psychological well-being, stability, physical well-being and activity. Multiple regression analysis revealed that the predictor of quality of life in the women was stress. A combination of symptoms of stress and cancer prevention behaviors accounted for 35.3% of the variance in the quality of life in the women. Conclusion: The most important factor influencing the quality of life of women was stress. Thus the study's findings can be useful in directing a comprehensive nursing care plan to improve the QOL of women.

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Factors Effect on Quality of Life of Spinal Cord Injury Patients (척수 손상 환자의 삶의 질 영향요인 분석)

  • 신성례;김애리
    • Journal of Korean Academy of Nursing
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    • v.31 no.1
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    • pp.126-138
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    • 2001
  • The purpose of this study is to act nursing intervention strategies to promote quality of life (QOL) in Spinal Cord Injury patients. Therefore, the study is designed to evaluate religion, marital status, educational background economic status, level of injury, voiding pattern, transportation by driving, rehabilitation education, self-concept, sexual status, perceived barrier, powerlessness, depression, hope, social support, self-efficacy, anxiety, ADL, perceived hopelessness, personality and pain for QOL at the same time. It was gathered empirical data was collected using a self report questionnaire from 61 patients during a six month period after SCI at 5 general hospitals, at 2 rehabilitation centers and at 2 rehabilitation schools province from Jun. 18, 1999 through Sep. 28, 1999. The reliability of the 19 instruments was tested with Cronbach's alpha which ranged from .6319 to .9769. For the data analysis a SAS program was used for Pearson correlation coefficients, and stepwise multiple regression. The results were as follows; 1. The mean of total item score in the QOL scale was 2.814, which showed a much lower score than the cancer points. 2. There was a significant correlation between self concept, transportation by driving, perceived barrier, powerlessness, depression, hope, social support, self-efficacy, anxiety, ADL and QOL.(${\gamma}$= .27~-.79, p< .05) 3. Stepwise multiple regression analysis showed that; a) Depression was the main predictor of QOL and account for 53.7% of the variance in QOL. b) Hope, ecomic status and body satisfaction accounted for 8%, 4%, 3.4% respectively and these variables combined accounted for 69.2% of the variance in QOL. In conclusion, to begin with, it is important to reduce depression and to help for SCI points to inspire hope, economic status and body satisfaction. That will be short cut for nursing strategies to enhance QOL.

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The Quality of Life of Patients with Good Outcomes after Anterior Circulation Aneurysm Surgery Assessed by the World Health Organization Quality of Life Instrument-Korean Version

  • Jang, Kyung-Sool;Han, Young-Min;Jang, Dong-Kyu;Park, Sang-Kyu;Park, Young Sup
    • Journal of Korean Neurosurgical Society
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    • v.52 no.3
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    • pp.179-186
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    • 2012
  • Objective : Even in the patients with neurologically good outcome after intracranial aneurysm surgery, their perception of health is an important outcome issue. This study aimed to investigate the quality of life (QOL) and its predictors of patients who had a good outcome following anterior circulation aneurysm surgery as using the World Health Organization Quality of Life instrument-Korean version. Methods : We treated 280 patients with 290 intracranial aneurysms for 2 years. This questionnaire was taken and validated by 99 patients whose Glasgow Outcome Scale score was 4 and more and Global deterioration scale 3 and less at 6 months after the operation, and 85 normal persons. Each domain and facet was compared between the two groups, and a subgroup analysis was performed on the QOL values and hospital expenses of the aneurysm patients according to the type of craniotomy, approach, bleeding of the aneurysm and brain injury. Results : Aneurysm patients showed a lower quality of life compared with control patients in level of independence, psychological, environmental, and spiritual domains. In the environmental domain, there were significant intergroup differences according to the type of craniotomy and the surgical approach used on the patients (p<0.05). The hospital charges were also significantly different according to the type of craniotomy (p<0.05). Conclusion : Despite good neurological status, patients surgically treated for anterior circulation aneurysm have a low quality of life. The craniotomy size may affect the QOL of patients who underwent an anterior circulation aneurysm surgery and exhibited a good outcome.

Chemotherapy-related Cognitive Impairment and Quality of Life in People with Colon Cancer: The Mediating Effect of Psychological Distress (대장암 환자의 항암화학요법 관련 인지손상과 삶의 질: 심리적 디스트레스(우울·불안)의 매개효과)

  • Oh, Pok Ja;Kim, Jeong Hye
    • Journal of Korean Academy of Nursing
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    • v.46 no.1
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    • pp.19-28
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    • 2016
  • Purpose: The purpose of this study was to test the mediating effect of psychological distress in the relationship between chemotherapy related cognitive impairment (CRCI) and quality of life (QOL) in people with cancer. Methods: A purposive sample of 130 patients undergoing chemotherapy was recruited for the cross-sectional survey design. Data were collected from November 2014 to June 2015. The instruments were K-MMSE (Korean Mini-Mental State Examination), Everyday Cognition (ECog), Hospital Anxiety Depression Scale (HADS), and Functional Assessment of Cancer Therapy-General (FACT-G). Data were analyzed using descriptive statistics, correlation, and multiple regression using Baron and Kenny steps for mediation. Results: The mean score for objective cognitive function was 27.95 and 69.32 for perceived cognitive decline. Overall quality of life was 91.74. The mean score was 17.52 for psychological distress. The prevalence was 56.2% for anxiety and 63.1% for depression, and 20.0% for CRCI. There were significant correlations among the variables, objective cognitive function and self-reported cognitive decline, psychological distress, and quality of life. Psychological distress was directly affected by CRCI. ($R^2=29%$). QOL was directly affected by CRCI. Psychological distress and CRCI effected QOL ($R^2=43%$). Psychological distress had a partial mediating effect (${\beta}=-.56$, p <.001) in the relationship between self-reported cognitive decline and quality of life (Sobel test: Z= -5.08, p <.001). Conclusion: Based on the findings of this study, nursing intervention programs focusing on managing cognitive decline, and decreasing psychological distress are highly recommended to improve quality of life in cancer patients.

Factors Influencing Quality of Life in Married Immigrant Women in Korea (결혼 이주 여성의 삶의 질에 영향을 미치는 요인)

  • Yoo, Eun-Kwang;Kim, Hye-Jin;Kim, Myoung-Hee
    • Journal of Korean Academy of Nursing
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    • v.42 no.2
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    • pp.171-180
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    • 2012
  • Purpose: The purpose of this study was to identify the factors influencing quality of life of married immigrant women in Korea. Methods: The participants included 508 married immigrant women who met the eligibility criteria and agreed to participate in the study. Participants were evaluated for subjective assessment of married immigrant-related constructs using a self-report questionnaire, for self-esteem, self-efficacy, and quality of life (QOL). The analysis was done using SPSS for Windows, version 10.1, and included stepwise regression. Results: The major findings were as follows; 1) There were significant relationships between marital satisfaction (r=.39, $p$=.001), violence by the husband during the couple's arguments (r=-.24, $p$<.001), satisfaction with life in Korea (r=.39, $p$<.001), self-esteem (r=.16, $p$<.001), self-efficacy (r=.51, $p$<.001) and quality of life. 2) Marital satisfaction, self-efficacy, education level and satisfaction life with in Korea were significant factors, which explained 53% of the variance in quality of life (F=43.97, $p$<.001). Multiple regression analysis revealed that a powerful predictor of QOL for married immigrant women was self-efficacy. Conclusion: Developing nursing interventions to enhance self-efficacy toward improvement of QOL among married immigrant women is recommended.

The Verification of the Reliability and Validity of Employment Promotion Tool for Persons with Disabilities in the Aspect of the Quality of Life(QOL-EPAT) (QOL의 관점에 입각한 장애인고용촉진제도·정책 평가 척도의 신뢰성·타당성 검증)

  • KWON, Hae jin
    • Proceedings of the Korea Contents Association Conference
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    • 2016.05a
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    • pp.387-388
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    • 2016
  • Kwon (2015) was developed Employment Promotion Tool for Persons with Disabilities in the Aspect of the Quality of Life(QOL-EPAT). But its reliability and validity have not been verified yet. Therefore, this study aimed to verify the reliability, content validity and construct validity of QOL-EPAT. This study was conducted with a disability employment specialists. Period May to October 2015, six months, was distributed to collect the questionnaire. Reliability of QOL-EPAT was estimated using the internal consistency method; both the coefficient of Cronbach's ${\alpha}$ were over 0.7. Construct Validity; Construct validity was verified using structural equation modeling (SEM). Goodness of fit index (GFI), Adjusted goodness of fit index (AGFI), comparative fit index (CFI), tucker-Lewis index (TLI) and root mean square error of approximation (RMSEA) are the suitability indices of SEM. As the result, GFI=0.898; AGFI=0.844; CFI=0.961; TLI=0.949 and RMSEA=0.069. The validity was verified because the values of GFI, AGFI, CFI, TLI and RMSEA were within the goodness-of-fit range. Thus, impaired employs promoters of Japan also provided which allows for analysis of the policy by using a validated scale.

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