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

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Quality of Life of Patients with Advanced Cervical Cancer before and after Chemo-radiotherapy

  • Dahiya, Neha;Acharya, Anita S;Bachani, Damodar;Sharma, DN;Gupta, Subhash;Haresh, KP;Rath, GK
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.7
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    • pp.3095-3099
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    • 2016
  • Background: Cervical cancer is the most frequently diagnosed cancer among women in India. Understanding quality of life (QOL) in women undergoing chemo-radiotherapy for cervical cancer will help in introducing interventions for better care and outcomes in these women. This study assessed QOL before and after chemo-radiotherapy in cervical cancer patients. Materials and Methods: This follow-up study covered sixty-seven newly diagnosed women with advanced cervical cancer (stages 2b to 4b). Structured questionnaires (the European Organization for Research and Treatment of Cancer, EORTC QLQ-C30 and EORTC QLQ-CX24) were used to assess the change in QOL after 6 months of treatment. Results: The mean age of women at the time of detection of cervical cancer was $52.3{\pm}11.29$ years (Range 30-75 years). Six months survival was 92.53%. The mean global health score of cervical cancer patients after six months of treatment was 59.52, which was significantly higher than the pre-treatment score of 50.15 (p=0.00007). Physical, cognitive and emotional functioning improved significantly (p<0.05) after treatment. Fatigue, pain, insomnia and appetite loss improved but episodes of diarrhea increased after treatment. The mean "symptoms score" using EORTC QLQ-CX24 post treatment was 20.0 which was significantly lower as compared to the pre- treatment score 30.0 (p<0.00001). Sexual enjoyment and sexual functioning decreased significantly after treatment. Conclusions: QOL of newly diagnosed cervical cancer patients improved significantly following chemo-radio therapy. Enhancement was also demonstrated on three of the five functional scales of EORTC QLQ-C30. To further improve QOL, interventions focusing on social and psychological support and physical rehabilitation may be needed.

Quality of Life and its Associated Factors among Some Elderly Residents Using a Hall for the Aged in a Community (일부 지역사회 경로당 이용 노인의 삶의 질과 관련 요인)

  • Lim, Jin-Young;Park, Jong;Kang, Myeong-Geun;Ryu, So-Yeon
    • Journal of Preventive Medicine and Public Health
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    • v.40 no.5
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    • pp.337-344
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    • 2007
  • Objectives: This study was performed to investigate the level of quality of life (QOL) and to identify its related factors among the elderly using a hall for the aged. Methods: The study subjects were 350 elderly people living in Nam Gu, Gwangju City. They were interviewed by questionnaire to collect information on social-demographic characteristics, health behaviors, health-related characteristics and QOL. We used statistical analysis methods such as T-test, ANOVA and multiple regression analysis to find which factors affected QOL. Results: The characteristics relating to physical functions were as follows: presence of spouse, education, alcohol drinking, teeth condition, arthritis, frequency of visiting the hall for the aged, and depression. Age, arthritis and depression were significantly related to role limitation due to physical problems. General health was related to gender, age, and depression, and vitality was related to education, frequency of visiting the hall, and depression. Role limitation due to emotional problems was related to age and depression, and mental health was related to age, hypertension, arthritis and depression. Conclusions: This study showed QOL of the elderly was significantly influenced by socio-demographic factors, and physical or emotional conditions. To improve QOL of the elderly, we need to develop programs to promote health and to manage chronic diseases of the elderly.

Quality of Life by Stage of Cervical Cancer among Malaysian Patients

  • Azmawati, Mohammed Nawi;Najibah, Endut;Ahmad Zailani Hatta, Mohd Dali;Norfazilah, Ahmad
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.13
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    • pp.5283-5286
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    • 2014
  • Stage of cervical cancer may adversely affect the quality of life (QOL) among patients. The objective of this study was to predict the QOL among cervical cancer patients by the stage of their cancer. A cross-sectional study from September 2012 until January 2013 was conducted among cervical cancer patients who completed treatment. All patients completed a interviewer-guided questionnaire comprising four sections: (A) socio-demographic data, (B) medical history, (C) QOL measured by general health status questionnaire (QLQ-30) and (D) cervical cancer specific module CX-24 (EORTC) was used to measured patient's functional, symptom scale and their global health status. Results showed that global health status, emotional functioning and pain score were higher in stage III cervical cancer patients while role functioning was higher in stage I cervical cancer patients. Patients with stage IV cancer have a lower mean score in global health status (adjusted b-22.0, 95 CI% -35.6, -8.49) and emotional functioning (adjusted b -22.5, 95CI% -38.1, -6.69) while stage III had lower mean score in role functioning (adjusted b -14.3, 95CI% -25.4, -3.21) but higher mean score in pain (adjusted b 22.1, 95 CI% 8.56, 35.7). In conclusion, stage III and IV cervical cancers mainly affect the QOL of cervical cancer patients. Focus should be given to these subgroups to help in improving the QOL.

Impact of Refractive Surgery on Quality of Life in Myopia Patients (시력교정수술이 근시환자의 삶의 질에 미치는 영향)

  • Kang, Sue-Ah;Kim, Jung-Hee
    • Journal of Korean Ophthalmic Optics Society
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    • v.11 no.4
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    • pp.337-344
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    • 2006
  • Purpose: To evaluate the vision-specific Quality of Life according to modes of refractive error correction in myopia. Method: This study included subjects from two different universities in Korea during March 2005 to June 2005. The following subjects (470) were university students, university faculty members, and their immediate families; all of whom were over the age of 19 and all who had refractive error of some sort. The four focus groups consisted of 171 spectacle wearers, 154 contact lens wearers, 123 refractive surgery patients, and 22 post-refractive surgery patients who returned to wearing glasses. The study of Vision-Specific Quality of Life used QIRC - The Quality of Life Impact of refractive Correction Questionnaire, which was translated by our group from English into Korean. Using analysis of co-variance (ANCOVA) and adjusting for age, sex, job, economic status, and education level, we examined and compared the QOL mean scores of the three groups (glass & contact lenses wears, refractive surgery patients, and post-refractive surgery patients who returned to wearing glasses). Results: After adjusting for major compounding variance, the research results showed the highest QOL mean score of 43.2 for the group who had received refractive surgery, 37.1 for the glasses & contact lenses group, and 33.4 for patients who had returned to wearing glasses after refractive surgery. There were significant differences between the three groups (p=0.001). Conclusion: Refractive surgery has shown a significant contribution to improve the QOL in myopia patients. However, upon our investigation, patients who underwent refractive surgery and returned to wearing glasses had a lower QOL compared to non-refractive surgery patients who wore glasses/contact lenses. Upon concluding our studies that shows that refractive surgery does not always conclusively bring higher QOL, we would like patients to carefully consider their options before undergoing refractive surgery in the future.

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Quality of Life and Health Service Utilization of the Migrant Workers in Korea (이주노동자의 의료서비스 이용실태 및 삶의 질)

  • Lee, Eunjoo;Lee, Jung Mi
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.15 no.7
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    • pp.4370-4379
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    • 2014
  • The aim of this study was to identify the utilization of health services and factors influencing the quality of life(QOL) of migrant workers. The participants were 135 migrant workers in Korea. Data was collected from September 10th 2012 to November 15th 2012. The data was analyzed using descriptive statistics, t-test, ANOVA, Scheff' test, and hierarchical multiple regression. Immigrant workers experienced difficulty in using health services and had a $14.25{\pm}2.01$ QOL, which was relatively low. The factors influencing QOL were the length of stay in Korea, residence areas, and satisfaction with health services. Final regression model accounted for 16.7% of the variance in QOL. The satisfaction level with health services was the most influential factors in the level of the QOL. Therefore, diverse strategies should be developed to enhance the satisfaction with health services in Korea migrant workers.

The Impact of Socioeconomic Status on Quality of Life among Breast Cancer Survivors : Focusing on Breast Cancer Survivors in Their 40s (유방암 생존자의 사회경제적 지위가 삶의 질에 미치는 영향 : 40대 유방암 생존자를 대상으로)

  • Hwang, Sook Yeon
    • The Journal of the Korea Contents Association
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    • v.16 no.2
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    • pp.503-512
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    • 2016
  • The purpose of this study was to examine the impact of socioeconomic status on quality of life(QOL) among breast cancer survivors. The data were from breast cancer survivors in their forties, among whom the prevalence in terms of age was the highest in Korea. A total of 607 cases were analyzed and the mean scores of QOL measured by FACT-B were 93.75(SD=21.50). After controlling for the other socio-demographic and medical variables, QOL was significantly correlated to income and job type, which confirms the association between high socioeconomic status and better QOL. Specifically, groups with higher income($${\geq_-}4$$ million won/month, ${\beta}=0.11$, p= .03) and groups with self-employed(${\beta}=0.10$, p= .01) or professional/managerial(${\beta}=0.17$, p< .001) job type showed significantly better QOL. The need for more attention and support, including formal and informal resources, for breast cancer survivors with low socio-economic status and the implication for practice were discussed.

A study on the Satisfaction of QOL in Daily Living Environment - in the area of Hongseung-gun - (삶의 질 향상을 위한 일상생활환경의 만족도에 관한 연구 - 충남 홍성군을 중심으로 -)

  • Park, Hyun-Ok;Lee, Han-Na
    • Korean Journal of Human Ecology
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    • v.15 no.1
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    • pp.83-93
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    • 2006
  • The purpose of this research is to analyze the perception and satisfaction of QOL (Quality of Life) in daily living activities in the area of Hongseung-gun. The subjects included 467 residents in the area. The results of this study are as follows: First, the factors affecting the satisfaction with daily living activities were three types such as social system & welfare service, living convenience & cultural service, and public administration & medical service. Second, those who are young, females, highly educated, and holding professional jobs showed lower satisfaction of QOL than their counterparts. Lastly, the surveyees were more satisfied with public administration & medical service than social system & welfare service and living convenience & cultural service. The results of this study can be applied to the decision-making of public administration and welfare-policy.

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A Study on Port's Influence over 'Quality of Life' in Sea Port Cities - Compare China Dalian Port with Busan Port - (해항도시의 삶의 질에 대한 항만의 영향력 분석 - 중국 대련항과 부산항의 비교분석 -)

  • Kim, Sang-Goo
    • Journal of Navigation and Port Research
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    • v.36 no.6
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    • pp.481-488
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    • 2012
  • As an exploratory research to understand the nature of relationships between ports and their neighboring communities, this study analyzes how ports influence their residents' quality of life(QOL). The QOL was measured by 17 indicators reconstructed by reviewing relevant literatures. As a result, both Busan port and Dalian port were found to have statistically significant influence on many of QOL indicators including general expenditure per capita, number of manufacturing factories per capita, number of factories's laborer per capita, the rate of pavement, number of traffic accident per capita, rate of housing supply, number of financial agencies per capita, park area per capita, number of cultural assets per capita, the size of welfare expenditure per capita, number of fire occurrence per capita. And Busan port have statistically significant influence on QOL indicators including the rate of increase in population, number of public health industries per capita, number of public health industries per capita, number of schools per capita, number of sick-beds per capita, but Dalian port not have influence. Also Dalian port have statistically significant influence on number of crime occurrence per capita, but Busan port not have influence.

Does Living nearby a Garbage Dumping Site Degrade the Quality of Life? A Case Study based on Shin-dong Myeon Residents, Chun-cheon Si (쓰레기 매립장 주변 농촌 주민들의 삶의 질 연구)

  • Lee, Myung-Kyung;Choi, Jun-Yeol;Kim, In-Kyoung;Cho, Yeong-Ah;Kim, Young-Shin;Jung, Hye-Jin;Kim, Li-Na;Lee, Young-Kyu;Cho, Young-Tae
    • Journal of Preventive Medicine and Public Health
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    • v.39 no.4
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    • pp.302-308
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    • 2006
  • Objectives: This study aims to examine if a garbage dumping site has real and negative influence on the quality of life (QOL) for the nearby residents. The net effects of the residential distance from the garbage dumping site and from the garbage truck route were investigated for five domains of the QOL. Methods: Two hundred fifty seven Shin-dong Myeon residents, Chun-cheon Si, participated in a self-administrated survey. The Shin-dong Myeon garbage dumping site began operating in 1996. ANCOV A with generalized linear models and multiple regression analysis were performed. Results: Descriptive analyses show that a residence nearby a garbage dumping site is negatively associated with the physical and environmental domains of the QOL. The residential distance from the garbage truck route does not exert any significant effect on various domains of QOL, except for the environmental domain. On the multivariate analysis, the residents living near the garbage dumping site tended to have a significantly negative QOL in the physical and environmental domains. However, the distance from the garbage truck route did not show a significant nor substantial effect on the QOL. The demographic and socioeconomic control variables are associated with a number of the QOL domains, and their patterns are consistent with the general expectations. Conclusions: The results indicated that a garbage dumping site is considered to be an environmental hazard among the nearby residents according to the lower scores on the physical and environmental domains of the QOL. The findings from this study provide comprehensive understanding on the residents' QOL, and they may help politicians and policy makers make decisions for appropriate interventions.

Quality of Life and Family Burden in Hemopoietic Stem Cell Transplantation Recipients (조혈모세포이식 환자의 삶의 질과 가족 부담감)

  • Bok, Ji-Na;Sohng, Kyeong-Yae;Park, Han-Jong
    • Asian Oncology Nursing
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    • v.5 no.2
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    • pp.136-145
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    • 2005
  • Purpose: To investigate the degree and relationship of the quality of life(QOL) and family burden in hematopoietic stem cell transplantation recipients(HSCTr) at admission and discharge to isolation unit. Method: Data were obtained by interviewing from 60 HSCTr and 50 of their primary caregivers' and were analyzed by SAS program. Result: The degree of quality of life in pre and post HSCTr was significantly lower in the group who had physical discomfort compared with those who had no physical discomfort. The mean score of quality of life in pre HSCTr was significantly lower compared with in post HSCTr. Objective burden of family was higher than subjective one. Conclusion: QOL in HSCTr showed lower in the group of who had medical history, physical discomfort, no hope for cure and more than 5 weeks of length of stay. On the basis of these results, it is necessary to develop nursing intervention and to apply nursing care for improving their quality of life.

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