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

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Change of Quality of Life in Children with ADHD after 12 Weeks OROS-Methylphenidate Treatment (12주 OROS-Methylphenidate 약물 치료 후 ADHD 아동의 삶의 질 변화)

  • Kim, Hyung-In;Kim, Bung-Nyun;Cho, Soo-Churl;Shin, Min-Sup;Yoo, Hee-Jeong;Kim, Jae-Won;Kim, Ji-Hoon;Son, Jung-Woo;Shin, Yun-Mi;Chung, Un-Sun;Han, Doug-Hyun
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.23 no.3
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    • pp.103-108
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    • 2012
  • Objectives : The aim of this study is to investigate the effectiveness of treatment with osmotic-release oral system methylphenidate (OROS-MPH) on quality of life (QOL) in children with attention-deficit hyperactivity disorder (ADHD). Another aim is to assess the relationship between change in QOL and other factors including children's symptoms and academic performance or parents' depression and parenting stress. Methods : A total of 111 medication-naive children with ADHD in a multicenter, open-label, 12-week trial of OROS-MPH completed an evaluation using diverse rating scales at two time points; at baseline and after 12 weeks of treatment. Scales for investigation of children included the Parent Report Form-Children's Health and Illness Profile-Children's Edition (PRF-CHIP-CE) on QOL, the ADHD Rating Scale-IV on symptoms, and the Academic Performance Rating Scale (APRS). The Beck Depression Inventory and Parenting Stress Index were used for assessment of their parents. Results : Total scores for mean PRF-CHIP-CE increased from $207.9{\pm}26.7$ at baseline to $226.3{\pm}25.9$ after 12 weeks of treatment (p<.001). The change of APRS showed the strongest correlation with the increment of PRF-CHIP-CE scores (Pearson coefficient=0.561, p<.001), even after controlling for other factors (partial correlation coefficient=0.420, p<.001). Conclusion : Treatment with MPH-OROS results in improvement of QOL in children with ADHD in Korea. The advance in academic performance plays a key role in this change of QOL.

Efficacy of Electroacupuncture with Dysphagia Caused by Stroke - Double-blind, Randomized Controlled Trial - (중풍으로 유발된 연하 장애 환자에 대한 전침 치료의 임상 효과)

  • Kim, Min-Kyung;Lu, Hsu-Yuan;Cho, Seung-Yeon;Jung, Woo-Sang;Moon, Sang-Kwan;Park, Jung-Mi;Ko, Chang-Nam;Cho, Ki-Ho;Park, Seong-Uk
    • The Journal of Korean Medicine
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    • v.35 no.1
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    • pp.26-40
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    • 2014
  • Objectives: This study investigated the effect of electroacupuncture on swallow function in stroke patients with dysphagia. The purpose was to determine whether electroacupuncture could improve swallow function and quality of life for patients with dysphagia caused by stroke. A pilot double-blind, randomized controlled trial design was used Methods: A total of 17 stroke patients with dysphagia were recruited to this study, 8 assigned to the swallowing electroacupuncture (SE) group and 9 to the control group. Swallowing electroacupuncture was assessed for 5 Hz electrical or sham stimulation for 20 min duration 3 times a week. Outcome measurements were DOSS, 14-item questionnaire from the SWAL-QOL, NIHSS and MBI. Assessment was carried out for baseline, 2 weeks and 4 weeks Results: In the 2 weeks follow up data, the study group showed significant difference in DOSS and SWAL-QOL compared with the baseline. The study group also showed significant difference in DOSS and SWAL-QOL compared with the control group. Similarly in the 4 weeks follow up data, the study group showed improvement tendency in DOSS and SWAL-QOL compared with baseline and also with the control. The NIHSS and MBI scores returned no significant differences. The swallowing electroacupuncture was well tolerated in all cases with no serious adverse effects. Conclusions: The findings from the pilot study indicated that electroacupuncture has significant effects on improvement in swallowing function and quality of life. With both inpatients and outpatients, further larger and longer-term follow-up study is needed to confirm this suggestion.

Effects of vibration resistance exercise on strength, range of motion, function, pain and quality of life in persons with tennis elbow

  • Lim, Jong-Hun;Shin, Won-Seob
    • Physical Therapy Rehabilitation Science
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    • v.5 no.4
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    • pp.163-169
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    • 2016
  • Objective: The purpose of this study was to investigate the effects of vibration resistance exercise (VRE) in patients with tennis elbow on strength, range of motion (ROM), function, pain and quality of life (QOL). Design: Randomized controlled trial. Methods: Twenty-seven participants were randomly assigned to either the VRE group (n=9), weight resistance exercise (WRE) group (n=9) or control group (n=9). Each group underwent hot compress for 15 minutes and electrotherapy for 15 minutes. The VRE group underwent exercises using a vibrating ball for 5 minutes. The WRE group underwent exercises using dumbbells for 5 minutes. All participants were evaluated on wrist extension strength using a hand-held dynamometer, grip strength level through an electric dynamometer, and ROM through a smartphone goniometer application before and after intervention. Patient-rated tennis elbow evaluation, Visual Analogue Scale and Short Form 8 were measured by questionnaires. Results: There were showed significant differences among the VRE, WRE and control group in wrist extensor muscle and hand grip strength, ROM, elbow function, pain and QOL after intervention (p<0.05). The VRE group showed a greater significant improvement in wrist extensor muscle strength and elbow function compared with the others (p<0.05). The VRE and the WRE groups had a more significant improvement in wrist extensor muscle and hand grip strength, ROM and pain compared with the control group (p<0.05). However, there were no significant differences in QOL among the three groups. Conclusions: Combining VRE with thermotherapy and electrotherapy appears to be more effective in improving wrist extension strength, ROM, elbow function, QOL in tennis elbow patients.

Severity of Insomnia, Depression, and Quality of Life in Elderly (노인의 불면정도에 따른 우울 및 삶의 질)

  • Park, Seungmi;Kim, Jiyun;Jang, In Sun;Park, Eun-Jun
    • 한국노년학
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    • v.28 no.4
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    • pp.991-1007
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    • 2008
  • Purpose: The purpose of this study was to compare depression and quality of life(QOL) according to the severity of insomnia in elderly. Method: The survey participants were 463 community-dwelling adults aged 65 or older. Severity of insomnia was measured by assessing a time-length to get to sleep, the number of breaks in sleep, a time-length to get to sleep after awakening, and a usual sleep pattern. Depression and QOL was measured, respectively, a modified Zung's depression scale and SF-36. The data were collected from May to June in 2005 and analyzed using the SPSS program for descriptive statistics, ${\chi}^2$-test, t-test, and ANOVA with Scheffe test. Results: A majority of the participants(75.6%) presented mild(65.0%) or severe(10.6%) insomnia. Severity of insomnia was different depending on sex, a marriage status, and sleep patterns such as hours of sleep on average, time to go to bed, and time of awakening(p<0.05). Depression and QOL were related to the severity of insomnia(p<0.05). The elderly suffering from insomnia needs nursing interventions considering demographics and sleep patterns in oder to prevent depression and to improve QOL. Future research is in need for predicting and preventing depression and QOL in elderly.

A Path Analysis of Influencing Variables on Quality of Life for Office worker Middle-aged males (직장 중년 남성의 삶의 질의 영향요인 경로분석)

  • Seo, Young-sook;Jeong, Chu-yeong
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.5
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    • pp.133-140
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    • 2017
  • This study was conducted to determine the casual relationship among family support, social support, workplace spirituality, and quality of life (QOL) for middle-aged, male office workers, as well as the effects of family support, and social support on their QOL with the mediation of workplace spirituality. The participants were 288 middle-aged, male office workers, and the data were collected from 14 October to 30 November, 2016, through questionnaires. The data were analyzed with descriptive statistics and Pearson's correlations using PASW 21.0, while the AMOS 18.0 program was used for structural equation modeling (SEM), and the fitness of the final model was determined using RMSEA .05, GFI .98, AGFI .94 and NFI .96. The results of this study can be summarized as follows. There were correlations between family support, social support, workplace spirituality, and QOL for the middle-aged, male office workers. Second, family support (${\beta}=.60$, p<.001) and social support (${\beta}=.47$, p<.001) had a direct effect on their workplace spirituality. Third, family support had direct (${\beta}=.12$, p=.002) and indirect (${\beta}=.10$, p<.001), while social support also had direct (${\beta}=.12$, p<.001) and indirect (${\beta}=.08$, p<.001) effects on their QOL. The findings also suggested that workplace spirituality had a partial mediating effect between the family support, social support, and QOL of the middle-aged, male office workers.

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

  • Lee, Young-Soo;Bae, Sung Yoon;Ji, Jae-Hoon
    • Journal of dental hygiene science
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    • v.13 no.1
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    • pp.1-12
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    • 2013
  • This study aims to measure oral health knowledge and practice level among dental clinic patients, and examine their relationships with decayed, missing and filled teeth (DMF) index and the oral health-related quality of life (QOL). Empirical data have been collected from 311 patients through structured questionnaires and dental examinations conducted in Busan area. According to the analysis of causal relationship, oral health knowledge turned out to have a direct effect on oral health practices, which exerted both direct and indirect effects on DMF index and oral health-related QOL. While DMF index directly affected the oral health-related QOL, oral health knowledge proved to have only an indirect effect on DMF index and oral health-related QOL, mediated by oral health practices. Considering all these findings, effective oral health education and other intervention programs should focus on motivating people to participate in the active practices of desirable oral health behaviors, which will lead to the prevention of oral diseases and the subsequent improvement in the QOL.

The Analyze the Effect of Home-based Integrative Korean Medicine Program for the Elderly Women with Mobility Impairment in Rural Areas at a Public Health Center (일개 보건지소의 농촌 거동 불편자 고령 여성 노인 대상 한방 방문진료의 효과 분석)

  • Chan-Ho Ju;Jin-Moo Lee;Chang-Hoon Lee;Jun-Bock Jang;Deok-Sang Hwang
    • The Journal of Korean Obstetrics and Gynecology
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    • v.36 no.4
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    • pp.49-60
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    • 2023
  • Objectives: To explore the impacts of home-based integrative Korean medicine program, on pain, quality of life (QOL), and satisfaction among elderly female residents with mobility impairment in rural areas during the period from August 2021 to November 2022. Methods: Five participants with mobility impairment in rural area were selected from Health Department of Public Health Center. We conducted an investigation into the variations in NRS (Numerical Rating Scale) scores, changes in quality of life (QOL), and levels of satisfaction resulting from a combination of acupuncture, counseling, and the provision of medical supplies. Results: Participants reported improvements in Overall pain and Quality of life. Satisfaction levels reported high. Conclusions: Home-based integrative Korean medicine program showed possibility of improvements for the elderly women with mobility impairment in rural areas in terms of pain, quality of life. In pursuit of improved management, it is advisable to contemplate the adoption of a fresh treatment approach.

Effect of Herb Medicine Treatment for Functional Dyspepsia: A Randomized Placebo-Controlled and Compared Standard Treatment Trial (기능성 소화불량증 환자에 대한 한약복합제의 치료 효과: 무작위배정 표준치료제 위약 대조군 연구)

  • Kim, Yeon-Mi;Park, Yang-Chun;Jo, Jeong-Hyo;Kang, Wee-Chang;Son, Mi-Won;Hong, Kwon-Eui
    • The Journal of Korean Medicine
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    • v.31 no.1
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    • pp.1-13
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    • 2010
  • Objective: Functional dyspepsia is a prevalent disease. It impedes subjective quality of life. The purpose of this study was to examine the equivalent effect of herb medicine treatment (DA-9701) for functional dyspepsia. Methods: In this randomized, single-blinded, placebo-controlled study, we compared a herb medicine (DA-9701) with standard treatment (mosapride) and placebo for the treatment of functional dyspepsia. 42 volunteers who satisfied the requirements were enrolled in study. Severity of dyspepsia was measured by Nepean Dyspepsia Index (NDI) and Functional Dyspepsia Quality of Life (FD-QOL) before and after treatments. Results: 1. In the DA-9701 group, total key symptoms score was significantly lower and improve rate of key symptoms was higher than in the mosapride and placebo groups, but there were no statistically significant differences between three groups. 2. In the DA-9701 and mosapride groups, "nausea" and "bad breath" were significantly lower compared with the placebo group. 3. In the DA-9701 group, NDI Quality of Life scores were significantly higher, but there were no [other] statistically significant differences between the three groups. 4. In the DA-9701 and mosapride groups, FD-QOL scores were higher compared with the placebo group, but there were no statistically significant differences between the three groups. Conclusion: Herb medicine treatment (DA-9701) is effective to improve the symptoms and quality of life in patients with functional dyspepsia.

A Study of the Effects of Follow-up Care for Stroke Survivors on Primary Caregivers' Quality of Life (뇌졸중 환자의 추후관리가 주간호제공자의 삶의 질에 미치는 영향)

  • Jeong, Hyun-Ju;Cho, Bok-Hee
    • The Korean Journal of Rehabilitation Nursing
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    • v.3 no.2
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    • pp.169-181
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    • 2000
  • The purpose of this study was to identify the effect of follow-up care for stroke survivors on primary caregivers' quality of life. Quasi-experimental research was conducted in which an experimental group and a control group-each of 15 stroke survivors and their primary caregivers-were consecutively sampled. Data collected from July to September, 1999 by interview using a structured questionnaire with both the experimental and the control groups. After a month, the two groups were given the same questionnaire. The experimental group was also given a telephone follow-up every week for a month, as well as a home visit. The survey instruments used in this study were Saha and Cooper's "Modified Barthel Index" (11 items) for checking the stroke survivors' level of activities of daily living, and a modified form of Jeong's "Quality of life" (18 items) for primary caregivers' QOL level. The obtained data were analyzed by percentage, t-test, $X^2$-test, Kruscal-Wallis test, Spearman correlation coefficient by SAS/PC program. The results were as follows: 1. There was no significant difference in the stroke survivors' ADL level, though the level of the experimental group was higher than that of the control group. 2. There was a statistical difference in the before and after treatment of the primary caregivers' QOL level. In conclusion, the follow-up care program had a useful effect on the quality of life of primary caregivers.

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The Shoulder Pain after Stroke and the relationship with Motor Function, and Quality of Life (뇌졸중 환자의 견관절 통증과 운동 기능 및 삶의 만족도와의 관계)

  • Lee, Dong-Jin;An, Seung-Heon
    • Journal of the Korean Society of Physical Medicine
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    • v.6 no.3
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    • pp.257-266
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    • 2011
  • Purpose : To assess the relationship between post-stroke shoulder pain, motor function, and pain-related quality of life(QOL) Methods : Volunteer sample of 62 chronic stroke survivors with post-stroke shoulder pain and glenohumeral subluxation. The patients answered the question in shoulder pain with the Brief Pain Inventory question 12 (BP1-12), Pain-related Quality of life(BPI-23). Therapists measured the performance of combined upper-limb movement including the hand-behind-neck(HBN), hand-behind-beck(HBB) maneuver, added passive pain-free shoulder external rotation range of motion, and Modified Ashworth Scale(MAS) score of the elbow flexors. Physical performance assessments were used to measure basic activity daily living(Modified Barthel Index-self care, MBI-S/C), motor function of upper limb(Fugl-Meyer Upper/Lower Extremity, FM-U/E). Results : Stepwise regression analyses indicated that post-stroke shoulder pain is associated with the BPI 23, but not with the FM-U/E, MBI-S/C. Thus, the presence of shoulder pain is more important predicting pain-related QOL than its degree in predicting motor function of upper limb and basic activity daily living. Conclusion : Post-stroke shoulder pain was associated with reduced quality of life related to pain. The pain was not associated with the motor function of upper limb and basic activity daily living. The result imply that management of shoulder pain & anatomical position of shoulder joint after stroke should be emphasized. This provides a further incentive to develop effective rehabilitation prevention and treatment strategies for post-stroke shoulder pain.