• 제목/요약/키워드: quality of life(QOL)

검색결과 601건 처리시간 0.027초

명상프로그램이 노인의 스트레스반응 감소에 미치는 영향 (Effect of Meditation Program on Stress Response Reduction of the Elderly)

  • 허동규
    • 한국콘텐츠학회논문지
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    • 제9권3호
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    • pp.232-240
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    • 2009
  • 본 연구는 노인 스트레스 감소를 위한 명상 프로그램의 효과성을 검증하였다. 명상 프로그램은 한국형 마음챙김 명상 프로그램과 크리야 요가로 구성하였다. 프로그램은 노인집단에서 명상집단과 통제집단을 대상으로 스트레스 반응성, 우울, 불안, 삶의 질을 종속변인으로 하여 사전-사후검사를 통해 효과 검증을 하였다. 연구결과 노인 스트레스 감소를 위한 명상 프로그램이 명상집단에서 노인의 불안, 우울, 스트레스 반응성이 사전-사후검사에서 유의한 감소를 보였고, 사후검사 결과 집단비교에서도 통제 집단과 유의한 차이를 보였다. 또한 명상집단은 삶의 질의 사전-사후검사에서 유의한 증가를 보였고, 사후검사 결과 통제 집단과 유의한 차이를 보였다. 따라서 노인 스트레스 감소를 위한 명상 프로그램이 노인의 불안, 우울, 스트레스 반응성을 낮추고, 삶의 질을 개선시키는 연구 결과가 나타났다. 본 연구 결과를 추후연구를 위하여 논의하였다.

위암 수술 환자에서의 삶의 질 -WHOQOL-BREF의 타당도 및 유용성- (Quality of Life in Patients with Stomach Cancer after a Curative Resection -The validity and availability of WHOQOL-BREFE-)

  • 박이진;정양환;한상익;김진조;박승만
    • Journal of Gastric Cancer
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    • 제4권4호
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    • pp.263-267
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    • 2004
  • 목적: 본 연구는 위암 환자에서 한국판 단축형 세계보건 기구 삶의 질 척도의 타당도를 검증하고 이를 이용하여 위암 환자의 삶의 질을 평가하고자 하였다. 대상 및 방법: 가톨릭대학교 의과대학 성모자애병원 외과에서 근치적 절제술을 받은 50명의 위암 환자를 대상으로 하였으며 나이, 성별을 고려하여 선정된 성모자애병원 직원 50명을 대조군으로 하였다. 모든 대상군에게 100문항으로 이루어진 세계보건기구 삶의 질 척도를 구성하는 26문항을 선별하여, 환자군과 대조군에서 신체영역, 심리영역, 사회영역, 독립성 영역의 점수를 비교하였다. 결과: 각각의 영역에서 단축형 세계보건기구 삶의 질 척도 점수와 의미있는 상관관계를 보였다. 그리고 신체영역과 사회영역에서 위암 수술 환자의 삶의 질은 대조군과 비교해서 낮은 것으로 나타났다. 결론: 한국판 단축형 세계보건기구 삶의 질 척도는 위암 환자의 삶의 질을 평가하는 데 유용하고 타당한 도구라고 생각된다.

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직접 삼킴 치료가 뇌졸중 환자의 삼킴 기능과 삶의 질에 미치는 영향 (Effect of Direct Feeding Intervention on Swallowing Function and Life Quality of Stroke Patients)

  • 박진주;오명화;정현애;정상미;정복희;김승일
    • 재활복지
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    • 제20권4호
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    • pp.283-299
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    • 2016
  • 본 연구는 뇌졸중으로 인한 삼킴 장애 환자를 대상으로 직접 삼킴 치료가 뇌졸중 환자의 삼킴기능과 삶의 질에 미치는 영향을 알아보고자 실시하였다. 연구 대상은 삼킴 장애 진단을 받은 환자 10명을 대상으로 간접 삼킴 치료를 중재한 대조군과 직접 삼킴 치료를 중재한 실험군에 5명씩 배치하여 실시하였다. 연구는 주 5회, 회당 30분씩, 총 8주 동안 연구를 실시하였다. 삼킴 기능을 평가하기 위한 도구로는 VFSS를 이용한 CDS, PAS를 중재 전과 4주 후, 8주 후에 평가하였고, 삼킴과 관련된 삶의 질은 SWAL-QOL을 중재 전과 중재 후 2회 평가하였다. 연구 결과는 삼킴 기능의 집단 내 비교에서는 적용 기간에 따라 대조군은 CDS(p<.05)에서만, 실험군은 CDS, PAS 모두에서 유의한 차이를 보였으며(p<.01), 집단 간 비교에서도 CDS, PAS 모두 실험군에서 유의한 차이를 보였다(p<.01). 삶의 질에 미치는 영향을 알아본 결과 집단 내 비교에서는 두 군 모두 적용기간에 따라 삶의 질이 유의하게 향상되었으나(p<.05), 집단 간 비교에서는 통계적으로 유의한 차이가 없었다(p>.05). 이상의 결과를 통해 뇌졸중으로 인한 삼킴 장애 환자에게 중재한 직접 삼킴 치료가 삼킴 기능증진에는 간접 삼킴 치료 보다 더욱 효과적이었지만, 삼킴 장애 환자의 삶의 질은 직접 삼킴 치료와 간접 삼킴 치료 모두 긍정적인 영향을 미치는 것을 확인하였다.

대장암 환자의 소적정원산 및 한방치료 관찰 1례 (A Case Report of Rectal Cancer Treated by Sojukjeongwon-san.)

  • 신원탁;권오순;이재준;홍상훈
    • 대한한의학회지
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    • 제28권3호통권71호
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    • pp.108-115
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    • 2007
  • Objectives : The purpose of this study was to investigate the effect of Sojukjeongwon-san (이하 SJJWS) on a rectal cancer patient. Methods : This clinical case was analyzed on a patient who was admitted on August 11th and discharged on September 7th, 2006. We recordedhis abdominal pain, urine, anal pain, bleeding, mucous stools, frequency and hardness and amount of the stools, weight, lab follow-ups and so on. Results : After the treatment, the chief complaints of the patient, such as rectal pain, bloody excrement, loss of weight, etc., had improved. Conclusion : In this study we suggest that SJJWS reduced symptoms for a rectal cancer patient and improved the patient's quality of life.

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한국인의 자가평가 건강수준 평가 도구 개발을 위한 문헌 고찰 (A Review Study for Developing Health Profiles to Measure the Self-Perceived Health Stati of Koreans)

  • 양진선;전진호
    • Journal of Preventive Medicine and Public Health
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    • 제36권1호
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    • pp.1-10
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    • 2003
  • Valid evaluation of self-perceived health status is important for the promotion of individual health and quality of life, In advanced countries, many types of health profile have been developed, and currently, the SF-36, NHP, and EuroQol, etc, are widely used. However, the outcomes of these profiles may vary according to regional, cultural or emotional backgrounds. For these reasons a Korean Health Profile should be developed. In this study, we reviewed the concept of self-perceived health status, and its significance to public health, and reviewed some of the differences between the available profiles in 139 related publications. Based on this review, we are trying to develop a Korean Health Profile in order to measure the self-perceived health stati of Koreans.

Interactive Rehabilitation Support System for Dementia Patients

  • Kim, Sung-Ill
    • 융합신호처리학회논문지
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    • 제11권3호
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    • pp.221-225
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    • 2010
  • This paper presents the preliminary study of an interactive rehabilitation support system for both dementia patients and their caregivers, the goal of which is to improve the quality of life(QOL) of the patients suffering from dementia through virtual interaction. To achieve the virtual interaction, three kinds of recognition modules for speech, facial image and pen-mouse gesture are studied. The results of both practical tests and questionnaire surveys show that the proposed system had to be further improved, especially in both speech recognition and user interface for real-world applications. The surveys also revealed that the pen-mouse gesture recognition, as one of possible interactive aids, show us a probability to support weakness of speech recognition.

요족형 족저근막염 환자에 대한 도침요법과 근막 추나요법 병행 치료의 임상적 효과: 증례 보고 (A Case Report of Talipes Cavus-Type Plantar Fasciitis Treated with Acupotomy and Fascia Chuna Therapy)

  • 하원배
    • 척추신경추나의학회지
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    • 제17권1호
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    • pp.47-53
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    • 2022
  • Objectives This case study aimed to investigate the effect of acupotomy and fascia chuna therapy on talipes cavus-type plantar fasciitis. Methods We classified the foot arch type using a podoscope and estimated the outcome by evaluating the numeric rating scale, pain disability index, and EuroQol-5-dimension measurement. Results After treatment, heel pain decreased and the quality-of-life score improved. Conclusions This study suggests that treatment with acupotomy and muscle energy techniques based on the foot arch type may be effective for plantar fasciitis. A limitation of this study is the small number of cases. Further clinical studies are required.

유방암 환자의 영적안녕과 삶의 태도 (Spiritual Wellbeing and Life Attitude of Breast Cancer Patients)

  • 소희영;민효숙
    • 재활간호학회지
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    • 제9권1호
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    • pp.5-14
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    • 2006
  • Purpose: This research was conducted to explore the relationship between spiritual well being and life attitude among breast cancer patients who were operated, and to increase understanding for wholistic nursing care. Method: With spiritual well being from quality of life questionnaire in breast cancer survivors (QOL-BR 23) of Ferrell et al (1998) and Life attitude profile (LAP) of Recker & Peacock (1981), the data were collected by research assistant in a sample of 56 women with stage 1-stage 3 breast cancer at surgery OPD after follow-up care. Result: Mean spiritual wellbeing score of subject was 5.83 (0-10) and life attitude was 4.96 (1-7). There were significant differences in life attitude according to monthly income (F=3.22, p=.03), and in spiritual wellbeing according to monthly income (F=4.16, p=.01) and religion (t=-3.67, p=.001) among demographic characteristics. There was significant difference in spiritual wellbeing according to the period passed after operation (F=2.89, p=.04) among disease characteristics. From life attitude domain, the mean score of "will to meaning" was the highest (5.30) and "existential vacuum" was the lowest (4.58). There was a significant relationship between spiritual wellbeing and "will to meaning" subscale of life attitude (r=.521, p=.000). The correlation coefficient showed r= .513 between spiritual well being and life attitude. Conclusion: Nurses could promote positive life attitude for breast cancer patients by improving spiritual well being with the encouragement of having religion expecially for long term breast cancer survivors in the process of their rehabilitation.

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20·30대 여성의 체형 과대인식에 따른 체중조절행위, 삶의 질, 식행동 및 영양소 섭취상태: 2010-2011년 국민건강영양조사 자료 이용 (Weight Control Behaviors, Health-related Quality of Life and Nutritional Status by Overestimation of Body Image among Young Korean Females: Data from the Fifth Korea National Health and Nutrition Examination Survey, 2010-2011)

  • 박슬기;현태선;이홍미
    • 대한지역사회영양학회지
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    • 제20권5호
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    • pp.362-374
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    • 2015
  • Objectives: This study was performed to investigate the effects of overestimation of their own body shape on weight control behaviors, mental condition, physical activity, dietary behavior, health-related quality of life, and nutritional status among young Korean females. Methods: A total of 1,514 women aged 20-39 years who are not pregnant and lactating among those who participated in the Fifth Korea National Health and Nutrition Examination Survey (2010~2011), were analyzed and grouped into underestimation (n=120), normal estimation (NE, n=840), and overestimation (OE, n=554), based on their body perception compared to actual percent ideal body weights. Variables were compared between OE group and NE group. Results: The subjects in OE group were significantly younger (29.5 vs. 30.5 years, respectively p < 0.05) and had lower body mass index (20.9 vs. 22.2 respectively, p < 0.01), health-related quality of life measured by EQ-5D (EuroQol-5 Dimension)(0.97 vs. 0.98 respectively, p < 0.05), nutrition adequacy ratio (NAR) of protein (0.91 vs. 0.93 respectively, p < 0.05), phosphorous (0.93 vs. 0.96 respectively, p < 0.05), and iron (0.70 vs. 0.75 respectively, p < 0.01), and index of nutrition quality (INQ) of iron (0.84 vs. 0.89 respectively, p < 0.05) compared to those in the NE group. The results of logistic regression showed that unmarried status (OR 1.32; 1.01~1.72) and severely underweight/underweight status (OR 1.94; 1.01~3.75)/(OR 1.81; 1.34~2.45) were significantly related to the probability of overestimation by the subjects. Significantly more women in OE group practiced fasting, skipping meals, and taking prescribed pills to lose body weights and had skipped breakfast compared to those in the NE group. Conclusions: The results of this study suggested that the Korean young women's distorted perception of own body shape may be associated with undesirable weight control behavior, low quality of life, and lower nutritional status. Therefore, nutrition education for this group should include information on correct body shape perception and its importance.

Clinical Comparison of Proximal Gastrectomy With Double-Tract Reconstruction Versus Total Gastrectomy With Roux-en-Y Anastomosis for Siewert Type II/III Adenocarcinoma of the Esophagogastric Junction

  • Ma, Xiaoming;Zhao, Mingzuo;Wang, Jian;Pan, Haixing;Wu, Jianqiang;Xing, Chungen
    • Journal of Gastric Cancer
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    • 제22권3호
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    • pp.220-234
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    • 2022
  • Purpose: The incidence of adenocarcinoma of the esophagogastric junction (AEG) has increased in recent years, and the optimal surgical strategy for AEG remains highly controversial. We aimed to evaluate the safety and efficacy of proximal gastrectomy with double-tract reconstruction (PG-DT) for the treatment of patients with AEG. Materials and Methods: We retrospectively analyzed patients with Siewert type II/III AEG between January 2013 and July 2018. Clinicopathological characteristics, survival, surgical outcomes, quality of life (QOL), and nutritional status were compared between the PG-DT and total gastrectomy with Roux-en-Y anastomosis (TG-RY) groups. Results: After propensity score matching, 33 patients in each group were analyzed. There were no statistical differences between the 2 groups in terms of disease-free survival and overall survival. The surgical option was not an independent prognostic factor based on the multivariate analysis. In addition, no differences were found in terms of surgical complications. There were no significant differences in QOL assessed by the Visick grade, Gastrointestinal Symptom Rating Scale, or endoscopic findings. Furthermore, the long-term nutritional advantage of the PG-DT group was significantly greater than that of the TG-RY group. Conclusions: PG-DT is a safe and effective procedure for patients with local Siewert type II/III AEG, regardless of the TNM stage.