• 디지털융복합연구
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• 제16권11호
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• pp.501-509
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• 2018

수용­전념 치료(ACT)가 과민성 대장 증후군이 있는 사람들의 과민성 대장 증후군(IBS) 증상 심도, 지각된 스트레스, 과민성 대장 증후군 특이적 삶의 질 및 수용 행동에 미치는 효과를 알아보았다. 성인 156명에게 과민성 대장 증후군 진단척도를 실시한 뒤 14명을 참가자로 선정하였고, IBS 증상 심도, 지각된 스트레스, 삶의 질 및 수용 행동에 관한 사전 검사를 실시하여 치료 집단에 7명, 통제 집단에 7명을 할당하였다. 프로그램은 주 2회씩 총 10회기가 진행 되었고, 사후 검사 및 4주 후 추적 검사가 실시되었다. 최종 참여자는 치료 집단에 6명, 통제 집단에 6명이다. 연구 결과, 수용 전념 치료 프로그램에 따른 IBS 증상 심도의 변화는 유의하지 않았지만, 지각된 스트레스와 삶의 질 및 수용 행동 상의 변화는 유의하였다. 적은 수의 참가자로 치료 프로그램이 진행되어 참여 인원이 증가된 후속 연구의 필요성은 있겠으나, 과민성 대장 증후군이 있는 사람들의 스트레스 수준을 낮추고 삶의 질과 수용 행동을 높이는데 수용전념치료가 효과적임을 입증하는 경험적인 증거를 제공한다.

• 한국산학기술학회논문지
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• 제20권8호
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• pp.531-538
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• 2019

본 논문은 간호사의 감성지능, 셀프리더십과 전문직 삶의 질의 관계를 확인하고자 하였으며, 대상자는 부산, 울산, 경남 종합병원 간호사 197명으로 하였다. 통계분석은 SPSS/win 23.0 프로그램을 이용하여 평균과 표준편차, 독립 t 검정, 일원분산분석 및 상관관계를 분석하였으며, 그 결과 감성지능 점수는 4.68/7점, 셀프리더십 점수는 3.35/5점, 전문직 삶의 질 점수는 2.98/5점으로 나타났다. 전문직 삶의 질은 공감만족, 소진, 이차 외상성 스트레스의 3가지 하위영역으로 구성되며, 대상자의 19.8%가 높은 전문직 삶의 질을 나타냈다(공감만족75%이상, 소진25%미만, 이차 외상성 스트레스25% 미만인 집단). 대상자의 전문직 삶의 질 하위요인들과 독립변수 간의 상관관계에서 공감만족은 감성 지능(r=.41, p<.001) 및 셀프리더십과 양의 상관관계(r=.61, p<.001)에, 소진은 감성지능(r=-.48, p<.001) 및 셀프리더십과 유의한 음의 상관관계에 있었으며(r=-.50, p<.001), 감성지능과 셀프리더십은 유의한 양의 상관관계에 있었다(r=.66, p<.001) 이러한 결과를 토대로 감성지능 및 셀프리더십을 향상 시킬 수 있는 중재 프로그램을 개발, 적용하여 전문직 삶의 질을 향상시켜주고, 공감만족을 위한 간호조직분위기 조성을 위해 힘써야 할 것이다.

• 대한물리치료과학회지
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• 제11권4호
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• pp.11-19
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• 2004

Muscle stiffness, pain discomfort in daily activities are cardinal symtoms on arthritis. To reduce these symtoms, a nonequivalent one-group pre & posttest experiment was carried out at a rural community health post area in kwangju province during eight weeks(from 25th of January to 20th of March, 2002) The subjects were sixteen old (60-80) with osteoarthritis. And to reduce the level of pain, discomfort in daily living and to increase that of life satisfaction, 25-30minutes of muscle-joint exercise followed by 25-30minutes of local heat therapy were done three times a week. The total experimental period extended at 12 weeks and the total 36 times it executed 1. The retrogression characteristic osteoarthritis elderly with local heat and a muscle joint exercise was the telegram which it receives and after receiving, the score of the paindaily activity function appeared to the lead, there was a difference which considers statistically, this constriction was supported.(Z=4.947, p<0.0001) 2. The retrogression characteristic osteoarthritis elderly with local heat and a muscle joint exercise was the telegram which it receives and after receiving, the score of daily activity function appeared lowly, there was a difference which considers statistically, this construction was supported.(Z=2.7226, p<0.0279) 3. The retrogression characteristic osteoarthritis elderly with local heat and a muscle joint exercise was the telegram which it receives and after receiving, there was not a difference where the quality of life considers statistically, this construction was rejected.(Z=-1.2087, p>0.2171)

• Asian Pacific Journal of Cancer Prevention
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• 제14권4호
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• pp.2621-2626
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• 2013

Background: To review the peer reviewed literature on the psychological aspects of the prostate cancer experience of men in Asia. Materials and Methods: Medline and PsycINFO, CINAHL, ProQuest, and Web of Science (1999 - November Week 4, 2012) were searched. Inclusion criteria were: included men with prostate cancer and/or their partners or caregivers who identify as Asian recruited in an Asian country; and assessed health-related quality of life, psychological and social adjustment relating to prostate cancer and published in English after $1^{st}$ January 1999 and prior to $30^{th}$ November, 2012. Study aims; design; quality; level of evidence, and key results were assessed. Results: 43 articles met all inclusion criteria and were retained for initial review. Of these most focussed on health-related QOL with only five evidence Level IV studies from Japan and Taiwan including a specific psychological focus. Of these, one was a cross-sectional case control study; three were cross-sectional descriptive quantitative designs; one was a cross-sectional descriptive qualitative study. From the data available, a substantive sub group of men with prostate cancer (approximately one third) in these countries experience clinically high psychological distress and decision regret. Conclusions: Research on the psychological needs of men with the increasingly prevalent condition of prostate cancer in Asian countries is scant with only a small number of low level evidence descriptive studies identified. Future research to underpin the development and evaluation of effective and culturally relevant psychological and supportive care interventions for such men is urgently needed.

• Journal of Nutrition and Health
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• 제53권2호
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• pp.129-140
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• 2020

본 연구는 국민건강영양조사 2008-2016년 자료를 이용하였고, 그중 자신이 당뇨병을 앓고 있다는 것을 인지하고 있는 65세 이상 노인들을 대상으로 분석을 실시하였다. 총 2,353명을 대상으로 세부 연령 그룹별 정신건강 특성, 식이 섭취수준 및 HRQoL 수준을 비교하였다. 노인 당뇨병 인지자들을 65-69세, 70-74세, ≥ 75세로 분류하여 EQ-5D 개별 항목과 index 수준을 비교 분석한 결과 5가지 항목 중, 연령이 높을수록 운동능력, 자기관리, 일상활동, 통증/불편 항목의 수준이 낮은 결과를 보였고, EQ-5D index 또한 가장 낮은 것으로 나타났다. 노인 당뇨병 환자의 경우, 질환을 통해 직접적인 영향을 받는 것과 노화로 인해 나타나는 여러 기능장애들이 함께 동반되는 경우가 많기 때문에 이를 반영한 개별적인 치료 및 관리가 필요한 실정이다. 이에 따라 노인 당뇨병 환자들의 건강관리에서 HRQoL 측정의 중요성은 강조되며, 지속적인 추적 조사를 통해 노인 당뇨병 환자들의 건강에 영향을 주는 특정 요인에 대한 체계적인 관리 및 파악이 가능할 것으로 생각된다. 또한 이를 고려하여 국내 당뇨병 환자의 HRQoL 수준을 향상시키는 것은 개인의 건강관리뿐만 아니라 국가의 보건복지정책에 이바지할 수 있을 것으로 사료된다.

• Asian Pacific Journal of Cancer Prevention
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• 제16권18호
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• pp.8107-8112
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• 2016

Background and Aims: Colorectal cancer is the second most frequent cancer in Malaysia. We aimed to assess the validity and reliability of the Malaysian Chinese version of European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire core (QLQ-C30) in patients with colorectal cancer. Materials and Methods: Translated versions of the QLQ-C30 were obtained from the EORTC. A cross sectional study design was used to obtain data from patients receiving treatment at two teaching hospitals in Kuala Lumpur, Malaysia. The Malaysian Chinese version of QLQ-C30 was self-administered in 96 patients while the Karnofsky Performance Scales (KPS) was generated by attending surgeons. Statistical analysis included reliability, convergent, discriminate validity, and known-groups comparisons. Statistical significance was based on p value ${\leq}0.05$. Results: The internal consistencies of the Malaysian Chinese version were acceptable [Cronbach's alpha (${\alpha}{\geq}0.70$)] in the global health status/overall quality of life (GHS/QOL), functioning scales except cognitive scale (${\alpha}{\leq}0.32$) in all levels of analysis, and social/family functioning scale (${\alpha}=0.63$) in patients without a stoma. All questionnaire items fulfilled the criteria for convergent and discriminant validity except question number 5, with correlation with role (r = 0.62) and social/family (r = 0.41) functioning higher than with physical functioning scales (r = 0.34). The test-retest coefficients in the GHS/QOL, functioning scales and in most of the symptoms scales were moderate to high (r = 0.58 to 1.00). Patients with a stoma reported statistically significant lower physical functioning (p=0.015), social/family functioning (p=0.013), and higher constipation (p=0.010) and financial difficulty (p=0.037) compared to patients without stoma. There was no significant difference between patients with high and low KPS scores. Conclusions: Malaysian Chinese version of the QLQ-C30 is a valid and reliable measure of HRQOL in patients with colorectal cancer.

• 대한한방내과학회지
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• 제43권3호
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• pp.396-412
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• 2022

Objective: The aim of this study was to identify the clinical features of post-acute COVID-19 syndrome and the efficacy and safety of Korean medicine treatment. Methods: This study was conducted on 15 patients with post-acute COVID-19 syndrome who visited the outpatient Allergy, Immune, and Respiratory System Department at Kyung Hee University Korean Medicine Hospital from January 10, 2021 to April 10, 2022. We retrospectively analyzed the charts of 15 patients and collected clinical characteristics, Korean medicine treatments, outcome variables (Numeral Rating Scale (NRS), modified Medical Research Council scale (mMRC), Leicester Cough Questionnaire (LCQ), Quality of Life Visual Analog Scale (QOL-VAS), The Post-COVID-19 Functional Status (PCFS)), adverse events, etc. Results: Of the 15 patients, seven (46.7%) were men, and the average age of all patients was 49.7±13 years. The most common symptom was cough (n=9, 60%), and it was followed by dyspnea or increased respiratory effort, fatigue, insomnia, anosmia, etc. The herbal medicine was prescribed for all 15 patients, and Saengmaek-san (n=8, 53.5%) was the most prescribed. Additionally, acupuncture and cupping were performed in four patients (26.7%) each, and electroacupuncture was applied to one patient (6.7%). As a result of Korean medicine treatment, NRS, mMRC, LCQ, QOL-VAS, and PCFS showed improvement, and adverse events were mild. Conclusions: This study presented the clinical features of post-acute COVID-19 syndrome and suggested that Korean medicine treatment may be effective in alleviating related symptoms and enhancing quality of life.

• Asian Pacific Journal of Cancer Prevention
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• 제15권22호
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• pp.9679-9685
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• 2014

Background: When evaluating health-economics for cervical cancer prevention policies in Japan, it is important to use Japanese value settings. This study aimed to obtain preference-based measures (preference measures) for hypothesized health states among healthy Japanese women, and to examine differences between the EuroQol-5D (EQ-5D) and standard gamble (SG) instruments. Materials and Methods: The investigation was performed among female students at a nursing university. We used written hypothetical scenarios describing three grades of cervical intraepithelial neoplasia (CIN) and eight stages of cervical cancer, both at diagnosis and after medical intervention. Preference measures were evaluated using both EQ-5D and SG. Results: We received responses from 136 women. The mean number of respondents per stage was 24.6 (SD: 2.7). At diagnosis, average EQ-5D scores for CIN1, CIN2, CIN3, IA1, IA2, IB1, IB2, IIA, IIB, III, and IV stages were 0.84 (0.14), 0.78 (0.12), 0.73 (0.10), 0.78 (0.12), 0.72 (0.12), 0.63 (0.13), 0.64 (0.12), 0.68 (0.08), 0.62 (0.13), 0.55 (0.21), and 0.18 (0.24), respectively. Using one-way analysis of variance with the Tukey-Kramer method for multiple comparisons (each stage vs. CIN1), we found significant differences for IB1 and more advanced stages (p<0.05). After medical intervention, corresponding EQ-5D scores were 0.84 (0.12), 0.81 (0.12), 0.84 (0.12), 0.80 (0.15), 0.78 (0.11), 0.64 (0.15), 0.63 (0.15), 0.71 (0.15), 0.50 (0.17), 0.52 (0.17), 0.21 (0.28). The multiple comparisons identified significant differences for IB1 and more advanced stages, excepting IIA (p<0.05). SG evaluations were more variable and relatively higher than EQ-5D evaluations. Conclusions: We obtained preference measures for three grades of CIN1-3 and eight stages of cervical cancer. In combination with appropriate sensitivity analyses, these preference measures will provide a basis for an economic evaluation of cervical cancer prevention in Japan. We suggest that EQ-5D is appropriate for cost-utility analysis of this topic.

• Journal of Ginseng Research
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• 제33권2호
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• pp.115-126
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• 2009

홍삼의 여성성기능 장애 개선과 건강관련 삶의 질 개선 효과를 규명하기 위해 성기능 저하를 호소하는 만 30세 이상 45세 미만의 기혼여성을 대상으로 6주간의 기본 투약기간을 두 번 거친 총 20주 동안의 교차 임상시험을 진행한 결과 대상자들 모두에서 성기능 개선과 일반적 건강수준 향상, 삶의 질 개선 효과가 나타났으나 홍삼과 대조약의 통계적으로 유의한 차이는 나타나지 않았다. 특히 대부분의 유효성 평가 항목들이 대상약에 상관없이 1차 투약에서 좀 더 개선되는 양상을 보였고, 홍삼과 대조약의 효과가 크게 차이가 나타나지 않았다. 그러나 성욕 (desire)의 경우는 모든 대상자에서 홍삼을 복용한 경우가 대조약을 복용한 경우보다 좀 더 개선되는 양상을 보였으며, 일반적 건강수준과 삶의 질 개선에 있어서는 특히 신체적 기능 (PF)이 정신적 요소보다 홍삼을 복용한 경우에 좀 더 개선되는 양상을 보였다. 이러한 결과는 정서적 반응에 의해 높은 변동을 보일 수 있는 대상 질환의 특성 상대조약의 높은 위약효과에 의해 홍삼의 유의한 효과가 가려졌음에도 불구하고 홍삼의 보기온양 (補氣溫陽)하는 효과가 실제적으로 발휘된 것으로 생각되었으며, 신체적 건강수준 개선과 더불어 홍삼에 일정한 성기능 개선 효과가 있음을 유추할 수 있게 하였다. 따라서 본 연구 방법을 토대로 향후 성기능장애와 같은 기능성 장애에 대한 강한 위약 효과를 고려한 좀 더 많은 수의 대상자를 포함한 장기간의 추가 임상 시험 연구가 이루어진다면 신체적 건강과 삶의 질, 그리고 성기능 개선에 관한 홍삼의 유의한 효과를 규명할 수 있을 것이라 생각된다.

• 대한통합의학회지
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• 제11권2호
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• pp.23-35
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• 2023

Purpose : Lung cancer induces a decrease in physical activity and a deterioration of respiratory ability. Exercise is an effective treatment to reduce side effects of anti-cancer treatments, also influence the survival and successful rehabilitation in lung cancer patients. However, there is insufficient evidence to show which period is the most effective to apply exercise for lung cancer patients. Therefore, this study was conducted to evaluate the efficacy of exercise-based interventions before and after surgery. Methods : Clinical trials (CTs) and randomized controlled trials (RCTs) reported in PubMed database were investigated. The trials investigated in this study were published for 10 years before August 20, 2022. The risk of bias was judged according to the Cochrane guideline. The materials included in this meta-analysis were 6-minute walk test (6MWT), pulmonary function, and quality of life (QOL). Results : 1 CT and 9 RCTs were selected in current study. In the meta-analysis, exercise increased 6MWT in preoperation (mean difference [MD] 29.49; 95 % confidence interval [CI] .99 to 57.99; p=.04; I²=0 %), 3 months postoperation (MD 54.97; 95 % CI 31.85 to 78.09; p<.001; I²=45 %) and 6 months postoperation (MD 85.59; 95 % CI 45.06 to 126.12; p<.001; I²=47 %). Exercise, also enhanced the lung function such as FEV₁/FVC (%) in postoperation (MD 7.64; 95 % CI 6.26 to 9.02; p<.001; I²=19 %). Additionally, exercise improved QOL, such as preoperative EORTC-QLQ-C30-LC13 in mental function (MD 3.21; 95 % CI .64 to 5.79; p=.01; I²=0 %) and postoperative SF-36 in mental component summary (MD 9.24; 95 % CI 4.94 to 13.54; p<.001; I²=0%). Conclusion : These results indicate that exercise-based intervention can elevate the ability to exercise and the mental componentof QOL within 3 months.