• Title/Summary/Keyword: quality of life

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Predictors of Quality of Life among Hemodialysis Patients (혈액투석환자의 삶의 질에 대한 영향요인)

  • Kim, Eun-Young;Kim, Jin-Sun
    • Korean Journal of Adult Nursing
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    • v.16 no.4
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    • pp.597-607
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    • 2004
  • Purposes: Quality of life is an important health outcome for hemodialysis patients. The purposes of this study were to identify the level of quality of life and to identify the predictors of quality of life among hemodialysis patients. Method: A descriptive correlational study was conducted. Data were collected from 103 hemodialysis patients at the hospitals in a community using structured questionnaire and medical record. Data were analyzed using descriptive statistics, t-test, ANOVA, correlation, and stepwise multiple regression. Results: Quality of life among hemodialysis patients was relatively lower than that of previous studies. In the final analysis, quality of life was predicted by presence of comorbidity, emotional health, gender, physical health, and knowledge of disease. These variables accounted for 45% of variance of the quality of life. The presence of comorbidity was the most significant predictor of quality of life among hemodialysis patients. Conclusion: Interventions to increase quality of life among hemodialysis patients such as health promotion program and educational program for dietary compliance are needed. These must be developed and applied.

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A Study of the Subjectivity of Quality of Life in Elderly Women (여성노인의 삶의 질에 대한 주관적 구조)

  • Kim, Boon-Han;Kim, Yoon-Sook;Jeon, Hye-Won
    • Korean Journal of Adult Nursing
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    • v.19 no.5
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    • pp.92-103
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    • 2007
  • Purpose: The purpose of the study were to categorize the subjectivity of the quality of life in elderly women and to thereby understand the differences regarding quality of life desires. Methods: This study used a Q-methodology to measure the quality of life in elderly women. A Q sample was collected from in-depth and objective interviews and WHOQLO. Fourteen participants rated 28 selected Q-statements on a scale of 1 - 7. The collected data was analyzed using PC Quanl. Results: The principal component analysis identified 4 factors regarding the quality of life of elderly women. These categories were labeled 'hopelessness-oriented', 'relationship/adaptation-oriented', 'physical suffering-oriented', and 'self satisfaction-orientated'. Conclusion: Some of the factors regarding the quality of life of elderly women were determined through this research. Further research is necessary to set up and apply different the quality of life between men and women based on this result. The results of this study indicate that different approaches toward quality of life promotion programs are recommended based on the four factors of quality of life among elderly women.

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Structural Equation Modeling on Quality of Life in Stroke Survivors (뇌졸중 환자의 삶의 질 구조모형)

  • Suh, Min-Hee;ChoiKwon, Smi
    • Journal of Korean Academy of Nursing
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    • v.40 no.4
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    • pp.533-541
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    • 2010
  • Purpose: This study was designed to test structural equation modeling of the quality of life of stroke survivors in order to provide guidelines for development of interventions and strategies to improve their quality of life. Methods: The participants in the study were patients who visited the neurology outpatient department of a tertiary hospital in Seoul between June 25 and October 15, 2009. Data collection was carried out through one-on-one interviews. Demographic factors, functional independence, social support, nutritional status, post-stroke biobehavioral changes and quality of life were investigated. Results: The final analysis included 215 patients. Fitness of the hypothetical model was appropriate (${\chi}^2$=111.5, p=.000, GFI=.926, AGFI=.880, RMSA=.068, NFI=.911, CFI=.953). Functional dependency, social support and post-stroke biobehavioral changes were found to be significant explaining variance in quality of life. Post-stroke biobehavioral changes had the strongest direct influence on quality of life. Nutritional status had an indirect effect on the quality of life. Conclusion: To improve the quality of life of stroke survivors, comprehensive interventions are necessary to manage post-stroke biobehavioral changes, and strengthening social support networks that can contribute to enhancing the quality of life of stroke survivors.

Resilience and Health-Related Quality of Life in Children with Chronic Illness (만성질환아의 극복력(resilience)과 건강관련 삶의 질)

  • Shin, Yeong-Hee;Sim, Mi-Kyung;Kim, Tae-Im
    • Child Health Nursing Research
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    • v.12 no.3
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    • pp.295-303
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    • 2006
  • Purpose: The purpose of this study was to describe the relationship between resilience and health-related quality of life and to identify the effect of resilience on health-related quality of life in children with chronic illness. Method: The participants in this study were 71 children who were seen at one of 3 hospitals, either in outpatient clinics or as admitted patients. The data were collected from March to October, 2005 and descriptive statistics, t-test or ANOVA, Pearson correlation coefficient and stepwise multiple regression were used to analyze the data. Result: Health-related quality of life was slightly low with a mean score of 2.85 (range 1-5). Health-related quality of life was significantly different according to age. There was a significant correlation between resilience and health-related quality of life. Resilience was a predictor of health-related quality of life and accounted for 45% of the variance. Conclusions: Resilience was shown to influence health-related quality of life of children with chronic illness. These findings suggest that the interventions to enhance resilience would be effective for the improvement of health-related quality of life.

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Hope, Self-esteem and Quality of Life in People with Spinal Cord Injury (척수손상 환자의 희망, 자아존중감과 삶의 질에 관한 연구)

  • Hwang, Hye-Min;Yi, Myung-Sun
    • Korean Journal of Adult Nursing
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    • v.23 no.2
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    • pp.189-197
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    • 2011
  • Purpose: The purpose of the study was to identify levels of hope, self-esteem, and quality of life, and to find correlations among these variables in people with spinal cord injury. Methods: This study was a cross-sectional descriptive survey. The data were collected by survey interview in 2010 from 120 people with spinal cord injury living in the community. To measure hope, self-esteem and quality of life, the Dispositional Hope Scale, Self-Esteem Scale, and World Health Organization's Quality of Life Instrument were utilized respectively. The data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation and stepwise multiple regression analysis using SPSS version 12.0. Results: Mean score of hope was 2.56 and that of self-esteem was 3.23. Mean score of quality of life was 3.01. Statistically significant relationships were found between quality of life and hope (r=.73, p<.001), and between quality of life and self-esteem (r=.67, p<.001). Multiple regression analyses showed that hope and self-esteem were statistically significant in predicting quality of life with the explanatory power of 59.1%. Conclusion: The results of this study indicate that nursing interventions fostering hope and self-esteem should be integrated in developing rehabilitation programs to improve quality of life for people with spinal cord injury.

The Effect of Depression on Quality of Life in Patients with Parkinson's Disease: Mediating Effect of Family Function

  • Bae, Eun Sook;Kang, Hye Seung
    • Research in Community and Public Health Nursing
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    • v.33 no.1
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    • pp.105-113
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    • 2022
  • Purpose: The purpose of this study is to explore the roles and function of family in mediating the relationship between depression and quality of life of patients with Parkinson's disease (PD). Most studies have found that depression is particularly common in patients with PD and further associated with poor quality of life. Family function, as a mediator, is based on a strength orientation perspective that emphasizes not only their responsibilities and risks but also recuperative powers and growth potential. Methods: Overall 157 adults with idiopathic Parkinson's disease were enrolled in this study via outpatient clinic and completed a set of assessment to measure depression using BDI, family APGAR questionnaire, and patients' quality of life using PDQ-8. Hierarchical multiple regression analysis was conducted to examine the mediating role of family APGAR score in the relationship between BDI and PDQ-8. Results: Patients' depression, gait disturbance, duration of illness, and family function were statistically significant on quality of life. These factors accounted for 60% of the variance in quality of life. Family function has a partial mediating effect on the relationship between depression and quality of life. Conclusion: Findings from the study suggest that although PD patients' depression impacts their quality of life, by having strong family function, the extent to which depression impacts the quality of life can be favorably mitigated. Additionally, these outcomes have important implications for future model development regarding PD patients.

Influences of Personality Traits on Depression and Quality of Life in Stroke Outpatients Receiving Rehabilitation Therapy (성격특성이 통원 재활치료를 받는 뇌졸중 환자들의 우울과 삶의 질에 미치는 영향)

  • Moon, Jonghoon
    • Journal of The Korean Society of Integrative Medicine
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    • v.6 no.2
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    • pp.25-36
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    • 2018
  • Purpose : The aim of this study was to investigate the influences of personality traits on depression and quality of life of stroke outpatients receiving rehabilitation therapy. Methods : The current study included 52 outpatients who received occupational therapy in a rehabilitative and general hospital located in Incheon. Their personality traits were assessed using the Big Five Inventory-Korean Version (BFI-K), and depression was measured using the Beck Depression Inventory (BDI). Quality of life was evaluated using the Stroke Specific Quality of Life (SS-QOL) scale. The collected data were analyzed to identify the effects of personality traits on depression and quality of life using a multiple regression analysis. Result : Neuroticism and depression were significantly correlated (p<.05), and neuroticism and agreeableness were significantly correlated with quality of life (p<.05). Additionally, depression and quality of life were significantly correlated (p<.05). Neuroticism affected depression significantly ($R^2=.503$, p<.05). Among the five personality traits, neuroticism, agreeableness, and extraversion had a significant effect on quality of life ($R^2=.474$, p<.05). Conclusion : These findings suggest that personality traits need to be considered in order to improve the quality of life of stroke patients.

Influencing Factors on Quality of Life in Pre- and Postmenopausal Women (폐경전후 여성의 삶의 질에 미치는 영향요인)

  • Yeo Jung-Hee
    • Journal of Korean Academy of Nursing
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    • v.34 no.7
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    • pp.1334-1342
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    • 2004
  • Purpose: This study was to investigate the factors influencing quality of life and difference of quality of life in a postmenopausal group compared to premenopausal women. Method: The subjects consisted of 213 women from 40 to 64 years old. The data were collected from June 1, 2003 to June 31, 2004 using structured questionnaires which included questions relating to demographic and obstetric background and 4 scales(climacteric symptoms scale, marital satisfaction scale, sex-role attitude scale, quality of life scale). Result: Comparing pre- and postmenopausal women, significant statistical differences were demonstrated in climacteric symptoms and sex-role attitude. However, quality of life was not different between pre- and postmenopausal women. In premenopausal women, marital satisfaction($32.7\%$) and educational level($8.0\%$) were significant predictors to explain quality of life. Marital satisfaction($12.9\%$) was significant predictor to explain quality of life in postmenopausal women. Conclusion: No difference of quality in life between pre- and postmenopausal women provides information for changing traditional approaches of menopause according to physiological changes as illness. In addition the study showed that it is necessary to use marital satisfaction information when developing nursing interventions to promote the quality of life.

Health Related Quality of Life among Organ Transplant Recipients (장기이식환자의 건강관련 삶의 질)

  • 김금순;강지연;정인숙
    • Journal of Korean Academy of Nursing
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    • v.33 no.3
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    • pp.365-375
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    • 2003
  • Purpose: This study was aimed to investigate the health related quality of life and related factors of organ transplant recipients. Method: The participants were 188 people who had liver(86), kidney(81), or heart(24) transplanted. Data on the demographic characteristics, transplantation-related characteristics, symptom frequency or discomfort measured by Transplant Symptom Frequency and Symptom Distress Scale by Lough et al(l987), and health related quality of life measured by SF-36(version 2) were collected. Result: Overall health related quality of life score was 492.1 for 100scoring and, 344.9 for norm based. Physical functioning showed the highest quality of life score (77.5) and vitality showed the lowest(51.l). The kidney transplanted showed the highest quality of life (504.4) and the heart transplanted showed the lowest(426.7) Quality of life was related with occupation(p=.016) and symtom discomfort(p < .0001). Conclusion: The health related quality of life of transplated patients was lower than the norm of American. Further studies need to be done to identify the norm of Korean and to investigate the effect of releving symptom discomfort on the increasing the health related quality of life.

The Association between Hope and Quality of Life among Adolescents with Chronic Diseases: A Systematic Review

  • Mardhiyah, Ai;Philip, Koshy;Mediani, Henny Suzana;Yosep, Iyus
    • Child Health Nursing Research
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    • v.26 no.3
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    • pp.323-328
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    • 2020
  • Purpose: Hope has been identified as a protective factor that contributes to achieving a better quality to life, especially in patients with chronic disease. The purpose of this review was to synthesize current knowledge about the relationship between hope and quality of life among adolescents living with chronic illnesses. Methods: We searched major English-language databases (PsycINFO, PubMed, and CINAHL) for studies from January 1, 2002 to July 12, 2019. Studies were included if they provided data on hope and its relationship with quality of life among adolescents with chronic diseases. Results: In total, five articles were selected from the 336 studies that were retrieved. All five studies reported a positive correlation between hope and quality of life, such that people with a higher level of hope had a better quality of life. Hope was found to have direct and indirect effects on quality of life in adolescents with chronic diseases. Conclusion: Healthcare professionals should make more efforts to enhance hope in adolescents with chronic diseases in order to improve their quality of life. Future studies exploring how hope develops in adolescents with chronic diseases and the long-term impact of hope on quality of life are necessary.