Korean Journal of Occupational Health Nursing (한국직업건강간호학회지)

Korean Academic Society of Occupational Health Nursing (한국직업건강간호학회)
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Activity of Daily Living, Interpersonal Relationship, Depression and Health-related Quality of Life in Patients with Hand Microsurgery

수부손상 환자의 일상생활 수행능력, 대인관계, 우울 및 건강 관련 삶의 질

  • 강문희 (충남대학교 간호대학 간호학과) ;
  • 윤순영 (백석대학교 간호학과) ;
  • 권명진 (혜천대학교 간호과)
  • Received : 2011.10.10
  • Accepted : 2011.11.14
  • Published : 2011.11.30
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Abstract

Purpose: The purpose of this study was to explore status of activity of daily living, interpersonal relationship, depression and health-related quality of life in patients with traumatic hand injury and identify factors that influence health-related quality of life. Methods: The participants were 104 outpatients with impending hand microsurgery from D city. The data were analyed using Pearson's correlation, t-test, ANOVA, and hierarchical regression with SPSS/WIN 12.0. Results: There were statistically significant differences in HRQoL to gender, age, marital state, and level of pain. HRQoL had significant correlations with ADL, IADL, relationship change, and depression. In regression analysis, depression, marital state, ADL, and level of pain explained 48% of the HRQoL. Conclusion: Findings of this study allow a comprehensive understanding of patients with traumatic hand injury. It is necessary to develop nursing intervention program for improving the health-related quality of life in patients with traumatic hand injury by considering psychological care for depression as well as physical care.

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References

  1. Angela, J. K. (2010). Psychological perspective on hand injury and pain. Journal of Hand Therapy, 23, 199-211. https://doi.org/10.1016/j.jht.2009.09.001
  2. Chang, J. H., Wu, M., Lee, C. L., Guo, Y. L., & Chju, H. Y.(2010). Correlation of return to work outcomes and hand impairment measures among workers with traumatic hand injury. Journal Occupation Rehabilitation, 21(1), 9-16.
  3. Colville, R. J. I., Nicgolson, K. S., & Belcher, H. J. C. R. (1999). Hand surgery and quality of life. Journal of Hand Surgery, 24(3), 263-266. https://doi.org/10.1054/jhsb.1998.0211
  4. Durusoy, R., Kayalar, M., Bal, E., Aksu, F., & Ada, S. (2011). What kinds of hand injuries are more likely to results in amputation? An analysis of 6549 hand injuries. Journal of Hand Surgery, 36(5), 383-391. https://doi.org/10.1177/1753193411400520
  5. Gustafsson, M., Persson, L.-O., & Amilon, A. (2000). A qualitative study of stress factors in the early stage of acute traumatic hand injury. Journal of Advanced Nursing, 32(6), 1333-1340. https://doi.org/10.1046/j.1365-2648.2000.01630.x
  6. Gustafsson, M., Amilon, A., & Ahlstrom, G. (2003). Traumarelated distress and mood disorders in the early stage of an acute traumatic hand injury. Journal of Hand Surgery 28(4), 332-338. https://doi.org/10.1053/jhsu.2003.50030
  7. Gustafsson, M., & Ahlstrom, G. (2004). Problems experienced during the first year of an acute traumatic hand injury-a prospective study. Journal of Clinical Nursing, 13, 986-995. https://doi.org/10.1111/j.1365-2702.2004.01019.x
  8. Han, C. W., Lee, E. J., Iwaya, T., Kataoka, H., & Kohzuki, M. (2004). Development of the Korean version of Short-Form 36-Item Health Survey: Health related QOL of healthy elderly people and elderly patients in Korea. Journal of Tohoku Medicine, 203(3), 189-194. https://doi.org/10.1620/tjem.203.189
  9. Ilaria, T., Elena, S., & Franco, B. (2011). Impact of han injury on patients: Psychosocially oriented nurse care. International Journal of Nursing Practice, 17, 275-279. https://doi.org/10.1111/j.1440-172X.2011.01935.x
  10. Jang, M. S. (2005). The meaning of injuries to patient of finger amputation after surgical operation for replantation. Unpublished master's thesis, Korea University, Seoul.
  11. Jeon, S. K. (1995). The social skills training for social adjustment of schizophrenic patients. Mental Health Social Work, 2, 33-50.
  12. Katz, S., Ford, A. B., Moskowitz, R. W., Jackson, B. A., & Jaffee, M. W.(1963). Studies of illness in the aged: The index of ADL: A standardized measure of biological and psychological function. Journal of American Medical Association, 185, 914. https://doi.org/10.1001/jama.1963.03060120024016
  13. Kim, Y. H., & Kim, E. J. (2004). Factors influencing postoperative depression in elderly patient. Journal of Korean Academy of Psychiatric Mental Health Nursing, 13(3), 345-353.
  14. Kim, J. Y., Lee, E. J., & Ha, E. H. (2001). Health related quality of life in injured workers. Korean Society of Occupational Medicine, 13(2), 141-151.
  15. Kim, H. K., & Lee, H. J., & Park, S. M. (2010). Factors influencing quality of life in elderly women living alone. Journal of the Korean Gerontological Society, 30(2), 279-292.
  16. Lawton, M. P., & Brody, E. M. (1969). Assessment of older people: Self-maintaining and instrumental activities of daily living. Gerontologist, 9, 179-186. https://doi.org/10.1093/geront/9.3_Part_1.179
  17. Lee, J. H. (1995). Development of Korean form of Zung's self-rating depression scale. Journal of Yeungnam University Medicine, 12(2), 292-305. https://doi.org/10.12701/yujm.1995.12.2.292
  18. Margareta, G., & Gerd, A. (2006). Emotional distress and coping in the early stage of recovery following acute traumatic hand injury: A questionnaire survey. International Journal of Nursing Studies, 43, 557-565. https://doi.org/10.1016/j.ijnurstu.2005.07.006
  19. Nurgul, A. I., Melek, S., Ismet, A., Ozlem, B. C., & Gunsah, S. (2009). The geriatric hand: Correlation of hand-muscle function and activity restriction in elderly. International Journal of Rehabilitation Research, 32(3), 213-218. https://doi.org/10.1097/MRR.0b013e3283298226
  20. Park, U. H., & Lee, J. S. (2000). A study on hospital experiences of plastic surgery patients. Journal of Korean Academy of Psychiatric Mental Health Nursing, 9(1), 64-78.
  21. Rolfson, O., Dahlberg, L. E., Nilsson, J. A., Malchau, H., & Garellick, G. (2009). Variables determining outcome in total hip replacement surgery. Journal of Bone and Joint Surgery, 91(2), 157-161. https://doi.org/10.1302/0301-620X.91B2.20765
  22. Rosberg, H. E., Carlsson, K. S., & Dahlin, L. B. (2005). Prospective study of patients with injuries to the hand and forearm: Cost, function, and general health. Scandinavian Journal of Plastic & Reconstructive Surgery, 39, 360-369. https://doi.org/10.1080/02844310500340046
  23. Rubin, R. (1968). Body image and self esteem. Nursing Outlook, 16(6), 20-24.
  24. Schlein, S., & Guerney, B., & Stover, L. (1971). The interpersonal relationship scale. Unpublished doctoral dissertation, Pennsylvania State University, Pennsylvania, USA.
  25. Statistics Korea. (2010). http://www.kostat.go.kr
  26. The Korean Society of Plastic and Reconstructive Surgeons. (1994). Plastic surgery. Seoul: The Ryo Moon Gak.
  27. Trybus, M., Lokowski, J., Brongel, L., & Haldki, W. (2006). Causes and consequences of hand injuries. The American Journal of Surgery, 192, 52-57. https://doi.org/10.1016/j.amjsurg.2005.10.055
  28. Ware, J. E., & Sherbourne, C. D. (1992). The MOS 36-Item Short-Form Health Survey (SF-36) in conceptual framework and item selection. Medical Care, 30(6), 474-483
  29. Won, J. W., No, Y. G., Sun, W. D., & Lee, Y. S. (2002). The validity and reliability of Korean instrumental activities of daily living (K-IADL) scale. The Korean Geriatric Society, 6(4), 273-280.
  30. Zung, W. W. K. (1965). A self-rating depression scale. Archives of General Psychiatry, 12, 63-70. https://doi.org/10.1001/archpsyc.1965.01720310065008