DOI QR코드

DOI QR Code

만성 B형 간염 환자의 건강 관련 삶의 질과 영향요인

Factors Influencing Health related Quality of Life among Patients with Chronic Hepatitis B

  • 김자옥 (원광보건대학교 간호학과) ;
  • 김만우 (조선대학교 의과대학.조선대학교병원 내과학교실) ;
  • 김자숙 (동강대학교 간호학과) ;
  • 한수정 (건양대학교 간호학과) ;
  • 김세현 (단국대학교 대학원 생명융합학과)
  • Kim, Ja-Ok (Department of Nursing, Wonkwang Health Science University) ;
  • Kim, Man Woo (Department of Internal Medicine, Chosun University Hospital.College of Medicine, Chosun University) ;
  • Kim, Ja-Sook (Department of Nursing, Dongkang College) ;
  • Han, Su-Jeong (Department of Nursing, Konyang University) ;
  • Kim, Sehyun (Graduate School, Department of Medical Consilience, Dankook University)
  • 투고 : 2014.02.10
  • 심사 : 2014.04.24
  • 발행 : 2014.06.30

초록

Purpose: The aim of this study was to investigate the factors contributing to health-related quality of life (HRQOL) among patients with chronic hepatitis B (CHB). Methods: A cross-sectional, descriptive design was used. The sample included 114 patients in a gastroenterology outpatient department at one hospital located in G city. Data were collected using a structured questionnaire from June to December 2009. The collected data were analyzed using SPSS/WIN 15.0. Results: Health-related quality of life was most strongly related to age, sex, income, occupation, and the care provider. Old age, female gender, lower income, not having an occupation and having a non-medical person were associated with lower HRQOL ($R^2$=.03~.22, p=.041~<.001). Conclusion: CHB infection had a negative impact on HRQOL among the older, female gender, low socioeconomic status and not having medically knowledgeable care givers. Interventions beyond nursing care may be needed to improve the quality of health for patients with Chronic Hepatitis B.

키워드

참고문헌

  1. Afendy, A., Kallman, J. B., Stepanova, M., Younoszai, Z., Aquino, R. D., Bianchi, G., et al. (2009). Predictors of health-related quality of life in patients with chronic liver disease. Alimentary Pharmacology & Therapeutics, 30, 469-476. http://dx.doi.org/10.1111/j.1365-2036.2009.04061.x
  2. Galant, L. H., Forgiarini Junior, L. A., Dias, A. S., & Marroni, C. A. (2012). Functional status, respiratory muscle strength, and quality of life in patients with cirrhosis. Brazilian Journal of Physical Therapy, 16(1), 30-34. http://dx.doi.org/10.1590/S1413-35552012000100006
  3. Gao, R., Gao, F., Li, G., & Hao, J. Y. (2012). Health-related quality of life in Chinese patients with chronic liver disease. Gastroenterology Research and Practice, 2012, 516140. http://dx.doi.org/10.1155/2012/516140
  4. Ghoshal, U. C., & Das, A. (2010). Evaluating quality of life of patients with chronic liver disease: Quest for a questionnaire. Indian Journal of Gastroenterology, 29, 181-183. http://dx.doi.org/10.1007/s12664-010-0052-x
  5. Gralnek, I. M., Hays, R. D., Kilbourne, A., Rosen, H. R., Keeffe, E. B., Artinian, L., et al. (2000). Development and evaluation of the liver disease quality of life instrument in person with advanced, chronic liver disease-the LDQOL 1.0. American Journal of Gastroenterology, 95(12), 3552-3565.
  6. Kim, H. S., & Lee, M. K. (1998). Quality of life in chronic viral B hepatitis patients. Korean Journal of Psychosomatic Medicine, 6, 35-45.
  7. Kim, K. S., Yi, M. S., Choi, E. O., Paik, S. W., Kwak, S. M., & Kwon, S. H. (2007). Quality of life and related factors in patients with chronic hepatitis B. Journal of Korean Academy of Fundamentals of Nursing, 14(3), 331-339.
  8. Kim, S. A., Park, K. S., Jang, M. K., & Kam, S. (2006). Medical facilities utilization according to health status measured by SF-36 in male workers. Journal of Occupational and Environmental Medicine, 18(4), 272-283.
  9. Kim, S. H., Choi, K. H., Hwang, S. H., Lee, J. H., Kwak, S. Y., Park, P. W., et al. (2007). Validation of the Korean version of liver disease quality of life(LDQOL 1.0) instrument. Journal of Korean Association for the Study of Liver, 13(1), 44-50.
  10. Koh, S. B., Chang, S. J., Kang, M. G., Cha, B. S., & Park, J. K. (1997). Reliability and validity on measurement instrument for health status assessment in occupational workers. Korean Journal of Preventive Medicine, 30(2), 251-266.
  11. Kong, H. K., Sohn, H. S., Choi, K. E., Kwon, J. W., & Shin, H. T. (2012). Prescribing patterns of antivirals for chronic hepatitis B. Korean Journal of Clinical Pharmacology, 22(1), 81-86.
  12. Koran Chapter of Hepatitis B Foundation. (2013, August). General information. Retrieved August 17, 2013, from the Hepatitis B Foundation Web site: http://www.hepb.org/korean/
  13. Lam, E. T. P., Lam, C. L. K., Lai, C. L., Yuen, M. F., Fong, D. Y. T., & So, T. M. K. (2009). Health-related quality of life of Southern Chinese with chronic hepatitis B infection. Health and Quality of Life Outcomes, 7 , 52. http://dx.doi.org/10.1186/1477-7525-7-52
  14. Lee, E. H. (2012). Problems with the use of questionnaires published on the Korean journal of adult nursing. Korean Journal of Adult Nursing, 24(5), 439-440. http://dx.doi.org/10.7475/kjan.2012.24.5.349
  15. Lee, J. E., Kim, S. S., Kim, S. A., Han, K. H., Kim, S. H., Ji, E. J., et al. (2011). Factors influencing health behavior of patients with chronic hepatitis B. Korean Journal of Adult Nursing, 23(1), 20-30.
  16. Lee, K. J., & Kim, J. J. (2009). The assessment of workers' health status in the small scaled industry using SF-36. Journal of Soonchunhyang Medical Science, 14(3), 171-180.
  17. Park, C. K., Park, S. Y., Kim, E. S., Park, J. H., Hyun, D. U., Yun, Y. M., et al. (2003). Assessment of quality of life and associated factors in patients with chronic viral liver disease. Journal of Korean Association for the study of liver, 9(3), 212-221.
  18. Park, H. J., & Park, S. J. (2012). The relationship between income level and health-related quality of life in Korea. Health and Social Science, 31, 107-125.
  19. Sobhonslidsuk, A., Silpakit, C., Kongsakon, R., Satitpornkul, P., Sripetch, C., & Khanthavit, A. (2006). Factors influencing health-related quality of life in chronic liver disease. World Journal of Gastroenterology, 12(48), 7786-7791.
  20. Ware, J. E., & Sherbourne, C. D. (1992). The MOS 36-item shortform health survey(SF-36). I. conceptual framework and item selection. Medical Care, 30(6), 473-483. https://doi.org/10.1097/00005650-199206000-00002
  21. Woo, G., Tomlinson, G., Yim, C., Lilly, L., Therapondos, G., Wong, D. K. H., et al. (2012). Health state utilities and quality of life in patients with hepatitis B. Canadian Journal of Gastroenteroloy, 26(7), 445-451. https://doi.org/10.1155/2012/736452
  22. World Health Organization. (1995). The world health organization of life assessment(WHOQOL): Position paper from the world health organization. Social Science Medicine, 41(10), 1403-1409. https://doi.org/10.1016/0277-9536(95)00112-K
  23. Younossi, Z. M., Boparai, N., McCormick, M., Price, L. L., & Guyatt, G. (2001). Assessment of utilities and health-related quality of life in patients with chronic liver disease. The American Journal of Gastroenteology, 96(2), 579-583. https://doi.org/10.1111/j.1572-0241.2001.03537.x
  24. Younossi, Z. M., Guyatt, G., Kiwi, M, Boparai, N., & King, D. (1999). Development of a disease specific questionnaire to measure health related quality of life in patients with chronic liver disease. Gut, 45(2), 295-300. http://dx.doi.org/10.1136/gut.45.2.295

피인용 문헌

  1. Related Factors of Quality of Life in Middle-male with Chronic Liver Disease vol.13, pp.2, 2015, https://doi.org/10.14400/JDC.2015.13.2.267
  2. Factors influencing on health-related quality of life in South Korean with chronic liver disease vol.16, pp.1, 2018, https://doi.org/10.1186/s12955-018-0964-1
  3. Quality of Life of Chronic Hepatitis C Patients and Its Associated Factors vol.8, pp.2, 2014, https://doi.org/10.24171/j.phrp.2017.8.2.04
  4. B형간염 바이러스 보유 환자의 질환 활성도에 따른 B형간염 지식, 자가간호수행 및 삶의 질 비교 vol.31, pp.2, 2014, https://doi.org/10.5932/jkphn.2017.31.2.257
  5. 말초동맥질환자의 불확실성, 사회적 지지, 환자역할행위 이행이 건강 관련 삶의 질에 미치는 영향 vol.26, pp.3, 2014, https://doi.org/10.22650/jkcnr.2020.26.3.314