재활치료과학 (Therapeutic Science for Rehabilitation)

  • 제10권1호
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  • Pages.77-93
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  • 2021
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  • 2635-9340(pISSN)
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  • 2671-4329(eISSN)
대한신경계작업치료학회 (Korean Society of Neurological Occupational Therapy)
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COVID-19 가 생활치료센터 입소자들의 라이프스타일, 건강, 삶의 질에 미치는 영향: 혼합연구방법을 활용한 연구

The Impact of COVID-19 on Lifestyle, Health, and the Quality of Life in Community Treatment Center Residents: A Study Using a Mixed Study Method

  • 정재휴 (경기도의료원 안성병원) ;
  • 박강현 (연세대학교 작업치료학과) ;
  • 박지혁 (연세대학교 보건과학대학)
  • Jung, Jae-Hyu (Gyeonggi Provincial Medical Center in Anseong) ;
  • Park, Kang-Hyun (Dept. of Occupational Therapy, Yonsei University) ;
  • Park, Ji-Hyuk (Dept. of Occupational Therapy, College of Health Science, Yonsei University)
  • 투고 : 2020.11.09
  • 심사 : 2021.01.18
  • 발행 : 2021.02.28
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초록

목적 : 본 연구에서는 COVID-19 양성 판정자의 라이프스타일 변화와 이로 인해 건강과 삶의 질에 미치는 영향에 대해서 알아보고자 하였다. 연구방법 : 2020년 9월 생활치료센터에 입소한 양성 판정자 15명을 대상으로 혼합연구방법을 사용하였다. 입소자들의 COVID-19 전·후의 라이프스타일 패턴과 양을 이해하기 위해 The Yonsei Lifestyle Profile을 사용하였으며 건강 및 삶의 질을 분석하기 위해 Korean version of WHOQOL-BREF, MSBS-8, ISI-K를 사용하였다. 이후 심층 인터뷰를 시행하였으며 이를 통해 얻은 결과는 Colaizzi의 주제 분석법에 따라 분석하였다. 결과 : COVID-19 전·후 비교 결과, The Yonsei Lifestyle Profile(p<.01), WHOQOL-BREF(p<.01), MSBS-8(p<.01), ISI-K(p=.05) 모두 통계적으로 유의한 변화를 보였다. 질적 연구 결과 총 179개의 의미 있는 진술, 14개의 부주제, 11개의 주제, 3개의 범주로 분류되었다. 최종 분류된 범주는 양성 판정자들의 감정, 생활치료센터에서의 경험, 입소자 관점에서의 니즈(Needs)이다. 결론 : COVID-19로 인해 양성 판정자들은 라이프스타일, 건강, 삶의 질에 부정적인 영향을 받았다. 이에 대하여 입소자들은 다양한 활동, 상담 및 면담과 같은 의사소통을 필요로 하였다. 따라서 경한 증상을 가진 COVID-19 양성 판정자에게 라이프스타일, 삶의 질, 건강에 도움이 될 수 있는 프로그램 개발이 필요할 것으로 사료된다.

Objective : The purpose of this study was to investigate the lifestyle changes in patients with COVID-19 and their effects on health and the quality of life. Methods : A mixed study method was used for 15 confirmed cases admitted to residential treatment centers in September 2020. The YLP was used to evaluate the lifestyle patterns, and the Korean version of WHOQOL-BREF, MSBS-8, ISI-K, and PHQ-9 were used to analyze health and quality of life before and after COVID-19. The results obtained through in-depth interviews were analyzed using Colaizzi's thematic analysis. Results : YLP (p<.01), WHOQOL-BREF (p<.01), MSBS-8 (p<.01), and ISI-K (p=.05) showed statistically significant differences between the assessment outcomes before and after COVID-19. In addition, 179 meaningful statements, 14 sub-themes, 11 themes, and 3 categories were elicited. The final 3 categories are the emotions of the confirmed cases, the experiences in residential treatment centers and the needs from the perspective of the confirmed cases. Conclusion : There are negative effects on lifestyle, health, and quality of life on confirmed cases. In response, the confirmed cases requested several activities and counseling. Therefore, it is necessary to develop a program to improve the lifestyle, quality of life, and health of asymptomatic cases and cases with mild symptoms.

키워드

참고문헌

  1. Abad, C., Fearday, A., & Safdar, N. (2010). Adverse effects of isolation in hospitalised patients: A systematic review. Journal of Hospital Infection, 76(2), 97-102. doi:10.1016/j.jhin.2010.04.027.
  2. Ben-Zeev, D., Young, M. A., & Depp, C. A. (2012). Real-time predictors of suicidal ideation: Mobile assessment of hospitalized depressed patients. Psychiatry Research, 197(1-2), 55-59. doi:10.1016/j.psychres.2011.11.025
  3. Central Disaster and Safety Countermeasure Headquarters on COVID-19. (2020a). COVID-19 outbreak in Korea. Retrieved from http://ncov.mohw.go.kr/bdBoardList_Real.do?brdId=1&brdGubun=11&ncvContSeq=&contSeq=&board_id=&gubun=
  4. Central Disaster and Safety Countermeasure Headquarters on COVID-19. (2020b). Regular briefing of central disaster and safety countermeasure headquarters on COVID-19. Retrieved from http://ncov.mohw.go.kr/tcmBoardView.do?brdId=&brdGubun=&dataGubun=&ncvContSeq=361640&contSeq=361640&board_id=140&gubun=BDJ
  5. Central Disaster and Safety Countermeasure Headquarters on COVID-19. (2020c). Regular briefing of central disaster and safety countermeasure headquarters on COVID-19. Retrieved from http://ncov.mohw.go.kr/tcmBoardView.do?brdId=&brdGubun=&dataGubun=&ncvContSeq=355326&contSeq=355326&board_id=140&gubun=BDJ
  6. Cho, Y. W., Song, M. L., & Morin, C. M. (2014). Validation of a Korean version of the insomnia severity index. Journal of Clinical Neurology, 10(3), 210-215. doi:10.3988/jcn.2014.10.3.210
  7. Choi, W. S., Kim, H. S., Kim, B., Nam, S., & Sohn, J. W. (2020). Community treatment centers for isolation of asymptomatic and mildly symptomatic patients with coronavirus disease, South Korea. Emerging infectious diseases, 26(10), 2338-2345. doi:10.3201/eid2610.201539
  8. Choi, Y. L. (2020). A study on the emotional experiences of child care teachers and changes in their daily routine in centers after COVID-19. Korean Jouranl of Early Childhood Education, 22, 253-279. https://doi.org/10.15409/riece.2020.22.1.12
  9. Colaizzi, P. F. (1978) Psychological research as a phenomenologist views it. In Valle, R. S. & King, M. (Eds.), Existential-Phenomenological Alternatives for Psychology (1st ed., pp. 48-71). New York: Oxford University Press.
  10. Di Renzo, L., Gualtieri, P., Pivari, F., Soldati, L., Attina, A., Cinelli, G., ... Esposito, E. (2020). Eating habits and lifestyle changes during COVID-19 lockdown: An Italian survey. Journal of Translational Medicine, 18(1), 1-15. doi:10.1186/s12967-020-02399-5
  11. Fahlman, S. A., Mercer-Lynn, K. B., Flora, D. B., & Eastwood, J. D. (2013). Development and validation of the multidimensional state boredom scale. Assessment, 20(1), 68-85. doi:10.1177/1073191111421303
  12. Fan, P. E. M., Aloweni, F., Lim, S. H., Ang, S. Y., Perera, K., Quek, A. H., ... Ayre, T. C. (2020). Needs and concerns of patients in isolation care units-learnings from COVID-19: A reflection. World Journal of Clinical Cases, 8(10), 1763-1766. doi:10.12998/wjcc.v8.i10.1763
  13. Gill, D. L., Chang, Y. K., Murphy, K. M., Speed, K. M., Hammond, C. C., Rodriguez, E. A., ... Shang, Y. T. (2011). Quality of life assessment for physical activity and health promotion. Applied Research in Quality of Life, 6(2), 181-200. doi:10.1007/s11482-010-9126-2
  14. Goldberg, Y. K., Eastwood, J. D., LaGuardia, J., & Danckert, J. (2011). Boredom: An emotional experience distinct from apathy, anhedonia, or depression. Journal of Social and Clinical Psychology, 30(6), 647-666. doi:10.1521/jscp.2011.30.6.647
  15. Ha, J. Y., & Ban, S. H. (2017). Home isolation experience of the people exposed to middle east respiratory syndrome positive patients. Qualitative Research, 18(1), 34-48. https://doi.org/10.22284/qr.2017.18.1.34
  16. Hartescu, I., Morgan, K., & Stevinson, C. D. (2015). Increased physical activity improves sleep and mood outcomes in inactive people with insomnia: A randomized controlled trial. Journal of Sleep Research, 24(5), 526-534. doi:10.1111/jsr.12297
  17. Ha, J., & Ban, S. H. (2017). Home isolation experience of the people exposed to middle east respiratory syndrome positive patients. Jounral of Quality Research, 18(1), 34-48. doi:10.22284/qr.2017.18.1.34
  18. Hunter, J. A., Dyer, K. J., Cribbie, R. A., & Eastwood, J. D. (2016). Exploring the utility of the multidimensional state boredom scale. European Journal of Psychological Assessment, 32(3), 241-250. doi:10.1027/1015-5759/a000251
  19. Ibert, F., Eckstein, M., Gunther, F., & Mutters, N. T. (2017). The relationship between subjective perception and the psychological effects of patients in spatial isolation. GMS Hygiene and Infection Control, 12, 1-5. doi:10.3205/dgkh000296
  20. Kim, S. W., Lee, K. S., Kim, K., Lee, J. J., Kim, J. Y., & Daegu Medical Association. (2020). A brief telephone severity scoring system and therapeutic living centers solved acute hospital-bed shortage during the COVID-19 outbreak in Daegu, Korea. Journal of Korean Medical Science, 35(15), 1-6. doi:10.3346/jkms.2020.35.e152.
  21. Kim, Y. H., & Jo, H. Y. (2012). Mothers' experience of elementary students diagnosed H1N1 influenza. Journal Korean Society Matern Child Health, 16(2), 212-226. https://doi.org/10.21896/JKSMCH.2012.16.2.212
  22. King, D. E., Mainous, III, A. G., Carnemolla, M., & Everett, C. J. (2009). Adherence to healthy lifestyle habits in US adults, 1988-2006. The American Journal of Medicine, 122(6), 528-534. doi:10.1016/j.amjmed.2008.11.013
  23. Lee, D. H., Kim, J. Y., & Kang, H. S. (2016). The emotional distress and fear of contagion related to middle east respiratory syndrome(MERS) on general public in Korea. Korean Journal of Psychology: General, 35(2), 355-383. doi:10.22257/kjp.2016.06.35.2.355
  24. Lei, B. L., Zhou, Y., Zhu, Y., Huang, X. Y., Han, S. R., Ma, Q., ... Li, Y. Q. (2008). Emergency response and medical rescue in the worst hit Mianyang areas after the Wenchuan earthquake. Journal of Evidence‐Based Medicine, 1(1), 27-36. doi:10.1111/j.1756-5391.2008.00012.x
  25. Lyons, R., & Langille, L. (2000). Healthy lifestyle: Strengthening the effectiveness of lifestyle approaches to improve health. Edmunton (AB): Health Canada, 112-123.
  26. Min, S. K., Kim, K. I., Suh, S. Y., & Kim, D. K. (2000). Development of Korean version of World Health Organization Quality of Life Scale(WHOQOL). Journal of the Korean Neuropsychiatric Association, 39(1), 78-88.
  27. Morgan, D. J., Diekema, D. J., Sepkowitz, K., & Perencevich, E. N. (2009). Adverse outcomes associated with contact precautions: A review of the literature. American Journal of Infection Control, 37(2), 85-93. doi:10.1016/j.ajic.2008.04.257
  28. National Center for Disaster Trauma. (2020). Guidance for in fectious disease stress relief. Retrieved from https://www.nct.go.kr/serviceCenter/formatReferenceDetail.do?currentPageNo=1&refnceSeq=445
  29. Park, K. H., & Park, J. H. (2020). Development of an elderly lifestyle profile: A delphi survey of multidisciplinary healthcare experts. Plos One, 15(6), 1-15. doi:10.1371/journal.pone.0233565
  30. Park, P. G., Kim, C. H., Heo, Y., Kim, T. S., Park, C. W., & Kim, C. H. (2020). Out-of-hospital cohort treatment of coronavirus disease 2019 patients with mild symptoms in Korea: An experience from a single community treatment center. Journal of Korean Medical Science, 35(13). doi:10.3346/jkms.2020.35.e140
  31. Park, S. H. (2010). Exploring theoretical issues of the development of mixed method research in educational administration. The Journal of Educational Administration, 28(2), 27-54.
  32. Peck, K. R. (2020). Early diagnosis and rapid isolation: Response to COVID-19 outbreak in Korea. Clinical Microbiology and Infection. 26(7), 805-807. doi:10.1016/j.cmi.2020.04.025
  33. Rahman, J., Muralidharan, A., Quazi, S. J., Saleem, H., & Khan, S. (2020). Neurological and psychological effects of coronavirus (COVID-19): An overview of the current era pandemic. Cureus, 12(6), 1-11. doi:10.7759/cureus.8460
  34. Song, M. R., Lee, Y. S., Baek, J. D., & Miller, M. (2012). Physical activity status in adults with depression in the national health and nutrition examination survey, 2005-2006. Public Health Nursing, 29(3), 208-217. doi:10.1111/j.1525-1446.2011.00986.x
  35. Stahl, T., Rutten, A., Nutbeam, D., Bauman, A., Kannas, L., Abel, T., ... Van Der Zee, J. (2001). The importance of the social environment for physically active lifestyle-results from an international study. Social Science & Medicine, 52(1), 1-10. doi:10.1016/s0277-9536(00)00116-7
  36. Stefan, N., Birkenfeld, A. L., Schulze, M. B., & Ludwig, D. S. (2020). Obesity and impaired metabolic health in patients with COVID-19. Nature Reviews Endocrinology, 16 (7), 341-342. doi:10.1038/s41574-020-0364-6
  37. WHOQOL Group. (1998). Development of the World Health Organization WHOQOL-BREF quality of life assessment. Psychological Medicine, 28(3), 551-558. doi:10.1017/s0033291798006667
  38. World Health Organization. (2020). Announces COVID-19 outbreak a pandemic. Retrieved from: http://www.euro.who.nt/en/healthtopics/health-emergencies/coronavirus-covid-19/news/news/2020/3/who-announces-covid-19-outbreak-apandemic (accessed on 10 May 2020).
  39. Yang, I., Kim, H., Jang, Y., & Kang, Y. (2019). Associations among uncertainty, depression, and anxiety in isolated inpatients. Journal of Korean Academy of Psychiatric and Mental Health Nursing, 28(3), 216-225. doi:10.12934/jkpmhn.2019.28.3.216