• Title/Summary/Keyword: 삶의 질 개선

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Study of Quality of Life and Related Factors in Veterans with Physical Dysfunction (신체적 기능장애를 가진 국가유공자의 삶의 질 수준 및 관련 요인 연구)

  • Kwon, Chun-Suk;Kim, Suhn-Yeop;Jang, Hyun-Jeong
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.1
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    • pp.490-497
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    • 2015
  • The aim of this study was to examine the quality of life (QOL) and its related factors in veterans with physical dysfunction. The survey data was collected from 412 patients with physical dysfunction managed at five veterans' hospitals in Seoul, Pusan, Daegu, Gwangju, and Daejeon city. The baseline for the quality of life was measured using the SF-36 (Short-Form 36), activities of daily living was measured using a Modified Barthel Index (MBI), pain level was determined using Quadruple Visual Analogue Scale (QVAS), and the depression level was assessed using Korean version of the Geriatric Depression Scale: Short-Form (SGDS-K). The SF-36 scores showed a significant correlation with age (r=-0.132), self-rated current health status (r=-0.545), active daily living (r=0.514), pain level (r=-0.243), and depression level (r=-0.565) (p<0.05). The most influential variables on the QOL were the depression level (B=-.969, p<0.001), QVAS (B=-0.163, p<0.001), and MBI (B=0.140, p<0.001). The results of this study showed that that depression, pain and activities of daily living are significant predictors of the QOL in veterans with a physical dysfunction. Therefore, healthcare providers need to consider these parameters for interventions to improve the QOL in veterans with a physical dysfunction.

Factors Influencing the Health-Related Quality of Life by Age among Vulnerable Elderly Women (저소득 여성노인의 연령별 건강관련 삶의 질에 영향을 미치는 요인)

  • Kim, Yun-Hee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.3
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    • pp.1342-1349
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    • 2013
  • This study was performed to investigate the factors which impact on the health-related quality of life of young-old(65-69 yr), old-old(70-79 yr), and oldest-old(80 yr or above) women in vulnerable elderly received home care service from public health centers in B city. The data were collected from 383 elderly women using structured questionnaires from September to November, 2010. Multiple regression with the SPSS WIN 18.0 program were used to analyze the data. There were statistically significant differences among young-old, old-old, and oldest-old women regarding the health-related quality of life, life satisfaction, cognitive function, frail condition. The models including life satisfaction, frail condition, cognitive function, perceived health status, number of chronic diseases were explained variance of the health-related quality of life elderly women differently like 42.8% of young-old, 28.9% of old-old, and 31.5% of oldest-old. Finally, frail condition and life satisfaction were predictors in explaining the level of health-related quality of life among vulnerable old women regardless of age. Based on the findings of the study, health promotion programs should be developed to improve health-related quality of life of vulnerable aged women according to age differences.

Therapeutic Singing-Based Music Therapy for Patients With Dysphagia: Case Studies (연하장애환자의 후두기능 및 연하관련 삶의 질 향상을 위한 치료적 노래부르기 중심 음악중재사례)

  • Yeo, Myung Sun;Kim, Soo Ji
    • 재활복지
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    • v.22 no.1
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    • pp.169-194
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    • 2018
  • The aim of this study is to examine changes in swallowing function and quality of life with therapeutic singing-based music therapy for patients with dysphagia. The music therapy program was based on the previous study (Kim, 2010), and designed to improve breathing, phonation, and swallowing functions focusing on laryngeal elevation. Three patients with dysphagia participated in this study and each participant received a total of 11 or 12 individual music therapy sessions and each session was conducted for 30 minutes. In this study, three kinds of measurements were used. First, the measures of maximum phonation time (MPT), fundamental frequency, average intensity, jitter, shimmer, noise to harmonics ratio (NHR) by Praat test, second, laryngeal-diadochokinesis (L-DDK) to investigate laryngeal elevation, and last, the Swallowing-Quality of Life (SWAL-QOL) was measured. These cases have shown improved breathing, phonation, swallowing function, and the scores of SWAL-QOL in all of the patients. It suggests that this music therapy intervention was effective on laryngeal elevation, and the music intervention with therapeutic singing can be effectively implemented in further research for patients with dysphagia.

Effect of Astragalus Membranaceus Extract against Improvement of Myelosuppression and Quality of Life in 5-Fluorouracil Treated Mice (황기 추출물이 5-Fluorouracil을 투여한 생쥐의 골수억제 및 삶의 질에 미치는 영향)

  • Kwon, Chang-Hyun;Yoo, Hwa-Seung;Bang, Sun-Hwi;Lee, Young-Min;Lee, Yeon-Weol;Son, Chang-Gue;Cho, Chong-Kwan
    • The Journal of Internal Korean Medicine
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    • v.28 no.2
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    • pp.304-320
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    • 2007
  • Objective : To evaluate the effect of Astragalus Membranaceus Extrac (AME) on myelosuppression, activity and immune modulation in 5-fluorouracil (5-FU) treated mice. Method : We carried out complete blood count, histological analysis of bone marrow, and cell colony forming assay for hematopoietic progenitor to evaluate the effect of AME on myelosuppression and conducted swimming test, survival rate, nitric oxide (NO) assay, 51Cr release assay in natural killer cell, mRNA expression of $IL-1{\beta}$, IL-2, IL-4, IL-6, IL-10, $TNF-{\alpht}$, $IFN-{\gamma}$, $TGF-{\beta}$ and GM-CSF in spleen cells to evaluate the effect of AME on quality of life (QOL). Results : AME improved 5-FU induced myelosuppression and peripheral blood count was recovered effectively, had significant efficacy to protect against chemotherapy induced marrow-destruction and on hematopoiesis compared with the control group, improved increase survival rate and the swimming time, had a stimulatory effect on macrophage activation and NK cell activity, and up-regulated cytokine gene transcription (IL-2, IL-6, $IFN-{\gamma}$) in murine immunologic system. Conclusion : We can conclude that AM is an effective herbal agent for improvement of myelosuppression and QOL in 5-FU treated mice.

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A comparison of the perceptual-auditory voice quality evaluation (GRBAS) and voice-related quality of life (K-VRQOL) according to choir type of elderly women choir members (여성 노인 합창단원의 합창단 유형에 따른 청지각적 음성평가(GRBAS) 및 음성관련 삶의 질(K-VRQOL) 비교)

  • Lee, Hyeonjung;Kang, Binna;Kim, Soo Ji
    • Phonetics and Speech Sciences
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    • v.12 no.2
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    • pp.51-61
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    • 2020
  • The purpose of this study is to compare voice characteristics and voice-related quality of life (K-VRQOL) of the elderly female choir members using perceptual-auditory voice quality evaluation (GRBAS) and K-VRQOL scales. The participants were 77 women over 60 years old who were actively engaged in the choir in either Seoul or Busan. There are two kinds of choirs that indicate different engagement levels: regular choir and church choir. The perceptual-auditory vocal quality evaluation was listened to by / a / vowels and were graded by experts using the GRBAS scale. As a result, when comparing the differences between groups, the elderly female participants of the regular choir showed higher satisfaction in speech using the subjective speech recognition level than the elderly female members who performed in the church choir. In addition, the analysis showed that the satisfaction level was high in the physical function area of the K-VRQOL scale. This study confirmed that choral activities could yield positive results not only in terms of improving voice function in old age, but also to improve the subjective perception level of voice use, thus suggesting the necessity of systematic music programs to improve voices that are aging.

Effect of Olfactory Stimulation on Balance, Spasticity and Quality of Life in Chronic Stroke Patients (후각자극이 만성 뇌졸중 환자의 균형, 경직 및 삶의 질에 미치는 효과)

  • In, Tae-Sung;Kim, Kyung-Hun
    • Journal of Korea Entertainment Industry Association
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    • v.14 no.3
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    • pp.403-410
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    • 2020
  • The purpose of this study was to determine whether olfactory stimulation would improve spasticity, balance ability and quality of life in stroke patients. Twenty-one stroke patients were recruited and were randomly divided into two groups: olfactory stimulation group (n=10) and sham stimulation group (n=11). Participants in both groups received conventional physical therapy for 30 minutes before the intervention. Additionally, subject in the olfactory stimulation group performed olfactory stimulation using lavender oil for 6 minutes (2 minx3 set), five times a week for two weeks, while the sham stimulation group conducted olfactory stimulation using water for the same amount of time. Composite-Spasticity-Score was used to assess spasticity level of ankle plantar-flexors. Dynamic balance was measured using a TUG. Postural-sway distance was measured using a force platform. Quality of life were measured by SF-36. There was no significant difference within group and between the groups in the spasticity. Significant improvement in postural-sway and TUG were observed in the olfactory stimulation group compared to the sham stimulation group (p<0.05). The Mental Componnt Summary of the SF 36 in the olfactory stimulation group improved significantly greater than the sham stimulation group (p<0.05). Our findings indicate that olfactory stimulation is beneficial and effective to improve balance ability and quality of life in stroke patients.

Psychopathology, Self Esteem and Quality of Life in Cancer Patients with Radiotherapy (방사선 치료 중인 암환자의 정신병리, 자아존중감 및 삶의 질)

  • Jeong, Chan-Young;Yang, Jong-Chul;Shin, Il-Seon;Choi, Young;Yoon, Jin-Sang;Lee, Moo-Seok;Lee, Hyung-Young;Nah, Byung-Sik
    • Korean Journal of Psychosomatic Medicine
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    • v.10 no.2
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    • pp.92-100
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    • 2002
  • Objectives : As medical science develops, survival rate of cancer patients rises. Therefore, psychologic understanding and improving quality of life in cancer patients is getting greater significance. The Object of this study is to investigate sociodemographic and clinical characteristics, psychopathology, self esteem and quality of life in cancer patients and to provide useful information for therapeutic approach to cancer patients. Methods : The subjects were 41 patents who had been treated by radiotherapy and 20 normal people. Sociodemographic information and clinical characteristics of cancer patients were investigated, and SCL-90R for psychopathology, Rosenberg Self-esteem Scale for self esteem, WHOQOL-BREF for quality of life were administered to subjects. The results of both groups were compared and analysed, and correlation between variables were evaluated. Results : 1) The tendency of Somatization, obsession-compulsion, depression, anxiety, hostility, phobia, psychosis in cancer group were higher than normal group. Especially, somatization and anxiety in cancer group were significantly higher than normal group. 2) Self esteem and quality of life in cancer group were significantly lower than normal group. 3) No significance were found in comparison of psychopathology, self esteem and quality of life according to sociodemographic variables. Among clinical characteristics, higher somatization was shown in case of more weight loss, and higher somatization and lower quality of life was shown in the presence of pain. 4) Higher anxiety was significantly associated with lower self esteem, and Higher somatization and anxiety was significantly associated with lower quality of life. Conclusion : Cancer patients had various kinds of psychopathology, low self esteem and low quality of life. In particular, somatization and anxiety, self esteem and pain were found to be important factors to quality of life of cancer patients. Therefore, management of psychopathology, improving self esteem, pain control is necessary to improve quality of life in cancer patients.

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성능위주의 배연설비를 위한 지하철 승강장 화재시뮬레이션에 관한 연구

  • 김용주;이동호;김종원;조정훈
    • Proceedings of the Korean Institute of Industrial Safety Conference
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    • 2001.11a
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    • pp.225-231
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    • 2001
  • 최근 인구 증대 및 도시 집중화에 따른 지상공간 부족의 대안 및 택지 이용도 효율 방안으로 지하공간 개발의 필요성이 증대되고 있다 특히 날로 증대되고 있는 지하공간에서의 문제점으로 설계 및 용도에 적합한 환기 시스템의 도입 및 운영의 미흡으로 공기질 악화 현상과 국민 보건상의 문제로 노출되고 있는 실정이다. 환기시스템은 일상적 공간환기는 물론 화재시의 배연기능을 포함한다. 따라서, 정상적인 작동(일반 환기)과는 별도로 비정상 환경(화재시의 배연)에서의 중요성이 인식되고 있다. 따라서, 시스템 설계 오류는 화재발생시 중대한 인명피해로 연결됨으로서 그 중요성은 아무리 강조하여도 지나침이 없다 이미 미국, 일본, 노르웨이 등의 선진 외국에서는 지하공간의 최적환경 개선은 국민 삶의 질 향상이라는 관점 하에 꾸준히 진행되어오고 있다. $^{(1~3)}$ 우리나라에서도 서울1기 지하철을 시작으로 교통난의 해소를 위하여 2005년까지 총연장 60km에 이를 것으로 전망됨에 따라 지하공간의 공기질 개선 및 화재시의 배연설비의 최적화가 요구된다.(중략)

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A Study on Emissive Characteristics of Odor Pollutants from Various Facilities (악취오염물질의 업종별 배출특성에 관한 연구)

  • 이용기;이기종;우정식;손진석
    • Proceedings of the Korea Air Pollution Research Association Conference
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    • 2003.11a
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    • pp.413-414
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    • 2003
  • 산업이 발달하고 경제가 성장될수록 환경을 오염시키는 신종 오염물질은 계속 증가하는 반면 인간의 삶의 질 향상으로 대기질 개선에 대한 욕구는 과거에 비하여 훨씬 더 높아지고 있다. 산업화이전 악취에 대한 오염문제는 다른 환경 오염에 비하여 아주 작은 위치를 차지하였지만 현대에 와서는 대기오염문제에서 빼놓을 수 없는 사회문제로 대두되고 있다. 악취 원인물질을 정확하게 분석하는 것은 매우 어렵다. 악취에 관한 국내의 측정방법은 대기오염공정시험법에서 직접관능법과 공기희석관능법, 그리고 일부항목에 대한 기기분석법이 제시되고 있다. (중략)

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Analysis of social aspects effect of overseas water business through the evaluation of the influence (영향력 평가를 통한 해외 수자원사업의 사회적 측면 효과성 분석)

  • Kang, Min Suk;Park, Sung Je;Ryu, Si Saeng
    • Proceedings of the Korea Water Resources Association Conference
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    • 2015.05a
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    • pp.266-266
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    • 2015
  • 기후변화로 인한 다양한 문제는 전 세계적인 사항이며, 그 중 물과 관련한 사항은 가장 큰 문제로 주시되고 있다. 물 관련 인프라와 산업이 미비한 국가에서는 다양한 방법을 통해 자국의 물 공급 등 수자원 문제를 해결하려 하고 있으며, 이는 국내에서 물 산업의 해외진출 기회로 작용하고 있다. 본 연구에서는 해외 수자원 인프라 구축으로 인한 실제적인 효과성을 분석하고자 스리랑카 Galle 광역시 상수도 사업을 대상으로 하여 다양한 효과적 측면 중 사회적 측면인 지역주민의 삶의 질 향상, 경제 활성 기여, 성 인지도 제고, 지속가능성 제고에 대해 평가하였다. 지역주민의 삶의 질 향상은 현지의 통계자료 분석, 관계자 면담 등을 통해 취수시간 감소 및 깨끗한 물 공급 달성과 수인성 질병 감소를 조사하였으며, 경제 활성화 기여는 관련 문헌조사와 주민을 대상으로 한 설문조사를 통하여 그 여부를 파악하였다. 성 인지도 제고는 관계자 면담 및 설문조사를 수행하여 여성가사노동 감소 및 여성의 경제활동 참여 증가정도 및 기여도를 분석하였다. 지속가능성 제고는 관련 정책 개선여부에 대하여 조사 및 분석을 수행하였다. 분석 결과 깨끗한 물 공급이 사업 착수 전보다 원활해 졌으며, 수인성 질병 중 하나인 이질 환자가 감소되어 삶의 질이 향상되었다고 사료된다. 또한 상수도 사업을 통한 기간시설의 용수공급이 원활해지고 용수부족 해소 및 관광산업 등 서비스산업 활성화를 촉진시킴으로서 경제 활성화에 기여했다고 판단할 수 있다. 성인지도 제고에 대한 분석은 원활한 물 공급으로 인하여 여성의 물 관련 가사노동 감소에 기여하였으나 여성의 사회참여 기여에 많은 영향을 미치지는 못한 것으로 사료된다. 마지막으로 상수도시설 확충으로 인하여 용수보급률이 증가하고 이에 따라 관련제도를 개선하여 담당 기관의 재무건전성을 제고시킴으로서 지속가능성을 향상시켰다고 할 수 있다. 스리랑카 Galle 광역시 상수도사업의 이러한 성공적인 결과는 해당 국가의 개발정책과 높은 의지와 인구가 밀집되어있고 인구에 비해 급수보급률이 낮은 지역, 관광서비스 산업 밀집지역이 사업대상지로 선정된 요소가 작용하였다고 할 수 있다. 본 연구 결과를 통해 추후 해외 수자원 사업 진출 시 해당국가의 개발정책의지와 대상지역의 현황, 사업으로 인한 다양한 영향력을 고려한다면 성공적인 사업을 수행할 수 있을 것이다.

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