• 농촌의학ㆍ지역보건
• /
• 제45권4호
• /
• pp.183-193
• /
• 2020

이 연구는 생태학적 연구로서 EQ-5D index로 측정되는 건강수준의 시군구 단위 변이를 파악하고 지역사회건강조사 지표에서 이러한 변이를 설명하는 요인을 탐색하고자 하였다. 2017년도 지역사회건강조사자료에서 산출되는 전국 229개 시군구의 EQ-5D index 변이는 EQ(격차비) 1.1배, CV(변이계수) 1.0으로 지역 간 변이는 연구에 포함된 독립변수들에 비해 상대적으로 작았다. EQ-5D index 값이 전국 하위 25%에 속하는 시군구 비중이 높은 광역시도는 전라북도(9개 시군, 64.3%)와 충청남도(7개 시군, 46.7%)이었다. 다중 선형회귀분석 결과 지역 간 변이의 주요요인으로 우울감 경험률, 스트레스 인지율, 자살 생각률, 관절염진단 경험률 등이 도출되었다. 지역 간 건강수준의 격차를 줄이기 위해서는 사회심리적 요인들을 포함한 상기 요인들의 개선에 우선순위를 두어야 할 것으로 사료된다.

• 대한치과기공학회지
• /
• 제43권1호
• /
• pp.19-28
• /
• 2021

Purpose: This study aimed to obtain basic data on oral health improvement by investigating the EQ-5D index according to the oral prosthesis status of elderly persons aged 65 years or older in Korea using the Seventh Korea National Health and Nutrition Examination Survey. Methods: In this study, 3,426 elderly persons aged 65 years or older were included to analyze the relationship between the dental prostheses status and EQ-5D index in the collected data. Results: Compared to the "complete denture" in oral prosthesis, EQ in case of no dental prostheses or fixed dental prostheses is comparable to removable prosthetics such as "no dental prostheses," "one fixed bridge," and "two or more fixed bridges." Removable partial denture and complete denture required for the maxillary and mandibular EQ-5D index were significantly higher in "not necessary" than in "complete denture necessary" in all the elderly persons. Conclusion: The condition of the dental prosthesis and the need for a removable partial denture and complete denture for the elderly's EQ-5D index were confirmed, and it was found that the fixed dental prostheses were more effective than the removable dental prostheses. Therefore, oral health education programs for the elderly should be developed to promote dental function and oral health maintenance.

• 대한한의진단학회지
• /
• 제25권1호
• /
• pp.88-100
• /
• 2021

Objectives The purpose of this study was to examine the daily lifestyle of Vietnamese immigrant women and to find out if they could affect health-related quality of life improvement. Methods The subjects of this study were 273 women who immigrated to Korea from Vietnam. This study was conducted at Daejeon and nearby Healthy Family Support Centers from September 2019 to January 2020 with the cooperation of the Daejeon City Healthy Family Support Center. Correlation analysis was performed between lifestyle and quality of life, and ANOVA analysis was performed to confirm the difference in health-related quality of life scores for each subgroup of dietary nutrition, sleep quality, and physical activity. A regression analysis was conducted to investigate the contribution of dietary nutrition, sleep quality, and physical activity to the quality of life of Vietnamese immigrant women. The significance level was p<0.05. Results Physical activity showed significant correlations with Euro Quality of Life -Visual Analogue Scale (EQ VAS), sleep quality with EQ VAS and Euro Quality of Life-5Dimension (EQ-5D) Index, and dietary nutrition with EQ-5D Index. There were significant differences in EQ VAS and EQ-5D Index scores for each sleep quality subgroup, and a significant difference in EQ VAS scores for each activity subgroup. The quality of sleep was found to have the greatest effect on EQ VAS and EQ Index of Vietnamese immigrant women, and physical activity on EQ VAS and dietary nutrition had some influence on EQ-5D Index. Conclusions Quality of sleep is closely related to health-related quality of life, and plays an important role in health-related quality of life for Vietnamese immigrant women.

• 한국융합학회논문지
• /
• 제10권2호
• /
• pp.49-56
• /
• 2019

본 연구는 노인의 건강실천행위가 치아건강도를 매개하여 건강관련 삶의 질(EQ-5D)을 예측할 수 있는지를 알아보기 위해 시행하였다. 연구대상은 2015년도 국민건강영양조사를 이용하여 만 65세 이상 총 1,311명의 노인으로 하였으며, SPSS 24.0 프로그램과 SPSS PROCESS macro를 이용하여 자료를 분석하였다. 그 결과, 노인의 동거유형에 따른 건강실천행위와 EQ-5D의 경우 부부를 포함한 1세대 동거(4.62, 0.90)가 가장 높았으며 독거노인(4.40, 0.86)이 가장 낮게 조사되었다. 또한, PROCESS macro를 통한 매개효과 검증결과, FS-T 지수가 건강실천행위와 EQ-5D의 관계에서 매개효과가 있는 것으로 나타났다(${\beta}=.0011$, BCCI [.003~.0024]). 이러한 결과는 FS-T 지수가 노인의 건강관련 삶의 질에 밀접하게 연관되어 있으며, 향후 노인을 대상으로 하는 건강증진프로그램 개발에 필요한 기초자료로 활용할 수 있으리라 생각된다.

• 치위생과학회지
• /
• 제14권3호
• /
• pp.417-423
• /
• 2014

이 연구는 국민건강영양조사를 이용하여 우리나라 만 65세 이상 노인을 대상으로 보철 상태에 따른 건강관련 삶의 질을 조사하여, 노인의 구강건강증진의 기초자료를 확보하고자 하였으며, 다음과 같은 결론을 얻었다. 전체 연구대상자의 HRQoL은 0.86이었으며, 성별에 따른 HRQoL은 남자에서 0.90에 비해 여성에서 0.82로 남자가 유의하게 높았으며, 월 평균 소득이 증가할수록, 학력수준이 높을수록, 상실치아 개수가 낮을수록 HRQoL이 유의하게 높았다. 연구대상자 중 고정성 가공의치와 총의치 필요한 대상자는 HRQoL이 유의하게 낮았으며, 부분의치와 총의치를 장착하지 않은 대상자에서 HRQoL이 유의하게 높았다. EQ-5D의 현재의 건강 상태 5개의 항목에서 운동능력 항목은 부분의치 장착군에서 비장착군에 비해 어려움에 대한 응답한 비율이 높았으며, 자기관리 항목에서 총의치장착군에서 어려움이 있다고 응답한 비율이 높았다. 불안/우울 항목에서 총의치 장착군이 비장착군에 비해 어려움이 있다고 응답한 비율이 높았다.

• 대한지역사회영양학회지
• /
• 제20권6호
• /
• pp.423-432
• /
• 2015

Objectives: In Korea, the percentage of elderly is increasing at an unprecedented rate, and is expected to account for 40% of the population by 2060. This massive demographic change stresses the importance of research on aging as it is necessary to improve the quality of life (QoL) of this population. This study aimed to examine the health-related quality of life (HRQoL) of the rural elderly and to clarify its association with the nutrient adequacy ratio (NAR). Methods: A cross-sectional study was performed in S-gun, Chonbuk, a critical agricultural area. The elderly people without abnormal physical functioning composed our study population and the data were collected by personal visits to 336 elderly people aged over 65 years (110 males and 226 females). Subjects were interviewed with questionnaires pertaining to general characteristics and EuroQol (EQ-5D). Nutrient intakes were assessed two days by 24-hours recall method. Subjects were defined as high QOL group if EQ-5D index with Nam's model was above the median. Results: Generally, EQ-5D index was lower in women than in man, and lower in older subjects than in younger subjects. The percentages of people below the median were 42% (low QoL group) and 58% (high QoL group) were found to be the above the median. The high QoL group had higher NAR, especially for vitamin C, vitamin B1, vitamin B2 and folate. All dimensions in the EQ-5D were affected by NAR of some nutrients and especially anxiety/depression dimension was significantly correlated with NAR of 5 nutrients (protein, calcium, iron, vitamin C and vitamin B1) and EQ-5D scores. Conclusions: HRQol was significantly reduced in elderly with increasing age and this was more pronounced in women than in man. The NAR of some nutrients were associated with the EQ-5D index, especially anxiety/depression dimension, among rural elderly.

• 한국노년학
• /
• 제32권3호
• /
• pp.759-776
• /
• 2012

본 연구는 EQ-5D를 이용하여 소득계층에 따른 노인들의 건강불평등을 측정하였다. 특히 건강불평등의 다양한 측면을 파악하기 위하여 집중지수를 EQ-5D의 하위차원 및 노인들의 하위집단에 따라 분해(decomposition)하였다. 분석 자료는 2010년 국민건강영양조사 원자료가 사용되었으며 이중 60세 이상인 자를 노인으로 정의하여 분석하였다. 본 연구의 분석결과를 요약하면 다음과 같다. 첫째, 노인들의 EQ-5D 집중지수는 .0254를 기록하였다. 이는 고소득층에 유리한 불평등이 있음을 의미한다. 나아가 EQ-5D를 구성하는 모든 하위차원 즉, 운동능력, 자기관리, 일상활동, 통증/불편, 불안/우울, 기능악화 등에서도 불건강이 저소득층에 집중되어 나타났다. 둘째, EQ-5D 집중지수를 가장 많이 설명하는 하위차원은 운동능력으로 EQ-5D 집중지수의 35.8%를 설명하였다. 그 다음으로 통증 및 불편(17.7%), 기능악화(17.7%), 일상관리(14.6%) 등의 순으로 설명력이 높다. 이러한 결과는 전 연령층을 분석한 선행연구의 결과와 대조를 이루는데, 선행연구들에서 기여도가 매우 낮았던 운동능력(3.9%)이 크게 상승한 반면 불안/우울의 기여도는 약화되었다. 셋째, 성별, 지역, 배우자 유무에 따라 EQ-5D 집중지수를 분해한 결과 세 집단이 집중지수를 설명하는 정도는 비슷하게 나타났다. 세 집단은 각각 건강형평성의 1/10정도를 설명하였다. 넷째, EQ-5D 집중지수를 하위집단에 따라 분해한 결과, 남성보다는 여성이, 도시지역보다는 농어촌지역이, 그리고 배우자가 있는 노인보다는 없는 노인의 내부불평등이 더 크게 나타났다. 내부 불평등이 큰 세 집단의 경우 모두 EQ-5D 평균값도 낮았는데, 이는 저소득 여성노인일수록, 농어촌지역 저소득 노인일수록, 배우자가 없는 저소득 노인일수록 건강관련 삶의 질이 떨어짐을 의미하는 것이었다. 마지막으로 하위집단의 내부불평등이 집중지수를 설명하는 정도는 여성노인집단, 도시지역 노인집단, 배우자가 있는 노인집단이 크게 나타났다.

• Journal of Acupuncture Research
• /
• 제37권3호
• /
• pp.151-160
• /
• 2020

Background: Blood stasis (BS) is commonly used for pattern identification in traumatic injuries, including traffic accidents (TAs). Various studies have identified the efficacy of Korean medicine treatments for TA patients, but studies focusing on the BS-based herbal medicine (BSHM), including Tongdo-san (TDS), are rare. Methods: This was a single-center, prospective observational study, conducted from August 24^th, 2018 to December 27^th, 2018, which included 40 TA patients. Participants underwent routine Korean medicine treatments including acupuncture, electronic moxibustion, cupping, physical therapy, and herbal medicine. In the herbal medicine treatment, participants took BSHM with more than 3 days including taking TDS. The primary outcome measures were the scores from a 100 mm visual analogue scale (VAS) and numerical rating scale (NRS). Secondary outcome measures included scores from EuroQol-5 dimension (EQ-5D) and EQ-VAS questionnaires, the BS and cold/heat indices, and safety assessments. Results: There were significant improvements in the VAS, NRS, EQ-5D, EQ-VAS scores, and BS index after treatment. In the sub-analysis, VAS, NRS, EQ-5D, and EQ-VAS scores were higher in groups with a higher BS index. The moderate and severe BS index groups showed more improvement than the minor BS index group, and there was a significant difference in the EQ-5D scores. There was no significant differences observed in cold/heat index groups scores. Conclusion: BS is associated with TA-related symptoms. BSHM, including TDS, may significantly reduce BS, pain, and discomfort.

• 대한불안의학회지
• /
• 제8권1호
• /
• pp.9-15
• /
• 2012

Objectives : The purpose of this study was to assess the health-related quality of life (HRQoL) for patients with panic disorder using EQ-5D and EQ-VAS, and to examine the relationship between health-related quality of life and clinical outcomes following treatment. Methods : 29 patients with panic disorder were recruited from the Seoul Metropolitan area and 20 patients were followed up after two months of outpatient treatment. The Panic Disorder Severity Scale (PDSS) was used to assess the severity of the panic disorder and the changes in symptoms. HRQoL was assessed with EQ-5D and EQ-VAS at baseline and at two months of treatment. Results : All enrolled panic disorder patients showed significantly impairment of HRQoL in view of the subscales of EQ-5D, EQ-VAS index scores. The severity of PDSS was correlated the HRQoL in the panic patients. After treatment, the EQ-5D, EQ-VAS index scores showed significant improvement. Conclusion : Panic disorder patients suffer from lower HRQoL as well as from symptoms of the disorder. They showed clinical improvement and a restored HRQoL with treatment. These outcomes suggest using the EQ-5D, EQ-VAS such as the HRQoL in the assessment of patients with panic disorder is essential.

• 한국산업보건학회지
• /
• 제20권2호
• /
• pp.79-87
• /
• 2010

Objectives: The purpose of this study was to investigate the symptoms of work-related musculoskeletal disorders (WMSDs), the influence of the WMSDs on the health-related quality of life (HRQoL), and to identify the differences of WMSDs and HRQoL between greenhouse farmers and paddy farmers. Methods: Subjects were 34 greenhouse farmers and 56 paddy farmers who were living in a rural community. The sociodemographic characteristics, health-related behavior, working characteristics, WMSDs and HRQoL were investigated. WMSDs symptoms were measured by a selfassessed questionnaire on musculoskeletal disorders symptoms and HRQoL was measured by the Euro Quality of Life (Euroqol) EQ-5D index. The differences on the WMSDs, EQ-5D and it's related factors between the groups were assessed with t-test and ${\chi}^2$-test. Results: Greenhouse farmers were longer the working hours per day and working duration than paddy farmers. The level of prevalence of the WMSDs in greenhouse farmers is higher than in paddy farmers. The EQ-5D index of greenhouse farmers and paddy farmers were 0.819 and 0.874, respectively. Overall, the mean value of EQ-5D index was significantly lower greenhouse farmers than paddy farmers. Conclusions: These results showed that the HRQoL for farmers are strongly influenced by WMSDs and agicultural type in that we are aware of the need to comply with regulations of WMSDs, especially greenhouse farmers.