• 치위생과학회지
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• 제16권5호
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• pp.378-383
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• 2016

질병발생 양상이 변화되고 건강에 대한 관심이 증가하며, 건강에 대한 임상적이며 객관적인 평가와 동시에 환자의 주관적 인식을 포괄하는 건강 상태를 평가하기 위한 노력이 계속되고 있다. HRQoL을 측정하는 것을 이러한 노력 중 하나로 꼽을 수 있는데, 본 연구는 일반적인 HRQoL과 구강건강 상태와의 관련성을 알아보기 위해 수행되었다. 대표성 있는 국민건강영양조사 자료 중 제6기 2차년도(2014년) 자료를 활용하여 분석을 수행하였다. EQ-5D로 측정된 일반적인 HRQoL에 영향을 미치는 요인은 성별, 연령, 교육수준, 소득수준, 민간건강보험 가입 여부, 주관적으로 인식하는 전신건강상태, 최근 1년간 치통 경험, 현존 치아 수로 확인되었다(p<0.05). 구강건강은 전반적인 건강상태를 결정짓는데 중요한 역할을 하기 때문에 객관적인 구강건강 상태가 전신건강에 영향을 미치고, 이는 결국 일반적인 HRQoL에 관련성이 있는 것으로 볼 수 있다.

• Journal of Preventive Medicine and Public Health
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• 제41권3호
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• pp.165-172
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• 2008

Objectives : Despite various government initiatives, including the expansion of national health insurance coverage, health inequality has been a key health policy issue in South Korea during the past decade. This study describes and compares the extent of the total health inequality and the income-related health inequality over time among Korean adults. Methods : This study employs the 1998, 2001 and 2005 Korean National Health and Nutrition Examination Surveys (KNHANESs). The self-assessed health (SAH) ordinal responses, measured on a five-point scale, resealed to cardinal values to measure the health inequalities with using interval regression. The boundaries of each threshold for the interval regression analysis were obtained from the empirical distribution of the EuroQol-5 Dimension (EQ-5D) valuation weights estimated from the 2005 KNHANES. The final model predicting the individuals' health status included age, gender, educational attainment, occupation, income, and the regional prosperity index. The concentration index was used to measure and analyze the health inequality. Results : The KNHANES data showed an unequal distribution of the total health inequality in favor of the higher income groups, and this is getting worse over time (0.0327 in 1998, 0.0393 in 2001 and 0.0924 in 2005). The income-related health inequality in 2005 was 0.0278, indicating that 30.1% of the total health inequality can be attributed to income. Conclusions : The findings indicate there are health inequalities across the sociodemographic and income groups despite the recent government's efforts. Further research is warranted to investigate what potential policy actions are necessary to decrease the health inequality in Korea.

• 약학회지
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• 제52권3호
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• pp.176-181
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• 2008

Stomach cancer shows the highest incidence among cancer patients in Korea and it deteriorates the patients' health-related quality of life considerably. This study measured utility weights of severe stomach cancer symptoms using VAS (Visual Analogue Scale), TTO (Time-trade Off) and EQ-5D (EuroQol-5 Dimension) methods. A survey questionnaire was developed to describe the symptoms of severe stomach cancer comprehensively and concisely using VAS, TTO and EQ-5D. A face-to-face interview was conducted for 21 cancer inpatients in a hospital and 25 non-patients. The mean utility weight is 0.498 for VAS, 0.375 for EQ-5D and 0.300 for TTO. Using VAS or TTO methods, there were no statistically significant differences between patients and non-patients while there was significant difference in EQ-5D. The utility weight with VAS and EQ-5D has shown similar trend - higher score in patient group, male and aged while it has opposite trend with TTO.

• 치위생과학회지
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• 제14권3호
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• pp.417-423
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• 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.

• 정신신체의학
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• 제26권2호
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• pp.86-93
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• 2018

연구목적 본 연구는 한국 성인의 인슐린 저항성 정도와 우울감, 자살 생각, 스트레스 및 삶의 질 사이의 연관성을 탐색하고자 하였다. 방 법 제6기 3차년도 국민건강영양조사 자료를 이용하여 3,613명의 대상자를 선정하였다. 인슐린 저항성은 Homeostatic Model Assessment of Insulin Resistance를 통해 계산하였다. 우울감, 자살 생각, 스트레스에 대한 설문이 이루어졌으며, 삶의 질은 EuroQol-5 dimension의 삶의 질 지수를 통해 평가되었다. 분석 방법으로는 상관 분석과 회귀 분석이 사용되었다. 결 과 인슐린 저항성 집단에서 대조 집단에 비해 우울감과 자살 생각의 위험성이 유의하게 높았다. 스트레스는 남성에서만 인슐린 저항성 집단에서 위험성이 유의하게 증가하였다. 삶의 질 지수는 인슐린 저항성과 음의 상관관계를 보였다. 나이, 성별, 체질량 지수를 보정하였을 경우에는 자살 생각에서만 위험성 증가가 확인되었다 결 론 한국 성인에서 인슐린 저항성이 우울증과 관련된 정신건강 문제들과 연관성을 갖는 것을 확인하였다.

• 대한융합한의학회지
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• 제1권1호
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• pp.35-44
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• 2021

Objectives: The purpose of this study is to investigate the effect of ultrasound therapy on left knee pain and instability diagnosed with Baker's cyst in a 25-year-old male patient. Methods: Patient was treated with Radio frequency ablation treatment on left knee from Naeseulan (EX-LE4) to Wijoong (BL40). The effect of radio frequency ablation was assessed by Visual Analog Scale (VAS), Western Ontario and McMaster Universities (WOMAC) and Euro Qol-5 Dimension Index (EQ-5D Index). The treatment was executed one time a day everyday form May 28th to June 1st of 2020. Patient was observed from May 26th to June 1st. Results: After five sessions of radio frequency ablation, VAS of left posterior knee pain was improved while no improvement was discovered at left medial knee. In Korean WOMAC scale, only subscale of weight bearing and walking around plain were improved. EQ-5D did not show any improvement. Conclusion: The results suggest that radio frequency ablation treatment can be a valuable option in treating knee pain and daily living function. Further study seems to be needed based on long-term intervention.

• 보건교육건강증진학회지
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• 제26권1호
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• pp.1-13
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• 2009

Objectives: This study was conducted to estimate the health-related quality of life (HRQOL) using EuroQoL-5 Dimension (EQ-5D) and to identify its related factors among urban-dwelling adults. Methods: The data for this study were obtained from 1,134 subjects aged $20\sim91$, who participated in 'Survey on the health status and demand for health' in two cities of Korea (Dong-gu, Gwangju and Suncheon-si, Jeollanamdo). The HRQOL was measured using the EQ-5D instrument and EQ-5D index scores were calculated by two Korean valuation study model using time trade-off method. Results: The mean EQ-5D index scores for all subjects were $0.865{\pm}0.218$ (model A), and $0.921{\pm}0.170$ (model B). The EQ-5D index score was significantly different according to demographic and socioeconomic characteristics (gender, age, marital status, education, occupation, income, and health security system), self-rated health condition, health-related psychological assessments (enough sleep, fatigue rate, stress rate, and degree of satisfaction on the residence). The results of multiple linear regression showed that age, marital status, income, coverage of medical insurance, self-rated health condition, and fatigue rate were significantly related common statistical factors of HRQOL in two Korean valuation study model. Conclusion: Among the adults residing in urban environment, the HRQOL was significantly lower on the subjects with following conditions: higher age, being alone without a spouse as a result of death, divorce or separation, low income, medical aid program, poor self-rated health condition, and chronic fatigue. In order to improve the urban adults' quality of life, healthcare policy and health promotion program must be developed with considerations to factors related to the HRQOL.

• 대한한방부인과학회지
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• 제34권2호
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• pp.157-170
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• 2021

Objectives: The purpose of this study is to report the improvement of vulvodynia and genital pruritus caused by unidentified genital ulcer after Korean medicine treatment. Methods: The patient who complained vulvodynia and genital pruritus caused by unidentified genital ulcers was treated by acupuncture, moxibustion, fumigation, and herbal medicine as Eunhwasagan-tang, Guibi-tang-gami-bang for 5 days. The effect of treatment was evaluated by Numeral Rating Scale (NRS), The 5 level of EuroQol 5 Dimension scale (EQ-5D-5L), EuroQol-Visual Analog Scale (EQ-VAS). Results: After the treatment, the chief complaint and general conditions were improved. NRS was decreased from 8 to 3 and scores of EQ-5D-5L and EQ-VAS were increased from 0.416, 10 to 0.904, 80 each. Conclusion: This study shows that the skin lesion, vulvodynia, and pruitus caused by genital ulcer was improved after the Korean traditional treatment and it can be effective medical alternatives or options for genital ulcer patients.

• Journal of Preventive Medicine and Public Health
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• 제57권2호
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• pp.128-137
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• 2024

Objectives: This study was conducted to characterize the symptoms, mental health, quality of life (QoL), and associated factors following the coronavirus disease 2019 (COVID-19) infection. Methods: This cross-sectional study included 394 participants previously infected with COVID-19 in Ho Chi Minh City, Vietnam. Mental health was assessed using the 21-item Depression, Anxiety, and Stress Scale (DASS-21). Participants self-reported health-related QoL was measured with the EuroQol 5-Dimension 5-Level (EQ-5D-5L) scale. Results: Among the participants, 76.4% reported experiencing at least one symptom following COVID-19 infection. The most common symptoms were fatigue (42.1%), cognitive dysfunction (42.9%), and hair loss (27.9%). According to the DASS-21 results, the proportions of depression, anxiety, and stress were 28.7%, 26.4%, and 20.6%, respectively. The mean scores on the EQ-5D-5L and the EuroQol Visual Analog Scale were 0.94±0.11 and 84.20±13.11, respectively. Regarding QoL issues, the highest proportion of participants (32.7%) reported experiencing anxiety or depression, followed by pain or discomfort (25.4%). Multivariable logistic regression analysis revealed that factors associated with the presence of symptoms following COVID-19 infection included female (odds ratio [OR], 2.84; 95% confidence interval [CI], 1.65 to 4.91) and having QoL issues (OR, 3.25; 95% CI, 1.71 to 6.19). Conclusions: The study investigated the prevalence rates of various symptoms following COVID-19 infection. These findings underscore the need to prioritize comprehensive care for individuals recovering from COVID-19 and to implement strategies to mitigate the long-term impact of the disease on mental health and QoL.