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

• Journal of Preventive Medicine and Public Health
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• 제56권5호
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• pp.467-474
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• 2023

Objectives: Diabetes mellitus (DM) is a serious public health issue that places a heavy financial, social, and health-related burden on individuals, families, and healthcare systems. Self-reported health-related quality of life (HRQoL) is extensively used for monitoring the general population's health conditions and measuring the effectiveness of interventions. Therefore, this study investigated HRQoL and associated factors among patients with type 2 DM at a primary healthcare center in Indonesia. Methods: A cross-sectional study was conducted in Klaten District, Central Java, Indonesia, from May 2019 to July 2019. In total, 260 patients with DM registered with National Health Insurance were interviewed. HRQoL was measured with the EuroQol Group's validated Bahasa Indonesia version of the EuroQoL 5-Dimension 5-Level (EQ-5D-5L) with the Indonesian value set. Multivariate regression models were used to identify factors influencing HRQoL. Results: Data from 24 patients were excluded due to incomplete information. Most participants were men (60.6%), were aged above 50 years (91.5%), had less than a senior high school education (75.0%), and were unemployed (85.6%). The most frequent health problems were reported for the pain/discomfort dimension (64.0%) followed by anxiety (28.4%), mobility (17.8%), usual activities (10.6%), and self-care (6.8%). The average EuroQoL 5-Dimension (EQ-5D) index score was 0.86 (95% confidence interval [CI], 0.83 to 0.88). In the multivariate ordinal regression model, a higher education level (coefficient, 0.08; 95% CI, 0.02 to 0.14) was a significant predictor of the EQ-5D-5L utility score. Conclusions: Patients with diabetes had poorer EQ-5D-5L utility values than the general population. DM patients experienced pain/discomfort and anxiety. There was a substantial positive relationship between education level and HRQoL.

• 치위생과학회지
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• 제15권4호
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• pp.480-487
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• 2015

본 연구는 2013년 KNHANE 자료를 이용하여 우리나라 성인의 구강건강 상태와 HRQoL 관련성을 EQ5D 구성요소를 중심으로 평가하고자 하였다. 16~64세 성인 3,252명을 최종 분석대상자로 하여 다음과 같은 결론을 얻을 수 있었다. 치아통증과 운동능력, 통증 및 불편은 통계적으로 유의한 관련성을 나타냈고, 저작 불편과 말하기 불편은 EQ5D 구성요소 5가지 모두 통계적으로 유의한 관련성을 나타냈다. 주관적 구강건강 인식은 자기관리, 일상활동, 통증 및 불편, 불안 및 우울과 통계적으로 유의한 관련성을 나타내어 구강건강 상태와 EQ5D 구성요소의 관련성을 확인하였다. 또한 EQ5D 구성요소에 미치는 영향을 통제변수를 보정 후 로지스틱 회귀분석으로 살펴본 결과 치아통증, 저작 불편, 말하기 불편, 주관적 구강건강 인식이 불안 및 우울에 영향을 미치는 것으로 나타났다. 구강건강 증진은 HRQoL을 향상시킬 수 있는 방안이 되므로, 구강건강의 중요성을 인식하고 예방차원의 교육 및 프로그램이 필요하다고 생각된다.

• Journal of Acupuncture Research
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• 제37권4호
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• pp.259-269
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• 2020

Background: This study aims to statistically analyze and compare the curative effect and satisfaction level between typical traditional Korean medicine treatment and nonsurgical spinal decompression treatment. Methods: Of the patients who were diagnosed with the cervical or lumbar herniated intervertebral disc at the Department of Acupuncture and Moxibustion Medicine at the Daejeon Korean Medicine Hospital from April 14^th to August 25^th, 2019, this study retrospectively analyzed the medical records of 31 patients who underwent nonsurgical spinal decompression treatment and traditional Korean medicine (assigned to Group A) and another 31 patients who received typical traditional Korean medicine alone (assigned to Group B). The clinical data were analyzed using IBM SPSS Version 23.0. Results: No statistically significant differences appeared in terms of sociodemographic, condition, and therapeutic characteristics, except whether the patient received Western medicine treatment, before or after a treatment with traditional Korean medicine. Group A exhibited higher variations in numeric rating scale, EuroQol- 5 dimension and EuroQol visual analogue scale scores compared to Group B as determined by independent sample t test and analysis of covariance. In addition, the satisfaction score of Group A was higher than that of Group B The result of cross analysis revealed that desire for continued treatment in Group A was higher than that of Group B. Conclusion: This retrospective observational study showed that the patients with nonsurgical spinal decompression treatment reported a greater reduction in pain, improved quality of life and satisfaction than patients receiving typical traditional Korean medicine.

• Journal of the Korean Data and Information Science Society
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• 제27권5호
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• pp.1349-1360
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• 2016

본 연구는 국내 COPD 환자의 삶의 질 정도 및 삶의 질과 관련이 있는 요인을 확인하기 위해 시도되었다. 2013년도 국민건강영양조사의 일반적 및 질병관련 변수, 폐기능검사 결과, 삶의 질(EuroQol-5Dimension) 자료를 이용하여 가중치를 적용한 후 복합표본 교차분석과 복합표본 회귀분석으로 분석하였다. 연구결과, EQ-5D Index는 COPD 환자 0.916점, 정상인 0.941점으로 COPD 환자가 정상인보다 통계적으로 유의하게 낮았다. 삶의 질 하부 영역인 이동, 자가간호, 일상활동, 통증/불편감, 불안/우울 모두 COPD 환자는 정상인과 비교하여 문제 없음의 비율이 낮고 문제 있음의 비율이 높았지만, 기도폐쇄 정도에 따른 삶의 질은 자가간호 영역만 유의한 차이가 있었다 (${\chi}^2=9.50$, p=.013), COPD 환자의 삶의 질과 관련이 있는 요인은 연령, 성별, 교육수준, 가구당 수입, 흡연상태, 동반질환 수이었다. 본 연구결과를 바탕으로, COPD 환자의 삶의 질에 대한 관심과 함께 이동, 자가간호, 일상생활을 증진하고 통증/불편감, 불안/우울을 감소하는 등 삶의 질을 향상시키기 위한 포괄적인 접근이 이루어져야 할 것이다.

• 디지털융복합연구
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• 제17권6호
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• pp.247-255
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• 2019

본 연구는 만성 뇌졸중 환자에게 키네시오테이핑과 경피신경전기자극을 결합 적용하여 단일방법과 비교하기 위함이다. 본 연구는 뇌졸중환자 29명을 대상으로 테이핑군(10명), 경피신경전기자극군(10명), 테이핑과 경피신경전기자극 결합한 결합군(9명)으로 나누었다. 중재기간은 4주간 주 5회, 30분씩 실시하였다. 평가에는 Timed Up & Go(TUG)와 Berg balance Scale(BBS)를 이용하여 균형평가를 실시하였고 보행 평가는 Functional Gait Assessment(FGA)와 10-metre walk test를 이용하였다. 삶의 질 평가는 EuroQol-5 dimension (EQ-5D)를 이용하였다. 연구결과 세 군 모두에서 TUG, BBS, FGA, 10 meter walk test, EQ-5D에 유의한 개선이 나타났다(p<.05). 세 군간 중재효과 비교에서 결합군이 나머지 두 군보다 FGA에 유의한 증가를 보였다. 본 연구를 통해 경피신경전기자극과 테이핑 결합이 단일적용 보다 FGA에 더욱 효과적인 것을 알 수 있었다. 하지만 FGA를 제외하고 다른 변수간에 차이가 없었으므로 앞으로의 연구에서는 더 많은 대상자 수와 중재기간이 필요할 것으로 사료된다.

• 한방재활의학과학회지
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• 제27권3호
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• pp.137-146
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• 2017

Objectives The purpose of this study is to compare the effects between the KL-Grade and improvement of knee pain treated by Korean Medicine therapy. Methods 114 patients who received inpatient treatment from July 2014 to May 2017 in the Daejeon Jaseng of Korean Medicine Hospital were divided into 5 groups by the KL-Grade. All patients received a combination of treatment including acupunture, pharmacopunture, herbal medication. They were compared and analyzed on the basis of improvement between measuring Numeric Rating Scale (NRS), Western Ontario and McMaster Universities Arthritis Index (WOMAC Index), EuroQol-5 Dimension Index (EQ-5D Index) as they were hospitalized and as they were discharged. The statistically significance was evaluated by SPSS 23.0 for windows. Results After treatment, KL-Grade 0 group's Numeric Rating Scale (NRS), Western Ontario and McMaster Universities Arthritis Index (WOMAC Index), EuroQol-5 Dimension Index (EQ-5D Index) improvement was $2.02{\pm}1.69$, $7.50{\pm}9.67$ and $0.11{\pm}0.15$ respectively. KL-Grade 1 group's improvement was $2.09{\pm}1.23$, $11.75{\pm}13.99$ and $0.12{\pm}0.13$ respectively. KL-Grade 2 group's improvement was $1.60{\pm}1.07$ and $14.70{\pm}14.19$ respectively. But In this group, EQ-5D Index has decreased by $0.01{\pm}0.10$. KL-Grade 3 group's improvement was $1.88{\pm}1.31$, $7.81{\pm}13.35$ and $0.13{\pm}0.20$ respectively (p<0.034). In the case of KL-Grade 4, the population was not statistically significant (N=2) and therefore excluded from statistical significance. And there was no statistically significance between 4 group's improvement after treatment (p>0.05). Conclusions The above study showed that Korean medicine treatments showed significant therapeutic effects on knee pain and degenerative knee joints, but there was no significant difference in the effectiveness of degenerative arthritis (KL-Grade).

• 대한지역사회작업치료학회지
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• 제9권1호
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• pp.35-45
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• 2019

목적 : 본 연구는 지역사회거주 성인에서 뇌졸중에 영향을 미치는 요인을 규명하고자 하였다. 연구방법 : 본 연구는 2016년 지역사회건강조사의 원시자료를 이용하였다. 이 조사에 참여한 대상자 228,452명 중 결측 값을 제거한 225,003명(98.5%)이 본 연구의 분석에 포함되었다. 사회인구학적 특성은 성별, 나이, 지역, 소득, 혼인상태로 설정하였고, 동반질환은 골다공증, 고혈압, 당뇨병, 이상고지혈증, 심근경색, 관절염이 선택되었다. 건강관련 삶의 질은 EuroQol-5 Dimension로 평가되었고 하위영역인 운동능력, 자기관리, 일상활동, 통증/불편, 불안/우울의 수준을 확인하였다. 종속변수는 뇌졸중 여부, 독립변수는 위에 서술한 16개 변수였다. 통계분석은 이분형 로지스틱 회귀분석을 이용하였다. 결과 : 인구사회학적 특성 변수에서는 남성일수록, 나이가 증가할수록, 소득수준이 낮을수록 뇌졸중을 높게 예측하였다. 동반질환 여부에서, 고혈압, 당뇨, 이상고지혈증, 심근경색이 있을수록 뇌졸중을 높게 예측하였다. 건강관련 삶의 질 하위영역에서 뇌졸중을 예측하는 영역은 자기관리, 일상활동, 운동능력, 불안/우울 순서로 나타났다. 결론 : 본 연구의 결과는 지역사회에 거주하는 뇌졸중 성인의 자조관리와 일상생활 능력 증진을 위한 맞춤형 건강증진 프로그램 개발이 필요함을 제안한다.

• 척추신경추나의학회지
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• 제17권1호
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• pp.47-53
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• 2022

Objectives This case study aimed to investigate the effect of acupotomy and fascia chuna therapy on talipes cavus-type plantar fasciitis. Methods We classified the foot arch type using a podoscope and estimated the outcome by evaluating the numeric rating scale, pain disability index, and EuroQol-5-dimension measurement. Results After treatment, heel pain decreased and the quality-of-life score improved. Conclusions This study suggests that treatment with acupotomy and muscle energy techniques based on the foot arch type may be effective for plantar fasciitis. A limitation of this study is the small number of cases. Further clinical studies are required.

• 척추신경추나의학회지
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• 제13권2호
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• pp.47-63
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• 2018

Objectives : The purpose of this study was to analyze the effects of lumbar spinal herniated intervertebral Disc on MRI accompanying or not High-intensive zone(HIZ) by Korean Medical Combination Treatment Methods : 324 patients who received inpatient treatment from January 2017 to September 2017 in the Daejeon-Jaseng of Korean Medicine Hospital were divided into 2 groups by High-intensive zone(HIZ) confirmed with a Lumbar spine magnetic resonance imaging. All patients received a combination of treatment including acupunture, chuna manual therapy, pharmacopunture, herbal medication. They were compared and analyzed on the basis of improvement between measuring Numeric Rating Scale (NRS), Oswestry Disability Index (ODI), EuroQol-5 Dimension Index (EQ5D Index), physical examination as they were hospitalized and as they were discharged. The statistically significance was evaluated by SPSS 18.0 for windows. Results : After treatment, Numeric Rating Scale (NRS), Oswestry Disability Index (ODI), EuroQol-5 Dimension Index (EQ5D Index), physical examination was improved respectively. But there was no statistically significance between 2 group's improvement after treatment. Conclusions : After inpatient treatment by Korean Medical Combination Treatment, Most patient's pain, disability and Health Related Quality of Life was improved significantly. But there was no statistically difference between accompanying or not High-intensive zone(HIZ). So We think that future research of higher quality and correct statistics shall be necessary.