• 제목/요약/키워드: Health Related Quality of Life (HRQOL)

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삶의 질 측정도구의 개괄 및 한의학에서의 이용 (An Overview of HRQOL (Health Related Quality of Life) Instrument and Application in Oriental Medicine)

  • 정태영;조정효;손창규
    • 대한한의학회지
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    • 제31권2호
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    • pp.64-70
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    • 2010
  • Objective: This study aimed to construct an overview of health-related quality of life (HRQOL) scales for application in studies of traditional Korean medicine (TKM). Methods: We analyzed all HRQOL scales from the PROQOLID web site (www.proqolid.org) regarding to classification, application purposes, and translation to Korean version. We also searched clinical studies focused on "Quality of Life" using TKM. Results: A total of 660 HRQOL instruments were analyzed; 99 were for general condition while 559 were disease-specific. Twenty clinical studies for TKM were conduced using HRQOL scales. Conclusion: The adaptation of the international HRQOL instrument is strongly recommended in TKM-associated clinical study, and development of a TKM-specific HRQOL scale is needed for globalization of TKM.

뇌졸중 환자가족의 가족부담감과 건강관련 삶의 질 (Caregiver Burden and Health-related Quality of Life Among Stroke Caregivers)

  • 김은영;신은영;김윤미
    • 한국보건간호학회지
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    • 제18권1호
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    • pp.5-13
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    • 2004
  • Purpose: This study was performed to examine the relationship between caregiver burden and health-related quality of life (HRQOL) in family caregivers of stroke patients in the community. Methods: Subjects were 33 stroke patients who had a experience of hospitalization during last 1 year and their family. Data were obtained from personal interview by nursing students in October, 2003. We assessed the functional status of stroke patients, caregiver burden and the HRQOL of caregivers using SF-8. Results: A higher subjective burden was related to dependent functional status of patients than independent(P<.01). The independent cognitive function of stroke patients and good health of caregivers were related to high HRQOL of caregivers. PCS and MCS of HRQOL were negatively correlated to subjective burden, -.34(p<.01) and -.37(p<.05). Conclusion: We founded functional status of stroke patients. caregiver burden and HRQOL of caregivers were related to each other. To improve the HRQOL of caregiver, decreasing burden of caregivers and the functional status improvement of stroke patients must be considered.

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취약계층 여성노인의 연령주기별 건강관련 삶의 질 관련 요인 (Factors associated with Health-related Quality of Life in Vulnerable Elderly Women)

  • 신계영;김은경
    • 한국보건간호학회지
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    • 제28권3호
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    • pp.419-431
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    • 2014
  • Purpose: The aim of this study was to understand the determinants of health-related quality of life (HRQOL) according to age groups in vulnerable elderly women. Methods: We conducted a cross-sectional study with 1,533 elderly women beneficiaries of the visiting health care program in Seoul. The participants were divided into three age groups: the young-old (n=753, 65-74 years), old-old (n=602, 75-84 years), and oldest-old (n=178, 85 years or older) groups. HRQOL was measured using the SF-8 questionnaire. Results: HRQOL was found to be worse in the oldest-old group (p=.007). Factors associated with HRQOL differ by age groups. In the young-old and old-old groups, higher HRQOL showed significant correlation with a higher level of self-rated health (SRH) and a lower level of depression, instrumental activities of daily living (IADL) dependence, and the number of chronic diseases. In addition, higher HRQOL was observed for elderly living alone than for those living with family. In the oldest group, higher HRQOL showed significant correlation with a lower level of depression, activities of daily living (ADL) dependence, and a higher level of SRH. Conclusions: In age specific groups, lower levels of HRQOL were observed for the oldest-old group than for the other age groups. Age group-specific nursing strategies may be required for improving HRQOL levels of vulnerable elderly women.

체중 감량에 따른 삶의 질 영향 평가를 위한 설문지 연구 동향 분석 (Research Trend Analysis of Questionnaires for Evaluation of Weight Loss Effect on Health-Related Quality of Life)

  • 노은영;김서영;임영우;박영배
    • 한방비만학회지
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    • 제19권1호
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    • pp.12-23
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    • 2019
  • Objectives: Obesity is associated with a high mortality risk and impairment in health-related quality of life (HRQOL). The aim of this article is to examine the impact of weight loss on HRQOL and which questionnaires sensitively reflect weight loss effects on HRQOL. Methods: PubMed, Scopus, Research Information Sharing Service, and Korean Studies Information Service System were searched for the studies related to weight loss and HRQOL, published from 2009 to 2018. A total of 28 studies were eligible for inclusion. HRQOL results after weight loss from selected studies were classified and reported according to questionnaires. Results: Twenty-two studies reported statistically significant HRQOL improvements after weight loss and especially, all of studies with weight loss of more than 5% reported HRQOL improvements. HRQOL questionnaires were classified as generic, obesity-related and depression questionnaires. The most commonly used questionnaires were Short-Form health survey 36 (SF-36), Impact of Weight on Quality Life-Lite (IWQOL-Lite) and Beck Depression Inventory (BDI) respectively. SF-36 had a tendency to reflect physical health. IWQOL-Lite score was tended to be changed sensitively according to weight change. Depression questionnaires including BDI reported improvement of depression while mental aspects of SF-36 not changed in same studies. Conclusions: Improvements of HRQOL were noted in studies with weight loss of more than 5%. The main questionnaires for evaluating HRQOL were SF-36, IWQOL-Lite and BDI. It is suggested to use these questionnaires together for evaluating multiple aspects of impact of weight loss on HRQOL.

노인 암환자의 건강관련 삶의 질 영향요인: 2015년 한국의료패널 자료 분석 (Comparison of Factors Influencing Health-Related Quality of Life between Young-Aged and Old-Aged Patients with Cancer: Analysis of the 2015 Korea Health)

  • 김신미;이인숙
    • 가정간호학회지
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    • 제27권2호
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    • pp.156-168
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    • 2020
  • Purpose: This study aimed to examine factors influencing health-related quality of life (HRQOL) and compare them between young-aged and old-aged patients with cancer. Methods: Data of 291 patients (young-aged: 168, old-aged: 123) were obtained from the 10th wave of the 2015 Korea Health Panel Survey. The HRQOL was measured using the Korean version of Euro-QoL-5D. Independent t-test, analysis of variance, and multiple regression analysis were performed to identify factors influencing HRQOL. Results: The average HRQOL score was 0.87±0.10 and 0.82±0.15 among young-aged and old-aged, respectively. The factors differed partially between the two groups. For young-aged, the influencing factors were activity restriction, subjectively perceived health status, and smoking. For old-aged, the influencing factors were activity restriction, subjective health status, and unmet healthcare needs. Conclusion: Strategies to improve the HRQOL of elderly adults need to be developed considering the age group. Additionally, studies that include clinical factors such as symptoms are required to prepare need-based practical approaches for better quality of life of such patients.

산업장근로자의 건강증진행위, 지각된 건강상태가 건강관련 삶의 질에 미치는 영향 (Influence of Health Promotion Behavior and Perceived Health Status on the Health-related Quality of Life of Industrial Employees)

  • 임유미;심문숙
    • 한국보건간호학회지
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    • 제35권1호
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    • pp.165-178
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    • 2021
  • Purpose: This study examined the correlations between the health promotion behavior, perceived health status, and health-related quality of life(HRQOL) to identify the factors influencing HRQOL of industrial employees, Methods: The target of this study was 126 industrial the employees in a vehicle company who understood the purpose of the study and agreed to participate. The collected data were analyzed by frequency, percentage, mean, standard deviation, independent t-test, one way ANOVA, Scheffé test and hierarchical regression analysis using SPSS 25.0 program. Results: Hierarchical regression analysis showed that the Perceived Health Status was the influencing factor of Physical Component Summary of HRQOL(��=.56, p<.001), which had an additional explanatory power of 21.2%. The influencing factor of Mental Component Summary of HRQOL was Health Promotion Behavior(��=.32, p<.001), which had an additional explanatory power of 17.2% and Perceived Health Status(��=.29, p=.002), which had an additional explanatory power of 5.1%. Conclusion: To improve the HRQOL of life of industrial employees, counseling and education that recognizes the current state of health and induces positive health awareness are necessary, and appropriate promotion programs without limiting the time and place are needed.

거주 지역에 따른 노인의 건강수준, 건강행태, 건강관련 삶의 질 관련 요인 (Related Factors between Health Status, Health Behaviors, Health-related Quality of Life by of Elderly)

  • 류정임;최혜선
    • 한국농촌간호학회지
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    • 제9권2호
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    • pp.59-70
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    • 2014
  • Purpose: The present study was to done ascertain variables related to health-related quality of life (HRQOL) and their related factors in elders from urban or rural areas. Methods: Data were collected from raw material of the 2009 community health survey. Participants were 2,140 elders. Health related quality of life (HRQOL) was measured using EQ-5D. Data were analyzed with SPSS 13.0. Results: Mean EQ index score for urban elders was $0.78{\pm}0.23$, Mean EQ index score for rural elders was $0.82{\pm}0.16$. Rural elders had significantly higher EQ-5D index value compared to urban elders. The urban elder HRQOL model accounted for 33.6% of the variance due to depression, age, stress perception. The rural elder HRQOL model accounted for 23.5% of the variance due to exercising walking, skipping breakfast, depression in that order. In comparison, depression, skipping breakfast, livelihood, arthritis, stress perception, hours of sleep and age are strongly associated with HRQOL in both groups. Conclusion: Results indicate that significant differences in HRQOL between elders from the two areas and thus, confirm claims that welfare services for elders should be provided with consideration of the different needs of elders in the two areas, and in particular for addressing depression in elders.

신체활동 수준이 암 생존자의 건강 관련 삶의 질에 미치는 영향: 2014-2018년 국민건강영양조사 자료 활용 연구 (Influence of Physical Activity Level on the Health-related Quality of Life of Cancer Survivors: Based on the Korea National Health and Nutrition Examination Survey for 2014-2018)

  • 오진경;허익수
    • 한국보건간호학회지
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    • 제35권1호
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    • pp.72-88
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    • 2021
  • Purpose: This study investigated the associations between physical activities (PAs) and the health-related quality of life (HRQOL) and perceived health status (PHS) of cancer survivors. We further examined the interaction effects of PAs and covariates on HRQOL and PHS. Methods: Data sets were obtained from the 2014-2018 Korea National Health and Nutrition Examination Survey. The subjects were 1,349 cancer survivors aged over 18 years old. Data were analyzed using R 4.0.3 and SPSS 18.0. Logistic regression analysis was conducted considering only the main terms, or including additional interaction terms between PAs and covariates. Results: Moderate and high PAs showed significantly improved HRQOL related to self-care domain, euro quality of life-5 dimension index, and PHS. Interaction analysis revealed that high PAs resulted in improved HRQOL associated with self-care and pain/discomfort in cancer survivors having depression. Moreover, for low- and middle-income levels, higher PAs served to improve HRQOL associated with depression/anxiety. In contrast, higher PAs rather reduced HRQOL for the high-income group. Conclusions: To improve HRQOL, we recommend PAs higher than the moderate level for cancer survivors. In case of cancer survivors having depression or belonging to the high-income group, it is necessary to manage individual PAs considering the interaction effects.

보건소를 이용하는 고혈압 환자의 우울증상, 자아존중감, 스트레스 및 건강관련 삶의 질 관계 (Relationships of Depression Symptom, Self-Esteem, and Stress to Health-Related Quality of Life in Patients with Hypertension Registered to a Community Health Center)

  • 최미니;이은현
    • 한국보건간호학회지
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    • 제29권2호
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    • pp.165-176
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    • 2015
  • Purpose: This study was conducted to examine the relationships of depression symptom, self-esteem, and stress with health-related quality of life(HRQOL) in patients with hypertension registered to a community health center. Methods: This study was a correlational survey using a convenience sampling. A total of 110 patients diagnosed with hypertension were recruited from a health center in Gyeonggi-do. The questionnaires used were the Cardiovascular Disease Specific-HRQOL questionnaire, Center for Epidemiologic Studies Depression, Rosenberg Self-Esteem Scale, and Perceived Stress Scale. The acquired data were analyzed using IBM SPSS version 22.0. Multiple linear regression analysis was performed. Results: Moderate depression symptom(${\beta}=-.368$, p<.001), severe depression symptom (${\beta}=-.450$, p<.001), stress(${\beta}=-.339$, p=.001), and gender(${\beta}=-.148$, p=.049) were significant predictors for the HRQOL. Multiple linear regression showed that 51.8% ($R^2=.518$) of the variance in the HRQOL was explained. Conclusion: Based on these results, development of an intervention or education program, to decrease depression symptoms and stress is recommended. This may improve the HRQOL in patients with hypertension registered to a community health center.

만성폐쇄성폐질환자의 건강 관련 삶의 질에 영향을 미치는 요인 (Factors Influencing Health-related Quality of Life of Patients with Chronic Obstructive Pulmonary Disease)

  • 김나현;박진희
    • 근관절건강학회지
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    • 제23권3호
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    • pp.159-168
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    • 2016
  • Purpose: The purpose of this study was to identify the factors influencing health-related quality of life (HRQOL) of patients with chronic obstructive pulmonary disease (COPD). Methods: A sample of 108 Patients diagnosed with COPD was recruited from outpatients, at a university hospital. Data were collected from February to April in 2016 using the St. George's Respiratory Questionnaire, the Hospital Anxiety-Depression Scale, and the COPD Self-efficacy scale. Results: The average score of HRQOL was 47.56 in patients with COPD. Results of the regression analysis showed that dyspnea phase (${\beta}$=.34, p<.001) and presence or absence of oxygen (${\beta}$=.20, p=.009), anxiety (${\beta}$=.29, p<.001), $FEV_1$ % predicted (${\beta}$=-.15, p=.014) were statistically significant in patients' HRQOL. Conclusion: The research findings show that dyspnea phase and anxiety among psychological factors were the most powerful factors that explain the HRQOL of COPD patients when the demographic and disease characteristics were controlled. Identification of quality of life-related factors should be used to inform targeted interventions, in order to improve HRQOL and help patients' cope.