• Women's Health Nursing
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• v.25 no.3
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• pp.299-314
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• 2019

Purpose: This study was to identify health behavior, health service use, and health related quality of life of adult women in one-person and multi-person households. Methods: It was used data from the 7th Korea National Health and Nutrition Examination Survey (KNHANES VII-2017). Subjects were 2,522 women with age of 19 to 64 years in 2017. Complex sampling design and data analysis were performed using SPSS 20.1. Results: Women in one-person households had higher rates of alcohol drinking (${\chi}^2=13.77$, p=.003), smoking (${\chi}^2=16.07$, p=.001), unmet medical care (${\chi}^2=8.77$, p=.004) and non-practice of cancer screening (${\chi}^2=13.77$, p=.003) compared to women in multi-person households. Health-related quality of life was also lower for women in one-person households (t=-2.46, p=.015). Factors affecting health-related quality of life in one-person households were household income, job status, and unmet dental care, having 32.4% explanatory power. One-person household women with low incomes, no jobs, and unmet dental care showed low health-related quality of life. In comparison, factors affecting health-related quality of life of women in multi-person household women were age, education level, unmet medical care, and unmet dental care, having 10.4% explaining power. Women in multi-person households with age of 60-64, low education level, unmet medical care, and unmet dental care showed low health-related quality of life. Conclusion: Health promotion strategies should be developed based on unique understanding of social, economic, and health of adult women in one-person and multi-person households.

• Journal of Korean society of Dental Hygiene
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• v.19 no.5
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• pp.699-713
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• 2019

Objectives: This study aimed to identify the relationships of oral and systemic health-related characteristics with health-related quality of life (EQ-5D) in the elderly, and factors related to quality of life were compared according to age subgroups classified as either younger (young-old) or older (old-old) than 75 years of age. Methods: Data acquired by the Sixth Korean National Health and Nutrition Examination Survey(KNHANES) from 2013 to 2015 were used, and the research target was 3,124 people aged 65 years or older. A complex samples general linear model was used to identify health-related quality of life factors. Results: Education, economic activity, depression, stress, regular walking, self-rated oral health, pronunciation problems, and unmet dental care had significant effects on quality of life in both young-old and old-old participants. Marriage, income, number of systemic diseases, sleeping, and chewing inconveniences were significant factors for the young-old but not in the old-old participants. Instead, obesity and drinking were identified as significant factors in the old-old participants. Conclusions: We reaffirmed that factors affecting health-related quality of life in older adults differed by age group. We also confirmed the impact of oral health-related characteristics on this quality. Therefore, to improve quality of life for older adults, it would be efficient to divide groups by age and develop and implement programs that take relevant factors into consideration.

• Research in Community and Public Health Nursing
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• v.29 no.4
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• pp.488-498
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• 2018

Purpose: This study was conducted to identify the influence of trauma experiences and social adjustment on health-related quality of life in North Korean defectors. Methods: The subjects were 117 North Korean defectors living in B and Y city. The data were collected from September 1 to September 20, 2014, and analyzed by the SPSS/WIN 18.0 program. Results: Significant differences were found in the health-related quality of life with respect to the subjects' education, marriage status, types of dwelling, family types, duration of residence in South Korea, jobs in South Korea and in North Korea, families left in North Korea or other surrounding countries, and subjective health status. Health-related quality of life is negatively related to trauma experiences during escape from North Korea and during their life in South Korea. Health-related quality of life positively is related to social adjustment. The meaningful variables which influenced the subjects'health-related quality include social adjustment, job in South Korea, job in North Korea, current family structure, and trauma experiences in South Korea. Total explanatory power of these factors for health-related quality in North Korean Defectors is 43.0% and social adjustment is the most influential factor. Conclusion: Therefore, in order to enhance health-related quality of life in North Korean defectors, it is necessary for them to increase social adjustment and decrease trauma experiences. In addition, methods are needed to provide job opportunities, better education and family services for North Korean defectors.

• Journal of Korean society of Dental Hygiene
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• v.15 no.2
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• pp.197-204
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• 2015

Objectives: The purpose of this study was to investigate the relation between health-related quality of life and oral health behavior and oral health status, and to provide the basic data for national oral health policy. Methods: The primary data of the 5th National Health Examination and Nutritional Survey(NHANES) in 2012 were used in this study. The subjects were 2,243 middle-aged people(40-59 years old), 827 persons were excluded for missing value or having diseases affecting quality of life(depression, stroke, cardiac infarction, angina, liver cancer, stomach cancer, colon cancer, breast cancer, cervical cancer, lung cancer, thyroid cancer, other cancers, arthritis), and 1,416 data were finally analyzed. Results: In health-related quality of life by subjects' characteristics, there was significant difference in gender, age, education, family income, and employment status(p<0.01) except for current smoking. Oral health behavior didn't have significant relation to health-related quality of life, but better oral health status showed better health-related quality of life(p<0.01). Conclusions: In conclusion, this study suggested that there was close relationship between the oral health status and health-related quality of life in moddle aged people. Therefore, national oral health policy is needed for the oral health promotion with commitment of oral prophylaxis and care programs to the individual and community.

• Korean Journal of Adult Nursing
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• v.20 no.5
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• pp.791-803
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• 2008

Purpose: The purpose of this study was to collect basic data in the quality of life related to health in migrant workers. Methods: Data from 133 migrant workers was collected from August to December 2007 using a questionnaire from two free clinics located in Seoul and Gyeonggi-do. The data was scored by mean and standard deviation. Differences were evaluated according to the subjects' general characteristics by the t-test and the ANOVA test. The relationships in the quality of life related to health between the 9 sub-scales were evaluated by the Pearson's correlation coefficient. Results: 1) Total average score of migrant workers' quality of life related to overall health is $61.09{\pm}13.68$. The score of the quality of life related to physical health is $64.39{\pm}15.21$ and the quality of life related to mental health is $57.80{\pm}16.18$. 2) With respect to the general characteristics of subjects, the quality of life related to health was significantly different in age(F=3.852, p=.013), especially in physical health(F=6.868, p=.000). 3) The relationship between physical health and mental health was significant(r=.663, p=.000). Conclusion: Program development to improve quality of life related to health for migrant workers is needed.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.21 no.1
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• pp.18-28
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• 2014

Purpose: This study was done to apply Andersen's behavioral model to identify factors that determine oral health-related quality of life in elderly persons. Methods: Participants were 257 people ages 65 years or older. Data were analyzed using frequency, percentage, mean and hierarchical multiple regression. Results: The variables in the behavioral model, predisposing factors, enabling factors and need factors, explained 31% (F=12.7, p<.001) of variance in oral health-related quality of life. The predisposing factors, enabling factors, need factors and health behavior collectively explained 35% (F=9.22, p<.001) of variance in oral health-related quality of life. Factors influencing oral health-related quality of life in older adults were ADL and IADL, self-reported oral health status, xerostomia and dental care in last 12 months. Conclusions: The analysis results showed that the need factor had the highest level of relative importance of the three factors. The model used for this study can be used to predict oral health-related quality of life.

• Journal of Korean Biological Nursing Science
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• v.24 no.1
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• pp.26-35
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• 2022

Purpose: The purpose of this study was to investigate the influencing factors on health-related quality of life according to body mass index (BMI) in middle age people. Methods: Using the 2017 Korea Health Panel Data, a total of 4,711 subjects age 40-64 were selected and classified into four groups based on BMI levels (underweight, normal weight, overweight, obese). Influencing factors according to BMI in middle age people was analyzed using multiple regression. Results: Activity limited was the most influential factor for health-related quality of life in middle age people. Walking and stress were factors influencing health-related quality of life in all weight groups. In the overweight and obese group, suicidal impulse was a significant influencing factor on health-related quality of life. Conclusion: To improve the health-related quality of life of middle age people, effective walking and stress management for maintaining and managing health, as well as managing suicide risk in the overweight group and obese group are required.

• Women's Health Nursing
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• v.15 no.2
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• pp.99-107
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• 2009

Purpose: This study was aimed to identify the factors related to the health related quality of life (HRQoL) in elderly women. Method: This study used data from cross-sectional surveys conducted for the 2005 National Health and Nutrition Survey, which was performed by using a face to face interview method. Data was analyzed by ANOVA, t-test, logistic regression and multiple regression using the SPSS program. Demographic characteristics, subject health state, activity limitation, K-ADL, K-IADL, EQ-5D were included in the study instruments. Result: The mean HRQoL index in the subjects was 0.68 $\pm$ 0.25. The significant predictors of the HRQoL were health status, activity limitation, activities of daily living (ADL), instrumental activities of daily living (IADL) and income. The factors accounted for 41.0% of variance in the health related quality of life of female elderly. Conclusion: These results may contribute to development of nursing strategy to improve health related quality of life. The health related quality of life program for the elderly should be planned based on results of the study.

• Journal of The Korean Society of Integrative Medicine
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• v.11 no.4
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• pp.199-211
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• 2023

Purpose : Rapid population aging in South Korea is emerging as serious social problems, and interest in the health-related quality of life of the elderly is also increasing. Therefore, this study attempted to provide basic data to develop measures to improve the health-related quality of life of the elderly by identifying the impact of the elderly's dietary lifestyle on the health-related quality of life. Methods : Utilizing raw data from the Korea national health and nutrition examination survey spanning from 2011 to 2020, this study focused on individuals aged 65 and above. After excluding cases with missing data, 12,731 individuals were included in the final analysis. Various statistical methods including frequency analysis, t-tests, ANOVA, Scheffé test and hierarchical regression analysis were performed using SPSS 25.0 for windows. The statistical significance level (α) was set at .05. Results : The main results of this study were as follows. Firstly, dietary lifestyle exhibited variations depending on gender, age, education level, individual income, basic livelihood type, household type, self-rated health status, and chewing difficulty (p<.001). Secondly, there were disparities in health-related quality of life (as measured by the EQ-5D index) based on gender, age, education level, residence, individual income, basic livelihood security, self-rated health status, and chewing difficulty (p<.001). Thirdly, the EQ-5D index showed that elderly individuals' dietary lifestyle adversely impacted their health-related quality of life (F=353.74, p<.001). Conclusion : Therefore, it is necessary to prepare policies to improve the health-related quality of life by maintaining a proper diet for the elderly, and customized support and management is required taking into account the elderly's gender, age, education level, individual income, basic livelihood security, household type, self-rated health status, chewing difficulty etc.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.24 no.3
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• pp.209-218
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• 2017

Purpose: The purpose of this research was to identify factors that influence health-related quality of life of patients who have had knee or hip arthroplasty. Factors included sleep disorders, pain, activities of daily living, and depression. Methods: The participants in this research were 97 patients within one year after receiving knee or hip arthroplasty surgery and who regularly visited a hospital outpatient department. Data were analyzed using descriptive statistics, t-test, ANOVA, and stepwise regression analysis with the SPSS program. Results: Sleep disorders, pain, activities of daily living, and depression had significant correlations with health related quality of life. Factors influencing health-related quality of life among arthroplasty patients were the length of time since surgery, sleep disorders, activities of daily living, and depression. These factors explained 58% of the participants' health-related quality of life. Conclusion: The results show that various factors can affect patients' health-related quality of life following joint replacement surgery. The findings indicate that sleep disorders and depression should receive continued attention after the arthroplasty. It is also necessary to develop appropriate nursing intervention programs to lower depression and increase patient participation in daily living activities.