• 제목/요약/키워드: Improve of the Quality of Life

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대장암 환자의 증상경험과 극복력이 삶의 질에 미치는 효과 (The Effect of Symptom Experience and Resilience on Quality of Life in Patients with Colorectal Cancers)

  • 최경숙;박정애;이주현
    • 종양간호연구
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    • 제12권1호
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    • pp.61-68
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    • 2012
  • Purpose: This study aimed to investigate the influence of resilience and symptom experience on quality of life. Methods: Seventy five patients in an active treatment stage were recruited from 2 hospitals between October and December 2010. A survey including perceived health status, physical functional status, the symptom experience index, resilience, and the functional assessment of cancer therapy-colorectal (FACT-C) was completed. Results: The level of FACT-C was 86.61 (${\pm}18.91$), which was higher than for patients with colostomy, but lower than for patients in a rehabilitation stage. Participants without physical functional limitations showed higher level of both resilience and quality of life. Participants with bad health status showed a lower level of both resilience and quality of life and higher level of symptom experience. The quality of life was related to the level of resilience (${\beta}$=.373), symptom experience (${\beta}$=-.292), and perceived health status (${\beta}$=-3.961). Conclusion: Proactive nursing approaches to manage symptoms and to improve perceived health status would enhance the quality of life of colorectal cancer patients. Furthermore, various strategies to strengthen the level of resilience should be developed.

슬관절전치환술을 받은 노인의 삶의 질 영향 요인: 통증, 관절가동범위, 우울, 사회적 지지, 통합성과의 관련성 (Factors influencing on the Quality of Life in Older Adults after Total Knee Replacement: The Relevance to Pain, Range of Motion, Depression, Social Support and Sense of Coherence)

  • 유미진;김희정
    • 지역사회간호학회지
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    • 제28권4호
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    • pp.494-503
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    • 2017
  • Purpose: This study is to grasp factors influencing the quality of life in older adults after total knee replacement. Methods: This study was conducted with 165 older adults who had TKR at four orthopedic hospitals in D city. Data were analyzed using one-way ANOVA, independent t-test, Pearson's correlation, and stepwise multiple linear regression with SPSS 19.0 software. Results: Pain and depression were negatively correlated with range of motion, social support, while sense of coherence was positively correlated with quality of life. Sense of coherence (43%, ${\beta}=.40$), pain (8%, ${\beta}=-.30$), and depression (3%, ${\beta}=-.20$) on the Physical Component Summary in the quality of life have significant explanatory power of 54%. Sense of coherence (49%, ${\beta}=.44$), social support (6%, ${\beta}=.25$), and depression (3%, ${\beta}=-.22$) on the Mental Component Summary in the quality of life have significant explanatory power of 58%. Conclusion: This study suggests developing a program to improve the quality of life in older adults who had TKR, considering factors such as sense of coherence.

일개 상급전문종합병원 전립샘비대증 환자들의 삶의 질 영향 요인 (Quality of Life and its Related Factors in Patients with Benign Prostatic Hyperplasia in One General Hospital)

  • 석윤희;이명선
    • 임상간호연구
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    • 제23권3호
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    • pp.332-340
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    • 2017
  • Purpose: This study was to identify the quality of life and its related factors in patients with benign prostatic hyperplasia. Methods: A cross-sectional survey design was utilized. Data were collected using questionnaires from 128 patients with benign prostatic hyperplasia who visited an outpatient department at one general hospital in 2016. Data were analyzed using Mann-Whitney U test, Kruskal Wallis test, Pearson's correlation coefficient and hierarchical multiple regression analysis. Results: Mean age of the participant was $67.81{\pm}6.94$. Mean years since diagnosis was $6.41{\pm}5.20$. The mean score of quality of life was $0.82{\pm}0.09$, indicating that QOL was relatively low. Lower urinary tract symptoms (p=.029), anxiety, depression, Activities of daily living were significantly correlated to with quality of life (p<.001). Activities of daily living accounted for 54% (p<.001) of the variance in quality of life as a result of hierarchical multiple regression analysis. Conclusion: The results of the study showed that nursing intervention may improve the quality of life of patients with benign prostatic hyperplasia by increasing their Activities of daily living.

가정형 호스피스 환자의 가족지지와 죽음준비가 삶의 질에 미치는 영향 (Influence of Family Support and Death Preparation on the Quality of Life in Home Care Hospice Patients)

  • 김경은;유명숙
    • 가정간호학회지
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    • 제28권3호
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    • pp.307-316
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    • 2021
  • Purpose: This study aimed to examine the influence of family support and death preparation on the quality of life in home care hospice patients. Methods: The study recruited 117 patients in home care hospice in four general tertiary hospitals and three general hospitals in three cities. Data were collected using self-reported questionnaires from September 1, 2019 to March 31, 2020 and analyzed using the statistical package IBM SPSS software version 22.0. Results: The quality of life according to the participants' general characteristics of the subjects shows a statistically significant difference between patients who live with supporters and those who do not(Z=2.96, p=.003). A statistically significant correlation was found between predictors such as family support, death preparation, and quality of life. Family support and death preparation affect the quality of life in home care hospice patients and these variables could explain 33.7% of it. Conclusion: To improve the quality of life in home care hospice patients, we should develop an intervention to enhance family support and death preparation.

심부전 환자의 건강관련 삶의 질 경로분석 모형 (A Path Analysis Model of Health-Related Quality of Life in Patients with Heart Failure)

  • 김용숙
    • 성인간호학회지
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    • 제19권4호
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    • pp.547-555
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    • 2007
  • Purpose: The purpose of this study was to test a hypothetical model of health-related quality of life in patients with heart failure. The hypothetical model was derived from the Wilson and Cleary's model, the Rector's model, and published research findings. Methods: Data from 103 patients with heart failure were analyzed to determine the best multivariate health-related quality of life model given variables derived from the prior studies. The statistics programs SPSS 12.0 and LISREL 8.7 program were used for descriptive statistics and covariance structure analysis respectively. Results: The overall fitness of the path final model was good(GFI=.97, AGFI=.95, NNFI=1.06, NFI=.96, p=.96). Symptoms were directly affected by gender. HYHA Class was directly affected by only gender. Physical functioning limitation was directly affected by exercise. Health perception was directly affected by economics, symptom, and physical functioning limitation. Depression was directly affected by exercise and health perception. Heath-related quality of life was directly affected by physical functioning limitation and depression, indirectly affected by gender, economics, exercise, symptoms, NYHA Class, and health perception. This path analysis model explained 51% of health-related quality of life in patients with heart failure. Conclusion: To improve of health-related quality of life with heart failure patients, it is necessary to make nursing interventions for physical functioning and depression.

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국제결혼을 한 한국남성과 여성결혼이민자의 결혼만족도와 삶의 질 비교 (Comparison of Marital Satisfaction and Quality of Life in International Married Woman Migrants and Korean Man)

  • 박윤지;전명희
    • 한국간호교육학회지
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    • 제18권3호
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    • pp.383-392
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    • 2012
  • Purpose: The purpose of this study was to identify the relationship between marital satisfaction and the quality of life for women and men who live in a rural area in Korea through an international marriage. Methods: A descriptive correlational research design was used. Ninety-one women and 56 men were surveyed from May 1st., 2007 to April 6th., 2008. Data were analyzed by t-test, Pearson's correlation coefficients, and Fisher's exact test. Two types of questionnaires were used: Marital satisfaction scale (MSS) and WHO quality of life-brief (WHOQOL-BREF). Result: There is a gap between men's age and women's in the average of their marriage ; 37 vs 24. In addition, men's marital satisfaction was much higher than women's (t =2.16, p=.032) and quality of life was also higher than women's (t=-0.85, p=.005). According to this survey, therefore, it has been shown that there is a positive correlation between marital satisfaction and the quality of life (r =.435, p<.001). Conclusion: In order to improve the quality of life, marital satisfaction should be promoted by practical family nursing programs and it is necessary for the internationally married women to be continuously provided with language education and cultural awareness.

중국인 유학생의 구강건강관련 삶의 질에 미치는 영향요인 (Correlation factors to oral health-related quality of life in Chinese students studying in Korea)

  • 박정현;유병철;박민경;조미숙
    • 한국치위생학회지
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    • 제14권4호
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    • pp.511-518
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    • 2014
  • Objectives : The purpose of this study is to investigate the correlation factors to oral health-related quality of life in Chinese students studyng in Korea. Methods : A self-reported questionnaire was filled out by 231 students from November, 2012 to January, 2013. Data were analyzed by t-test, one way ANOVA, and Duncan post-hoc test using SPSS version 19.0. Results : Male students and short period staying students tended to have a higher quality of life. Smokers and large city dwellers tended to have a low oral health-related quality of life(p<0.05). The oral health-related quality of life in Chinese students in Korea was closely related to necessity of dental treatment and past experience of dental treatment services(p<0.05). Conclusions : To improve the oral health-related quality of life in foreign students, it is necessary to provide the early prevention of dental caries and periodontal diseases through the systematic and professional dental health care delivery program for the foreign students studying in Korea.

관상동맥중재술을 받고 재입원한 환자의 불확실성, 환자역할행위 및 삶의 질의 관계 (Relationship between Uncertainty, Sick Role Behaviors, and Quality of Life of Rehospitalized Patients underwent Percutaneous Coronary Intervention)

  • 김혜란
    • 임상간호연구
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    • 제20권3호
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    • pp.279-289
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    • 2014
  • Purpose: This study was conducted to investigate the relationship between uncertainty in illness and the future, sick role behavior with what diet, weight control, no smoking, abstinence, doctor visits, medications, etc, and quality of life of rehospitalized patients after percutaneous coronary intervention in a cardiology ward. Methods: A total of 120 patients participated in the study. Data were collected using a questionnaire and analyzed using t-test, ANOVA, $Scheff{\grave{e}}$ test, and Pearson's Correlation Coefficient. Results: The mean score for uncertainty was $3.45{\pm}1.08$. Sick role behavior of the patients showed a moderate value with a mean of $3.68{\pm}0.79$. The mean score for quality of life was $3.52{\pm}0.64$. Uncertainty in illness and the future was significantly correlated to sick role behavior with that diet, weight control, no smoking, abstinence, doctor visits, medications, etc (r=-.27, p=.002), and quality of life (r=-.35, p<.001), and sick role behaviors were significantly correlated to quality of life (r=.62, p<.001). Conclusion: The results implicate that there is a need to decrease the levels of uncertainty and reinforce positive behaviors by patients in order to improve their quality of life.

Influencing Factors on Health-related Quality of Life among Japanese Middle-aged Marriage-based Immigrant Women in South Korea: A Cross-Sectional Study

  • Asami, Keiko;Chae, Duckhee
    • 지역사회간호학회지
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    • 제33권2호
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    • pp.188-195
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    • 2022
  • Purpose: With the first generation of marriage-based immigrant women in East Asia now reaching their middle or old age, the need to focus investigations on their health-related quality of life has arisen. This study aimed to examine the extent to which physical and mental health, and psychosocial variables can predict health-related quality of life among Japanese middle-aged immigrant women. Methods: This study has a descriptive cross-sectional design. A convenience sample of 197 Japanese middle-aged marriage-based immigrant women from two regions of South Korea were recruited between December 2017 and March 2018. Participants completed self-administered questionnaires on health-related quality of life, menopausal symptoms, depression, perceived health status, disease morbidity, social support, and acculturation. The data were analyzed using hierarchical multiple regression. Results: Depression was the strongest predictor of health-related quality of life, followed by perceived health status, social support, and household income. Menopausal symptoms, presence of disease, and acculturation appeared to have no additional impact on participant's health-related quality of life. Conclusion: In times of rapid growth of global migration and the aging of immigrants in new destination countries, nursing interventions and public health policies for aging marriage-based immigrant women should be prioritized to improve their mental health by facilitating social support and disease management. In addition, social and employment policies that can help immigrant women transition to a healthy midlife are needed.

한방치료에 따른 천식환자의 삶의 질에 대한 임상적 평가 (Clinical Study of Quality-of-Life in Asthmatic Patients managed by Oriental Medical Treatments)

  • 주창엽;허태석;정희재;정승기;이형구;한동하
    • 대한한방내과학회지
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    • 제21권4호
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    • pp.575-581
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    • 2000
  • Objective : Asthma is a lung disorder characterized by periodic attacks of wheezing alternating with periods of relatively normal breathing. And quality of life in asthmatic patients shows a tendency to decrease. So we had a clinical study whether if oriental medical treatment could improve their quality of life or not. Methods : The 15 cases were new patients that visited at division of respiratory system, department of internal medicine in Kyunghee medical center from the 1 st of July, 2000 to the 1 st of August. All of them were diagnosed as asthma and treated by western medical therapy. We used a Quality of Life Questionnaire for adult Korean Asthmatics(QLQAKA) and evaluated the results after two times answers, at an interval of two weeks. Results : The mean of the first answer was 2.84 marks and 3.36 ones after two weeks. If there is a difference of over 0.5 points between the two, we can admit significant effect. After the asthmatic patients treated by oriental medical therapy, they gained a difference of 0.52 points, 10.4%. Conclusions : We suggest that oriental medical therapy can improve the quality of life of asthmatic patients arid we can alternate side effects of western medical therapy with oriental one. if they carry out two different treatments at the same time.

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