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

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항문보존술을 받은 직장암 환자의 배변기능, 불안 및 우울이 삶의 질에 미치는 영향 (Impact of Bowel Function, Anxiety and Depression on Quality of Life in Patients with Sphincter-preserving Resection for Rectal Cancer)

  • 권현준;신윤희
    • 대한간호학회지
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    • 제45권5호
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    • pp.733-741
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    • 2015
  • Purpose: This study was a descriptive survey research to identify the impact of bowel function, anxiety and depression on quality of life in patients with rectal cancer who had a sphincter-preserving resection. Methods: Participants were 100 patients who had rectal cancer surgery at W hospital in Korea. Bowel function, anxiety & depression, and quality of life were measured using the BFI (Bowel Function Instrument), HADS (Hospital Anxiety-Depression Scale) and the FACT-C (Functional Assessment of Cancer Therapy-Colorectal). Results: The mean scores were $39.81{\pm}5.16$ for bowel function, $6.15{\pm}3.25$ for anxiety, $7.24{\pm}3.13$ for depression, and $72.50{\pm}13.27$ for quality of life. There were significant negative correlations between quality of life and anxiety (r= -.59, p <.001) and between quality of life and depression (r= -.53, p <.001). But the correlation between quality of life and bowel function was significantly positive (r=.22, p =.025). The influence of the independent variables on the total quality of life was examined using multiple regression analysis. Anxiety (${\beta}$= -.38, p =.002), bowel function (${\beta}$= -.25, p =.028) and occupation (${\beta}$=.16, p =.048) were identified as factors affecting quality of life. The explanation power of this regression model was 44% and it was statistically significant (F=16.53, p <.001). Conclusion: The results of this study indicate that in order to improve the bowel function of patients after sphincter-preserving resection for rectal cancer, effective nursing interventions should be developed. As psychological problem such as anxiety and depression can relate to quality of life for these patients, nurses should work on improving the situation by providing continuous emotional nursing.

치료단계에 따른 여성암 환자의 삶의 질 (Quality of Life in Patients with Women Cancer across Treatment Phases)

  • 태영숙;정윤경
    • 성인간호학회지
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    • 제19권5호
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    • pp.138-149
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    • 2007
  • Purpose: This study was to identify the level of quality of life in patients with woman cancer across treatment phases. Methods: The research method was a cross-sectional descriptive study. Data was collected by questionnaires from 226 female, who were in- and out-patients. They were diagnosed with breast and uterine cancer from three university hospitals and two general hospitals. The instruments used for this study included, "the Quality Of Life Scale(QOL)". The collected data were analyzed using Frequency, Percentage, ANOVA, Two-Way ANOVA. Results: Quality of life of women cancer patients was significantly different according to three treatment phases. Quality of life of women cancer patients was not significantly different according to areas of disease in the three treatment phases. Quality of life of women cancer patients was significantly different according to level of fatigue in the three treatment phases. Quality of life of women cancer patients was significantly different according to level of perceived health status in the three treatment phases(F=60.14, p=0.000). Quality of life of women cancer patients was significantly different according to education level(F=3.70, p=0.027) & occupation(F=5.67, p=0.018) in three treatment phases. Conclusion: Strategies for intervention are needed to improve the quality of life in women cancer patients across the treatment phases. The significant several characteristics of affecting on quality of life across treatment phases should be considered in sociopsychological nursing intervention.

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골관절염 중년여성의 성기능, 성스트레스가 삶의 질에 미치는 영향 (Effect of Sexual function and Sexual distress on Quality of life in Middle Aged Women with Osteoarthritis.)

  • 권영애;박효정
    • 한국산학기술학회논문지
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    • 제21권11호
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    • pp.209-218
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    • 2020
  • 본 연구는 골관절염 질환을 있는 중년여성 환자의 성기능, 성스트레스, 삶의 질 정도와 관계를 파악하기 위한 서술적 상관관계 연구이다. 2019년 9월 1일부터 10월 31일까지 만40~65세 골관절염 질환이 있는 중년여성 121명을 대상으로 성기능, 성스트레스, 삶의 질의 관계를 설문조사하여 파악하였다. 성기능은 Female Sexual Function Index (FSFI), 성스트레스는 Female Sexual distress Scale (FSDS), 삶의 질은 World Health Organization Quaility of Life Assessment Instrument (WHOQLO)-BREF 척도를 사용하였다. 수집한 자료는 SPSS 25.0를 이용하여 기술통계, T-test, One-way ANOVA, Pearson's correlation coefficients, multiple regression analysis로 분석하였다. 연구결과, 골관절염 질환이 있는 중년여성의 성기능과 성스트레스는 통계적으로 유의한 음의 상관관계를 나타냈으며(r=-.24, p=.010), 성기능은 삶의 질과 통계적으로 유의한 양의 상관관계를 보였다(r=.32, p<.001). 성스트레스는 삶의 질과 통계적으로 유의한 음의 상관관계를 보였다(r=-.32, p<.001). 삶의 질 영향요인에서 여성의 성기능, 성스트레스가 삶의 질에 16.1% 영향을 미치는 것으로 나타났다. 본 연구를 통하여 골관절염 질환을 가진 중년여성의 성기능과 성스트레스를 삶의 질을 향상시킬 수 있는 중요한 부분임을 인식하여 성기능 장애와 성스트레스를 줄이고 삶의 질을 개선할 수 있는 중재 프로그램 개발 및 효과 검증을 위한 추가적인 연구가 필요하다.

산후조리와 폐경기 적응이 중년여성의 삶의 질에 미치는 영향 (Effects of Sanhujori and Menopausal Adaptation on Health-related QOL in Middle-aged Women)

  • 김문정;강경자
    • 여성건강간호학회지
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    • 제20권1호
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    • pp.62-71
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    • 2014
  • Purpose: This study investigated the effects of menopausal adaptation and Sanhujori (Korean traditional postnatal care) on the Health-related quality of life in middle-aged women. Methods: Women aged from 45 to 60 completed questionnaires consisting of SF-36 ver. 2 and menopausal adaptation scale between July to Aug, 2013. Two hundred and eighteen participants' data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient and multiple regression. Results: Physical health ($69.5{\pm}15.1$) was better than mental health ($68.8{\pm}17.1$), and bodily pain and social functioning were the same results as 2009 general U.S. population, with the sub-variables of quality of life being lower. Menopausal adaptation was at moderate level, and correlation of its sub-variables with quality of life were significant: fatigue (r=.60, p<.001), accomplishing feeling (r=.55, p<.001), confidence (r=.54, p<.001), dryness (r=.51, p<.001), flush (r=.38, p<.001), dominance (r=-.36, p<.001), stability (r=.26, p<.001). Fatigue, confidence, stability, period of sanhujori, and dryness revealed as influencing quality of life, while the total variation explained by these components was at 52%. Conclusion: To improve quality of life of middle aged women, health care providers need to provide nursing intervention to relieve fatigue and dryness; and address psychosocial concerns with developing nursing strategies to improve stability and confidence. For post-partum women, enough periods of sanhujori needs to be recommended.

중년남성 근로자의 수면의 질에 영향을 미치는 요인 (Factors Influencing Sleep Quality among Middle-aged Male Workers)

  • 이에리쟈;이금재
    • 한국직업건강간호학회지
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    • 제23권4호
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    • pp.235-244
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    • 2014
  • Purpose: The purpose of this study was to identify quality of sleep and its influencing factor among middle-aged male workers. Methods: The subjects of this study were 411 middle-aged male workers living in Seoul and Gyeonggi-do. The data were based from self-reported using structured questionnaires asking about low urinary tract symptoms, circadian rhythm, quality of life and sleep quality including general characteristics. The data were collected from September 11 to October 31, 2013 and analyzed by t-test, one-way ANOVA, Pearson correlation coefficient and hierarchical regression. Results: Mean score of the sleep quality was $5.03{\pm}2.57$ (range: 0~21) and reported as bad sleep quality in 55.7%. Low urinary tract symptoms (${\beta}$=.30, p<.001), circadian rhythm (${\beta}$=-.17, p<.001), quality of life (${\beta}$=-.14, p<.001) were shown as significant association of sleep quality. Conclusion: Strategies to improve sleep quality in middle-aged male workers are necessary and nursing intervention should be developed to improve education program for prevention and management of low urinary tract symptoms. It is also necessary to legalize the institutional devices to upgrade work environment and to place regulations on overtime at work places in order for these workers to obtain sufficient sleep time for recovery of biological rhythms and improving sleep quality.

흡연 유무에 따른 구강건강 관련 삶의 질의 관련요인 (Oral health-related quality of life (OHIP-14) according to smoking)

  • 전기하;이주열;이지은
    • 한국치위생학회지
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    • 제15권5호
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    • pp.889-898
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    • 2015
  • Objectives: The purpose of the study is to investigate the oral health-related quality of life (OHIP-14) according to smoking in the male workers in Gunsan. Methods: A self-reported questionnaire was completed by 460 male workers in Gunsan from April 13 to 30, 2015. Among 460 workers, smokers were 205 and nonsmokers were 255. The questionnaire included three questions of general characteristics of the subjects, four questions of subjective oral health, fourteen questions of OHIP, ten questions of sobriety test (AUDIT), and eight questions of smoking (Fagerstrom Test for Nicotine Dependence, FTND). Data were analyzed by frequency analysis, t-test, ANOVA, Pearson's correlation, and multiple regression analysis using IBM SPSS(Statistical Package for the Social Science) for Windows 20.0 program. Results: In the nonsmokers, there was a negative correlation between the alcohol consumption, dental health condition, tooth pain, gum bleeding, and halitosis. The higher OHIP in the smokers had the negative correlation with nicotine dependence, alcohol consumption, tooth pain, gum bleeding, and halitosis. In order to improve OHIP, smokers are encouraged to manage gum bleeding, and non-smokers to halitosis. Conclusions: In order to improve OHIP, cessation of smoking and alcohol consumption is very important and it can lead to improve the quality of life in the workers.

고령화 현황과 건강증진 프로그램의 개선방향 (The Aging of Population and Improvement Direction of Health Promotion Programs)

  • 김해룡
    • 한국건강관리협회지
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    • 제2권2호
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    • pp.160-166
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    • 2004
  • The aging of population in Korea is proceeding in such a fast speed that other developed countries kaven't experienced. Korea already emerged in the aging society in 2000, and expected to become an aged society in 2019.There(ore, making effort to improve the quality of life of the aged people tv prolonging their social, economic activity, resulting in retrenchment of expenditure on health is very important. Developing nutrition and exercise programs to improve the quality of life of the elderly people, resulting in prolonged independent life is as important as medical care after onset of diseases. As a national preventive measure to save elderly people from becoming in need of assist, comprehensive program including teaching computer to prevent senile dementia, nutritional and exercise programs, along with programs of everyday life activity for the risk-group people should be carried out,

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재가 여성장애인의 건강관련 삶의 질과 관련요인 분석 (Health Related Quality of Life of Women with Disabilities and. Its Affecting Factors)

  • 이혜영;서문자;김세안
    • 대한간호학회지
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    • 제35권3호
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    • pp.575-584
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    • 2005
  • Purpose: The purpose of this study was to investigate the factors that influenced health related quality of life in women with disabilities. The other purpose was to examine the correlations of activities of these women's daily life, self esteem, and health promoting behavior with health related quality of life. Method: The subjects consisted of 120 adult disabled women. Data was collected from February to June 2004 using structured questionnaires. Spearman's correlation, and multiple regression were used to test the quality of life with K-ADL, self esteem, and health promoting behaviors by using SPSS 12.0 for windows. Result: The health related quality of life of women with disabilities was related to educational level, marital status, residential type, cause of acquired disability and disability of spouse. In addition, it was related to self esteem (r=.385, p=0.00), health promoting behaviors(r=428, p=0.00), K-ADL(r=-419, p=0.00) and K-IADL(r=-439, p=0.00). Activities of daily life, self esteem and health promoting behaviors were significant predictors $37.3\%$ (=0.212, p=0.000) to explain quality of life in disabled women. Conclusion: The more self esteem, health promoting behaviors, K-ADL and K-IADL are positive, the more the health related quality of life is good. Further studies need to be done to investigate additional effects of health related quality of life and to investigate nursing approaches to improve their health related quality of life with significant predictors.

노인의 영양위험과 사회망이 건강관련 삶의 질에 미치는 영향 (Influence of Malnutrition and Social Network on Health-related Quality of Life in Elders)

  • 김희경;장혜경;이미라;손연정;한수정;양남영;유명란;최선영;김윤미
    • 기본간호학회지
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    • 제20권2호
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    • pp.98-107
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    • 2013
  • Purpose: This study was done to identify the relationship of malnutrition, social network and health-related quality of life and to investigate the main factors influencing health-related quality of life in elders. Methods: The research design was a descriptive survey design using a convenience sampling. Data were collected by self-report questionnaires from 196 elders. Data analysis was done using SPSS 18.0 pc+ program for descriptive statistics, Pearson correlation coefficients and stepwise multiple regression. Results: The average score for health related quality of life was 3.33 (SD=0.86). Differences in health-related quality of life were statistically significant according to age, gender, occupation, presence of spouse, monthly income, source of income, economic status, medicine, and existence of chronic disease. Health-related quality of life was significantly correlated with malnutrition and social network. Major factors affecting health related quality of life for elders were malnutrition, occupation, age, social network, and economic status which explained 52.0% of the variance in health related quality of life. Conclusion: Findings provide a basis for developing nursing interventions to improve health-related quality of life. Future studies are needed a wide variety of variables that might influence health -related quality of life in elders.

농가생활의 질적 향상을 위한 연구보고 I - 경영형태별 농가주부의 특성과 농업경영 - (A First Study on the Improvement of Quality of Life in Farm Household)

  • 최덕경
    • 한국농촌생활과학회지
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    • 제9권1호
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    • pp.79-95
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    • 1998
  • The purpose of this study is to investigate quality of life in farm households. This study examines some related factors which influence the well-being of the family life among the rural housewives, based on the farm management, household management, the satisfaction of the household and the satisfaction of community. Questionnaires were distributed to the 200 housewives residing in Anseong. The 187 data obtained were analyzed by frequency, percentage and mean. Based on the above findings, it has been found that the role od the rural housewives is very important. Because they works not only at home but also in work. The satisfaction of rural housewives about family living and community is very low. In order to improve work, work course should be mechanized. If greater attentions should be directed to the satisfaction of leisure activities, the quality of family life could be improved and stabilized.

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