• 제목/요약/키워드: Improvement in quality of life

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항암화학요법을 받는 소화기암 환자의 피로, 불안, 우울, 인지기능이 삶의 질에 미치는 영향 (Impacts of Fatigue, Anxiety, Depression, and Cognitive Function on the Quality of Life in Gastrointestinal Cancer Patients Receiving Chemotherapy)

  • 김성아;한수하
    • 동서간호학연구지
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    • 제27권2호
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    • pp.185-194
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    • 2021
  • Purpose: This study aimed to investigate the effects of fatigue, anxiety, depression, and cognitive function on the quality of life of gastrointestinal cancer patients receiving chemotherapy. Methods: Data were collected from a total of 141 participants. The measurements used were Functional Assessment of Chronic Illness Therapy for fatigue (FACIT-F), Hospital Anxiety and Depression Scale (HADS) and Functional Assessment of Cancer Therapy for cognitive function (FACT-Cog). Results: Significant correlations were found among fatigue, anxiety, depression, cognitive function, and quality of life. The mean score of quality of life was 59.60 out of 108, and 68% of the variance in QOL was explained by fatigue, anxiety, depression, and cognitive function. Cognitive function was the most influential factor (β=.30), followed by anxiety (β=-.27), depression (β=-.24), and fatigue (β=-.18). We found that the better the cognitive function, the lower the anxiety and depression, and the lower the degree of fatigue, the higher the quality of life. Conclusion: A nursing program for managing the changes in fatigue, anxiety, depression, and cognitive function should be provided to enhance maintenance and the improvement of the quality of life for gastrointestinal cancer patients who receive chemotherapy.

신체적,심리적 안전과 삶의 질 (경험적 분석) (An Emperical Research on the Quality of Life and Psycho-Physical Safety)

  • 임현진;이재열;박광민;설동훈
    • 한국인구학
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    • 제20권1호
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    • pp.161-199
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    • 1997
  • 한국사회가 경험한 급속한 산업화의 이면에는 다양한 위험요소들이 자리잡고 있다. 본 연구는 제주도를 제외한 전국에서 표집한 일반국민 800명에 대한 경험적 조사자료를 토대로하여 신체적,심리적 안전의 실태와 구조, 그리고 안전이 삶의 질에 미치는 영향을 탐구하고 있다. 연구 결과는 삶의 질과 안전 모두 다차원의 복합적 구성을 갖는 현상임을 보여준다. 첫째, 삶의 질은 최소한 4가지의 요인으로 분해가 가능하며, 안전은 삶의 질의 주요 구성요소임을 알 수 있다. 둘째, 인간사회는 모험과 안전의 균형점을 상정하고 있으며, 그 균형은 문화나 사회체계, 그리고 하위집단별로 서로 다르게 형성된다. 셋째, 안전사고는 적어도 세가지 집락으로 분류되며, 각 유형에 따라 사고원인, 사고의 빈도, 문제의 해결방안등이 달라져야 함을 시사한다.

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위탁급식 고객, 급식관리자 및 경쟁자 환경이 고객 삶의 질에 미치는 영향 (Influence of Customer, Foodservice Management and Competitor Environment on Quality of Customer's Life in Contract Foodservice)

  • 이진용;한경수
    • 한국식생활문화학회지
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    • 제30권5호
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    • pp.629-643
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    • 2015
  • The goal of the current study was to analyze major factors for improvement of quality of life in contract foodservice customers. This study investigated how characteristics of customers, foodservice management, and competitors differ in different contract foodservice business environments in order to understand increasing concerns over health, in-house working, and the environment, which are directly connected to work and life satisfaction and company profits. For the foodservice business environment, this study classified environmental factors reported by Duncan (1972) into three factors: customer environment, foodservice management environment, and competitor environment. Multi-regression analysis was conducted on quality of life using the Korean version of the WHO Quality of Life Scale Abbreviated Version (WHOQOL-BREF). Sub-factors of the contract foodservice business environment included foodservice management environment, customer environment, and competitor environment in the order of importance. The results indicate that the foodservice management environment of the company or organization where the customer is employed has the most substantial influence on quality of customer life.

의약품 설계 기반 품질 고도화(QbD)를 위한 QbD 6시그마 체계 구축에 관한 연구 (A Study on the Build of a QbD Six Sigma System to Promote Quality Improvement(QbD) Based on Drug Design)

  • 김강희;김현정
    • 품질경영학회지
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    • 제50권3호
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    • pp.373-386
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    • 2022
  • Purpose: This study proposes the application of Six Sigma management innovation method for more systematically enhanced execution of Quality by Design (QbD) activities. QbD requires a deeper understanding of the product and process at the design and development stage of the drug, and it is very important to ensure that no fault is fundamentally generated through thorough process control. Methods: Analyzing the background and specific procedures of quality improvement based on the drug design basis, and analyzing the key contents of each step, we have differentated and common points from the 6 Sigma methodology. We propose a new model of Six Sigma management innovation method suitable for pharmaceutical industry. Results: Regulatory agencies are demanding results from statistical analysis as a scientific basis in developing medicines to treat human life through quality improvement activities based on drug design. By utilizing the education system to improve the statistical analysis capacity in the Six Sigma activities and operating the 6 Sigma Belt system in conjunction, it helped systematically strengthen the execution power of quality improvement activities based on pharmaceutical design based on the members of the pharmaceutical industry. Conclusion: By using QbD Six Sigma, which combines quality enhancement based on pharmaceutical design basis and Six Sigma methodology suitable for pharmaceutical industry, it is possible to obtain satisfactory results both by pharmaceutical companies and regulators by using appropriate statistical analysis methods for preparing scientific evidence data required by regulatory.

Quality of Life in Older Adults with Cochlear Implantation: Can It Be Equal to That of Healthy Older Adults?

  • Tokat, Taskin;Muderris, Togay;Bozkurt, Ergul Basaran;Ergun, Ugurtan;Aysel, Abdulhalim;Catli, Tolgahan
    • 대한청각학회지
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    • 제25권3호
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    • pp.138-145
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    • 2021
  • Background and Objectives: This study aimed to evaluate the audiologic results after cochlear implantation (CI) in older patients and the degree of improvement in their quality of life (QoL). Subjects and Methods: Patients over 65 years old who underwent CI at implant center in Bozyaka Training and Research Hospital were included in this study (n=54; 34 males and 20 females). The control group was patient over 65 years old with normal hearing (n=54; 34 males and 20 females). We administered three questionnaires [World Health Organization Quality of Life-BREF (WHOQOL-BREF), World Health Organization Quality of Life-OLD (WHOQOL-OLD)], and Geriatric Depression Scale (GDS) to evaluate the QoL, CIrelated effects on activities of daily life, and social activities in all the subjects. Moreover, correlations between speech recognition and the QoL scores were evaluated. The duration of implant use and comorbidities were also examined as potential factors affecting QoL. Results: The patients had remarkable improvements (the mean score of postoperative speech perception 75.7%) in speech perception after CI. The scores for the WHOQOL-OLD and WHOQOL-BREF questionnaire responses were similar in both the study and control groups, except those for a two subdomains (social relations and social participation). The patients with longer-term CI had higher scores than those with short-term CI use. In general, the changes in GDS scores were not significant (p<0.05). Conclusions: The treatment of hearing loss with CI conferred significant improvement in patient's QoL (p<0.01). The evaluation of QoL can provide multidimensional insights into a geriatric patient's progress and, therefore, should be considered by audiologists.

Quality of Life in Older Adults with Cochlear Implantation: Can It Be Equal to That of Healthy Older Adults?

  • Tokat, Taskin;Muderris, Togay;Bozkurt, Ergul Basaran;Ergun, Ugurtan;Aysel, Abdulhalim;Catli, Tolgahan
    • Journal of Audiology & Otology
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    • 제25권3호
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    • pp.138-145
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    • 2021
  • Background and Objectives: This study aimed to evaluate the audiologic results after cochlear implantation (CI) in older patients and the degree of improvement in their quality of life (QoL). Subjects and Methods: Patients over 65 years old who underwent CI at implant center in Bozyaka Training and Research Hospital were included in this study (n=54; 34 males and 20 females). The control group was patient over 65 years old with normal hearing (n=54; 34 males and 20 females). We administered three questionnaires [World Health Organization Quality of Life-BREF (WHOQOL-BREF), World Health Organization Quality of Life-OLD (WHOQOL-OLD)], and Geriatric Depression Scale (GDS) to evaluate the QoL, CIrelated effects on activities of daily life, and social activities in all the subjects. Moreover, correlations between speech recognition and the QoL scores were evaluated. The duration of implant use and comorbidities were also examined as potential factors affecting QoL. Results: The patients had remarkable improvements (the mean score of postoperative speech perception 75.7%) in speech perception after CI. The scores for the WHOQOL-OLD and WHOQOL-BREF questionnaire responses were similar in both the study and control groups, except those for a two subdomains (social relations and social participation). The patients with longer-term CI had higher scores than those with short-term CI use. In general, the changes in GDS scores were not significant (p<0.05). Conclusions: The treatment of hearing loss with CI conferred significant improvement in patient's QoL (p<0.01). The evaluation of QoL can provide multidimensional insights into a geriatric patient's progress and, therefore, should be considered by audiologists.

공공서비스가 삶의 질에 미치는 효과와 정책속성 - 농촌노인들의 삶의 질 평가를 중심으로 - (The Effect of Public Service on the Quality of Life and Policy Properties - Focused on the Evaluation of Quality of Life for the Elderly in Rural Area -)

  • 이서구;신동호;김정태
    • 농촌계획
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    • 제26권4호
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    • pp.93-105
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    • 2020
  • This study is an experimental study that examines the policy attributes that local governments should choose to manage the quality of life of rural residents. The analysis data used raw materials for the survey of the welfare status of farmers and fishermen surveyed by the Rural Development Administration. The analysis method used Quantile Regression. The policy attributes of public services were interpreted on the basis of Peterson (1981)'s theory of policy types and the discussion of Holland (2015). According to the analysis results, the higher the quality of life, the greater the importance of the relationship between the safety sector and the neighbors. The effective policy attributes for improving quality of life in rural areas are the policies of local governments where policy benefits can directly go to individuals, or lead to social improvement. It shows that the higher the level of safety and the quality of life of our neighbors, the greater its importance.

중환자실 환자의 환경적 스트레스 요인이 외상후 스트레스장애 위험도와 삶의 질에 미치는 영향 (Impact of Environmental Stressors on the Risk for Posttraumatic Stress Disorder and Quality of Life in Intensive Care Unit Survivors)

  • 차효정;안숙희
    • 중환자간호학회지
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    • 제12권1호
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    • pp.22-35
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    • 2019
  • Purpose : This study was to determine the levels of environmental stressor, posttraumatic stress disorder, and quality of life in intensive care units (ICU) survivors after intensive care, and to explore the factors affecting posttraumatic stress disorder and quality of life. Methods: With a longitudinal survey design, data were collected from 116 patients who were discharged from the ICU of a university hospital. The environmental stressor, posttraumatic stress disorder, and quality of life were measured immediately following and 1 month after the ICU discharge. Results: Of all the subjects, 16.4% experienced posttraumatic stress disorder after discharge. Multiple regression analysis revealed that ICU environmental stressors, experience of ICU readmission, using psychotropic drugs and narcotic analgesics, and ICU admission after surgery or cardiac intervention accounted for 22.2% of posttraumatic stress disorder. Posttraumatic stress disorder and sedation status when entering ICU accounted for 28.3% of the quality of life 1 month after ICU discharge. Conclusion: Nursing interventions focused on ICU environmental stressors would not only reduce environmental stress but also contribute to the reduction of posttraumatic stress disorder and later improvement of quality of life.

일부지역 중학생의 구강건강 관리 행태와 인지도에 따른 구강건강관련 삶의 질 (Oral health-related quality of life according to oral health behavior and awareness of middle school students in some regions)

  • 박정희;이명주;구효진
    • 한국치위생학회지
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    • 제13권2호
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    • pp.305-313
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    • 2013
  • Objectives : This study has attempted to investigate subjective oral health awareness, oral health behavior and analyze how the results are correlated with oral health-related quality of life against middle school students. Methods : A self-administered questionnaire survey was performed against 552 students from three middle schools in Changwon. A frequent analysis was conducted on research subjects' general characteristics, oral health awareness, oral health behavior. In addition, t-test and ANOVA were carried out to analyze oral health-related quality of life by the general characteristics, oral health awareness and oral health behavior. Results : In terms of oral health-related quality of life by general characteristics, the quality of life on oral symptoms was higher at lower school grades (p<0.05). In terms of social welfare, oral health-related quality of life was higher as parents' monthly income increased (p<0.05). Oral health-related quality of life was high in oral symptoms when there was no interest in oral health, in functional limitation, emotional welfare and social welfare when there is some oral health-related knowledge (p<0.05) and in all sub categories when oral conditions are healthy (p<0.05). Conclusions : The results of this study has come up with important information for improvement of oral health-related quality of life in middle school students by investigating the correlations between oral health awareness and oral health-related quality of life.

산업재해 추간판탈출증 환자의 삶의 질에 관한 연구 (Health Related Quality of Life Among Herniation of Nucleus Pulposus Patients Caused by Occupational Accidents)

  • 신나영;이세훈
    • 한국직업건강간호학회지
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    • 제16권2호
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    • pp.168-176
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    • 2007
  • Purpose: This study was to investigate the factors influencing on the quality of life (QOL) among herniation of nucleus pulposus (HNP) patients caused by occupational accidents. Method: 203 patients of HNP were recruited. 106 patients were occupationally injured workers who benefited from workmen's compensation scheme (PWCS group), and 43 patients were non-occupationally injured workers benefiting from national health insurance (PNHI group). Questions of QOL items were used by Korean version of SBQOL (SmithKlein Beecham's Qality of Life). Result: The quality of life of PWCS group measured by SBQOL was significantly lower than that of PNHI group. In PWCS group, SBQOL was significantly lower in patients with 40s of their age, 5 years or longer of treatment duration, no expectation of return to work, no expectation of recovering subject's health, and with loss of employment than rest of the patients in each category. Expectations of recovering subject's health showed to be affect factors on QOL both the PWCS and PNHI groups. Conclusion: It suggested that betterment of expectation of recovering patient's health and an administrative system for returning to work of the occupationally injured HNP patients during treatment be necessary for improvement of their quality of life.

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