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Factors Influencing the Quality of Life (EQ-5D) of Patients with Diabetes Mellitus: Study Based on Data from the Second Annual Korea Health Panel survey (2019) (당뇨병 환자의 삶의 질(EQ-5D)에 미치는 영향 요인 : 2019년도 제2기 한국 의료패널 조사를 중심으로)

  • So-Hyun Kim;Sung-Hyoun Cho
    • Journal of The Korean Society of Integrative Medicine
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    • v.11 no.3
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    • pp.99-114
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    • 2023
  • Purpose : The purpose of this study was to determine factors that affect the quality of life (QoL) of people with diabetes. We hope to provide a basis for intervention strategies for health promotion and related research among patients with diabetes in the field of physical therapy. Methods : We selected individuals diagnosed with diabetes who were aged 19 years or higher by using data from the 2019 Korean Health Panel survey and analyzed the results of 1,527 people. The influencing factors were sex, age, household income, marital status, age, education level, subjective health status, body mass index (BMI), smoking, drinking, regular exercise, experience of depression and anxiety, suicidal thoughts, stress, and frequency of walking (days/week). Frequency analysis, descriptive statistics, independent sample t-test, one-way analysis of variance, and multiple regression analysis were performed. Results : The EQ-5D score for QoL was .87 ± .12, with pain and discomfort being the most detrimental to the QoL of people with diabetes. In terms of patients characteristics, the QoL was lower among participants who were female, older, and separated/widowed/divorced; had an education level below middle school; had a poor subjective health status; were non-smokers and drinkers; and did not walk and exercise regularly, experienced a lot of stress, and experienced depression and anxiety; and had suicidal thoughts (p<.001). Being separated/bereaved/divorced; experiencing a lot of stress, depression, and anxiety; and having suicidal thoughts were negatively associated with QoL in people with diabetes (p<.01). On the other hand, age of 65 years or younger; graduation from high school, fair or better subjective health, regular exercise and alcohol consumption, and walking (days/week) were positively associated with QoL (p<.05). Conclusion : Regarding the QoL of patients with diabetes, intervention strategies should be formulated by considering general characteristics and disease-related characteristics. Among the various factors affecting QoL, the number of walking and regular exercise were found to be the factors that improved the QoL of patients with diabetes. These results can be used as a basis for the education and management of patients with diabetes in the field of physical therapy.

The Effect of Happiness Sharing Kumdo Class Participating Adolescents' Achievement Goal Orientation on Ego-Resiliency and Quality of Life (행복나눔검도교실에 참여하는 청소년의 성취목표성향이 자아탄력성과 삶의 질에 미치는 영향)

  • Kim, Hyung-Ryong
    • Journal of Korea Entertainment Industry Association
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    • v.13 no.7
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    • pp.295-306
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    • 2019
  • The purpose of this study was to Happiness Sharing Kumdo Class Participating Adolescents' achievement goal orientation on ego-resiliency and quality of life and to provide guidance measures for the correct growth of vulnerable participants through the happiness sharing Kumdo class, which will be activated as a sports support program. To achieve the purpose of this research, 236 Adolescent participating in the Happiness Sharing Kumdo Class was selected and surveyed in Seoul, Gyeonggi Province and Incheon. Based on the data collected, the following results were derived by conducting frequency analysis, exploratory factor analysis, reliability analysis, correlation analysis, and multiple regression analysis. First, verification of the effect of achievement goal orientation of Adolescent participating in Happiness Sharing Kumdo Class on ego-resiliency showed that task-orientation has significant influence on diversity, future-orientation, and emotion control, and ego-orientation has significant influence on diversity and emotion control. Second, verification of the effect of achievement goal orientation of Adolescent participating in Happiness Sharing Kumdo Class on quality of life showed that task-orientation has significant influence on quality of physical, psychological, social, environmental and educational quality, and ego-orientation has a significant influence on quality of physical and environmental quality. Third, verification of the effect of ego-resiliency on quality of life by Adolescent participating in Happiness Sharing Kumdo Class showed that diversity has not significant influence all factors of quality of life, but future-orientation has significant influence on quality of psychological and environmental quality, and emotion control has a significant influence on quality of physical, psychological, social and educational quality.

Factors affecting Mental health of high school students -Focused on the general high school students in the 3rd grade- (일 지역 고등학생의 정신건강 영향요인 -일반계 고등학교 3학년을 중심으로-)

  • Jeong, Kyeong-Sook
    • Journal of Digital Convergence
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    • v.20 no.1
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    • pp.391-398
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    • 2022
  • The aim of this study was to identify the factors affecting the mental health of high school students. The participants comprised 216 students in general high school. Data collection was conducted from May 1, 2020 to May 20, 2020. The data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient and a multiple regression analysis. The average score for self-esteem was 3.75±0.64(1-5), perceived stress was 2.86±0.58(1-5), emotional regulation ability was 3.43±0.65(1-5) and mental health was 1.91±0.71(1-5). Mental health had a statistically significant relationship with self-esteem(r=-.64, p<.001), emotional regulation ability(r=-.61, p<.001) and perceived stress(r=.54, p<.001). The factors affecting mental health were self-esteem(β=.46, p<.001), emotional regulation ability(β=-.37, p<.001), negative perceived stress(β=.17, p=.001) ; the explanatory power of the model was 60.0%. Therefore, it will be necessary to develop a program that can help high school students improve their self-esteem and control their negative emotions in order to promote their mental health.

Korean Firefighters' Work Experience and Risk Factors for Depression during the COVID-19 Pandemic (COVID-19 팬데믹 시대의 한국 소방공무원의 업무 실태와 우울증 위험 요인)

  • Park, Heyeon;Lee, Jihey;Min, Bumjun;Kim, Jeong-Hyun
    • The Journal of the Korea Contents Association
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    • v.22 no.5
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    • pp.446-455
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    • 2022
  • This study investigated work experience of firefighters and risk factors for their depression during COVID-19 pandemic. We analyzed data of 53,557 firefighters who participated in the online mental health status survey. Data included experiences of COVID-19 infection, experience of COVID-19 response work, fear of social stigma, and anxiety and depression symptoms. Results showed that 45.76% of participants had experience of COVID-19 response work. Emergency job group had the highest percentage of COVID-19 related work and the greater intensity of the work and fear of social stigma than those of other job groups. Hierarchical multiple regression showed that co-workers' infection, COVID-19 related work intensity and fear of social stigma were significantly associated to the severity of depression. The findings in this study demonstrated COVID-19 related work experience can link to the development of depression in firefighters. Effort to reduce COVID-19 related work intensity and fear of social stigma could help prevent depression among firefighters.

Impact of Alcohol Consumption on Quality of Life, Depressive Mood and Metabolic Syndrome in Obstructive Lung Disease Patients: Analysis of Data from Korean National Health and Nutrition Examination Survey from 2014 and 2016

  • I Re Heo;Tae Hoon Kim;Jong Hwan Jeong;Manbong Heo;Sun Mi Ju;Jung-Wan Yoo;Seung Jun Lee;Yu Ji Cho;Yi Yeong Jeong;Jong Deog Lee;Ho Cheol Kim
    • Tuberculosis and Respiratory Diseases
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    • v.86 no.2
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    • pp.111-119
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    • 2023
  • Background: The objective of this study was to investigate whether alcohol consumption might affect the quality of life (QOL), depressive mood, and metabolic syndrome in patients with obstructive lung disease (OLD). Methods: Data were obtained from the Korean National Health and Nutrition Examination Survey from 2014 and 2016. OLD was defined as spirometry of forced expiratory volume in 1 second/forced vital capacity <0.7 in those aged more than 40 years. QOL was evaluated using the European Quality of Life Questionnaire-5D (EQ-5D) index. Patient Health Questionnaire-9 (PHQ-9) was used to assess the severity of depressive mood. Alcohol consumption was based on a history of alcohol ingestion during the previous month. Results: A total of 984 participants with OLD (695 males, 289 females, age 65.8±9.7 years) were enrolled. The EQ-5D index was significantly higher in alcohol drinkers (n=525) than in non-alcohol drinkers (n=459) (0.94±0.11 vs. 0.91±0.13, p=0.002). PHQ9 scores were considerably lower in alcohol drinkers than in non-alcohol drinkers (2.15±3.57 vs. 2.78±4.13, p=0.013). However, multiple logistic regression analysis showed that alcohol consumption was not associated with EQ-5D index or PHQ-9 score. Body mass index ≥25 kg/m2, triglyceride ≥150 mg/dL, high-density lipoprotein <40 mg/dL in men and <50 mg/dL in women, and blood pressure ≥130/85 mm Hg were significantly more common in alcohol drinkers than in non-alcohol drinkers (all p<0.05). Conclusion: Alcohol consumption did not change the QOL or depressive mood of OLD patients. However, metabolic syndrome-related factors were more common in alcohol drinkers than in non-alcohol drinkers.

Psychometric Properties of the Korean Version of Self-Efficacy for HIV Disease Management Skills (한국어판 HIV 감염인의 건강관리 자기효능감 도구의 타당도와 신뢰도)

  • Kim, Gwang Suk;Kim, Layoung;Shim, Mi-So;Baek, Seoyoung;Kim, Namhee;Park, Min Kyung;Lee, Youngjin
    • Journal of Korean Academy of Nursing
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    • v.53 no.3
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    • pp.295-308
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    • 2023
  • Purpose: This study evaluated the validity and reliability of Shively and colleagues' self-efficacy for HIV disease management skills (HIV-SE) among Korean participants. Methods: The original HIV-SE questionnaire, comprising 34 items, was translated into Korean using a translation and back-translation process. To enhance clarity and eliminate redundancy, the author and expert committee engaged in multiple discussions and integrated two items with similar meanings into a single item. Further, four HIV nurse experts tested content validity. Survey data were collected from 227 individuals diagnosed with HIV from five Korean hospitals. Construct validity was verified through confirmatory factor analysis. Criterion validity was evaluated using Pearson's correlation coefficients with the new general self-efficacy scale. Internal consistency reliability and test-retest were examined for reliability. Results: The Korean version of HIV-SE (K-HIV-SE) comprises 33 items across six domains: "managing depression/mood," "managing medications," "managing symptoms," "communicating with a healthcare provider," "getting support/help," and "managing fatigue." The fitness of the modified model was acceptable (minimum value of the discrepancy function/degree of freedom = 2.49, root mean square error of approximation = .08, goodness-of-fit index = .76, adjusted goodness-of-fit index = .71, Tucker-Lewis index = .84, and comparative fit index = .86). The internal consistency reliability (Cronbach's α = .91) and test-retest reliability (intraclass correlation coefficient = .73) were good. The criterion validity of the K-HIV-SE was .59 (p < .001). Conclusion: This study suggests that the K-HIV-SE is useful for efficiently assessing self-efficacy for HIV disease management.

Research on Relationship between Drivers' Self-control, Driving Behavior and Driving Stress (운전자의 자기통제력, 운전행동과 운전스트레스의 관련성)

  • Hwang, Do-Yeon;Kim, Hee-Dong;Baek, Ji-Young
    • Journal of Korea Entertainment Industry Association
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    • v.13 no.5
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    • pp.229-238
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    • 2019
  • The aim of the research is to investigate relationship between drivers' self-control, driving behavior and driving stress. 180 people who have driver's licence and have experiences in driving in Gwangju and Jeonnam area participated for the research. The survey was conducted from 29th April 2015 to 24th July 2015 and data was analysed to figure out the relationship between drivers' self-control, driving behavior and driving stress. As a result, Firstly, drivers' self-control affected mistakes, violations, errors of driving behavior, and driving environment, traffic regulations, accident control, time pressure of driving stress. It showed a statistical significant difference and the higher drivers' self-control is, the lower sub construct factor of driving behavior and driving stress. Secondly, those factors of drivers' self-control, driving behavior and driving stress were correlated. The result showed the relationship between drivers' self-control, driving behavior and driving stress. It is also possible to utilize the information to prevent car accidents. Finally, it is expected to do research further by expanding the participants into multiple areas of people.

Validity of the Happiness-Enhancing Activities and Positive Practices Inventory(HAPPI) Scale in Physical Activities Participation in Korean Old Adults (신체활동참여 한국 노인을 위한 행복증진활동(HAPPI)척도의 구인타당도)

  • Kim, Woo-Kyung
    • Journal of Korea Entertainment Industry Association
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    • v.13 no.7
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    • pp.285-294
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    • 2019
  • The purpose of this study is to assess construct validity and verify the concept of the Happiness-enhancing Activities and Positive Practices Inventory(HAPPI) developed by Henricksen & Stephens(2013), for Korean old adults who participating physical activities with measuring happiness-related propensity. In this study, the research model was confirmed by evidenced based on the content validity, EFA, construct validity of the latent structure analysis with CFA, reliability as internal consistency. Using self-reported questionnaire conducted among 370 participants who physical activities. Total of 344 data were selected. As a result, internal consistency α was acceptable. Evidence-based on convergent and discriminant of the CFA as GFI=.925, CFI .962, TLI .953, and RMSEA .062 appeared significantly. Model goodness-of-fit, C.R. ratio(Critical ratio: estimates/SE) and Squared Multiple Correlations(SMC), and average variance extracted(AVE) was verified with the hypothesis of the model. Therefore, HAPPI validity evidence for the model fit was confirmed. In conclusion, the HAPPI 4 factors and 16 items(Other-focused, Personal recreation and interests, Achievement, Self-Concordant Work, Spiritual and thought-related) has reliable evidence to apply for Korean old adults and applicable assessment of happiness.

Risk Factors of Falls among Korean Elderly (한국노인의 낙상 요인 연구)

  • Yeom, Jihye;Na, Hang-Jin
    • 한국노년학
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    • v.32 no.2
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    • pp.577-592
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    • 2012
  • The purpose of this study is to examine which factors determine fall experience among Korean elderly. To achieve this purpose, it uses the Korean Longitudinal Study of Aging(KLoSA), wave 1 and 2. Participants aged 65 from wave 1 were selected. From wave 2, a dependent variable was selected and it was fall experiences since the first interview in 2006. Other than this variable, all independent variables were selected from wave 1. In analyses, x2 or t-test were conducted to examine whether independent variables significantly differ between falls and no falls. Then, since a dependent variable consisted of two categories-falls or no falls, multiple logistic regressions were run. Female, using hearing aid, having two diseases, having three or more diseases, depression, and exercise 5 times/a week or more elevated the odds ratios of fall experience. compared to their reference categories. Particularly, if Korean elderly had three or more diseases or depression, their likelihood of fall experience would have about 2 times higher than their reference categories. In conclusion, health practitioners should make the elderly be recognized how much these risk factors are important to falls. Also, Korean government should support Korean elderly having these risk factors to prevent them from falling.

Variables Related with Parental Caregiving Consciousness of Women Immigrants (여성결혼이민자의 부모 부양의식과 관련 변인 연구)

  • Park, Ji Young;Lee, Chang Seek
    • 한국노년학
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    • v.31 no.4
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    • pp.1029-1045
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    • 2011
  • This study was conducted to identify the differences in parental caregiving consciousness according to the characteristics of women immigrants, and the variables affecting parental caregiving consciousness of women immigrants. The participants were 592 women immigrants sampled from a metropolis, three metropolitan cities, two cities and a county across the country. The major results of the study were as follows. First, there were significant differences in physical and economic caregiving consciousness of women immigrants according to residential area, family income, hope to support homeland parents, contact with homeland family, and participation in self-help meeting. And there were significant differences in emotional caregiving consciousness according to residential area, family income, living with parents, hope to support homeland parents, and participation in self-help meeting. Second, as the results of multiple regression analysis, the predictors of physical caregiving consciousness were age, residential area, family income, hope to support homeland parents, and contact with homeland family. But the predictors of economic caregiving consciousness were age, residential area, home country, difference in spouse's age, family income, hope to support homeland parents, and contact with homeland family. Finally, the predictors of emotional caregiving consciousness were residential area, family income, and hope to support homeland parents. The variable of hope to support homeland parents revealed the most influential variable affecting commonly all of the three types of caregiving consciousness.