• Journal of Preventive Medicine and Public Health
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• 제48권6호
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• pp.287-300
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• 2015

Objectives: Self-rated health is a measure of perceived health widely used in epidemiological studies. Our study investigated the determinants of poor self-rated health in middle-aged Korean adults with diabetes. Methods: A cross-sectional study was conducted based on the Health Examinees Study. A total of 9759 adults aged 40 to 69 years who reported having physician-diagnosed diabetes were analyzed with regard to a range of health determinants, including sociodemographic, lifestyle, psychosocial, and physical variables, in association with self-rated health status using multivariate logistic regression models. A p-value <0.05 was considered to indicate statistical significance. Results: We found that negative psychosocial conditions, including frequent stress events and severe distress according to the psychosocial well-being index, were most strongly associated with poor self-rated health (odds ratio $[OR]_{\text{Frequent stress events}}$, 5.40; 95% confidence interval [CI], 4.63 to 6.29; $OR_{\text{Severe distress}}$, 11.08; 95% CI, 8.77 to 14.00). Moreover, younger age and being underweight or obese were shown to be associated with poor self-rated health. Physical factors relating to participants' medical history of diabetes, such as a younger age at diagnosis, a longer duration of diabetes, insulin therapy, hemoglobin A1c levels of 6.5% or more, and comorbidities, were other correlates of poor reported health. Conclusions: Our findings suggest that, in addition to medical variables, unfavorable socioeconomic factors, and adverse lifestyle behaviors, younger age, being underweight or obese, and psychosocial stress could be distinc factors in predicting negative perceived health status in Korean adults with diabetes.

• 아동학회지
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• 제33권1호
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• pp.1-21
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• 2012

The purpose of this study was (1) to examine the impact of chronic diseases and emotional-behavioral problems on school-age children's self-perceived QOL, and (2) to investigate what factors were related to the QOL of children. Participants were 972 Korean 4th, 5th, & 6th grade students and 47 teachers. Children completed a questionnaire to evaluate their self-perceived well-being and subjective health. Also they reported their height/weight and physical health state indicating whether they have chronic diseases or not. Teachers reported each child's psychosocial health problems and also reported whether the child has chronic diseases or not. Major findings were as follows : 1. Physical and psychosocial health status had significant impact on school-age children's QOL. Moreover, physical and psychosocial health status were interrelated. 2. Presence of physical and psychosocial problems contributed to substantial declines in self-perceived QOL of school-age children. Children who have chronic diseases and emotional-behavioral problems reported significantly lower QOL compared with children in a normal state. 3. Peer relationship was found to be the significant factor that contribute to the QOL of all children.

• 대한예방의학회:학술대회논문집
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• 대한예방의학회 1995년도 제47차 추계 학술대회 연제집
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• pp.313-314
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• 1995

• Journal of Hospice and Palliative Care
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• 제16권4호
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• pp.253-263
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• 2013

목적: 이 연구의 목적은 정신보건사회복지사들의 영성과 스트레스의 수준을 파악하고, 이들 사이의 관계를 조사하여, 호스피스 완화의료 및 정신보건영역 등 휴먼서비스 전문가의 영성증진과 효율적인 스트레스 관리방안을 모색하기 위한 기초자료를 제공하는 데 있다. 방법: 2011년 11월 1일부터 11월 30일까지 국내 정신보건분야에 근무하는 정신보건사회복지사 154명을 대상으로, 한국형 영성척도(Spirituality Scale)와 심리사회적스트레스 척도(Psychosocial Well-being Index Short Form, PWI-SF)를 사용하여 측정하였다. 자료분석은 SPSS WIN 17.0 프로그램을 사용하여 처리하였다. 결과: 대상자의 영성수준은 평균 3.63점, 심리사회적 스트레스 수준은 18.78점이었고, 영성수준은 연령, 교육, 종교유무, 결혼상태에 따라, 심리사회적 스트레스는 결혼상태에 따라 각 집단간 유의한 차이를 보였다. 영성과 심리사회적 스트레스는 부적 상관관계(r=-0.548, P<0.001)가 있었고, 영성의 하위영역인 삶의 의미와 목적, 자비심, 내적 자원, 자각, 연결성, 초월성 모두 심리사회적 스트레스와 각각 부적 상관관계(P<0.01)를 보였다. 심리사회적 스트레스 수준은 정상군에서 영성수준이 가장 높았고, 고위험군에서 가장 낮았으며, 영성은 심리사회적 스트레스의 30.0%를 설명해 주었다. 결론: 본 연구의 결과는 영성과 심리사회적 스트레스는 부적 상관관계가 있으며, 영성의 수준이 높을수록 심리사회적 스트레스가 낮음을 시사해 주었다. 심리사회적 스트레스를 감소시키고, 영성의 수준을 증진시킬 수 있는 영적 감수성 지향의 개입전략이 요구된다.

• Asian Pacific Journal of Cancer Prevention
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• 제15권14호
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• pp.5927-5936
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• 2014

Introduction: Breast cancer is the most common cancer among Jordanians. Breast cancer patients suffer from several negative consequences after treatment and these include pain, fatigue, sexual problems, appearance and body image concerns, with psychological dysfunction. This could affect the patient quality of life and psychological well-being. To the best of our knowledge, there is no published quantitative data on the quality of life and psychological well-being of breast cancer patients in Jordan. The objective of this study was to obtain such data and assess predictors with calculated scores. Methods: In this cross-sectional study conducted among breast cancer patients in Jordan diagnosed in 2009 and 2010, assessment was performed using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30), the Breast Module (QLQ-BR23) and the Hospital Anxiety and Depression Scale (HADS). Clinical, demographic and psychosocial indicators that could predict patient quality of life scores were collected. Results: The number of patients interviewed was 236 (mean age=$50.7{\pm}10.7$ years). The mean Global Health score for the QLQ-C30 was $63.7{\pm}20.2$ SD. Among functional scales, "social functioning" scored the highest ($mean=78.1{\pm}28.6$ SD), whereas "emotional functioning" scored the lowest ($mean=59.0{\pm}SD\;33.5$). For the QLQ-BR23, the worst scores within the functional scales were for "body image" ($mean=52.1{\pm}36.8$ SD) and "future perspective" ($mean=52.9{\pm}38.5$ SD). The worst symptom was "upset by hair loss" ($mean=69.8{\pm}43.0$). The mean HADS scores was $18.{\pm}9.0$ SD. Out of study participants, 53% scored abnormal on the anxiety scale and 45% on the depression scale. Severe depression and severe anxiety were detected among 8% and 14% of study participants, respectively. Statistically significant predictors for individual scores were similar to those reported in published studies, such as the presence of recurrence since baseline, family history of cancer, low educational status, current social problems, extent of the disease, presence of financial difficulties, and employment status. Conclusions and Recommendations: Breast cancer survivors in Jordan have overall good quality of life scores when compared with patients from Western countries. However, their psychological wellbeing is more impaired. There is an urgent need for psychosocial support programs and psychological screening and consultation for breast cancer patients at hospitals of the Ministry of Health in Jordan.

• 한국보건간호학회지
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• 제34권3호
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• pp.355-367
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• 2020

Purpose: This study aims to identify factors influencing the health-related quality of life among women merchants at traditional markets. Methods: Participants in this cross-sectional descriptive study included 121 women merchants. Data were collected from May 01 to June 30, 2019 using the patient health questionnaire-9 (PHQ-9), psychosocial well-being index-short form (PWI-SF), subjective health status, and HRQoL. Selected data were analyzed using descriptive statistics, Pearson's correlation coefficient, and stepwise multiple regression by applying the SPSS/WIN program 22.0. Results: The HRQoL was significantly different by age (F=5.87, p=.001), education (F=2.98, p=.022), working period (F=4.70, p=.004), exercise (t=2.20, p=.030), chronic disease (t=-2.57, p=.011), BMI (F=5.04, p=.008), depression (F=4.70, p=.004), stress (F=7.82, p<.001), and subjective health status (F=7.91, p=.001). Factors influencing the HRQoL for women merchants included BMI (β=-.35, p<.001), subjective health status (β=.33, p<.001), and stress (β=-.18, p=.021). The explanation power of this regression model was 29.8% (F=5.51, p<.021). Conclusion: BMI, subjective health status, and stress affect the HRQoL of the subjects evaluated. Therefore, there is a need for health management programs that may decrease stress, control the BMI, and improve the subjective health status of women merchants at traditional markets.

• 종양간호연구
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• 제10권1호
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• pp.19-29
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• 2010

Purpose: The purpose of this article was to review and discuss the current status, issues, and nursing perspectives of cancer survivorship. Methods: A comprehensive literature review was conducted. Results: The major areas of concern for the survivors included recurrence, secondary malignancies, and long-term treatment sequalae which affect their quality of life. The four essential components of survivorship are prevention, surveillance, intervention, and coordination. Cancer survivorship care plan should address survivor's long-term care, such as types of cancer, treatment modalities, potential side effects, and recommendations for follow-up. It also needs to include preventive practices, health maintenance and well-being, information on legal protections regarding employment and health insurance, as well as psychosocial services in the community. Survivorship care for cancer patients requires multidisciplinary efforts and team approach. Conclusion: Nurses are uniquely positioned to play a key role in ensuring quality services for cancer survivors and family members. Nurses should review the care plans for cancer survivorship with patients and families by instructing them when to seek medical treatment, promoting any recommended surveillance protocols, and encouraging healthy life styles for health promotion and quality of life.

• 한국의류학회지
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• 제46권6호
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• pp.1023-1038
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• 2022

In societies emphasizing the importance of youthful appearance, attitudes toward aging are closely related to how individuals perceive their own bodies, which can be a major determinant of psychological well-being among older adults. The purpose of this study was to examine the associations between attitudes toward aging, positive body image, and life satisfaction among older Korean adults, based on relative deprivation theory and social identity theory. Employing an online survey questionnaire, data was collected from 408 Korean aged 65 and over. The proposed research model was examined via partial least square structural equation modeling (PLS-SEM). Results revealed that higher levels of psychosocial loss were associated with lower positive body image, while higher levels of physical change and psychological growth - a good example were associated with higher positive body image. Higher levels of positive body image were associated with higher life satisfaction. Overall, positive attitudes toward aging may increase positive body image and life satisfaction among older adults, controlling for subjective financial and health status. The results of this study emphasize that we should not overlook the importance of positive body image in psychological well-being among older adults.

• 한국학교보건학회지
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• 제35권3호
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• pp.143-151
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• 2022

Purpose: The purpose of this study was to examine the effects of being aware of the physical and psychosocial environment of the school on subjective feeling of happiness in Korean middle and high school students. Methods: The data of "Health and lifestyle Survey (2019)" conducted by the National Youth Policy Institute were analyzed after receiving approval though the website. A total of 5,311 middle and high school students were included in the analysis. Descriptive statistics, t-test, one-way ANOVA, pearson correlation, and multiple regression analysis were executed using SAS 9.4. Results: The mean score of subjective feeling of happiness was 6.92±0.56 out of 10. From the univariate analysis, the more positive the perception of the physical school environment was, such as classrooms, restrooms, exercise facilities, catering facilities, health facilities, other school facilities and school uniform, the higher the subjective feeling of happiness was (p for all <.001). In addition, the psychosocial environment of the school was significantly related to the happiness of adolescents (p<.001). After controlling for gender, school level, school grade, socio-economic status, and stress, positive perception of classrooms (B=0.04, p<.001), catering facilities (B=0.01, p=.021), health facilities (B=0.08, p<.001), and the psychosocial environment of the school (B=0.18, p<.001) was significantly associated with happiness of the students. Conclusion: Positive perception of the school environment was found to increase happiness in adolescents. Therefore, efforts should be made to make classrooms, catering facilities, and health facilities a pleasant space as well as to create a school atmosphere that values health.

• 성인간호학회지
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• 제23권1호
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• pp.60-71
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• 2011

Purpose: This study explored cardiovascular health (CVH), depressive symptoms, and well-being among community-based Korean women according to hwa-byung (HB) symptoms. Methods: This cross-sectional study measured HB symptoms, depressive symptoms, quality of life (QoL), and spiritual well-being (SWB) in addition to biophysical indicators of CVH. Results: Fourteen women of the HB group are more likely to live alone with lower income than 36 women in the comparison group. Compared to the comparison group, the HB group has larger mean waist circumference and higher prevalence of abdominal obesity along with more knee arthritis and back pain. Although women in the HB group appeared worse in other CVH than their counterparts, this was not statistically significant. It is noteworthy, that the HB group showed a higher probability of having a hard cardiovascular event (CVE) within 10 years than the comparison group. Women in the HB group reported more depressive symptoms, poor QoL, and low SWB as well as smoking and sleep difficulties. Conclusion: Despite the small sample size, significant relationships of HB symptoms to abdominal obesity, the probability of a hard CVE within 10 years, and psychosocial health were found. Strategies for effective community-based cardiovascular programs for Korean women may include HB screening and/or management.