• 제목/요약/키워드: QOL(Quality Of Life)

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인지적 의사결정에 근거한 증상별 자기관리프로그램이 만성 심부전 환자의 신체·기능상태, 건강지식 및 삶의 질에 미치는 영향 (Effects of a Symptom Focused Self-Management Program on Symptom and Functional status, Health Perception, and Quality of Life of Patients with Chronic Heart Failure)

  • 김기연
    • 성인간호학회지
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    • 제19권1호
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    • pp.132-143
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    • 2007
  • Purpose: The purpose of this study was to identify effects of a self-management program on symptom and functional status, health perception, and quality of life(QOL) of patients with CHF. Methods: Patients with CHF as defined through clinical judgment using the Framingham criteria and EF<50% were enrolled in the study (experimental: 21, control: 20). The symptom focused self-management program consisted of coping behaviors for symptoms including dyspnea, chest discomfort/pain, dizziness, ankle edema, and basic self-management including medications, diets, activity, lifestyle changes. Experimental group received an educational booklet after survey, and periodic telephone follow-up by a trained nurse. Data were collected the 3rd day after admission and at 1 month, 3 months, and 6 months after discharge using questionnaires. Results: Significant differences were found in the presence of symptoms, health perception, and QOL between groups during follow-up. Although no significant difference was found in functional status, the experimental group reported better functional status than the control group. Conclusion: By facilitating self-management of CHF using tailored interventions including education programs and telephone monitoring, it is expected that patients will be able to monitor their symptoms routinely, adhere to therapeutic regimen, and have a better QOL.

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유지기 림프부종환자에서 MLD가 부종과 삶의 질에 미치는 영향 (Effects of Manual Lymph Drainage on the Edema and Quality of Life in Lymphedema Patients of Maintenance Phase)

  • 김성중;노효련
    • The Journal of Korean Physical Therapy
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    • 제21권4호
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    • pp.89-96
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    • 2009
  • Purpose: This study examined the effects of manual lymph drainage (MLD) on edema and the quality of life (QOL) of lymphedema patients in the maintenance phase. Method: Forty five lymphedema patients, who had completed intensive decongestive therapy, were enrolled in this study. All subjects were assigned randomly to two groups: Experimental (MLD) group (n=23) and control (self-MLD) group (n=22). MLD by a specialist was applied with a comfortable pressure for 40~60 minutes in the experimental group and self-MLD was carried out by the control group 5 times a week for 2 weeks. The % edema and a SF-36 questionnaire were used to measure the decrease in edema and the QOL. A paired t-test was used to compare the period, and an independent T-test was used to compare experiment and control groups. Result: The % edema was significantly lower in the experimental group after MLD (p<0.05). The physical, vitality, and mental health scores of the experimental group was significantly higher than those of the control group (p<0.05). Conclusion: TMLD by a specialist in the maintenance phase is effective in reducing the % edema and enhancing the QOL of lymphedema patients. Further studies will be needed to determine if there are differences in the effects of many types of treatment methods in the lymphedema treatment.

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타이치 운동이 여성노인의 체력과 삶의 질에 미치는 효과 (Effects of Tai Chi Exercise on Physical Fitness and Quality of Life in Elderly Women)

  • 박정아;김숙영
    • 재활간호학회지
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    • 제17권1호
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    • pp.38-47
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    • 2014
  • Purpose: This study was performed to investigate the effects of Tai Chi exercise on physical fitness and quality of life (QOL) in elderly women. Methods: This study was designed as a quasi-experimental, nonequivalent control group pre-post test design. The subjects were elderly women over 60 years old who enrolled senior citizen centers and elderly welfare center. Thirty-three people were conveniently assigned to an experimental group (n=15) or a control group (n=18). The data were collected from September 2009 to May 2010. The experimental group was trained Tai Chi exercise for 8 weeks (one hour Tai Chi classes twice a week and once a week by themselves at home). Data were analyzed by Fisher's exact test, ${\chi}^2$-test and independent t-test. Results: The experimental group experienced significant improvements in flexibility. The experimental group experienced significant improvements in physical component summary (p=.017) and mental component summary (p=.027) of QOL. Conclusion: Tai Chi exercise can be used as a nursing intervention for improvement of physical fitness and QOL in elderly women.

뇌졸중 환자의 일상적인 신체적 기능과 삶의 질 수준 (Daily Physical Functioning and Quality of life for Stroke)

  • 권미지
    • The Journal of Korean Physical Therapy
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    • 제19권5호
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    • pp.87-96
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    • 2007
  • Purpose: It remains controversial for the effect of daily functioning and quality of life on therapeutic exercise after stroke. The purpose of this study was to describe the effects on daily functioning and QOL. Methods: Outcome measures of daily functioning included, such as the Functional Independence Measure (FIM), Barthel index. Outcome measures of QOL included, such as Stroke Impact Scale(SIS) and the Medical Outcomes Study short-form 36-item questionnaire(SF-36). Results: 125 stroke patients were recruited, who were in or outpatients. The average age was 55.4 years. 64.8% were male. The mean Bathel index and FIM score was 63.7 and 87.5. The mean SIS score were higher in communication and mean SF-36 score were higher in physical pain. In/out patients are associated with SIS (communication, emotion) and SF-36(social function, energy or fatigue). Sex are associated with SF-36 (physical function). Other disease state are associated with SIS(hand function) and SF-36 (physical function). Paralysis portion are associated with SIS(communication, daily activity). Barthel index are associated with SIS(communication, mobility) and SF-36(social function, physical function, role limits due to emotional problems). Conclusion: These findings may provide the useful with rehabilitation professionals, who specilalized in the importance of QOL in designing treatment modalities.

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의미요법이 청소년 후기 말기 암환자의 생의 의미와 삶의 질에 미치는 효과 (The Effects of Logotherapy on Meaning in Life and Quality of Life of Late Adolescents with Terminal Cancer)

  • 강경아;심정숙;전대근;고명숙
    • 대한간호학회지
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    • 제39권6호
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    • pp.759-768
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    • 2009
  • Purpose: To evaluate the effects of a logotherapy program entitled 'Finding meaning in my life' for adolescents with terminal cancer. Methods: A nonequivalent control group, non-synchronized design was conducted with a convenience sample of 44 late adolescents with terminal cancer. The experimental group (n=22) participated in the 'Finding meaning in my life' program which consisted of five-day sessions for one week. The control group (n=22) received the usual nursing care. The effects were measured using adolescent meaning in life (AMIL), and quality of life (QOL) scales. The collected data were analyzed by descriptive statistics, Chi-square, and t-test using SPSS/PC 17.0 program. Results: There were significant differences in AMIL (t=3.36, p<.05) and QOL (t=2.67, p<.05) between the experimental and control groups. Conclusion: Logotherapy is effective in improving the meaning in life and quality of life of late adolescents with terminal cancer, and can be used to prevent existential distress.

성인 발달장애인 대상 수단적 일상생활활동 작업치료 프로그램이 일상생활활동 및 삶의 질에 미치는 영향 (Impact of an Instrumental Daily Living Activities Occupational Therapy Program for Adults With Developmental Disabilities on Their Daily Living Activities and Quality of Life)

  • 정은화
    • 재활치료과학
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    • 제13권2호
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    • pp.85-94
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    • 2024
  • 목적 : 본 연구는 성인 발달장애인을 대상으로 수단적 일상생활활동 프로그램을 제공하였을 때 일상생활활동 및 삶의 질에 미치는 영향을 확인하고자 하였다. 연구방법 : 본 연구는 단일집단 사전-사후 실험설계로, E 장애인복지관의 성인 발달장애인 17명을 대상으로 시행하였다. 프로그램은 사전-사후 평가를 포함하여 총 10회기로 이루어졌으며, 장보기, 식사준비 및 정리, 가정관리, 안전 및 응급관리와 관련된 훈련 및 교육을 제공하였다. 평가도구는 삶의 질 설문지(Quality of Life: QOL), 한국어판 생활공간 평가(Korean version of the Life Space Assessment: K-LSA), 한국어판 수단적 일상생활활동(Korean version of the Instrumental Activities of Daily Living: K-IADL)을 사용하였다. 결과 : 수단적 일상생활활동 작업치료 프로그램 전과 후의 QOL과 K-IADL 점수에서 통계적으로 유의한 차이가 나타났으며, K-LSA 점수는 통계적으로 유의한 차이가 없었다. 결론 : 본 연구는 성인 발달장애인 대상으로 수단적 일상생활활동 프로그램을 시행함으로써 수단적 일상생활활동 수행도와 삶의 질에 긍정적인 영향을 주는 것을 확인하였다. 성인 발달장애인의 일상생활 및 사회참여를 영위하기 위해 일상생활활동 훈련을 포함한 작업참여의 중재가 확대되어야 한다.

대장암 생존자에게 적용한 전문간호사 주도 심리교육 프로그램의 효과 (Effects of the Advanced Practice Nurse-Led Psychoeducational Program for Colorectal Cancer Survivors)

  • 김혜경;유양숙
    • 대한간호학회지
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    • 제52권3호
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    • pp.245-260
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    • 2022
  • Purpose: This study aimed to investigate the effects of an advanced practice nurse-led psychoeducational program on distress, anxiety, depression, coping with cancer (CWC), health promotion behavior (HPB), and quality of life (QOL) among colorectal cancer survivors. Methods: This study was designed as a quasi-experimental study with a non-equivalent control group pretest-posttest. The participants were survivors of colorectal cancer who underwent follow-up care. There were 39 survivors: 19 in the experimental group and 20 in the control group. The experimental group performed a psychoeducational program for 120 minutes per session, once a week for a total of six weeks, while the control group received routine education and counseling. Distress, anxiety, depression, CWC, HPB, and QOL were investigated before, immediately after, and 4 weeks after the intervention. The data were analyzed with SPSS/WIN ver. 24.0, using repeated measures ANOVA. Results: There were significant interactions between time and group for distress and anxiety. In addition, CWC interacted with the total of CWC and interpersonal coping, and QOL interacted with the total of QOL and functional status. However, there were no significant differences in the depression or HPB scores. Conclusion: Based on the results of this study, we expect that this program can be used as an effective intervention for colorectal cancer survivors.

규칙적인 태극권의 참여가 유방암 수술환자의 산화-항산화계에 미치는 영향 (Tai Chi Exercise on MDA, SOD and Physical Fitness in Breast Cancer Patients)

  • 황인수;곽이섭
    • 생명과학회지
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    • 제19권4호
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    • pp.543-548
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    • 2009
  • Treatment for breast cancer produces side effects that diminish functional capacity and quality of life (QOL) among survivors. Tai Chi is a moderate form of exercise that may improve functional capacity, physical activity and oxidative stress. The purpose of this study was to evaluate the effects of regular Tai Chi exercise on malondialdehyde (MDA), SOD and physical fitness (muscle strength, flexibility, flexion, extension, adduction, and abduction). Forty obese women were recruited from a public health center and divided into control (CON: n=20) and trained (EXP: n=20) groups. The Tai Chi exercise group participated in a 12-week (4 times/week) training program. Data were analyzed with T-test. MDA, SOD and physical fitness (muscle strength, flexibility, flexion, extension, adduction, and abduction) were evaluated before and after the Tai Chi program in both groups. There were significant improvements in shoulder flexibility, flexion, extension, abduction, and adduction. However, there was no improvement in muscle strength. There were also significant improvements in MDA and SOD. Based on these results, Tai Chi exercise has been shown to stimulate endogenous antioxidant enzymes and reduce oxidative damage markers. and also be effective in improving physical fitness and QOL. Further study is needed in this area.

주관적 구강보건영향지수에 따른 삶의 질 평가 (Assessment on Quality of Life : Based on Health Impact Profile-14 Quality of Life)

  • 정미애
    • 한국산학기술학회:학술대회논문집
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    • 한국산학기술학회 2010년도 추계학술발표논문집 2부
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    • pp.893-896
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    • 2010
  • 본 연구는 환자가 느끼는 자신의 주관적 구강보건영향지수(OHIP-14; Oral Health Impact Profile-14)가 구강보건이 삶의 질(QOL; Quality of Life)에 어떤 영향을 미치는지 알아보고 구강질환 예방과 구강보건 향상을 위한 프로그램을 개발하는데 필요한 기초 자료를 제공하여 지역사회주민의 건강과 삶의 질을 증진하고자 한다. 주관적 구강건강상태에 따른 OHIP를 분석한 결과 자가 인식 구강건강상태는 전 영역에서 유의한 차이가 있었고, 총 점수가 건강한 편이 4.33으로 유의하게 높았다. 주관적 구강건강상태에 따른 QOL을 분석한 결과 자가 인식 구강건강상태에서는 사회적 영역을 제외한 전 영역에서 유의한 차이가 있었으며, 총 점수는 건강한 편이 3.39로 가장 높았다.

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도시 및 농어촌 노인의 활동 수준 및 활동 정도에 따른 삶의 질 비교 (Comparison of Quality of Life Related with the Level of Activity and the Grade of Activity in the Elderly Residing among City, Farmimg and Fishing Area)

  • 이택영;김진경
    • 한국콘텐츠학회논문지
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    • 제10권2호
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    • pp.402-411
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    • 2010
  • 본 연구는 도시노인과 농어촌노인의 활동의 수준을 알아보고 삶의 질에 영향을 주는 요인을 비교 분석하고 관련성을 규명하고자 하였다. 연구대상은 60세 이상 노인 537명이 참여하였으며, 삶의 질 평가는 SF-36을 사용하였고, 한국판 활동척도를 이용하여 활동 수준을 평가하였다. 삶의 질 비교에서 도시 노인이 농어촌 노인보다 삶의 질이 높았으며, 활동수준 비교에서도 수단적 일상생활, 저강도 고강도 신체활동, 사회활동에서 도시 노인의 활동수준이 높았다. 또한 활동수준과 삶의 질과의 상관성은 모든 활동과 관련이 있었다. 도시노인은 삶의 질 하위영역 점수, 한국판 활동척도 점수, 질환유무, 직업유무가 삶의 질에 영향을 미치는 요인이었으며, 농어촌노인은 삶의 질 하위영역 점수, 한국판 활동척도 점수, 질환유무, 연령, 교육수준이 삶의 질에 미치는 요인이었다. 본 연구 결과를 토대로 농어촌 노인이 의미 있는 활동을 즐길 수 있는 환경적 조성이 요구되며, 다양한 프로그램 개발이 진행되어야 할 것이다.