• 제목/요약/키워드: QOL

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Associations of Illness Symptoms, Perception of Illness, and Coping with Quality of Life of Thyroid Cancer Patients after Thyroidectomy (갑상선절제술을 받은 갑상선암 환자의 질병증상, 질병인식, 대처와 삶의 질과의 관련성)

  • Hyun, Jae Won;Song, Hyo Jeong;Choi, Jae Hyuck
    • Journal of Korean Biological Nursing Science
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    • v.23 no.1
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    • pp.83-90
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    • 2021
  • Purpose: To determine associations of illness symptoms, perception of illness, coping with quality of life (QOL) of thyroid cancer patients and identify factors affecting their QOL. Methods: A cross-sectional study was performed using a self-administered questionnaire for 111 thyroid cancer patients after thyroidectomy. They were recruited from the outpatient clinic of one university hospital. Data collection was conducted from August 2018 to November 2018. Results: The QOL was significantly associated with interpersonal coping (β= 0.31, p< .001), monthly household income (β= 0.30, p< .001), illness symptoms (β= -0.22, p= .017), perception of illness (β= -0.20, p= .031), and education (β= 0.18, p= .037) in stepwise multiple regression. These factors explained 33.1% of QOL of thyroid cancer patients. Conclusion: Interpersonal coping is a major contributing factor to QOL. Therefore, thyroid cancer patients need good interpersonal coping for better quality of life.

Factors Associated with the Quality of Life of Obese Adults: The 8th Korea National Health and Nutrition Examination Survey (2019) (비만성인 삶의 질에 미치는 영향요인: 제8기 국민건강영양조사(2019년도))

  • Song, Hye Young;Jung, Gye Hyun
    • Journal of Korean Public Health Nursing
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    • v.36 no.2
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    • pp.170-183
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    • 2022
  • Purpose: This descriptive survey-based study aimed to identify the factors associated with obese adults' quality of life (QOL) using a secondary analysis of data collected through the 8th Korea National Health and Nutrition Examination Survey (2019). Methods: In this study, factors affecting the health-related quality of life of obese adults were analyzed by categorizing them into three independent variables: general characteristics, health behaviors, and mental health characteristics. Using t-test and analysis of variance (ANOVA), an analysis was performed to determine the differences in obese adults' QOL depending on their general characteristics, health behaviors, and mental health conditions. A hierarchical regression analysis was performed to identify the factors that affect obese adults' QOL. Results: In obese adults' general characteristics, the risk factors for QOL were older age, male, lower-income level, presence of spouse, and occupation. With regard to health behaviors, the risk factors were lack of exercise. In terms of mental health conditions, the risk factors were stress and suicidal ideation. Conclusion: Obese adults' QOL was affected by age, sex, income level, absence/presence of a spouse, occupation, health behaviors (e.g., exercise), and mental health conditions (e.g., stress and suicidal ideation).

Effect of Self-efficacy and Yangsaeng on Quality of Life in Hemodialysis Patients (혈액투석환자의 자기효능감, 양생정도가 삶의 질에 미치는 영향)

  • Hur, Jung;Kim, Ae-Jung
    • Journal of East-West Nursing Research
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    • v.16 no.1
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    • pp.76-83
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    • 2010
  • Purpose: The study was done to identify the effects of self-efficacy and Yansaeng on quality of life (QOL) of 208 renal hemodialysis patients in Korea. Methods: This study employed a descriptive correlation design. Data were collected by self-report questionnaire. The questionnaires consisted of self-efficacy, Yansaeng, and quality of life (WHOQOL-BREF). Data were analyzed using t-test, ANOVA, Scheffe test, Pearson's correlation coefficient, Cronbach's a, and multiple regression. Results: The self-efficacy was significantly correlated with exercise while Yangsaeng had significant correlation with age and exercise. QOL was significantly influenced by gender, cause of disease, and exercise. Self-efficacy and Yangsaeng positively correlated to QOL. Self-efficacy and Yangsaeng influenced on QOL in 34.9% of the hemodialysis patients. Conclusions: QOL of hemodialysis patients was influenced by self-efficacy and Yangsaeng, which can be utilized as a beneficial nursing intervention.

Relationship between Quality of Life and validated for constituent concepts validity using OHIP (OHIP의 구성개념 타당성 검증 및 삶의 질과의 관련성)

  • Kim, Hye-Jin
    • Journal of Korean society of Dental Hygiene
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    • v.7 no.4
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    • pp.441-453
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    • 2007
  • This study was conducted among 831 industrial workers in Gumi City in Gyung-Sang-Buk Do for the purpose of acquiring knowledge to improve quality of life though industrial workers' oral health promotion. Oral examination and questionnaire surveying were used to evaluate workers' oral health state and subjective health state and analyze their effect on quality of life. At the same time, the scales used in measuring the subjects' health state and quality of life-OHIP and WHOQOL-BREF-were validated for their constituent concepts and their relations were analyzed through structural modeling. The analysis results can be summarized as follows; The constituent concepts of OHIP and QOL factor structural models were validated since they were all in the range of appropriateness, as shown in the result of analysis using Indices of Fit-GFI, CFL, TLI and RMSEA. The result of analysis of constituent concepts to identitify the relations between OHIP and QOL confirmed that OHIP influences QOL.

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Recent Advances in Sentinel Node Navigation Surgery for Early Gastric Cancer

  • Eisuke Booka;Hiroya Takeuchi
    • Journal of Gastric Cancer
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    • v.23 no.1
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    • pp.159-170
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    • 2023
  • Maintaining the postoperative quality of life (QOL) while ensuring curability without overtreatment is important in the treatment of early gastric cancer. Postoperative QOL is anticipated to be maintained through minimally invasive function-preserving gastrectomy in early gastric cancer. The concept of the sentinel lymph node (SN) basin is essential to maintain the curability of early gastric cancer using minimally invasive function-preserving gastrectomy. However, additional resection after surgery is difficult to perform in gastric cancer. Thus, the SN basin theory is important. Recently, a multicenter randomized phase III trial in South Korea (SENORITA trial) proved that laparoscopic sentinel node navigation surgery (LSNNS) for stomach preservation results in better postoperative QOL compared with standard gastrectomy in patients with early gastric cancer. LSNNS contributes to patients' QOL based on the concept that curability is not impaired. A multicenter nonrandomized phase III trial is ongoing in Japan, and oncologic safety is expected to be demonstrated. LSNNS has been established as a treatment option for selected patients with early gastric cancer, and its application will become widespread in the future.

The Relationship of Uncertainty, Hope and Quality of Life in Patients with Breast Cancer (유방암 환자의 불확실성, 희망 및 삶의 질과의 관계)

  • Jo Kae-Hwa;Son Bo-Kyung
    • Journal of Korean Academy of Nursing
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    • v.34 no.7
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    • pp.1184-1193
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    • 2004
  • Purpose: The purpose of this study was to explore the relationship of uncertainty, hope and quality of life in patients with breast cancer. Method: The subjects of the study were 113 breast cancer patients treated at 3 university hospitals in Daegu and Busan from June 1 to September 30, 2003. Uncertainty was measured by the Mishel Uncertainty in Il1ness Scale (MUIS), Hope was measured by Nowotny's Hope Scale, and quality of life by Ro's Korean Quality of Life(QOL). Data was analyzed with the SPSS program by t-test, ANOVA, Spearman's rank correlation and Multiple Regression Analysis. Result: The scores of uncertainty were negatively correlated with hope and QOL(all p's<0.05). Uncertainty revealed that there was a negative correlation among subitems of hope such as confidence, relationship with others, possibility of future, and inner motivation(r=-.333, p=.000; r=-.230, p=.015; r=-.260, p=.006; r=-.291, p=.003). Uncertainty also showed a negative correlation among subitems of QOL such as emotional status, self esteem, and relationship with family(r=-.29, p=.004; r=-.326, p=.000; r=-.197, p=.044), whereas hope revealed a positive correlation among subitems of QOL such as emotional status, self esteem, relationship with neighbor, and relationship with family(r=.243, p=.011; r=.487, p=.000; r=.29, p=.001; r=.29, p=.001). The score of uncertainty was low in graduate school students and subjects using problem solving as a coping method. However, the score of hope was high in college students and subjects using a problem solving method, and the score of QOL was high in professionals. Conclusion: Based on the study results, breast cancer patients experienced living with uncertainty and maintaining hope. Thus the study's findings can be useful in directing a comprehensive nursing care plan to improve QOL of breast cancer patients.

Efficacy of Oral Administration of Lentinula eododes Mycelia Extract for Breast Cancer Patients Undergoing Postoperative Hormone Therapy

  • Suzuki, Nobutaka;Takimoto, Yuko;Suzuki, Riho;Arai, Takanari;Uebaba, Kazuo;Nakai, Masuo;Strong, Jeffry Michael;Tokuda, Harukuni
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.6
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    • pp.3469-3472
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    • 2013
  • Extract of Lentinula edodes mycelia (LEM) is currently utilized as an oral biological response modifier (BRM) medicine for cancer patients. However, its effectiveness for breast cancer patients with postoperative adjuvant hormone therapy has not yet been scientifically verified. In this study, we investigated the influence of LEM on the quality of life (QOL) and immune response in breast cancer patients undergoing postoperative adjuvant hormone therapy. Twenty patients were studied in total. They received only hormone therapy in the first 4 weeks followed by hormone therapy and LEM during the next 8 weeks. Laboratory tests, QOL score and peripheral blood cytokine production levels were evaluated during the study period. No changes in QOL or cytokines were noted after the first 4 weeks. In contrast, during the following combined therapy period, improvements were noted in QOL and cytokine levels. Although a future large-scale investigation is necessary to confirm these results, these data suggest that the concomitant use of LEM with postoperative adjuvant hormone therapy improves the QOL and immune function of patients.

Quality of Life after Curative Surgery in Patients with Gastric Cancer: Comparison between a Subtotal Gastrectomy and a Total Gastrectomy (위암 환자에 있어서 위의 절제범위에 따른 수술 후 삶의 질 비교)

  • -Yu, Wansikik;Lee, Chang-Hwan;Chung, Ho-Young
    • Journal of Gastric Cancer
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    • v.1 no.1
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    • pp.44-49
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    • 2001
  • Purpose: Quality of life (QOL) assessment should be applied in surgical settings to compare treatment options. We compared QOL after a subtotal versus a total gastrectomy for gastric cancer to identify which resection would produce a better QOL for the patient. Patients and Methods: We studied 362 patients with no evidence of recurrent disease after curative surgery for gastric cancer. The QOL was measured by assessing patient health perceptions according to the Spitzer index and Troidl score and by treatment-specific symptoms according to Korenaga and others with some modifications. High scores reflect a better QOL. Results: The mean score of the Spitzer index was $8.87\pm1.36$ after a subtotal gastrectomy and $8.80\pm1.23$ after a total gastrectomy. More than $80\%$ of the patients in both groups maintained good quality of life when measured by the Spitzer index. The mean Troidl score was $10.41\pm2.12$ after a subtotal gastrectomy and $9.79\pm2.16$ after a total gastrectomy (p=0.033). Swallowing difficulty was more frequent after a total gastrectomy (p=0.002). There was a statistically significant difference in the meal size (p=0.044). Other variables of the Troidl score revealed no statistically significant differences. Dizziness was significantly more frequent after a total gastrectomy than after a subtotal gastrec tomy (p=0.009). Conclusion: We conclude that in terms of postoperative quality of life, a subtotal gastrectomy has advantages over a total gastrectomy. In those cases where an adequate proximal safety margin can be achieved by a subtotal gastrectomy, that procedure is preferable to a total gastrectomy.

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A Study on Self-esteem, Coping Type and the Quality of Life in Mothers of Handicapped Children (장애아 어머니의 자아존중감, 대처유형, 삶의 질에 관한 연구)

  • 심미경
    • Journal of Korean Academy of Nursing
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    • v.27 no.3
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    • pp.673-682
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    • 1997
  • The purpose of this study was to examine the relationship between self-esteem and quality of life (QOL) and between coping type and quality of life (QOL) in mothers of handicapped children and (further to identify the level of self-esteem and quality of life of the subjects. The subjects of this study were the 51 mothers of handicapped children who were registered in two special schools in Taejon. The data were collected using a questionnaire and the period of the data collection was from April 18th to May 26th, 1997. The instruments for this study were Rosenberg's self-esteem scale, Folkman & Lazarus's Ways of Coping Checklist(WCC) and the quality of life scale designed by Ro, You Ja. The results were analyzed using SPSS/PC/sup +/. Data analysis included the descriptive correlational statistics of ANOVA. Pearson Correlational Coefficient, and t-test. The results are as follows : 1. The level of self-esteem showed a mean score 34.51 and the level of QOL, a mean score 137.55. An Active type of coping was used more of fen than a passive one. 2. The level of self-esteem differed according to monthly income and was significantly higher in mothers of children with acquired handicaps than those of children with congenital handicaps. The level of QOL differed according to monthly income. 3. There was a positive correlation between health status and self-esteem(r=.355, p<.05), and between health status and QOL(r=.367, p<.01). 4. Test for hypothesis ; Hypothesis 1, "The higher the level of self-esteem in mothers of handicapped children, the higher their level of quality of life will be. "was supported (r=.755, p<.001) Hypothesis 2, "The QOL level for the active coping group as compared to the passive coping group will be higher. " was not supported.

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The Relationships between Stigma, Distress, and Quality of Life in Patients with Lung Cancer (폐암환자의 스티그마, 디스트레스와 삶의 질의 관계)

  • Lee, Jung-Lim;Kim, Keum-Soon
    • Asian Oncology Nursing
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    • v.11 no.3
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    • pp.237-246
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    • 2011
  • Purpose: The aim of this study was to investigate the relationships between stigma, distress, and quality of life (QOL) in patients with lung cancer. Methods: The subjects of the study were 123 lung cancer patients who visited the outpatient department of S hospital in Seoul from July 21st to August 29th, 2011. To measure stigma, distress, and QOL, Cataldo Lung Cancer Stigma Scale, Hospital Anxiety and Depression Scale (HADS), and EORTC QLQ-C30 (Quality of Life Questionnaire, Core 30) were used in this study. The collected data were analyzed using frequency, average, t-test, ANOVA, and Pearson correlation with SPSS WIN 19.0. Results: Stigma showed positive correlations with anxiety, depression, and symptom (r=.37, p<.001; r=.44, p<.001; r=.23 p=.012), while it showed negative correlations with global QOL and function (r=-.26, p=.003; r=-.40, p<.001). Anxiety and depression also positively correlated with symptoms (r=.43, p<.001; r=.58, p<.001) while anxiety and depression negatively correlated with global QOL (r=-.40, p<.001; r=-.56, p<.001) and function (r=-.64, p<.001; r=-.66, p<.001). Conclusion: The findings of the study demonstrated that lung cancer patients experienced stigma and distress that had a negative influence on the subjects' QOL. Thus the study's findings can be useful in developing psychosocial nursing strategies to improve QOL of lung cancer patients in the future.