• Title/Summary/Keyword: QOL

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Concept and Measurement of Quality of Life in Health Science (보건학에 있어서의 QOL 개념과 측정)

  • Kai, Ichiro
    • Proceedings of The Korean Society of Health Promotion Conference
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    • 1998.07a
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    • pp.11-12
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    • 1998
  • The health status of a population is usually measured by mortality such as crude dealth rate, cause-specific mortality rate, infant mortality rate and life expectancy. However, these indices based upon mortality (i.e., quantity of life) are increasingly unsatisfactory to assess health status, especially in an aging society. In this presentation, I will discuss the followings as regards quality of life (QOL) in health science.

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The Attitude on Exercise, Physical Activity and Quality of Life in Hemodialysis Patients (혈액 투석 환자의 운동 신념, 신체활동과 삶의 질)

  • Sohn, Hyun Sook;Lee, Mi Jin;Kang, Seon Mi;Han, Young Ok;Moon, Kyung Hee;Kim, Dong Il;Lee, Yun Joo;Jeon, Justin Y.;Chu, Sang Hui
    • Journal of Korean Biological Nursing Science
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    • v.15 no.1
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    • pp.15-23
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    • 2013
  • Purpose: The purpose of this study was to identify the relationship among the attitudes on exercise, physical activity and quality of life (QOL) in hemodialysis patients. Methods: A total of 42 patients in a hemodialysis unit participated in this study. Physical activity level was measured directly by 6 minute walking test and grip strength test. Structured questionnaires were also used for measuring their attitudes on exercise, physical activity and QOL. Participants' medical records were reviewed for obtaining their biochemical and clinical information. Statistical analysis was performed using Pearson correlation, and multiple liner regression. Results: A significant positive correlation between participants' attitudes and physical activity level measured by International Physical Activity Questionnaire (IPAQ) was found. And the physical activity level measured by Korea Activity Scale/Index (KASI) was significantly related to QOL. Conclusion: This study shows that QOL of the hemodialysis patients was significantly associated with their physical activity level.

Comparison of Shift Satisfaction, Sleep, Fatigue, Quality of Life, and Patient Safety Incidents Between Two-Shift and Three-Shift Intensive Care Unit Nurses (중환자실 간호사의 2교대와 3교대근무 간 근무 만족도, 수면, 피로, 삶의 질과 환자안전사고 비교)

  • Chae, Min Jin;Choi, Su Jung
    • Journal of Korean Critical Care Nursing
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    • v.13 no.2
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    • pp.1-11
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    • 2020
  • Purpose : The aim of this study was to compare shift satisfaction, sleep, fatigue, quality of life (QOL), and patient safety incidents between a newly implemented two-shift system and a traditional three-shift system. Methods : A total of 127 intensive care unit nurses (48 two-shift nurses and 79 three-shift nurses) working in a tertiary hospital in Seoul were recruited from January 1, 2017, to March 31, 2017. They completed a self-reported questionnaire about their work hours, shift satisfaction, sleep patterns, sleep quality, fatigue, QOL, and patient safety incidents in the past 2 weeks. Data were analyzed using SPSS version 23.0. Results : The two-shift group showed higher shift satisfaction scores compared with the three-shift group (6.93 vs. 4.37, p<.001). Sleep latency was shorter and sleep quality was better in the two-shift group compared with the three-shift group. There were no significant differences in other sleep parameters, fatigue, QOL, and patient safety incidents between the two groups. Conclusion : Although a two-shift system did not improve nurses' fatigue or QOL in this study, it may effectively serve as an alternative shift-work system that can increase sleep quality and shift satisfaction without increasing patient safety incidents.

Effects of vibration resistance exercise on strength, range of motion, function, pain and quality of life in persons with tennis elbow

  • Lim, Jong-Hun;Shin, Won-Seob
    • Physical Therapy Rehabilitation Science
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    • v.5 no.4
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    • pp.163-169
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    • 2016
  • Objective: The purpose of this study was to investigate the effects of vibration resistance exercise (VRE) in patients with tennis elbow on strength, range of motion (ROM), function, pain and quality of life (QOL). Design: Randomized controlled trial. Methods: Twenty-seven participants were randomly assigned to either the VRE group (n=9), weight resistance exercise (WRE) group (n=9) or control group (n=9). Each group underwent hot compress for 15 minutes and electrotherapy for 15 minutes. The VRE group underwent exercises using a vibrating ball for 5 minutes. The WRE group underwent exercises using dumbbells for 5 minutes. All participants were evaluated on wrist extension strength using a hand-held dynamometer, grip strength level through an electric dynamometer, and ROM through a smartphone goniometer application before and after intervention. Patient-rated tennis elbow evaluation, Visual Analogue Scale and Short Form 8 were measured by questionnaires. Results: There were showed significant differences among the VRE, WRE and control group in wrist extensor muscle and hand grip strength, ROM, elbow function, pain and QOL after intervention (p<0.05). The VRE group showed a greater significant improvement in wrist extensor muscle strength and elbow function compared with the others (p<0.05). The VRE and the WRE groups had a more significant improvement in wrist extensor muscle and hand grip strength, ROM and pain compared with the control group (p<0.05). However, there were no significant differences in QOL among the three groups. Conclusions: Combining VRE with thermotherapy and electrotherapy appears to be more effective in improving wrist extension strength, ROM, elbow function, QOL in tennis elbow patients.

The Effects of the Seven Emotions on Self-awareness Quality of Life (칠정상이 자각적 삶의 질 수준에 미치는 영향)

  • Cho, Shin-Woong;Oh, Hwan-Sup;Kim, Min-Yong;Park, Young-Bae;Park, Young-Jae
    • The Journal of the Society of Korean Medicine Diagnostics
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    • v.15 no.1
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    • pp.87-94
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    • 2011
  • Objectives: The purpose of our study was to verify whether the Seven Emotions evaluated by Guibi-Tang questionnaire (GTQ) were predictive of self-awareness level of one's quality of life (QOL). Methods: Eighty volunteers participated in this study and completed the GTQ. In addition, the volunteers were asked to answer one's self-awareness of the QOL using numerical scale. Factor analysis was conducted for extraction of GTQ factors. Structural Equation Model (SEM) was conducted to verify path structure. Results: The estimates of the four factors on the level of one's QOL demonstrated that Chest Factor (=-0.330) showed the highest level of correlation followed by the seven emotions (=-0.213); Deficient fire (=0.141); and Qi Deficiency (=-0.023). Model fit is $X^2$=34.740 (df=36), GFI=0.931, AGFI=0.873, NFI=0.867, RFI=0.797, IFI=0.975, TLI=1.006, CFI=1.009, RMSEA=0.000. Therefore, considering these values, SEM could be accepted as a workable model. Conclusions: Our study results suggest that According to SEM, The Seven Emotions evaluated by GTQ are predictable for self-awareness of one's QOL.

The Effects of Forests Healing for Cognitive Function (산림치유프로그램이 인지기능에 미치는 영향)

  • Hong, Soon-Sang;Kim, Ho-Cheol;Cho, Seung-Hun
    • Journal of Oriental Neuropsychiatry
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    • v.24 no.1
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    • pp.63-74
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    • 2013
  • Objectives : The purpose of this study is to examine the effects of 3 day Forests healing programs for cognitive improvement, which consists of helpful contents of Korean medicine. Methods : This study examined the effects of forests healing for mild cognitive impairment patients, who visited a Korean medicine hospital neuropsychiatry clinic for outpatients. The Forests healing programs for cognitive improvement was run with 24 participants, in which 9 of them quit in the middle of the program, so excluded in data analysis. The Forests healing programs for cognitive improvement was consisted of 3 day helpful Korean medicine contents. The primary outcome measurement was a Computerized Neurocognitive Test (CNT), which measured the cognitive functions with computer programs. Results : The results of this study showed that CNT scores were not significantly changed after 3 day forests healing. General psychological states, including depression, anxiety, and anger, were also checked. Among them, depressive mood significantly improved. Quality of life (QOL) was also enhanced after 3 day program. These results indicate that the 3 day Forests healing programs for cognitive improvement was effective for depressive mood and QOL of mild cognitive impairment patients, but not enough for cognitive functions directly. Conclusions : The 3 day Forests healing programs for cognitive improvement were shown to be an effective intervention in improving some aspects of mild cognitive impairment patients, including depressive mood, and QOL. We suggest that repeated participation of this program can enhance cognitive function of mild cognitive impairment patients.

Effects of Client-centered Mental Practice on Stroke Patients' Activities of Daily Living and Quality of Life (클라이언트 중심 상상훈련이 뇌졸중 환자의 일상생활 수행과 삶의 질에 미치는 영향)

  • Park, Ju-Hyung;Yoo, Chan-Uk
    • The Journal of the Korea Contents Association
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    • v.17 no.11
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    • pp.533-540
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    • 2017
  • The aim of this study was to investigate the effects of Client-centered mental practice on activities of daily living and quality of life with stroke. For 16 persons with stroke, we executed Client-centered mental practice for 4 weeks, five times per week, and 30 minutes each time. Before and after the Client-centered mental practice, the patients were tested with Functional Independence Measure(FIM) and Stroke specific quality of life(SS-QOL). After the Client-centered mental practice, the subjects showed significant changes in the score of FIM and SS-QOL(p<0.05). The results of this study show that Client-centered mental practice for persons with stroke is a useful therapeutic approach by enhancing through improving their activities of daily living and quality of life.

A Study on Quality of Life of Advanced Hepatobiliary and Pancreatic Cancer patients Administered with Traditional Korean Cancer Treatment (간, 담도, 췌장의 진행암으로 한방병원에 내원한 환자의 삶의 질(FACT-G)에 대한 분석)

  • Choi, Chul-Min;Koh, Byung-Hee;Kim, Se-Hyun;Choi, Won-Cheol;Lee, Soo-Kyung
    • The Journal of Korean Medicine
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    • v.29 no.4
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    • pp.30-38
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    • 2008
  • Objectives: The main goals of cancer treatment are improvement of quality of life and survival prolongation. There is a limitation to prolonging the survival time in hepatobiliary and pancreatic cancer. The purpose of this study was to evaluate the quality of life of hepatobiliary and pancreatic cancer patients who visited for traditional Korean cancer treatment. Methods: We evaluated the quality of life of 23 hepatobiliary and pancreatic cancer patients who visited for oriental medicine treatment at East-West Neo Medical Center from June to October of 2007. FACT-G (Functional Assessment Cancer Therapy-General), used in this study, is a scale for evaluation of QOL confirmed validity and reliability, popularly used in many countries to evaluate QOL of cancer patients. Results: The average age of enrolled patients was 57. There were 10 hepatocellular carcinoma patients, 7 pancreatic cancer patients, 6 biliary tract cancer patients. Twenty one patients were in stage IV and 20 patients had distant metastases. By Sasang constitution, Taeumin were 7, Soyangin were 8, and Soeumuin were 8. The baselines of FACT-G score in the first visit were from 34.33 to 85, and the mean score was 67.3. The mean score of FACT-G in hepatocellular carcinoma patients was 67.5, that of pancreatic cancer patients was 62.5, and that of biliary tract cancer patients was 71. Conclusions: This study is valuable as an initial QOL study of hepatobiliary and pancreatic cancer patients who visited an oriental medical clinic. We believe that consistent studies will be necessary to demonstrate oriental treatment-related quality of life with hepatobiliary and pancreatic cancer.

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Factors Related to Depression Symptom and the Influence of Depression Symptom on Self-rated Health Status, Outpatient Health Service Utilization and Quality of Life (우울증상에 관련된 요인과 우울증상이 지각된 건강수준, 외래의료이용, 삶의 질에 미치는 영향)

  • Kim, Rock-Bum;Park, Ki-Soo;Lee, Jin-Hyang;Kim, Bong-Jo;Chun, Jin-Ho
    • Korean Journal of Health Education and Promotion
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    • v.28 no.1
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    • pp.81-92
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    • 2011
  • Objectives: The purpose of this study is to evaluate the influence of depression symptom on the self-rated health status(SRHS), the outpatient health service utilization and quality of life(QOL) also the relationship depression symptom with socio-demographic and health related factors. Methods: We selected 9,550 participants without chronic diseases from a total of 18,104 in the '2009 community health survey in Gyeongnam. They were assessed by using a Korean version of the Center for Epidemiological Studies-Depression Scale(CES-D). Those with CES-D scores of 21 or greater were defined as having probable depression. Results: A probable depression were associated in bivariate analysis with gender, age, educational status, monthly household income, marital status, current smoking status, drinking habit, physical activities and body mass index. After adjustment for covariates, probable depression groups predicted a lower status in SRHS. Likewise probable depression groups predicted a higher utilization in outpatient health service. Also probable depression groups predicted a lower score in QOL. Conclusions: Probable depression influence SRHS, outpatient health service utilization and QOL even after adjusting for the socio-demographic, health related factors and chronic medical illness. Programs for prevention and management of depression will be helpful to promote health and QOL.

Factors related to Professional Quality of Life among Community Health Practitioners in Korea (보건진료 전담공무원의 전문직 삶의 질 관련요인)

  • Kim, Junghee;Lee, Jungeun;Kim, Gwang Suk
    • Korean Journal of Occupational Health Nursing
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    • v.27 no.2
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    • pp.109-120
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    • 2018
  • Purpose: The aims of this study were to examine the work, client, and personal environments of community health practitioners, including the level of their professional quality of life (ProQOL), and identify the factors affecting their ProQOL. Methods: Data were collected using a web-survey questionnaire, which was completed by a sample of 308 community health practitioners currently working in Korea. The questionnaire included items on ProQOL; three dimensions labeled compassion satisfaction, burn out, and secondary traumatic stress; job stress; job satisfaction; sense of community; and general characteristics. Results: The mean scores for the three dimensions were $39.2{\pm}6.44$ (compassion satisfaction), $31.9{\pm}3.59$ (burn out), and $26.4{\pm}5.05$ (secondary traumatic stress). A multiple linear regression revealed that compassion satisfaction varied significantly according to the satisfaction with job choice, sense of community, job stress, and job satisfaction. The factors affecting burn out were sense of community and work load, while the factors affecting secondary traumatic stress were education, job stress, and job satisfaction. Conclusion: The findings of this study suggest that comprehensive intervention focusing on improving the sense of community and job satisfaction and reducing job stress is essential to promote community health practitioners' ProQOL.