• 제목/요약/키워드: Quality of Life(QOL)

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터치스크린 컴퓨터를 이용한 천식 특이형 삶의 질 측정 (Computerized Measurement for Asthma-Specific Quality of Life: Comparison with a Conventional Paper-and-Pencil Questionnaire)

  • 이은현
    • 대한간호학회지
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    • 제39권6호
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    • pp.781-787
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    • 2009
  • Purpose: The purpose of this study was to evaluate a computerized touch-screen version of the asthma-specific quality-of-life (cA-QOL) questionnaire against the conventional paper-and-pencil version (pA-QOL) for equivalence, time for completion, user preference, and ease of use. Methods: A total of 261 patients were recruited. A randomized cross-over design was used. Patients in group A completed the cA-QOL first while waiting to see a physician, and completed the pAQOL version after seeing the physician. Patients allocated in group B completed these questionnaires in the reverse order. The patients were asked questions about user preference and ease of use of the cA-QOL. The time taken to complete both versions of the questionnaire was measured. Results: Weighted kappa coefficients of all items showed almost perfect agreement. The time required to complete the pA-QOL is faster than the time for cA-QOL. The patients who preferred the cA-QOL were 37.5%, while those who preferred the pA-QOL were 29.9%. Most patients reported that the cA-QOL was "easy" or "very easy" to complete. Conclusion: The cA-QOL is the computerized equivalent of the pA-QOL. The findings herein demonstrate that the cA-QOL can be helpful to nurses in busy practices for assessing, collecting, and evaluating their patients' health related quality of life.

가족 지지와 삶의 질이 남자 관상동맥질환자의 금연에 미치는 영향 (Effects of Family Support and Quality of Life in Relation to Smoking Cessation in Male Patient with Coronary Artery Disease)

  • 손행미;이은남
    • 기본간호학회지
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    • 제15권1호
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    • pp.71-79
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    • 2008
  • Purpose: The purpose of this study was to identify effects of family support and quality of life on smoking cessation in patients with coronary artery disease. Method: Data were collected using a self-reported questionnaire included smoking history, family support and quality of life (QOL). The participants were 159 male patient with coronary artery disease who were current smokers or ex-smokers. A logistic model was developed to estimate the likelihood of current smoker or ex-smoker. Results: Of the participants, 28.3% were current smokers and 71.7% were ex-smokers. The mean score for family support was 27.41 for positive support and 23.11 for negative support. The mean score for QOL was 50.48. There were significant differences in QOL according to smoking status. The predictors of smoking cessation were social interaction QOL and self-control QOL, and duration of smoking. The model correctly classified 89.5% of ex-smokers and 44.4% of current smokers and the correct classification for the total was 76.8%. Conclusion: Social interaction QOL, self-control QOL and duration of smoking were significant variables in prediction of smoking cessation. QOL should be considered in developing smoking cessation interventions. It is advisable to also examine the mediating effect of family support on quality of life.

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뇌성마비아동 보호자의 삶의 질 측정과 물리치료 서비스의 만족도 조사 (Satisfaction of Utilization of Physical Therapy and Quality of Life for Caregivers of Cerebral Palsy Children)

  • 권미지
    • The Journal of Korean Physical Therapy
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    • 제21권2호
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    • pp.55-63
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    • 2009
  • Purpose: This study evaluated of quality of life (QOL) and physical therapy satisfaction (PTS) in caregivers of cerebral palsy children. Methods: Eighty six caregivers in Gwang-ju were examined. The caregivers' QOL was assessed through self-reports using the WHO Quality of Life-BREF (WHOQOL-BREF), and the data was analyzed separately for each of its 5 domains. Physical therapy satisfaction was assessed using a self-reported questionnaire and the data was analyzed separately for the 2 domains. The results were processed by the mean and standard deviation and then verified by ANOVA and a t-test to determine the significant differences in the QOL and PTS. The factors affecting the QOL were processed by logistic regression. Results: Life environment domain of the QOL across the caregivers factors showed a statistically significant difference in age at natal, monthly income and education. The birth order in the cerebral palsy child factor showed a significant difference in the general, physical and emotional domain of the QOL. The PTS showed a significant difference in the delivery of therapy domain and in the birth order and walking condition of the environment domain. Caregivers education was found to be associated independently with the life environment domain of QOL. Conclusion: Because the QOL of caregivers is an important treatment goal for children with cerebral palsy, early family intervention should be considered.

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항암화학요법을 받는 부인암 환자의 삶의 질에 관한 연구 (Quality of Life in Gynecological Cancer Patients During Chemotherapy)

  • 이주영;최스미
    • 여성건강간호학회지
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    • 제13권4호
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    • pp.290-298
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    • 2007
  • Purpose: This study was to measure the quality of life(QOL) and to identify the related factors in gynecological cancer patients during chemotherapy. Method: The subjects of this study were the patients who had undergone a hysterectomy and were admitted for chemotherapy at S university hospital between November 2006 and April 2007. Data was collected from 106 gynecological cancer patients with the use of a structured questionnaire which measured the QOL(FACT-G), body image, the presence of anxiety & depression, uncertainty, and family support. The data was analyzed by the SPSS win 12.0 program. Results: The mean FACT-total score was 62.1$({\pm}16.7)$ (range; 26-107). Positive correlations were found between QOL and body image(r= .67, p= .00), and QOL and family support(r= .32, p= .00), whereas there were negative correlations between QOL and anxiety(r= -.54, p= .00), QOL and depression(r= -.70, p= .00), and QOL and uncertainty(r= -.59, p= .00). Fifty seven pre cent of the variance in subjective overall QOL can be explained by depression, body image, and uncertainty(Adj $R^2$= .57, F=47.00, p= .00). Conclusion: Our patients had a relatively low QOL score. Factors significantly affecting quality of life were depression, body image and uncertainty. Nursing interventions, therefore, should be focused on improving QOL in gynecological cancer patients during chemotherapy, particularly so in patients with depression, uncertainty or poor body image.

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정상노인의 삼킴관련 삶의 질(SWAL-QOL)이 노인의 전반적인 삶의 질에 미치는 영향-전북 지역을 중심으로- (The Impact of SWAL-QOL on Overall Quality of Life in Normal Elderly People: Focusing on Jeonbuk Province)

  • 김세연
    • 한국콘텐츠학회논문지
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    • 제14권6호
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    • pp.288-297
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    • 2014
  • 본 연구는 정상 노인들의 삼킴관련 삶의 질을 알아보고 삼킴관련 삶의 질이 노인의 전반적인 삶의 질에 미치는 영향을 알아보고자 시행되었다. 이를 위해서 전라북도 지역의 만 60세 이상 노인 140명을 대상으로 SWAL-QOL, SF-36, GQOL을 실시하였으며 수집된 자료는 윈도우용 SPSS21.0 프로그램을 이용하여 분석하였다. 연구 결과 정상노인들의 일반적 특성 중 연령(F=7.76, p<.01)과 사레 유무(t=-4.44, p<.01)는 집단간 삼킴관련 삶의 질에 유의미한 차이가 있었지만 사레유무만이 삼킴관련 삶의 질에 영향을 미치는 변인으로 밝혀졌다. SWAL-QOL은 SF-36(r=.39, p<.01)과 GQOL(r=.33, p<.01)과 상관관계가 높은 것으로 나타났다. 또한 SWAL-QOL은 SF-36(F=70.62, p<0.000)와 GQOL(F=46.44, p<0.000)에 각각 36%와 25% 정도의 유의한 영향을 미치는 것으로 나타났다. 따라서 본 연구결과는 노인의 삼킴관련 삶의 질과 전반적인 삶의 질을 향상시키는데 기초자료로 활용될 수 있을 것이다.

삶의 질과 학습유형의 관계: 건강한 노인을 대상으로 (Quality of Life Related to Learning Style among Healthy Elderly)

  • 이명옥
    • 한국간호교육학회지
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    • 제12권1호
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    • pp.21-27
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    • 2006
  • Purpose: This is a descriptive study to identify the relationship of quality of life and learning style of the elderly. Method: 106 elderly persons living in Seoul were surveyed using a questionnaire to identify their demographic characteristics, learning styles, and perceived quality of life. Results: 17% of the respondents were in the low quality of life (QOL). The QOL showed significantly different according to learning styles, gender, current health status, perceived level of current life happiness, and monthly pocket money. The highest average score of QOL was found in the Assimilator group, and the lowest average score was found in the Diverger group. Conclusions: Among the four categories significantly related to QOL, the case of learning style and current health status are the categories by which nurses can intervene to improve QOL. Thus, nurses should emphasize the relationship to improve the clients' QOL. Since the scores of QOL were high for the Assimilator and Accomodator groups, nurse should identify the learning style of the elderly as soon as possible and then help those who are under-developed, to further develop Assimilator and Accomodator learning styles.

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유방암 환자의 삶의 질 영향요인 (Predictors of Quality of Life in Women with Breast Cancer)

  • 서연옥
    • 대한간호학회지
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    • 제37권4호
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    • pp.459-466
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    • 2007
  • Purpose: This study was to identify predictors of quality of life in breast cancer patients. Physical and pscyhological factors like stress, mood, and fatigue with sociodemographic factors like education, income, job and stage of disease were used to predict quality of life. Methods: One hundred eleven patients with breast cancer participated in this study? The functional Assessment of Cancer Therapy-Breast(FACT-B) was used to assess quality of life. Results: The mean age of the patients was 46.7 years. The FACT-B mean score was 89.89(SD:17.31) Education, income, job and stage of disease were significantly associated with QOL. In a regression analysis, mood, income, and fatigue were significant predictors for QOL where as, stress was not significant. Among the subscales of QOL, physical well-being, functional well-being, emotional well-being, and the breast cancer subscale were included as predictors of QOL Conclusion: Physical and psychological factors were strong predictors of QOL. These results demonstrate the need for interventions to improve QOL in breast cancer survivors.

뇌혈관 수술 환자의 삶의 질과 관련요인 (Quality of life and the related Factors in Cerebrovascular Surgery Patients)

  • 김미영;김금순
    • 재활간호학회지
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    • 제8권1호
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    • pp.5-12
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    • 2005
  • Purpose: The purpose of this study was to investigate the quality of life and related factors of CVA surgery patients. Method: The subjects were 64 CVA surgery patients who had discharged and received follow up care at the OPD. Data were collected using William's SS-QOL instrument and IADL. And Data were analyzed with SPSS WIN program in which frequency, percentage, t-test, Pearson's correlation and stepwise regression were used to examine the quality of life and related factors. Result: General characteristics related to QOL were marital status and economical status. Depression was the most important factor with influence on QOL in CVA disease patients after surgery. There were further positive correlation between patient's IADL and QOL and between patient's social support and QOL. Meanwhile the patient's depression level was negatively correlated with QOL. Conclusion: Depression was the most important factor with influence on QOL in CVA patients after surgery. Therefore active nursing intervention to decrease depression and to improve patient's physical functional status in needed. And the patient's family should be included in all nursing intervention and patient education so that the patient's quality of life is prompted by the maintenance of optimal wellbeing.

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중년기 성인들이 인지하는 주관적 삶의 질의 영향요인 분석: 생태학적 요인들을 고려하여 (The Research on the Ecological Influential Factors of the Perceived Quality of Life among the Middle Aged Adults)

  • 임소진;어성연
    • 가족자원경영과 정책
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    • 제15권4호
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    • pp.129-147
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    • 2011
  • The purpose of this study was to explore the mechanism involved in predicting the Quality of Life (QOL) of middle.aged Koreans. The QOL was measured by integrating life satisfaction indicators. To accomplish this, a survey data set was drawn from a convenient sample of 670 individuals during the period of January and February 2011. To differentiate the influences from the different life domains, stepwise multiple regressions were attempted. In our results, the SES indicators, personal mental health, physical health, social capital resources from family as well as job places, perceived local government services, and the current living conditions to determine QOL, explained 55% of the total variance. In conclusion, the results of this study demonstrated the complex mechanisms that explain QOL in terms of ecological predictors.

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투석 전 만성 신부전 환자의 사구체 여과율에 따른 삶의 질 (Quality of Life in Pre-dialysis patients with Chronic Kidney Disease at Glomerular Filtration Rates)

  • 김혜원;최스미
    • Journal of Korean Biological Nursing Science
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    • 제15권2호
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    • pp.82-89
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    • 2013
  • Purpose: To examine the quality of life in pre-dialysis patients with chronic kidney disease. Methods: The subjects were 91 patients who visited the nephrology outpatient department of a tertiary hospital located in Seoul. Data on demographic and clinical characteristics, and quality of life (QOL) were collected between July 19 and 23, 2010. The relationship between QOL and various Stages of dependence on glomerular filtration rates (GFRs) and factors related to QOL were investigated. Collected data was analyzed with the SPSS WIN 12.0 program. Results: There was a significant difference in the quality of life of the subjects in different stages (F=18.12, p<.001). The Scheffe post hoc test confirmed that patients at higher stages had a lower level quality of life. In addition, GFRs, uremic symptoms, gender and age predicted value accounted for 38.5% of the variance on QOL (F=25.09, p<.001). Conclusion: Strategies to develop a systematic management program for improving QOL of pre-dialysis patients are urgently needed.