• 제목/요약/키워드: Quality of life (QoL)

검색결과 235건 처리시간 0.032초

도침치료가 급성 요추 염좌 환자의 통증 및 기능개선에 미치는 영향: 후향적 연구 (Effects of Acupotomy on Pain and Functional Improvement in Acute Low Back Pain Patients: A Retrospective Study)

  • 김연희;오민석
    • 한방재활의학과학회지
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    • 제28권2호
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    • pp.91-104
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    • 2018
  • Objectives The aim of this study is to investigate the effect of Acupotomy on the pain reduction and functional improvement of patients with Acute low back pain. Methods We studied 60 patients with Acute low back pain with Numeric Rating Scale (NRS) 5 or higher in admission and had admitted to Department of Korean Medicine Rehabilitation of Daejeon University from March 1, 2017 to October 31, 2017. 30 patients had received Acupotomy combined Korean Medicine treatment(such as acupuncture, moxabustion, herbal medicine, etc) and the other 30 had received Korean Medicine treatment only. The analysis was conducted as a retrospective study which analyzes the patient's medical records. Statistical analysis was performed using the IBM SPSS Statistics 24 program. We used NRS to evaluate pain reduction, used Range of Motion (ROM) and Roland Morris Disability Questionnaire (RMDQ) to evaluate function improvement, and used EuroQol-5 Dimension (EQ-5D) and EuroQoL-Visual Analogue Scale (EQ-VAS) to assess quality of life. Finally, a five-point Likert scale was used to assess treatment satisfaction. Results The analysis revealed that patients who were treated with Acupotomy showed statistically significant NRS reduction, improvement of ROM and RMDQ, improvement of EQ-5D and EQ-VAS and satisfaction compared to those who just recevied Korean Medicine treatment. Conclusions In conclusion, we found that the Acupotomy showed a positive effect on pain resolving, functional rehabilitation and quality of life in patients with Acute low back pain.

한국노인의 자가보고 치주건강상태와 구강건강관련 삶의 질의 연관성 (Association between the self-reported periodontal health status and oral health-related quality of life among elderly Koreans)

  • 장문성;김혜영;심연수;류인철;한수부;정종평;구영
    • Journal of Periodontal and Implant Science
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    • 제36권3호
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    • pp.591-600
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    • 2006
  • Purpose: This study assessed the impact of self-reported periodontal health on the oral health-related quality of life among elderly Koreans. Methods: Four hundred twenty one elderly Koreans in Seoul and suburban areas were selected with a cluster (institution) sampling method, and were requested to take oral examinations and finish questionnaires on the Oral Health Impact Profile-14(OHIP-14). and self-reported periodontal health status, such as periodontal symptoms, self-rated periodontal health and periodontal treatment need. As the dependent variable, OHIP-14 showed a positive skewed distribution (skewness: 1.17), we transformed to square-root form to apply parametric analyses. Bivariate analysis by t-test and ANOVA, and multivariate analysis with the two-level regression model accounting clusters were implemented. Results: Mean age of the subjects was 74.6 years and 66.5% were women. Fourteen items of OHIP-14 were summarized to one factor explaining 78.6% of total variance and produced the Chronbach alpha coefficient of 0.92. Results from the multivariate model, adjusting for age, sex, type of institutions, ability to pay, and number of teeth present, showed significantly lower OHIP-14 with reporting less than 3 periodontal symptoms (p(O.OOO1), rating their own periodontal health as above average level (p=O.0144), and thinking they don't need any periodontal treatments in the near future (p=O.0148), than their counterparts. The intraclass-corrrelation estimated by the final model was 0.028. Conclusion: This study demonstrates a significant association between self-reported periodontal health status and the oral health-related quality of life.

여성노인의 고혈압 유무에 따른 신체활동, 체질량 지수 및 우울이 건강관련 삶의 질에 미치는 영향 (Impact of Physical Activity, Body Mass Index and Depression on the Health Related Quality of Life according to the Presence of Hypertension in the Elderly Women)

  • 김애실;배한주
    • 한국산학기술학회논문지
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    • 제21권11호
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    • pp.543-553
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    • 2020
  • 본 연구는 2018년 제7기 국민건강영양조사 결과를 이용한 2차 자료 분석이었다. 본 연구의 목적은 65세 이상 여성노인의 신체활동, 체질량지수, 우울이 건강관련 삶의 질에 미치는 영향을 파악하고 비교하기 위함이다. 구체적으로 연구대상자는 고혈압 진단을 받은 여성노인 550명, 고혈압 진단을 받지 않은 여성노인 375명으로 구성되었다. SPSS/WIN 22.0 프로그램을 이용하여 기술통계, chi-square test, t-test, multiple linear regression으로 분석하였다. 다중 선형 회귀 분석결과, 고혈압군에서 나이, 교육, 신체활동, 체질량 지수, 우울이 건강관련 삶의 질에 유의한 예측인자로 확인되었고 설명력은 26.9%였다(F=14.30, p<.001). 즉 신체활동량이 많을수록(t=3.02, p=.003), 체질량 지수가 낮을수록(t=-3.12, p=.002), 우울이 낮을수록(t=-7.69, p<.001) 건강관련 삶의 질이 높았다. 반면, 비고혈압군에서 교육과 우울이 건강관련 삶의 질에 유의한 영향인자로 확인되었고 설명력은 31.7%였다(F=5.37, p<.001). 즉, 우울이 낮을수록 (t=-5.53, p<.001) 건강관련 삶의 질이 높았다. 이러한 결과를 바탕으로 향후 고혈압 질환을 갖고 있는 여성노인을 대상으로 다른 구체적 신체활동의 특성을 비교하는 연구와 여성노인의 우울 및 비만 감소를 위한 신체활동 중재 프로그램의 개발이 필요하다.

간질성 방광염의 침 치료에 관한 임상 연구 고찰 (Review of Recent Researches on the Acupuncture Treatment for Interstitial Cystitis)

  • 구수정;황덕상;이진무;이창훈;장준복
    • 대한한방부인과학회지
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    • 제32권3호
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    • pp.86-101
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    • 2019
  • Objectives: This review is aimed at assessing the efficacy and effectiveness of acupuncture treatment for interstitial cystitis patients through literature research and overview. Methods: Database searching was conducted to identify relevant randomized controlled trials (RCTs) and clinical studies on the acupuncture treatment for interstitial cystitis patients. Studies were searched from Journal of Korean Obstetrics and Gynecology, KISS, KMBASE, CNKI, Cochrane library, PubMed and EmBase up to April 2019. Results: Five studies including three RCTs and two clinical studies were finally selected. Three studies showed that acupuncture was effective for interstitial cystitis. One study showed ineffectiveness of acupuncture treatment. Conclusions: From three studies, acupuncture treatment for interstitial cystitis patients showed symptoms relief and improvement of QoL (Quality of Life). Further strictly designed studies are needed to confirm the efficacy and setup the acupuncture treatment protocol.

Relationship between Health-Related Quality of Life and Suicide Ideation in a Nationally Representative Sample of Elderly Koreans

  • Park, Dahye;Kim, Heejeong
    • 대한통합의학회지
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    • 제7권1호
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    • pp.57-64
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    • 2019
  • Purpose : This study was implemented to identify the risk conditions influencing suicidal ideation in a nationally representative sample of elderly South Koreans. Methods : Data from 1,152 men and 1,581 women aged 65 years or older were gathered from the 2013 and 2014 Korea National Health and Nutrition Examination Survey VI. All analyses were performed using SPSS. To determine significant correlations between risk condition and suicidal ideation, a t-test was used. Results : There were differences in suicidal ideation according to the following individual factors: age, educational background, marital status, economic activity, recognition of stress, experience of depression, and economic status. There were differences in suicidal ideation according to the following health-related factors: subjective health status, EQ-5D (EuroQoL-5 Dimensions), hours of sleep, and BMI. There were also differences in suicidal ideation according to the following disease-related factors: HTN, COPD, asthma, stroke, depression and osteoarthritis. Conclusion : The findings indicate that broad intervention programs should be distributed to prevent suicidal ideation. It is also recommended that programs be developed in a way that can help manage the variables identified in this study. Furthermore, follow-up studies should be conducted to verify the program.

수도권 가구의 주거이동 결정요인 및 특성에 관한 연구 - 서울 및 경인지역을 중심으로 - (The Main Factors of Residential Mobility and Household characteristics in Metropolitan Area - Focused on Seoul and Gyeong-in Area -)

  • 장선영;오주석;김세용
    • 대한건축학회논문집:계획계
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    • 제36권5호
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    • pp.125-135
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    • 2020
  • The purpose of this study is to identify the background and nature of residential mobility and its influencing factors in Seoul metropolitan area. Spacial range of this study includes from Seoul to Gyeong-in area(Gyeonggi-do and Incheon). To measure this tendency, this study established hypotheses and two logistic regression models through previous researches and conducted an analysis based on 1,911 and 2,923 samples, which experienced inbound and outbound moving between the two areas. This research found that residential mobility from Seoul to Gyeong-in and those moving from Gyeong-in to Seoul had some differences in the household, socio-economic, environmental, and housing characteristics that affected the moving to each area, as well as the architectural and urban environmental characteristics that affect the Quality of Life(QoL) of the households after the residential mobility was completed.

성별에 따른 강박증상의 위험요인으로서 주관적 건강상태 (Self-rated Health as a Sex-based Risk Factor for Compulsion)

  • 김윤영;현혜순;장은수
    • 보건의료산업학회지
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    • 제13권4호
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    • pp.243-252
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    • 2019
  • Objectives: This study aimed to determine whether the self-rated health (SRH) could be a risk factor for compulsion. Methods: Data related with compulsion and SRH information were collected from 532 young adults aged over 20 years in South Korea. The distribution of the high and low SRH groups was analyzed using the chi-square test, whereas difference in quality of life (QoL) was analyzed using the t-test. Logistic regression was used to analyze the odds ratio (OR). Results: In the high and low-SRH groups, 44 (28.8%) and 23 (31.5%) men and 24 (10.4%) and 21 (27.6%) women, respectively, were at risk for compulsion (p<.001). For women, the compulsion scores of the low and high-SRH groups, respectively, were 15.8±9.53 and 9.9±8.47 (t=5.071, p<.001). The low-SRH group had higher ORs compared with the high-SRH group among women (OR 3.277, 95% confidence interval 1.699 - 6.321, p<.001) in the original model, and this phenomenon was significant even after adjusting for age and residence type. Conclusions: Low SRH may be a risk factor for compulsion. Further research for improving SRH by developing preventive measures against compulsion is necessary.

누크관 수종 제거 이후 후유증에 대한 한방치료 1례 : 증례보고 (Improvement of Symptoms after Excision of Hydrocele of Canal of Nuck with Korean Medicine: A Case Report)

  • 안수빈;염지윤;허나연;강세영
    • 대한한방내과학회지
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    • 제44권5호
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    • pp.941-947
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    • 2023
  • Objective: The purpose of this case study is to report the hydrocele of the canal of Nuck and the effectiveness of Korean medicine in post-surgery improvement of symptoms. Method: A patient who was diagnosed with hydrocele of the Nuck canal and had symptoms after Lichtenstein's operation was treated using Korean medicine, including acupuncture, herbal medicine, and moxibustion, every day. The evaluation was performed using the Numeral Rating Scale (NRS), the 5-level EQ-5D version (EQ-5D-5L), the EQ visual analogue scale (EQ-VAS), and the World Health Organization Quality of Life-Brief (WHOQOL-BREF). Results: After treatment, changes were observed in NRS (from 8 to 2-3) and EQ-VAS (from 60 to 85), whereas there was no difference in EQ-5D-5L (both 6). There was an overall improvement in the domains of WHOQOL-BREF and subjective symptoms. Conclusion: This study suggests that Korean medicine may improve symptoms after surgery of hydrocele of the canal of Nuck and can be evaluated using an overall QoL questionnaire.

갱년기 증후군으로 인한 불면의 침 치료 무작위 대조군 최신 연구의 체계적 문헌 고찰과 메타 분석 (A Systemic Review of Recent Randomized Controlled Trials of Insomnia in Climacteric Syndrome Treated with Acupuncture)

  • 나지영;박장경;윤영진
    • 대한한방부인과학회지
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    • 제35권3호
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    • pp.56-73
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    • 2022
  • Objectives: This study was aimed to review the effect of acupuncture for insomnia in climacteric syndrome. Methods: Researchers searched data through 5 online databases up to December 2021. The data was limited to randomized controlled trial studies on patients diagnosed with insomnia in climacteric syndrome. Results: 8 Randomized controlled trials were included in this study. 6 of studies were published in Chinese, in China. 2 were published in English. Intervention of treatment group were composed of simple acupuncture. Intervention of control group were made up with Estazolam, Alprazolam, Lorazepam and sham-acupuncture. Outcome measurements were Total effective rate, Pittsburgh Sleep Quality Index (PSQI), Kupperman index, Menopause Quality of Life scales (Men-QoL), the level of hormones (E2, FSH, LH) etc. In all outcome measurements, treatment group were more effective than control group and it was statistically significant. Conclusions: Acupunture therapy is effective for treating insomnia in climacteric syndrome. Pittsburgh Sleep Quality Index (PSQI) is most frequently used for sleep assessment indicator. 神門 (HT7) is the most frequently used acupoint for treatment group. However because insomnia in climacteric syndrome is easy to recur, additional long-term research is needed.

건성안 증후군에 대한 전자뜸과 침의 효과 비교 임상연구 (A Comparative Clinical Study on an Electronic Moxibustion with Acupuncture for Dry Eye Syndrome)

  • 박지식;송지훈;정민영;최정화;박수연
    • 한방안이비인후피부과학회지
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    • 제36권1호
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    • pp.64-77
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    • 2023
  • Objectives : Recently, the number of patients with dry eye syndrome has been steadily increasing. However, established treatment for it does not yet exist. This study compared electronic moxibustion with acupuncture for patients with dry eye in terms of efficacy and safety. Methods : This trial was designed as an investigator-initiated, single-blinded, comparative, randomized controlled trial. Thirty patients with dry eye were randomized to the electronic moxibustion treatment group(EMG) or the acupuncture treatment group(AG) in equal proportion. The participants who assigned to the EMG were treated with electronic moxibustion to ten acupoints including both sides of BL2, GB14, TE23, and LI4 for 12 minutes. The participants who were assigned to the AG were treated with acupuncture to the same acupoints for 15 minutes. Over 4 weeks, each intervention was carried out twelve times in total. The primary outcome was the ocular surface disease index(OSDI). The secondary outcomes were the subjective symptoms visual analog scale(VAS), quality of life(QoL), Schirmer I test(SIT), and general assessment. Adverse events and vital signs were also investigated for safety assessment. Results : In intragroup comparisons, both the EMG and the AG significantly improved the OSDI scores, the subjective symptoms VAS scores, the QoL scores, and the SIT results after 4 weeks of the trial. However, there were no statistical differences in intergroup comparisons between the two groups after 4 weeks. The safety of electronic moxibustion and acupuncture was confirmed by no occurrence of serious adverse events. Conclusions : Both electronic moxibustion and acupuncture were effective for dry eye syndrome, and they were safe. Electronic moxibustion and acupuncture can be used for dry eye syndrome as equivalent treatments.