• Title/Summary/Keyword: Quality of life.

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Mediating Effect of Depression in the Relationship Between Health-Related Quality of Life and Pain of the Elderly with Physical Dysfunction

  • Lee, In Hak;Han, Seul Ki
    • Journal of International Academy of Physical Therapy Research
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    • v.9 no.2
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    • pp.1455-1460
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    • 2018
  • This study aimed to determine the effect of depression between the health-related quality of life and pain in elderly persons with physical disabilities. A total of 111 patients who were treated at hospital B (Seoul, Daejeon, Daegu, Gwangju, and Busan) participated in the Survey. The SF-36 Health Assessment was used to determine the quality of life of subjects, the Korean version of the Geriatric Depression Scale-Short form to assess the level of depression, and Numeric Rating Scale to determine the level of pain. To determine the moderating effect of depression on the relationship between quality of life and pain, simple regression analysis, and the Sobel test were performed. There was a significant negative correlation between health-related quality of life and pain (r<-.3, p<.05), and a significant positive correlation between depression and pain (r=.251, p<.05). Thus, health-related quality of life had a simple regression relationship with depression and pain. Depression also showed a mediating effect between health-related quality of life and pain. The results of this study suggest that depression mediates between pain and quality of life.

The Effect of Functional Dependency and Stress on Health-related Quality of Life in Patients under Rehabilitation after Stroke (뇌졸중 재활 환자의 기능적 의존도와 스트레스가 건강 관련 삶의 질에 미치는 영향)

  • Cho, Ok-Hee;Choi, Suyoung;Song, Jihyeun
    • Journal of muscle and joint health
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    • v.20 no.2
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    • pp.81-90
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    • 2013
  • Purpose: The purpose of this study was to identify factors contributing to health-related quality of life in patients under rehabilitation after stroke. Methods: A descriptive correlational study design was used. Ninety-two stroke patients under rehabilitation from a university hospital were included. Data were collected on March and April, 2013 using structured questionnaires. Hierarchial multiple regression analysis was used to identify factors influencing health-related quality of life. Results: There were significant differences in health-related quality of life according to type of impairment. The health-related quality of life had significant correlations with age, functional dependency, and stress. Factors influencing health-related quality of life for stroke patients under rehabilitation were stress, functional dependency, type of impairment, and age, which explained about 34.5% of total variance. Conclusion: To promote health-related quality of life for stroke patients under rehabilitation, stress and functional dependency should be managed in this population, especially for older adults. Also these results can be utilized in the development of program for helping rehabilitation of stroke patients. The effect of depression and anxiety on health-related quality of life should also be addressed in future research.

Exploring the relationship between demographics of cycle tourists and the quality of life

  • Seo, Won-Jae;Jang, Joo-Young;Kim, Yong-Eun;Han, Seung-JIn
    • Journal of Sport and Applied Science
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    • v.2 no.1
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    • pp.25-38
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    • 2018
  • One of the largest and fastest growing segments of the tourism industry, sport tourism refers to travel to play sports, watch sports, or to visit a sport attraction including both competitive and non-competitive activities. In this respect, cycling can be considered as not only a form of physical exercise but also a form of tourism in which cycling is a usual tourism-related activity, heading to a particular destination. The purpose of this study is to examine how demographical differences of cycle tourists are related to the quality of their life. An online survey was conducted and data was analyzed using frequency, reliability, and one - way ANOVA using SPSS 22.0. First, we found that there was no significant difference on the quality of physical life based on demographical characteristics. Second, the analysis of the relationship between demographical characteristics and the quality of mental life showed that income level affects their quality of mental life. Third, the analysis of the relationship between socio demographic characteristics and the quality of social life showed that marital status affects the quality of social life. Fourth, no statistically significant difference was found between the demographical characteristics and the quality of environmental life. Further implications were discussed.

Structural Equation Model of Health-Related Quality of Life in School Age Children with Asthma (학령기 천식 아동의 건강관련 삶의 질 구조모형)

  • Kim, Yunsoo;Park, Ho Ran
    • Journal of Korean Academy of Nursing
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    • v.48 no.1
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    • pp.96-108
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    • 2018
  • Purpose: This study aimed to construct and test a hypothetical model of the quality of life of school-age children with asthma based on the health-related quality of life model by Wilson and Cleary. Methods: Data were collected from 205 pairs of pediatric outpatients diagnosed with asthma and their parents in Seoul and Gyeonggi-do from July 2016 to April 2017. The exogenous variables were asthma knowledge, number of accompanying allergic diseases, and social support. The endogenous variables were asthma self-efficacy, asthma symptom control, perceived health status, parental quality of life, and children's quality of life. For data analysis, descriptive statistics, factor analysis, and structural equation modeling were performed. Results: Eighteen of the twenty-four hypotheses selected for the hypothetical model were attentive and supported statistically. Quality of life was explained by asthma self-efficacy, asthma symptom control, perceived health, parental quality of life, and asthma knowledge with 83.5%. Conclusion: Strategies for promoting self-efficacy and enforcing asthma knowledge will be helpful for the improvement of health-related quality of life with school-aged asthmatic children.

Relationships between Symptom Experience and Quality of Life in Patients with Atrial Fibrillation (심방세동 환자의 증상경험 및 삶의 질간의 관계)

  • Baek, Kyung-Hwa;Son, Youn-Jung
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.15 no.4
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    • pp.485-494
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    • 2008
  • Purpose: In this study, relationships between symptom experience and quality of life in a cross-sectional sample of patients with Atrial Fibrillation (AF) were investigated. Methods: This descriptive study involved a convenience sample of AF patients from S university hospital, C city. One hundred and two AF patients completed psychometric validated measures of AF related symptoms and quality of life. Descriptive statistics and Pearson correlation coefficients with SPSS WIN 14.0 were used for data analysis. Results: Of 16 atrial arrhythmia-related symptoms, the patients reported 'tiredness' as the most frequent and 'shortness of breath' as the most severe. The level of overall quality of life for patients with AF was 53.92. There were significant differences in symptom frequency according to religion, New York Heart Association (NYHA) classification and left ventricular ejection fraction ; symptom severity according to monthly income and stroke ; quality of life according to age, job, alcohol intake, NYHA class and stroke. Quality of life for these patients was positively correlated with symptom frequency and symptom severity. Conclusions: This study demonstrated that patients with more frequent and severe symptoms perceive poorer quality of life than patients with less frequent and less severe symptoms. Symptom experience should be assessed early to improve quality of life for patients.

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A Predictive Model of Quality of Life for Stomach Cancer Patients with Gastrectomy (위암수술 환자의 삶의 질 예측모형 구축)

  • Kim, Young Suk;Tae, Young Sook
    • Korean Journal of Adult Nursing
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    • v.27 no.6
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    • pp.613-623
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    • 2015
  • Purpose: This study was designed to construct a predictive model to explain quality of life of stomach cancer patients with gastrectomy. Methods: Data were collected from July 10 to August 30, 2013 through survey using self-reported questionnaires. A total of 218 patients with gastrectomy was recruited from three different hospitals. Outcome variables were exogenous ones (self efficacy and social support) and endogenous ones (depression, perceived health status, self care behavior, and quality of life). Results: Goodness-of-fit of the hypothetical model was $x^2=143.37$, RMSEA=.07 CFI=.95, TLI=.93 SRMR=.05. Self care behavior, depression and perceived health status had significant direct effects on quality of life. Self efficacy and social support were affected quality of life indirectly. These variables explained 67.9% of total variance of quality of life, and self-care behavior was the most influential factor for quality of life. Conclusion: The findings of this study suggested that self care behavior must be considered as an intervention strategy to improve quality of life. Also a development of a specific intervention program to promote self efficacy and control depression for patients with gastrectomy is essential to facilitate their self care behaviors.

Body Image and Quality of Life in Women with Mastectomy (유방절제술 환자의 신체상과 삶의 질의 관계)

  • Park, Geum-Ja;Choi, J.S.
    • Asian Oncology Nursing
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    • v.8 no.2
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    • pp.86-92
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    • 2008
  • Purpose: This study was designed to investigate the body-image and quality of life in breast cancer patients with mastectomy. Methods: Data were obtained by self-reported questionaries from 110 patients undergone mastectomy from August 1 to 31, 2007. And data were analyzed using SPSS/PC WIN 12.0 program and frequency, percentage, mean, minimum, maximum, t-test, ANOVA, Scheffe test, Pearson's Correlation Coefficient were used. The results of the study were as follows; 1) Mean of Body image of the subjects was $52.54{\pm}6.67$ (range of scale; 17 to 85). Mean of quality of life was $118.01{\pm}34.37$ (range of scale; 0 to 10). 2) There was no significant difference with the score of body image by demographic and disease-related characteristics of subjects. 3) There was significant difference with the score of quality of life by the work type and economic status of subjects. 4) Relationship between body image and quality of life showed moderately strong positive correlation (r=0.408, p<0.0001). Conclusion: Mean of body image and of quality of life in mastectomy patients were moderate. Relationship between body image and quality of life showed moderately strong positive correlation. Therefore, for improving the quality of life, it is needed to improve body image in breast cancer patients with mastectomy.

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Degree of Dry Mouth and Factors Influencing Oral Health-related Quality of Life for Community-Dwelling Elders (지역사회 노인의 구강건조증 정도 및 구강건강관련 삶의 질 영향요인)

  • Park, Myung-Sook;Ryu, Se-Ang
    • Journal of Korean Academy of Nursing
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    • v.40 no.5
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    • pp.747-755
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    • 2010
  • Purpose: This study was conducted to investigate the degree of dry mouth and oral health-related quality of life and to identify factors contributing to oral health-related quality of life for community-dwelling elders. Methods: A descriptive correlational study design was used. Participants were 156 older adults from two senior welfare centers. Data were collected on February 21, 22 and 29, 30, 2009 using structured questionnaires. Enter type multiple regression analysis was used to identify factors influencing oral health-related quality of life according to general and oral health characteristics. Results: There were significant differences in oral health-related quality of life according to living arrangement, insurance, smoking, number of natural teeth, and denture type. The oral health-related quality of life had significant correlations with the number of chronic disease, number of medications, and dry mouth. Factors influencing oral health-related quality of life for community-dwelling older adults were dry mouth, number of chronic disease, and medical aid, which explained about 47.9% of total variance. Conclusion: These results indicate that in order to promote oral health-related quality of life for older adults, prevention or management of chronic diseases as well as oral health and dry mouth are needed for this population, and especially economically poor elders.

Health Promotion, Stress and Quality of Life in Patients with Genital Neoplasms (부인암 환자의 건강증진행위, 스트레스 및 삶의 질)

  • Kim, Eun-Kyoung;Park, Yeong-Sook
    • The Korean Journal of Rehabilitation Nursing
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    • v.13 no.2
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    • pp.114-122
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    • 2010
  • Purpose: The purpose of this study was to identify the health promotion, stress and the quality of life and relationship between those factors in patients with genital neoplasms. Method: Data of 151 subjects with genital neoplasms were collected from August 15 to October 12, 2009 at out-patient clinic in one general hospital in Daegu. Results: The mean score of health promotion of the subjects was 1.49 (${\pm}0.53$), stress of gynecologic cancer was 1.36 (${\pm}0.76$) and the quality of life of the subjects was 2.38 (${\pm}0.59$). There was a negative correlation between the quality of life and stress (r=-.482, p<.001), and positive correlation between the quality of life and health promotion (r=.442, p<.001) in the subjects. Conclusion: This study showed correlations between the health promotion, stress and the quality of life of patients with genital neoplasms. The quality of life of the patients with genital neoplasms was low when their stress was high. In contrast, their quality of life was high when the score of health promotion was high. Considering the research findings, it is necessary to develop a health promotion program for patients with genital neoplasms to strengthen their health promotion behaviors.

A Structural Model for Quality of Life of Infertile Women (불임 여성의 삶의 질 모형 구축)

  • Kim, Ju Hee;Shin, Hye Sook
    • Journal of Korean Academy of Nursing
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    • v.43 no.3
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    • pp.312-320
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    • 2013
  • Purpose: The purpose of this study was to test a model for quality of life among infertile women. This model was based primarily on the concept of the Fertility Quality of Life by Boivin et al. (2011) and the Infertility Resilience Model by Rindenour (2009). Methods: Fifteen measurable variables were used to estimate quality of life. They included endogenous variables such as fertility quality of life and resilience, and exogenous variables such as infertility related stress, depression, marital adjustment, and family support. Data sets (n=203) used for analysis were collected in a general hospital which had, on average, 400 assisted reproductive technologies per month. Results: The assessment of the modified model indicated acceptable fit, with $x^2/d.f$=2.07, GFI=.90, AGFI=.89, NFI=.89, CFI=.91, RMSEA=.07. Depression, infertility related stress, marital adjustment, resilience, and family support had direct influences on quality of life. Conclusion: The results of this study should contribute to the development of nursing intervention programs to enhance quality of life using factors that affect fertiQol (fertility quality of life) of infertile women.