• Title/Summary/Keyword: Quality-of-life

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Poor Sleep Quality and Its Effect on Quality of Life in the Elderly with Late Life Depression (노년기 우울증 환자의 수면의 질 저하가 삶의 질에 미치는 영향)

  • Choe, Jin Yeong;Park, Joon Hyuk
    • Korean Journal of Biological Psychiatry
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    • v.21 no.2
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    • pp.74-80
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    • 2014
  • Objectives More than half of the elders suffer from chronic sleep disturbances. Moreover, sleep disturbances are more prevalent in patients with depressive disorder than in community dwelling elderly. In this study, we aim to estimate the risk factors of poor sleep quality and its effect on quality of life in patients with late life depression. Methods This study included 159 depressive patients aged 65 years or older who completed Pittsburgh Sleep Quality Index (PSQI). A global PSQI score of 5 or greater indicates a poor sleeper. Structural diagnostic interviews were performed using the Korean version of Mini International Neuropsychiatric Interview (MINI). Depression was evaluated by the Korean form of Geriatric Depression Scale (KGDS). Global cognition was assessed by Mini-Mental State Examination in the Korean version of the Consortium to Establish a Registry for Alzheimer's Disease assessment packet. Quality of life was evaluated by the Korean version of Short-Form 36-Item Health Survey (SF-36). Results The frequencies of poor sleepers were 90.5% in major depressive disorder, 71.8% in minor depressive disorder, 47.1% in subsyndromal depressive disorder, and 73.0% in all types of depressive disorders. Multivariate logistic regression analysis indicated that female [odds ratio (OR) = 2.83, 95% confidence interval (CI) = 1.20-6.67] and higher KGDS score (OR = 1.13, 95% CI = 1.05-1.21) were risk factors of poor sleep quality in patients with late life depression. In the analysis of ANCOVA adjusted for age, gender, education and KGDS score, the mean scores of vitality mental health and mental component summary of SF-36 were lower in poor sleepers than in good sleepers. Conclusions Poor sleepers among patients with late life depression are very common and are associated with female and higher KGDS scores. Poor sleep quality causes a significant negative effect on mental health quality. So researchers and clinicians should be more vigilant in the evaluation and treatment of sleep disturbances in patients with late life depression.

Mediating Effect of Organizational Culture Supporting Work-Life Balance on the Relationship between Work-Life Balance and Quality of Nursing Service in Clinical Nurses (임상간호사의 일과 삶의 균형과 간호서비스 질의 관계에서 일과 삶의 균형 조직문화가 미치는 매개효과)

  • Cho, Jeonghwa
    • Korean Journal of Occupational Health Nursing
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    • v.30 no.3
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    • pp.79-89
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    • 2021
  • Purpose: This study aimed to confirm the mediating effect of work-life balance organizational culture in the relationship between work-life balance and quality of nursing service for clinical nurses. Methods: Participants included 224 nurses from four hospitals located in D city. Data was collected from 3 to 21 August 2020 using a self-report questionnaires. Descriptive statistics, t-test, one-way ANOVA, Scheffé test, and Pearson's correlation coefficient were used for analysis. The mediating effect was assessed by Baron and Kenny's three-step hierarchical regression analysis and bootstrapping methods. Results: There were significant relationships between work-life balance and work-life balance organizational culture (r=.45, p<.001), work-life balance and quality of nursing service (r=.18, p=.005), and work-life balance organizational culture and quality of nursing service (r=.34, p<.001). Also, work-life balance organizational culture (β=.32, p<.001) showed a total mediating effect on the relationship between work-life balance and quality of nursing service. Conclusion: The development and provision of programs that can improve the work-life balance and establish an organizational culture that supports it will help improve the quality of nursing services.

Factors Contributing to the Quality of Life of the Urban Homeless (도시 노숙자의 삶의 질 예측요인)

  • Yoon, Kyeong-A;Rho, Byeong-Il
    • Korean Journal of Social Welfare
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    • v.57 no.1
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    • pp.219-243
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    • 2005
  • Homeless people have remained one of the most disadvantaged groups in Korea. Therefore this study aims at examining how the homeless evaluate their quality of life and which factors influence their quality of life. The subjects of this study were 185 homeless adults residing on the street, in the shelter, and in substandard housing in Daejeon Metropolitan City. With a view to collecting the data effectively, different approaches have been taken for each type of homelessness in this study. By using the Korean Version of WHOQOL-BREF(brief version of WHO quality of life measure), this study has examined the current circumstance of the homeless and identified the predictors of their quality of life. The results of this study reconfirm low quality of life of homeless people. Also the results of this study indicate that the important factors influencing their quality of life are age, receipt of public assistance, perceived health status, alcohol use, alcohol addiction, housing type, and recognition by others. Predictors of each domain of quality of life differ to some extent. Statistically significant predictors of physical health are receipt of public assistance, perceived health status, and housing type. Psychological health is significantly influenced by age, receipt of public assistance, perceived health status, housing type, and recognition by others. Significant predictors of social relations are alcohol use, housing type, and recognition by others. Environment is significantly influenced by perceived health status, housing type, and recognition by others. On the basis of the findings of this empirical analysis, some measures conducive to the improvement of quality of life of homeless people are suggested. Only a few studies have been conducted to delve into the quality of life of the displaced group in Korea. In such a context, the significance of this study lies in identifying the circumstances of the homeless as a basic work for upgrading their quality of life on the one hand, and in empirically testing the major predictors of each domain of their quality of life on the other.

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Effects of eating habits, activities of daily living and health behaviors on oral health related-quality of life in elderly persons (노인의 식습관, 일상생활수행능력 및 건강행위가 구강건강 관련 삶의 질에 미치는 영향)

  • Han, Jung-Hee;Yom, Young-Hee
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.19 no.2
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    • pp.179-189
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    • 2012
  • Purpose: The purpose of this study was to identify the effects of eating habits, activities of daily living and health behaviors on oral health related-quality of life in elders. Methods: The sample consisted of 246 people 65 years or older. Data were analyzed using frequency, percentage, average standard deviation, t-test, ANOVA, Scheff$\acute{e}$, Pearson Correlation Analysis and Hierarchical Multiple Regression. Results: The control variables such as gender, presence of a spouse, subjective health status, presence of chronic disease and existing number of teeth explained 14% (F=7.76, p<.001) of variance in oral health related-quality of life. The control variables, eating habits, activities of daily living and health behaviors collectively explained 20% of variance in oral health related quality of life. Conclusions: The factors that influence oral health related quality of life were presence of spouse presence factor, existing number of teeth and health behavior. Therefore, oral health related quality of life of elders requires the development of programs to boost the quality of life, and help the elderly people to maintain existing number of teeth by focusing on the variety of characteristics.

A Study Burden, Social Support and Quality of Life in Mothers of a Child with Nephrotic Syndrome (신증후군 환아 어머니의 부담감, 사회적 지지 및 삶의 질)

  • 성미혜
    • Journal of Korean Academy of Nursing
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    • v.30 no.3
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    • pp.670-681
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    • 2000
  • The purpose of this study was to identity the level of burden, social support and quality of life of the subjects. The subjects of this study were 68 mothers of nephrotic syndrome patients whose children were hospitalized in one pediatric ward of the University Hospital in Seoul. The data was collected using questionnaires, and the period of the data collection was from Nov. 15 to Dec. 31, 1999. The instruments used for this study were the Burden Measurement Instrument developed by Montgomery et. al(1985), social support measurement instrument designed Brandt an Weinert(1978) and Quality of life scale designed by Ro,Yoo JA(1988). The data analysis was done by SPSS, t-test, ANOVA and the Pearson correlation coefficient. The results of were as follows. 1. The level of burden showed a mean score of 54.47, the level of social support, a mean score of 86.00 and the level quality of life, a mean score of 140.20. 2. The level of burden differed according to mother's religion, patient's purpose for admission and perceived patient's condition by mothers. 3. The level of social support and the level of quality of life differed according to perceived patient's condition by mothers. 4. There was a negative correlation between burden and social support(r=-.348, p<.001). Also, burden was negatively related with quality of life(r=-3.97, p<.001). Social support was positively related with quality of life(r=.064, p<.001).

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The Relationship of Symptoms of Stress, Cancer Prevention Behavior and the Quality of Life in Women (여성의 스트레스 증상, 암 예방 행위와 삶의 질과의 관계)

  • Jun, Eun-Mi;Cho, Dong-Sook
    • Women's Health Nursing
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    • v.11 no.2
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    • pp.156-162
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    • 2005
  • Purpose: The study was done to identify the relationship of symptoms of stress, cancer prevention behavior, the quality of life in women, and the factors influencing the quality of life. Method: The subjects of this study were 210 married women. They were living in Gyeonggi Province and Busan Metropolitan City. Symptoms of stress were measured by the Park's Stress Scale. Cancer preventive behavior was measured by Suh's Korean scale, and Smith Kline Beecham Quality of life' Scale by Dunbar. Data was analyzed with the SPSS program by ANOVA, Pearson's correlation, and Multiple Regression Analysis. Result: The higher scores of physical stress correlated with lower practice scores of cancer prevention behavior. Psychological and physical stress revealed negative correlations among sub-items of the QOL such as competence, psychological well-being, stability, physical well-being and activity. Multiple regression analysis revealed that the predictor of quality of life in the women was stress. A combination of symptoms of stress and cancer prevention behaviors accounted for 35.3% of the variance in the quality of life in the women. Conclusion: The most important factor influencing the quality of life of women was stress. Thus the study's findings can be useful in directing a comprehensive nursing care plan to improve the QOL of women.

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Spirituality and Quality of Life Model of Family Caregivers Caring for Patients with Stroke: Path Analysis (뇌졸중 환자 가족돌봄제공자의 영성과 삶의 질 모델: 경로분석)

  • Lee, Jiyeong;Yong, Jinsun
    • Korean Journal of Adult Nursing
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    • v.28 no.6
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    • pp.619-627
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    • 2016
  • Purpose: This study was to test a structural model of spirituality and the quality of life of stroke survivors' caregivers in order to provide guidelines for the development of intervention and strategies to improve their quality of life. Methods: Data were collected from 133 family caregivers of stroke patients who were hospitalized in C university hospital located in Seoul. Data collection using survey questionnaires was done from May, 2013 to February, 2014. Results: Fitness of the hypothetical model was appropriate. Physical component of quality of life of family caregivers is directly affected by two variables (51.5%), burden and depression. Mental component of quality of life of family caregivers is directly affected by three variables (77.6%), depression, burden, and functional dependence of patients. Depression as well as burden were directly affected by spirituality and functional dependence of patients respectively. Thus, spirituality directly affected depression and burden and indirectly affected the quality of life of family caregivers. Conclusion: Therefore, spiritual intervention to improve the stroke caregivers' quality of life might be necessary to support and strengthen their spirituality as a mediating variable that can contribute to decreasing their depression and burden.

Yangsaeng and Quality of Life (WHOQOL-BREF) in Adult and Elderly Koreans Practicing Dan Jeon Breathing (DJB) (단전호흡을 수련하는 성인과 노인의 양생정도와 삶의 질에 관한 연구)

  • Kim, Kyung-Won;Kim, Ae-Jung
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.17 no.2
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    • pp.231-239
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    • 2010
  • Purpose: The purpose of this study was to explore the relationships between Yangsaeng and quality of life (WHOQOL-BREF) of Korean adults and older people practicing Dan Jeon Breathing. Methods: The participants were 133 adults and elderly people practicing Dan Jeon Breathing. Data were collected by self-reported questionnaires, which were constructed to include Yangsaeng and quality of life (WHOQOL-BREF). Frequency, percentage, mean standard deviation, t-test, ANOVA, Scheffe test, Pearson correlation coefficient, and Cronbach ${\alpha}$ value were used with the SPSS 14.0 win program to analyze the data using for finding. Results: Significant differences in Yangsaeng were evident on the basis of age, gender, duration of DJB, regular practice of DJB, and other exercises. There were significant differences in quality of life in terms of existence of spouse and duration of DJB. Also, all subcategories in Yangsaeng were positively related to all domain of quality of life. Conclusion: The results indicate that the quality of life of adult and elderly Koreans who practice DJB is more closely associated with Yangsaeng. Therefore, Dan Jeon Breathing can be utilized as a nursing intervention for Yangsaeng and quality of life of Koreans.

Health-Related Quality of Life and Its Affecting Factors among the Aged in one Korean Community (일 지역 노인의 건강관련 삶의 질과 영향요인)

  • Kim, Hye-Ryoung
    • The Korean Journal of Health Service Management
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    • v.7 no.4
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    • pp.167-178
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    • 2013
  • The purpose of this study was to investigate the characteristics of health-related quality of life among the aged who have been living in one urban community. The number of participants was 167 of people who were 60 and over. health-related quality of life was measured by EQ-5D in Korean Version. The order of frequency of 5 domain in EQ-5D were pain/discomfort, mobility, anxiety/depression, usual activity, self care. 32 of profiles were found from the study participants, and '11111' among them was 28.7%. Mean of EQ-5D index was $0.82{\pm}0.14$. Multiple Regression analysis of health-related quality of life explained 31% of variance of health-related quality of life using EQ-5D. In this analysis, age, regular exercise, spouse were found to be predictors to health-related quality of life measured by EQ-5D. The finding of this study will be the basis of well organized model of health-related quality of life for the aged.

Depressive Symptoms and Subjective Quality of Life in Parents of Boys with Duchenne/Becker Muscular Dystrophy (듀센.베커 근이영양증 아동 부모의 우울과 삶의 질)

  • Hwang, Jun-Won;Koo, Young-Jin
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.21 no.2
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    • pp.103-109
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    • 2010
  • Objectives : The purpose of the current study was to evaluate subject quality of life in depressed parents of boys with Duchenne/Becker muscular dystrophy (DMB/ BMD). In addition, a specific relationship between subject quality of life and the severity of depressive symptom was explored. Methods : The participants were 15 depressed parents who had moderate to severe depressive symptoms and 35 nondepressed parents of boys with DMD/BMD. All participants completed the World Health Organization Quality Of Life Scale, Brief Version and the Beck Depression Inventory. Other instruments included the Family Relationship Scale and the Child Behavior Checklist. Results : Among various model predictors, only higher score on the Beck Depression Inventory predicted lower scores on all domains of the World Health Organization Quality Of Life Scale, Brief Version. In addition, depressed parents had significantly lower scores on all domains of the World Health Organization Quality Of Life Scale, Brief Version including physical health, psychological health, social relationships, and environment, relative to non-depressed parents. Conclusion : Findings of the current study suggest that all domains of subjective quality of life may be influenced by depressive symptoms in parents of boys with DMD/BMD.