• 한국산학기술학회논문지
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• 제16권7호
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• pp.4745-4757
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• 2015

본 연구는 종합병원에 근무하는 간호사를 대상으로 이들의 건강수준(SF-36)을 파악하고, 건강수준과 인구사회학적 특성, 직업관련 특성 및 직무스트레스 내용 등의 제 요인들과의 관련성을 파악하고자 실시하였다. 조사대상은 250병상 이상의 6개 종합병원에 근무하고 있는 간호사 572명으로 하였으며, 자료 수집은 2014년 5월 1일부터 5월 31일까지의 기간 동안에 구조화된 무기명 자기기입식 설문지를 이용한 설문조사에 의하였다. 연구결과, 조사대상 간호사들의 건강수준(SF-36)은 개인의 인구사회학적 특성, 건강관련행위 특성 및 직업관련 특성뿐만 아니라 직무스트레스 내용과도 유의한 관련성이 있음을 시사하고 있다. 특히 건강수준(SF-36)은 직무스트레스 내용에 있어서 업무 요구도가 낮고, 업무의 자율성, 상사 및 동료의 지지도가 높을 때 높아지는 것을 알 수 있다. 따라서 간호사의 직무스트레스를 통제할 수 있는 조직 내 시스템 개발과 분위기 조성이 우선되어져야 할 것이며, 또한, 간호사들의 건강수준(SF-36)을 증대시키기 위한 프로그램 개발이 필요하다고 사료된다.

• 사상체질의학회지
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• 제16권3호
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• pp.25-33
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• 2004

1. Objectives Theoretically Healthy Condition of four constitution is based on intact state of four fundamental factors - digestion, urination, perspiration, defecation. Each one of these four factors is specifically related to its respective constitution. We made SHI(Sasangin Health Index) 10 items from four factors, and examined clinical efficacy of the four factors as index of health status in four constitution. 2. Methods and Procedures We offered QSCCII, SHI and SF-36 questionnaires to adults who had a periodic medical examination. 233 adults were classified to one of four constitution. We compared means of 8 scale scores of SF-36, and computed the correlation coefficient between 8 scale scores of SF-36 and 10 item scores of SHI in four constitution. 3. Results In Soyangin, stool volume and frequency are weakly correlated with health status(P<0.05). In Soeumin, appetite is weakly correlated with health status(P<0.05). In Taeumin, there is no correlation between perspiration and health status. 4. Conclusions 2 factors - digestion, defecation - had clinical efficacy as index of health status.

• 한국노년학
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• 제30권4호
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• pp.1179-1195
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• 2010

본 논문은 독거노인의 자아통합감이 삶의 질에 미치는 영향을 검증했다. 또한 주관적 건강의 다양한 영역별 차이에 따라서 자아통합감이 삶의 질에 미치는 영향이 다름을 검증했다. 설문조사를 위해서 전주시의 노인복지관 이용자 중에서 독거노인을 편의 추출하였고 265명이 분석대상이 되었다. 신뢰도와 타당도 분석을 위해 자아통합감, 삶의 질 그리고 SF36 주관적 건강을 확인요인분석 하였으며, 구조방정식 모델을 이용하여 인과분석과 주관적 건강요인별로 조절효과를 분석했다. 분석결과로 첫째, 독거노인의 자아통합감이 클수록 노인의 삶의 질은 높아지는 것을 확인할 수 있었다. 둘째, 신체기능이 저조할수록 자아통합감은 삶의 질에 더 큰 영향을 미치고 있음을 검증했다. 셋째, 신체로 인한 역할 제한이 많을수록 자아통합감은 삶의 질에 더 큰 영향을 미치는 것으로 확인되었다. 연구를 통해서 주관적 건강이 노년의 삶에 미치는 영향에 대한 상반된 견해가 발생하는 원인을 설명할 수 있었으며, 주관적 건강의 영역과 정도에 따라 개입 방향이나 효과가 다를 수 있음을 제시하였다.

• 한국노년학
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• 제30권1호
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• pp.21-30
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• 2010

많은 비만인들은 사회적인 편견과 차별로 인하여 신체상에 대한 불만족, 우울, 불안 및 정서장애를 경험하고 있으며, 더 나아가 건강과 관련된 삶의 질의 저하를 나타내고 있다. 이러한 비만인들의 정신적 고통을 개선하기 위하여 운동요법은 하나의 긍정적인 치료 방법으로 권장되고 있다. 본 연구는 동양의 전통 운동형태 중 기공 운동이 비만인에게 건강관련 삶의 질(SF-36), 자기효능감, 우울, 불안, 피로의 심리적 요인에 어떠한 효과를 나타내는지를 살펴봄으로써 비만인을 위한 운동처방 지침을 제공하고자 한다. 본 연구의 피검자는 S시 G구에 소재한 S대학교 골든웰빙 운동프로그램에 참가하는 50-60대의 성인으로 통제군 16명, 운동군 17명으로 분류하였다. 기공 운동은 12주 동안 주2회의 빈도로 실시하여, 운동 전 후로 건강관련 삶의 질(SF-36), 신체적 자기효능감, 우울, 불안, 피로도 변인을 측정하였다. 12주간의 기공 운동 전 후 건강관련 삶의 질(SF-36)의 8항목 중 감정역할 제한(F=0.187, p=0.668), 정신건강(F=2.043, p=0.163)은 집단 간의 유의한 차이를 나타내지 못하였으나, 신체기능(F=15.151, p<0.001), 신체역할 제한(F=18.278, p<0.001), 사회적 기능(F=4.957, p=0.033), 활력/피로(F=11.485, p=0.002), 신체통증(F=6.623, p=0.015), 일반적인 건강(F=4.498, p=0.042)의 6가지 변인은 집단 간의 유의한 차이를 나타내었다. 불안(F=0.631, p=0.433)은 집단 간의 유의한 차이를 나타내지 못하였으나, 신체적 자기효능감(F=6.124, p=0.019), 우울(F=5.109, p=0.031), 피로(F=7.998, p=0.008)의 3가지 변인은 집단 간의 유의한 차이를 나타내었다. 비만인에게 있어서 기공 운동은 비록 느린 동작으로 수행되는 낮은 강도의 운동형태일지라도 운동자체가 가져다주는 정신 심리적인 개선효과가 분명하게 나타나는 운동임을 본 연구를 통하여 확인할 수 있었다.

• Journal of the Korean Data and Information Science Society
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• 제26권3호
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• pp.707-714
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• 2015

만성신부전으로 인한 투석환자의 삶의 질 측정도구는 SF-36이 널리 사용되고 있지만 36문항은 설문에 어려운 점이 많아 이를 축소한 RFQoL-K를 개발하고자 하였다. 대상자는 2009년부터 45개월 동안 국내 29개 의료기관에서 만성신부전으로 투석을 시작한 신규등록환자이며 삶의 질 측정은 등록 후 3개월째와 12개월째에 응답한 355명을 대상으로 RFQoL-K를 개발하고 내적타당도를 조사하였으며, 기간 중 한 차례만 응답한 411명을 대상으로 외적타당도를 알아보았다. RFQoL-K는 원도구 36문항 중 신체적요소에서 8개 문항, 정신적요소에서 6개 문항의 14문항으로 축소 하였으며 원 도구를 90~93%설명할 수 있었으며 상관관계도 0.96~0.98로 높았고 내적일치성계수도 0.96~0.98로 매우 높아 RFQoL-K가 원 도구를 잘 반영하였다.

• 지역사회간호학회지
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• 제23권1호
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• pp.40-50
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• 2012

Purpose: The aim of this study was to compare the factors of health-related quality of life in older adults according to the type of residency. Methods: A cross-sectional comparative study was conducted. The subjects were 114 institutionalized older adults and 99 community dwelling older adults. Data were collected through face-to-face interviews by nurses using structured questionnaires composed of SF-36 (ver.2) and CGA-SF. Results: The institutionalized older adults had more health problems and experienced lower quality of life compared to community dwelling older adults. Factors influencing health-related quality of life for institutionalized older adults were social support, educational level, and ADL, which explained about 25.7% of the total variance, while thoseof community dwelling older adults were IADL, experiencing fall, and weight loss, which had explanatory power of 31.8%. Conclusion: These results indicate that differentiated nursing strategies according to the type of residency are required to promote health-related quality of life for older adults.

• 성인간호학회지
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• 제25권1호
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• pp.13-23
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• 2013

Purpose: The purpose of this study was to investigate the factors that influence health-related quality of life in patients with atrial fibrillation. Methods: The subjects were 150 outpatients with atrial fibrillation who visited the cardiology clinic of a university hospital in U city. The instruments used for this study were Mhel Uncertainty in Illness Scale (MUIS), Center for Epidemiologic Studies-Depression Scale (CES-D), State Trait Anxiety Inventory (STAI), and the Short-Form-36 Health Survey (SF-36) Korean version II. The date were analyzed by ANOVA, Pearson-correlation coefficient, and hierachial multiple regression using SPSS/WIN 18.0. Results: The mean score of physical health-related quality of life (PCS) was $38.92{\pm}6.22$ and mental health-related quality of life (MCS) was $41.49{\pm}5.71$. Physical and Mental health-related quality of life had the significant correlations with uncertainty, anxiety and depression. In multiple regression analysis, physical health-related quality of life was significantly influenced by duration of disease, NYHA class, uncertainty. Mental health-related quality of life was significantly influenced by family income, NYHA class, anxiety and depression. Conclusion: These results suggest that these influencing factors should be consider in developing the nursing interventions to improve the healthrelated quality of life in patients with atrial fibrillation.

• 근관절건강학회지
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• 제24권1호
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• pp.24-36
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• 2017

Purpose: The purpose of the study was to comprehensively explore the factors influencing quality of life and its measurements in patients with hypertension. Methods: Based on the PRISMA statement and NECA systematic literature review guideline, a systematic literature review was conducted in this study. To search studies related to quality of life in patients with hypertension, multiple electronic databases were used using a combination of key words 'hypertension' and 'quality of life'. Throughout this process, a total of 983 studies were identified. Then, the second selection processes and quality assessment were conducted by four investigators independently. Finally, a total of 19 studies were included for the analysis. Results: Results showed that quality of life was focused on the health-related quality of life, and the SF-36 was one of the most frequently used measurements. The factors influencing quality of life were categorized into sociodemographic, health-related, health behavioral, and psychosocial variables. Conclusion: Researchers need to consider these multiple factors to promote quality of life in patients with hypertension.

• 생물정신의학
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• 제21권2호
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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.

• Journal of Yeungnam Medical Science
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• 제36권3호
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• pp.219-224
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• 2019

Background: Korea has shown a rapid pace of aging and has become an aged society in a shorter period than Western countries. Therefore, it is important that middle-aged workers maintain their ability to work in the industrial field at the maximum level while maintaining their health. The purpose of this study was to analyze the factors affecting work ability and to use this data to maintain the working ability of middle-aged workers in the future. Methods: From 2015 to 2017, we surveyed 371 street cleaners who visited a health center for health promotion in a metropolitan city. The relationship between the general characteristics of the survey subjects and the Work Ability Index (WAI) was confirmed by a univariate analysis. Statistically significant (p<0.2) factors were selected and a multiple linear regression analysis was conducted with WAI scores as a dependent variable. Results: Age, body mass index, body fat percentage, the Alcohol Use Disorders Identification Test-Korea (AUDIT-K) scores, the Psychosocial Well-Being Index-Short Form (PWI-SF) scores, maximal oxygen consumption ($VO_{2max}$), and hypertension showed statistically significant correlations with the WAI in the univariate analysis. In the multivariate analysis, the $VO_{2max}$, AUDIT-K scores, and PWI-SF scores were included in the regression equation. $VO_{2max}$ had the greatest effect on the standardization coefficient indicating the relative contribution of independent variables, followed by the AUDIT-K scores and the PWI-SF scores. Conclusion: Programs to increase workers' physical work ability and alleviate psychosocial stress and drinking habits should be developed and implemented in the future.