• Title/Summary/Keyword: changes quality of life

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Structural Equation Modeling on Quality of Life in Stroke Survivors (뇌졸중 환자의 삶의 질 구조모형)

  • Suh, Min-Hee;ChoiKwon, Smi
    • Journal of Korean Academy of Nursing
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    • v.40 no.4
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    • pp.533-541
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    • 2010
  • Purpose: This study was designed to test structural equation modeling of the quality of life of stroke survivors in order to provide guidelines for development of interventions and strategies to improve their quality of life. Methods: The participants in the study were patients who visited the neurology outpatient department of a tertiary hospital in Seoul between June 25 and October 15, 2009. Data collection was carried out through one-on-one interviews. Demographic factors, functional independence, social support, nutritional status, post-stroke biobehavioral changes and quality of life were investigated. Results: The final analysis included 215 patients. Fitness of the hypothetical model was appropriate (${\chi}^2$=111.5, p=.000, GFI=.926, AGFI=.880, RMSA=.068, NFI=.911, CFI=.953). Functional dependency, social support and post-stroke biobehavioral changes were found to be significant explaining variance in quality of life. Post-stroke biobehavioral changes had the strongest direct influence on quality of life. Nutritional status had an indirect effect on the quality of life. Conclusion: To improve the quality of life of stroke survivors, comprehensive interventions are necessary to manage post-stroke biobehavioral changes, and strengthening social support networks that can contribute to enhancing the quality of life of stroke survivors.

Factors Influencing Changes in Quality of Life in Patients undergoing Hematopoietic Stem Cell Transplantation: A Longitudinal and Multilevel Analysis (다층모형을 적용한 조혈모세포이식 환자의 삶의 질 변화 영향요인)

  • Song, Chi Eun;So, Hyang Sook
    • Journal of Korean Academy of Nursing
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    • v.45 no.5
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    • pp.694-703
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    • 2015
  • Purpose: This study was a prospective longitudinal study to identify changes in quality of life in patients undergoing allogeneic hematopoietic stem cell transplantation (HSCT). It was based on Roy's adaptation model. Methods: The questionnaires were administered before HSCT, 30 and 100 days after HSCT. Of the 48 potentially eligible patients, 44 (91.7%) participated in the study and 40 (90.9%) completed the questionnaires at 100 days after HSCT. Multilevel analysis was applied to analyze changes in quality of life. Results: Overall, quality of life showed a decreasing tendency from pre-HSCT to 100 days after HSCT. The adaptation level of participants was compensatory. Type of conditioning was the significant factor influencing quality of life before HSCT (${\beta}_{00}$=79.92, p <.001; ${\beta}_{01}$= - 12.64, p <.001) and the change rate of quality of life (${\beta}_{10}$= - 1.66, p =.020; ${\beta}_{11}$=2.88, p =.014). Symptom severity (${\beta}_{20}$= - 1.81, p =.004), depression (${\beta}_{30}$= - 0.58, p =.001), social dependency (${\beta}_{40}$= - 0.35, p =.165), and loneliness (${\beta}_{50}$= - 0.23, p =.065) had a negative effect on changes in quality of life. Symptom severity and depression were statistically significant factors influencing changes in quality of life. Conclusion: According to the results of this study, the development of nursing intervention is needed to improve quality of life in patients undergoing allogeneic hematopoietic stem cell transplantation in the early immune reconstruction period. The interventions should include programs to enhance coping capacity and programs to help control symptom severity and depression. Also these interventions need to be started from the beginning of HSCT and a multidisciplinary approach would be helpful.

Changes of Problem Behavior, Sleep Quality, and Quality of Life of the People with Intellectual Disability Through the Application of Heavy Work Activities (힘든 일 활동의 적용에 따른 지적장애인의 문제행동과 수면의 질, 삶의 질의 변화)

  • Son, Sung-Min
    • Journal of Korea Entertainment Industry Association
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    • v.14 no.7
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    • pp.501-509
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    • 2020
  • The purpose of this study was to provide basic information about the analysis of the changes in problem behavior, sleep quality and quality of life of the people with intellectual disability through the application of the heavy work activities. This study subjects were 10 people with intellectual disability and they participated in the this activities for 12 weeks. Through the application of heavy work activities, Korean-Adaptive Behavior Scale was used to analyze the changes in problem behavior, sleep quality assessment was used to analyze the changes in sleep quality and satisfaction with life scale was used to analyze the changes in quality of life. As the results, the decrease of problem behavior, the improvement of sleep quality and quality of life were showed. Heavy work activities should be act to decrease the problem behavior, improve sleep quality and quality of life of the study subjects. Thus, heavy work activities should be considered to apply for the people with intellectual disability.

Changes in Health Status and Quality of Life in Middle-aged Women in Menopause: Using Data from the 4th (2007~2009) and 7th (2016~2018) Korea National Health and Nutrition Examination Survey over the Past 10 Years (폐경 중년여성의 건강상태 및 삶의 질의 변화 양상: 최근 10년 국민건강영양조사 제4기(2007~2009)와 제7기(2016~2018) 자료 이용)

  • Kim, Myo Gyeong;Oh, Doo Nam
    • Journal of muscle and joint health
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    • v.30 no.2
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    • pp.83-92
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    • 2023
  • Purpose: This study aims to compare and analyze the changes in the physical and mental health status of middle-aged women before and after menopause and their quality of life over the past 10 years. Methods: A descriptive study was conducted by using secondary data from the 4th and 7th Korea National Health and Nutrition Examination Survey (KNHANES) involving middle-aged women in menopause (N=8,363). Data were analyzed using the complex sample x2 test. Results: Compared to 10 years ago, notable changes were observed in general characteristics. These included increase in age, education level, economic activity, and urban residency. In addition, there was an increase in alcohol consumption, a decrease in smoking, and a decline in regular exercise. The study also observed changes in obesity rates and an increase in dyslipidemia and stress levels, along with positive changes across all aspects of quality of life. Conclusion: The results indicate temporal changes in general characteristics, major physical and mental health factors, and the quality of life of middle-aged women in menopause. Thus, it is essential to consider these changes when designing health interventions such as health promotions and education initiatives for middle-aged women experiencing menopause. Further research is necessary for identifying factors influencing the quality of life of middle-aged women in menopause.

Changes in Upper Extemity Sensation and the Quality of Life for Patients Following Mastectomy (유방절제술 환자의 상지감각변화와 삶의 질)

  • Lee, Suk-Jeong;Park, Young-Mi;Kim, Ji-Young
    • Asian Oncology Nursing
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    • v.11 no.3
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    • pp.229-236
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    • 2011
  • Purpose: The purpose of this study was to examine the sensation changes in upper extremity and the quality of life for post-operative mastectomy patients. Methods: This study used a descriptive study design. The participants were 132 women who had mastectomies after being diagnosed with breast cancer and were participating in breast cancer self-help groups. The sensation changes in the arm of the surgery site was measured by the arm symptoms which were subjective uncomfortable feelings of the affected arm, and the quality of life was measured by Medical Outcomes Study Short Form-36. Collected data were analyzed by ANOVA, t-test, ${\chi}^2$-test and multiple regression with SPSS WIN 12.0 program. Results: Patients with stage IV breast cancer had severe changes in sensation of the arm. Participants with lymphedema had statistically significant changes in sensation compared to participants without lymphedema, but the quality of life was not different between the two groups. Pain by the SF 36 was statistically different between the two groups, with- and without-lymphedema. The factors in upper extremity's sensation changes which influence on quality of life were pain and heaviness. Conclusion: Nursing intervention for relieving pain and heaviness of the affected arm needs to be developed in order to improve QOL of the breast cancer survivors.

Quality Changes During Storage of Cook-chilled Soybean Sprouts

  • Koo, Kyoung-Mo;Kim, Hyoun-Wook;Lee, Dong-Sun;Lyu, Eun-Soon;Paik, Hyun-Dong
    • Food Science and Biotechnology
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    • v.17 no.3
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    • pp.540-546
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    • 2008
  • Sous vide and packaged cook-chilled soybean sprouts were evaluated for physicochemical quality changes and microbial safety during storage for the purposes of shelf-life extension and industrial application. The physicochemical changes assessed were color, texture, and ascorbic acid concentration. The quality of soybean sprouts became worse with increased periods of storage and better in storage temperature of $3^{\circ}C$ more than in $10^{\circ}C$. The concentration of aerobic bacteria decreased from $2.1{\times}10^8$ to $6.0{\times}10^2\;CFU/g$ after pasteurization, but increased during storage. These bacteria are the same shape as anaerobic and hsychrophilic bacteria, but none of these other organisms were detected after heat treatment. The physicochemical qualities of soybean sprouts and microbial safety were better for products stored at $3^{\circ}C$ than at $10^{\circ}C$. In the case of short storage periods, heat treatment at $70^{\circ}C$ for 2 min was most effective for quality and microbial safety.

A Study on Trend Changes for Certain Parametric Families

  • Nam, Kyung Hyun;Park, Dong Ho
    • Journal of Korean Society for Quality Management
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    • v.23 no.3
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    • pp.93-101
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    • 1995
  • We present a brief survey concerning the relations between mean residual life and failure rate. Change points of mean residual life and failure rate are known to be different in general and we explore such situations in this paper. A few parametric models which show bathtub-shaped failure rate are examined in details, including the shape of its corresponding mean residual life function. We give some graphical comparisons of trend changes of mean residual life and failure rate for various choices of parameters for each parametric model.

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The Effect of Garden Activities in Apartments on Changes in Mental Health and Quality of Life of Parenting Women (아파트 내 정원 활동이 육아 여성의 정신건강 및 삶의 질 수준 변화에 미치는 영향)

  • Hyo Bhin, Choi;Su Jin, Kim;Juyoung, Lee
    • Journal of Environmental Science International
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    • v.31 no.11
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    • pp.959-965
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    • 2022
  • Through psychological evaluation, this study attempted to verify the effect of quality of life improvements from gardening activities in apartment landscaping spaces. The study was conducted on 32 mothers raising children. Psychological valuation was conducted using world Health Organization Quality of Life questionnaire(WHOQOL-Bref), the Satisfaction with Life Scale(SWLS), the Life Satisfaction Experience Scale(LSES), and the Symptom Checklist-90-Revised(SCL-90-R). The psychological analysis results showed that, engaging in gardening activities for two weeks had, a positive effect on mothers' environmental of quality of life evaluation. The LSES indicates that satisfaction with oneself significantly increased after starting the gardening activities. The activity resulted in a positive change in attitude toward life. The SCL-90-R results showed changes in the mother's psychological state. There was a significant amelioration of obesessive-compulsive behaviors, hostility, and phobic anxiety. In conclusion, this study was found that, for mothers in apartments, outdoor gardening activities can significantly affect their quality of life. Moreover, it can help prevent mental health deterioration, Further study should be conducted on the beneficial effects of gardening on the variety of age groups and activities.

Shelf Life Extension of Korean Fresh Pasta by Modified Atmosphere Packaging

  • Lee, Dong-Sun;Paik, Hyun-Dong;Im, Geun-Hyung;Yeo, Ik-Hyun
    • Preventive Nutrition and Food Science
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    • v.6 no.4
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    • pp.240-243
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    • 2001
  • Fresh pasta was packaged in a modified atmosphere of 22% $CO_2$/78% $N_2$ and compared with a control air package for its quality changes during storage at 8$^{\circ}C$. The modified atmosphere packaging suppressed the microbial growth of total aerobic bacteria and yeasts/molds with a concomitant reduction in the rates of physical and chemical quality changes, and thus successfully extended the shelf life of fresh packs from 20 days of air packs to 40 days based on microbial criterion of 10$^{6}$ cfu/g. The shelf life extension was greater when the initial microbial quality of the product was better.

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The Effects of Self-Efficacy Promoting Cardiac Rehabilitation Program on Self- Efficacy, Health Behavior, and Quality of Life

  • Song, Kyung Ja
    • Journal of Korean Academy of Nursing
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    • v.33 no.4
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    • pp.510-518
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    • 2003
  • Background. Ischemic heart disease results from athesclerotic changes of the coronary artery. These changes are aggravated by hypercholesterolemia, smoking, obesity, lack of exercise, coronary-prone personality, and stress. Because these risk factors affect not only the prevalence of the ischemic heart disease but also recurrence of the disease, cardiac rehabilitation programs were introduced to help patients with ischemic heart disease reduce risk factors. Diverse cardiac rehabilitation programs are needed to motivate participation in cardiac rehabilitation and to enhance patients' quality of life. Objectives. To examine the effect of a self-efficacy promoting cardiac rehabiltation program on self-efficacy, health behavior and quality of life of patients with ischemic heart disease. Methods. Data were collected from 45 hospitalized ischemic heart disease patients. Medical records were reviewed to obtain demographic and clinical characteristics. Data regarding self-efficacy, health behavior, and quality of life were obtained from interviews using structured questionnaires. The nonequivalent control group non-synchronized design was used to conduct this study. One session of conventional group education was given to patients in the control group while they were in the hospital. Patients in the experimental group participated in a newly developed cardiac rehabilitation program. It focused on strengthening self-efficacy with four self-efficacy sources-performance accomplishment, vicarious experiences, verbal persuasion and physical status using two individualized in-hospital education sessions and four weekly telephone counseling follow-up calls after discharge. Results. Four weeks after discharge, the increment of total self-efficacy score was significantly higher in the experimental group than in the control group (p<.0l). There was also a significant difference in the total quality of life scores increments between the two groups (p<.0l). However, no significant changes were noted in the increments of total health behavior scores between the two groups. Conclusion. A cardiac rehabilitation program focusing on promoting self-efficacy was effective in improving self-efficacy, and quality of life of patients with ischemic heart disease.