• The Journal of Korean Physical Therapy
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• 제35권6호
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• pp.195-199
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• 2023

Purpose: The purpose of this study was to help the numerous health care workers who participate in the rehabilitation of stroke patients by understanding how limitations on the activities of stroke patients affect the health-related quality of life and depression. Methods: We investigated 527 stroke patients from the Korean's National Health and Nutrition Examination Survey (KNHANES, 2013-2018). The subjects were divided into two categories: with and without activity limitation. A medical doctor's diagnosis of depression and the EQ-5D, which measures life satisfaction connected to health, were the study's factors. Based on their level of activity limitation, the individuals' depression and health-related quality of life were compared. The odds ratios relating to activity limitation's relationships with depression and stroke patients' quality of life were computed using logistic regression analysis. Results: The diagnosis of depression in subjects with activity limitation was 16.0%, while in those with no limitation on activity it was 5.6%, and the EQ-5D index was 0.67±0.02, 0.85±0.01. For every item on the EQ-5D, there existed a significant difference in the odds ratio. Furthermore, when comparing depression with activity limitation to non-activity limitation, the odds ratio was 4.09 (2.12-7.788). Conclusion: Limitation of activities of stroke patients significantly reduces the health-related quality of life and increase the probability of depression. Therefore, treatment of stroke patients should be approached taking into consideration their psychological condition. It is also deemed necessary to have a systematic and continuous rehabilitation program.

• Journal of Preventive Medicine and Public Health
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• 제41권3호
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• pp.173-180
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• 2008

Objectives : The purposes of this study were to examine the health-related quality of life(HRQoL) and to identify its related factors for a group of rural adults. Methods : The study subjects were 1,901 adults who were aged 40-70 years and who were living in Naju City, Jeollanamdo. The sociodemographic characteristics, health-related behavior, health status and global self-rated health were collected for statistical analysis. The health-related quality of life was measured by the Euroqol EQ-5D instrument. The differences on the EQ-5D index between the groups were assessed with t-test, ANOVA and hierarchical multiple regression analysis. Results : Overall, the mean value of the EQ-5D index was $0.884{\pm}0.140$ and this score was significantly different according to the socioeconomic characteristics, the health-related behavior, the health status and the global self-rated health. According to the results from the hierarchical multiple regression analysis, the HRQoL was significantly reduced for females, older subjects, and other subjects with no spouse and the subjects with osteoporosis, obesity, mental distress or poorer global self-rated health. Conclusions : The HRQoL for rural adults was related to the socioeconomic characteristics, the health status and the global self-rated health, A better understanding of the factors related to the HRQoL would help to improve the rural adults' quality of life.

• 대한지역사회영양학회지
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• 제19권5호
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• pp.479-489
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• 2014

Objectives: This study intended to determine significant factors that influence the health-related quality of life ("HRQoL"; EuroQol 5 Dimension health-related quality of life (EQ_5D) & EuroQol visual analogue scale (EQ_VAS)) of the elderly in Korea. Methods: This study was based on 3,903 subjects aged 65 years or more who participated in the Fifth Korea National Health and Nutrition Examination Survey (KNHANES V), 2010~2012. The HRQoL was analyzed by various factors (general characteristics, health habits, mental health, chronic diseases, nutrient intakes). SPSS statistics for complex samples (Windows ver. 21.0) was used. Results: The HRQoL was higher in the males, those with higher educational level or higher income level while it was lower in those belong to single households. In particular, the EQ_5D was significantly higher in the group who reported walking practice, moderate physical activity (male), and the group who reported no vigorous physical activity (female). The EQ_VAS was significantly higher in the group who reported walking practice. Both EQ_5D and EQ_VAS were significantly lower in the group with stress, melancholy, suicidal thinking, and osteoarthritis. EQ_5D was significantly lower in the group with < 75% Estimated Energy Requirements (EER) in energy intake, and with < Estimated Average Requirements (EAR) in iron or niacin intake. A stepwise regression analysis revealed that i) higher educational level (male), and good self-rated health status significantly increased the EQ_5D, ii) age, alcohol intake (male), melancholy (female), suicidal thinking, osteoarthritis, and niacin intake deficiency (male) significantly decreased the EQ_5D, iii) higher income level (male) and good self-rated health status significantly increased the EQ_VAS, and iv) age (male), stress, suicidal thinking (female) and osteoarthritis significantly decreased the EQ_VAS. Conclusions: This study suggested that general characteristics, mental health, osteoarthritis, and niacin intake were associated with the HRQoL. Prospective research of long-term control is needed to establish the causal relationship between factors and the HRQoL.

• 보건교육건강증진학회지
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• 제27권4호
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• pp.141-152
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• 2010

Objectives: This study was conducted to estimate the health-related quality of life using EQ5-D by socio-demographic characteristics and mental health among Seoul citizens for developing health promotion programs. Methods: The study subjects using cluster-stratified sampling method were 1234 adults over 19 years old from 17 dong, S-Ku in Seoul City. A cross-sectional study with face-to-face interview was used to collect data. A questionnaire measuring socio-demographic variables, Symptom Checklist-90-Revised (SCL-90-R) and Euroqol EQ-5D instrument. The Difference on the EQ-5D index among groups were tested with Mann-Whitney U test and Kruskal Wallis test. Results: The mean EQ-5D index for all subjects was 0.946(${\pm}0.105$). The EQ-5D index were significantly different by sex, age, marital status, eduction level and income. The EQ5-D indexes among clinical mental health groups were the lowest scores and significantly different from other groups. Conclusion: The findings suggest that the future intervention of health promotion programs should be carefully designed and tailored by socio-demographic variables. Especially, the mental health programs need to be developed.

• 한국치위생학회지
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• 제21권6호
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• pp.741-750
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• 2021

Objectives: To provide basic data for oral health policy by identifying the differences in oral health behaviors and conditions among middle-aged people in their 40s and 50s and relating these to their health-related quality of life, and to identify factors affecting health-related quality of life. Methods: In this study, secondary data from the National Health and Nutrition Examination Survey were used. Data were gathered from 8,127 participants, of which 2,353 were middle-aged (40-59 years old). Covariance analysis was performed using a complex sample general linear model to investigate the changes in the subjects' health-related quality of life (EQ-5D) according to their general characteristics, oral health behaviors, and oral health status. Results: Oral health behavior was not significantly related to health-related quality of life. In contrast, a higher oral health status (chewing function) was associated with better health-related quality of life. Conclusions: In conclusion, this study suggested a close relationship between oral health status (chewing function) and health-related quality of life. Therefore, it is necessary to recognize the importance of oral health in improving the health-related quality of life of middle-aged people in their 40s and 50s, as well as in informing oral health policies and preventive measures for individuals and communities.

• 지역사회간호학회지
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• 제30권4호
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• pp.437-448
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• 2019

Purpose: The purpose of this study was to identify levels of health-related quality of life (EQ-5D) and its related factors among merchants in traditional markets. Methods: A cross-sectional design was used. Data were collected through questionnaires and physical examination on blood pressure, blood glucose, total cholesterol and BMI between February 12 and April 13, 2018. The participants were 175 merchants from two traditional markets in U. Metropolitan city. The data were analyzed with descriptive statistics, t-test, ANOVA and multiple regression analysis using the SPSS/WIN 22.0 program. Results: Levels of health-related EQ-5D were significantly different according to demographic characteristics, smoking status, exercise, total cholesterol, BMI, subjective health status, stress, and depression. The EQ-5D related factors were variables that had significant influence on subjective health status (β=.30, p<.001), gender (β=.27, p<.001), BMI (β=-.16, p=.012), depression (β=-.17, p=.010), and working period (β=-.15, p=.021). They explained 27.2% of the total variance of health-related quality of life (F=13.91, p<.001). Conclusion: The findings of this study indicated that disease prevention and health management is essential for merchants who work in traditional markets to promote their health-related quality of life. For better merchants outcome, the intervention program should consider factors that are subjective health status, gender, BMI, depression, and working period in order to improve levels of EQ-5D.

• 한국융합학회논문지
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• 제11권1호
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• pp.309-315
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• 2020

건강관련 삶의 질(EQ-5D)이 구강건강 문제에 미치는 영향을 규명하여 향후 노인 건강증진 프로그램 및 정책방향을 설정하기 위한 기초자료를 제공하고자 한다. 국민건강영양조사 제7기 원시자료를 이용하여 만 65세 이상 노인대상으로 계통추출법으로 진행 하였다. EQ-5D와 씹기 문제는 운동능력이 없는 그룹 통증불편이 있는 그룹, 불안우울이 있는 그룹에서 씹기 문제 오즈비(OR)가 증가하였다 (p<0.05). EQ-5D와 말하기 문제는 운동능력이 없는 그룹, 통증불편이 있는 그룹, 불안우울이 있는 그룹에서 말하기 문제 오즈비(OR)이 증가하였다 (p<0.05). 본 연구결과 건강관련 삶의 질 (EQ-5D)는 노인의 구강건강과 직결된다고 볼 수 있다. 따라서 노인의 EQ-5D을 증가시키기 위해서는 지역사회에서 구강보건교육 및 계속구강건강관리제도가 요구되어진다.

• 생물정신의학
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• 제24권3호
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• pp.129-133
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• 2017

Objectives Obsessive-compulsive disorder (OCD) is a disabling psychiatric disorder, and more attention is recently paid on the quality of life (QoL) in OCD patients. The Euro-QoL-5D (EQ-5D) is a widely used self-report to calculate a single score which represents 'health utilities'. The aim of this study was to assess the health-related QoL for patients with OCD using the EQ-5D and to examine the relationship between health-related QoL and symptom severity. Methods Seventy-three patients with a Diagnostic and Statistical Manual of Mental Disorders (DSM-5) diagnosis of OCD were recruited from the outpatient clinic in Seoul National University Hospital. Symptom severity was assessed using the Yale-Brown Obsessive-Compulsive Scale (YBOCS), and QoL was assessed with the EQ-5D-5L questionnaire. Using Korean valuation study, a single score of QoL was calculated. Results Most of the OCD patients were relatively young (< 45 years) with the mean YBOCS total score of 19.33. The mean EQ-5D score was 0.71 and significantly correlated with symptom severity (r = -0.483, p < 0.001). 25% of the EQ-5D score was predicted by the YBOCS total score (b = -0.011, p < 0.001) by regression analysis. Conclusions OCD patients suffer from lower health-related QoL and QoL significantly decreased as symptom severity increased. The results of the EQ-5D would enable further studies on QoL comparison across medical disease and mental disorders.

• 한국치위생학회지
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• 제21권5호
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• pp.621-628
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• 2021

Objectives: The purpose of this study was to determine the differences in quality of life between groups that promote oral health and those that treat oral diseases using data from the National Health and Nutrition Examination Survey. Methods: Data analysis was performed using IBM SPSS ver. 21.0 (IBM Co., Armonk, NY, USA). A total of 3,338 subjects were selected as subjects for the study before applying oral health promotion (OHP; 1,132 persons) and oral disease treatment (ODT; 2,206 persons). Complex sample logistic regression analysis was performed to determine the effects of OHP and ODT on health-related quality of life. Results: As a result of confirming the effect of OHP and ODT on the quality of life, which are indicators of the quality of life, HINT-8 had a significant effect even in Model 2, adjusted for demographic characteristics, with a significant difference (p<0.01). Conclusions: The above results confirmed that persons who promote oral health have a significant effect on HINT-8, a quality of life scale developed for Koreans. Therefore, continuous oral care is required to improve quality of life.

• 지역사회간호학회지
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• 제27권4호
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• pp.358-369
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• 2016

Purpose: This study was to identify health-related quality of life of Korean young adults and elderly with multimorbidity and to examine factors influencing their health-related quality of life. Methods: Health-related quality of life was measured by the Korean version of the EQ-5D. Using a descriptive study, the study incorporated a secondary analysis of the Korean version of the EQ-5D data from the 8th wave of the Korea Health Panel Survey in 2013. Selected demographic data and the Korean version of the EQ-5D were analyzed using ${\chi}^2$-test, t-test, ANOVA and multiple regression analysis. Results: Education, drinking, type of health insurance, and number of chronic disease significantly affected the health-related quality of life in the young adults with multimorbidity. Educational level, occupational type, drinking, physical activity, number of chronic disease, unmet healthcare need and the type of multimorbidity significantly affected the health-related quality of life in the elderly with multimorbidity. Conclusion: The factors influencing health-related quality of life were different for young adults versus elderly with multimorbidity. Therefore, there is a need for age-specific health care programs that may improve health-related quality of life of adults with multimorbidity.