• 성인간호학회지
• /
• 제18권2호
• /
• pp.213-222
• /
• 2006

Purpose: This study was designed to construct a structural model for explaining model health-related quality of life in acquired people with physical disabilities. Method: The hypothetical model of this study was consisted of 6 latent variables and 14 observed variables. Exogenous variables included in this model were physical status and economical level. Endogenous variables were social attitudes, family function, self-esteem, and health-related quality of life. Data were collected from 226 acquired people with physical disabilities residing in Seoul and Kyunggi-do from January to February, 2005. The collected data were analyzed using SAS 8.2 version and LISREL 8.32 version program. Results: The results of the fitness test of the modified model were follow as; ${\chi}^2=67.479$ (df=50, p=.05), GFI=.959, AGFI=.914, SRMR=.049, NFI=.961, NNFI=.979, CN=249.244. Health-related quality of life was influenced directly by physical status, economic level, and social attitudes and accounted for 88.8% of the variance by these factors. Conclusion: These results suggest that physical status is the most significant effect on health-related quality of life, and social attitudes and economic level are important factors having influences on health- related quality of life. Therefore improving physical status and economic level, and modifying negative attitudes are necessary to increase health-related quality of life of acquired people with acquired physical disabilities.

• 대한통합의학회지
• /
• 제11권1호
• /
• pp.1-12
• /
• 2023

Purpose : This study examined the relationship between oral health management behavior and subjective health perception by using a tool that measures health-related quality of life named EQ-5D. The findings are expected to provide fundamental data for developing diverse programs, including health- and oral-health-related educational media, to ultimately enhance people's health-related quality of life. Methods : Adults over the age of 20 were extracted from the raw materials of the 8th national health and nutrition examination survey conducted in 2019. Among them, 4034 were finally chosen as the study subjects after checking the response distribution of relevant questions and excluding inadequate samples. Variables included general characteristics, health management behavior, oral health management behavior, subjective health perception, and EQ-5D level. Cross-tabulation test, independent t-test, one-way analysis of variance, and linear regression analysis were conducted using SPSS 25.0. Results : EQ-5D, which measures the level of health-related quality of life, was high when the subjects had a medical check-up experience, no experience of unsatisfactory medical service, and did not get an influenza vaccination (p<.001). The quality of life was higher when the subjects received dental inspections, did not require treatment, and used oral care goods (p<.005). Health-related quality of life was also higher when the subjective health level and subjective oral health level were high. Conclusion : Results indicate that subjective health, oral health perception level, and quality of life together were high when people had a regular check-up, did not neglect treatment, and used oral care goods. Considering the findings of this study, check-up programs that are customized for each age group are necessary. Health-related quality of life could be enhanced through the provision of diverse medical services and active efforts to prevent any medical blind spot.

• 한국학교보건학회지
• /
• 제30권1호
• /
• pp.81-91
• /
• 2017

Purpose: This cross-sectional study was carried out to identify factors influencing the health-related quality of life according to socioeconomic level during early adolescence. Methods: Participants were 617 middle school students in $1^{st}$ and $2^{nd}$ grade. All measures were self-administered. Data were analyzed using SPSS 21.0 program and factors affecting the health-related quality of life were analyzed by t-test, ANOVA, Duncan test, Pearson's correlation coefficient, and multiple regression analysis. Results: According to the level of Family Affluence Scale (FAS), 19.1% of the participants were in the high class, 66.5% in the middle class, and 14.4% in the low class. We have found statistically significant differences among the high, middle, and low classes regarding the health-related quality of life, health perception, resourcefulness, family function, and social capital. The most influential factors of the health-related quality of life were found to be resourcefulness, family function, and social capital in the high and the middle class. Conclusion: The implication of this study is that it is important for the Education Ministry and middle school teachers to help adolescents develop internal coping resources as well as to develop school-curriculums considering social values and norms related to social capital in order to improving their health-related quality of life.

• 대한통합의학회지
• /
• 제11권4호
• /
• pp.199-211
• /
• 2023

Purpose : Rapid population aging in South Korea is emerging as serious social problems, and interest in the health-related quality of life of the elderly is also increasing. Therefore, this study attempted to provide basic data to develop measures to improve the health-related quality of life of the elderly by identifying the impact of the elderly's dietary lifestyle on the health-related quality of life. Methods : Utilizing raw data from the Korea national health and nutrition examination survey spanning from 2011 to 2020, this study focused on individuals aged 65 and above. After excluding cases with missing data, 12,731 individuals were included in the final analysis. Various statistical methods including frequency analysis, t-tests, ANOVA, Scheffé test and hierarchical regression analysis were performed using SPSS 25.0 for windows. The statistical significance level (α) was set at .05. Results : The main results of this study were as follows. Firstly, dietary lifestyle exhibited variations depending on gender, age, education level, individual income, basic livelihood type, household type, self-rated health status, and chewing difficulty (p<.001). Secondly, there were disparities in health-related quality of life (as measured by the EQ-5D index) based on gender, age, education level, residence, individual income, basic livelihood security, self-rated health status, and chewing difficulty (p<.001). Thirdly, the EQ-5D index showed that elderly individuals' dietary lifestyle adversely impacted their health-related quality of life (F=353.74, p<.001). Conclusion : Therefore, it is necessary to prepare policies to improve the health-related quality of life by maintaining a proper diet for the elderly, and customized support and management is required taking into account the elderly's gender, age, education level, individual income, basic livelihood security, household type, self-rated health status, chewing difficulty etc.

• 국제물리치료학회지
• /
• 제9권2호
• /
• pp.1455-1460
• /
• 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.

• 한국콘텐츠학회논문지
• /
• 제17권8호
• /
• pp.66-79
• /
• 2017

본 연구는 재한 중국 유학생의 문화적응 상황 하에서 건강증진행위와 건강관련 삶의 질의 관계를 파악해 보고자 하였다. 서울 및 수도권 소재 10개 대학의 학부 및 대학원 석/박사 과정에 속해있는 총 395명의 중국인 유학생들이 문화적응도 및 건강증진행위와, 건강관련 삶의 질 SF-12 도구를 이용한 자가보고식 설문조사에 참여해주었다. 그 결과 문화적응도가 낮은 유학생들은 건강증진행위가 신체적 삶의 질 점수에 크게 영향을 미치고 있는 것으로 나타났으며, 문화적응도가 높은 경우 건강증진행위가 정신적 삶의 질에 큰 영향을 주는 것으로 나타났다. 이는 문화적응도가 건강증진행위와 삶의 질의 관계에서 통제요인으로 작용할 수 있다는 결과이다. 그러므로 재한 중국유학생들의 건강증진행위와 삶의 질을 개선할 수 있는 중재 프로그램을 개발할 경우 문화적응도를 함께 고려하면 프로그램의 효과를 극대화시킬 수 있는 방법을 찾는데 도움이 될 것으로 사료된다.

• 여성건강간호학회지
• /
• 제25권3호
• /
• pp.299-314
• /
• 2019

Purpose: This study was to identify health behavior, health service use, and health related quality of life of adult women in one-person and multi-person households. Methods: It was used data from the 7th Korea National Health and Nutrition Examination Survey (KNHANES VII-2017). Subjects were 2,522 women with age of 19 to 64 years in 2017. Complex sampling design and data analysis were performed using SPSS 20.1. Results: Women in one-person households had higher rates of alcohol drinking (${\chi}^2=13.77$, p=.003), smoking (${\chi}^2=16.07$, p=.001), unmet medical care (${\chi}^2=8.77$, p=.004) and non-practice of cancer screening (${\chi}^2=13.77$, p=.003) compared to women in multi-person households. Health-related quality of life was also lower for women in one-person households (t=-2.46, p=.015). Factors affecting health-related quality of life in one-person households were household income, job status, and unmet dental care, having 32.4% explanatory power. One-person household women with low incomes, no jobs, and unmet dental care showed low health-related quality of life. In comparison, factors affecting health-related quality of life of women in multi-person household women were age, education level, unmet medical care, and unmet dental care, having 10.4% explaining power. Women in multi-person households with age of 60-64, low education level, unmet medical care, and unmet dental care showed low health-related quality of life. Conclusion: Health promotion strategies should be developed based on unique understanding of social, economic, and health of adult women in one-person and multi-person households.

• 한국학교ㆍ지역보건교육학회지
• /
• 제20권1호
• /
• pp.15-27
• /
• 2019

Objective: Patients with COPD have a lower overall quality of life than normal people. If patients with COPD do not regularly perform physical activities, their exercise capacity is reduced. It could lead to muscle loss, and negatively affect their general physical, social, and psycho-social status. The purpose of this study was to examine association with physical activity, sedentary life time and health-related quality of life in patients with COPD. Method: Of the total of 22,948 participants surveyed in Korean National Health and Nutrition Examination Survey (KNHANES 2013-2015), 8,626 participants were used for this study. Of these, under 40 years, over 80 years, missing values and abnormal values were excluded. Study variables included physical activity level, sedentary time and health-related quality of life variables. The physical activity level assessment tool was measured using International Physical Activity Questionnaire (IPAQ). Sedentary time referred to the amount of sitting time without moving the body. EQ-5D (Euro Quality of Life-5 Dimensions) was used as an index of health-related quality of life. Control variables were age, gender, income level, education level, marital status, comorbidity, smoking, BMI, cough, sputum, COPD severity. For this study, descriptive analysis, T-test, ANOVA and multivariate regression analysis were performed. Results: Of the 1,092 patients with COPD, 76.1% (n=831) were male and 23.9% (n=261) were female, while 39.0% (n=2,939) were male and 61.0% (n=4,595) were female in the comparison group without COPD. The COPD group with high level of physical activity showed a high level of EQ-5D scores ($0.9349{\pm}0.11$, p <0.001). Among patients with COPD, after adjusting for control variables, physical activity and sedentary time (physical activity level, Β=0.047, p <.001), (sedentary time, Β=-0.017, p <.05) were associated with health-related quality of life. Conclusion: Patients with COPD have a higher quality of life as their physical activity increases and the quality of life decreases as the time spent sitting increases. This study suggests that public health experts should consider improving COPD patient physical activity.

• 대한치위생과학회지
• /
• 제5권2호
• /
• pp.45-52
• /
• 2022

Background: This study was aimed at obtaining basic data necessary to develop alternatives to improve the oral health-related quality of life of the elderly by investigating dry mouth and oral health-related quality of life of patients visiting the N Dental Clinic in Jeollanam-do. Methods: From November 2021 to September 2022, data were collected using a self-report survey of adults aged 50 years or older. Of the 300 questionnaires collected, 280 had insufficient data because of missing entries. Results: Analyzing the satisfaction level of oral health-related quality of life according to the participants' medical use and subjective oral health recognition, "what do you think your oral health is like" showed significant differences (p< 0.001). Dry mouth and satisfaction were positively correlated with the oral health-related quality of life (β=0.42, p= 0.00). Factors affecting the quality of life related to oral health were "total score of oral dryness" (β= 0.395) and "what do you think your oral health is like" (β=0.224). Conclusion: The results of this study suggested that systematic intervention, such as oral health programs, suitable for age may improve the oral health-related quality of life.

• 한국노년학
• /
• 제29권2호
• /
• pp.425-440
• /
• 2009

본 연구는 복지관 이용 노인의 일상생활 수행능력, 수면의 질, 우울과 건강관련 삶의 질 정도를 파악하고 이들 변수간의 관련성을 확인하며 건강관련 삶의 질에 영향을 미치는 요인을 확인하여, 복지관 이용 노인의 신체적, 정서적 측면의 건강증진과 삶의 질 향상을 위한 체계적인 간호중재방안을 모색하기 위한 기초자료를 제공하고자 한다. B광역시에 거주하는 65세 이상 노인 223명을 대상으로 구조화된 설문지를 사용하여 일대일 면담에 의해 자료를 수집하였다. 자료는 SPSS WIN 14.0을 이용하여 독립 t-검정, 일원변량분석, 피어슨상관계수와 단계적 다중회귀분석으로 분석하였다. 연구결과는 첫째, 복지관 이용 노인은 87.9-97.3%가 일상생활 수행에 제한을 느끼지 않았고, 34.1%가 수면의 질이 낮은 것으로 나타났으며 57.8%가 우울증의심을 나타냈다. 둘째, 건강관련 삶의 질은 일상생활 수행능력, 수면의 질 및 우울과 통계적으로 유의한 관련성을 나타내었고, 건강관련 삶의 질에 대한 영향요인에서 우울이 가장 강력한 설명변인으로 확인되었다. 따라서 복지관 이용 노인의 건강관련 삶의 질을 향상시키기 위해서는 우울증상을 조기에 발견하고 관리를 지속할 수 있도록 유도하는 간호중재방안의 모색과 더불어 우울예방을 위한 교육 및 스크리닝 프로그램을 개발하는 것이 필요하다.