• 제목/요약/키워드: quality of support

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HIV 감염인의 사회적 지지, 사회적 낙인이 삶의 질에 미치는 영향 : 희망의 매개효과 (Influences of Social Support and Social Stigma on Quality of Life of HIV Infected People : Mediating Effect of Hope)

  • 김일옥;신선화
    • 한국콘텐츠학회논문지
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    • 제16권8호
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    • pp.247-256
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    • 2016
  • 본 연구는 HIV 감염인이 지각하는 사회적 지지와 사회적 낙인이 삶의 질에 미치는 영향에서 희망의 매개효과를 검증하기 위해 수행되었다. 연구대상은 HIV 감염인 197명이며, 상담간호사가 일대일 면접을 통해 사회적 낙인, 사회적 지지, 희망, 삶의 질에 대한 자료를 수집하였다. 매개효과의 분석은 AMOS 21.0 프로그램을 이용하여 구조방정식 모형을 통해 수행하였고, 간접효과의 유의성은 붓스트래핑(Bootstrapping) 방법을 사용하여 분석하였다. 연구결과, 첫째, 사회적 지지는 삶의 질에 유의한 정적 영향을 미쳤고, 사회적 낙인은 유의한 부적 영향을 미쳤다. 둘째, 사회적 지지는 희망에 유의한 정적 영향을 미쳤고, 사회적 낙인은 희망에 유의한 부적 영향을 미쳤다. 셋째, 사회적 지지와 사회적 낙인이 삶의 질에 미치는 영향에서 희망은 유의한 매개효과가 있었다. HIV 감염인의 삶의 질을 향상시키기 위하여 낙인적 시선을 개선하고 사회적 지지체계를 형성하기 위한 적극적인 전략이 요구되며, 주요한 매개역할을 하는 희망을 향상시킬 수 있는 중재프로그램을 개발하여 적용하는 것이 필요하다.

정신장애인의 정신건강증진센터 서비스 이용이 삶의 질에 미치는 영향 (Mental Disabilities Mental Health Center Services Impact on Quality of Life)

  • 김정숙;이선영;이경옥;김소영
    • 보건의료산업학회지
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    • 제7권2호
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    • pp.23-35
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    • 2013
  • A study of the factors influencing the quality of life and social support of people suffering with mental disabilities, who use mental health centers. The purpose of the study includes the general characteristics of subjects, characteristics of the mental health center, the mean score of social support and quality of life of people living with mental disabilities. The 132 questionnaires were administered by meeting directly with subjects and personal visits. 112 Questionnaires were returned(85% response rate). Data was collected from mentally disabled patients in Chungnam Mental Health Center. difference in quality of life by using t-test, one way ANOVA table, the relationship between social support, quality of life by pearson correlation coefficients, and relevant factors affecting quality of life by multiple regression with the SPSS 19.0 program. This study revealed that the group that participated regularly in the day time rehabilitation program showed better social support and positive attitude to a better quality of life than the other group that participated irregularly. This result is directly proportional to the participation frequency to the program during the recent 3-month duration. Another correlation with religion was found in the study due to the fact that a buddhist group showed positive significance in quality of life than non-religious groups. The results show positive correlation between the improvement of the quality of life of patients living with mental disabilities and the social support they receive.

혈액투석 환자의 가족지지, 자기효능감 및 피로가 삶의 질에 미치는 영향 (The Effect of Family Support, Self-efficacy, and Fatigue on the Quality of Life in Hemodialysis Patients)

  • 이영희;김혜숙
    • 동서간호학연구지
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    • 제21권1호
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    • pp.1-9
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    • 2015
  • Purpose: This study was attempted to provide the foundations for the nursing intervention program that could improve hemodialysis patient's quality of life by examining influences of family support, self-efficacy and fatigue on quality of life among hemodialysis patients. Methods: We have surveyed 200 patients that aged 18 or older being diagnosed with end-stage renal disease (ESRD) and are receiving hemodialysis treatment in three general hospitals equipped more than 400 beds, one specialized dialysis clinics located in city M. Using the SPSS 17.0 windows program, gathered data were analyzed by number, percentage, mean, standard deviation, t-test, ANOVA, Duncan, Pearson's correlation coefficients and multiple regression analysis. Results: We found the factors that had great influences on patient's quality of life were family support (${\beta}=.155$, t=2.18, p=.031), fatigue (${\beta}=-.487$, t=-7.73, p<.001), and monthly income (${\beta}=.147$, t=2.36, p=.019). Explanatory power of this model was 49.6%. Conclusion: The quality of life of the hemodialysis patients on hemodialysis is affected by family support, fatigue, and monthly income. The higher monthly income, family support and the less fatigue, the more likely they can improve their quality of life.

노인의 가족지지와 삶의 질 (A Study on Perceived Family Support and the Quality of Life in the Elderly)

  • 신동순;홍춘실
    • 가정∙방문간호학회지
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    • 제4권
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    • pp.76-85
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    • 1997
  • In modern society, the human average life span has been prolonged due to medical benefits and changes in society, which results in the rapid and world -wide increase in the population of elderly. Consequently, the field of nursing science, as well as the field of many other discipline, has shown increasing interests in issues on the elderly. In addition, to improve the quality of life for elderiy people a great deal of effort has been made. The purpose of our study is to analyze the correlation between family support and quality of life in order to develop basic data for nursing interventions to maintain life satisfaction of the elderly. The sample consists of 108 subjects residing at home whose ages are over 65 years old. The data has been collected, from November 11, 1996 to November 23, 1996, through interviewing the elderly using a questionnarie. For the family supoort we used two: 1) the 5 - point Likert scale questionnarie developed by Gallo and Warren (Family support I) and 2) the 5-point Likert scale developed by H. S. Kang(Family support II), and for the quality of life we used the 3 - point likert scale questionnarie developed by Choi, Young Hee. For data analysis we used percentages, means, Pearson Correlation Coefficient and ANOVA. The results of our study are as follows: 1. For perceived family support I & II, the minimum score is 12 & 19, the maximum score is 32 & 46, the mean score is 24.49 & 34.90, respectively. 2. For Quality of life, the minimum score is 13, the maximum score is 39, the mean score is 28.61. 3. there is a very strong correlation between the perceived family support of the subjects and Quality of life (for I r=0.35047, p<.001 and for II r= 0.60558, p<.001). 4. The relationship between the general characteristics of the elderly and our two variables. family support and Quality of life, is as follows: 1) According to age(for II F=5.32, p<.01), the amount of monthly pocket money(for II F= 3.52, p<.05), inmate(for I F=2.93, p<.05, for II F=2.84, p<.05), economics(for I F=8.99, p<.01. for II F=7.51. p<.01), supporter(for I F=4.01. p<.01. for II F=3.43, p<.01), there is a statistically significant difference in family support. 2) According to the amount of monthly pocket money(F=6.69, p<.01), inmate(F=2.24, p<.05), economics(F=15.38, p<.01), there is a statistically significant difference in Quality of life. In conclusion, it can be said that the family support is an important variable to the Quality of the elderly life.

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

  • 서민희;최스미
    • 대한간호학회지
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    • 제40권4호
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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.

첫 자녀 어머니의 사회적 지지와 학령전기 가정양육환경의 종단적 관계: 우울의 매개효과를 중심으로 (A Study on the Longitudinal Relations Between First-time Mothers' Social Support and the Home Environment for Preschoolers: The Mediation of Depression)

  • 장영은
    • 한국보육지원학회지
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    • 제12권4호
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    • pp.1-21
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    • 2016
  • The current study examined the effects of early social support of first-time mothers on the home environment for their preschool-aged children via the mediation of mothers' depression. The study sample included 755 first-time mothers participating in the Panel Study on Korean Children(PSKC). Using Structural Equation Modeling(SEM), the longitudinal structure from mothers' social support when the child is one year old to the quality of the home environment when the child is 4 years old was examined. The results revealed that mothers' social support at age 1 predicted social support at age 3, which in turn predicted higher quality of the home environment for their children at age 4. The mediation of depression was also significant. Mothers' social support predicted lower levels of depression at both phases and mothers' depression was significantly associated with the quality of the home environment.

근골격계 질환 여성의 건강지원 네트워크 사업 효과 (Effects of the Health Support Network Project on Musculoskeletal Disorders of Females)

  • 김덕주;한희정;양영애
    • 보건의료산업학회지
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    • 제9권1호
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    • pp.169-178
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    • 2015
  • This study implemented a health support network project to improve the quality of life of women with musculoskeletal disorders. These activities were intended to analyze the effects of the impact on the quality of life of women with musculoskeletal diseases, continuing to base their future needs for materials and practice so as to provide a method for this purpose. On August 19, 2013 through December, a survey of 320 people living in Seoul included 31 women with symptoms of musculoskeletal disorders. Another, 16 weeks led to a total of 127 people with housewives screened as a subjects for social support networks projects. After the research, the health support network project was implemented, and most musculoskeletal pain was reduced, depression levels were reduced, and a quality improvement was noted in health-related life activities. In particular, mental- health-related quality of life was found to increased. As incidental factors that may cause musculoskeletal disorders, marital status, living with family, low income, and a high depression index were related to low health-related quality of life. Future studies can support continued health at the local business community level rather than with smaller samples. This work can also be supported by follow-up studies to evaluate the effectiveness of program.

간동맥 화학색전술을 받은 간세포암 환자의 삶의 질 영향요인 (Factors Influencing Quality of Life in Patients with Hepatocellular Carcinoma Receiving Transarterial Chemoembolization)

  • 박형숙;이현주;하재현
    • 기본간호학회지
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    • 제22권1호
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    • pp.69-78
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    • 2015
  • Purpose: The purpose of this study was to examine the relationship among family support, self-care and quality of life(QOL) in Patients with hepatocellular carcinoma receiving transarterial chemoembolization, including the effects of these variables on QOL. Methods: The research was a cross-sectional, descriptive design. Participants were 103 patients with hepatocellular carcinoma who were receiving transarterial chemoembolization. Data were analyzed using descriptive statistics, t-test, one way ANOVA, and hierachial multiple regression analysis with SPSS 18.0 program. Results: QOL had a significant correlation with family support(r=.60, p<.001) and self-care(r=.38, p<.001). Family support had a significant correlation with self-care(r=.41, p<.001). Hierarchial multiple regression analysis for QOL revealed that the most powerful predictor was family support followed by self-care. Family support, self-care, gender, and occupation explained 50% of the variance in quality of life. Conclusion: These results indicate that various factors are related to the quality of life of these patients. Further, nursing strategies to improve the family support and self-care of patients with hepatocellular carcinoma are needed.

양.한방 뇌졸중 환자 주간호자의 삶의 질, 발병 전 환자와의 관계 및 가족지지 비교 (Comparison in Quality of Life, Relationship with Patients and Family Support, between Caregiver of Patients with Cerebro-Vascular Accident(CVA) in Western and Oriental Medicine)

  • 김미숙;한상숙
    • 동서간호학연구지
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    • 제12권1호
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    • pp.33-42
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    • 2006
  • Purpose: This study was a descriptive study to compare of quality of life, relationship with CVA patients, and family support between caregiver of patient with CVA in western and oriental medicine. Method: Total 270 caregivers for CVA patients were selected from western medicine department (114) and oriental medicine department (156) at K hospital in Seoul. The instrument tools utilized in this study were quality of life, Family support, Caregiver's relationship with patients, daily activity. Collected data were analyzed by $X^2$-test, t-test using SPSS Windows 12.0 Program. Result: The result are as follows: 1) There was no significant difference in quality of life between caregivers of patients with CVA in western and oriental medicine(t=.26, p=.792). 2) There was significant difference in relationship with patients(t=2.64, p=.009) and family support(t=2.12, p=.035) before onset of disease between caregivers of patients with CVA in western and oriental medicine. Conclusion: As a result, caregivers of oriental medicine with CVA patients showed closer relationship with patients before the onset of disease and higher family support compare to caregivers of western medicine with CVA patients.

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후기노인의 허약, 사회적 지지, 건강관련 삶의 질 간의 관계 (The Relation between Frailty, Social Support, and Health-related Quality of Life in Old-Old Elderly)

  • 이정화;김은휘;서순림
    • 한국노년학
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    • 제38권4호
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    • pp.891-903
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    • 2018
  • 본 연구는 허약의 고위험군인 후기노인의 건강관련 삶의 질 향상을 위한 기초자료를 제공하고자 허약, 사회적 지지 및 건강관련 삶의 질 간의 관계를 조사하였다. 서술적 조사연구인 본 연구를 위하여 2016년 03월 01일부터 03월 31일까지 K군에 소재하는 노인복지시설에서 75세 이상 노인을 대상으로 구조화된 설문지를 이용하는 일대일 면담을 통해 총 211명의 자료를 수집하였다. 수집된 자료는 SPSS/WIN과 Amos 18.0 프로그램으로 t-test, Pearson's correlation coefficient 및 경로분석을 사용하여 분석하였다. 80세를 기준으로 한 연령집단 간 차이검정결과, 80세 이상인 경우 유의하게 허약수준이 더 높고(t=-2.51, p=.013), 건강관련 삶의 질이 낮았으나(t=3.29, p=.001), 사회적 지지는 유의한 차이를 보이지 않았다(t=1.28, p=.201). 허약, 사회적지지, 건강관련 삶의 질 간의 상관관계 분석결과, 허약수준이 높을수록 사회적 지지(r=-.21, p=.003)와 건강관련 삶의 질이 유의하게 낮았고(r=-.65, p<.001), 건강관련 삶의 질은 사회적 지지가 높을수록 유의하게 높았다(r=.18, p=.010). 사회적 지지와 건강관련 삶의 질 사이에서 허약의 매개효과를 조사한 결과, 사회적 지지는 허약에(${\beta}=-.21$, p=.016) 허약은 건강관련 삶의 질에 유의한 직접효과를 미치나(${\beta}=-.06$, p=.004), 사회적 지지는 건강관련 삶의 질에 유의한 직접효과를 미치지 않고(${\beta}=.00$, p=.562) 허약을 매개하여 유의한 간접효과를 미쳐(${\beta}=.01$, p=.012) 사회적 지지와 건강관련 삶의 질 사이에서 허약의 완전매개효과가 있었다. 사회적 지지는 허약을 예방하고 허약수준의 개선은 건강관련 삶의 질을 증진시킨다. 그러므로 후기노인의 건강관련 삶의 질 제고를 위해 연령별 사회적 지지 방안을 포함하는 다면적인 허약 예방 프로그램의 개발이 필요하다.