• Title/Summary/Keyword: quality status

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Relationship between perceived health status and health-related quality of life in the elderly: A focus on moderating effects of oral health (노인의 주관적 건강상태와 건강관련 삶의 질의 관련성 : 구강건강수준의 조절 효과 중심으로)

  • Lee, Sue-Hyang;Shin, Bo-Mi;Shin, Sun-Jung;Bae, Soo-Myoung
    • Journal of Korean society of Dental Hygiene
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    • v.19 no.5
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    • pp.715-729
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    • 2019
  • Objectives: This study aimed to validate the moderating effect of oral health on the relationship between perceived health status and health-related quality of life in the elderly and to use this information as primary data to suggest oral health policies for the aged society. Methods: This study included 3,707 subjects aged over 65 years who answered all the variables used in the study model and completed the health questionnaire and screening survey based on the sixth Korea National Health and Nutrition Examination Survey. Baron & Kenny's linear regression analysis using SPSS 22.0 and SPSS Macro Version 3.1 programs was performed to confirm the moderating effect of the number of remaining natural teeth, chewing difficulty, and cardiovascular disease on the relationship between perceived health status and healthrelated quality of life in the elderly. Results: The number of remaining natural teeth, chewing difficulties, and cardiovascular diseases affected the perceived health status of the elderly. As the number of remaining natural teeth increased, the effect of perceived health status on the quality of life in the elderly was buffered. The effect of perceived health status on the quality of life increased with chewing difficulties and the number of cardiovascular diseases. In particular, it was confirmed that chewing difficulties, rather than the number of cardiovascular diseases. had a greater effect on the quality of life in the elderly. Conclusions: Oral health policies and projects are required to ensure oral rehabilitation with dentures and implants and restore chewing function to improve the quality of life of the elderly in Korea.

Association of Sleep Quality and Chronotype with Nutritional Quotient according to Sasang Constitution (사상체질에 따른 수면의 질, 수면 일주기 유형과 영양상태와의 관련성)

  • Kyoungsik Jeong;Siwoo Lee;Jieun Kim;Sueun Lim;Younghwa Baek
    • Journal of Sasang Constitutional Medicine
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    • v.36 no.2
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    • pp.27-38
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    • 2024
  • Objectives The purpose of this study was to compare sleep quality and chronotype by Sasang constitution and examine the relationship with nutritional status. Methods This study used 672 follow-up data from the Korean Medicine Daejeon Citizen Cohort study (KDCC). Demographic, Sasang constitution, sleep quality, chronotype, and nutritional status evaluation were conducted based on questionnaires. Multiple linear regression analysis was used to confirm the relationship between sleep quality and chronotype according to Sasang constitution and nutritional status. Results The relationship between sleep quality and chronotype by Sasang constitution and nutritional status is that Taeeum nutritional index is related to sleep quality (adj. B = -0.46, 95% CI = -0.79 ~ -0.12) and chronotype (adj. B = 0.38, 95% CI = 0.24 ~ 0.52), and Soeum and Soyang showed an association between nutritional indices only in chronotype (adj. B = 0.43, 95% CI = 0.23 ~ 0.63 in SE, adj. B = 0.55, 95% CI = 0.38 to 0.73 in SY). Conclusions This study confirmed the relationship between sleep quality and chronotype and healthy eating habits. For a balanced nutritional status, overall sleep management is necessary. Based on the results of this study, we intend to use it as basic data on the impact of the relationship between nutritional status and chronotype by Sasang constitution on health.

Structural Equation Modeling on Quality of Life in Pre-dialysis Patients with Chronic Kidney Disease (투석 전 만성 신부전 환자의 삶의 질 구조 모형)

  • Kim, Hye Won;ChoiKwon, Smi
    • Journal of Korean Academy of Nursing
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    • v.42 no.5
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    • pp.699-708
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    • 2012
  • Purpose: This study was designed to test structural equation modeling of the quality of life of pre-dialysis patients, in order to provide guidelines for the development of interventions and strategies to improve the quality of life of patients with Chronic Kidney Disease (CKD). Methods: Participants were patients who visited the nephrology outpatient department of a tertiary hospital located in Seoul. Data on demographic factors, social support, nutritional status, physical factors and biobehavioral factors and quality of life were collected between March 4 and March 31, 2011. Results: In the final analysis 208 patients were included. Of the patients 42% were in a malnourished state. Anxious or depressed patients accounted for 62.0%, 72.6%, respectively. Model fit indices for the hypothetical model were in good agreement with the recommended levels (GFI=.94 and CFI=.99). Quality of life in pre-dialysis patients with CKD was significantly affected by demographic factors, social support, nutritional status, physical factors and biobehavioral factors. Biobehavioral factors had the strongest and most direct influence on quality of life of patients with CKD. Conclusion: In order to improve the quality of life in pre-dialysis patients with CKD, comprehensive interventions are necessary to assess and manage biobehavioral factors, physical factors and nutritional status.

Construction of Health-related Quality of Life Model in Acquired People with Physical Disabilities (후천성 지체장애인의 건강관련 삶의 질 모형구축)

  • Kim, Kye Ha
    • Korean Journal of Adult Nursing
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    • v.18 no.2
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    • pp.213-222
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    • 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.

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The Relationship between Sleep Quality and Stress among Nursing Students in Korea (간호대학 학생의 수면의 질과 스트레스의 상관관계)

  • Kang, Youjin;Oh, Seok Hee;Hong, Hye Chong
    • Journal of Korean Biological Nursing Science
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    • v.20 no.1
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    • pp.30-37
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    • 2018
  • Purpose: The purpose of this study was to examine the relationship between sleep quality and stress among nursing students. Methods: A cross-sectional study was conducted with 94 nursing students from a University in Seoul. Participants completed questionnaires and the data were analyzed using t-test, ANOVA, and Pearson correlation coefficients. Results: The mean score of sleep quality was $6.93{\pm}2.66$ among nursing students and 81.9% had a sleep problem. The mean score of stress was $18.61{\pm}4.84$. Sleep quality was significantly different by clinical practice days per week, subjective physical health status, and subjective mental health status. Stress levels were significantly different by subjective physical health status, subjective mental health status, social relationship satisfaction, and satisfaction levels of nursing major and university. A significant relationship between sleep quality and stress (r= .45, p< .001) was found, meaning that a lower quality of sleep was significantly correlated with higher stress level. Conclusion: The results indicated that most nursing students had sleep problems and stress. Therefore, interventions are needed to be developed to lower the level of stress and increase the quality of sleep among nursing students.

A Study on Cancer Patients' Quality of Life, Perceived Health Status and Susceptibility.Severity for Cancer Recurrence (암환자의 삶의 질, 지각된 건강상태 및 암재발 인지에 관한 연구)

  • Shin, Im-Sik;Han, Sang-Sook
    • Journal of East-West Nursing Research
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    • v.11 no.2
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    • pp.146-154
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    • 2005
  • Purpose: This study was designed to identify the relationship between quality of life, perceived health status, perceived susceptibility severity to recurrence of cancer and character of object in cancer patients to provide the basic data of effective nursing interventions. Method: The subject of this study was randomly chosen from the patients diagnosed of cancer and being hospitalised or receiving chemotherapy as outpatients, at a Division of Hemato-Oncology, Department of Internal Medicine of a university hospital located in Seoul. The tool used in this study was a measurement tool for quality of life (${\alpha}=.829$), perceived health status (${\alpha}=.903$), and perceived susceptibility and severity for cancer recurrence (${\alpha}=.860$). The collected data were analysed using SPSS PC 12.0 Programme for real number, percentage, average, standard deviation, Pearson's Correlation, t-test and ANOVA, according to the purpose of this study. Result: 1) The score of quality of life in cancer patients was 3.64 point, perceived health status was 2.62 and perceived susceptibility severity to recurrence of cancer was 2.41. 2) There was a significant difference in the quality of life according to general characteristics, such as level of education, occupation, level of activity, pain, medication period, diagnosis, disease stage, purpose of medication, and recurrence. There was a significant difference in perceived health status according to age, level of activity, pain, diagnosis, purpose of medication, and recurrence. There was a significant difference in perceived susceptibility severity to recurrence of cancer according to age, level of education, and pain. 3) The cancer patients' quality of life showed significant correlation with perceived health status, perceived susceptibility severity to recurrence of cancer, pain, job, treatment purpose, relapse. The perceived health status showed significant correlation with perceived susceptibility severity to recurrence of cancer, pain, treatment purpose, relapse. The perceived susceptibility severity to recurrence of cancer showed significant correlation with pain. The relapse showed significant correlation with treatment purpose. The cancer patients' quality of life, perceived health status, and perceived susceptibility and severity for cancer recurrence, as confirmed above, showed differences according to the related factors of each subject, and it was also confirmed that those factors were significantly related with general characteristics. Upon these results, I suggest further studies on the factors that affect the cancer patients' quality of life.

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A Convergence Study on the Effect of Subjective Systemic Health Status and Health Behavior on Oral Health-Related Quality of Life (주관적 전신건강상태와 건강행위가 구강건강관련 삶의 질에 미치는 영향에 관한 융합연구)

  • Heo, Seong-Eun
    • Journal of the Korea Convergence Society
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    • v.9 no.9
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    • pp.135-142
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    • 2018
  • The purpose of this study was to investigate the effect of subjective systemic health status and health behavior on the oral health-related quality of life through a convergence study. The data collected by a survey on adults living in Busan Metropolitan City were analyzed using SPSS 21.0 program. The oral health-related quality of life of the non-smoking group was higher than that of the smoking group, and the oral health-related quality of life was higher in the high group for the subjective systemic health status and health behavior than in the low group. Subjective systemic health status and health behavior both were found to have a positive (+) influence on oral health-related quality of life, and especially the subjective systemic health status had a greater influence. Therefore, as the improvement of oral health-related quality of life is expected through systemic health, it is considered that development of convergence education programs could be an important medium to educate the associated importance of systemic health and oral health.

Sociodemographic Factors Associated with Nutrients Intake of Elderly in Korea (노인의 영양섭취상태에 영향을 미치는 인구사회학적 요인 분석)

  • 임경숙;이태영
    • Journal of Nutrition and Health
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    • v.37 no.3
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    • pp.210-222
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    • 2004
  • In recent years, the number and proportion of Korean elderly have grown rapidly, and elderly individuals show a disproportionate risk for poor nutritional status. The purpose of this study was to examine the relationship of sociodemographic background to nutrient intake of persons 65 years of age or older, living in 15 cities in Korea. Data on 1973 subjects (603 males, 1370 females), who participated in the Korean Elderly Nutrition Survey (2000), were analyzed. Their mean age was 72.3 years and their mean body mass index (BMI) was 24.2 kg/$m^2$. Basic sociodemographic data were obtained through personal interviews. The 98-item semi-food frequency questionnaire, developed and previously validated for Korean middle-aged and elderly subjects, was administered. “Percentage of subjects who consumed under 75% Korean RDA,” “number of nutrients consumed below 75% Korean RDA,” “mean nutrient adequacy ratio,” and “nutrient density” were used to determine nutritional status. Male elderly had better nutritional quality than female elderly. Nutritional quality decreased with age, especially in older elderly (over 75). Elderly who were underweight (BMI 〈 20 kg/$m^2$) showed poorer nutritional quality than those who were normal weight (BMI 20∼25 kg/$m^2$) and overweight (BMI $\geq$ 25 kg/$m^2$). Elderly who lived alone had significantly poorer nutritional quality than those who lived with a spouse, and/or with children. Lower education level and economic dependence also showed lower nutritional quality. A stepwise multiple regression analysis was performed to examine the effects of specific sociodemographic factors on nutritional quality. For number of nutrients under 75% RDA as a dependent variable, education level explained 4.8% of the variance, followed by living status, age, body mass index, gender, and living expense support (Model $R^2$ = 0.091). For mean nutrient adequacy ratio as a dependent variable, model $R^2$ was 0.098. Therefore, sociodemographic variables such as gender, age, body mass index, living status, educational level, and economic status influenced elderly nutrition status. These results indicate that an elderly nutrition intervention should focus on subjects who are poorly educated, living alone, age 75 or older, and/or underweight.

Survey on Quality of Life, Mental Health and Subjective Health Status of Community Dwelling Cancer Patients (일 지역에 거주하는 암환자의 삶의 질, 정신건강 및 주관적 건강상태 조사)

  • Lee, Bo-Young;Jo, Heui-Sug;Kwon, Myung-Soon
    • Journal of Korean Public Health Nursing
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    • v.24 no.1
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    • pp.49-60
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    • 2010
  • Purpose: This study investigated the quality of life, mental health and subjective health status of community dwelling cancer patients. Methods: Subjects were 212 out-patients with cancer at Kangwon University Hospital. The study was conducted from July 10 to August 14, 2008. Quality of life as determined by the Euro Quality of life-5 Dimensions (EQ-5D) was measured using Korea Centers for Disease Control and Prevention(KCDC). Mental health and subjective health status were measured using KCDC. Results: EQ-5D determined degrees of difficulty were 25.5%(mobility), 25.2%(anxiety or depression), 23.6%(pain or discomfort), 20.3%(activities of daily living), and 13.7%(self care). An analysis of the association between several factors and mental health showed that the statistically significant factors were age, gender, medical coverage, and private insurance. An analysis of the association between several factors and subjective health status showed that the statistically significant factor was occupation. Conclusion: Cancer patients suffer from significant psychological distress. Programs that address mental and physical health would be beneficial.

A Study on Health Status and Health Related Quality of Life by Job Characteristics in Korean Adult Women (우리나라 성인 여성의 직업 특성별 건강 상태 및 건강관련 삶의 질)

  • Sohn, Shin-Young
    • Korean Journal of Occupational Health Nursing
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    • v.18 no.1
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    • pp.33-43
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    • 2009
  • Purpose: This study was aimed to identify the health related quality of life(HRQoL) by job characteristics and its predictors in Korean adult women. Methods: This study used data from cross-sectional surveys conducted for the 2005 National Health and Nutrition Survey, which was performed by using a face-to-face interview method. The data were analyzed by ANOVA, t-test and multiple regression using the SPSS program. Demographic characteristics, subject health state, EQ-5D were included in the study instruments. Results: The mean HRQoL index in the subjects was $0.792{\pm}0.102$. There were significant statistical differences on HRQoL among job characteristics. The health related quality of life of non-physical workers was the highest. The significant predictors of the HRQoL of all subjects were the subjective health status, the present health status compared to the previous year, education, age, marital status and income. The factors accounted for 22.1% of variance in the health related quality of life and the predictors of the HRQoL among job characteristics were different. Conclusion: These results may contribute to development of nursing strategy to improve female health related quality of life. The health related quality of life program for adult women by job characteristics is advised based on results of the study.

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