• 성인간호학회지
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• 제26권4호
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• pp.383-392
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• 2014

Purpose: The purpose of this study was to describe the degrees of body image, self esteem and Health Related Quality Of Life (HRQOL), and to identify factors related to these variables in patients with Crohn's disease. Methods: A descriptive cross sectional survey design was used. The 148 participants were the patients with Crohn's disease, recruited conveniently from one metropolitan hospital located in Seoul, Korea. The collected data were analyzed with SPSS/WIN program. Results: Patients with severe illness activity reported significantly lower body images than those of the others. Education levels and working states affected self-esteem positively, while the number of operations and illness activity affected self-esteem negatively. Hospitalization and illness activity affected HRQOL negatively. Body image, self esteem, and HRQOL were positively correlated to each other with statistical significance. Illness activity was a common factor to affect body image, self esteem, and HRQOL. Body image was an influential factor on HRQOL as well as illness activity in patients with Crohn's disease. Conclusion: As a result, this study suggested a necessity for developing an intervention study to lower the illness activity and heighten the body image among the patients with Crohn's disease.

• 기본간호학회지
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• 제16권3호
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• pp.353-361
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• 2009

Purpose: The purpose of this study was to examine the relationship of adult the women's satisfaction with their appearance, self-esteem, depression and stress to health related quality of life (HRQOL) across the lifespan. Method: In this study a convenience sample of Korean women aged 20 years and over was used. There were 1152 women and data were collected from November 2007 to February 2008. Results: There was no difference in satisfaction with appearance in all age group. Elderly women reported lowest self esteem and HRQOL and highest depression and stress. There were statistical significances between satisfaction with appearance, self-esteem, depression, stress and HRQOL for all age groups. The most significant predictors of HRQOL in early adulthood women were stress and depression. The most significant predictors of HRQOL in middle adulthood women were stress, disease, depression, self-esteem, and monthly income. The most significant predictors of HRQOL in elderly women were stress, disease, depression, and satisfaction with appearance. Conclusion: The results indicate that HRQOL of Korean women is associated with psychological distress as with stress and depression. When developing programs to enhance health in elderly women, consideration should be given to body image as well as psychological distress and chronic conditions.

• 지역사회간호학회지
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• 제13권2호
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• pp.292-305
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• 2002

Purpose: The purpose of this study was to conduct a systematic assessment on the level of health status, and quality of life of the health care beneficiaries registered in health management programs of public health centers. In order to investigate the level of health status and the quality of life and to find factors affecting them, the PRECEDE model, that was developed by Green, et al. for the purpose of a comprehensive diagnostic research, was used. Method: The subjects were 81 residents who resided K-gu, Seoul. Data were collected from September, 1999 to August, 2000 using a self reported questionnaire. The data were analyzed by descriptive statistics, t-test, Kruskall-Wallis test, Pearson's correlation coefficient. and path analysis. Results: 1. The quality of life and the level of health promoting lifestyle were moderate or more, but were not significantly different by sex, age, marital status, educational level. occupation, and monthly household income. 2. Self-efficacy was significantly correlated to be a perceived benefit, social support and health-promoting lifestyle. Perceived benefit had a significant correlation with social support and health promoting lifestyle. There was also a significant correlation between the level of satisfaction, and the availability of the health promotion program. 3. Social support, health promoting lifestyle, and health status were found to influence the quality of life directly, whereas self efficacy and perceived benefit affected the quality of life indirectly through social support. Conclusion: The results of this study suggest that the health promotion program should include strategies to strengthen self efficacy and perceived benefit to enhance social support, and to encourage health promoting behaviors in order to improve the quality of life of the health care beneficiary.

• 성인간호학회지
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• 제19권1호
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• pp.132-143
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• 2007

Purpose: The purpose of this study was to identify effects of a self-management program on symptom and functional status, health perception, and quality of life(QOL) of patients with CHF. Methods: Patients with CHF as defined through clinical judgment using the Framingham criteria and EF<50% were enrolled in the study (experimental: 21, control: 20). The symptom focused self-management program consisted of coping behaviors for symptoms including dyspnea, chest discomfort/pain, dizziness, ankle edema, and basic self-management including medications, diets, activity, lifestyle changes. Experimental group received an educational booklet after survey, and periodic telephone follow-up by a trained nurse. Data were collected the 3rd day after admission and at 1 month, 3 months, and 6 months after discharge using questionnaires. Results: Significant differences were found in the presence of symptoms, health perception, and QOL between groups during follow-up. Although no significant difference was found in functional status, the experimental group reported better functional status than the control group. Conclusion: By facilitating self-management of CHF using tailored interventions including education programs and telephone monitoring, it is expected that patients will be able to monitor their symptoms routinely, adhere to therapeutic regimen, and have a better QOL.

• 대한치과기공학회지
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• 제35권2호
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• pp.157-171
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• 2013

Purpose: This study aims to present a database for the development of a healthcare management program based on the survey and analysis of self reported psychosomatic symptoms among the current dental technology students. Methods: Subjects of our study are 480 dental technology major students enrolled in a third year college located Gyeonggi, Chungcheong, and Gangwon province. Using a random sampling, we conducted a self-report survey from August 30, 2011 to October 28, 2011 and 418 reports were collected as feedback and we put an analysis on them. Results: 1. The average physical self symptom was 20.49, which is higher than the average mental self symptom(18.54). Of the subcategories of psychosomatic self symptom, we observed multiple subjective symptoms as the highest one(37.77), and aggression as the lowest(13.77). 2. As to gender, both physical and mental self symptom were statistically significant with the scale score of(p<.001). The scale score of subcategories is as follows; multiple subjective symptoms(I, p<.001), eye and skin(B, p<.001), digestive(C, p<.001), impulsiveness(H, p<.001), lie scale(L, p<.001), mental instability(J, p<.001), depression(K, p<.001), aggression(F, p<.001), irregularity of life(G, p<.001), mouth and anal(D, p<.05), nervousness(E, p<.05). 3. As for obesity, statistical significance was shown with the scale scores of physical self symptom(p<.001), multiple subjective symptoms(I, p<.001), digestive(C, p<.001), aggression(F, p<.001), depression(K, p<.01), irregularity of life(G, p<.01), respiratory(A, p<.05), eye and skin(B, p<.05), impulsiveness(H, p<.05), mental instability(J, p<.05). The scale scores in the environmental quality and life satisfaction were shown as follows; depression(K, p<.001), lie scale(L, p<.01), and irregularity of life(G, p<.05). 4. We employed multiple regression analysis to take account of general factors affecting psychosomatic self symptoms, and drew that the explanatory power of the model was proved with the scales of physical self symptom(4.1%) and mental self-symptom(3.6%). Obesity was a factor that affects physical self symptom with the scale score of(p<.01), and environmental quality and life satisfaction(p<.01) and obesity(p<.05) affect mental self symptom. Conclusion: In this analysis we observed obesity of dental technology students can influence their psychosomatic self symptoms. In this sense, it would be reasonable to develop a healthcare management and education programs that help the students maintain a healthy weight and promote their health.

• 생물정신의학
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• 제22권3호
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• pp.128-134
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• 2015

Objectives To examine the relationship between health-related quality of life (HRQoL) and body mass index (BMI) of obese children. Methods This cross-sectional study included 387 children. HRQoL was measured with the PedsQLTM 4.0 Generic Core Scale. BMI was classified according to the World Health Organization Asia-Pacific obesity guidelines. Psychosocial factors (body image, self-esteem, and depression/anxiety) were also measured. Data were analyzed using one-way analysis of variance, Pearson's correlation and Path analysis. Results Obese participants reported lower score for physical evaluation, self-esteem, appearance evaluation component of body image, total HRQoL score, and physical/emotional/social function components of HRQoL ; they reported higher score for depression/anxiety. In addition, results indicated that as BMI increased, appearance evaluation, total HRQoL score, and social function component of HRQoL dropped. Path analysis revealed that BMI did not directly affect HRQoL ; however, BMI directly affects body image and self-esteem, indirectly mediates depression/anxiety, and thereby impacts on an individual's HRQoL. Conclusions Body image and self-esteem, rather than BMI itself, have more influence on HRQoL. This reinforces the importance of therapeutic intervention to enhance body image and self-esteem among obese children.

• Journal of Periodontal and Implant Science
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• 제36권3호
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• pp.591-600
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• 2006

Purpose: This study assessed the impact of self-reported periodontal health on the oral health-related quality of life among elderly Koreans. Methods: Four hundred twenty one elderly Koreans in Seoul and suburban areas were selected with a cluster (institution) sampling method, and were requested to take oral examinations and finish questionnaires on the Oral Health Impact Profile-14(OHIP-14). and self-reported periodontal health status, such as periodontal symptoms, self-rated periodontal health and periodontal treatment need. As the dependent variable, OHIP-14 showed a positive skewed distribution (skewness: 1.17), we transformed to square-root form to apply parametric analyses. Bivariate analysis by t-test and ANOVA, and multivariate analysis with the two-level regression model accounting clusters were implemented. Results: Mean age of the subjects was 74.6 years and 66.5% were women. Fourteen items of OHIP-14 were summarized to one factor explaining 78.6% of total variance and produced the Chronbach alpha coefficient of 0.92. Results from the multivariate model, adjusting for age, sex, type of institutions, ability to pay, and number of teeth present, showed significantly lower OHIP-14 with reporting less than 3 periodontal symptoms (p(O.OOO1), rating their own periodontal health as above average level (p=O.0144), and thinking they don't need any periodontal treatments in the near future (p=O.0148), than their counterparts. The intraclass-corrrelation estimated by the final model was 0.028. Conclusion: This study demonstrates a significant association between self-reported periodontal health status and the oral health-related quality of life.

• The Korean Journal of Pain
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• 제32권1호
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• pp.22-29
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• 2019

Background: The aim of this study was to investigate the relationship between pain catastrophizing, acceptance, and quality of life in relation to chronic low back pain in Jakarta, the capital city of Indonesia. We also analyze the effect of personality in catastrophizing and acceptance. Methods: A total of 52 chronic low back pain patients were enrolled as participants from 2 hospitals in Jakarta (43 females, 9 males, mean age 54.38 years). Participants completed a set of self-reported questionnaires: the NEO Five Factor Inventory (NEO-FFI), Chronic Pain Acceptance Questionnaire-Revised (CPAQ-R), Pain Catastrophizing Scale (PCS), and Pain Discomfort Module (PDM). Results: This study showed that acceptance increased the patient's quality of life by giving physical relief from pain. In contrast, pain catastrophizing decreased the quality of life, and increased the patients' tendency to get frustrated, irritated, and anxious about the pain. From a personality perspective, the trait neuroticism may lead to a higher level of pain catastrophizing. Conclusions: This study showed that catastrophizing, compared with acceptance, had a greater impact on the patient's life by reducing its quality.

• 여성건강간호학회지
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• 제28권4호
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• pp.296-306
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• 2022

Purpose: This study investigated the effects of peripheral neuropathy symptoms, self-care ability, and disturbances to daily life on quality of life (QoL) among gynecological cancer patients undergoing chemotherapy. Methods: The participants included 144 patients with gynecological cancer undergoing anticancer chemotherapy at a tertiary hospital in Seoul, South Korea, from December 1, 2021 to January 28, 2022. Convenience sampling was used to recruit patients who had received 4 or more cycles of chemotherapy using a paclitaxel-platinum regimen, and a self-reported questionnaire was used to collect data. Descriptive statistics, the t-test, analysis of variance, Scheffé test, Pearson correlation coefficients, and multiple regression analysis were performed. Results: Most of the participants had ovarian cancer (70.1%) or endometrial cancer (14.6%), and the most common number of treatment cycles was 6 to 10 (29.2%). The mean QoL (60.83±19.89) was greater than the midpoint. The regression model analyzing the patients' QoL was statistically significant (F=15.38, p<.001) with an explanatory power of 56.7%. Self-care ability (β=.39, p<.001), disturbances to daily life (β=-.38, p<.001), the duration of peripheral neuropathy symptoms (β=2.14, p=.034), and regular exercise (β=-2.12, p=.036) were found to significantly affect QoL. Conclusion: Efforts to improve the self-care ability of gynecological cancer patients who have experienced peripheral neuropathy after receiving chemotherapy and mitigate disturbances to their daily life can improve their QoL. Healthcare professionals should identify peripheral neuropathy symptoms and examine the effects of the symptoms on patients' daily lives. Improving the self-care ability of patients and alleviating their limitations in daily life may improve QoL.

• 근관절건강학회지
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• 제19권3호
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• pp.362-372
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• 2012

Purpose: The purpose of this study was to identify the predictive factors on quality of life (QOL) in the urban residents by age. Methods: A cross-sectional descriptive design was used. A total of 592 urban residents, ages of 20 to 59, completed a self-reported questionnaire including WHO QOL Scale-Brief (WHOQOL-BREF), Health Promoting Life Style Profile II (HPLP), Personal Competence of Health Care Scale (PCHC), and self-efficacy scale. Data were analyzed with descriptive statistics, t-tests, ANOVA, Pearson's correlation coefficients, and multiple regressions by SPSS 18.0. Results: The mean scores were 53.71 in QOL, and subscales were 14.41 in physical health, 13.31 in psychological, 13.87 in social relationship, and 12.12 in environment. There were significant differences by age groups, gender, education, family income, job, and present illness in QOL. QOL were significantly associated with HPLP, PCHC, and self-efficacy. The results of multiple regression indicated that HPLP, PCHC, marital state, and self-efficacy in the 20s, HPLP, self-efficacy, age, marital state, religion, and PCHC in the 30s, HPLP, PCHC, self-efficacy, and family income in the 40s, and HPLP, PCHC, self-efficacy, and gender in the 50s were statistically significant in predicting QOL. Conclusion: It is important to develop distinct programs by age for improving of quality of life for adults.