• 정신신체의학
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• 제27권2호
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• pp.191-201
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• 2019

연구목적 해양자원을 활용한 의미중심-마음챙김 기반의 집단스트레스중재프로그램이 기분, 수면, 삶의 질, 인지 기능의 긍정적인 변화에 미치는 효과를 알아보고자 하였다. 방 법 9명의 중증장애환자 간병가족을 대상으로 경상북도 울진군 해안 일대에서 3박4일간 해양자원을 활용한 집단프로그램을 시행하였다. 프로그램에 참여하기 전과 참여한 후, 그리고 6주 후에 기분, 수면, 삶의질, 인지기능 영역의 변화를 살피기 위해 주관적설문과 객관적평가를 실시하고 이를 통계분석하였다. 결 과 프로그램에 참여한 후 우울증을 비롯한 기분 상태가 유의하게 호전되었고, 이 효과는 6주 후까지 지속되었다. 참여자의 수면의 질과 삶의 질 및 인지기능은 참여 직후보다 프로그램 참여 6주 후에 보다 유의하게 향상되었다. 결 론 중증장애환자 간병가족 대상의 해양자원을 활용한 의미중심-마음챙김 기반의 집단스트레스중재프로그램은 정신적인 건강과 삶에 대한 만족도를 향상시키고, 인지적 효율성을 높인다는 측면에서 향후 유용하게 활용 가능한 프로그램으로 기대된다.

• 대한한방내과학회지
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• 제42권5호
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• pp.976-981
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• 2021

Objectives: This study investigated the effectiveness of acupuncture for improving polycythemia-vera-related symptoms and quality of life. Methods: A 56-year-old woman diagnosed with polycythemia vera received acupuncture treatment between February 19, 2021, and August 26, 2021. We observed the changes in subjective symptoms and conducted myeloproliferative neoplasm symptom assessment form total symptom score (MPN-SAF TSS) questionnaire. Results: After 13 acupuncture treatment sessions over six months, symptoms of polycythemia vera, such as fatigue, bone pain, itching, and headache, improved. Conclusion: This study suggests that acupuncture may be a helpful treatment strategy for polycythemia vera patients suffering from significant symptom burdens and reduced quality of life.

• 의학교육논단
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• 제23권2호
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• pp.108-117
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• 2021

This study investigated medical students' perceptions of good jobs. We classified medical students' perceptions of good jobs and analyzed the characteristics of each type. The Q methodology was used to extract medical students' subjective thoughts. After extracting statements based on previous studies, 46 Q samples were selected. The P sample consisted of 40 medical students divided evenly by gender and grade. They performed a Q sort of the 46 Q sample questionnaire and the results were analyzed using the QUANL ver. 1.2 program. Very few consensus statements were found in the replies. We divided answers into four types, each of which was clearly distinguished: (1) quality of life-oriented jobs, (2) reward-oriented jobs, (3) service-oriented jobs, and (4) self-realization-oriented jobs. Medical students in type 1 prioritized quality of life equally at work and at home. Medical students in type 2 preferred high-paying jobs. Medical students in type 3 placed importance on serving others. Finally, medical students in type 4 viewed good jobs as involving learning and development. The types of jobs sought were classified according to individual students' values and subjectivity. Medical schools may use the results of this study as a basis for career guidance.

• 대한암한의학회지
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• 제27권1호
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• pp.57-66
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• 2022

Objective: To report the improvements with Korean medicine-based integrative cancer therapies on adverse effects of adjuvant chemotherapy in non-small cell lung cancer patients. Method: There were two patients complained cough, rhinorrhea, numbness, general weakness, nausea and dyspepsia after chemotherapy. They got treated centered on Korean medicine including herbal medicine, acupuncture, electro-acupuncture, pharmacopuncture, moxibustion, hand and foot bath. They were also treated Western immunotherapies like Thymosin at regular intervals. The symptoms were measured by the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core 15 for Palliative Care(EORTC QLQ C-15 PAL) and their subjective assessments. Results: Their chief complaints were relieved and their quality of life scores was improved even though they have been receiving chemotherapy continuously. Conclusion: These cases revealed a possibility that Korean medicine-based integrative cancer therapies could improve some symptoms after chemotherapy in non-small cell lung cancer.

• 한국보건간호학회지
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• 제27권1호
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• pp.5-15
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• 2013

Purpose: The purpose of this study was to determine factors related to regular walking exercise in the elderly using KNHNES data. Method: The study subjects, a total of 1437 adults over age 65, were classified into two groups based on their type of walking exercise: regular walking exercise group or irregular walking exercise group. The study variables were measured using scale physiological function, mental health status, chronic disease and quality of life. Results: The data was analyzed by $x^2$-test, t-test, and logistic regression using the SPSS 18.0 program. The factors related to regular walking exercise were male (OR=0.628, 95%CI=0.503-0.783), subjective health state (OR=0.832, 95%CI=0.751-0.921), thoughts of suicide (OR=0.753, 95%CI=0.586-0.967), hypoHDL-cholesterolemia (OR=0.742, 95%CI=0.591-0.930), and stroke (OR=0.604, 95%CI=0.366-0.997). Conclusion: The findings indicate that regular walking exercise in the elderly is related to physiological function, mental health status, and chronic disease. Therefore, providing for the education and awareness of health promotion for the elderly will may improve the quality of life in old age.

• 한국농촌간호학회지
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• 제12권1호
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• pp.13-27
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• 2017

Purpose: The purpose of this study is to identify health-related factors, especially for the elderly who are subject to visiting health care at vulnerable populations. Methods: Tools were Guide to Community Integrated Health Promotion Project 2016, Visit Health Care Health Interview Survey, measures of physical function, motor skills, composite mobility, BMI, and subjective fitness levels. Depression was measured with the Short Results: Older elders living alone were more vulnerable than those with living others. Elders with less education showed greater weakness but the difference was not significant. Average scores for frailty were 2.21 (healthy group), 7.66 (high-risk group) and 15.69 (frail group). Scores based on weakness level differed significantly with the exception of nutrition. Nine out of 10 elders in disadvantaged areas were in the frail group or at high risk. Conclusion: Results support the goal to maintain/improve physical/mental functions through individual management of high-risk/frail older adults at risk of becoming infirm. It is imperative to implement a public health care delivery system to ensure programs are operated effectively and personalized.

• 근관절건강학회지
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• 제8권1호
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• pp.65-85
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• 2001

Osteoporosis is the disease that is the most controversial issue with the aging tendency in 1990. It is an important issue in dealing with the health management for women in middle life. This study is designed to determine the relationships among the level of the knowledge of osteoporosis, the health promoting behaviors and the quality of life. The test has conducted a questionnaire survey of women with osteoporosis. This is a study that focused an interrelation of above issues and its purpose is to gain a foundation of a nursing intervention that can help to improve the qualify of life of an osteoporosis patients. The method of collecting data is collecting a questionnaire survey, individual interviews and records and the collected 123 questionnaire surveys are utilized for an data analysis. Questionnaire surveys are conducted in K and S Universities infirmaries and K general hospital in Seoul and C and J general hospital in near Seoul area from Sep. 27th to Nov. 4th, 2000. The instruments of this study were as follows: Yoon's used the revised and supplemented instrument to test the level of the knowledge of osteoporosis and she referred to the substance of Cassells & Knotz. Lee's revised and supplemented the instrument called Health Promoting Life style Profile that were invented by Walker, Sechrist & Pender and she used it to test the health promoting behaviors with the questionnaires added by this researcher. They are not related to the quality of life but relevant to the patients. Ro's tested the quality of life with the instrument that was invented by herself. The results of this study were as follows. 1. The general characteristics of this study subjects showed that the age of the patients was concentrated from 50 to 59. The periods after menopause was mainly from 6 to 10 years. Subjective symptoms that patients usually complain were musculoskelectal symptoms. 2. The results of measuring the level of the knowledge of osteoporosis, the health promoting behaviors and the quality of life were following. The level of the knowledge was the score 19.83 and it was above middle score out of the score 27 as full marks. In the result of the health promoting behaviors test, the score average was 2.58 with 4 point rating scale and it was about middle score. The quality of life test showed that average score was 2.92 with 5 point rating scale and it indicated that the quality was also around middle score. 3. The statistical test in the activities for promoting health according to the general characteristics of the patients showed that only monthly income has statistically significant difference(F-4.761, p=.004). The same test for the qualify of life indicated that the quality of life was higher from 1 to 5 years after menopause but it was not meaningful statistically. 4. In the correlation among the level of knowledge of osteoporosis, the health promoting behaviors and the qualify of life of the patients, showed a relationship between the health promoting behaviors and the qualify of life. The higher the health promoting behaviors, it was also higher the quality of life. But it was statistically significant with significant positive correlation.

• 한국융합학회논문지
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• 제1권1호
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• pp.57-67
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• 2010

본 연구는 주관적 구강건강수준에 영향을 미치는 요인들을 조사 분석하고, 구강질환 예방과 구강보건 향상을 위한 프로그램을 개발하는데 필요한 기초자료를 제공함으로써 지역사회주민의 건강증진과 삶의 질을 높이는데 목적을 두었다. 조사기간은 2010년 5월 2일에서 6월 22일까지 영남지역 성인을 대상으로 하였으며 조사한 결과 다음과 같다. 주관적 구강상태는 '매우 나쁘다' 는 응답률이 40.4%로 가장 높았고 결손치는 41.3%가 있었으며 보철치는 61.5%가 없었다. 치아우식증은 57.5%가 있었고 치주질환자는 38.6%가 없었으며, 부모님이 틀니를 장착하였다는 자가 41.3%이었다. 구강보건지식수준은 구강건강상태가 좋은 편이고, 보철치가 있으며, 악관절 이상이 없는 자에서 각각 타군보다 높았다. 구강보건 실천수준은 구강건강상태가 좋은 편에서, 보철치가 있는 자에서 각각 높았으며, 식생활 행태수준은 구강건강상태가 좋은 편에서, 치아우식증이 없는 자에서, 악관절 이상이 없는 자에서 각각 타군보다 높았다.

• 한국콘텐츠학회논문지
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• 제16권5호
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• pp.399-409
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• 2016

고혈압 환자의 증가와 함께 건강관련 삶의 질 향상을 위한 노력이 이루어지고 있다. 따라서 건강관련 삶의 질에 영향을 미치는 요인을 확인하는 것은 고혈압 환자의 건강증진을 위한 전략을 제시하는데 주요한 근거가 된다. 본 연구는 고혈압 환자의 건강관련 삶의 질에 영향을 미치는 요인을 건강관련 삶의 질 수준에 따라 파악하고자 2차자료 분석을 수행하였다. 본 연구의 대상은 고혈압으로 의사에게 진단받은 1,240명의 고혈압 환자이며, 자료분석은 SPSS 23.0 및 STATA 13.0 프로그램을 이용하여 기술통계, 다중회귀분석, 분위회귀분석을 실시하였다. 다중회귀분석 결과에서는 활동제한, 우울감, 주관적 건강상태가 포괄적인 건강 상태를 나타내는 건강관련 삶의 질에 유의하게 영향을 미쳤다. 그러나 분위회귀분석 결과에서는 건강관련 삶의 질 수준이 낮은 고혈압 환자 그룹과 건강관련 삶의 질이 높은 고혈압 환자 그룹에서 건강관련 삶의 질에 영향을 미치는 요인이 상이한 것으로 나타났다. 우울감과 주관적 건강상태는 건강관련 삶의 질 상위 60%까지 유의한 영향요인으로 나타났고, 평소 인지된 스트레스와 3일 이상의 규칙적 운동은 건강관련 삶의 질 하위 20%에서 유의한 영향요인으로 나타났다. 현재 음주상태는 건강관련 삶의 질 하위 20%와 상위 80%에서 유의한 영향요인으로 나타났다. 이러한 연구결과는 고혈압 환자의 건강관련 삶의 질 수준별 건강 행태 개선을 위한 맞춤형 건강중재 계획에 실제적인 근거가 될 것이다.

• 한국산학기술학회논문지
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• 제21권6호
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• pp.161-169
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• 2020

본 연구는 중년기 여성의 신체 및 정신건강이 삶의 질에 미치는 영향요인을 파악하기 위해 시도 되었다. 한국의료 패녈 2016년도 자료를 근거로 2차 자료 분석을 실시하였으며, 40~64세 중년기 여성 2,437명이 최종 분석대상이 되었다. 자료 분석은 SPSS 23.0 프로그램을 사용하여 기술통계, t-test, ANOVA, 상관관계 및 다중회귀분석을 실시하였다. 본 연구 결과에서 일반적 특성에 따른 삶의 질은 경제 활동을 하는 경우, 음주나 흡연을 하는 경우, 규칙적인 신체활동을 하는 경우가 하지 않은 중년여성 보다 삶의 질이 높았다. 신체건강에 따른 삶의 질은 주관적인 건강상태, 체질량 지수, 신체적 제한을 가진 개수에 따른 차이가 통계적으로 유의하였다. 정신건강에 따른 삶의 질은 스트레스, 좌절, 수면 시간, 자살생각의 모든 정신건강 요인에 따른 차이가 통계적으로 유의하였다. 삶의 질은(EQ-5E)에 영향을 미치는 요인으로는 청력문제, 시력문제, 섭식문제, 활동제한을 가지고 있는 개수(β=-.380, p<.001), 주관적 건강상태(β=.259, p<.001), 스트레스(β=-.118, p<.001), 자살생각(β=-.058, p=.001)이고, 이 요인들은 삶의 질을 33.9% 설명하는 것으로 나타났다(F=308.693, p<.001). 따라서 중년기 여성의 삶의 질을 향상시키기 위해 건강관련 문제와 활동제한 개선을 위한 건강관리와 더불어 주관적인 건강상태를 향상시킬 수 있는 긍정적 인식태도와 스트레스와 자살생각을 감소시키기 위한 심리적 간호중재 프로그램 개발 방안이 마련되어야 할 것이다.