연구 대상자의 일반적 특징과 분포를 파악하기 위
해 빈도와 백분율, 평균과 표준편차를 산출하였고, 각 요인들의 통계적 관련성을 알아보기 위해 독립 표본 t검정과 chi-square검정을 실시하였다. 또한 구강건강관련 삶의 질(oral health related qualityoflife, OHIP)과 자기평가 우울척도(self-relating Depression Scale, SDS)에 있어 두 집단간 차이를 보 기 위해 독립표본 t검정이 사용되었다. SDS는 각 요 인별로 합산 후 선행논문의 결과에 따라 ‘우울감이 있
Our findings suggest the importance of evaluating and man- aging the psychosocial illness and impairment inqualityoflifein CLBP patients and imply that these should be thought of as part of regular follow up. Psychological support and treatment is an important step in the patients with CLBP to minimize depression, and anxiety and improve qualityoflife. Although significant sleep disturbance was not found in CLBP patients in the current study, we still need to pay attention to the nature of sleep. A multidisciplinary approach including rehabilitation and psychiatry is critical to result in good therapeutic outcome.
주제어 : 유방암절제술, 가정치료융합치료프로그램, 팔 기능, 작업수행력, 우울, 삶의 질
Abstract This study applied a home therapy convergence program to patients who had undergone mastectomy and examined its effects on their arm functions, occupational performance, qualityoflife, anddepression. The number of subjects was 20. The subjects were those who visited an occupational therapy room as outpatients and received the intervention twice per week, forty minutes per each time, for 12 weeks. In order to look at their arm functions before and after the intervention, K-DASH was employed and their edema was measured with a tape line. In order to examine their occupational performance, qualityoflife, anddepression before and after the intervention, COPM, FACT-B, and BDI, respectively, were utilized. After the intervention, their arm functions significantly increased, but their edema did not significantly decrease, their occupational performance andqualityoflife significantly improved, and their depression was significantly reduced. Thus, a home education convergence program positively affected mastectomy patients’ arm functions, occupational performance, qualityoflife, anddepression.
Abstract The study aims to evaluate job stress, self-efficacy, depressionand health-related qualityoflife according to musculoskeletal symptoms of the ordinary white-collar worker. The subjects of the study were 83 workers who were working D Health Center and Dgu office of Gwangju Metropolitan City and they were voluntarily interviewed with a use of organized questionnaire. Except the responses from three subjects whose responses were insincere of 102 ones were decided for the final analysis. The results showed that there were significant differences in all job stress, self-efficacy, depressionand health-related qualityoflife according to musculoskeletal symptoms. Depression, self-efficacy, job stress were significantly correlated; however, health related to qualityoflife was not. Therefore, as the results indicate that job stress, self-efficacy, depressionand health-related qualityoflife can be affected by musculoskeletal pain for office workers, there is a need for the development of programs focused on the prevention of musculoskeletal discomfort.
주제어 : 감염병 대유행, 구강건강, 삶의 질, 우울증, 융합
Abstract This study aims to provide basic data to identify the effects of oral health behavior and autologous oral health symptoms on factors that affect qualityoflifeof COVID-19 (coronavirus disease 19) depression. This study collected data from July 2020 to September 2020, the research method was finally analyzed for 89 people in the group ofdepression non-increase and 86 people in the group ofdepression due to COVID-19. As an analysis method, oral health behavior, autologous oral health symptom andqualityoflife were compared, and the hierarchical regression analysis was implemented to check the effect ofdepression on the qualityoflife. As a result, the effects ofdepression (β=-0.155, p=0.012) and autologous oral health symptoms (β=0.524, p<0.001) were significant as a result of controlling demographic characteristics and checking the effects on qualityoflife. Therefore, it is urgent to develop programs related to the mental health of the community to relieve depressionand anxiety with COVID-19, and public relations activities will be needed to relieve anxiety about dental visits so that dental treatment can be received at an appropriate time.
The statistical program SPSS version 20.0 (IBM Co., Ar- monk, NY, USA) was used for data processing and sta- tistical analysis. Patients were presented as number and percentage for each assessment, and continuous vari- able results were presented as medium values and inter- quartile using a t test. According to the presence of Beh- cet disease activity and sleep disturbance, variables were compared in the two groups, and Mann-Whitney U test was used for analysis. By setting the Behcet disease ac- tivity as a continuous variable, Spearman correlation coefficients were used to examine the correlations be- tween the factors which associated with Behcet disease activity such as BDI-2, BDQoL, total PSQI, and subsec- tion PSQI. Logistic regression analysis was performed to detect the independent risk factors for the occurrence of sleep disturbance. In the analysis, each factor was an
The current study had some limitations. First, due to the cross-sectional design, we could not confirm the causal relationship between the RFS and mental disor- ders or QoL. Second, only the RFS was used to assess the dietary quality, and no instruments were used for evaluating the total intake or intake of nutrients. Never- theless, to the best of our knowledge, this study is the first to show a favorable association of the RFS with mental health and QoL in Korean adults. Spiritual well- being is strongly associated with all other domains of QoL (overall QoL, and mental, physical, emotional, and social well-being) . Although the exact reason for the findings in this study is unclear, several explanations have been highlighted above. In any case, the current re- sults infer the benefits of high diet quality on mental
국내의 활인심법은 서론에서 전술한 바와 같이 중국에서 유래되어 1550년에 조선으로 들어와 당시 경주부에서 목판 본으로 신간 간행된 것이다. 상권에는 주로 양생법을 하권에는 우리 인간에게 발생하는 경, 중병을 예방 치료하는 보 양음식, 증상별 처방 등을 수록하였다 9) . 본 연구진은 기공, 태극권, 요가 등의 전 술한 수련법과 마찬가지로 활인심법을 수련하는 것이 여성 암환자의 삶의 질을 개선시키고 불안 정도를 감소시킬 것 이 라는 가설을 세우고 이를 검증하기 위하 여 시행하였다. 이러한 삶의 질을 평가 하는 도구로써 Functional Assessment of Cancer Therapy-General (FACT-G)은 암환자의 신체적, 심리사회적, 기능적 삶 의 질을 모두 포괄하고 있으며 국내에서 도 번역판이 나와 신뢰도와 타당도를 이 미 검증받았다 20) . 또한 불안 정도를 알 아보기 위한 평가 도구로써 State-Trait Anxiety Inventory (STAI)를 김정택 등 이 번역한 것을 사용하였다 12) . STAI는 상태 불안과 특성 불안을 함께 측정할 수 있는 장점이 있어 불안 정도를 평가 하는데 유용한 평가 도구이다 12) .
Department of Nursing Science, Youngsan University
요 약 본 연구는 J시 보건소의 노인 허약 예방프로그램이 지역사회 경로당 이용 노인의 주관적 건강상태, 우울, 체력 및 삶의 질 에 미치는 효과를 검증하기 위한 비동등성 대조군 전․후 시차 설계를 이용한 유사실험연구이다. 프로그램에 참여한 대상자는 경로당을 이용하는 노인으로 총 43명으로 이 중 실험군 22명, 대조군 21명 이었으며, 연구기간은 2015년 9월 1일부 터 10월 16일까지 8주간, 주 2회 허약노인 예방프로그램을 운영하였다. 자료 분석은 SPSS/WIN 21.0 프로그램을 이용하여 χ2-test와 t-test 등으로 분석하였다. 허약노인 예방프로그램 적용 후 주관적 건강상태(t=-0.35, p=.024), 우울(t=2.76, p=.035), 체력 중 오른손의 압력(t=-3.10, p=.004)과 허리 유연성(t=-2.13, p=.039) 그리고 삶의 질(t=4.36, p<.001)이 차이가 있는 것으로 나타났으며, 두 군 간에 통계적으로 유의한 차이가 있는 것으로 나타났다. 따라서 지역사회 경로당을 이용하는 노인들을 위한 허약 예방프로그램이 노인들의 주관적 건강상태, 우울, 체력 및 삶의 질을 향상시킬 수 있는 유용한 간호중재 프로그램임을 확인 할 수 있었다.
주제어 : 삶의 질, 청력장애, 노인, 국민건강영양조사, 간호
Abstract The Purpose of this paper was to explore the effect of hearing impairment on HRQOL in Korean elders. We carry out a cross-sectional analysis using nationally representative data from the KNHANES, 2016-2018. The survey was conducted on 4,754 elders who responded to questions about hearing impairment. Quality oflife was compared between hearing impaired eldersandelders with no hearing impairment using the t‐test and chi‐square test, and factors related to qualityoflife were analyzed by multivariate logistic regression using SPSS version 22.0. There was significant difference inqualityoflife between hearing impaired eldersandelders with no hearing impairment. Walking exercise were identified as factors related to qualityoflifeinelders with hearing impairment, while marriage status, walking exercise and limited movement were found to be related to qualityoflife among elders with no hearing impairment. In order to improve the HRQOL ofelders with hearing impairment, multidisciplinary efforts and development of educational programs are required.
본 연구 결과, 난임 여성의 난임 관련 삶의 질에 영향을 미치는 두 번째 요인은 피로로 나타났고 피로군으로 분류되는 대상자는 37 %에 이르렀다. 본 연구의 대상자들은 보조생식술 단계가 52 . 2 % 로 반복적인 진료와 검사 등이 신체적 부담과 긴장을 유발하였을 Table 4. Correlations among fatigue, depression, marital intimacy, and fertility-related qualityoflife (N=140)
Abstract This study was conducted to determine the correlation between breakfast consumption and health-related qualityoflifein elderly adults. It analyzed the data from the National Health and Nutrition Examination Survey from 2010 to 2012, using a sample of 4,035 people aged 65 or above. Analysis followed the SAS SURVEY procedure, considering the complex sample design. A t-test, a chi-square test, and logistic regression analysis were performed using SAS version 9.3. The rate of skipping breakfast by elderly adults was 4.7%, and it was higher in women and elderly adults living alone. It also significantly differed by drinking status and BMI. Elderly adults consuming breakfast had slightly higher scores on the health-related qualityoflife measure than those who did not (0.85 vs 0.81). Results revealed that health-related qualityoflife increased with meal frequency, and that elderly adults who ate breakfast tended to score better on the pain/discomfort and anxiety/depression domains of the health-related qualityoflife measure. It was found that breakfast consumption associated with health-related qualityoflifein elderly adults. Accordingly, it is necessary to increase awareness among elderly adults regarding the importance of breakfast, and to improve their health-related qualityoflife by developing and implementing interventions to improve dietary habits.
Polio-specific questionnaire. The polio-specific questionnaire contained detailed ques- tions about the age of onset of poliomyelitis, the presence of upper and/or lower limb(s) paraly- sis, the presence of gradual or sudden onset of progressive and persistent muscle weakness
Fig 1. Schematic representation of data collection for the study. Outpatient Clinic at Seoul National University Bundang Hospital and at National Rehabilitation Center. K-MBI = Korean version of Modified Barthel Index; SPPB = Short Physical Performance Battery; BPI = Brief Pain Inventory; BFI = Brief Fatigue Inventory; BDI = Beck Depression Inventory; EQ-5D = Euro QoL Questionnaire 5-Dimensional Classification
3) 삶의 질 측정 도구
삶의 질에 관한 측정도구로는 WHO에서 개발되고 민 성길 15) 등이 수정·보완하여 신뢰도와 타당도가 검증된 ‘ 세계보건기구 삶의 질 간편형 척도 ’ (WHO qualityoflife scale, WHOQOL-BREF)를 수정 · 보완하여 사용하였고, 총 25문항으로 구성하였으며, 하위영역으로는 신체적 영역, 심리적 영역, 사회관계 영역, 생활환경 영역, 전반적인 삶 의 질 등 5개의 영역으로 구성하였다. 각 문항은 Likert 5 점 척도를 사용했으며 ‘ 매우 그렇다 ’ 5점, ‘ 그렇다 ’ 4점, ‘ 보통이다 ’ 3점, ‘ 그렇지 않다 ’ 2점, ‘ 매우 그렇지 않다 ’ 1점 으로 하여 그 점수를 총합하여 사용하였다. 부정적인 생각 에 관한 문항의 경우에는 역 코딩 방식으로 점수를 부여하 였으며, 점수가 높을수록 삶의 질이 높은 것으로 하였다.
Employment status was coded as 1 if respondents answered that they were working and 0 oth- erwise. We did not distinguish retirees from non-retirees in this analysis so that those who were coded as unemployed might include retirees as well. HRQOL was measured using EQ- 5D, which was relatively short and widely used in health related literature. Participants were asked to rate their level of mobility, self-care, usual activity, pain/disability, and anxiety/depres- sion in the EQ-5D questionnaire using a 3-point Likert scale. There are about 13 countries including UK, USA, and Japan that have well-established weight system to calculate the EQ- 5D scores from the scale. In calculating the HRQOL scores using EQ-5D, we utilized the South Korean population-based preference weights for EQ-5D suggested by Lee et al  in which a higher score of EQ-5D indicated better HRQOL of a respondent. We used relevant covariates including age, marital status, education level, alcohol drinking, smoking, and the presence of chronic disease; age groups (young age: 18 –40, middle age: 41–60, old age: over 61 years old), marital status (having spouse or no spouse), education level (less than elementary school, mid- dle/high school graduation or more than graduating from university), alcohol drinking (yes or no), smoking (yes or no), the prevalence of doctor-diagnosed chronic disease (yes or no).