만성(慢性) B형(型) 간염환자(肝炎患者) 삶의 질(質)

김헌수,이민규,Kim, Hun-Soo,Lee, Min-Kyu 한국정신신체의학회 1998 정신신체의학 Vol.6 No.1

Objectives : The purpose of this study was to determine correlation between coping strategies to disease and quality of life in chrome viral B hepatitis patients ; to investigate difference of coping strategies to disease and quality in life between chronic viral B hepatitis patients and normal persons ; and to identify major variables related to quality in life of chronic viral B hepatitis patients. Methods: The authors used Weisman coping strategy scale for measuring coping ability and efficacies, and the questionnaire for measuring quality of life including physical, psychological, social and economical aspects and satisfaction of sexual life was made by authors based on related literatures. Data were collected through questionnaire survey over a period from Sep 15, 1994 to Nov 11, 1994. Subjects served for this study consisted of 94 chronic viral B hepatitis patients visited to department of internal medicine at one general hospital and 100 normal persons visited to one general hospital for routine check up of health. The collected data were analyzed by SAS and the statistical methods for analysis were Chisquare, t-test and multiple regression analysis. Results : 1) It was revealed that coping strategies to disease significantly correlated to individual's quality of life. 2) There was no significant difference in coping strategies to disease between chronic viral B hepatitis patients and normal persons. However, chronic viral B hepatitis patients showed the lower scroes of quality of life in physical, psychological and economical aspects. 3) The most important variables which were influenced upon quality of life were coping strategies to disease and satisfaction of sexual life. That is, the more active coping strategies to diseases and the higher satisfaction of sexual life, consequently the higher quality of life was. Especially male patient group or normal persons showed each other the higher scores of quality of life in physical and psychological area than female group or patient group. 4) No statistically significant difference in coping strategies to disease and quality of life was found between HBeAg positive group and HBeAg negative group. Conclusions : The authors suggest that chronic viral B hepatitis patients may show the lower score of quality of life than normal person. Therefore, quality of life assessment should become an integral part of all clinical area that seek to assess the effectiveness of treatment. Also, through the interdisciplinary approach, a comprehensive paradigm that can better account for the effects of chronic disease on the individual' s quality of life should be developed.

모바일 환경에서의 삶의 질 측정모형에 관한 연구

신범순(Shin Beum Soon) 한국컴퓨터게임학회 2006 한국컴퓨터게임학회논문지 Vol.8 No.-

본 연구는 정보사회의 모바일환경(Mobile-environment)에서의 삶의 질의 개념을 정의하고 구성요소를 파악하여 측정모형(measurement model)의 타당성을 검증하였다. 본 연구에서의 삶의 질의 개념은 삶의 주체인 인간이 환경과의 상호작용을 통해 삶을 영위하는 과정에서 느끼는 '주관적 삶의 질(Subjective quality of life)'로 정의하였으며, 이를 '개인과 환경과의 적합성(Person-environment fit)'을 통해 측정하였다. 본 연구는 모바일 환경에서의 삶의 질 측정척도를 개발하기 위해 2차례의 예비조사를 거쳐서 최종적으로 본조사를 실시하였으며, 이를 통해 개발된 8개의 삶의 질 차원과 차원별로 최종선정된 측정항목 38개를 가지고 각 차원별로 측정항목들간에 존재하는 명확한 단일차원성(unidimentionality)을 확인하고 구성개념 타당성(construct validity)를 평가하기 위해 AMOS 5.0을 활용하여 확인적 요인분석(confirmatory factor analysis)을 실시하였다. 한편 지표구성 항목에 대해 타당도를 확인하고 구성항목 간의 내적일관성을 파악하기 위해 알파신뢰도계수(Cronbach α-reliability coefficient)를 산출하였다. 또한 부가적으로 성별과 이동통신이용 만족도에 따른 삶의 질 수준의 차이를 검증하기 위해 이원분산분석(two-way ANOVA)을 하였다. 분석결과를 요약하면 다음과 같다. 첫째, 모바일환경에서 삶의 질의 구성요소는 7가지, 즉 사회성, 여가문화, 기능성, 안전성, 경제성, 건강성, 자율성으로 밝혀졌다. 둘째, 구성요소의 개념에 따른 각 측정항목을 이용하여 확인적 요인분석을 하여 얻은 측정모형의 전반적 적합지수는 ×2, RMR, GFI, AGFI, NFI의 기준에 비추어 볼 때 대체로 평가기준을 충족시키는 것으로 나타나 모바일환경에서의 삶의 질의 측정모형으로 적합한 것으로 판단되었다. 부가적으로 이동통신이용 만족집단이 불만족 집단보다 여가문화, 기능성과 관련한 삶의 질 수준이 더 높다는 것과 남자가 여자보다 이동통신이용 만족도와 기능성측면에 있어서의 삶의 질에 더 관계있음을 보여주었다. 이와 같은 연구결과는 모바일환경에서 삶의 질의 구성요소와 측정모형을 체계적으로 분석하고 잠재변수(구성개념construct)들을 측정하기 위한 새로운 척도들을 개발했다는 점에서 의의가 있다. 향후 개발된 측정모형을 기반으로 다양한 평가와 적용이 수행될 필요성이 있다. 본 연구는 모바일환경에서 주관적 삶의 질을 과학적이고 경험적으로 측정한 척도를 제공함으로써 정보화의 궁극적인 목표인 기술적 진보와 삶의 질 향상 간의 균형이 유지되도록 삶의 질 수준이나 가치를 지속적으로 파악하는데 유의미한 시사점을 주고 있다. The article defines a concept of life quality and tests a validity of measurement method in a mobile-environment. The concept of life quality is defined as a subjective quality of life, which is measured in terms of the person-environment fit. The scale of measurement consists of 8 dimensions of life quality and 38 measurement items. The assessment of construct validity is performed through the confirmatory factor analysis which utilizes AMOS 5.0. I produce the Cronbach a-reliability coefficient in order to comprehend a validity and a consistence between indexes. I use the two-way ANOVA to test differences of life quality between sex and a fulfillment of mobile user. I can summarize results as followings. First, the elements of life quality in the mobile-environment consist of sociality, leasureㆍculture, function, security, economy, health and autonomy. Second, the total fit index satisfies the assessment standard. In addition, the satisfactory group is higher in the quality of life related to the leasureㆍculture and the function than the unsatisfactory group, and men's group is higher in the quality of life related to the fulfillment and the function than women's. This article finds out new scales and constructing elements of life quality. The developed measurement model can be applied to assessments to general relations between a quality of life and a mobile environment. The thesis has an important significance in that it seeks for a balance between a technological progress of informationization and an improvement of life quality as providing the scales to measure scientifically and empirically the subjective quality of life in the moble.

중증뇌성마비 아동의 건강관련 삶의 질

고주연,이병희,김민영 대한재활의학회 2009 Annals of Rehabilitation Medicine Vol.33 No.4

Objective: To describe the motor development and quality of life in children with severe cerebral palsy (CP) stratified by gross motor function classification system (GMFCS), and to investigate various factors that affect quality of life in these subjects. Method: Ninety eight children with severe cerebral palsy, mean age 5.8y, were included. The assessment consisted of a clinical evaluation of gross motor function measure (GMFM), a semi-structured interview for child health questionnaire (CHQ), and a review of medical records. Results: CP in GMFCS level V showed lower mean score of GMFM and CHQ than level IV (p<0.05). Scores that present physical quality of life were lower than scores of psychosocial quality of life (p<0.05). Motor distribution and sex were found to be significant factors that affect quality of life in children with severe CP (p<0.05). In particular, as the father’s education level is higher, the physical quality of life in CP is better (p<0.05). Conclusion: In this study, we report general life quality status of children with severe CP in Korea. Some factors such as severity and distribution of paralysis of the CP, sex, parental factor were found to affect their quality of life. We suggest that it is necessary to consider not only motor function, but also quality of life for children with severe CP. Objective: To describe the motor development and quality of life in children with severe cerebral palsy (CP) stratified by gross motor function classification system (GMFCS), and to investigate various factors that affect quality of life in these subjects. Method: Ninety eight children with severe cerebral palsy, mean age 5.8y, were included. The assessment consisted of a clinical evaluation of gross motor function measure (GMFM), a semi-structured interview for child health questionnaire (CHQ), and a review of medical records. Results: CP in GMFCS level V showed lower mean score of GMFM and CHQ than level IV (p<0.05). Scores that present physical quality of life were lower than scores of psychosocial quality of life (p<0.05). Motor distribution and sex were found to be significant factors that affect quality of life in children with severe CP (p<0.05). In particular, as the father’s education level is higher, the physical quality of life in CP is better (p<0.05). Conclusion: In this study, we report general life quality status of children with severe CP in Korea. Some factors such as severity and distribution of paralysis of the CP, sex, parental factor were found to affect their quality of life. We suggest that it is necessary to consider not only motor function, but also quality of life for children with severe CP.

1999년과 2007년 전국 비교를 위한 소아 천식 환자의보호자 삶의 질 설문에 대한 예비 연구

황승재,민재웅,이세민,김창렬,염명걸,이하백,오재원 대한 소아알레르기 호흡기학회 2008 Allergy Asthma & Respiratory Disease Vol.18 No.2

Purpose:Childhood asthma is one of the most frequent chronic inflammatory diseases of the respiratory tract and can have profound effects on emotional, and economical aspects not only for childhood asthma patients, but also the patient's caregivers. The research on health-related quality of life is increasing worldwide for clinical assessment of asthma; it was also performed has been done in Korea in 1999 under the supervision of The Korean Academy of Pediatric Allergy and Respiratory Disease (KAPARD). We compared and evaluated the data from the questionnaire between 1999 and 2007 in order to obtain the pilot data for a nation-wide study on the life quality of childhood asthma caregivers. Methods:We selected childhood asthma patients at the Department of Pediatrics, Hanyang University Seoul Hospital and Guri Hospital. The contents and categories of the questionnaire were identical with the one developed by KAPARD, the questionnaire were filled up twice at first & second visit, divided into emotion and activity domains. All items were rated on a 5 scores from 1 to 5: 1, a lower quality of life; and 5, a satisfactory quality of life. For the validity of the study, the caregivers filled up the first and the second questionnaire at least at 1-week intervals the measurement of forced expiratory volume 1 (FEV1) at each time and also added an item in the second questionnaire which compared the difference between 2 visits, subsequently scoring +5 for the most improved state, -5 for the most aggravated state and 0 for the stationary state. We divided the patients into the stable and changed groups according the total score of the second questionnaire: the stable group had the score of -1, 0 or +1, and the changed group, +5 to +2 and -2 to -5. We analyzed the differences scores between the first and the second questionnaire from the changed group with the paired t test. Results:In this study, may higher scores in the second visit suggested successful management of asthma may contribute to the improvement in the caregiver's quality of life. Particularly, items such as "Frustration", "Embarrassment", "Worry about daily works" and "Concern about side effect of medicine" have been improved in the emotion domain, and "sleepless", "Night awakening", and "Disturbance of housework" in the activity domain. Between 1999 and 2007, "Concerning", and "Concern about ordinary works" has been improved in the first visit, and "Disturbance of houseworks", “Worry about daily works” and "Concern about side effects of medicine" in the second visit. Conclusion:The results of this study suggest that there may be no significant different items regarding the quality of life between the stable and changed groups, suggesting that our questionnaire can be applicable to clinical practice. Purpose:Childhood asthma is one of the most frequent chronic inflammatory diseases of the respiratory tract and can have profound effects on emotional, and economical aspects not only for childhood asthma patients, but also the patient's caregivers. The research on health-related quality of life is increasing worldwide for clinical assessment of asthma; it was also performed has been done in Korea in 1999 under the supervision of The Korean Academy of Pediatric Allergy and Respiratory Disease (KAPARD). We compared and evaluated the data from the questionnaire between 1999 and 2007 in order to obtain the pilot data for a nation-wide study on the life quality of childhood asthma caregivers. Methods:We selected childhood asthma patients at the Department of Pediatrics, Hanyang University Seoul Hospital and Guri Hospital. The contents and categories of the questionnaire were identical with the one developed by KAPARD, the questionnaire were filled up twice at first & second visit, divided into emotion and activity domains. All items were rated on a 5 scores from 1 to 5: 1, a lower quality of life; and 5, a satisfactory quality of life. For the validity of the study, the caregivers filled up the first and the second questionnaire at least at 1-week intervals the measurement of forced expiratory volume 1 (FEV1) at each time and also added an item in the second questionnaire which compared the difference between 2 visits, subsequently scoring +5 for the most improved state, -5 for the most aggravated state and 0 for the stationary state. We divided the patients into the stable and changed groups according the total score of the second questionnaire: the stable group had the score of -1, 0 or +1, and the changed group, +5 to +2 and -2 to -5. We analyzed the differences scores between the first and the second questionnaire from the changed group with the paired t test. Results:In this study, may higher scores in the second visit suggested successful management of asthma may contribute to the improvement in the caregiver's quality of life. Particularly, items such as "Frustration", "Embarrassment", "Worry about daily works" and "Concern about side effect of medicine" have been improved in the emotion domain, and "sleepless", "Night awakening", and "Disturbance of housework" in the activity domain. Between 1999 and 2007, "Concerning", and "Concern about ordinary works" has been improved in the first visit, and "Disturbance of houseworks", “Worry about daily works” and "Concern about side effects of medicine" in the second visit. Conclusion:The results of this study suggest that there may be no significant different items regarding the quality of life between the stable and changed groups, suggesting that our questionnaire can be applicable to clinical practice.

해양경찰공무원의 직무 스트레스와 삶의 질 관계

유재두 한국경찰학회 2020 한국경찰학회보 Vol.22 No.2

이 연구는 해양경찰관의 직무 스트레스 하위영향요인과 삶의 질 하위요인 관계 분석에 목적이 있다. 해양경찰공무원의 삶의 질에 영향을 미치는 직무 스트레스 영향요인을 파악한다면 해양경찰공무원 뿐만 아니라 해양경찰 조직에도 긍정적 효과를 미칠 수 있다. 그러나 해양경찰공무원을 대상으로 직무 스트레스와 삶의 질과 관련된 연구는 매우 부족한 형편이다. 연구 목적을 달성하기 위해 현재 해양경찰공무원 197명을 대상으로 연구를 진행하였다. 해양경찰공무원의 직무 스트레스와 삶의 질에 대해서 연구 설계에 따라 다양한 유형으로 접근할 수 있다. 이 연구의 설계는 직무 스트레스 유형을 업무요인, 조직요인, 보상요인, 대인요인으로 구성하였고, 삶의 질 유형은 여가관계, 가족관계, 사회관계로 구분하여 진행하였다. 요인분석 결과 직무 스트레스의 업무요인을 제외한 나머지 요인을 중심으로 연구 설계와 동일한 요인을 중심으로 분석하였다. 분석 결과 직무 스트레스 전체 요인과 삶의 질 단일문항은 유의한 결과로 나타났다. 직무 스트레스 유형과 삶의 질 단일문항 분석 결과 보상요인만 유의하였으나 조직요인과 대인요인은 관련이 없는 것으로 나타났다. 직무 스트레스 유형과 삶의 질 유형별 분석 결과의 경우 직무 스트레스 유형인 보상요인은 삶의 질 여가관계, 가족관계, 사회관계에 유의한 결과로 나타났다. 직무 스트레스 유형중 조직요인의 경우 삶의 질 유형인 여가관계와 가족관계는 유의하였으나 사회관계는 관련이 없는 것으로 나타났다. 직무 스트레스 유형 중 대인요인은 삶의 질 유형인 여가관계, 가족관계, 사회관계 모두 관련이 없는 것으로 나타났다. 분석 결과 직무 스트레스 중 보상요인이 가장 중요한 요인으로 나타났고, 다음은 조직요인으로 나타났다. 이 연구 결과를 중심으로 해양경찰공무원의 직무 스트레스를 감소시킬 방안과 삶의 질을 향상 할 수 있는 정책이 필요할 것으로 보인다. The purpose of this study is to deal with the job stress and quality of life for coast guard officers. There are many studies of work stress and quality of life relationship between ordinary people and civil servants. But the job stress and quality of life studies of coast guard officers are very insufficient. In particular, the study divided job stress from quality of life by type. To achieve the purpose of the study, the research was conducted on 197 coast guard officers. The concepts of job stress and quality of life vary. In this study, job stress types consisted of task, organizational, reward, and interpersonal factors. Quality of life types consist of leisure relationships, family relationships, and social relationships. The analysis results excluded the work factors. Studies have shown that job stress and quality of life are significant results. An analysis of job stress types and quality of life showed that only the compensatory factors were significant, but organizational and interpersonal factors were not relevant. Analysis by job stress type and quality of life type revealed that the reward factor that is job stress type was a significant result of quality of life leisure relationship, family relationship and social relationship. Among job stress types, leisure and family relationships, which are quality of life types, were significant, but social relationships were not relevant. Among job stress types, it was found that the main factors were not related to the quality of life, the leisure relationship, the family relationship, and the social relationship. The analysis shows that compensation factors are the most important factors in job stress, and the following are organizational factors. Based on the results of the study, the government will need measures to reduce job stress for coast guard officers and policies to improve the quality of life.

노인들의 삶의 질이 자살생각에 미치는 영향에 관한 연구

백우진 ( Woo Jin Baik ),서태수 ( Tae Soo Suh ) 한국노인의료복지학회 2010 노인의료복지연구 Vol.2 No.2

The purpose of this study was to examine the impact of the quality of life of the elderly on their suicide ideation. Given the sociocultural characteristics of Korean elderly people, it was not an easy task to conduct a survey to find out their suicide ideation, and the third(2005) national health and nutrition survey data on 34,152 senior citizens were utilized in this study. Out of the data, the answer sheets from 1,074 who answered to the question whether they had ever thought of death over the last year were analyzed. That question was selected as one of dependent variables in that survey. After the data were analyzed, the following findings were given: As for the relationship of demographic characteristics to the quality of life and suicide ideation, they were statistically significantly different in the quality of life according to age, one of the demographic characteristics. The quality of life got lower with age. In terms of suicide ideation, suicide was most considered by those who were female, who didn`t have a spouse, who paid a key money or no money for the house and who benefited from health care insurance. Concerning the relationship of activity restriction to the quality of life and suicide ideation, problems with eye sight, mastication and walking and ADL made statistically significantly differences to the quality of life. Those who faced more difficulties in daily living lead a lower quality of life. All the activity restriction factors made statistically significant differences to suicide ideation, which indicated that inconveniences in routine life had an impact on suicide ideation. As to connections between the quality of life and suicide ideation, the quality of life(motor skills, self-management, daily life, pain/inconveniences, anxiety/depression) made a statistically significant difference to suicide ideation. Those who fell behind in quality of life thought more of suicide. In relation to factors affecting suicide ideation, a logistic regression analysis was conducted by selecting suicide ideation and the elements affecting the quality of life as a dependent variable and independent variables respectively, and the elderly people who had waning motor skills, who felt pain/inconveniences and who suffered anxiety/depression thought more of suicide.

농촌 노인의 삶의 질 향상에 미치는 요인

김숙경 한국노인복지학회 2004 노인복지연구 Vol.0 No.23

This study is to investigate the plan to raise the quality of life and to look for the variables to influence of the quality of the rural old aged men's lives. The subject of this study is 229 old aged people who are above 65 years old in Ham-pyunggun in junranam province. The survey consists of lots of questions to inform the general feature, family, health, income and financial state, daily life and leisure activity and the quality level of life. SPSS 10.0 for Windows program was used for the analysis. The results of this study is as follows. In case of the quality level of life according to the general feature of old aged people, there showed difference among them. Considering the relationship between family circumstance and the satisfaction of daily life, there shows significant positive correlation among the number of son who they have, satisfaction of daily life, satisfaction of residence and the number of their children. In the relationship between health situation and the quality of life, there shows significant positive correlation between present health state, health satisfaction and daily life inconvenience and no significant positive correlation with the number of disease that they have. Considering income and financial state and the quality of life, people who have income as main income source shows higher quality of life than people who have no. Considering the differences the quality of life according to daily life and leisure activity, the difference the quality of life according to the present works shows no significance but old aged people significantly shows lower quality of life than aged people who care for their grandchildren, talk with neighbor or friends and so on. In the relationship between satisfaction of leisure activity, inconvenience degree of daily life, degree to receive the help from others and the quality of life, higher interesting in leisure activity they have, or lower convenience in daily life, or higher degree of independence in daily life show higher the quality of life. The most important factor to influence the quality of life in old age is satisfaction of family life. Second influencing factor is degree of life convenience, in order, financial state of family, curing disease, satisfaction of leisure activities, case that they cannot do the works they want because of no time, daily tasks, TV, VTR, reading the newspaper, sex and financial income. 본 연구에서는 최근 심화되는 농촌지역 노인의 인구율과 초고령화에 따른 농촌 노인들의 삶의 질에 대한 정책적ㆍ실천적 관심이 제고되고 있음에 주목하여, 농촌지역 노인의 삶의 만족과 삶의 질을 실증 분석하여 보고, 이에 따른 관련 정책적 개선에의 함의를 도출하고자 하였다. 분석방법은 전남 함평군에 거주하는 65세 이상의 노인 229명을 대상으로, 삶의 질에 영향을 미치는 요인들을 인구사회학적 특성 및 경제적 요인, 사회ㆍ심리적 요인, 건강 및 의료적 요인, 여가생활 요인 등을 중심으로 빈도와 백분율, t-test, 피어슨 상관관계, Anova와 Duncan 검증, 위계적 중다회귀분석을 사용하였다. 분석결과, 노인의 일반적인 특성에 따른 삶의 질 수준에서는 성별, 연령, 학력, 결혼상태에서 유의한 차이를 나타냈다. 또한 삶의 질에 영향을 미치는 요인으로서 가족생활 만족도, 일상생활영역, 가정의 경제사정, 질병 치료여부, 여가활동에 대한 만족도, 성, 주 수입원 등의 순으로 나타났다.

Social Stigma and Quality of Life in the Female HIV/AIDS Patients

( Eunsuk Lee ) 한국모자보건학회 2018 한국모자보건학회 학술대회 연제집 Vol.2018 No.2

Background and Aim: Social stigma and discrimination associated with HIV/AIDS are viewed as one of the greatest challenges for the female HIV/AIDS patients. HIV-infected female patients are considered socially unusual. They are unpleasantly different from the public and threatening to the public. Stigmatization from the disease deeply degrades the person's overall quality of life. Stigma and discrimination are world events which seriously affect the lives of people with HIV/AIDS. Culturally, women are exposed to more stigma, especially women living with HIV are blamed of sexual deviances and adul-tery. Several studies have implied that women have been more vulnerable to stigma, especially when HIV/AIDS is mentioned as a transmittable sexual disease. The purpose of the study is to examine the relationships between social stigma and quality of life in female HIV/AIDS patients. Methods: This research used a descriptive study design. Data were collected using Stigma Scale for Receiving Psychological Help to measure social stigma and SF-12 to measure quality of life. A convenience sample of 78 female HIV/AIDS patients was recruited in C general hospital in C city. Data were analyzed with number, percentage, Pearson’s correlation, and multiple regression analysis using SPSS/Win 25.0. Inclusion criteria were age of 20 years or over and female HID/AIDS participants who were able to understand the purpose of the study and agreed to participate in this study. Result: Out of 78 participants, the majority was Caucasian (n=34; 45.6%), not married (n=64; 82.1%), employed (n=62; 79.5%), Bachelor’s degree earned (n=60; 76.9%), protestant affiliation (n=40; 51.3%), and middle class socioeconomic status (n=52; 66.7%). Most of the participants reported their previous awareness of HIV/AIDS (n=46; 59.0%). Participants’ average age was 48.03 (±8.11) and duration of illness in year was 2.10(±0.58). There was a significant positive correlation between quality of life physical component summary and previous awareness of HIV/AIDS (r=.31, p<.01); and between social stigma and duration of HIV/AIDS illness in years (r=.84, p<.01). There was a significant negative correlation between social stigma and quality of life physical component summary (r=-.45, p<.01); between social stigma and quality of life mental component summary (r=-.32, p<.01); between duration of HIV/ AIDS illness in years and quality of life physical component summary (r=-.56, p<.01); and between duration of HIV/ AIDS illness in years and quality of life mental component summary (r=-.28, p<.01). The regression model significantly explained 39% of the variances in terms of quality of life physical component summary; the most influential factor to predict quality of life physical component summary was socioeconomic status (β=.463, p<.01). The participant’s race ethnicity (β=.254, p<.01), religion (β=.087, p<.01), the duration of HIV/AIDS illness in years (β=-.050, p<.01), and social stigma (β=-.027, p<.01) were also significant predictors for quality of life physical component summary. The regression model significantly explained 16% of the variances in terms of quality of life mental component summary; the most influential factor to predict quality of life mental component summary was social stigma (β=-.427, p<.01). The duration of HIV/AIDS illness in years (β=-.387, p<.01) and previous awareness of HIV/AIDS (β=.125, p<.01) were also significant predictors for quality of life mental component summary. Conclusion: Social stigma, race ethnicity, religion, and the duration of HIV/AIDS illness in years play an important role in patients' quality of life physical component summary and hinder them from accessing the treatment. Social stigma, the duration of HIV/AIDS illness in years, and previous awareness of HIV/AIDS are considerably important predicting factors to quality of life mental component summary. The results may be crucial to develop strategy in order to decrease the disease prevalence. As HIV/AIDS infection is increasing in worldwide, it is neces-sary to plan and practice proper strategies for eliminat-ing wrong conception among public, families and medi-cal teams, by which stigma could be reduced to the least extend. According to the findings, HIV/AIDS stigma has a negative impact on the society and it has been a barrier for the participants to access and gain equal social and medical rights. The insufficient knowledge, miscon-ceptions about the transmission ways, and the fear of be-ing infected as a woman may lead to inappropriate social behaviors towards. In conclusion, a cultural background for the public as well as a general knowledge about HIV/AIDS may contribute to positive attitudes for patients' health care.

The Impact of Communication on the Overall Quality of Life in Elderly Koreans

Ji Sook Kang,Sung Ji Park 국제문화기술진흥원 2019 International Journal of Advanced Culture Technolo Vol.7 No.3

Background: Communication is important for the elderly to maintain existing social relationships while creating new relationships based on good communication skills to lessen psychological and emotional distress and lead a healthy life in advanced age. Aims: This study identifies the difference between the social networkbased quality of communication life and the overall quality of life in the elderly and how much the quality of communication life affects the overall quality of life. Methods: This research includes a survey of the elderly aged 65 and over living in small cities of South Korea. Data sets of 201 elderly were analyzed. Results: This study found a significant correlation between the quality of communication life and the overall quality of life. Religion also influences the elderly’s quality of communication life. The elderly’s quality of communication life has 40% explanatory power of the overall quality of life. Conclusion: Consequently, senior citizens’ quality of life will be improved through the enhanced quality of communication in addition to financial and health conditions by participating in various community activities similar to those provided by religion to increase opportunities for communication..

갱년기 여성의 폐경관리 수행과 삶의 질에 관한 연구

김미선 ( Mi-seon Kim ),이영숙 ( Young-sook Lee ) 한국모자보건학회 1999 한국모자보건학회지 Vol.3 No.1

This study clarifies the relationship between the quality of life supposed to be affected by the degree of the menopause management practiced in climacteric women. This clarification supplies the basic data for the development of nursing strategies and climacteric women s health management needed to prevent and release the climacteric symptom. In addition, this study serves to improve the quality of life and the nursing development of women health care. The purpose of this study is to prove the difference of the practice on menopause management the difference of the quality of life and the premenopausal group, and the postmenopausal group and to explore the correlation of the practice on the menopause management and the quality of life. The subjects are 157 middle-aged women between 40~60 years old who reside in Kwang-ju and have never hysterectomised. The menopause management scale by Song( 1997a) was subjected to climacteric women was used for this study. This measuring instrument is already proven for its reliability and the validity. The author of this study translated The quality of life scale’ related to climacteric symptom which was developed by Hildtich( 1996). The content validity of measuring instruments are examined by professors of nursing department and humane studies. The content of the examined instruments are confirmed through the pre-test of 10 middle-aged women to affirm the degree of understanding and its difficulty, and Cronbach's was 0.93. The period of data collection is from Feb. 28, 1998 to March 23, 1998. The descriptive survey with questionaries had been carried. The collected data were analyzed by t-test and Pearson's Correlation with SAS program. The results are as follows. 1. There is no significant difference on the menopause management practice between the premenopausal group(score 2.00) and the postmenopausal group(score 2.02). 2. The quality of life of postmenopausal group was significantly lower than that of the premenopausal group(t=2.7077, p=.0075). 3. There is no correlation between the menopause management practice and the quality of life. However,partial management of professional health maintenance of the menopausal management practice shows the low correlation with the quality of the climacteric symptom(vasomotor change: r=.1822, p=.0224, psychosocial change: r=.1711, p=.0321, physical change: r=.1566, p=.0500, sexual change: :r=.1624, p=.0421). The vasomotor change in the area of the quality of life related to the self- control area and the climacteric symptom is in the static correlation(r=.1869, p=.0191). 4. The premenopausal and the postmenopausal groups generally shows the little menopausal practice management with the low score. The area of management of professional health maintenance, shows the higher tendency in the postmenopausal group than in the premenopausal group(t=-2.0451, p=0.0425). The subareas where the postmenopausal group shows the better menopause management practice are the self-control(t=-0.7941, p=0.4283) and management of exercise and physical activity(t=0.5712, p-0.5687). The subareas where the premenopausal group shows the better menopause management are the management of sex life(t=1.8583, p=0.0650) arid dietary management(t=0.2153, p=0.8299). However, they are statistically not significant. 5. When this study notices the quality of life related to the climacteric women who can be divided into the premenopausal group and the postmenopausal group, the quality of life of the postmenopausal group is overall low. The result shown after the verification the score of the premenopausal group and the postmenopausal group, the quality of life of the postmenopausal group shows low tendency of the quality of life in the vasomotor change area(t=3.0295, p=0.0029), and in the physical change area(t=- 2.9045, p=0.0042).