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      • KCI등재

        성별에 따른 중년 성인의 신체건강 및 정신건강이 삶의 질에 미치는 영향

        방소연 한국데이터전략학회 2022 Journal of information technology applications & m Vol.29 No.2

        This study was attempted to identify the effects of physical and mental health on quality of life in middle-aged adults by gender. The Data were analyzed for 4,511 adults (2,260 men, 2,251 women) aged 45 to 65 who had no missing values ​​in major variables based on the data of the 2016 Korea Health Panel. According to the data, the quality of life in middle-aged adults was .92 (±.08) for men and .91 (±.10) for women, which was significantly higher than that of women (t=3.54, p<.001). Factors affecting the quality of life in middle-aged men were subjective health status (β=.40, p<.001), stress (β=-.17, p<.001) and education level (β=.10, p<.001), and these variables explained 23% of the quality of life (F=227.28, p<.001). Factors affecting the quality of life in middle-aged women were subjective health status (β=.40, p<.001), stress (β=-.11, p<.001), education level (β=.05, p=.011) and anxiety (β=-.05, p=.022), and these variables explained 21% of the quality of life (F=145.42, p<.001). Based on the results of this study, the group with low level of education in middle-aged adults needs health management, education on how to relieve stress, and intensive management to improve the quality of life. In addition, the differentiated approach should be required to reduce anxiety in middle-aged women. .

      • KCI등재

        중노년기 암환자의 삶의 질 영향요인

        방소연 한국데이터전략학회 2024 Journal of information technology applications & m Vol.31 No.2

        . The purpose of this study is to identify the quality of life (QOL) and factors influencing the QOL in middle-aged and elderly cancer patients. Among the 2019 data of the Korea Health Panel, data from 498 adults over the age of 40 who were diagnosed with cancer by doctors were analyzed. As a result of the study, the mean QOL of middle-aged cancer patients was 0.90 (±0.09) and that of elderly cancer patients was 0.86 (±0.12). The QOL of middle-aged cancer patients was significantly higher than that of elderly cancer patients. Factors influencing the QOL of middle-aged cancer patients were subjective health status, anxiety, suicidal ideation, and bedridden status. Factors influencing the QOL of elderly cancer patients were subjective health status, bedridden status, economic activity, education level, regular physical activity, stress, and age. In order to improve the QOL of middle-aged and elderly cancer patients, along with interest in the QOL of middle-aged and elderly cancer patients, it is necessary to develop an age-specific intervention program, such as reducing anxiety and suicidal ideation for middle-aged cancer patients, and improving regular physical activity and reducing stress for elderly cancer patients.

      • KCI등재

        중년 여성의 신체 및 정신건강이 삶의 질에 미치는 영향

        방소연,도영숙 한국산학기술학회 2020 한국산학기술학회논문지 Vol.21 No.6

        The factors influencing the quality of life of physical and mental health in middle-aged women were examined. Secondary analysis was conducted using the data from the 2016 Korea Health Panel data. Method: The Korea Health Panel data 2016 were collected from February to August 2016 by the Korea Institute for Health and Social Affairs and the National Health Insurance Corporation and included 2,437 people who responded to the questionire. Using the SPSS Win program, the data were analyzed using a t-test, ANOVA, Pearson correlation coefficient, and multiple regression analysis. For physical health, the factors affecting the HRQoL were hearing problems, visual problems, eating problems, and physical activity. For mental health, the factors affecting HRQoL were suicidal impulse, stress subjective health. Conclusion: The results indicated that to improve the HRQoL of middle-aged women, a psychological nursing intervention program will be needed to reduce the stress and suicidal thoughts and improve the positive cognitive attitude and subjective health condition. 본 연구는 중년기 여성의 신체 및 정신건강이 삶의 질에 미치는 영향요인을 파악하기 위해 시도 되었다. 한국의료패녈 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.

      • KCI등재후보

        재가노인의 인지 정도와 인지 영향요인

        방소연,박도순,양경미,김옥선,김창희,김명옥 한국농촌간호학회 2012 한국농촌간호학회지 Vol.7 No.2

        Purpose: This study was done to identify differences in factors influencing cognitive function according to the cognition of community dwelling elders. Methods: A convenience sample of 565 community dwelling elders participated in this study and from May to June, 2010 trained research assistants collected data using structured questionnaires. Collected data were analyzed using descriptive statistics, t-test, one-way ANOVA, correlation, and multiple regression with the SPSS Win 15.0 version. Results: The elders had a slightly low degree of cognitive function. Of the 565 elders, 41.1% were in the normal group for cognitive function and 58.9% in the mild impairment group. Although there were no significant differences in general characteristics between the groups, factors influencing cognitive function were different. Factors influencing elders in the normal group were leisure activity and moderately good health status. These variables accounted for 5.7% of the variance in cognitive function. Factors influencing elders in the mild impairment group were leisure activity, depression, and education level limited to elementary school graduation. These variables accounted for 19.9% of the variance cognitive function. Conclusion: This study provides comprehensive understanding of factors influencing cognitive function in elders. Differentiated nursing interventions according to degree of cognitive function are suggested.

      • KCI등재

        만성폐쇄성폐질환 환자의 삶의 질 관련요인

        방소연,Bang, So Youn 한국데이터정보과학회 2016 한국데이터정보과학회지 Vol.27 No.5

        본 연구는 국내 COPD 환자의 삶의 질 정도 및 삶의 질과 관련이 있는 요인을 확인하기 위해 시도되었다. 2013년도 국민건강영양조사의 일반적 및 질병관련 변수, 폐기능검사 결과, 삶의 질(EuroQol-5Dimension) 자료를 이용하여 가중치를 적용한 후 복합표본 교차분석과 복합표본 회귀분석으로 분석하였다. 연구결과, EQ-5D Index는 COPD 환자 0.916점, 정상인 0.941점으로 COPD 환자가 정상인보다 통계적으로 유의하게 낮았다. 삶의 질 하부 영역인 이동, 자가간호, 일상활동, 통증/불편감, 불안/우울 모두 COPD 환자는 정상인과 비교하여 문제 없음의 비율이 낮고 문제 있음의 비율이 높았지만, 기도폐쇄 정도에 따른 삶의 질은 자가간호 영역만 유의한 차이가 있었다 (${\chi}^2=9.50$, p=.013), COPD 환자의 삶의 질과 관련이 있는 요인은 연령, 성별, 교육수준, 가구당 수입, 흡연상태, 동반질환 수이었다. 본 연구결과를 바탕으로, COPD 환자의 삶의 질에 대한 관심과 함께 이동, 자가간호, 일상생활을 증진하고 통증/불편감, 불안/우울을 감소하는 등 삶의 질을 향상시키기 위한 포괄적인 접근이 이루어져야 할 것이다. The purpose of this study was to identify the degree of quality of life (QoL) and its related factors in patients with Korean Chronic Obstructive Pulmonary Disease (COPD). With data collected by Korea National Health and Nutrition Survey in 2013, general and disease-related variables, pulmonary function test, and EuroQol-5Dimension (EQ-5D) were analyzed. The mean of EQ-5D index was 0.916 in patients with COPD and 0.941 in non-COPD. The EQ-5D index and its sub dimensions (mobility, self-care, usual activity, pain/discomfort, anxiety/depression) of COPD patients were significantly lower than that of non-COPD. However, difference in COPD patients' airway limitation was significant only for self-care of EQ-5D (${\chi}^2=9.50$, p=.013). The related factors of QoL in COPD patients were age, gender, level of education, quartile of household income, smoking status, and number of comorbid diseases. Based on the results, it is important to pay close attention to COPD patients' QoL as well as comprehensive interventions which possibly improve their QoL.

      • KCI등재
      • KCI등재

        폐경이 대사증후군에 미치는 영향

        방소연(Bang, SoYoun),조일구(Cho, IlGu) 한국산학기술학회 2015 한국산학기술학회논문지 Vol.16 No.4

        본 연구는 국민건강영양조사 2012년도 원시자료를 이용한 이차분석 연구로서, 연구 목적은 폐경이 대사증후군 유병 율 및 구성요소에 미치는 영향을 확인하는 것이다. 층화집락복합표본추출로 선정된 총 8,058명 중 만 19세 이상 성인 여성이 며 월경 및 폐경에 대한 정확한 정보를 제공한 2,746명을 대상으로 하였다. 연구결과, 폐경 여부에 따른 대사증후군 구성요소 의 평균 차이는 모두 통계적으로 유의하였다. 대사증후군 유병율은 폐경 전 여성 13.2%, 폐경 후 여성 42.7%이었다. 폐경 후 대사증후군에 이환될 확률은 4.88배(95% CI=3.888-6.126) 증가하고, 40세를 기준으로 나이가 5세 증가할 때마다 대사증후 군에 이환될 확률은 각각 3.15배(95% CI=1.862-5.331), 4.159배(2.558-6.761), 5.971배(3.955-9.016), 9.52배(6.591-13.749) 증가 하였다. 연구 결과를 바탕으로 폐경 후 여성의 대사증후군 예방 및 관리를 위한 중재 프로그램이 개발 및 적용되어야 할 것이다. This study was the secondary analysis using the Korea National Health and Nutrition Examination Survey of 2012 and purpose was to investigate the effects of menopause on the metabolic syndrome(MetS) in Korean women. In raw data, total 2,746 women aged ≥ 19 years and provided the correct data about menstruation and menopause were analysed. The results were as follows: First, components of MetS were significantly different according to menopausal status. Second, the prevalence of MetS was 13.2% in premenopausal women and 42.7% in postmenopausal women. Third, the Odds ratio of postmenopausal women was 4.88(95% CI=3.888-6.126) compared with premenopausal women for MetS. As 5 years from 40 years increased, the Odds ratios of postmenopausal women were 3.15(95% Confidence Interval=1.862-5.331), 4.159(2.558-6.761), 5.971(3.955-9.016), 9.52(6.591-13.749) compared with premenopausal women for MetS, respectively. Based on the results, the intervention should be developed and provided for preventing and managing the MetS in postmenopausal women.

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