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노인 암환자를 중심으로 노인 만성질환자 및 중년 암환자 간의 삶의 질과 그 영향 요인 비교
임연옥(Lim, Yeon-Ok),김여진(Kim, Yo-Jin),윤현숙(Yun, Hyeon-Suk) 한국사회복지학회 2013 한국사회복지학 Vol.65 No.4
본 연구는 Talyor(2012)의 스트레스-대응 과정 모델을 적용하여 노인 암환자의 삶의 질과 그 영향요인을 노인 만성질환자 및 중년 암환자 집단과 각각 비교하여 이해하고자 시도되었다. 노인 암환자 197명, 중년 암환자 351명, 노인 만성질환자 307명을 대상으로 스트레스 대응자원인 낙관성, 가족지지, 친구지지, 의사지지, 생활 스트레스, 경제적 상황과 삶의 질에 대한 자료를 수집하였다. 노인 암환자의 신체건강 관련 삶의 질은 세 집단 중 가장 열악하였고, 정신건강 관련 삶의 질은 노인 만성질환자에 비해 더 낮았으며, 의사지지를 제외한 스트레스 대응자원이 노인 암환자의 신체건강 및 정신건강 관련 삶의 질에 영향을 미쳤다. 스트레스 대응자원과 삶의 질의 영향 관계는 노인 암환자와 노인 만성 질환자, 노인 암환자와 중년 암환자 간에 통계적으로 유의미한 차이가 없었다. 연구결과를 통해 의료 복지차원에서 낙관성 향상 프로그램의 개발, 친구와의 교제 권장, 경제적 지원의 확충, 생활 스트레스 경감을 위한 재가복지서비스와 가족상담의 확대 등을 제안하였다. Quality of life(QoL) of older cancer patients have not gained enough attention from researchers even when cancer is the number one cause of death of Korean elderly. Therefore, this study aims at understanding the QoL of older cancer patients and factors related to it, applying Taylor(2012)’s Stress-Coping Process model, and by comparing with older chronic disease patients and middle-aged cancer patients. Results indicated that physical health QoL of older cancer patients was the worst and their mental health QoL was similar with middle aged cancer patients. Multi-group analysis of Structural Equation Modeling indicated that the relation between QoL and the stress coping resources was not statistically different from older cancer patients and older chronic disease group, as well older cancer patients and middle-aged cancer patients. Implications of results to improve the QoL of older cancer patients are discussed.
설계기준 분석 방법에 의한 지역사회 청소년 흡연율 추정
박순우,이상원,박정한,윤연옥,이원기,김종연,Park, Soon-Woo,Lee, Sang-Won,Park, Jung Han,Yun, Yeon-Ok,Lee, Won-Kee,Kim, Jong-Yeon 대한예방의학회 2006 예방의학회지 Vol.39 No.4
Objectives: This study was conducted to estimate the unbiased smoking prevalence and its standard errors among adolescents in a large city in Korea, by design-based analysis. Methods: All the students in Daegu city were stratified by grade, gender and region, and then schools as primary sampling units (PSU) were selected by probability proportional to size (PPS) sampling. One or two classes were sampled randomly from each grade, from 5th grade in elementary schools to the 3rd grade in high schools. The students anonymously completed a standardized self-administered questionnaire from October to December 2004. The total number of respondents was 8,480 in the final analysis, excluding the third graders in the general high schools because of incomplete sampling. The sampling weight was calculated for each student after post-stratification adjustment, with adjustment being made for the missing cases. The data were analyzed with Stata 8.0 with consideration of PSU, weighting and the strata variables. Results: The smoking prevalence (%) and standard errors for male students from the fifth grade in elementary schools to the second grade in high schools were $0.93{\pm}0.47,\;1.83{\pm}0.74,\;3.16{\pm}1.00,\;5.12{\pm}1.02,\;10.86{\pm}1.13,\;15.63{\pm}2.44\;and\;17.96{\pm}2.67$, and those for the female students were $0.28{\pm}0.28,\;1.17{\pm}0.73,\;3.13{\pm}0.60,\;1.45{\pm}0.58,\;3.94{\pm}0.92,\;8.75{\pm}1.86\;and\;10.04{\pm}1.70$, sequentially. Conclusions: The smoking prevalence from this study was much higher than those from the other conventional studies conducted in Korea. The point estimates and standard errors from the design-based analysis were different from those of the model-based analysis. These findings suggest the importance of design-based analysis to estimate unbiased prevalence and standard errors in complex survey data and this method is recommended to apply to future surveys for determining the smoking prevalence for specific population.