Qulity Of Life Research Articles

사회서비스는 삶의 질을 향상시키는가? : 바우처 방식의 사회서비스와 삶의 질 간 종단 관계

본 연구는 종단적 관점에서 사회서비스와 삶의 질 간 관계를 검증하였다. 기존의 연구들은 특정 대상에게 제공되는 개별 사회서비스가 삶의 질에 미치는 영향을 검증하는 데 집중하여, 지난 10년간 확대된 사회서비스가 전체 사회적 맥락에서 지니는 효과를 보여주지 못하였다. 이에 사회서비스 및 삶의 질 등 관련 정보들이 포함된 한국복지패널 이용하여 종단자료를 구축하고, 삶의 질을 시차종속변수로 독립변수에 포함하는 동적 패널 모형을 통해 분석하였다. 분석결과 사회서비스 이용 경험과 서비스에 대한 만족도는 삶의 질에 정적 영향을 미치는 것으로 나타났지만, 사회서비스 이용 정도는 부적 영향을 미치고 있었다. 사회서비스 이용 정도의 분석결과는 이용자들이 필요한 서비스를 이용하지 못하고 있어 나타난 결과로 해석하였다. 사회서비스 이용과 삶의 질 사이에 종단적 영향 관계가 있다는 본 연구의 결과는 사회서비스의 목적을 실증하는 시도로써 의의를 지님과 동시에 사회서비스 확대에 고려할 점을 제시하고 있다.

Literature Review: Stress and Mother Life Quality with Thalassemia Children Major Ages 0–18 Years

Thalassemia is a blod disorder which various countries pay specific attention to, both develoing and developed countries. Children with thalassemia need long-term treatment and excessive cost. It has become a burden for the family. Mother as a caregiver for thalassemia child is often confrontedby a stressful life related to the child’s illness and the following treatment as well as other couses of stress; such as fear of loss, anxiety, frustration and sadness, and overwhelmed thinking of the child’s recovery can affect the mother’s daily activities, also the quality of life. This systematic review aimed to identify the stress and quality of life of mother with thalassemia children aged 0–18 years. Articles were collected through Google Scholar, PubMed, Proquest, Ebscho databases using the keyword Stress, Qulity of Life, Mother with Thalassemia Child including both quantitative and qualitative studies. The used articles only which were full-text, written in English, and published in 2007 until 2017. There were five articles met the criteria. The results of literature review revealed that the stress faced by the mothers especially when the children must undergo the blood transfusion for once a month. Stress was shown with psychological symptoms that can affect health. The mother’s stress was assessed using the Parental Stress Scale (PSS), and for the quality of life measured by HRQOL SF-12v2, with Likert scale, the lowest score 0 and the highest 100. Found that if the mother’ quality of life also decreased. Conclusion: mothers with thalassemia children then to experience stress, resulting in both physical and psychological impact on the mothers’ health, thus affecting the quality of life. By this literature review, expected that will be more research related to stress and quality of life of mothers with thalassemia children, thus reducing stress on mothers that affect the quality of life.

173 EVOLVE - Significant Improvements in Pain, Disability, Quality of Life and Overall Health with Use of Balloon Kyphoplasty for Vertebral Compression Fractures in Medicare-Eligible Patients Despite Minimal Improvements in Vertebral Body Height an

Abstract INTRODUCTION Osteoporotic and neoplastic vertebral compression fractures (VCF) are common and painful. In the U.S., there are more than 1.5 million vertebral fractures annually and 40% of those over the age of 80 will experience this pathology, threatening quality of life and increasing morbidity and mortality. Kyphoplasty is a minimally invasive surgery to stabilize the fracture and recent EVOLVE analysis demonstrated minimal improvement in kypohotic angulation or vertebral body height, however, patients demonstrated significant improvements in pain, disability, quality of life and overall health. METHODS Prospective, multicenter 12-month clinical study of outcomes pertaining to activities of daily living, pain, quality of life, and safety parameters in a Medicare-eligible population treated with kyphoplasty for painful acute or subacute VCFs associated with osteoporosis or cancer. RESULTS >NRS back pain improved from 8.7 (scale 0–10) by 5.2, 5.4, 6.0, 6.2 and 6.3 points, at the 7-day, and the 1, 3, 6 and 12-month time points, respectively. ODI improved from 63.4 (scale 0–100) by 30.5, 35.3, 36.3 and 36.2 points, at the 1, 3, 6 and 12-month time points, respectively. The SF-36 PCS was 24.2 at baseline (scale 0–100) and improved 10.7, 12.4, 13.4 and 13.8 points, at 1, 3, 6 and 12 months. The EQ-5D was 0.383 points (scale 0–1) and improved 0.316, 0.351, 0.356 and 0.358 points, at 1, 3, 6 and 12 months. All measures were statistically significant with P < 0.001 at every time point. Despite these significant improvements in pain, disability, qulity of life and overall health, there were only modest, but significant improvements in kyphotic angulation (1.1° improvement) and vertebral body height (4% improvement). CONCLUSION This large, prospective, multicenter study trial demonstrates that utilization of kyphoplasty for vertebral compression fractures provides significant improvements in pain, disability, quality of life, and overall health despite modest improvements in kyphotic angulation and vertebral body height in Medicare-eligible patients.

Effects of individualized nutrition intervention based on PG-SGA on life quality of gastric gancer patients with postoperative chemotherapy

Objective To explore the effect of individualized nutritional intervention based on PG-SGA on the quality of life of gastric cancer patients with postoperative chemotherapy. Methods A total of 72 gastric cancer patients with postoperative chemotherapy were randomly divided into observation group (n=36) and control group (n=36) in Oncology Department, Nanjing Drum Tower Hospital, the Affiliated Hospital of Nanjing University Medical School from August 2015 to January 2016. Patients in control group received routine nursing intervention based on NRS 2002 results while patients in observation group were cared by individualized nutritional intervention based on PG-SGA. EORTC quality of life (QLQ-C30) was applied to study the two groups before intervention and on 7th and 14th day after the intervention. Results Analysis of variance of repeated measures indicated that general health, physical function, role function, emotional function, cognitive function, social function, fatigue, pain, nausea and vomiting, loss of appetite were different before and after intervention (Ftime= 4.604, 7.541, 14.010, 15.975, 7.374, 4.681, 7.395, 19.313, 4.723, 5.807; P<0.05) . Overall health, physical function, loss of appetite, grading were different between observation group and control group (Fgroup= 5.124, 6.627, 12.355; P<0.05) . For decreased appetite, there was interaction between different time and group (Ftime×group= 4.579, P< 0.05) . Interaction effect outline of two groups before and after chemotherapy showed that, qulity of life of patients in the control group after chemotherapy declined on 7th day, and qulity of life on 14th was higher than that on 7th day. Patients of observation group had a higher quality of life on 7th and 14th day after chemotherapy compared that before chemotherapy. Conclusions Individualized nutritional intervention based on PG-SGA could elevate the overall quality of life for gastric cancer patients with postoperative chemotherapy, improve the symptoms of chemotherapy, physical function and appetite. Key words: Stomach neoplasms; Nutritional support; Quality of life; Chemotherapy; PG-SGA

The Evaluation of Relation between General Health and Quality of Life in Individuals Who Apply to Primary Health Center in Study

Background: To assess the relationship between mental health and quality of life in individuals who apply to primary health center in study. Methods: The universe of this epidemiological descriptive study was 291 applicants (over 15 years old) of a primary health center in study in five business days. The questionnaire was consist of GHQ-12 and EQ-5D/EQ-VAS. Simple and multivariate lineal regression and corelation analysis were used. Results: GHQ-12 scores increased as the EQ-5D/EQ-VAS index scores decreased. EQ-5D and GHQ-12 exhibit a negative and linear relationship. There was negative correlation between qulity of life and have chronic illness, use alcohol who risk group in accordance with GHQ-12. Conclusion: The follow-up methods what diagnosed as a standard, valid and reliable scales are used, cheap and easy may set up to assess clearly the current situation of mental health, quality of life and related factors, to identify appropriate strategies and policies, to collect reliable data to reduce the burden of disease.

Study of the recover effect of the multidisciplinary intervention on the patients with schizophrenia who were the first onset

Objective To explore the efficacy of the multidisciplinary medical nursing concerted intervention for improving social function deficiedcy and raising qulity of life of the patients with schizophrenia who were the first onset.Methods A total of 212 clinical healed inpatients with schizophrenia who were the first onset were randomly divided into study groups ( 106 patients) and the control group ( 106 cases).Two groups of patients were given the antipsychotic drugs to maintain the psychological education and general treatment,when they left the hospital,the study group was additionally continued the hospital nursing and nursing,implemented interdisciplinary recover guidance,correcting the mistakes,and adjusting the rehabilitation training methods for 1 year.The effect was assessed by BPRS,SDSS and WHO-QOL Results After 1 year,the total score,SDSS BPRS of the study group patients were lower than those of the control group (P ＜0.01 ).The scores of WHO-QOL of the study group were higher than those in the control group (P ＜0.01 ).Conclusions The multidisciplinary medical nursing concerted intervention could effectively continue hospital care and nursing,it had active role for improving social function and raising qulity of life of the patients with schizophrenia who are the first onset. Key words: Multidisciplinary; Intervention; Schizophrenia; Quality of life; Social function

A CASE OF SMALL INTESTINAL METASTASIS OF LUNG CANCER PRESENTING ANAL BLEEDING

Comparing to cancers of other organs, primary lung cancer tends to metastasize to distant organs because of the biological characteristics of the origin as well as the specificity of the structure of lung tissue. The metastases of lung cancer most frequently appear in the lung, liver, bone, kidney, adrenal gland, and brain, but rarely in the small intestine. This time we experienced a case of jejunal metastasis of lung cancer presenting anal bleeding which was successfully resected. A 54-year-old man was referred to the hospital because of anal bleeding and severe anemia 2 years after a left pneumonectomy for a moderately differentiated adenocarcinoma of the left lung (B6). Radiological examination demonstrated a fist-sized tumor involving the jejunum, 100cm distal from the Treitz ligament. Partial resection of the jejunum en bloc with the mesenteric mass involving the jejunal wall was performed. Histopathologic examination of hte jejunal tumor revealed moderately differentiated adenocarcinoma, confirming the diagnosis of metastasis of pulmonary carcinoma. Small bowel metastasis of pulmonary carcinoma with clinical manifestations in relatively uncommon. There have been 110 cases including ours of small bowel metastasis of pulmonary carcinoma in the literature so far. Postoperative survival period of these patients ranged drom 2 to 26 months, and 84% of the patients died within 6 months after operation. Although prognosis of the patient is poor, resection is indispensable for a better qulity of life.