목적: 본 연구는 농업에 종사하는 노인 여성을 대상으로 신체적 여가활동 참여가 신체적 기능 향상과 삶의 질 변화에 미치는 효과에 대해서 알아보고자 하였다. 연구방법: 농촌 지역에 거주하는 113명의 노인 여성을 대상으로 단일집단 사전-사후 검사 설계를 사용하여 연구를 진행하였다. 스트레칭, 근력 강화 및 마사지 등으로 구성된 신체적 여가활동 프로그램은 8주간 총 16회, 그룹활동으로 진행되었다. 참여 후의 노인의 신체 기능의 변화를 알아보기 위하여 근력, 유연성, 균형능력을 측정하였고, Short Form 8-Item (SF-8)을 사용하여 삶의 질의 변화를 살펴보았다. 결과: 프로그램 참여자들의 신체 기능은 상지 근력(악력), 하지 근력(30초간 앉았다 일어서기), 정적 균형(눈 뜨고 한발 서기), 동적 균형(기능적 도달) 및 유연성(등 뒤로 양손 닿기, 앉아서 윗몸 앞으로 굽히기) 항목에서 모두 유의하게 증가하였다(p < 0.05). 프로그램에 참여한 노인 여성의 건강관련 삶의 질(SF-8) 총점도 335.73 ± 52.93점에서 395.42 ± 28.79점으로 향상되었고, 모든 하위 항목에서 유의하게 변화하였다(p < 0.05). 결론: 여가활동 참여는 노인의 신체 건강뿐만 아니라 삶의 질 향상에도 효과적임을 확인할 수 있었다. 향후에는 농촌 지역 특성에 맞는 다양한 참여형 활동 프로그램의 개발과 지원이 이루어지기를 기대해 본다.

Background: Physical activity and quality of life (QOL) influence the health status of older adults. Recently, the use of wearable devices to monitor physical activity has increased. Objects: This study examined the relationship between the amount of physical activity, measured using a wearable device, and QOL among older adults. Methods: In total, 71 older adults (aged ≥ 65 years) were enrolled. The amount of physical activity was measured using a wearable device with a wrist strap, and daily physical activity was classified according to intensity (sedentary, light, moderate, or very active). Self-reported QOL was evaluated using the Short Form 36 (SF-36) questionnaire. Pearson and Spearman correlation analyses were conducted to analyze parametric and non-parametric variables, respectively. The relationship between amount of daily physical activity and SF-36 scores was assessed. Results: The correlation analyses revealed positive correlations between the amount of moderate- intensity and very active physical activity (minutes/day) and SF-36 scores (p < 0.05). Conclusion: Physical activity of at least moderate intensity is associated with better QOL in older adults. Further studies are required to verify the effects of increased physical activity on QOL in older adults.

This study aimed to determine the effect of depression between the healthrelated quality of life and pain in elderly persons with physical disabilities. A total of 111 patients who were treated at hospital B (Seoul, Daejeon, Daegu, Gwangju, and Busan) participated in the Survey. The SF-36 Health Assessment was used to determine the quality of life of subjects, the Korean version of the Geriatric Depression Scale-Short form to assess the level of depression, and Numeric Rating Scale to determine the level of pain. To determine the moderating effect of depression on the relationship between quality of life and pain, simple regression analysis, and the Sobel test were performed. There was a significant negative correlation between health-related quality of life and pain (r<-.3, p<.05), and a significant positive correlation between depression and pain (r=.251, p<.05). Thus, health-related quality of life had a simple regression relationship with depression and pain. Depression also showed a mediating effect between health-related quality of life and pain. The results of this study suggest that depression mediates between pain and quality of life.

목적 : 작업치료중재를 통한 유방암 환자의 신체기능과 근 활성도 및 삶의 질에 미치는 효과를 알아보고자 하였다. 연구방법 : 본 연구는 유방암 환자 15명을 대상으로 스트레칭, 치료적 활동 및 일상생활활동으로 구성된 작업 치료중재 프로그램을 40분씩 주 2회 총 12주 동안 실시하였다. 신체기능은 한국판 간이 피로 평가지 (Korean version of Brief Fatigue Inventory; BFI-K), 기본 호흡곤란 지표(Baseline Dyspnea Index; BDI)를, 근 활성도는 surface Electromyoghraphic (sEMG)를, 그리고 암 치료 관련 기능적 평가 - 유방 암(Functional Assessment Cancer Therapy-Breast; FACT-B)를 통하여 삶의 질을 측정하였다. 결과 : 신체기능에서 피로도와 호흡곤란 정도는 감소하였으며(p<.01), 근 활성도는 앞쪽․중간 어깨세모근, 큰가슴 근의 복장갈비머리 부분, 가시아래근에서 유의하게 증가하였다(p<.05). 삶의 질은 총점과 하위 영역 중 Physical Well-Being(PWB), Functional Well-Being(FWB), Breast Cancer Subscale(BCS)가 통계적 으로 유의한 차이를 나타냈다 (p<.001). 결론 : 중재 후 신체기능과 근 활성도, 삶의 질 모두에서 향상을 보였으며 이는 작업치료 중재가 유방절제 술 환자의 회복에 도움이 될 것으로 생각된다.

목적 : 도시와 농촌 간 만성질환이 있는 65세 이상의 노인을 대상으로 일반적 특성에 따른 신체활동 실천율과 신체활동에 따른 삶의 질 차이를 알아보고자 한다. 연구방법 : 만성질환을 갖고 있는 65세 이상 노인 1,039명을 연구 대상으로 하였다. 신체활동으로는 걷기, 유연성 운동,근력 운동을 조사하였고, 삶의 질은 EQ-5D (Euroqol-5 dimension)를 사용하여 삶의 질에 대한 자료를 수집하여 분석하였다. 결과 : 신체활동 실천율은 도시의 경우 연령, 성별, 배우자, 주택유형, 소득수준, 교육수준에 따라 유의한 차이를 보였고, 농촌의 경우 주택유형과 교육수준에 따라 유의한 차이를 보였다. 삶의 질에서, 도시의 경우는 걷기, 유연성 운동, 근력 운동을 실천 한 군의 운동능력, 자기관리, 일상생활활동, 통증/불편 영역에서 유의한 차이를 보였고, 농촌의 경우는 걷기를 실천 한 군의 운동능력에서 유의한 차이를 보였다. 결론 : 도시와 농촌 모두 만성질환 노인의 신체활동 실천율은 낮은 편이었고, 특히 도시보다 농촌에 거주하는 만성질환 노인의 신체활동 실천율이 더욱 낮게 나타났다. 만성질환노인의 신체적 기능을 높이고, 삶의 질에 긍정적인 영향을 미칠 수 있는 신체활동의 중요성에 대한 인식이 필요하다.

This study examined the effects of a physical therapy program on quality of life (QOL), and neck and shoulder disability in head and neck cancer patients. The program included neck and shoulder range of motion (ROM) exercises, massage, progressive strengthening exercises, and stretching exercises. Sixteen patients who were assigned to an experimental group performed physical therapy for 40 minutes three times a week for eight weeks. Fifteen other patients were assigned to a control group who did not performed the physical therapy program. The European organization for research and treatment of cancer (EORTC QLQ-C30) and head and neck (EORTC QLQ-H&N) instruments, and the Neck Disability Index (NDI) were assessed before and after the rehabilitation program. The 40-minute program consisted of a 10-minute ROM exercise for the neck and shoulder, a 10-minute massage and 15-minute of progressive resistance exercises, followed by a five-minute stretching exercises. Statistically significant differences were noted for changes in global health, physical function in the EORTC QLQ-C30 and cancer related symptoms in the EORTC QLQ-H&N35 (p<.05). The NDI also showed significant differences (p<.05). Physical therapy may therefore benefit the physical aspects and QOL and improve neck and shoulder disability in patients with head and neck cancer.

목적: 본 연구는 삶의 질의 하위개념인 신체활동과 전반적 삶의 질 관계에서 다중 매개효과를 검증하고 참여자의 연령이 신체적 삶의 질과 일상생활활동능력의 다중 매개효과를 조절하는지를 검증하는데 목적이 있다. 방법: 이를 위하여 미국 동남부 두 개의 주에 거주하는 미주 성인 한인 201명을 대상으로 설문지를 통해 자료를 수집한 뒤 조절된 다중 매개 효과를 분석하였다. 결과: 신체활동은 신체적 삶의 질, 일상생활활동능력에 정적인 영향을 보였으며, 신체적 삶의 질, 일상생활활동능력은 전반전 삶의 질에 정적인 영향을 미쳤다. 신체활동은 신체적 삶의 질과 일상생활활동능력을 통제했을 때 전반적 삶의 질에 부정적 영향을 미쳤다. 또한, 높은 신체활동 수준은 신체적 삶의 질과 일상생활활동능력을 통해서 전반적 삶의 질에 긍정적으로 영향을 미치지만, 연령이 높을수록 신체활동의 영향력이 감소하는 것으로 나타났다. 결론: 따라서 미주 한인들의 신체활동이 신체적 삶의 질과 일상생활활동능력을 통해서 전반적 삶의 질에 미치는 영향력은 연령에 의해 조절되는 것을 확인하였다. 이는 신체활동을 통한 개인의 긍정적 라이프스타일을 함양하기 위해서는 단순 개인의 특성만을 강조하는 것보다 문화환경적 요소를 고려해야 필요성을 보여준다.

Purpose: The purpose of this study was to examine the relationship between physical activity (PA) and quality of life (QoL) in international college students who have had insufficient exercise time due to diverse challenges from new living and academic environments. Methods: A total of 193 (86 male and 107 female) international students from colleges and universities in North Carolina, U.S. completed all the questionnaires (Godin Leisure-Time Exercise and Quality of Life) for this study. Pearson’s correlation and multiple regression analyses were used to measure the relationship between PA and QoL and the influence of PA on QoL. Results: The results indicated the positive relationship between the sum of PA levels (mild, moderate and strenuous exercises) and all the subscales of QoL (cognitive, emotional, functional, integrated, physical, social and spiritual), however, there were no correlations between mild exercise and physical, moderate exercise and social, and strenuous exercise and two subscales of QoL (emotional and spiritual). In addition, the findings demonstrated the significant effects of the all PA levels on QoL in a positive direction. Conclusion: This study suggests that an appropriate level (mild and moderate exercises) of participations in physical activity in leisure time is able to contribute to the enhancement of the positive relationship with overall quality of life, especially in the aspect of psychological health promotion among international students.

Purpose: We examined the mediating role of physical self-worth in the relationship between physical activity and quality of life in Korean adolescents. Methods: Data from 236 middle school students were used for the present study (boys = 139, 58.9%; girls = 97, 41.1%; middle school first grade = 127, 53.8%; middle school third grade = 109, 46.2%). Questionnaire data on demographics, physical activity, physical self-worth, subdimnesions of quality of life, and global quality of life were collected. We utilized the Hayes’ (2013) PROCESS Macro to test mediation models. Results: Results revealed that physical activity was associated with physical self-worth, which in turn, was associated with subdimensions of quality of life (e.g., physical, psychological, and emotion and moods quality of life) and global quality of life. Conclusion: More physical activity led to higher perceptions of physical self-worth, thereby contributing to higher perceptions of quality of life. Implications and directions for future research were discussed.

Purpose: The purpose of the study is to identify structural relationship among exercise imagery, physical activity, and health-related quality of life of adults. Methods: Five hundred questionnaires were initially distributed to college students, company employees and sports center members(male: 273, female: 194, Mage=39.21). Among them, total 467 were finally used in this study. Exercise imagery scale, weekly leisure-time exercise questionnaire and short-form health survey-36 were revised into Korean and applied in the study. Frequency analysis, correlation analysis, and structural equation modeling were carried out to test the possible relationship among exercise imagery, physical activity, and health-related quality of life. All analyses were conducted by SPSS 18.0 and AMOS 18. Results: Results indicated that there were positive relationship among exercise imagery, physical activity, and health-related quality of life of adults. In specific, exercise imagery and physical activity had significant positive relationship with vitality which was sub-factor of psychological health-related quality of life. Additionally, exercise imagery was significant factor to physical health-related quality and physical activity. The finding ultimately revealed that a hypothesized research model showed the significant model fit after modification. But it was showed the difference with sex. Conclusion: This study suggests that cognitive intervention strategies aimed at exercise imagery could be significant to promote physical activity and its related health-related quality of life. As it was existed the difference with sex, there will be necessary another studies which is concerned about various variables.