성인 선천성 심장병 수술환자의 삶의 질 : 건강대조군과 비교 |
윤현숙 |
한림대학교 사회복지학과 |
Quality of Life of Adults with Congenital Heart Disease: A Comparison with Healthy Controls |
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Abstract |
Background This study examined quality of life of adult CHD patients (N = 201) in comparison with a healthy control group (N = 200) and determined factors associated with psychological well-being for adult CHD patients. 201 adult CHD patients were receiving support from Korea Heart Foundation from 1984 to 1999. They were divided into two groups - simple type and complex type. Factors of quality of life included physical health, social adjustment, family relationships, and psychological well-being. Methods T-test was used to analyze the difference of means in the two sets of groups - CHD patents with healthy controls and simple type with complicate type. Duncan test examined the difference of means of three groups- simple type, complicate type, and healthy controls. In order to examine factors affecting psychological well-being of CHD patients, multiple regression analysis was applied. Results Results indicated that quality of life of the complex type was significantly lower than that of both healthy group and simple type in most areas of quality of life. In comparison with the healthy group, the simple type showed no significant difference in objective health but a significantly lower degree in subjective health, academic achievement, employment, and psychological well-being. Self-esteem of adult CHD patients was significantly associated with monthly income, subjective health status, and family cohesion. Subjective health and family cohesion were also significantly associated with happiness. Conclusions These findings have important implications on program development for CHD patients and their families and on future research. Key words Congenital Heart Disease, Quality of Life, Comparison with Healthy Controls |
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