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성인 뇌전증 환자의 건강관련 삶의 질 구조모형.

Purpose: This study aimed to identify variables influencing the health-related quality of life (HRQoL) of adults with epilepsy in order to establish a structural model and design an intervention strategy to improve patients' HRQoL. Methods: The selected subjects were 212 patients with epilepsy aged...

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Published in:Journal of Korean Academy of Nursing Vol. 47; no. 5; pp. 624 - 638
Main Authors: 고정옥, 이명하
Format: research tables/charts Journal Article
Published: Korean Society of Nursing Science Oct2017
Online Access:View this record in EBSCOhost
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        20053673
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      jtl: Journal of Korean Academy of Nursing
      issn: 20053673
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      dt: Oct2017
      vid: 47
      iid: 5
      pid: 42744
      pub: Korean Society of Nursing Science
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        128026756
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        10.4040/jkan.2017.47.5.624
        128026756
      ppf: 624
      ppct: 14
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      tig:
        atl: 성인 뇌전증 환자의 건강관련 삶의 질 구조모형.
      aug:
        au:
          고정옥
          이명하
        affil: 전북과학대학교 간호학과
      sug:
        subj:
          Quality of Life Evaluation
          Epilepsy
          Human
          Structural Equation Modeling
          Adolescence
          Young Adult
          Adult
          Middle Age
          Aged
          Surveys
          Structured Questionnaires
          Goodness of Fit Chi Square Test
          Variable
          Self-Efficacy
          Depression
          Support, Psychosocial
          Anticonvulsants Adverse Effects
          Epilepsy Drug Therapy
          Adolescent: 13-18 years
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
      ab: Purpose: This study aimed to identify variables influencing the health-related quality of life (HRQoL) of adults with epilepsy in order to establish a structural model and design an intervention strategy to improve patients' HRQoL. Methods: The selected subjects were 212 patients with epilepsy aged between 18 and 70 years who were currently receiving treatment from hospital, general hospital, and clinic. They were surveyed using a structured questionnaire. Results: The goodness of fit measures of the final hypothetical model were as follows: χ²/df=2.51, GFI=.91, AGFI=.90, CFI=.96, SRMR=.04, NFI=.93, and RMSEA=.08. The major variables influencing the HRQoL of adults with epilepsy were epilepsy self-efficacy, depression, social support, and side effects of anti-epileptic drugs (AEDs), which were significant in the mentioned order, whereas the duration of AEDs use and perceived stigma did not show any effects. Six variables accounted for 75.6% of HRQoL. Variables having a direct and total effect on the HRQoL of adults with epilepsy were the side effects of AEDs, social support, epilepsy self-efficacy, and depression, and those with an indirect effect were the side effects of AEDs and social support. Conclusion: It is necessary to accurately identify the side effects of AEDs in adults with epilepsy and accurately observe the physical changes caused by depression. In addition, it is imperative to establish an active and effective nursing intervention program to strengthen the self-efficacy of the patients and to improve their quality of life through social support provided by family members and medical professionals.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: Korean
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