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Chiyoung Lee,Belong Cho,Qing Yang,Sun Ju Chang,So-Im Ryu,Eun-Young Noh,Yeon-Hwan Park 한국성인간호학회 2021 성인간호학회 학술대회 Vol.2021 No.8
Aim(s): The 20-item Revised University of California Los Angeles (R-UCLA; Version 3) loneliness scale is the most valid and widely utilized measure of loneliness. However, questions are constantly raised regarding the ability of the scale to capture the multidimensional quality of loneliness. The current study aims to explore the factor structure of the Korean version of the R-UCLA loneliness scale for the Korean older adult population. Method(s): The analyses were based on a cross-sectional cohort of 1041 community-dwelling older adults (≥ 65 years) living alone in one Korean city. Exploratory factor analysis (EFA) was conducted to determine the underlying structure of the scale, and confirmatory factor analysis (CFA) was used to ascertain the validity of the outcomes. For reliability, Cronbach alpha was computed. Result(s): Based on the EFA and CFA results, a two-factor structure was found. The first factor reflected “the sense of not being affiliated with others around oneself”, and the second reflected “the feeling of a lack of social connections.” The derived factors demonstrated satisfactory reliability (> 0.8). Conclusion(s): Our results emphasize the multi-dimensionality of loneliness. Especially, the two factors of loneliness identified in this study should be considered when attempting to reduce loneliness among the older adult population. Nevertheless, future studies should conform the findings of this study and evaluate aspects of validity beyond factorial validity to further support the conceptual separation of the two identified factors.
손기영,이철민,Belong Cho,Youl Lee Lym,Seung Won Oh,Wonjoo Chung,Jin-Seok Lee,DuShin Park,Han Suk Kim 대한의학회 2012 Journal of Korean medical science Vol.27 No.11
This study was to evaluate the effect of additional brief counseling by a primary care physician on lifestyle modification of examinees after a periodic health examination. 1,000participants of the 2007 Korean national health screening program were asked to note any variation in their health behavior after participating in the screening program. The degree of comprehensive motivation for lifestyle modification was assessed in terms of stages of health behavior change. We calculated odds ratio of positive change (enhanced stage of change) with multiple logistic regression analysis and age-adjusted proportion of positive changers. Of 989 respondents, 486 and 503 received the basic and additional programs,respectively. Additional group were more likely to be positive changer than basic group (adjusted OR 1.78; 95% CI 1.19-2.65), and this was more prominent in older age group (adjusted OR 2.38, 95% CI 1.23-4.58). The age-adjusted proportions of positive changers were 22.7% (95% CI, 17.9-28.3) and 36.2% (95% CI, 30.4-42.4) in the basic and additional groups, respectively (P < 0.001). The additional consultation led to improvements in the stage of health behavior change after the health examination. Thus,such a consultation should be considered when designing a health-screening program.
Soh Hi Sun,Cho BeLong 대한의학회 2022 Journal of Korean medical science Vol.37 No.46
Background: Severe acute respiratory syndrome coronavirus 2 (coronavirus disease 2019 [COVID-19]) survivors mount as the pandemic continues. To date, studies on persistent symptoms and their effects on health-related quality of life (HRQoL) in mild COVID-19 cases have been limited. Methods: A prospective online survey was conducted in COVID-19 patients who were admitted to Seongnam Community Treatment Center, an isolation center in South Korea, from November 23rd 2021 to January 2nd 2022. Patients above the age of 19 with no or mild symptoms were included in the study. Total of 147 patients returned to the follow-up survey 3 months after discharge. Baseline demographics, clinical characteristics, symptoms, and EuroQol-5 dimensions-5 levels (EQ-5D-5L) measures were investigated. Results: The median (interquartile range [IQR]) interval period between the initial and follow-up survey was 96.0 (93.0–98.0) days. The median (IQR) age of participants was 51.0 (43.0–61.0). During isolation, 131 (89.1%) patients manifested symptoms. On follow-up, 82 (55.8%) participants remained symptomatic. Common symptoms were constitutional (fatigue, myalgia), neurological (memory impairment, hyposmia, hypogeusia, dizziness), and neuropsychiatric (anxiety) symptoms. Participants with remaining neuropsychiatric symptoms reported the lowest EQ-5D-5L index values. Factors associated with persistent symptoms and diminished HRQoL were identified as female sex, metabolic disease, and anxiety during acute COVID-19 phase. Conclusions: Cardiopulmonary symptoms improved over time but constitutional, neurological, neuropsychiatric symptoms remained. Patients with neuropsychiatric symptoms (anxiety and insomnia) reported the worst HRQoL. Female sex, metabolic disease, and anxiety during the acute COVID-19 phase were associated with long COVID. Observations of long-term symptoms of COVID-19 with decline in HRQoL and integrated research in COVID-19 survivors are warranted.
Koh Hyeonseok,Kwon Soonman,Cho Belong 대한가정의학회 2024 Korean Journal of Family Medicine Vol.45 No.2
Background: Primary care physicians perform a comprehensive role by providing continuous, patient-centered, and accessible healthcare and establishing connections with specialized care. However, the association between the supply of primary care physicians and mortality rates in South Korea has not been thoroughly investigated.Methods: This study utilized data from 229 si-gun-gu in South Korea from 2016 to 2020. The densities of primary care physicians, physicians in functional primary clinics, specialists in primary care facilities, and active physicians per 100,000 people were independent variables. Age-adjusted all-cause mortality and cause-specific mortality rates per 100,000 individuals were the dependent variables. Negative binomial regression, negative binomial regression with a pseudo-panel approach, and geographically weighted regression were used to analyze the data.Results: Our study revealed a significant negative association between the density of primary care physicians and all-cause mortality. An increase in a primary care physician per 100,000 population was significantly linked to a 0.11% reduction in all-cause mortality (incidence rate ratio, 0.9989; 95% confidence interval, 0.9983–0.9995). Simi-lar associations have been observed between mortality rates owing to cardiovascular diseases, respiratory tract dis-eases, and traffic accidents.Conclusion: This study provides evidence that having a higher number of primary care physicians in South Korea is associated with lower mortality rates. Future research should consider better indicators that reflect the quality of primary care to better understand its impact on population health outcomes. These findings emphasize the signifi-cance of strengthening primary care in the South Korean healthcare system to improve the overall health and well-being.
Shin, Dong Wook,Cho, Juhee,Kim, So Young,Guallar, Eliseo,Hwang, Seung Sik,Cho, Belong,Oh, Jae Hwan,Jung, Ki Wook,Seo, Hong Gwan,Park, Jong Hyock Raven Press 2013 Annals of surgical oncology Vol.20 No.8
<P>Surgery for cancer is often delayed due to variety of patient-, provider-, and health system-related factors. However, impact of delayed surgery is not clear, and may vary among cancer types. We aimed to determine the impact of the delay from cancer diagnosis to potentially curative surgery on survival.</P>
김상혁,신동욱,김소영,양형국,남은주,조현정,안은미,BeLong Cho,박기호,박종혁 대한암학회 2016 Cancer Research and Treatment Vol.48 No.2
Purpose Many end-of-life care studies are based on the assumption that there is a shared definition of language concerning the stage of cancer. However, studies suggest that patients and their families often misperceive patients’ cancer stages and prognoses. Discrimination between advanced cancer and terminal cancer is important because the treatment goals are different. In this study, we evaluated the understanding of the definition of advanced versus terminal cancer of the general population and determined associated socio-demographic factors. Materials and Methods A total of 2,000 persons from the general population were systematically recruited. We used a clinical vignette of a hypothetical advanced breast cancer patient, but whose cancer was not considered terminal. After presenting the brief history of the case, we asked respondents to choose the correct cancer stage from a choice of early, advanced, terminal stage, and don’t know. Multinomial logistic regression analysis was performed to determine sociodemographic factors associated with the correct response, as defined in terms of medical context. Results Only 411 respondents (20.6%) chose “advanced,” while most respondents (74.5%) chose “terminal stage” as the stage of the hypothetical patient, and a small proportion of respondents chose “early stage” (0.7%) or “don’t know” (4.4%). Multinomial logistic regression analysis found no consistent or strong predictor. Conclusion A large proportion of the general population could not differentiate advanced cancer from terminal cancer. Continuous effort is required in order to establish common and shared definitions of the different cancer stages and to increase understanding of cancer staging for the general population.