Cho Youngsuk, Yeum Dong Moon
Department of Nursing, Changshin University, Changwon, Korea.
Department of Social Welfare, Changshin University, Changwon, Korea.
J Korean Acad Nurs. 2019 Feb;49(1):104-112. doi: 10.4040/jkan.2019.49.1.104.
This study aimed to identify types of quality of life (QoL) based on the 5 dimensions of EQ-5D and predict factors affecting types of QoL.
This study was a secondary analysis using data from the Korean Health Panel Survey-??2012). Participants were 2,071 middle-aged men who had completed the additional survey in 2012 and the data were analyzed using SPSS 20.0 and Mplus 5.21 for latent analysis.
Three latent classes of QoL were identified: serious (2.4% of the sample), threatened (15.5%), and stable types (82.0%). The types and characteristics of QoL among the latent classes differed. On comparing latent type 1 with latent type 2, the socioeconomic status (<.05), employment status (<.05), and subjective health status (<.001) were found to be significant. On comparing latent type 1 with latent type 3, the socioeconomic status (<.05), current smoking status (<.001), and subjective health status (<.001) were found to be significant. On comparing latent type 2 with latent type 3, the socioeconomic status (<.05), subjective health status (<.001), stress (<.001) were found to be significant.
The results showed significant heterogeneity in types of QoL and the predictors of QoL by types were different. These findings provide basic information for developing nursing interventions to improve QoL. Specific characteristics depending on the subtypes should be considered during the development of interventions.
本研究旨在基于EQ-5D的五个维度确定生活质量(QoL)的类型,并预测影响生活质量类型的因素。
本研究是一项二次分析,使用了韩国健康面板调查(2012年)的数据。参与者为2071名中年男性,他们在2012年完成了额外调查,数据使用SPSS 20.0和Mplus 5.21进行潜在分析。
确定了三种生活质量潜在类别:严重型(占样本的2.4%)、受威胁型(15.5%)和稳定型(82.0%)。潜在类别中的生活质量类型和特征各不相同。将潜在类型1与潜在类型2进行比较时,发现社会经济地位(<.05)、就业状况(<.05)和主观健康状况(<.001)具有显著性。将潜在类型1与潜在类型3进行比较时,发现社会经济地位(<.05)、当前吸烟状况(<.001)和主观健康状况(<.001)具有显著性。将潜在类型2与潜在类型3进行比较时,发现社会经济地位(<.05)、主观健康状况(<.001)、压力(<.001)具有显著性。
结果显示生活质量类型存在显著异质性,且不同类型的生活质量预测因素不同。这些发现为制定改善生活质量的护理干预措施提供了基础信息。在制定干预措施时应考虑各亚型的具体特征。