Journal of Korean Academy of Nursing (대한간호학회지)

Korean Society of Nursing Science (한국간호과학회)
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Factors Influencing Quality of Life of Alcoholics Anonymous Members in Korea

익명의 알코올중독자(AA) 모임 참여자의 삶의 질에 영향을 미치는 요인

  • Yoo, Jae-Soon (Department of Nursing Science, College of Medicine, Chungbuk National University) ;
  • Lee, Jongeun (Department of Nursing Science, College of Medicine, Chungbuk National University) ;
  • Park, Woo-Young (Cheongju Community Addiction Management Center)
  • 유재순 (충북대학교 의과대학 간호학과) ;
  • 이종은 (충북대학교 의과대학 간호학과) ;
  • 박우영 (청주시중독관리통합지원센터)
  • Received : 2015.07.16
  • Accepted : 2016.01.11
  • Published : 2016.04.30
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Abstract

Purpose: The purpose of this study was to determine quality of life (QOL) related factors in Alcoholics Anonymous (AA) members based on PRECEDE Model. Methods: A cross sectional survey was conducted with participants (N=203) from AA meeting in 11 alcohol counsel centers all over South Korea. Data were collected using a specially designed questionnaire based on the PRECEDE model and including QOL, epidemiological factors (including depression and perceived health status), behavioral factors (continuous abstinence and physical health status and practice), predisposing factors (abstinence self-efficacy and self-esteem), reinforcing factors (social capital and family functioning), and enabling factors. Data were analyzed using t-test, one way ANOVA, Tukey HSD test and hierarchical multiple regression analysis with SPSS (ver. 21.0). Results: Of the educational diagnostic variables, self-esteem (${\beta}=.23$), family functioning (${\beta}=.12$), abstinence self-efficacy (${\beta}=.12$) and social capital (${\beta}=.11$) were strong influential factors in AA members' QOL. In addition, epidemiological diagnostic variables such as depression (${\beta}=-.44$) and perceived health status (${\beta}=.35$) were the main factors in QOL. Also, physical health status and practice (${\beta}=.106$), one of behavioral diagnostic variables was a beneficial factor in QOL. Hierarchical multiple regression analysis showed the determinant variables accounted for 44.0% of the variation in QOL (F=25.76, p<.001). Conclusion: The finding of the study can be used as a framework for planning interventions in order to promote the quality of life of AA members. It is necessary to develop nursing intervention strategies for strengthening educational and epidemiological diagnostic variables in order to improve AA members' QOL.

Keywords

References

  1. Ministry of Health, Welfare and Family Affairs. Epidemiological survey of psychiatric illnesses in Korea [Internet]. Daejeon: Statistics Korea; 2013 [cited 2015 January 27]. Available from: http://kosis.kr/statHtml/statHtml.do?orgId=117&tblId=TX_117_2009_HB025&conn_path=I2.
  2. Lee HK, Lee B, Lim JH, Choi M. The structural relations between problem drinking of Korean adults and related factors. The Journal of Korean Alcohol Science. 2012;13(1):109-121.
  3. Dawson DA, Li TK, Chou SP, Grant BF. Transitions in and out of alcohol use disorders: Their associations with conditional changes in quality of life over a 3-year follow-up interval. Alcohol and Alcoholism. 2009;44(1):84-92. http://dx.doi.org/10.1093/alcalc/agn094
  4. Saatcioglu O, Yapici A, Cakmak D. Quality of life, depression and anxiety in alcohol dependence. Drug and Alcohol Review. 2008; 27(1):83-90. http://dx.doi.org/10.1080/09595230701711140
  5. Choi SW, Na RH, Kim HO, Choi SB, Choi YS. The relationship between quality of life and psycho-socio-spiritual characteristics in male patients with alcohol dependence. Journal of Korean Neuropsychiatric Association. 2006;45(5):459-467.
  6. Yoon MS, Chung YC, Lee JS, Lee BH, Cho HC. Effects of family support on quality of life among alcohol dependent patients: Moderating effect of abstinence self-efficacy. Journal of Korean Neuropsychiatric Association. 2012;51(5):277-284. http://dx.doi.org/10.4306/jknpa.2012.51.5.277
  7. Oh CU, Kim SR. The relationship of alcohol use disorders and depression, qualty of life in the eldery. Journal of the Korea Academia-Industrial Cooperation Society. 2014;15(1):196-201. http://dx.doi.org/10.5762/KAIS.2014.15.1.196
  8. Lee BJ. Perceived social support among alcoholics anonymous members in terms of its types and sources. Journal of Community Welfare. 2010;35:121-145.
  9. General Service Office of Alcoholics Anonymous of Korea. Brief history of A.A. in South Korea [Internet]. Seoul: Author; 2015 [cited 2015 January 29]. Available from: http://www.aakorea.org/engAA.html.
  10. Yang YM, Chung S. The influence of resilience in the relationship between therapeutic factors of alcoholics anonymous and abstinence self-efficacy. The Journal of Korean Alcohol Science. 2010;11(1):57-75.
  11. Choi YS, Woo JH, Hyun MS. Factors influencing on recovery in alcohol dependent patients. The Korean Journal of Rehabilitation Nursing. 2012;15(2):109-116. http://dx.doi.org/10.7587/kjrehn.2012.109
  12. Green LW, Kreuter MW. Health promotion planning: An educational and ecological approach. 4th ed. New York, NY: McGraw-Hill; 2005.
  13. Park KH, Choi YH. Quality of life of older adult with home health services: Applied PRECEDE model. The Korean Journal of Rehabilitation Nursing. 2010;13(1):32-43.
  14. Matin BK, Jalilian F, Alavije MM, Ashtarian H, Mahboubi M, Afsar A. Using the PRECEDE model in understanding determinants of quality of life among Iranian male addicts. Global Journal of Health Science. 2014;6(6):19-27. http://dx.doi.org/10.5539/gjhs.v6n6p19
  15. The WHOQOL Group. Development of the World Health Organization WHOQOL-BREF quality of life assessment. Psychological Medicine. 1998;28(3):551-558. http://dx.doi.org/10.1017/S0033291798006667
  16. Min SK, Lee CI, Kim KI, Suh SY, Kim DK. Developmment of Korean version of WHO quality of life scale abbreviated version (WHOQOL-BREF). Journal of Korean Neuropsychiatric Association. 2000;39(3):571-579.
  17. Spitzer RL, Kroenke K, Williams JB. Validation and utility of a self-report version of PRIME-MD: The PHQ primary care study. Primary care evaluation of mental disorders. Patient health questionnaire. JAMA: Journal of the American Medical Association. 1999;282(18):1737-1744. http://dx.doi.org/10.1001/jama.282.18.1737
  18. An JY, Seo ER, Lim KH, Shin JH, Kim JB. Standardization of the Korean version of screening tool for depression (patient health questionnaire-9, PHQ- 9). Journal of the Korean Society of Biological Therapies in Psychiatry. 2013;19(1):47-56.
  19. Speake DL, Cowart ME, Pellet K. Health perceptions and lifestyles of the elderly. Research in Nursing and Health. 1989;12(2):93-100. http://dx.doi.org/10.1002/nur.4770120206 Cited by Song MS, Kim MS, Gu MO, Kim S, Kim JH, Kim HS, et al. Measurement in Gerontology Research. Paju: Koonja; 2006.
  20. Belloc NB, Breslow L. Relationship of physical health status and health practices. Preventive Medicine. 1972;1(3):409-421. http://dx.doi.org/0.1016/0091-7435(72)90014-X https://doi.org/10.1016/0091-7435(72)90014-X
  21. DiClemente CC, Carbonari JP, Montgomery RP, Hughes SO. The alcohol abstinence self-efficacy scale. Journal of Studies on Alcohol. 1994;55(2):141-148. http://dx.doi.org/10.15288/jsa.1994.55.141
  22. Kim SJ. Modeling relapse of alcoholism: Male alcoholic in-patients of psychiatric ward [dissertation]. Seoul: Seoul National University; 1996.
  23. Rosenberg M. Society and the adolescent self-image. Princeton, NJ: Princeton University Press; 1965.
  24. Jon BJ. Self-esteem: A test of its measurability. Yonsei Medical Journal. 1974;11(1):107-130.
  25. Yi G. Cultural capital and social capital of the Korean elderly. Journal of the Korean Gerontological Society. 2005;25(3):1-21.
  26. Smilkstein G. The family APGAR: A proposal for a family function test and its use by physicians. The Journal of Family Practice. 1978;6(6):1231-1239.
  27. Kang SK, Yoon BB, Lee HR, Lee DB, Shim UT. A study of family APGAR scores for evaluating family function. Family Physician. 1984;5(12):6-13. Cited by Song MS, Kim MS, Gu MO, Kim S, Kim JH, Kim HS, et al. Measurement in Gerontology Research. Paju: Koonja; 2006.
  28. Kim JS, Kang S. A study on body image, sexual quality of life, depression, and quality of life in middle-aged adults. Asian Nursing Research. 2015;9(2):96-103. http://dx.doi.org/10.1016/j.anr.2014.12.001
  29. Park SJ, Choi HR, Choi JH, Kim K, Hong JP. Reliability and validity of the Korean version of the patient health questionnaire-9 (PHQ-9). Anxiety and Mood. 2010;6(2):119-124.
  30. Kim HJ, Shin ES. Changes in self-evaluated health states after the participation to the AA program. Korean Journal of Health Policy & Administration. 2000;10(3):88-107.
  31. Maeng SJ. A study on the health beliefs and performance of healthy behaviors of some patients in Korean army hospitals: With a focus on officer patients (commissioned & non-commissioned). Journal of Military Nursing Research. 2008;26(2):58-82.

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