• 재활치료과학
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• 제8권3호
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• pp.43-55
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• 2019

목적: 본 연구의 목적은 수행기반 인지기능 평가를 위한 예비연구로써 노인의 인지기능 저하 선별하기 위해 사용되는 수행기반 인지기능 평가도구를 분석하여 평가 문항을 구성하고 정상 노인을 대상으로 검사를 시행하여 타당도를 검증하는 것이다. 연구방법: 수행기반 인지기능 평가항목을 선정한 후, 만 65세 이상 정상 노인 9명을 대상으로 평가를 시행하였다. 평가도구의 신뢰도를 검증하기 위해 수집된 자료를 대상으로 내적 일관성을 분석하였으며, 공인 타당도를 검증하기 위해 기존 수행기반 인지기능 평가와 MMSE-K와의 상관관계를 분석하였다. 결과: Performance-Based Cognitive Function Test(PCFT)의 내적일치도 Cronbach's ${\alpha}$ 계수는 운동과제 .871 인지과제 .959 높은 신뢰도를 나타냈다. 공인타당도는 운동-인지 이중과제 평가를 이용하여 PCFT의 항목별 상관관계는 .755~.964으로 산출되었으며 통계적으로 유의하였다(p<.05). 또한 인지평가도구인 MMSE와의 상관관계는 .849~.943(p<0.01)로 나타나 높은 타당도를 보였다. 결론: 본 연구를 통해 수행기반 인지기능 평가의 신뢰도 및 타당도를 검증하였다. 추후 연구에서는 최종적으로 수정 보완된 인지기능저하 노인을 선별을 위한 수행기반 인지기능 평가도구를 대상으로 기타 신뢰도 및 타당도를 검증하여야 할 것으로 사료된다.

• Asian Pacific Journal of Cancer Prevention
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• 제15권3호
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• pp.1435-1440
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• 2014

Background: It has been found that support given to women with breast cancer has a positive effect upon their reactions to the illness and may even prolong their survival. Perceived support needs assessment in breast cancer women could be considered as a necessary part of nursing function. Aim: The purpose of this study was to translate and culturally adapt the self-assessed support needs (SASN) questionnaire into Persian language and to investigate its psychometric properties. Materials and Methods: After forward-backward translation of the questionnaire and making appropriate changes, we selected 160 women with breast cancer as our study sample. The psychometric properties of the SASN, including its internal consistency, test retest reliability, and construct validity were evaluated through the known-groups technique. Results: The calculated Kaiser Meyer Olkin was 0.756, indicating that the sample was sufficiently large to perform a satisfactory factor analysis. The six factors all together explained 50.7% of the variance; the first factor (diagnosing) explaining the biggest part of variance (10.9). Internal consistency reliability was 0.83 for the whole scale and the stability of test was 0.78. For the first factor, Cronbach's alpha was 0.90 and factor loadings of scale's items were found to deal with diagnosis subscale. The domains described patients' diagnosis, treatment, support, femininity and body image, family and friends and information. Conclusions: The reliability and validity of the adapted version of the SASN was shown to be satisfactory. Thus, it can be used to investigate self-assessed support needs of Iranian women suffering from breast cancer since the SASN is a multi-domain scale.

• 한국과학교육학회지
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• 제30권2호
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• pp.275-290
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• 2010

중학생의 과학탐구활동 수행평가 시 총체적 채점과 분석적 채점의 신뢰도를 비교 분석하였으며, 분석적 채점을 하는 경우에는 신뢰도 확보를 위하여 채점척도의 수준을 어느 정도로 분석적으로 해야 하는지를 조사하였다. 중학생들이 작성한 4개의 과학탐구과제에 대한 활동지를 두 명의 채점자가 총체적 채점 방식, 분석적 채점 방식, 분석적 채점 중 채점척도를 2, 3, 4~7수준으로 다르게 하여 채점하였다. 총체적 채점 방식은 과제 간 내적 일치도가 높게 나타났으며, 분석적 채점 방식은 채점자간 신뢰도가 높게 나타났다. 또한 채점척도 3수준의 경우는 4~7수준의 경우와 활동간 내적 일치도와 채점자간의 신뢰도가 유사하게 나타났으나, 능력추정치별 학생의 분포, 문항곤란도 및 문항특성곡선의 경우 채점척도 3수준의 경우가 적절한 것으로 나타났다. 이러한 연구 결과는 과학탐구활동 수행평가 시 총체적 채점 방식을 선택하는 경우는 과제 간 내적일치도를 높일 수 있으며 분석적 채점 방식에 비해 낮게 나타나는 채점자 간 일치도를 높이기 위한 채점자간 협의등 방안이 필요하다는 것을 시사한다. 또한 분석적 채점 방식을 선택하는 경우는 채점척도 3수준으로 충분히 신뢰도를 확보할 수 있다는 점을 시사한다.

• Journal of Acupuncture Research
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• 제27권1호
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• pp.51-64
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• 2010

Objectives : To introduce and compare various headache measurement tools, in order to provide fundamental information for future clinical trials and development of oriental medicine measurement tools. Methods : Eight headache assessment scales, Migraine-Specific Quality of Life Questionnaire(MQoLQ), Migraine-Specific Quality of Life(MSQOL), Migraine-Specific Quality of Life Questionnaire(MSQ), The Headache Impact Questionnaire(HImQ), Headcahe Needs Assessment Survey(HANA), Henry Ford Headache disability Inventory(HDI), Migraine Disablity Assessment Scale(MIDAS) and Headache Impact Test(HIT-6), were searched through Pubmed. General character, the process of development, verification of reliability, internal consistency, responsiveness to patient's change and validity were reviewed. Results : In assessing the quality of life of migraine patients, MQoLQ can be used to measure the change within 24 hours, MSQ and MSQOL can be used to measure the change during a relatively longer period of time. The frequency and bothersomeness of headache can be easily measured by HANA. HImQ can be used to measure the intensity of headache and the influence on normal daily activities. HDI can measure the emotional difficulties of headache patients. HIT-6 and MIDAS makes measurements possible in a short period of time, and the reliability and validity have been verified numerously. HIT-6 and MIDAS are the most frequently used measurement tools because they are simple and easy for both the assessor and the patient to understand and use. Conclusions : In this study, various headache assessment tools have been reviewed. The assessed tools were widely used after being verified for their reliability and validity. We hope this study provides fundamental information in establishing future clinical trial and clinical practice guidelines. We also hope this study to contribute to the development of an oriental medicine assessment tool for headache.

• 한국과학교육학회지
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• 제36권3호
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• pp.509-517
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• 2016

학생들의 진화에 대한 대안개념(목적론, 용불용설 등)이 과학사에서 나타나는 설명의 발전 형태와 유사하다는 연구는 있었다. 하지만 과학사적으로 설명의 발달과정을 반영하여 부분점수를 주는 평가방식은 활용되지 않았다. 이 연구의 목적은 창조론에서 자연선택까지 과학사적 발달과정을 반영하여 부분점수를 주는 방법을 제안하고 이 방법이 타당한지에 대한 양적인 증거를 수집하는 것이다. 이 연구는 과학사에 근거하여 진화개념검사도구의 학생응답을 순위선다형점수로 변환하고 부분채점모형의 라쉬모델분석을 포함한 통계적 방법으로 새로운 평가방식이 타당한지 확인하였다. 또한 개념발달이 인간, 동물, 문항의 상황에 따라 다른지 확인하였다. Ha(2007)가 개발한 검사도구를 활용하여 1711명의 초, 중, 고등학생과 비전공, 전공생물 교사를 대상으로 생성한 자료를 통하여 분석하였다. 창조론, 목적, 의도, 용불용설, 자연선택에 0점에서 4점씩 부분점수로 제시한 평가방법은 Cronbach alpha를 통한 내적일관성 신뢰도, 라쉬분석의 MNSQ값 등 통한 문항적합도를 확인한 결과 타당한 것으로 확인되었다. 초등학생과 중학생들의 개념수준은 의도에서 용불용설 단계에, 고등학생부터 용불용설 이후의 단계로 개념발달이 이루어지고 있었다. 진화설명의 발달 과정은 인간, 동물, 식물에 따라 차이가 나타남을 확인할 수 있었다. 이 연구는 과학사와 학생들의 개념발달이 유사하다는 기존의 주장에 새로운 양적증거를 추가하고, 진화개념 평가를 위한 새로운 분석방법을 제안한다.

• 대한간호학회지
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• 제21권2호
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• pp.230-246
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• 1991

Pain is a subjective and multidemensional concept. Therefore the patient's expression of pain have been referedl to the best believable indicator of pain condition but the support data obtained from the patient considered cultural difference is a deficient condition in determinded on the precise nursing diagnosis. The purpose of this reasearch was to understand multiple pain reponses in cultural difference and sensitivity, to encourage communication between medical teams, and to provide the foundation data of on data of precise nursing assessment for the patient in pain. The research problem was to grasp pain express pattern of Korean peptic ulcer patients. The subjects were 20 peptic ulcer patients in medical unit or OPD of twp university hospitals in Seoul. Data were collected from September 7th to 22nd, 1990 by intensive interviews. Interviews were done by the researcher and all were tape - recorded. The Data analysis was done by Phenomenological method from Van Kaam. Validity assured by confirmation of the internal consistency of the statements and catigory by nursing collegue in educational and clinicions in medical care. From the emic data, 96 descriptive statements were organized in 18 theme cluster. The results of study were summerized as follows. 1. Pain Express Pattern cluster of Peptic Ulcer Patients were “Pain as clogging”, “shallow pain”, “pain as pressing”, “nauseating pain”, “pain as smarting”, “pain as pulling”, “pain as pricking”, “pain as bursting”, “wrenching pain”, “excising pain”, “uncontrollable pain for mind and body”, “awakening pain”, “pain as hollowing” and the other cluster. As above mentioned, Pain Express Pattern of Peptic Ulcer Patient appeared diversely in verbal and they were propered to Korean culture. Therefore they will provide for the foundation data of precise nursing assessment.

• 여성건강간호학회지
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• 제2권1호
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• pp.25-39
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• 1996

The Korean government has a new system for charging patient care for patients in hospital, on hold for the present(9 / 1995) but to start implementation in certain areas of patient care next year. From the latter half of next year the Ministry of Health and Welfare would like to start demonstration projects for hospitals who want to start using DRGs for frequently seen medical diagnosis and for patients with a course that is predictable and for whom non-insurance costs are minimal : such as the patient who has a delivery, cesarean deliveries, cataract surgery, tonsillectomy or an appendectomy, and apply the DRG system of payment for hospital care for these patients. The purpose of this study was to establish a recording system to give effective home health care to postpartum women and their newborns. Recently the government announced a DRG system to apply to postpartum women for pilot purposes starting next year. This gives impetus to the need to develop home care records that will allow for systematic recording and provide continuity and consistency in care across all health professionals and with in-depth communication between the professions to assure high quality care. There has been a rise in medical costs and a shortage of patient bed space in hospitals, particularly since the introduction of national medical insurance. The study focused on developing client selection criteria, a primary assessment tool, progress notes and nursing diagnoses applicable to postpartum and newborn clients. Selection criteria for home health care, assessment tool content, nurses progress notes and diagnoses were developed through a review of the literature, advice from professionals who are expert in home health care and actual practice in the use of recording tools through workshops. The recommendations based on the research results are as follows : 1) Replication and application of these tools is needed to test the validity of the tools 2) In order to have systematic nursing records standardization of records has to be done after nurses have had experience using them. 3) Reliability and validity of the tools has to be established through applicability to actual care situation.

• 대한간호학회지
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• 제45권3호
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• pp.412-419
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• 2015

Purpose: The aim of this study was to evaluate the validity and reliability of the Korean version of the Person-centered Care Assessment Tool (P-CAT). Methods: The English P-CAT was translated into Korean with forward and backward translation. Survey data were collected from 458 staff in 17 long-term care facilities in Korea. Construct validity and criterion related validity were evaluated. Cronbach's alpha was used to assess reliability. Results: The Korean version of P-CAT was shown to be valid homogeneously by factor, item and content analysis. Internal consistency reliability was satisfactory in which the values of factor 1, factor 2 and the total scale were .84, .77 and .86 respectively. Exploratory factor analysis supported the construct validity with a two-factor solution. Factor loadings of the 13 items ranged in .34~.80. Criterion validity to the Person-centered Climate Questionnaire-staff (PCQ-S) was .74 (p<.001). Conclusion: The Korean version of the P-CAT was found to be an applicable instrument with satisfactory reliability and validity for further use in measuring successful person-centered care in long-term care facilities for older persons.

• 대한간호학회지
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• 제44권4호
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• pp.398-406
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• 2014

Purpose: This study was done to develop and test the validity and reliability of the Korean version of the Pain Assessment Checklist for Seniors with Limited Ability to Communicate (PACSLAC-K) in assessing pain of elders with dementia living in long-term care facilities. Methods: The PACSLAC-K was developed through forward-backward translation techniques. Survey data were collected from 307 elders with dementia living in 5 long-term care facilities in Korea. Data were analyzed using descriptive statistics, Pearson correlation, Spearman's rho, paired t-test, ROC (receiver operation characteristic) curve with the SPSS/WIN (20.0) program. Results: The PACSLAC-K showed high internal consistency (.90), interrater reliability (.86), intrarater reliability (.93), and high concurrent validity (.74) in paired t-test with PAINAD. Discriminant validity also showed a significant difference compared with no pain. The PACSLAC-K showed a sensitivity of .93, specificity of .88, and Area Under the Curve of .95 in the ROC curve. Conclusion: The findings of this study demonstrate that PACSLAC-K is useful in assessing pain for elders with dementia living in long-term care facilities.

• PNF and Movement
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• 제9권2호
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• pp.45-53
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• 2011

Purpose : Many researchers have attempted to identity the reliability used in clinical examination of balance and gait performance for individuals of hemiparetic stroke. The study aims to evaluate whether the reliabilities of three popular clinical measures of balance and gait performance was consistency regardless of applicate experience of those clinical measures compared with previous studies for persons with hemiparetic stroke. Methods : A total of three hemiparetic stroke populations and twenty-six physical therapists were recruited from Glory hospital, Inchen, Korea in this study. The three clinical measures, involving Berg balance test (BBT), dynamic gait index (DGI), and Tinetti performance-oriented mobility assessment (POMA), were assessed in two sessions that were seven days apart. Results : The POMA was showed a good intrarater and interrater reliabilities in people with hemiparetic stroke regardless of measure's experience in clinical field. However BBT and DGI were showed below moderate intrarater and interrater reliabilities. Conclusion : The POMA could be a reliable measure to evaluate functional postural stability and gait performance in hemiparetic stroke patients compared with other two clinical measures regardless of measure's experience of physical therapists.