PURPOSE. To assess removable prosthetic restoration tolerance according to the patient section of the short form of the Gagging Problem Assessment Questionnaire (GPA-pa SF) and the influence of gender, education level and prosthesis type and denture-related mucosal irritation on the GPA-pa SF scores before treatment and over a period of two months after prosthesis insertion. MATERIALS AND METHODS. 130 participants who required removable prosthesis were surveyed with a standard form that included questions regarding age, gender, education level, dental attendance, and prosthetic restoration type. Participants answered the GPA-pa SF before restoration (T0) and 1 day (T1), 2 days (T2), 15 days (T3), 1 month (T4), and 2 months (T5) after prosthesis insertion. RESULTS. Of the 130 participants, 110 participants completed the prosthetic restoration procedure, but only 93 of these were able to use the prosthesis over the two-month period. The mean GPA-pa SF score obtained at T0 was higher than the scores obtained at the other periods in the total of the sample. Significant difference was present between mean scores obtained at T0-T1 and T2-T3 than scores obtained at other periods (P<.05). Female participants and participants with denture-related mucosal irritation had higher GPA-pa SF scores at all time points analysed. Significant difference was present between mean GPA-pa SF scores obtained at T2-T3 than scores obtained at other periods for females and participants with denture-related mucosal irritation (P<.05). Education level and prosthesis type did not significantly influence the GPA-pa SF score at any time point analysed (P>.05). CONCLUSION. GPA-pa SF scores were higher before the restoration procedure began, and decreased over time with the use of prosthesis. Gender and denture-related mucosal irritation affected the GPA-pa SF scores.
Journal of the Korean Academy of Child and Adolescent Psychiatry
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제35권4호
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pp.266-274
/
2024
Objectives: This study aimed to investigate the relationship between adult attention-deficit/hyperactivity disorder (ADHD) and anxiety symptoms. Methods: A total of 52 patients diagnosed with adult ADHD completed self-report assessment scales. The clinical features of ADHD were assessed using the Adult ADHD Self-Report Scale (ASRS) and Korean Adult ADHD Rating Scale (K-AARS). The State-Trait Anxiety Inventory (STAI) was used to assess anxiety-related symptoms. Correlation and linear regression analyses were conducted to examine the relationships between the diagnostic scales of adult ADHD and anxiety. Results: Higher scores on the ASRS were related to higher scores on the STAI-S (r=0.482) and STAI-T (r=0.573), which assess state anxiety and trait anxiety, respectively. Subscales of inattention (STAI-S, r=0.485; STAI-T, r=0.648), impulsivity (STAI-S, r=0.404; STAI-T, r=0.491), emotional dysregulation (STAI-S, r=0.498; STAI-T, r=0.639), disorganization (STAI-S, r=0.427; STAI-T, r=0.545) on the KAARS, and the subtotal of K-AARS clinical subscales (STAI-S, r=0.517; STAI-T, r=0.540) had significant correlations with both STAI-S and STAI-T scores. After adjusting for demographic characteristics, there were significant associations between ASRS total scores (β=0.299) and STAI-S scores, and between inattention (β=0.297), impulsivity (β=0.560), emotional dysregulation (β=0.393), disorganization (β=0.817), subtotal scores on the K-AARS subscales (β=0.114), and STAI-S scores. The multivariate regression analysis also showed significant associations between ASRS total scores (β=0.409) and STAI-T scores. Associations between K-AARS subscales of inattention (β=0.468), impulsivity (β=0.817), emotional dysregulation (β=0.598), disorganization (β=1.120), subtotal scores on the K-AARS subscales (β=0.134), and STAI-T scores remained significant after adjusting demographic variables. Conclusion: Comprehensive assessment of ADHD symptoms related to anxiety would be important for the evaluation and treatment of anxiety in adult ADHD patients.
This study was attempted to identify the emotional characteristics of temporomandibular disorder patients. The author applied one of the self-report modes of psychological measurement, Symptom Chechlist-90-Revision. The subjects were 219 TM disorder patients who visited the Department of Oral Diagnosis and Oral Medicine, Seoul National University Hospital during the period from December 1985 to September 1986. All the patients were divided into subgroup according sex, age, duration of symptoms, presence or absence of T-scores of each symptom dimension and global index. The obtained result were as follows : 1. Mean value of T-scores of each symptom dimension and global of the overall patients was within normal range. The two higher mean values of T-scores among 9 symptom dimensions were those of SOM and ANX. 2. Mean values of T-scores of females were higher than those of males in the O-C, DEP, ANX, HOS, PSY dimensions and all global indices, and there was a significant difference in the distribution of T-scores of the SOM dimension between males and female(P<0.05). 3. There was no significant difference between the subgroup under 30 years and the subgroup 30 years or older. 4. The subgroup with symptoms for 6 months or longer showed the higher mean values of T-scorers in the SOM, O-C, I-S, DEP, ANX, PHOB, PAR, PSY dimensions and all global indices compared with the subgroup with symptoms for shorter than 6 months. 5. The subgroup with pain showed the higher mean values of T-scores in all the symptom dimensions except the PAR in comparison with the subgroup with other complaints than pain, and there was a significant difference in the distribution of T-scores of the PST index between the pain subgroup and the non-pain subgroup(P<0.05). There was a significant difference in the distribution of T-scores of the PHOB dimension between the high-school graduates subgroup and the college graduates subgroup(P<0.05).
Journal of the Korean Academy of Child and Adolescent Psychiatry
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제19권2호
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pp.112-119
/
2008
Objectives : This study was conducted to examine whether there are qualitative differences in attention problem among children with various psychiatric disorders, including attention-deficit hyperactivity disorder (ADHD), depressive disorder, anxiety disorder, and tic disorder using clinical ADHD diagnostic system (ADS) T-scores. Methods : The subjects were 794 outpatient children aged from 5 to 15 years, including 540 children with ADHD, 95 children with depressive disorder, 86 children with anxiety disorder, and 73 children with tic disorder. Clinical T-scores on the ADS were calculated using the mean and standard deviations of four ADS variables for the ADHD group. Results : All four groups had T-scores on the ADS in the abnormal range. However, when comparing the clinical T-scores, the children with depressive and anxiety disorders performed better than the children with ADHD. We also found that although the four groups seemed to be similar in terms of clinical T-scores for omission and commission errors, there were significant differences in clinical T-scores for reaction time and the standard deviation of response time (RT) between the ADHD and other groups. Conclusions : We concluded that inattention and impulsivity might not be specific only to ADHD and that the clinical T-scores of RT and standard deviation of RT on the ADS could be used to discriminate between ADHD and other clinical groups.
악교정 수술환자들의 술전 정신심리상태를 평가하기 위하여 술전교정 치료를 받고 있는 환자 67명을 대상으로 SCL-90-R을 검사하였다. 남성환자는 40명이었으며 여성환자는 27명이었다. 남성,여성환자의 인성특징 비교를 위해 t-test를 이용하였다. 본 연구의 결과는 다음과 같았다. 1. 술전 환자군, 남성환자군, 여성환자군 모두에서 SCL-90-R의 9가지 임상척도가 정상범주에 해당 하였다. 2. PHOB scale(공포불안)에서만 남성 환자군의 T-score가 여성환자군보다 높았다. (P<0.05) 3.모든 T-scores가 정상범주에 놓여 있었으나, 9명의 환자(전체환자의 13.4$\%$)는 적어도 한 개의 임상척도에서 비정상적인 범주에 놓여 있었다.
Objective: The aims of our study were to verify the validity of the T-Scan III system (Tekscan) as an objective occlusal evaluation tool, and to assess the differences between two occlusal indexes - the peer assessment rating (PAR) index and the American Board of Orthodontics objective grading system (OGS) - by comparing the scores derived from the T-Scan III system with the two occlusal indexes and analyzing the correlations between them. Methods: The final study sample included 48 adult volunteers (39 men and 9 women, mean age $24.14{\pm}3.16years$), after excluding 29 volunteers whose occlusion could not be evaluated by the T-Scan III system due to severe skeletal or occlusal problems. PAR index and OGS scores were assessed using dental study models, and measurements of centric occlusion, protrusive movement, and lateral excursion movement were obtained via the T-Scan III system. The results were analyzed to determine correlations. Results: Occlusal analysis by the T-Scan III system was clinically reliable (p < 0.05), and the PAR index and OGS scores were significantly correlated with several measurements obtained with the T-Scan III system (p < 0.05). Conclusions: The T-Scan III system is a quantitative and reliable method for occlusal evaluation, and represents a potential substitute for occlusal indexes. Compared to the PAR index, the OGS scores of more variables were significantly correlated with the T-Scan measurements.
The purpose of this study was to provide basic information for developing family-focused nursing interventions for families with chronic illness. The subjects were 68 families of chronically ill patients in hospitalization and 68 families, as a comparison group, who didn't have chronically ill family members. The results of this study were as follows. 1. families with chronic illness showed higher anxiety scores (t=2.28, P=.024) and lower family functioning scores than normal families(the performance of family functioning : t=2.83, P=.005, the satisfaction of family functioning : t=5.76, P=.000) 2. In family caregiver systems, spouses of chronically ill patients showed higher anxiety scores (t=2.72, P=.008) and lower family functioning scores than those of normal families(the performance of family functioning : t=2.28, P=.026, the satisfaction of family functioning : t=4.41, P=.000) : however, the anxiety scores between children of chronically ill patients and those of normal families were no statistically significant differences. with regard to satisfaction of family functioning, children of chronically ill patients showed lower scores than those of normal family(t=3.85, P=.000). 3. In families with chronic illness, there were significantly positive correlations between the perceived importance of family functioning and anxiety(r=.415, P=.001) and between the performance and satisfaction of family functioning(r=.727, P=.001) ; however, there was a negative correlation between satisfaction of family functioning and anxiety(r=-.334, P=.01). In normal families, there was no significant correlation between family functioning and anxiety. Findings of this study suggest that families with chronic illness need family-focused nursing interventions for relieving their anxiety and for improving family functioning. in conclusion, the investigation of family functioning and anxiety provides useful information in family-focused nursing care, especially for spouses of chronically ill patients. This information will contribute to developing the support systems for family caregivers and education programs for managing chronically ill patients.
Emotional state of dental outpatients was studied by means of symptom checklist-90- revision, 229 male and 290 female dental outpatients were subjected at the private local clinic in Pusna, during the period from 1994 to 1995. T-scores from SCL-90-R were analyzed psychologically by means of 90 questionnaires through Korean manual of SCL-90-R. The obntained results were as follows : 1. Mean value of T-scores on 9 basic scales of SCL-90-R in all the dental outpatients was within normal range. 2. T-scores in male were significantly higher than that in female, and there was a significant difference by age group in female. 3. There were higher levels of T-scores in groups of high academic carrier, salaryman, public servant, and unmarried person. 4. T-score of patients with periodontal pain was the highest in all subject groups. 5. While T-score of patients with K01(embedded and impated teeth) was the highest, that of K02(dental caries) was the lowest. 6. T-score in acute group was higher than that in chronic group. 7. T-score of patients treated in field of oral surgery or oral medicine was higher than those of other fields of dental treatments.
This study was designed to learn attitudes to euthanasia of nursing student. Data were collected from May 1 to May 30, 2005 by structured questionaires. The respondents joined in the study were 307 nursing student. Data were analyzed using SPSS program by percentage, t-test, one-way ANOVA and scheffe, The results obtained were as follows :1. The mean scores for euthanasia were 3.16 in medical ethics, 2.85 in respect for life, 2.83 in patient's rights, and 2.63 in quality of life, being 2.85 overall. 2. Those who have grade showed significantly higher scores for euthanasia. 3. About 56% of the respondents did not agree that passive euthanasia is justifiable, and 55% did not like performance of euthanasia. 4. The group admitting that passive euthanasia is ethically justifiable showed significantly higher scores in the patient's rights(t=6.031, p=.000), the respect for life(t=5.280, p=.000) and the medical ethics(t=5.558, p=.000) than the group which do not admit. 5. The group which would perform passive euthanasia showed significantly higher scores in the patient's rights(t=6.329, p=.000), the respect for life(t=6.339, p=.000), the quality of life (t=1.993, p=.047) and the medical ethics(t=6.240, p=.000) than the group which would not perform passive euthanasia.
Purpose : this study was to examine the effect of using a nursing standards for the quality of nursing care in musculo-skeletal patients. Method : The approach to nursing quality assurance evaluation was selected process-outcome framework. The subjects ware 100 case of musculo-skeletal patients in orthopedic surgery nursing care unit of E. university hospital in seoul. The data of a control group were collected from 23 December 2001 to 20 March 2002 and an experimental group were collected from 1 June to 25 August 2002. The instruments used for this study were a nursing care standards in musculo-skeletal disorder patients developed by the investigator and an evaluation tool for the quality of nursing care in orthopedic surgery patients developed by soon-ook Choi in 1995. It's reliability is Cronbach alpha=.8628. The data were analyzed by means of $x^1$-test, t-test, ANOVA with SPSS program. Results : This study are as fellows : 1. Scores of the quality of nursing care in standard 1 in the experimental group were higher than those of the control group with no significant difference(t=-8.793, p=.000), scores of the quality of nursing care in standard 2 in the experimental group were higher than those of the control group with significant difference(t=-8.793, p=.000) and standard 3 in the experimental group were higher than those of the control group with significant difference(t=-10.550, p=.000). scores of the quality of nursing care in standard 4 in the experimental group were higher than those of the control group with significant difference(t=-8.793, p=.000). scores of the quality of nursing care in standard 4 in the experimental group were higher than those of the control group with no significant difference(t=-1.833, p=.070). 2. Scores of the quality of nursing care in criteria 28 of 33 criteria in the experimental group were higher than those of the control group with significant difference in 12 criteria(p<.05 ). 3. Scores of the quality of nursing care in standard 1 to standard 4(process evaluation); the experimental group were higher than those of the control group with significant difference(t=-10.704, p=.000). scores of the quality of nursing care in standard 5(outcome evaluation); the experimental group were higher than those of the control group. but no significant difference(t=-1.833, p=.070). 4. Scores of the quality of nursing care in experimental group were higher than those of the control group with significant difference(t=-10.794, p=.000). Conclusion : Through this study, I'm sure that using a nursing care standards in musculo-skeletal disorder patients improve quality of nursing care and nursing care standards are effective nursing care.
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