한국형 골관절염영향측정척도(KAIMS) 도구개발 - 무릎 및 엉덩관절의 골관절염환자 중심 -

Development of Instrument for Korean Osteoarthritis Impact Measurement Scale (KAIMS) in Hip and Knee Osteoarthritis

  • 이승주 (안동과학대학교 물리치료과) ;
  • 김진섭 (선문대학교 물리치료학과)
  • Yi, Seung-Ju (Department of Physical Therapy, Andong Science College) ;
  • Kim, Jin-Seop (Department of Physical Therapy, College of Health Science, Sun Moon University)
  • 투고 : 2014.03.17
  • 심사 : 2014.04.15
  • 발행 : 2014.04.25

초록

Purpose: This study was conducted in order to develop an instrument for the Korean Osteoarthritis Impact Measurement scale (KAIMS) in hip and knee osteoarthritis patients. Methods: A sample of 426 subjects was recruited in Ulsan metropolitan city (six hospitals and clinics) and Andong city (five hospitals and clinics) from June 2010 to May 2011. Item internal consistency and item discriminant validity were analyzed on the item-level, and floor (%) and ceiling (%) effect were analyzed on the scale-level. Exploratory factor analysis was performed for construction of items in the KAIMS instrument; confirmative factor analysis was also performed to test the fit of the model. Results: In 426 respondents, age was 64.3 years. The reliability for r coefficient 0.90 (mobility) and 0.89 (pain and stiffness) (Cronbach's alpha 0.95, 0.95 respectively) was high in the test-retest, and there was no significant difference in paired t-test (p>0.05). Item internal consistency (${\alpha}=0.92$, ${\alpha}=0.87$ respectively) was also high. It was constructed of two factors (mobility, pain and stiffness dimension) and nine items in explanatory factor analysis; results of confirmatory factor analysis also indicated that the dimensional structure model was fitted well in the test of model fit (${\chi}^2=83.83$, df=26, p=0.000; RMR=0.05; GFI=0.96; AGFI=0.83). Conclusion: In conclusion, the results of this study showed that the KAIMS that was developed was a reliable and valid instrument for measurement of osteoarthritis (OA) patients. We recommend further research for additional development of the instrument on OA in Korea.

키워드

참고문헌

  1. Yoon CH. Osteoarthritis update. Korean J of Medicine. 2012;82(2):170-4. https://doi.org/10.3904/kjm.2012.82.2.170
  2. Yang SJ, An JS. Health status, health behavior and quality of life in elderly with osteoarthritis. Korean Soc Sci Nurs. 2011;23(2):23-33.
  3. Dominick KL, Ahern FM, Gold CH et al. Health-related quality of life and health service use among older adults with osteoarthritis. Arthritis Rheum. 2004;51(3):356-31.
  4. Jinks C, Jordan K, Croft P. Measuring the population impact of knee pain and disability with the Western Ontario and McMaster Universities Osteoarthritis Index(WOMAC). Pain. 2002;100(1-2):55-64. https://doi.org/10.1016/S0304-3959(02)00239-7
  5. Yi SJ, Lee HJ, Woo YK. Validity and reliability of the Western Ontario and McMaster Universities Osteoarthritis Index(WOMAC)-VA3.0 in hip and knee osteoarthritis patients. Phys Ther Kor. 2008;15(2):20-9.
  6. Yi SJ, Nam TH. Validity and reliability on psychometric arthritis impact measurement scale-short form (AIMS-SF) in knee osteoarthritis patients. J Korean Soc Phys Ther. 2007;19(5):29-41.
  7. Jun MK, Lim CG. The effects of exercise program on physical fitness in elderly with knee osteoarthritis. J Korean Soc Phys Ther. 2006;18(5):35-41.
  8. Park SK, Park RJ, Kim TY. The effect of functional impairment on imitation of flexion and extension in patients with knee osteoarthritis. J Korean Soc Phys Ther. 2001;13(3):643-51.
  9. Kim JH, Song YW, Lee JC. The study of risk factors forsymptomatic knee osteoarthritis in Korea. J Korean Rheum Asso. 2008;15(2):123-30. https://doi.org/10.4078/jkra.2008.15.2.123
  10. Lee JH, Shin HC, Kim CH et al. Validity and reliability of the korean version of the arthritis impact measurement scales 2(Korean-AIMS2) in patients with osteoarthritis. J Korean Acad Fam Med. 2003;24(1):19-44.
  11. Jung KA, Lee WH. The influence of clinical symptoms and selfefficacy on function in women osteoarthritis. Phys Ther Kor. 2007;14(1):55-63.
  12. Meenan RF, Gertman MP, Mason JH. Measuring health status in arthritis. The arthritis impact measurement scales. Arthritis Rheum. 1980;23(2):146-52. https://doi.org/10.1002/art.1780230203
  13. Guillemin F, Coste J, Pouchot J et al. The AIMS2-SF: a short form of the arthritis impact measurement scales 2. French quality of life in rheumatology group. Arthritis Rheum. 1997;40(7):1267-74.
  14. Bellamy N, Buchanan WW, Goldsmith CH et al. Validation study of WOMAC: a health status instrument for measuring clinically important patient relevant outcomes to antirheumatic drug therapy in patients with osteoarthritis of the hip or knee. J Rheumatol. 1988;15(12):1833-40.
  15. Yi SJ, Kim YJ. Development of korean osteoarthritis impact measurement scale(KAIMS): from data collection to item development in the first study. J Korean Acad of Phys Ther Sci. 2012;19(1):17-25.
  16. Cho MS, Lee SK. Development of measurement scale for korean scaling fear-1.0 and related factors. J Dent Hyg Sci. 2009;9(3):327-338.
  17. Shim JY, Lee JK, Kim SY et al. The development of korean related quality of l ife scale. J Korean Acad Fam Med. 1999;20(10):1197-208.
  18. Kim KY, Chun BY, Kam S et al. Development of measurement scale for the quality of life in hypertension patients. J Prev Med Public Health. 2005;38(1):61-70.
  19. Kang KA. Development of a tool to measure suffering in patients with cancer. J Korean Acad Nurs. 1999;29(6):1365-78.
  20. Cho MS, Yi SJ. Development of measurement scale for korean scaling fear-1.1. J Korean Soc Dent Hyg. 2012;12(4):675-84. https://doi.org/10.13065/jksdh.2012.12.4.675