동의신경정신과학회지 (Journal of Oriental Neuropsychiatry)

  • 제28권2호
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  • Pages.49-59
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  • 2017
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  • 1226-6396(pISSN)
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  • 2234-4942(eISSN)
대한한방신경정신과학회 (The Korean Society of Oriental Neuropsychiatry)
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뇌성마비 환아 중증도별 시각화척도, 시간교환법, EQ-5D-Y Proxy를 이용한 삶의 질 측정

Measuring Quality of Life in Cerebral Palsy Children According to the Severity Using the Visual Analogue Scale, Time Trade-Off, and EQ-5D-Y Proxy

  • 이고은 (국립재활원 한방재활의학과) ;
  • 김남권 (부산대학교 한의학전문대학원 한방안이비인후피부과) ;
  • 윤영주 (동서협진의학) ;
  • 왕혜민 (전북대학교 통계학과) ;
  • 김정훈 (우석대학교 근거중심보건의료연구협력센터) ;
  • 이동효 (우석대학교 한의과대학 한방안이비인후피부과)
  • Lee, Go-Eun (Department of Oriental Rehabilitation, Korean National Rehabilitation Center) ;
  • Kim, Nam Kwen (Department of Ophthalmology & Otolaryngology & Dermatology, School of Korean Medicine, Pusan National University) ;
  • Yun, Young Ju (Department of Integrative Medicine, School of Korean Medicine, Pusan National University) ;
  • Wang, Hye Min (Department of Statistics, Chonbuk National University) ;
  • Kim, Jeong Hun (Evidence-based Healthcare Research Collaborating Center, Woosuk University) ;
  • Lee, Dong Hyo (Department of Ophthalmology & Otolaryngology & Dermatology, School of Korean Medicine, Woosuk University)
  • 투고 : 2017.04.17
  • 심사 : 2017.06.13
  • 발행 : 2017.06.30
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초록

Objectives: To measure the quality of life in patients according to virtual cerebral palsy severity by using the Korean version of EQ-5D-Y proxy, Visual Analogue Scale (VAS), and Time Trade-Off method (TTO). Methods: The study was conducted in parents of children and adolescents aged 4 to 15 years in Seoul. We analyzed the difference in the utility value according to five levels of cerebral palsy severity in the Gross Motor Function Classification System (GMFCS) and test-retest reliability. Results: 1. There were significant differences in VAS, TTO, and EQ-5D-Y proxy according to the cerebral palsy severity (p<.001). 2. VAS was significantly different according to the respondent's visit to the medical institution, the presence of disease in the respondent, a visit to the child's medical institution, the age of the child, and the sex of the child. The value of TTO was significantly different according to the respondent's visit to the medical institution, respondent's sex, and the age of the child. Also, EQ-5D-Y proxy was significantly different according to the age of the child. 3. Intraclass correlation coefficient values were more than 0.6 for both VAS and TTO at all stages. But for the EQ-5D-Y proxy, the value was less than 0.6 at all stages. Conclusions: The quality of life assessment using EQ-5D-Y proxy showed significant differences in the severity of cerebral palsy. However, large-scale studies using EQ-5D-Y proxy are needed because of low test-retest reliability.

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참고문헌

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